wye valley nhs trust junior doctors€¦ · · 2017-07-11wye valley nhs trust junior doctors ......

Wye Valley NHS Trust

Junior Doctors

Induction Manual

2017

Wye Valley NHS Trust

Wye Valley NHS Trust Induction Manual HPPGMC2017

2

Welcome to the Postgraduate Medical Centre

The Postgraduate Centre is run on behalf of the Health Education West Midlands and Wye Valley NHS Trust by the Postgraduate Clinical Tutor Foundation Programme Director (FY2) Dr Emma Wales and Foundation Programme Director (FY1) Dr Joanne Connell and the Head of Academy for Undergraduates Dr Venkat Sivaprakasam The Centre was built in 1967 funded by charitable donations from local doctors Within the Trust there are Royal College Tutors and Consultant Educational Leads for each specialty GP training Course Organisers GP Tutor and GP Trainers Undergraduate training for Birmingham Medical School students is administered by the undergraduate co-ordinator as well as work experience for sixth formers applying to medical school Helen Pryce Medical Education Manager Tel 01432 364025 [direct] or ext 4025 emailhelenprycewvtnhsuk Anna Turner Centre Administrator Tel 01432 364025 [direct] or ext 4025 email annaturnerwvtnhsuk Natalie Vince Postgraduate Assistant Tel 01432 355444 [direct] or ext 4025 email natalievincewvtnhsuk Sue Powell Undergraduate Co-ordinator Tel 01432 355444 [direct] or ext 5194 email suepowellwvtnhsuk Lisa Chivers Undergraduate Co-ordinator Tel 01432 355444 [direct] or ext 5194 email lisachiverswvtnhsuk Tracy Cumbes Medical Education Assistant Tel 01432 355444 [direct] or ext 4025 email tracycumbeswvtnhsuk

We hope that you enjoy your time with us

ABOUT WYE VALLEY NHS TRUST Wye Valley NHS Trust was formed in April 2013 bringing together acute community health and adult social care services The key principles of the Trust are to improve the health and well being of the people we serve in Herefordshire and the surrounding areas The Trustrsquos Medical Director is Dr Charles Ashton Deputy Medical Director is Dr Martin Sandler and the Chief Executive is Mr Glen Burley Vision To improve health and well being of the people we serve in Herefordshire and the surrounding areas Mission To provide a quality of care we would want for ourselves our families and friends Which means Right care right place right timehelliphelliphellipevery time Values

Compassion Accountability

Respect Excellence

The Trustrsquos services are managed in 2 Service Units

1 Medical Division Associate Medical Director Dr Phil Ryan 2 Surgical Division Associate Medical Director Mr David Mowbray


3

BLEEP amp TELEPHONE SYSTEM Hospital phone no 01432 355444

Emergency calls ndash Dial 2222 specify emergency and give location

Emergency system test ndash when an emergency bleep test call goes off you must ring lsquo0rsquo and inform the Switchboard

To bleep someone ndash dial 8 wait for confirmation and then dial in both required bleep number and your extension

Direct lines ndash Regional Centres and local GPs are available on direct dialndash found in Hospital Directory or via Switchboard eg Queen Elizabeth Birmingham 066

Engaged internal numbers ndash Press 5 and put phone down When the line is free it will then ring automatically

USEFUL TELEPHONE NUMBERS Microbiology 5717 Haematology 4040 Biochemistry 4040 Histology 4022 Blood Bank 5711 Radiology 4014 Bleep Out of Hours via Switch Bed bureau 4090 Diabetes Specialist Nurses 4066 Dieticianrsquos 4221 bleep 354 Postgraduate Medical Centre 4025 Library Clinical (based in PGMC) 4427 Mess 2237 Porters (bleep for bloods) 4444 Option 1 available 247 Pharmacy 4424 dispensary 4017 Medicines

