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Two year Academic Foundation Training Programmes

The Oxford Deanery

The University of Oxford, Medical Sciences Division

The Oxford Radcliffe Hospitals NHS Trust (host organisation)

Information Pack for Applicants

CONTENTS

Oxford Deanery 2

The University of Oxford 2

Oxford Radcliffe Hospitals NHS Trust Profile 2011 2

·  Overview 2

·  Hospital Profiles 3

·  Goals and Values 4

·  Organisational Structure 5

·  The ORH and the Nuffield Orthopaedic Centre NHS Trust (NOC) 6

·  Oxford Comprehensive Biomedical Research Centre (OxBRC) 6

·  Finance and Performance 7

·  Foundation Trust 8

The Posts 9

·  Background 9

·  Foundation Year 1 9

·  Foundation Year 2 9

·  Rotations for August 2012-14 10

·  Supervision 11

·  Courses and Training 11

·  The Academic Forum 11

·  Banding 11

·  Person Specification 12

The Application Process 14

·  Interviews 14

·  Interview travel expenses 14

·  Telephone interviews 15

·  Application outcomes 15

·  Timeline for AFP 2012 Recruitment 15

The Academic Curriculum 16

·  Background 16

·  Research Curriculum 16

·  Other Elements 17

List of Academic Departments and Interests 19

Appendix 1: Learning Outcomes: Education for those choosing to develop these skills 26

Appendix 2: Examples of the courses available through the Medical Sciences Division 27

Appendix 3: Guide to Academic Mentors for Academic Foundation Trainees 28

Appendix 4: Travel expenses claim guidance and form 30

Oxford Deanery

Building on the clinical excellence, innovation and research in the Oxford region, the Deanery ensures delivery of the highest quality postgraduate training for doctors and dentists, meeting the evolving needs of the health service.


Our vision:
“We will be recognised as the best place to start, continue and sustain learning of the skills and knowledge used to deliver the best possible patient care”

The University of Oxford

The University of Oxford is a complex and stimulating organisation which enjoys an international reputation as a world-class centre of excellence in research and teaching. It employs over 10,000 academic, research and support staff across a wide range of academic disciplines.

The Medical Sciences Division includes the clinical and preclinical departments of the Medical School, plus the departments of Experimental Psychology and of Biochemistry (see http://www.medsci.ox.ac.uk/). The Division is one of the major centres for clinical and basic biomedical research in Europe, with more than 2,200 staff on the payroll and 800 postgraduate students. It achieved first or second place nationally in seven units of assessment in the 2008 HEFCE Research Assessment Exercise. The annual grant income from external sources for the Medical Sciences Division is over £165 million. The Division fosters the highest possible standards in research, teaching and patient care and seeks to recruit staff who share this vision.

Oxford Radcliffe Hospitals NHS Trust Profile 2011

1. Overview

The Oxford Radcliffe Hospitals NHS Trust (ORH) is one of the largest teaching trusts in the country, with a national and international reputation for its services and its role in teaching and research. It employs around 10,000 staff (over 7500 whole time equivalents), and has an annual turnover of over £600 million. It provides a district general hospital service for approximately 700,000 people in Oxfordshire and the neighbouring counties. With in excess of 1200 staffed beds, the Trust’s specialist services serve a population of around 2.5 million in Oxfordshire, Buckinghamshire, Berkshire, Wiltshire, Gloucestershire and Northamptonshire. In addition to a wide range of specialist services, the Trust also provides other highly specialised treatment and care for a still wider catchment area.

In 2009/10, there were:

·  614,056 outpatient appointments

·  123,592 attendances at the emergency departments

·  79,802 admissions for emergency assessment and treatment

·  62,062 admissions for treatment as day cases

·  19,688 admissions for treated as inpatients

·  8,077 babies delivered

The Trust works in close co-operation with the University of Oxford, and is a leading centre for research programmes in cancer, cardiac disease, neurosciences, diabetes, genetics and many other fields. In 2007, the Trust, jointly with the University of Oxford, was given the status of a Comprehensive Biomedical Research Centre by the Department of Health, making it one of the five pre-eminent centres in the country for translational clinical research. Oxford Brookes University provides undergraduate and postgraduate training for a wide range of healthcare professionals including nurses and midwives, occupational therapists and physiotherapists and in addition provides foundation courses and diploma courses.

