Nottingham City Hospital

Nottingham University Hospitals NHS Trust (NUH) is one of the largest Trusts in Europe, with 2,200 hospital beds and over 13,000 staff based on two campuses – the Queen’s Medical Centre (QMC) and Nottingham City Hospital.

The Trust incorporates all major medical and surgical subspecialties. It is a tertiary referral centre for the East Midlands. Along with general modules, trainees undertake their Cardiothoracic, Neurosurgical and Paediatric and neonatal training within NUH. The last few years have seen a number of exciting major developments including designation of QMC as the East Midlands Major Trauma Centre (EMMTC) and futher expansion of Critical Care. A state of the art Diagnostic and Treatment Centre operated by Circle Healthcare on behalf of the NHS was also opened on QMC Campus in 2008, which provides Consultant-delivered Daycase capacity.

NUH enjoys close links with the region’s Universities and attracts and develops the highest calibre of staff. The work being carried out by NUH researchers has led to a reputation for excellence and is making a very real difference to people’s lives. The Trust continues to attract and encourage investment and remains at the forefront of research. 
As part of a national clinical research collaboration, the Trust is a UK co-ordinating centre for numerous clinical trials. We have an active, well regarded Academic Department of Anaesthesia and Trainees are encouraged to participate in research projects. In the past, trainees have presented their work at worldwide conferences.

There are Postgraduate Centres and libraries on both campuses. The Trent Simulation and Clinical Skills Centrespecialises in clinical skills, human factors and patient safety training. The centre offers a number of relevant courses to anaesthetists using the high fidelity simulators. There are also opportunities to become actively involved in teaching.

2015 sees QMC becoming the first hospital in the country with a tram station as part of the Nottingham Express Transit (NET) Project which will improving access for staff and patients, and development of the £5.5m Medipark research facility.

Queen’s Medical Centre, Nottingham

Nottingham University Hospitals NHS Trust (NUH) is one of the largest Trusts in Europe, with 2,200 hospital beds and over 13,000 staff based on two campuses – the Queen’s Medical Centre (QMC) and Nottingham City Hospital.

The Trust incorporates all major medical and surgical subspecialties. It is a tertiary referral centre for the East Midlands. Along with general modules, trainees undertake their Cardiothoracic, Neurosurgical and Paediatric and neonatal training within NUH. The last few years have seen a number of exciting major developments including designation of QMC as the East Midlands Major Trauma Centre (EMMTC) and futher expansion of Critical Care. A state of the art Diagnostic and Treatment Centre operated by Circle Healthcare on behalf of the NHS was also opened on QMC Campus in 2008, which provides Consultant-delivered Daycase capacity.

NUH enjoys close links with the region’s Universities and attracts and develops the highest calibre of staff. The work being carried out by NUH researchers has led to a reputation for excellence and is making a very real difference to people’s lives. The Trust continues to attract and encourage investment and remains at the forefront of research. 
As part of a national clinical research collaboration, the Trust is a UK co-ordinating centre for numerous clinical trials. We have an active, well regarded Academic Department of Anaesthesia and Trainees are encouraged to participate in research projects. In the past, trainees have presented their work at worldwide conferences.

There are Postgraduate Centres and libraries on both campuses. The Trent Simulation and Clinical Skills Centrespecialises in clinical skills, human factors and patient safety training. The centre offers a number of relevant courses to anaesthetists using the high fidelity simulators. There are also opportunities to become actively involved in teaching.

2015 sees QMC becoming the first hospital in the country with a tram station as part of the Nottingham Express Transit (NET) Project which will improving access for staff and patients, and development of the £5.5m Medipark research facility.

Kings’s Mill Hospital

Sherwood Forest Hospitals Foundation Trust runs King’s Mill and Newark Hospitals, as well as providing services at Mansfield Community Hospital, employing around 4,250 staff. A new £320m super hospital was opened in 2009 housing a treatment centre and medical wards. King’s Mill is a large friendly district general hospital serving a population of 400,000.

Trainees are based at the King’s Mill Hospital which has 14 operating theatres plus obstetric services and an integrated critical care unit. It is a great place for trainees to gain broad anaesthetic experience, including transfer of critically unwell patients to specialist centres. 

