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Job Title: Clinical Assistant Professor (NIHR-funded Academic Clinical Lecturer) in

Geriatric Medicine

School/Department: School of Medicine, Division of Medical Sciences and Graduate Entry

Medicine

Contract Status: This post will be offered on a fixed-term contract for a period of 4 years (if

full-time; up to a pro-rata maximum of 6 years part-time) or until award

of Certificate of Completion of Training (CCT), whichever is the shorter.

Hours of Work: Full-time or Part-time (minimum 0.6 FTE)

Location: Royal Derby Hospital, Derby

Reporting to: Clinical Associate Professor in Medicine of Older People

The University of Nottingham seeks applications for a Clinical Assistant Professor (Clinical Lecturer) in

Geriatric Medicine (Medicine of Older People). A Clinical Lectureship in Medicine of Older People

provides advanced integrated academic and clinical training for those pursuing a career in Academic

Geriatric Medicine. The post will have a strong research commitment in research into ageing, with the

opportunity to explore a range of opportunities from bench-based research into musculoskeletal

ageing, through to implementation studies of complex interventions for older patients.

The Post

In this NIHR-funded Clinical Lectureship in Medicine of Older People, the Clinical Lecturer will spend

50% of their time in research and academic training at the University of Nottingham. The appointee will

become a member of the well-developed Clinical Academic Training Programme in the School of

Medicine, University of Nottingham (www.nottingham.ac.uk/go/catp). The programme provides support

with clinical academic training and research funding applications, networking and mentorship.

The post will be offered on a fixed term contract for a period of up to 4 years (up to 6 years pro-rata if

part-time), or until award of CCT whichever is shorter. The Clinical Lecturer would be expected to

develop plans for a post-doctoral or clinician scientist award which may shorten the lectureship.

The successful applicant will show evidence of academic achievements including a higher research

degree i.e. PhD/DPhil or MD/DM (by research), be eligible to hold an academic National Training

Number (NTN(A)), have certified successful outcomes from previous clinical annual assessments in

training posts (ARCPs) and will, on the day of appointment, have a maximum of 2 years and minimum

of 1 year of clinical training to complete before attaining their CCT.

In the post, the Clinical Lecturer will spend 50% of their time undertaking clinical training in Geriatric

Medicine and 50% of their time in research and academic training.

Details of the academic and clinical aspects of the post are given below.

Academic component of the Clinical Lecturer (CL) posts

The Clinical Lecturer will further develop their academic skills at postdoctoral level, build on their

research in Geriatric Medicine, undertake research, develop their own research programme and compete

for external grant funding.

The academic part of the training will be tailored to individual needs of the Lecturer and their research

interests. Each Clinical Lecturer will have an academic supervisor with whom they will formulate their

individual academic programme. The Clinical Lecturer will be expected to develop a track record in

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research and will have access to the research facilities of the Academic Division which has excellent

laboratory and office accommodation as well as dedicated statistical and technical support.

They will be expected to undertake research, as part of their research portfolio, and academic training.

The Clinical Lecturer’s personal research programme would be expected to fit broadly within the research

themes of the Academic Division in which it is hosted, described in more detail below. They will be

expected to develop skills in research supervision through the supervision of the research component in

the 3rd year of the BMedSci medical student degree.

Enquires may be made to the Academic Programme Director in Geriatric Medicine, Dr Adam Gordon

(adam.gordon@nottingham.ac.uk)

Research interests available in Health Care of Older People in the School of Medicine,

University of Nottingham

Research into healthcare of older people is a major area of strength within Nottingham.

The Division of Medicine and Graduate Entry Medicine has 14 Clinical Academics, comprising Professors

and Associate Professors with special interests in branches of Medicine (Geriatric Medicine, Diabetes,

Renal Medicine, Stroke Medicine, Vascular Medicine, Rehabilitation), Surgery (Breast, Hepatobiliary and

Colorectal Surgery), Critical Care and Anaesthesia. It hosts the ARUK/MRC Centre for Musculoskeletal

Research (CMAR).

Clinical research in Health Care of Older People within the Division is led by Dr Adam Gordon (Clinical

Associate Professor) in close collaboration with Nottingham colleagues through the Nottingham and

Derby Research into Older People Group. This Group straddles two schools and two academic divisions

(Schools of Medicine and Health Sciences; and Divisions of Medical Sciences and Graduate Entry

Medicine, and Division of Rehabilitation and Ageing) and comprises 7 full-time academic staff and 4

honorary appointees on NHS research contracts – Professor John Gladman (Group Lead and Clinical

Professor), Professor Pip Logan (Professor), Professor Rowan Harwood (Honorary Clinical Professor),

Professor Avril Drummond, (Professor), Dr Tahir Masud (Honorary Clinical Professor), Dr Opinder

Sahota (Honorary Clinical Professor), Dr Adam Gordon (Clinical Associate Professor), Dr Sarah

Goldberg (Associate Professor), Dr Adrian Blundell (Honorary Clinical Associate Professor), Dr Eleanor

Lunt (Clinical Assistant Professor) and Dr Kate Robertson (Honorary Clinical Assistant Professor). In

addition, the department has a number of clinical research fellows and an Academic Clinical Fellow (Dr

Hannah Enguell). An Honorary Specialty Registrar contract will be sought from Derby Teaching

Hospitals (DTH) NHS Foundation Trust.