Information 4016 general enquiries bleep 006 discharge team WARDS Admissions Ward 29332978 Arrow 41162353 Cardiac Care Unit 2996 Day Case Unit 15104185 Frome Ward 29782933 Leadon Ward 41875628 Lugg Ward 41182935 Monnow Ward 41725182 Redbrook Ward 41122285 Teme Ward 41132257 Wye Ward 41115437 BLEEPS Please ask for up to date information through Switchboard - 0

LABORATORIES Blood Tests Purple form ndash Blood Sciences Red form ndash Blood Bank Transfusion ndash Bottle MUST be handwritten with patientrsquos full name DOB and hospital or NHS number

ADDRESSOGRAPH LABELS MUST NOT BE USED Information regarding available tests can be found in Pathology on the intranet Blood samples go in the pod system to the labs Place in pod and send to destination pathology if no pod system available ie hutted wards contact porters to collect sample Haematology Team consists of 3 Consultants 2 nurse specialists 1 transfusion practitioner 3 secretaries laboratory staff 1 Contact details


4

Secretaries 4435 Lab 4040 Transfusion 5711 Transfusion practitioner 5745 Haematology nurses 5712 Consultantsrsquo mobiles via switchboard 0

2 Guidelines protocols

Many available on intranet ndash via Policy Site ndash ClinicalPatient Related ndash HaematologyTransfusion Folder

Neutropenic sepsis protocol (should be on all wards)

Others available via lab or Haematology consultant if not yet on intranet ndash ASK

Pathology site has details of all tests available and bottles required

3 Anticoagulation

Please complete deanery E-learning package if you have not already done so This is mandatory

There is an educational presentation on the Haematology intranet page (education section)

Guidelines are available on all aspects of anticoag either on the intranet or via Haematology

If in doubt ASK

Warfarin chart doubles as referral form and details of induction are on the form

If patient is to be referred to anticoag clinic referral form MUST be completed in full

Pre-op proformas for patients on long term anticoagulation are produced in pre-op assessment clinic but we can also advise

NB ndash VTE risk assessment please on all patients admitted or day cases

4 Transfusion

Please complete national or deanery E-learning package if you have not already done so One of these is mandatory please contact the trust transfusion practitioner (Tracy Clarke ext 5745) if you have any queries

Competency assessment ndash this is mandatory and dates will be arranged soon after you start for this to take place It will cover all aspects of the correct procedure for blood sampling for transfusion

We keep in stock Red cells Platelets FFP albumin cryoprecipitate anti-D some factor concentrates Beriplex Octaplex Please follow guidelines for their use ( see above)

Blood components must not be given without prescription on patient transfusion record

Follow Trust Maximum Blood Order Schedule (MBOS)

Platelets need to be ordered from Birmingham - please dw Haematologist

Please allow sufficient time (if possible) for these to be preparedissued safely - NONE ARE AVAILABLE INSTANTLY

Avoid unnecessary transfusion at all costs and always consider other possible solutions eg FeB12folatenothing

Verbal consent for transfusion MUST be obtained if at all possible and this and the reason for transfusion clearly documented on the Patient Transfusion Record

Explain risks and benefits to patients and ensure they have an information leaflet

Correct procedures must be followed for patient sampling

The final identity check when taking a blood sample MUST be done at the patientrsquos bedside against a wristband and request form

No other form of checking is acceptable under any circumstances and this must NEVER be omitted URGENTOUTSIDE CORE HOURS The Blood Sciences Laboratory is open 247 though at reduced staffing levels outside core hours Out of hours services are provided by the Microbiology Department For most up to date information please refer to the Pathology Department webpages NORMAL WORKING HOURS Clearly mark all urgent requests lsquourgentrsquo and notify the laboratory by telephone only for VERY urgent requests

