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St Richard's Hospital
St Richard’s Hospital is a 430-bed hospital, which is the main provider of acute hospital services serving a population of approximately 230,000 people in South West Sussex and East Hampshire covering over 400 square miles. A key characteristic of this catchment population is that nearly 25% are over the age of 65' which is forecast to increase by 19% over the next ten years, and 4% over 85 compared to the national average of 2%. In the summer months the population increases in excess of 320,000.
The hospital provides a range of core services including accident and emergency, acute medicine and elderly medicine, general surgery, urological surgery, orthopaedics, obstetrics, gynaecology, paediatrics (including SCBU), rehabilitation and cancer services. In addition, the hospital provides special expertise in the following areas; maxillofacial surgery, diabetes, vascular surgery, chronic pain relief, aortic aneurysm and colorectal screening, minimally invasive surgery, special back clinic, cardiac catheterisation and pacemaker implantation, and services for the younger physically disabled. There is a 24 hour Accident and Emergency Department, an 18 bedded Medical Admissions Ward, and supporting diagnostic, physiotherapy and occupational therapy facilities. A whole body CT Scanner and a MRI Scanner augments the diagnostic facilities.
A ?44 million redevelopment of the hospital was completed in 1996 which consists of 16 wards, 6 bed intensive therapy unit, 6 bed coronary care, 6 theatres, and a new hospital for the elderly. Chichester Treatment Centre (CTC) has recently been opened. This replaces the day surgery unit and houses 4 operating theatres, an endoscopy suite and a coronary angiography suite. A new on site nursery was opened in July 2004. A cancer Care day unit is also planned for the St Richards site.
The Trust employs over 2000 staff and in 2005/2006 treated 35,500 inpatients, 15,500 day cases, 144,000 outpatients, 49,000 A&E attendees and 2,250 births.
The Chichester Suite is a purpose built 12-bedded Private Patients Unit, which opened in July 1997 and in October 1998 expanded to 16 beds. The suite is an integrated part of St Richard’s Hospital (work in this area may be included within this post).
The Trust has an established record for high clinical quality as recognised by both the Dr Fosters Good Hospital Guide and benchmarking company CHKS. It has consistently achieved all it's access and other targets. It has a reputation for attracting high calibre staff, and is a popular teaching centre.
The Locality
The hospital is situated in a very pleasant part of the country, just south of the Downs and about six miles from the Channel coast, where there are excellent facilities for sailing and other water sports, particularly in Chichester Harbour. As the county town of West Sussex, Chichester is an important administrative, industrial and business centre. The Cathedral city of Chichester is a local centre of culture as well as a popular tourist venue. The Chichester Festival Theatre, which is within walking distance of the hospital, is an internationally famous tourist attraction.
The well-known racecourses of Goodwood and Fontwell are nearby, as are facilities for a wide variety of sporting and other recreational activities, including a local tennis and squash club.
The main shopping centre is within walking distance and there is a public transport service between the hospital and the town and the railway station. Car parking facilities exist in the hospital grounds. Both road and rail communications are good with a direct link to Victoria, London and Gatwick Airport.
The Scheme
The scheme offers 12 rotations from August 07 of 3 years duration consisting 2 years of hospital posts followed by a year as a registrar in a local training practice. Each year the successful candidates will undertake 3 X 4 monthly posts in the hospital. The rotations include posts in medicine, A&E, Paediatrics, O&G, Surgery, Psychiatry and Palliative Care.
GENERAL PRACTICE
There are 12 training practices attached to the scheme which offer full and part-time training. The practices extend from Arundel to Southbourne and include both Chichester and Bognor Regis. At the completion of the hospital posts, the successful candidate will then join their assigned practice or possibly another of their choice, as a Registrar for twelve months of in-practice training. During this time they will be expected to attend a day release course which takes place in Worthing and Chichester, and trainer-registrar meetings each week at Chichester Medical Education Centre, St Richard’s Hospital. They will complete Summative Assessment and be given the opportunity to take the MRCGP examination.
Training & Education
All posts are recognised for the MRCGP and the individual hospital posts are recognised for the various higher qualifications. Facilities are given for study leave in accordance with the regulations.
There is an active Medical Education Centre. A wide variety of courses, tutorials and seminars with local and visiting speakers are held under the auspices of the Postgraduate Clinical Tutor, Mr D Beattie, for clinical staff of all disciplines, including general practitioners. The large lecture theatre has the latest computerised presentation technology.
Library support for clinical activity, research and education is provided by Chichester Health Libraries, one of the largest non-university health libraries on the south coast. Facilities include 200 journals, multimedia viewing, networked Medline and other databases and internet access.
Terms & Conditions Of Service
There are local policies for grievance/disciplinary procedures and removal expenses. The terms and conditions of the appointment otherwise offered are set out in the Terms and Conditions of Service of Hospital Medical and Dental Staff and General Whitley Council Conditions of Service as amended from time to time.
The postholder must be registered with the General Medical Council.
The successful candidate will be expected to pass a medical examination. Applicants for posts which include surgical/invasive work will be asked to supply written evidence of degree of immunity to Hepatitis B. If not immunised the result of a test which indicates freedom from carrier state will be required and immunisation should then be commenced.
The junior doctor that he/she will also perform duties in occasional emergencies and unforeseen circumstances at the request of the appropriate Consultant in consultation where practicable with his/her colleagues, both senior and junior. It has been agreed between the professions and the Department that while juniors accept that they will perform such duties, the Secretary of State stresses that additional commitments arising under this sub-section are exceptional and in particular juniors should not be required to undertake work of this kind for prolonged periods or on a regular basis.
St Richard's Hospital operates a No Smoking Policy, to which all staff must adhere.
The Trust is committed to providing safe and effective care for patients. To ensure this there is an agreed procedure for medical staff that enables them to report, quickly and confidentially, concerns about the conduct, performance or health of medical colleagues (Chief Medical Officer, December 1996). All medical staff, practising in the Trust, should ensure that they are familiar with the procedure and apply it.
In the event of a major incident or civil unrest all Royal West Sussex Trust employees will be expected to report for duty on notification. All Trust employees are also expected to play an active part in training for and preparation or a major incident or civil unrest.
Accomodation
Accommodation, both married and single, may be available at St Richard's Hospital, although its availability to any particular doctor must depend on the position at the date they take up their appointment. Junior medical staff wishing to be non-resident may be allowed to do so, but must always occupy an on-call room when on duty.
Visiting Arrangements
Arrangements for visiting the hospital and meeting members of the staff may be made with the relevant departments preferably after shortlisting has taken place.
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