The Nottingham and Derby Research into Older People Group provides a wealth of opportunities

encompassing the whole spectrum of research in ageing, from cell-based physiological studies to

applied health research in the clinical setting, spanning both the first and second translational gaps.

The School of Medicine was recently successful in securing £23.6m funding for a National Institute of

Health Research Biomedical Research Centre (NIHR-BRC) across the Nottingham and Derby campuses

– with a central theme around research in musculoskeletal health and ageing in which the Older People

Research Group plays a prominent role. The cross-linking theme of Magnetic Resonance Imaging links

the Group to other themes including dementia and stroke research.

The main disease areas for the Nottingham and Derby Research into Older People Group are:

Five themes reflect areas of special expertise within the Nottingham Research into Older People Group

and are issues of central importance for translational research. These are:

the aged musculoskeletal system: fractures, bone health, falls, exercise and sarcopenia

people with delirium and dementia, and their families

the health care of the residents of care homes

community services – service models and how they are implemented and delivered

education and training innovations in health care of older people

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The Older People Research Group has close links with:

the ARUK/MRC Centre for Musculoskeletal Research (CMAR). This is a collaborative programme

across the Universities of Nottingham and Birmingham and – within Nottingham – incorporates

research staff and laboratories on both the Derby and Nottingham Campuses. At its heart lies

>400m2 of dedicated research space, representing an exceptional, self-contained facility with

high calibre clinical, physiological and imaging capabilities. Particularly pertinent to this post,

this includes state-of-the-art biochemical (e.g. clinical chemistry, amino acid analysers),

molecular (e.g. RT-PCR, Multiplex ELISA systems), metabolic (a world-leading mass

spectrometry core facility) and cell culture capacities. There is a vibrant, translational lab

environment hosting both basic and clinical scientists at all stages of their academic careers.

the East Midlands Collaboration for Applied Health Care Research and Care (CLAHRC). This

NIHR-funded organisation includes a specific theme looking at Older People and Stroke

survivors working through co-production between researchers and research users, including

patients and public, with collective preparation for implementation and early patient benefit.

This includes the East Midlands Research into Ageing Network (EMRAN) designed to draw

together researchers, of all disciplines, with an interest in ageing research across the greater

East Midlands. the East Midlands Patient Safety Collaborative (EMPSC), which has a specific theme researching

implementation of benchmarking measures and quality improvement in the care home sector.

More information about the research opportunities available and further details of individual academics

in this field and their research interests can be found at:

http://www.nottingham.ac.uk/emran/documents/issue-11-emran.pdf

Information on the University of Nottingham’s School of Medicine and on the City of Nottingham is

given in the Appendices at the end of this document.

Teaching commitments

Teaching is a core generic academic skill and the Clinical Lecturer will be expected to take an active role in

contributing to undergraduate medical teaching: this will include supervision of the research component in

the 3rd year of the BMedSci medical student degree and may also include lectures and tutorials in the

Nottingham Medical School’s medical student curriculum and postgraduate student teaching. No more

than 10% of the Clinical Lecturer’s time will be spent in teaching.

Clinical Training component of the Academic Clinical Lecturer (ACL) post

During periods of clinical training, the successful candidate will undertake full clinical responsibilities of a

Specialty Trainee on the North Carousel of the Health Education East Midlands (HEEM) clinical training

rotation in Geriatric and General (Internal) Medicine where they will work alongside clinical-track

colleagues to attain their remaining competencies in their Geriatric Medicine Specialty Training. Clinical

attachments will be tailored to the training needs and research interests of the applicant and their

clinical competency acquisition.

It is envisaged that clinical duties will usually be based in the Derby Teaching Hospitals (DTH) NHS

Foundation Trust. As the overriding aim of the post is to develop the postholder’s clinical and research

expertise within Geriatric Medicine, they may rotate to training posts in Nottingham or Mansfield, to

meet particular training requirements identified at ARCP. Establishing links with these centres may also

provide further research opportunities, enhance access to clinical material and assist recruitment of

patients to clinical trials. Where clinical experience at a district general hospital is required as part of

training requirements, this may necessitate spending some clinical time out of the main research

centre.

Within DTH NHS Foundation Trust, the provision of training and experience in Geriatric and General

(Internal) Medicine is wide and includes experience of ward-based geriatric medicine, falls and syncope,

orthogeriatrics, bone health, movement disorders, stroke, rehabilitation, community geriatrics and

liaison/perioperative geriatric medicine.