Clinical Chemistry

Haematology Microbiology Histopathology

Monday ndashFriday 0845-1900 0845-1900 0830-1700 0800-1700

Saturday - - 0830 - 1200 -

Sunday - - - -


5

Clinical ChemistryHaematology All work sent will be processed as soon as possible with an expectation that urgent results will be available within 1 hour of sample receipt There is no need to contact the laboratory to inform that specimens are being sent For clinical emergencies CSF samples arterial blood gas samples and other samples collected on ice please phone the lab to ensure that these samples are prioritised (contact ext 4040) Specimens marked lsquourgentrsquo without a prior message will be processed with the next batch Transfusion For clinical emergencies and all crossmatch requests a phone call must be made to the laboratory on 5711 to ensure staff can prioritise these appropriately The request card must include the patientrsquos name or (emergency ID) date of birth hospital number consultant ward and time of specimen This is essential for electronic reporting of results Inadequately labelled or illegible samples will be rejected and investigations not performed Results will only be phoned if delay in transmitting results is likely the Biomedical Scientist (BMS) has already agreed to phone or results alert BMS to possibility that immediate action may be required Additional Tests ndash Sample stability permitting tests can be added to previous samples A written request form containing patient information and details of additional tests must be sent to the laboratory Microbiology - Out-of-Hours arrangements - Urgent

If a specimen requires urgent processing contact the Biomedical Scientist on call via the hospital switchboard The Biomedical Scientist does not need to be informed if blood cultures have been collected out of hours

If urgent medical advice is required contact the Consultant Microbiologist on call via the hospital switchboard

Microbiology is open from 0830 until 5pm during the working week and 0830 until 1200 on Saturday morning Specimens received by Pathology for microbiological testing out of working hours will be kept in Pathology reception When the on call Microbiology BMS is called in for an urgent sample they will refrigerate them At this point they will also process any blood cultures received

Investigations Available Outside normal working hours

Clinical Chemistry

UampE Liver function tests CK and Troponin T Bone profile magnesium Glucose B-hydroxybutyrate lactate CRP Uric acid ConjugatedUnconjugated bilirubin Ammonia Serum Iron Paracetamol salicylate lithium Alcohol Ammonia HCG progesterone Digoxin theophylline Gentamicinvancomycin Blood gases bicarbonate Osmolality Chloride Carboxyhaemoglobin CSF glucose protein and xanthochromia Other investigations may be available following discussion with the Consultant Clinical Biochemist


6

Haematology

FBC Reticulocytes Urgent Blood films INR Clotting Screen Fibrinogen D-Dimer (for CDU PE patients only) Malarial Parasites Solubility Test ESRPV for Temporal arteritis Issue of blood products Crossmatch Antibody investigation if indicated Kleihauer if indicated DCT

Microbiology

CSF JointpleuralasceticCAPD Fluids Tissue ( Not Revision Tissues) Pleural effusion Acanthomeoba HIV (in exceptional circumstances directed by consultant) VZV (consultant request only) C Diff PCR (consultant approval) Corneal scrapes Urine microscopy in the under lt3months Flu testing (in season for ITU ONLY)

Histopathology

Consultant Histopathologists can be contacted via switchboard who in turn can contact senior technical staff if necessary

BLOOD RESULTS Results are available as soon as they have been processed on the computers on the wards using APEX LABORATORY RESULT ENQUIRIES USING lsquoAPEXrsquo double click on the lsquoApexrsquo icon Username apex (enter) pause as typing too fast may lock the terminal If asked for Answerback use the applicable answerback as provided by your colleagues within your work area In an

emergency use PATH or PILL (in capitals) You will go to a new screen asking for a Username and a Password Ask colleagues for this usernamepassword Welcome Screen type 22 (enter) for Enquiry screen Enter the RLQ in Patient Numberenter Surname Type in at least the first 2 letters of the patientrsquos surname (enter) Hit enter again until data shown

The most recent results will be displayed To view earlier records use the Page up and page down keys

NB There may be too many results to fit a single screen use the lsquodownrsquo arrow key to display the further results on this sample lsquouprsquo arrow will return you to top half of results