The Oxford Radcliffe Hospitals is founding partner in the Thames Valley Health Innovation and Education Cluster (HIEC) hosted by Oxfordshire and Buckinghamshire Mental Health NHS Foundation Trust. HIECS will support the delivery of cost–effective and new means of education and training across health and social care, and promote innovation in healthcare. Work programmes for the Thames Valley HIEC are service integration, patient safety and patient and public involvement.

On 1 April 2010, the Oxford Radcliffe Hospitals was registered without conditions with the Care Quality Commission (CQC) under the new system for monitoring essential standards quality and safety of care. As part of the registration process, the CQC carries out planned inspections of all healthcare providers every two years, and this review and inspection took place at the ORH in September 2010.

2. Hospital Profiles

The John Radcliffe Hospital,

Headley Way, Headington, Oxford, OX3 9DU

Tel 01865 741166

The John Radcliffe Hospital (JR) was opened in the 1970s and is Oxfordshire's main acute and emergency hospital site. Itis situated in Headington, about three miles east ofOxford city centre. It is the largest of the Trust’s hospitals,providing acute medical and surgical services, maternity and obstetrics, trauma|, intensive care and cardiothoracic services|. It also houses the full range of clinical support services, including the pathology department serving the county

Also it includes the Women’s Centre, and the new Children's Hospital and West Wing. The purpose-built Children’s Hospital brings together general and specialist paediatric services which were previously spread across three sites in Oxford. The West Wing houses head and neck services including neurosciences, specialist surgery, and the Oxford Eye Hospital. In addition to clinical space, it provides a base for University teaching and research.

The new Geratology Unit at the John Radcliffe Hospital opened in August 2008. Patient representatives and organisations such as Age Concern were closely involved at every stage of the development project. The unit has 40 en-suite single rooms, and features a sensory garden that forms an important part of the therapeutic process for patients.

In October 2009 the new Oxford Heart Centre| opened at the John Radcliffe to meet the growing needs of heart patients in Oxfordshire and across the region. Existing facilities for cardiothoracicservices| within the main hospital building are set to be reconfigured in phase 2 of theexpansion.

The Acute Vascular Imaging Centre (AVIC) at the John Radcliffe Hospital is opened in 2010. It will be an internationally unique facility dedicated to clinical research during the earliest phases of acute coronary syndromes and stroke. The aim is to combine extensive local expertise with an emergency imaging capability to develop a programme of applied research that will address important deficiencies in the assessment of patients with acute coronary syndromes (ACS) and stroke. The purpose is to generate and test new approaches to the early management of these conditions that will fundamentally change treatment pathways in the NHS.

The JR also houses many departments of Oxford University Medical School, is home to the George Pickering Education Centre| and the base for most medical students who are trained throughout the Trust.

The Churchill Hospital

Old Road, Headington, Oxford, OX3 7LJ

Tel 01865 741841

The Churchill Hospital is the centre for cancer services and other specialties, including genito-urinary medicine services and transplant, clinical and medical oncology, dermatology, haemophilia, infectious diseases, chest medicine, medical genetics and palliative care. The hospital, together with the John Radcliffe, is a major centre for healthcare research, housing some departments of Oxford University Medical School.

Developments in recent years include the opening of the Oxford Centre for Diabetes, Endocrinology and Metabolism (OCDEM), which is a collaboration between the University of Oxford, the NHS and three partner companies, to create a world-class centre for clinical research on diabetes, endocrine and metabolic disorders, along with clinical treatment and education.

The Oxford Cancer Centre is a substantial new development at the Churchill Hospital site in Headington, Oxford. It opened to outpatients in March 2009 and was fully operational by April 2009. The Centre brings together a wide range of medical, surgical and diagnostic services, benefitting cancer, renal, transplant, chest medicine and urology patients from Oxfordshire and beyond. It consists of three key elements:

·  an integrated cancer and haematology centre|(also known as the Oxford Cancer Centre)

·  a surgery and diagnostics Centre

·  private patients'| facilities (the Wytham Wing).

The Horton General Hospital

Oxford Road, Banbury, Oxfordshire, OX16 9AL

Tel 01295 275500

The Horton General Hospital in Banbury provides general hospital services to the growing local population in north Oxfordshire and surrounding areas. The Horton is an acute general hospital providing a wide range of services, including an emergency department| (with a clinical decision unit), general surgery, acute general medicine, traumaand orthopaedics, obstetrics and gynaecology|, paediatrics, a critical care unit, coronary care and a cancer resource centre.