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At DTH NHS Foundation Trust, there are 9 consultants in geriatric medicine: Dr James Woodard

(Associate Clinical Director; Frailty Lead; Orthogeriatrics); Dr Jane Youde (Clinical Director; Falls and

Syncope; Rehabilitation); Dr Ben Pearson (Divisional Director; Community Geriatrics); Dr Anupam

Agarwal (ward-based geriatric medicine; mental health liaison); Dr Wei Chua (ward-based geriatric

medicine; community geriatrics); Dr Fathi Giurani (ward-based geriatric medicine); Dr Adam Gordon

(acute geriatric medicine; pre- and perioperative geriatric medicine; rehabilitation; community

geriatrics); Dr Rob Skelly (movement disorders; delirium and dementia); Dr Sirish Vasireddy (ward-

based geriatric medicine; movement disorders). A further 6 consultants are involved in delivering a full

acute stroke service, including out-of-hours thrombolysis: Dr James Scott (Associate Clinical Director);

Dr Jess Beavan; Dr Alexander Costa; Prof Richard Donnelly; Dr Tim England; Dr Philemon

Sanmuganagthan.

At present, each firm usually has some 15 inpatients. There is a Speciality Trainee (at Registrar level) and

two - three core medical trainees as well as a number of trainee Advanced Clinical Practitioners. All

admissions to the Department of Medicine for the Elderly (DME) come through the acute take in a fully

staffed 56 bedded Medical Admissions Unit (MAU), with DME conducting daily subspecialty ward rounds on

MAU to identify appropriate patients for admission.

Office and laboratory accommodation will be provided in the Derby Medical School.

The main aim of the clinical component will be to continue clinical training in Geriatric Medicine and

General (Internal) Medicine towards CCT. Clinical attachments will be tailored to the research and

clinical interests of the successful applicant, but will not account for more than 50% of the post. Time

allocated to clinical training and to academic work may be annualised, i.e. taken in blocks, as

appropriate to successful candidate’s clinical and research training needs following discussion with the

Academic Training Programme Director (Dr Adam Gordon) and Clinical Training Programme Director

(Dr Kay Gaynor).

As for all Specialty Trainees, clinical training will be co-ordinated by the Health Education East Midlands

Clinical Training Programme Director: Dr Kay Gaynor (Catherine.gaynor@nuh.nhs.uk).

Summary of the Main Responsibilities of the Clinical Lectureship

1. Undertaking original research and academic training under supervision of

Academic Supervisor in partnership with the School of Medicine’s Clinical

Academic Training Programme

45%

2. Undertaking Clinical Training under supervision of the Clinical Training

Programme Director as part of the Health Education East Midlands Clinical

Training Programme in Speciality

45%

3. Contribution to undergraduate medical teaching including supervision of the

research component in the 3rd year of the BMedSci medical student degree and

postgraduate student teaching.

10%

Supervision and Mentorship for Clinical Lecturers

It is expected that most applicants for the Academic Clinical Lecturer’s post will already have identified

an Academic Supervisor before applying for the post. Otherwise, the lead for academic training in

Geriatric Medicine (Dr Adam Gordon) will support the new Clinical Lecturer in selecting an appropriate

Academic Supervisor for their chosen research field. All training will be organised in conjunction with

the Academic Supervisor, once chosen.

All Clinical Lecturers will have the opportunity to join the School of Medicine’s highly successful

Mentoring Scheme in which a senior academic mentor will support the Clinical Lecturer in maximising

their potential and skills, in optimising their performance and in accessing opportunities for career

development.

Assessment of Academic/Clinical Competencies and Joint Process Management

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All Academic Clinical Lecturers within the School of Medicine undergo a formal annual academic

appraisal to monitor their progress. An academic report from the annual appraisal is submitted to, and

considered by, the joint Clinical Academic ARCP Panel which monitors progress of Specialty Trainees

each year.

Further information for applicants to the Clinical Lectureship in Medicine for Older People

Candidates are strongly encouraged to make informal enquiries and should contact the Academic

Programme Director in this speciality in the first instance:

Dr Adam Gordon, Clinical Associate Professor in Medicine for Older People, Academic Programme

Director for Geriatric Medicine. Adam.gordon@nottingham.ac.uk

NIHR Trainees website: http://www.nihr.ac.uk/funding-and-support/funding-for-training-and-

career-development/training-programmes/integrated-academic-training-programme/integrated-

academic-training/nihr-clinical-lectureships/

Life in Nottingham: http://www.nottingham.ac.uk/studywithus/nottinghamlife/index.aspx

The University’s Clinical Academic Training Programme Director

Professor Helen Budge, Director of Clinical Academic Training, is also able to provide advice on the

training programme see website:

http://www.nottingham.ac.uk/medicine/study/training/catp/index.aspx

Please note that applications sent directly to these email addresses will not be considered.

Potential Applicants should also view the Appendices at the end of this document.

Person Specification

The post is only open to those eligible to hold an academic National Training Number who

will have a maximum of 2 years and minimum of 1 year of clinical training to complete

before attaining their CCT on taking up the post.

Applicants must have all of the essential criteria listed in BOTH the academic AND clinical criteria

listed in the person specifications AND complete the supplementary questions available at

http://www.nottingham.ac.uk/medicine/documents/nihr-cl-supplementary-questions-and-guidance-

notes.doc

Applications without the supplementary questions from the link above, cannot be

considered.