Cumulative Results can also be shown At the option bar select lsquo5rsquo (enter) Graph- press lsquo2rsquo then enter the result you would like a graph for Graph- press lsquo2rsquo then enter the result you would like a graph for X-RAYRADIOLOGY DEPARTMENT Please ask if you are not sure which test is most important Access is available on every Computer desk top to The Royal College of Radiologists Referral Guidelines Contact numbers


7

X-ray Reception Appointments 401429994027 Main Viewing Area 1638 Nuclear Medicine 1651 Secretaries 16712990 There is a Radiographer in the department from 800 am to perform plain films From 5 pm to midnight there are 2 Radiographers covering the hospital for urgent cases Plan the routine (pre ward round) work 800 am ndash 500 pm After midnight one Radiographer is on call ndash bleep via switchboard A Radiologist is in the department until 800 pm Monday to Friday After that time the on-call Radiologist can be contacted via switchboard All requests MUST BE CONSULTANT TO CONSULTANT except in an extreme emergency For emergency CT scanning requests out of hours there is a remote reporting service (TMC) which is available via switchboard Criteria for requesting can be found in AE and must be followed When completing a request form please fill in ALL the relevant details ensure the correct patient id sticker has been applied to the form and check PACS for any previous investigations to prevent unnecessary referrals This is a LEGAL requirement Give helpful and appropriate clinical details be honest OUT-OF-HOURS INVESTIGATIONS

Keep out-of-hours blood tests and X-ray requests to those that will alter your immediate management The remainder can be done as a routine the following day

There are haematology and separate biochemistry on-call technicians who will need to be contacted via switchboard after 500 pm and before 900 am If you are in the hutted wards you will need to phone a porter to take out-of-hours bloods to the Lab During the day there are routine portering facilities for collection of blood samples

On-call Radiographer can be contacted through switchboard

If you want to get an investigation done quickly it is most effective if you yourself speak to the person concerned This applies particularly for CT or other urgent X-ray procedure requests

CARESTREAMPACS

Double click on the carestream icon on the homepage

Click on carestream client

Enter your own username and password (this is set up in the xray department)

Enter either patientrsquos RLQ or name (enter) PHARMACY Open Mon-Fri 830-530 Sat Sun and Bank Holidays 10am-1230pm Outside of these times the On-call Pharmacist is available via switchboard EDS requests take time to be dispensed and wherever possible should be at the Pharmacy before 5 pm Mon-Fri and before 1230 on Saturday Sundays and Bank Holidays if the medication is required on the same day In all cases endeavour to get the EDS to pharmacy as early in the day as possible to ensure patient flow is an efficient as possible Most wards have a pharmacist visit each day The pharmacist will confirm medication histories and complete medicines reconciliations check medication charts and advise where necessary They are more than happy to answer any medicine related questions Please ensure you read and act on confirm actions from the advice written in green by the pharmacist This advice can be found on the In-patent Medication Chart (IMC) or in the patientrsquos notes Pharmacy Phone numbers General Enquiries 4016 Medicines Information 4017 Dispensary 4424 Dispensary Pharmacist 2200


8

Technical services (TPN and Chemo) 42142997 Technical Services (non sterile manufacturing) 2220 Discharge team Bleep 006 734 Medicines Safety Officer 2208 Key People and Alignment to the Trust Divisional Structure Tony McConkey Clinical Director of Pharmacy Surgical Divisional Pharmacist 4016 Carol Baldwin Pharmacy Administrator and PA to Tony McConkey 4016 Shaun Jones Lead Pharmacist Procurement 2323 Andy Hedges Lead Pharmacist Technical Services 2997 Sue Vaughan Lead Clinical Pharmacist Medical Divisional and Antibiotic Pharmacist 2209 Ruth Bader Medicines Information and Womenrsquos and Childrenrsquos Directorate Pharmacist 4017 Sarah McAleer Surgical Specialties Directorate Pharmacist 2209 Victoria Dixon Acute and Emergency Medicines Directorate Pharmacist 2205 Denise MacPherson ndash Trust Medicines Safety Officer 2208 Prescribing