Elective orthopaedic patients at the Horton are now treated at a new Treatment Centre. This service works collaboratively with the John Radcliffe and Horton Trauma Service, and the Nuffield Orthopaedic Centre NHS Trust, which provides the bulk of orthopaedic services for Oxfordshire and beyond.

Since March 2008, the ORHhas been working with NHS Oxfordshire to develop plans for the future of paediatric, obstetrics and gynaecology services and the special care baby unit at the Horton.The Better Healthcare Programme for Banbury and surrounding areas (BHP) was set up in 2008 to find an alternative to the proposals originally put forward by the ORH to have a midwifery-led unit at the Horton and to transfer overnight paediatric care to Oxford.

The Better Healthcare Programme Board has recommended proposals based on consultant delivered services in paediatrics and maternity and the introduction of strengthened anaesthetic services. This will reduce the reliance on middle-grade doctors that have been difficult to recruit and retain.

NHS Oxfordshire and ORH have endorsed the proposals and set up a project management structure to deliver the new proposals. The Trust Board also considered a framework for setting out a new vision for the Horton and agreed to set out a new strategic plan for the Horton based on this vision.

3. Goals and Values

The Oxford Radcliffe Hospitals’ Strategic Goals are:

§  To be the hospitals of choice

§  To be world-leading teaching hospitals and an Academic Health Science Centre

§  To achieve financial sustainability and long-term growth

§  To be an excellent employer

The values underpinning everything we do reflect our commitment to patient care both now and in the future by listening to the patients of today, and through research and teaching, offering leading edge care in the future. Our values are:

§  Safe, quality care

§  Involving our patients

§  Valuing and caring for our staff.

§  Academic excellence

§  Working with others

§  A healthy environment

§  Listening and learning

4. Organisational Structure

The Trust Board consists of:

§  Chairman, Dame Fiona Caldicott

§  Non-executive Directors (appointed by the Secretary of State with the assistance of the Appointments Commission):

o  Mr Alisdair Cameron

o  Professor Sir John Bell

o  Mr Geoffrey Salt

o  Mr Peter Ward

o  Ms Anne Tutt

o  Associate Non-Executive Director Prof David Mant

§  Chief Executive, Sir Jonathan Michael

§  Director of Finance and Procurement, Mr Mark Mansfield

§  Director of Planning and Information, Mr Andrew Stevens

§  Medical Director, Professor Edward Baker

§  Chief Nurse, Mrs Elaine Strachan-Hall

§  The Board is supported by the Director of Clinical Services, Mr Paul Brennan and the Director of Human Resources and Organisational Development, Ms Sue Donaldson.

§  From May 2011 the Board will also be supported by Mark Trumper as Director of Commercial Development and the Estate, and Eileen Walsh as Director of Clinical Governance.

As of 1 November 2010 the Trust organises its clinical services into six divisions, each containing two or more clinical directorates. Each Division is led by a Divisional Director, accountable to the Director of Clinical Services for the overall performance of the Division. Divisional Directors are all practicing clinicians and are typically supported by a General Manager and Divisional Nurse. Each Clinical Directorate is led by a Clinical Director, accountable to the Divisional Director. Clinical Directors are all practicing clinicians, and are typically supported by an Operational Service Manager and Matron, among others.

Division of Neurosciences, Trauma & Specialist Surgery

§  Neurosciences: neurology; neuropathology, neurophysiology & neuropsychology; neuro intensive care

§  Specialist Surgery: ENT; plastic surgery & craniofacial; ophthalmology; oral & maxillofacial surgery; trauma

Division of Cardiac, Thoracic and Vascular

§  Cardiac Medicine: cardiology & CCU; technical cardiology; private patients

§  Cardiac, Vascular & Thoracic surgery: Adult cardiac surgery; cardiac critical care; vascular surgery; thoracic surgery

Division of Children’s & Women’s

§  Paediatric Medicine, Surgery & Neonatology: paediatric medicine & specialist medicine; neonatology; community paediatrics; paediatric surgery & specialist surgery (cardiac & neuro); paediatric intensive & high dependency care

§  Women’s: obstetrics & midwifery; gynaecology

Division of Emergency Medicine, Therapies and Ambulatory

§  Emergency Medicine & Therapies: emergency medicine; acute general medicine & Horton medicine; geratology & stroke medicine; therapies

§  Ambulatory: diabetes, endocrine & metabolism; dermatology; clinical immunology; clinical genetics; chest medicine; infectious diseases & genito-urinary medicine