The clinical person specification can be found at:

http://specialtytraining.hee.nhs.uk/portals/1/Content/Person%20Specifications/Geriatric%20Medicine/

Geriatric%20Medicine%20ST3.pdf

Where the applicant is applying at a level above ST3, all the essential criteria at ST3 must be met and

the applicant will supply evidence of successful outcomes at ARCP up to the level of clinical training for

which they are applying.

The academic person specification is below:

ACADEMIC PERSON SPECIFICATION FOR CANDIDATES APPLYING FOR AN ACADEMIC

CLINICAL LECTURESHIP IN GERIATRIC MEDICINE

ESSENTIAL DESIRABLE

Eligibility

Eligible to hold a National

Training Number (Academic)

Evidence of achievement of

Foundation competences or

equivalent.

Evidence of Commitment

to GMC Speciality

Intercalated honours

degree and/or additional

qualifications e.g. MSc etc.

Application

Form

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ACADEMIC PERSON SPECIFICATION FOR CANDIDATES APPLYING FOR AN ACADEMIC

CLINICAL LECTURESHIP IN GERIATRIC MEDICINE

ESSENTIAL DESIRABLE

Higher research degree (MD,

PhD or equivalent) in a

relevant subject area.

Evidence of good progress in

clinical training and that

completion of specialty

training may be

accommodated either during

or at the end of the 4 year

post.

Evidence of achievement of

competences to Speciality

Training level (ST) Year 3 or

above (appropriate to the

level of entry).

Current level of training is

supported by standard ARCP

outcomes, or equivalent

Knowledge and

Achievements

Demonstration of acquisition

of the level of knowledge and

skills necessary for the

achievement of Foundation

and clinical competencies or

equivalent (matched to the

entry level i.e. ST3 or

above).

Demonstration of the

potential for scientific

independence and the ability

to lead a research team.

Potential to become a leader

in chosen field

Knowledge of the centre

hosting the research and

how this is best placed to

support the research,

education and training

needs.

Prizes or distinctions.

Presentation of work at

national or international

meetings.

Significant original

publications in peer

reviewed journals.

Application

form and

interview

Educational and

personal

aspects

Evidence of excellent

communication skills.

Demonstration of

understanding of, and

commitment to, an academic

career.

Demonstration of educational

reasons for applying for

Clinical Lectureship and of

medium and long-term

career goals.

Application

form

Professional

Skills

Evidence of good team

working skills

Evidence of leadership

potential.

Applications

form and

interview

Statutory/Legal Satisfactory Enhanced

disclosure from the

Disclosure and Barring

Service.

Holds existing UK National

Training Number

Applications

form and

interview

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ACADEMIC PERSON SPECIFICATION FOR CANDIDATES APPLYING FOR AN ACADEMIC

CLINICAL LECTURESHIP IN GERIATRIC MEDICINE

ESSENTIAL DESIRABLE

GMC registration with a

licence to practise.

and DBS

declaration

Other Willingness to adopt the

Ethos and Principles of the

School of Medicine

Applications

form and

interview

Disclosure

Because of the nature of the work, this post is exempted from the provisions of Section 4 (2) of the

Rehabilitation of Offenders Act 1974 by virtue of the Rehabilitation of Offenders Act 1974 (Exceptions)

Order 1975.

Applicants are, therefore, not entitled to withhold information about convictions, which for other

purposes are “spent” under the provisions of the Act, and in the event of employment any failure to

disclose such convictions could result in dismissal or disciplinary action by the University. Any

information given will be strictly confidential and will be considered only in relation to an application for

positions to which the Order applies. This post cannot be taken up until satisfactory enhanced

disclosure has been received. If once employed, an employee receives a conviction, they are required

to inform the University and the Trust.

Due to the requirements of the UK Border and Immigration Agency, applicants who are not UK or EEA

nationals and whose immigration status entitles them to work without restriction in the UK will be

considered on an equal basis with UK and EEA nationals. Please visit

http://www.ukba.homeoffice.gov.uk/ for more information.

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The University of Nottingham strongly endorses Athena SWAN principles,

with commitment from all levels of the organisation in furthering women’s

careers. It is our mission to ensure equal opportunity, best working

practices and fair policies for all.

The School of Medicine holds a Silver Athena SWAN in recognition of our

achievements in promoting and advancing the representation of women in

science, technology, engineering, medicine and mathematics (STEMM).

Please see http://www.nottingham.ac.uk/medicine/about/athena-

swan.aspx

Appendix 1

The University of Nottingham

Described by the Times Good University Guide 2017 as “the nearest Britain has to a truly global

university” The University of Nottingham has award-winning campuses in the UK, China and Malaysia

and hosts a global academic community in all three countries. The University has an institution-wide

commitment to embedding an international dimension across all of our activities enabling us to produce

graduates who are empowered to excel in a challenging global environment and deliver genuinely

world-changing research.

Our reputation for world-class research has yielded major scientific breakthroughs such as Nobel-

winning MRI techniques, drug discovery, food technologies and engineering solutions for future

economic, social and cultural progress.

Already ranked among the UK’s elite universities and global polls for research excellence, our

reputation for world-class research has been further enhanced with the 2014 results of the Research

Excellence Framework (REF).

