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GRADE: Specialist Registrar

SPECIALTY: Neurology


    Whole-time, non-resident Specialist Registrar in Neurology based at the Departments of Neurology, Nottingham University Hospitals, Queen’s Medical Centre Campus, Nottingham.

    Previous post registration general medical experience is essential and possession of MRCP or equivalent and previous neurological experience essential.

The post has been recognised by the Royal College of Physicians.

    The postgraduate Dean has confirmed that this post has the required educational and staffing approval.

    This post will enable the post holder to contribute to audit, research and other relevant work being undertaken in their training programme.


As of 1st April 2006, two top-rated trusts - Queen’s Medical Centre and Nottingham City Hospital - merged

    in order to develop a range of high-quality, sustainable patient services across the two campuses.

    The new merged Trust is Nottingham University Hospitals NHS Trust. Nottingham University Hospitals NHS Trust is one of the largest in the UK with an annual budget of more than ?500 million. As a major teaching Trust, NUH enjoys close links with the city's universities and attracts and develops the highest calibre of staff. It continues to be the hospital of choice for patients, encourage investment and remain at the forefront of research. It has one of the busiest emergency departments in the UK and has a total of 2,200 hospital beds across both campuses.

    Nottingham University Hospitals, Queen’s Medical Centre Campus, NHS Trust is a major provincial teaching hospital with a total of 1241 beds. It is the major Accident and Emergency centre for Nottingham and has extensive out-patient facilities and the most modern equipment and accommodation. Commissioning started in 1978 and was completed in 1985. Although relatively new, Queen's reputation is one many longer established hospitals would be proud of, having already received National and International acclaim in many specialist areas. Regional specialties include: Cardiology and Neurology and Neurosurgery. Queen's has University chairs in Anaesthetics, Child Health, Health Care of the Elderly, Immunology, Cardiovascular Medicine, Clinical Neurology, Gastroenterology, Renal and Inflammatory Disease, Therapeutics, Microbiology, Obstetrics and Gynaecology, Ophthalmology, Otolaryngology, Orthopaedic and Accident Surgery, Pathology and Surgery.

The current bed complement is:-

    General Medicine 207

    (including Metabolic Unit and Coronary Care Unit)

    Dermatology 24

    ENT 50

    Paediatric Medicine 61

    (including Neonatal Unit)

Health Care of the Elderly 148

    General Surgery (Adult) 130

     (Child) 20

    Orthopaedics (Adult) 143

     (Child) 24

    Ophthalmology (Adult) 41

    Oral Surgery 8

    Gynaecology 64

    Obstetrics 105

    Neurosurgery 44

    Neurology 20

    Psychiatry (Adult) 89

    Psychogeriatrics 26

    Paediatric ICU 7

    Adult ICU 12

    Accident and Emergency 6

The Trust forms part of the Queen's Medical Centre (QMC), which is a unique integrated Medical Centre

    combining high quality patient care, teaching and research. As well as the Hospital, QMC also houses the

    Medical Science Department of the Medical School, the Medical Library and the Mid Trent College of

    Nursing and Midwifery.


The Consultant establishment consists of:-

    11 Neurologists (including Professor and 1 senior lecturer) 2 Paediatric Neurologists

    9 Neurosurgeons

    2 Neuropathologists

    2 Neurophysiologists (and 1 Associate Specialist) 6 Neuroradiologists

    The Junior staff of the Department is as follows:- Neurology - Specialist Registrars

     1 SHO in Derby

     3 SHO's in Nottingham

     1 F1 Nottingham

Consultant Neurologists -

Dr A J Wills

    Dr A M Whiteley

    Dr N Bajaj

    Dr M Humberstone

    N Evangelou

    Dr P Maddison

    Dr C Constantinescu (Professor)

    Dr B Gran Senior Lecturer (Honorary)

    Dr G V Sawle

    Dr M O’Donoghue

    Dr S Singhal

There is close collaboration with all members of staff mentioned under the heading "The work of the



    The Departments of Neurosurgery and Neurology serves a population of approximately 2.5 million in the southern part of the Trent Region.

    There are 14 beds for neurology and a 6 bedded Patient Investigation Unit. The are also 36 Adult and 4 paediatric neurosurgical beds in QMC.

    Neurological outpatient clinics are held each week in Nottingham. Additional clinics are held in Mansfield, Newark, Derby, Burton, Loughborough and Boston.



The standard week of 40 hours is made up as follows:-

(i) Approximately 3 Out-patient clinics.

(ii) Ward round with consultants.

    (iii) One academic session including clinical case presentations, demonstrations in neuropathology and

     neuroradiology and a journal club.

(iv) Ward rounds with SHO's and routine care of in-patients.

(v) Correspondence including discharge summaries.

    (vi) Remaining time spent in dealing with emergencies and seeing urgent referrals from Casualty

     Department and other firms.