Lincoln County Hospital

The United Lincolnshire Hospitals NHS Trust was formed in April 2000 by the merger of the three former acute hospital trusts in Lincolnshire. With over 1500 beds it is one of the largest trusts in the country.

Trainees are based at Lincoln County Hospital which is a short walk from the historic cathedral and Bailgate area of the city. It is a large, modern, district general hospital that provides a comprehensive range of medical, surgical, paediatric, obstetric and gynaecological services to a rural population over an extremely large catchment area.

There is a busy Accident and Emergency Department which receives its fair share of trauma cases. There is a large Critical Care Unit. Cardiology now provides a Primary Percutaneous Intervention Service often requiring anaesthetic input.

Whilst the “furthest” hospital from Nottingham (approx 45 miles), a new dual carriageway has opened which has made it easily commutable. Lincoln County Hospital remains popular with trainees due to the friendly department and high standard of anaesthetic and ICU training offered. 

Royal Derby Hospital

2009 saw the opening of the brand new £334 million Royal Derby Hospital to serve a population of over 600,000. Derby Hospitals NHS Foundation Trust is a Department of Health rated 3-star acute trust and was one of the first to be awarded foundation status.

It has a total of 1,159 beds and employs over 7000 staff, providing a wide range of services including general medical, surgical, maternity, rehabilitation care and accident and emergency. The Derby Medical School was one of the first graduate entry schools in the country and functions as a satallite site of the University of Nottingham.

Derby Hospitals NHS Foundation Trust is known for its innovative and leading approach to patient care. The Intensive Care Unit was awarded Critical Care Team of the Year in 2006 and training in regional anaesthesia at the Pulvertaft Hand Centre is excellent. The Intensive Care department also facilitates the nationally renown “Derby Ultrasound in Critical Care” course and training towards FICE accreditation.

Chesterfield Royal Hospital

Serving North Derbyshire’s population of around 375,000, Chesterfield Royal Hospital NHS Foundation Trust provides a full range of acute services, plus 24 hour accident and emergency care. 

The Trust has 550 beds and more than 3,000 staff and has won many awards for innovative and outstanding practice.

The Critical Care Directorate provides acute specialist clinical services and support services to the hospital trust, including thirteen operating theatres with an average annual workload of 15,000 procedures, 2,250 emergency procedures and 12,750 elective procedures. Specialties include general, maxillofacial, orthopaedics, gynaecological, obstetrics, urology, ENT, pain management and ophthalmology. Emergency services for trauma, general surgery and obstetrics are provided 24-hours each day.

There are full ITU and CCU facilities on site, coronary angiography, endoscopy services and non-invasive ventilation. Trainees are provided with a wide clinical experience typical of a large district general hospital. 

Leicester Royal Infirmary

Leicester Royal Infirmary (LRI) is the biggest of Leicester’s three hospitals and is the teaching hospital within the Trust.

It has 890 beds and provides Leicestershire’s only accident and emergency service. The Anaesthetic Department at LRI provides Anaesthetic services for all surgical specialities except neurosurgery and cardio-thoracic surgery.

The department has 62 consultants and 5 associate specialists.

Our main operation area is based on the second floor of the Balmoral building and it is called the Central Operating Department (COD). It has 17 operating theatres and the anaesthetics department is also located here.  There are also separate eye theatres, an assisted conception unit and an MRI suite.

We are the tertiary referral centre for paediatric surgery, major maxillofacial and ENT surgery, major plastic surgery, upper GI and bariatric surgery, vascular surgery, as well as providing anaesthesia for day-case surgery, opthalmology, trauma including NOF fracture, and diagnostic interventions in radiology.  In addition we have a tertiary maternity unit with a CNST 1 rating providing care for 7000 deliveries per year and a 22-bedded ITU for surgical and medical patients, taking referrals from one of the busiest A&E departments in the country. Other services include an in-patient pain service, including acute and chronic pain management.