In addition to scoring highly in quality rankings covering major disciplines in science, engineering, the

social sciences, medicine, business and the arts, it is Nottingham’s research power rankings which

demonstrate the impressive volume of excellent research which is carried out. We are now ranked 8th

in the UK on a measure of ‘research power’ which takes into account both the quality of research and

the number of research-active staff who made REF returns, confirming Nottingham’s place in the top

tier of the world’s elite higher education institutions.

The main University campus is set beside a lake, in an extensive belt of woodland, parks and playing

fields. The 330 acre University Park Campus is the focus of life for more than 32,000 students and

houses the majority of the University’s academic schools and many of the central Services. The Jubilee

campus is situated 2 miles away from the University Park, and provides extra capacity. The University

Medical School is situated next to the University Park. Together with the University Hospital, it forms

the Queen’s Medical Centre (QMC).

University of Nottingham Medical School

Nottingham has a strong reputation for both clinical medicine and teaching. As one of the most popular

medical schools in the country, it is able to select excellent students and produce and attract good

junior doctors.

The School of Medicine comprises the Divisions of Cancer and Stem Cell Sciences, Child Health,

Obstetrics and Gynaecology; Clinical Neuroscience; Epidemiology and Public Health; Primary Care;

Psychiatry and Applied Psychology; Rehabilitation and Ageing; Medical Sciences and Graduate Entry

Medicine; Respiratory Medicine; Rheumatology, Orthopaedics and Dermatology and the Nottingham

Digestive Diseases Centre. The School also hosts the Education Centre, the Centre for

Interprofessional Education and Learning, the Clinical Research Facility, the Clinical Skills Centre, NIHR

Design Service East Midlands, Nottingham Clinical Trials Unit, PRIMIS and Medical Imaging Unit.

The School of Medicine brings together in one School staff undertaking research for the benefit of the

health of patients. It includes all primary care and hospital-based medical and surgical disciplines,

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principally in the Queen’s Medical Centre and City Hospital Nottingham Campuses, Royal Derby

Hospitals NHS Foundation Trust and also at the University’s main campus and at the King’s Meadow

and Jubilee Campuses. Most of our School’s Senior Researchers and Teachers are also clinicians who

dedicate 50% of their time to patient care within the Nottingham University Hospitals NHS Trust &

Royal Derby Hospitals NHS Trust. This close juxtaposition brings cutting-edge clinical care to our

patients and clinical relevance to our research and teaching. We are closely integrated with our full

time NHS clinical colleagues, many of whom are themselves leaders in research and teaching and who

work closely with the University and this increases the mutual benefit from integration between the

University and NHS.

Mission:

Our mission is to improve human health and quality of life locally, nationally and internationally

through outstanding education, research and patient care.

Priorities:

1. Teaching and learning, particularly training tomorrow’s doctors and teaching specialised

postgraduates

2. Research and research training: We will perform and support the highest quality “big” research

which impacts on human health and disease

3. Partnership with the NHS and other healthcare providers

4. Visibility and profile of the School of Medicine: We will do what we do better, and we will tell

others about it

Ethos and principles:

1. Having people and patients at the heart of all we do: our teaching and learning, our research

and our patient care

2. Contribution within the School of Medicine and to society beyond our immediate roles;

helpfulness and service

3. Openness and fairness, with particular emphasis on communication (both internal and external)

and on equality and diversity among students and staff

4. Personal and group responsibility for all aspects of our work, within a culture of opportunity

and reward

Our research spans 11 major themes, ranging from cancer to vascular medicine. We work closely with

industry and the NHS. Our world-leading research ranges from basic and translational science through

to clinical trials, epidemiology, and health services research. Our clear theme is improving human health,

underpinning a vibrant postgraduate research training programme leading to PhD or DM. Many of our

academics are clinicians, using their expertise to provide cutting edge specialised treatment to NHS

patients; reflecting our ethos that patients are at the heart of all we do.

The partnership between University of Nottingham and Nottingham University Hospitals NHS Trust was

recently awarded by NIHR, a transformational £23.6 million to to expand their pioneering work into new

treatments and diagnostics for a wide range of health problems, establishing a new Biomedical Research

Centre (BRC), which will incorporate two existing smaller Biomedical Research Units in the city. The

Nottingham BRC will be the leading UK hub in five key areas of health research:

Deafness and hearing loss

Gastrointestinal and liver disease

Respiratory medicine

Musculoskeletal disease

Mental health technology

At the core of the Biomedical Research Centre will be Nottingham’s world-leading expertise in magnetic

resonance imaging (MRI). It means the latest medical imaging research and technology pioneered here

can be translated into real benefits for patients in all five of the BRC’s research areas.

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In the 2014 Research Excellence Framework the four Units of Assessment included in the School of

Medicine were among the six most improved in the whole University since RAE 2008: Over 80% of our

research in 2014 was graded as world-leading or internationally excellent. Our research spans 11 major

themes and ranges from basic and translational science through to clinical trials, epidemiology, and

health services research. We work closely with industry and the NHS. Our research is underpinned by a

strong postgraduate research training programme leading to PhD or DM. Our major research themes

are in Cancer and Stem Cells; Child Health, Obstetrics & Gynaecology; Clinical Neurosciences;

Dermatology; Digestive Diseases; Epidemiology and Public Health; Mental Health; Musculoskeletal

physiology and disease; Primary Care; Rehabilitation and Ageing; Respiratory Medicine; and Renal

Medicine.