Always identify yourself with minimum of Surname (in block capitals) your bleep number and GMC number when prescribing and writing in the notes

Follow the Herefordshire Drug formulary Can be found on Medicines Optimisation page of intranet httpnwwherefordshirenhsukMedicinesManagementHHTHometabid2714Defaultaspx

Be aware of what is an acceptable abbreviation when prescribing and what is not Read the Trustrsquos Medicine Code in relation to Prescribing ndash Section 2 and The Trustrsquos Prescribing Guidelines Both on the Medicines Optimisation page of the intranet Link above This will save you a lot of time in the long run as you will be asked to make amendments where your practice does not meet the standards required

Establish Allergy status Challenge allergies Note the reaction as this could be an intolerance NOT a true allergy Do this BEFORE prescribing and record the details including the reaction on the IMC and communicate this to all staff IF it is a life threatening anaphylactic reaction

Do not writerdquo IV Oral SCrdquo ndash oral as route options this is not good practise It should be one or the other especially for drugs where doses are not equivalent for example for Morphine

When clerking patients take care that details are accurate

Do not assume the medication they have brought in is their own

If the patient is re-admitted from a WVT community bed you DO NOT need to re-write the In-Patient Medication Chart (IMC)

IF your patient is discharging to a WVT community bed please ensure that an EDS is completed AND the In-patient Medication Chart has AT LEAST three days of administration left to record If there is not sufficient room the chart MUST be re-written

If you see the annotation OA written in green by a pharmacist this is highlighting to you that the dose written on clerking is not the same as the dose prior to admission

Pharmacists will also currently annotate page 4 of the IMC any medication not prescribed that the patient was on prior to admission The IMC is currently (June 2016) under review so this page number may change

Do NOT abbreviate the word UNITS when prescribing Insulin or any other medication This is a NEVER EVENT if the dose is incorrectly administered as a result

Beware concomitant prescribing of SC Low Molecular Weight Heparin (LMWH) and the new oral anticoagulants (NOACs)One at a time WVT formulary medicines for LMWH are Enoxaparin Rivaroxaban is the NOAC

FY1 medical staff are not permitted to prescribe for Out Patients on FP10 prescription pads A systematic review highlights seven drugs drug classes are responsible for almost half of all SERIOUS

Medications errors Namely- Methotrexate Warfarin NSAIDs Digoxin opiates acetylic salicylic acid Beta blockers Take extra care

Record a medication list doses routes etc on the Medication History form of the admission booklet Ideally use TWO sources and record the initial sources you have used

Discharging Patients ndash Top Tips

Start the Electronic Discharge Summary (EDS) as early as possible in the patientrsquos stay and up-date as you have more information

Check ALL information written for you by the pharmacist in green in the notes or on the IMC This will help you get the correct information and prescription correct first time

Ensure the patientrsquos destination on discharge is correct If a patient is going to one of WVT Community Hospital beds pharmacy will not dispense any items that they hold as stock Therefore if the destination changes from a Community Hospital bed to home and the discharge is complete it will require a re-work to dispense any items not dispensed ( Bromyard Leominster Ledbury Bromyard Hillside)


9

If a patient requires a Controlled Drug when doing an EDS you will need to write a ldquopaper prescriptionrdquo This is located on the Trust Intranet There is also guidance on the Medicines Optimisation intranet page on CDs available and their pack sizes Link to CD prescription httpnwwherefordshirenhsukHHTHomepageaspx On the reverse of the CD prescription is guidance on how to complete a CD prescription and meet all the legal requirements

A complete list of medications being taken by the patient is required on the EDS even if nothing is required to be dispensed The medications ldquoStopped Changed needs to be completed so that all information for the GP is clear and not ambiguous in any way Detail medications stopped changed doses increased or reduced or suspended while in hospital