We also run specialist pre-assessment clinics for Vascular, Upper GI, Colorectal, ENT/ Maxillo-facial, Paediatrics, Obstetrics and Eyes, including CPEX testing. We also run an ITU follow-up clinic.

This offers us a unique and comprehensive opportunity to provide anaesthetic training across various sub-specialties.  

We also run at variety of teaching programmes in addition to those provided by EMSA.  We have Friday afternoon teaching within the department, weekly evening sessions for trainees and consultants on hot topics, and for journal review and M&M, as well as monthly portable “tea trolley” teaching within COD itself.

There are also 4 formal fellowships within UHL – Airway and Paediatrics based at the LRI, the Obstetric and the Regional fellowship at the LRI and LGH.

There is a Postgraduate Medical Education Centre and a comprehensive medical library at both the LRI and LGH.

Leicester General Hospital

Leicester General Hospital (LGH) was built in the 1900’s and its initial role was that of a poor law infirmary.  It is now a busy hospital  providing care to thousands of patients every year, across a spectrum of specialities.

The hospital has approximately 427 inpatient beds, an ITU with 12 level 2-3 beds, a Day Surgery Unit and a maternity unit conducting about 4200 deliveries a year.

We offer excellent training opportunities. There are 18 operating theatres in all. Six are in the main theatre suite and cover General and colorectal surgery, urology, gynaecology including oncosurgery , renal and hepatobiliary surgery. Robotic surgery has started in the last year in Urology, gynaecology and colorectal surgery. This site carries out all the elective orthopaedic surgery in Leicester in 7 operating theatres. There are also 2 obstetric theatres and 2 day surgery theatres. The other services offered are acute and chronic pain, sleep medicine, anaesthesia for ECT and sedation for endoscopic and radiological procedures. Preoperative anaesthetic assessment clinics for high risk patients are conducted in all specialties offered here.

The department consists of 34 Consultants (Anaesthesia, ITU,  Pain and Sleep Medicine) and five non consultant career grade staff.

We participate very actively in the trainees’ teaching programme in combination with the other two hospitals in the Trust.  Our trainees think the department is a friendly place with supportive staff, gain valuable clinical experience and enjoy the time they spend here.

Leicester is a thriving city in the centre of England, offering all the attractions of urban life with rolling countryside within easy reach.  The city has a rich history going back to Roman times. The county is well placed at the centre of England with good road, rail and motorway links.  It is also well served by two international airports – East Midlands and Birmingham. 

Glenfield Hospital

The Glenfield Hospital is one of the few centres in the United Kingdom with an established ECMO (Extra-Corporeal Membrane Oxygenation) programme for both adult and paediatric patients and it is the most successful centre in the world using the ECMO procedures.

It is the sub-regional (Trent) cardiothoracic centre and the third largest unit in the country providing experience in all forms of Thoracic and Cardiac Surgery, excluding transplantation. Over 1500 open heart operations were carried out in the last year. 10% of the workload is in Paediatric Cardiothoracic Surgery (although the location of Children’s Cardiac Services may change in the future as part of NHS Englands review of Congenital Cardiac Surgical Services).

There are many opportunities for anaesthetic trainees to gain their skills and competencies at the three Leicester hospitals which offer a different but interesting mix of patients. There are Postgraduate Centres and libraries on all sites. 

Pilgrim Hospital, Boston

Pilgrim Hospital in Boston, is a modern District General Hospital with 686 beds, and serves the needs of a catchment population of approximately 177,500 people. There are seven modern operating theatres, plus an Obstetrics theatre and a well-equipped six bed combined Intensive Care and High Dependency Unit. A wide range of sophisticated support services is available and there is an active Pain Management Unit staffed by two consultants.

The post offers experience in Anaesthesia for most types of surgery with the exception of Neurosurgery, Thoracic Surgery and Cardiac Surgery (except as these arise in the emergency treatment of casualties).

There is a purpose built Postgraduate Medical Centre with a well maintained medical library under the charge of a qualified librarian.

A postgraduate programme of regular lectures and meetings is in operation, organised by a designated Clinical Tutor. Lectures, clinical meetings and tutorials are held on a regular weekly basis organised through the Anaesthetic Department by the Faculty Tutor.