The School of Medicine trains tomorrow’s doctors on a vibrant undergraduate medical course with a

unique intercalated BMedSci, as well in a specialised graduate-entry programme built around clinical

problem solving. We teach medicine and related disciplines at both undergraduate and postgraduate

level. We have a dedicated clinical academic training programme and are committed to training PhD

and doctoral research students and to supporting postdoctoral clinicians and scientists in their

research.

Professor Tony Avery is Dean of the School of Medicine.

For further information, please see our website http://www.nottingham.ac.uk/medicine

Nottingham

Central within the East Midlands, Nottingham is a vibrant and prosperous city with something to offer

everyone. It is one of the UK’s leading retail centres and has a huge variety of restaurants, bars and

nightclubs which attract people from all over the UK. Culturally, it has good theatres, an arena which

attracts both national and international performers and a range of historical interests relating to

subjects such as the lace industry, Lord Byron and DH Lawrence. Nottingham is also known for sport,

being the home of Trent Bridge Cricket Ground, Nottingham Forest and Notts County Football Clubs,

the National Water Sports Centre and the Nottingham Tennis Centre. There is a good network of roads

with easy access to the M1 and the A1, a fast frequent rail service to London and other major cities.

Nottingham East Midlands Airport is only eighteen miles away.

The city is set within a county of outstanding natural beauty which includes Sherwood Forest, Wollaton

Park, lively market towns and wonderful historic buildings. Housing is relatively inexpensive and, in

addition to the two Universities, there are excellent schools and colleges available.

To find out more about Nottingham, use the following links:

Nottingham County Council – Tourism http://www.experiencenottinghamshire.com/

University of Nottingham http://www.nottingham.ac.uk

Zoopla (Guide to local properties) http://www.zoopla.co.uk/

My Nottingham (information on schools, term dates, school transport etc.)

http://www.nottinghamcity.gov.uk/index.aspx?articleid=8524

Appendix 2

Nottingham University Hospitals NHS Trust

VISION

Nottingham University Hospitals seeks to become the best acute teaching Trust in the country by 2016.

We will strive to give each patient the same care and attention that we would wish for members of our

own family. We believe that our patients, their families and the public we serve deserve nothing less.

We will continue to provide general hospital services of the highest calibre, and build on our established

strengths in stroke and heart attack services, cancer, and trauma. We will develop a workforce and

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facilities that deliver reliable, safe, compassionate care, with excellent outcomes. Everything we do needs

to be characterised by responsiveness and flexibility, and by an unwavering focus on our patients and

their needs.

We will demonstrate progress in by delivering excellence in six key domains:

Patient experience

Clinical outcomes

Teaching and training

Research

Staff satisfaction

Value for Money

WHO WE ARE

Nottingham University Hospitals NHS Trust (NUH) is the country’s fourth largest acute teaching trust. It

was established on 1 April 2006 following the merger of Nottingham City Hospital and the Queen's Medical

Centre.

We provide acute and specialist services to 2.5 million people within Nottingham and surrounding

communities from the Queen’s Medical Centre (QMC) and the City Hospital campuses. We have an annual

budget in excess of £682m of public sector funding and employ over 13,000 staff.

The Trust is the principal provider of acute general, specialist and tertiary hospital care to the population

of Nottingham, receiving 98 per cent of all elective and urgent referrals from primary care trusts in

Nottinghamshire. We currently have 2,100 hospital beds.

Our activities include general hospital services for the local population and a wide range of specialist

services, many for patients across the East Midlands and beyond. In 2008/09 we cared for around:

• 755,000 first and follow up outpatients

• 160,000 emergency attendances

• 90,000 non-elective admissions

• 90,000 day case and elective inpatient admissions.

During the year 2008/09 a proportion of outpatient and day case patient care was transferred to the NHS

Treatment Centre operated by Nations Healthcare and based at the Queen’s Medical Centre campus.

NUH staff have been seconded to provide a service to the organisation, but it operates independently of

the Trust.

Nottingham is the only city in the country to secure three successful bids for prestigious biomedical

research units. We are working with The University of Nottingham to help to translate research findings

for stomach, bowel and liver disease, hearing and respiratory disease into better patient care.

VALUES AND BEHAVIOURS:

NUH has a set of values and behaviours to improve the experience for our patients and our staff (We are

here for you). This means that in undertaking this role the post holder is expected at all times to

behave is a way that demonstrates commitment to the delivery of thoughtful patient care and continuous

improvement as detailed in the table below.