Antibiotic Guidelines These are available on the intranet and also available to download as the Microguide app Prior to all prescribing the ALLERGY STATUS MUST BE ESTABLISHED Where a patient states they have an allergy the allergy MUST be challenged and the reaction established to rule out a possible intolerance as opposed to an allergy For all antibiotic prescriptions document the indication and duration and review date on the prescription ALL antibiotic prescriptions MUST have a documented review within 72 hours Remember ASPIRE to the principles of good antimicrobial stewardship when prescribing

A Allergy status - Check BEFORE prescribing

S Samples - Have appropriate Samples been taken BEFORE antibiotics commenced

P Policy - Antibiotic choice in accordance with guidelines

I Indication for use ndash Ensure this is recorded on the IMC

R Route ndash Insure your directions are clear Calculate and document the Infection Severity Score(ISS) to determine if IV or Oral treatment is appropriate and Review daily to ensure prompt stepdown to oral treatment

E End review date Document on the IMC

Medicines Related Guidelines These are currently available under the Medicines Optimisation section of the intranet Please establish you can locate these guidelines before you start prescribing- Use the link below Medicine Optimisation home page then therdquo Quick Linksrdquo box on left hand side of the page The fourth one down httpnwwherefordshirenhsukMedicinesManagementHHTHometabid2714Defaultaspx Controlled Drugs (CDs) You will have been issued with a CD aid This will assist you to ensure you prescribe all CDs according to legal requirements It will also tell you what we stock at WVT and what the pack sizes are In addition to Schedule 2 CDs prescriptions are required for Schedule 3 CDs on Discharge This includes Midazolam Temazepam and Tramadol Warfarin From Monday 3

rd August 2015 warfarin dosing while patients are ldquoIn-Patientsrdquo within WVT was switched from the

traditional time of 600pm to 200pm This is to prevent patientrsquos INRs being left to the on call teams to check and prescribe the dose for transfer to a community bed or discharge Note Patients can revert to their 600pm dosing when they return home Methotrexate If a patient requires this WEEKLY medication either orally or Sub-Cut it cannot be prescribed by an FY1 or FY2 This requires a Consultant registrar or Clinical Nurse specialist Obtaining medicines Out of Hours Wards can borrow medicines and there is a stock list of all medication held at each WVT location on the Medicines Optimisation page of the intranet Medications in original packs only can be borrowed (they donrsquot have to be full packs) Strips of medication or individual vials cannot be supplied to another ward There is an Emergency Medicines Cupboard ndash Keys can be accessed at switch board via the Clinical Site Manager ndashNOTE this stock is NOT to be used for discharging patients For a clinical emergency or advice there is a Pharmacist on-call Contact via switchboard


10

POSTGRADUATE MEDICAL CENTRE (Ext 40255194)

Get to know the staff This is the place to go if you need help or advice on any aspect of your job All trainees post is delivered to the Centre for your collection The Clinical Tutor is based at the Centre The Centre is open 9 am - 5 pm Monday to Thursday and 9 am ndash 4 pm on a Friday Centre Manager Mrs Helen Pryce If you wish to access the Centre out of these hours (ie to use the library) you will need to apply to the library for an out of hours card A Junior Doctors Forum is held once every other month in the Postgraduate Medical Centre Chaired by the Clinical Tutor and Foundation Programme Director The Centre Manager will inform you by e-mail of any future forums CLINICAL SUPERVISION Each junior doctor in the Trust is allocated an Educational Supervisor it is usually the Consultant for whom they are working This person should be the first port of call for problems In addition there is a Clinical Tutor who is available to provide support and discuss any difficulties MEDICAL MANPOWER OFFICE (Ext 5789 ndash 8am to 5 pm) Their role is to ensure there is adequate medical staffing on each day and co-ordinate rotas annual leave and study leave Also Kay Price is available to discuss other matters which arise day to day Please contact them if you are sick or unable to come in to work Please ensure that you familiarise yourself with individual arrangements for different departments ID BADGES [with photo] Available from Main Reception on Tuesdays amp Thursdays between 12 and 1pm THE MESS The Mess is situated on the 2

