Royal Surrey County Hospital, Guildford
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Acute services and admissions are based at Royal Surrey County Hospital, Guildford
The on-call rota for ENT is shared with middle grades at Basingstoke and Frimley Park Hospitals.
There are 2 "hot sites" - Frimley and Guildford, each with their own ENT ward and ENT SHO/overnight 1st on-call arrangements. The registrar also covers emergencies from Basingstoke, Frimley, Guildford, Ashford & St Peter's hospitals
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Guildford acts as the hub for a network of ENT departments including Ashford and St Peter's hospitals
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The local area is fairly affluent with many patients being well-read and researched about their symptoms and suspected conditions.
Guildford team
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As of October 2021, there were 6 substantive consultants. (5 at Ashford and St
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Allied services:
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Audiology: Balance testing, tinnitus/hyperacusis therapy
https://www.royalsurrey.nhs.uk/audiology
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Head and neck oncology:
Centre for head and neck oncology covering Surrey and parts of Hampshire
Centre for transoral robotic surgery since 2020
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Tertiary referral service for complex nasal and sinus conditions and managing allergic conditions
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Robert Sudderick
Consultant
Departmental role:
Special Interest: Head and neck oncology, Endocrine/thyroid surgery
Lisa Pitkin
Head and Neck Consultant
Departmental role: TPD for KSS ENT trainees, Lead for Surrey Head and Neck Cancer surgery
Special Interest: Head and neck oncology, Endocrine/Thyroid surgery
Stephen Derbyshire
Head and Neck Consultant
Departmental role:
Special Interest: Head and neck oncology, transoral robotic surgery, Endocrine/Thyroid surgery
San Sunkaraneni
Consultant rhinologist
Departmental role:
Special Interest: Endoscopic sinus surgery including frontal sinus procedures, rhinoplasty
Simon Thorne
Consultant Ear, Nose and Throat Surgeon
Departmental role: Lead for paediatric ENT
Special Interest: Rhinology, Paediatric ENT
Peter Valentine
Consultant Otologist
Departmental role:
Special Interest: Mastoid and middle ear surgery, balance, hearing disorder
David Walker
Consultant Head and Neck Surgeon
Departmental role: Lead for SHOs
Special Interest: Head and Neck oncology, Transoral robotic surgery, voice
Jointly appointed with Basingstoke and North Hampshire Hospitals
Kiran Varadharajan
Consultant ENT Surgeon
Departmental role: Lead for Paediatric ENT
Special Interest: Paediatric ENT
Guildford jobs/rotations
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On-call:
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Weekdays:
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8am - 5pm there is no formal on-call registrar
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On-site registrar is expected to manage emergencies that arise
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Weeknights: Starting from 5pm until 8am the next day, as non-resident 2nd on-call (1st on-call is an ENT)
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Covers Basingstoke, Frimley, ​Guildford, Ashford & St Peters' Hospitals
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There are 2 SHOs on-call (one at Frimley, one at Guildford), 2 consultants on-call (Frimley/Basingstoke and Guildford/St Peter's) and one registrar
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Weekends: 5pm Friday - 8am Monday. Non-resident on-call registrar as 2nd on-call
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On-call room? If you live too far to do non-resident on-call at home, on-call room is available:
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Sign out key from security/reception desk
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Room in hospital accommodation opposite hospital
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Rota/Timetable:
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BMA Contract compliance:
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Arrangement for 48hrs off after 8 days of work, or plan to work 7 days max (swaps involved)
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Need to book post on-call leave yourself with 6-weeks notice
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JCST compliance: All job timetables are JCST compliant as stand alone jobs
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Sample timetables (from October 2022):
All the essentials for Guildford
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Bleeping:
To bleep: 2000 [bleep no] [ext no]
Day & night ENT SHO is bleep 0500;
ENT ward:
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Adults admitted to Clandon Ward (Head & Neck ward). outliers often in EAU/SSSU
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Paediatric overnight stays: Hascombe ward
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Treatment room: Clandon ward (out of use currently due to COVID restrictions)
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Ward round: 8 am daily starting in Jobson room in ENT outpatients
SHOs:
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8 posts (6 FY2s, 1 GPST2s & 1 core trainee grade)
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ENT experience?: they will have various experience. ENT training/induction conducted by ENT registrars and consultants on first days of the job
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Shift patterns:
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Day on-call: 1 SHO on-call, 1 SHO ward, 1 SHO e-clinic
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Night on-call - 1 SHO, No cross-cover
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Emergency clinic called "eClinic"
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Booked via: phone call to SHO and e-clinic request form completed by SHO/GP
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Runs daily, in outpatients - two per day (morning and afternoon)
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Run by SHO, who will ask registrar in clinic for advice if needed
Theatre:
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All elective cases should have discharge letters completed at the end of the case
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Main Theatres or Day Surgery Theatres
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CEPOD cases in main theatre
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How to book​: booking form from theatre front desk & contact coordinator/on-call anaesthetist
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Pre-op Patients:
- ​Adults on SSSU/ESU​
- Paeds on Hascombe
Clinics:
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Outpatient Area 8 at RSCH, Guildford
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AM clinic start time: 9:00
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PM start time : 14:00
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Ashford & St Peter's: 14:00 Monday afternoons for H&N registrar
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Additional clinics held at Cranleigh Village Hospital, Haslemere Hospital, (consultants only)
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Common investigations/referrals
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Vestibular function tests: Paper form in outpatients
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BAHA assessments: to be confirmed
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Sleep studies:
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Adults: to be confirmed
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Paeds: to be confirmed
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Allergy skin prick tests: to be confirmed
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Allergy RAST testing: Electronic requests (ICE) If you request, be clear on form what allergens should be tested
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Outpatient blood tests
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Adults: to be confirmed
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Paeds: to be confirmed
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Local Skull Base Centre: St George's Hospital
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Local Cochlear implant centre for referrals: Southampton
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Local Paediatric Tertiary Centre for referrals: St George's
Rotas & leave
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Updated versions of on-call rota sent out monthly by Debbie Furlong
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Annual leave - request via Debbie Furlong (debbiefurlong@ nhs.net). She will email them to Mr Walker to approve
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Study leave - request via Debbie Furlong
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Leave request must be submitted with 6-weeks notice
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Expenses - claim via PGMCE