Thoughtful Patient Care Continuous Improvement

Caring and helpful

Polite, respect individuals,

thoughtful, welcoming

Accountable and reliable

Reliable and happy to be measured

Appreciative of the contribution of

others

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Helpful, kind, supportive, don’t wait

to be asked

Listening, informing, communicating

Effective and supportive team-working

Safe and vigilant

Clean hands and hospital so patients

are safe

Professional, ensure patients feel

safe

Honest, will speak up if needed to

stay safe

Best use of time & resources

Simplify processes, to find more time to

care

Eliminate waste, investing for patients

Making best use of every pound we

spend

Clinically excellent

Best outcomes through evidence-led

clinical care

Compassionate, gentle, see whole

person

Value patients’ time to minimise

waiting

Innovation for patients

Empowerment to act on patient

feedback

Improvement led by research and

evidence

Teaching the next generation

The following two sections describe the services and facilities currently at the two campuses. However,

there are ongoing discussions about the future development and location of clinical adult services, as a

result of which some services or parts of adult services may relocate to the other campus.

(i) City Hospital Campus

The City Hospital Campus offers a wide range of clinical services to the local population of greater

Nottingham, plus a much larger population in such specialties as cardio-thoracic surgery, cancer, renal,

breast services, clinical genetics and neonatology.

There is no Accident and Emergency department on the campus, although the hospital does take medical

and surgical patients referred by GPs or from other acute hospitals.

The Nottingham City Hospital campus has a long association with the city of Nottingham. It first opened

in 1903 and the buildings are a mixture of old and new, although services have recently benefited from

huge investment in improving the facilities for patients. These developments include the purpose-built

Endoscopy Centre, Nottingham Breast Institute, Nottingham Urology Centre, Trent Cardiac Centre, Short

Stay Unit, Centre for Clinical Haematology and PET scanner. There are also new staff residences on site.

Research interests at the City campus include oncology, respiratory medicine, clinical haematology,

rheumatology, diabetes/endocrinology, stroke medicine, urology and mineral metabolism. Professors in

the following specialities are based on this site - Surgical Science, Respiratory Medicine, Microbial

Diseases, Obstetrics and Gynaecology, Oncology, Medical Genetics and Stroke Medicine. In addition,

there are academic departments of Haematology, Rheumatology, Continuing Care and Anaesthetics.

City Hospital is home to training centres in breast screening techniques and cardiac surgery and the Trust

is a Cancer Centre, forming part of the Mid-Trent Cancer Network.

The City Hospital campus has a variety of facilities for the use of patients, visitors and staff. There is a

restaurant, coffee bars selling hot and cold snacks, WRVS stalls and hospital shops. There is a cash

machine located outside the main out-patients department.

(ii) Queen’s Medical Centre Campus

As well as the hospital, the QMC building, which opened in 1978, also houses the University of Nottingham

Medical School and School of Nursing, Midwifery and Physiotherapy.

Clinical services provided within QMC include a very substantial emergency workload, particularly in

medical admissions. Within the Medical Division services include the Emergency Department, Medicine,

(including Cardiovascular, Respiratory, Gastroenterology, Diabetes and Endocrinology, Haematology,

Rheumatology, Immunology, Palliative Care,) Dermatology, Intensive Care and Health Care of the

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Elderly. Within the Surgical Division services include Surgery, (including Vascular, Colorectal and Hepato

pancreatic biliary,) ENT, Ophthalmology, Maxillofacial, Trauma & Orthopaedics, (including Spinal,) and

Neurosciences. Within the Family Health Division, services include Obstetrics and Fetomaternal Medicine,

Gynaecology, (including Fertility Services), Child Health (including Neonatology and Paediatric Surgery)

and Occupational Health.

The QMC site has constantly developed the services it provides to enable it to meet the needs of its

patients both now and for the future. Queen’s has the only Emergency Department for the city.

There are a number of facilities provided in QMC, including a Newsagent, Coffee shop/ /Sandwich bar,

Clothes shop, Bank (National Westminster, open daily from 10.30 – 3.30pm) and a Pharmacy shop.

There is a large dining area, Cyber Café, roof garden and an active Junior Doctors’ Mess with kitchen,

PCs with Internet access, sitting room, billiard tables, and television.

Clinical Management Arrangements in the Nottingham University Hospitals NHS Trust

The management of the Nottingham University Hospitals NHS Trust is organised via a structure of ten

Directorates, which contain all the clinical departments. The Trauma and Orthopaedics department sits

within the Musculoskeletal and Neurosciences (MSKN) Directorate. This directorate includes; trauma and

orthopaedics, spinal surgery, neurosurgery, neurology, neuro rehab and clinical psychology. The

directorate is led by a Clinical Director, supported by a General Manager and Clinical Lead. Each speciality

is led by a consultant Head of Service, Assistant General Manager and a Matron.

Conditions of Service and Governance

The successful candidate will be offered an Honorary Contract with the Nottingham University Hospitals

NHS Trust under the terms and conditions. When undertaking clinical duties on this basis within the

Trust, the person appointed will be expected to adhere to local policies and procedures and to take note

of the standing orders and financial instructions of the Trust.

Nottingham University Hospitals NHS Trust is committed to the development of Clinical Governance. The

approach taken is to develop actions plans at a directorate level. Each member of the medical staff is

expected to take an active role in clinical governance activities within their directorate and each

directorate has a Consultant nominated as Clinical Governance lead. The activities include (but are not

restricted to) audit, incident reporting, review of complaints, risk management, CPD and Evidence Based

Practice.