nd floor above the main entrance next to the on-call rooms It is the place to go to relax

chat unwind and sometimes just escape Mess fees pay for cereals bread muffins fruit etc and this is managed by the Mess Presidents Your fee is taken directly from your pay ndash you will need to sign the form in your HR introduction pack In a tiny community like Hereford the Mess is always the centre of activity so enjoy it and keep up the tradition INTRANET A lot of information and particularly clinical guidelines are available on the Herefordshire NHS Internet (nwwherefordshirenhsuk) If you click on lsquoClinical Informationrsquo you will see numerous departments that have produced information and guidelines for many clinical conditions Operational policies can be accessed by clicking onto the Wye Valley NHS Trust site and selecting lsquoPoliciesrsquo Health Work Department The Health Work Department provides a confidential service to all staff including WVT PCT Sodexo and WS Atkins All Health Work Department staff are highly competent individuals incorporating a wealth of experience in the Occupational Health field We are a proactive department and are constantly evaluating our procedures and policies to improve our service provision We have strong links with other Occupational Health services nationally both in the Public and Private sector and are members of NHS Plus The Health Work Department is committed to providing and developing a comprehensive and high quality confidential service to all members of staff in order to preserve and enhance their health at work Sharps Injuries information

The HealthWorkOccupational Health Department is open Monday to Thursday 830am - 500pm and Friday 830am - 400pm

If you receive a sharps injury during this time please contact us However if you receive a sharps injury out of hours please contact the Accident and Emergency Department and leave us your details on our answer machine


11

Contact Numbers

Linda Nicholas Occupational Health Adviser Ext 4013

Jennifer Karayiannis Occupational Health Adviser Ext 4013

Jen Arnold DepartmentBusiness Administrator Ext 4013

Julie Davis Occupational Health Manager Ext 4013

Dawn Sampays Occupational Health AdvisorClinic Nurse Ext 4013

Nikki Evans Maria Bullock Administration Officer Ext 4013

Claire Conway Administrator Assistant Ext4013

Human Resources The HR department consists of the Recruitment Team HR Managers Workforce informationplanning and the Hereford Health Professionals Bank Recruitment Team The Recruitment Team provides a central recruitment service which processes all advertisements applications and contracts of employment for the Trust (including medical appointments) and offers general recruitment and retention advice HR Managers The HR Managers provide advice and support to managers and staff on a full range of employment related matters This remit includes employment legislation policies change management issues junior doctor banding sickness grievance and disciplinary matters Workforce Information and Planning Workforce Information and Planning are responsible for the provision and analysis of HR data which support current and future initiatives and key performance indicators across the Trust and help maintain the ESR system Hereford Health Professionals Bank The HHP provide essential Bank and Agency Locum cover on a daily basis to Wards and Departments in the Trust The HHP are committed to recruiting and retaining high quality staff who can be appropriately deployed when needed via a rolling recruitment and selection programme Contact Numbers Medical Staffing Manager Shelly Spragg Hospital Ext 51504025 Medical Staffing Team Leader Based in the Gwyndra Downs Block Kay Price Hospital Ext 5789 Medical Staffing Administrator Louise Addis Hospital Ext 5789 Senior Recruitment Officer (Medical) Mandy King Hospital Ext 4038 Based in the Educational amp Development Centre (EDC) Recruitment amp Retention Manager Karen Miller Hospital Ext 5572