Proposed Timetable

The appointee will rotate through the 9 person ST3-6 rota:

     SpR1 SpR2 SpR3 SpR4 SpR5 SpR6 SpR7 SpR8 SpR9 KMH-OPD ward ward teach RDH-ward Mon am ward round ward clinic round round 10-11 TIA clinic stroke round KMH-OPD CHN-teach 1-RDH- pm ward clinic Admin clinic ward 2 On call stroke OPD Burton-OPD OPD CHN-RDH-Tues am OPD clinic clinic ward clinic clinic AJW On call stroke OPD Burton-OPD CHN-RDH- pm ward clinic clinic Admin clinic AJW On call stroke RDH-(MND RDH-CHN-OPD Dictations/oRDH-Wed am (teaching~~) Admin clinic) ward ward clinic n call stroke on-call RDH-CHN-RDH-OPD MND OPD OPD teachinRDH- pm ward clinic clinic clinic clinic g On call stroke Academic Thurs am meeting teachinward pm Study Study Study Study g On call Study RDH-OPD OPD OPD teachinward Fri am clinic Neurosurg clinic clinic g On call RDH-OPD clinic RDH-RDH- pm ward Neurosurg ward Admin study Study* stroke


KMH- Kings Mill Hospital

    RDH- Royal Derby Hospital

    CHN- Nottingham City Hospital

    Burton- Burton Hospital

    MND- Motor Neurone Disease Clinic

TIA- Transient Ischaemic Attack Clinic


    Participation in postgraduate teaching programmes of Neurological SHO's and Medical Students at the Nottingham University Medical School, and involvement in MRCP teaching as necessary.


    The Specialist Registrar will have the opportunity to participate in research projects. The main departmental interests are multiple sclerosis, neurodegenerative diseases and functional brain imaging.


    The Specialist Registrars are responsible for the organisation and the administration of the "on-take" rotas, the note-keeping of the SHO's and the efficient organisation of admissions and discharges. They also administer the arrangements for the teaching of clinical medical students. They also organise the audit programme.

On-call/Emergency Duty Rota

There is a 1/8 on call commitment associated with this post.


    In addition to the academic sessions described above, the existing Specialist Registrar training programme includes a weekly tutorial with a Consultant. There are also many opportunities to attend seminars and lectures in basic neuroscience, arising out of the major research interests of the Departments of Physiology and Pharmacology, Biochemistry and Pathology within the Medical School.

    With the advent of the Specialist Registrar training scheme, these opportunities have been supplemented by monthly study days, organised in association with the Neurology Departments in Sheffield which will follow the nationally-agreed curriculum for neurology training.

    This post offers opportunities for additional training in Neurophysiology, Neurosurgery and Neurological Rehabilitation. There are also opportunities to attend special interest clinics in Neuro-Ophthalmology, Neuro-Otology, Neuro-Genetics, Movement Disorders, Multiple Sclerosis, Motor Neurone Disease, Dystonia and so on. Additional training in Paediatric Neurology, Learning Disability and Psychiatry is also available.

    The Department possesses a specialist neurology library which includes most of the standard text books as well as all of the mainstream journals. Excellent additional library facilities are available through the Medical School.

    Specialist Registrars are expected to participate in a process of appraisal and professional feedback.

    A mandatory weekly half day is provided for private study and this may increase to a whole day in the latter two years of the rotation.


Treatment Centre

    At the end of 2007 the new Nottingham NHS Treatment Centre will be opening on the QMC site. The Treatment Centre will be managed by Nations Healthcare - an Independent Sector Provider - however a percentage of the activity within the centre will be transferred from Queen’s Medical Centre. As a result of

    this, the work that you do may be affected in one of several ways.

    1. Your work may not be affected at all

    2. You may be required to undertake work on behalf of the Treatment Centre

    3. You may be required to undertake some of your existing work in the Treatment Centre

    4. You may be seconded to work in the Treatment Centre.

    Only a small group of staff will be seconded to the Treatment Centre and throughout the secondment these staff will remain the employees of Queen’s Medical Centre. Full consultation will take place with

    affected staff well in advance of the Treatment Centre opening.


    The appointment is subject to the Terms and Conditions of Service of Hospital Medical and Dental Staff (England and Wales), as amended from time to time, and also such other policies and procedures as may be agreed by the relevant NHS Trust.

    The successful candidate will be contracted to the Nottingham University Hospitals, Nottingham or Derby Royal Infirmary. As a consequence he/she is expected to be aware of the local policies and procedures and take note of the standing orders and financial instructions of these Authorities.


The Specialist Registrar salary scale is in accordance with the current nationally agreed salary scale.

Medical Examination

    This appointment is subject to medical fitness and the appointee may be required to undergo a medical examination and chest x-ray.

Health and Safety

    Nottingham University Hospitals, NHS Trust recognises its duties under the Health and Safety at Work Act 1974 to ensure, as far as it is reasonably practical, the Health, Safety and Welfare at work of all its employees and in addition the business of the Authority shall be conducted so as to ensure that patients, their relatives, contractors, voluntary workers, visitors and members of the public having access to Authority premises and the facilities are not exposed to risk to their health and safety.

    All Medical and Dental staff under contract to the Nottingham University Hospitals will be expected to comply with Regional and all appropriate District and Unit Health and Safety policies.


    This is a non-resident post. Irrespective of his/her place of residence it is the responsibility of the appointee to ensure that when on-call he/she will be available by telephone and able to reach the hospital in time to meet his/her clinical commitments.

Study Leave

    This is granted in accordance with the recommended allowance subject to the maintenance of the service and to prior formal approval by the Post Graduate Centre.

Annual Leave

    Specialist Registrars are entitled to annual leave at the rate of 27 days a year up to Point 03 of the SpR scale and 32 days from Point 03 onwards. The leave year runs from 1 November to 31 October each year. Practitioners joining the scheme part-way through the year will be entitled to leave pro rata.

Notification of Termination of Employment

    Specialist Registrars are required to give the University Hospital NHS Trust a minimum of three months' notice of termination of their employment. Only in exceptional circumstances will less than three months' be allowed.


    Further information may be obtained and arrangements to visit the hospitals may be made by contacting:

Dr N Bajaj

    Consultant Neurologist

    Department of Neurology

    Nottingham University Hospitals

    Queen’s Medical Centre Campus


    NG7 2UH

    Tel: (0115) 9249924

February 2010

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