Professional Standards

The Clinical Director is managerially responsible for all activity and personnel in the directorate in which

the appointee will work. The Medical Director, Dr Keith Girling, has overall responsibility for the

professional performance of clinicians, including of those holding Honorary Contracts with NUH. All

clinicians are expected to comply with management arrangements in place, to follow the guidelines on

practice laid down by the General Medical Council’s “Maintaining Good Medical Practice”, and to be

accountable to the Trust for their actions and the quality of their work. A yearly Joint Clinical and

Academic Appraisal is carried out.

Post-graduate facilities

Nottingham University Hospitals NHS Trust fully supports and recognises the importance of continuing

professional development. The facilities available to support this include two large purpose-built

Postgraduate Centres.

The Postgraduate Centre at the City Campus provides an excellent educational environment for

multidisciplinary conferences and seminars, postgraduate medical education and continuing medical

education. It also provides a base for the Nottingham Vocational Training Scheme for General Practice,

as well as teaching facilities and common room for undergraduate students of Nottingham University

Medical School and a brand new Clinical Skills Centre.

The Postgraduate Centre at Queen’s Medical Centre Campus contains eleven meeting rooms of varying

sizes and audio-visual equipment including video-conferencing.

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The Greenfield Medical library is situated in the Medical School within QMC. This has an excellent retrieval

service and arranges inter-library loans. All members of the hospital medical and dental staff have free

access and borrowing rights. Audio Visual services are provided from the Medical Photography

department located in the Medical School which has photographic, medical illustration and video

recording facilities as well as a service in support of presentation materials.

The Trent Simulation and Clinical Skills Centre opened in April 2004 and is a state of the art

simulation centre and clinical skills facility. It is a two-storey extension to the Postgraduate Education

Centre and the regional centre within Trent for advanced human patient simulation training offering a

range of specialty specific and inter-professional courses.

The high fidelity adult and paediatric simulators use sophisticated computers to create a life like medical

environment allowing realistic scenarios to be reproduced and enacted. The patient simulator can be

used to provide an extensive range of educational modules including events /scenarios involving the

cardiovascular, metabolic, pulmonary, neurological and renal systems as well as trauma and airway

events. In addition to normal physiology, a variety of pathological states can be superimposed to provide

realistic, potentially life threatening scenarios and thereby challenge participants using complex clinical

situations. The control room operator guides the simulation in real time thereby modelling patient

responses to unfolding events. The simulation is recorded on video to enable a thorough analysis and

debriefing to take place.

Appendix 3

Derby Teaching Hospitals NHS Foundation Trust

The Acute Trust

The acute trust operates services on the Royal Derby hospital site, London Road Community hospital

(LRCH) site and in the community. The trust is structured into 3 major Divisions: Planned Care

(Surgery, Radiology, Anaesthetics), Unplanned Care (Medicine, ED and Cancer) and Integrated Care.

Royal Derby Hospital

The Royal Derby Hospital is the newest hospital in the East Midlands. Officially opened in April 2010 by

Her Majesty The Queen and His Royal Highness The Duke of Edinburgh, we now care for more than

180,000 people as inpatients, outpatients, emergency patients and day cases. This equates to around

625,000 visits from patients each year. Our new hospital brings many extra benefits to the patients

who come to us for their care every year. With the first roof-top helipad in the East Midlands, state-of-

the-art intensive care facilities and enhanced services for stroke and cancer care, to name a few, we

always put patients at the heart of everything we do.

At Derby Hospitals we pride ourselves on hospital cleanliness and our new facilities will put us in the

best possible position to maintain our high standards. We are also improving privacy for patients with

more than 200 single en-suite rooms and 4-bed bays for patients on our wards.

From now on, all of our specialist services will be under one roof. The design for the new building

allows different departments to be located together to reduce the time patients spend in the hospital.

We can provide more one-stop clinics and more day-case treatments which will reduce the number of

visits patients need to make to hospital and make coming here easier for everyone.

Investment in the latest technology will continue to bring our services to the cutting edge of Medicine

advances and our highly skilled staff are proud to be providing services as efficiently as possible.

Our vision is to build on our achievements and we take great pride in caring for our patients in a clean,

safe and technically advanced environment.

Facts about our new hospital:

• £334 million has been invested in the development

• There are 1,159 beds in our wards

• 200 of them are in single rooms with en-suite facilities

• We have 35 operating theatres

• 2 MRI scanners

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• 2 CT scanners

• 14 X-ray Machines

• 4 linear accelerators for the treatment of cancer patients

• 75% of the accommodation is brand new

• The other 25% has been given a major refurbishment

• There are 8 patient, staff and visitor car parks

We are also a centre for one of two Schools of Radiography within the Trent region, a Pharmacy

academic Practice Unit and a National Demonstration Centre for Rehabilitation. Our commitment to

continuing education and training is demonstrated by the development of a multi-disciplinary learning

centre; this has brought together the latest facilities and teaching techniques underneath one roof and

helps to strengthen our academic links.