12

NOTES


2

Welcome to the Postgraduate Medical Centre

The Postgraduate Centre is run on behalf of the Health Education West Midlands and Wye Valley NHS Trust by the Postgraduate Clinical Tutor Foundation Programme Director (FY2) Dr Emma Wales and Foundation Programme Director (FY1) Dr Joanne Connell and the Head of Academy for Undergraduates Dr Venkat Sivaprakasam The Centre was built in 1967 funded by charitable donations from local doctors Within the Trust there are Royal College Tutors and Consultant Educational Leads for each specialty GP training Course Organisers GP Tutor and GP Trainers Undergraduate training for Birmingham Medical School students is administered by the undergraduate co-ordinator as well as work experience for sixth formers applying to medical school Helen Pryce Medical Education Manager Tel 01432 364025 [direct] or ext 4025 emailhelenprycewvtnhsuk Anna Turner Centre Administrator Tel 01432 364025 [direct] or ext 4025 email annaturnerwvtnhsuk Natalie Vince Postgraduate Assistant Tel 01432 355444 [direct] or ext 4025 email natalievincewvtnhsuk Sue Powell Undergraduate Co-ordinator Tel 01432 355444 [direct] or ext 5194 email suepowellwvtnhsuk Lisa Chivers Undergraduate Co-ordinator Tel 01432 355444 [direct] or ext 5194 email lisachiverswvtnhsuk Tracy Cumbes Medical Education Assistant Tel 01432 355444 [direct] or ext 4025 email tracycumbeswvtnhsuk

We hope that you enjoy your time with us

ABOUT WYE VALLEY NHS TRUST Wye Valley NHS Trust was formed in April 2013 bringing together acute community health and adult social care services The key principles of the Trust are to improve the health and well being of the people we serve in Herefordshire and the surrounding areas The Trustrsquos Medical Director is Dr Charles Ashton Deputy Medical Director is Dr Martin Sandler and the Chief Executive is Mr Glen Burley Vision To improve health and well being of the people we serve in Herefordshire and the surrounding areas Mission To provide a quality of care we would want for ourselves our families and friends Which means Right care right place right timehelliphelliphellipevery time Values

Compassion Accountability

Respect Excellence

The Trustrsquos services are managed in 2 Service Units

1 Medical Division Associate Medical Director Dr Phil Ryan 2 Surgical Division Associate Medical Director Mr David Mowbray


3












4







3 Anticoagulation




If in doubt ASK





4 Transfusion














Clinical Chemistry



Saturday - - 0830 - 1200 -

Sunday - - - -


5






Clinical Chemistry



6

Haematology


Microbiology


Histopathology








7






CARESTREAMPACS






8























9














10








11

Contact Numbers










12

NOTES


3












4







3 Anticoagulation




If in doubt ASK





4 Transfusion














Clinical Chemistry



Saturday - - 0830 - 1200 -

Sunday - - - -


5






Clinical Chemistry



6

Haematology


Microbiology


Histopathology








7






CARESTREAMPACS






8























9














10








11

Contact Numbers










12

NOTES


4







3 Anticoagulation




If in doubt ASK





4 Transfusion














Clinical Chemistry



Saturday - - 0830 - 1200 -

Sunday - - - -


5






Clinical Chemistry



6

Haematology


Microbiology


Histopathology








7






CARESTREAMPACS






8























9














10








11

Contact Numbers










12

NOTES


5






Clinical Chemistry



6

Haematology


Microbiology


Histopathology








7






CARESTREAMPACS






8























9














10








11

Contact Numbers










12

NOTES


6

Haematology


Microbiology


Histopathology








7






CARESTREAMPACS






8























9














10








11

Contact Numbers










12

NOTES


7






CARESTREAMPACS






8























9














10








11

Contact Numbers










12

NOTES


8























9














10








11

Contact Numbers










12

NOTES


9














10








11

Contact Numbers










12

NOTES


10








11

Contact Numbers










12

NOTES


11

Contact Numbers










12

NOTES


12

NOTES

wye valley nhs trust junior doctors€¦ · · 2017-07-11wye valley nhs trust junior doctors ......

Documents