Job responsibilities
On call rota
The post holder will be required to participate in a 1:6
oncall rota with prospective cover.
Currently there is requirement to be on site between 08:00 -20:00 hours
on weekdays and 8:30 to 12:30 on a Saturday and Sunday. Off site with on-call cover at other times is
expected. There are plans to move to a 1:8 on call rota in the future with
further expansion of the service.
Speciality information
The Gynaecology Service
The Gynaecology service carries out approximately 2,000
operations a year, and there are over 350 emergency cases a year admitted
through the Gynaecology Ward. The
Gynaecology Department carries out a considerable amount of laparoscopic
surgery, with facilities available in both Day Surgery Unit and Main Theatre. A
nurse-led pre-admission service operates for gynaecology.
Each year there are approximately 3500 referrals to the
Gynaecology Outpatient Department. There
is a shared Surgical Ward (Rayner Ward) that serves as the base for
Gynaecology. Attached to the ward is the
Gynaecology Outpatient Department.
Nursing staff rotate between the ward and the Outpatient
area providing continuity of care. There is a fully equipped Colposcopy and
Outpatient Hysteroscopy Unit. There is a dedicated Early Pregnancy Service for
five days a week. There is an Assisted Reproductive Unit (ARU) supported by an
Infertility Specialist Nurse. There are
approximately 300 referrals each year. A
satellite Assisted Reproductive service exists between Jersey and UK Fertility
Units for egg recovery and embryo transfer for IVF patients.
The gynaecology outpatient department runs regular special
interest clinics in Urogynaecology, Colposcopy, Outpatient hysteroscopy,
Psychosexual Medicine and Gynae-Oncology. In addition, there are nurse-led
smear clinics and nurse-led pessary clinics.
The service is supported by an Oncology Specialist Nurse.
Jersey established a service to provide for termination of
pregnancy after the relevant law was passed in 1997. Social terminations can be
carried out until the end of the 12th week although, in cases of severe fetal
abnormality or serious maternal health problems, terminations can be carried
out until 24 weeks gestation. Depending on gestation, women are offered medical
or surgical terminations. The termination service is led by a consultant and
assisted by staff grade doctors, family planning nurses, counsellors and nurses
with a special interest.
There is an excellent community contraception service
provided on the island with a dedicated family planning clinic at Le Bas Centre
and for the under 21-year-olds, Brook Jersey. There are close working
relationships with the Genito-Urinary Medicine clinics.
The Obstetric Service
There are approximately 1000 births per annum in Jersey and
maternity services are delivered in a variety of settings. Most of the low-risk
antenatal care is shared care between General Practitioners and Community
Midwives, with increasing numbers of low-risk women requesting home births.
There are dedicated Antenatal Clinics for women with
multiple pregnancies, diabetes in pregnancies, high risk cases and perinatal
mental health clinics. It is intended that there will be more consultant
clinics with the new appointments.
There are five delivery rooms on Labour Ward at the
hospital with intrapartum monitoring and blood gas analysis available. One of
the delivery rooms is equipped to facilitate the use of a birthing pool. There
is a designated Maternity Operating Theatre within the main operating theatre
complex.
Twenty-four hours on call anaesthetic cover is
provided. There is a mix of obstetric
cases with the Unit having to deal with high-risk obstetrics as well as low
risk because of the geographical isolation of the island. Every antenatal patient is offered a booking
scan and combined screening for aneuploidy. All fetal abnormalities are
recorded, and the Unit is involved with the National Congenital Anomaly and
Rare Disease Registration Service (NCARDRS) run by Public Health England.
Responsibility for fetal medicine currently rests with two of the
Consultants. Invasive investigative
procedures including Chorionic Villus Sampling and Amniocentesis are available
on Island. All obstetric outcomes are
monitored and the department reports outcome data to the National Perinatal
Epidemiology Unit for Mothers and Babies: Reducing Risk through Audits and
Confidential Enquiries across the UK (MBRRACE), and to the Royal College of
Obstetricians and Gynaecologists for Each Baby Counts.
The Neonatal Service
The Paediatric specialist supports a level 1 Neonatal Unit
located next to our Labour Ward. The
team frequently need to stabilise preterm babies prior to transfer to tertiary
unit. Appropriate cases are transferred to NICU by our own team, but the
Southampton PICU will retrieve particularly unstable newborns. Our policy is
that complicated pregnancies, including antenatally diagnosed malformations,
and deliveries expected before 30 weeks gestation, deliver in tertiary units in
the UK. Similarly, the paediatric teams
will occasionally need to provide urgent care to critically ill children prior
to the arrival of the PICU retrieval team.
Operating Theatres
The main theatre suite is made up of six theatres including
the designated maternity theatre, each with an adjoining anaesthetic room.
There is a patient reception area and a recovery unit. There is availability to
perform one elective caesarean section every weekday morning. Elective surgery
in Gynaecology and other specialties is carried out Monday- Friday, an
emergency theatre is available 24/7. The theatre unit undertakes an average of
4500 elective and emergency procedures per annum. There is a sterile services
department separate to the hospital which processes all surgical
instruments.
Physiotherapy Services
The physiotherapy services aim to provide effective
rehabilitation for patients with a variety of musculoskeletal, neurological and
respiratory conditions. Treatment may take place on the ward, in an out-patient
setting or in the community. There are specialist physiotherapists who provide
pelvic floor assessments for women who have sustained perineal trauma in
childbirth, and they are an important part of the Urogynaecology service.
Radiology Services
The radiology department provides CT, MRI, ultrasound,
mammography and general X-ray services. An on-call service is provided for CT,
ultrasound and general X-ray. There is a separate obstetric ultrasound service.
An obstetric ultra-sonogapher provides a first, second and third trimester
ultrasound scanning service, supported by two midwife sonographers to perform
third trimester scanning, and obstetric consultants who provide a fetal
medicine opinion in Jersey.
Care Group information
Consultant Staff
Mr Adebayo Famoriyo,
Medical Director
Prof Enda McVeigh (part
time, 0.5 WTE)
Dr Fiona Nelson
Dr Christian Alabi
Vacant Post
Vacant Post
Vacant Post
Other Medical Staff 7
Staff Grades (to become 8)
3 GP Trainees
2 Clinical Fellows
2 Foundation Year 2
Resident Doctors
Graduate Education /Governance
There
is a weekly clinical risk management meeting in Obstetrics to discuss clinical
incidents and risk issues. This occurs
monthly for gynaecology. There are also
weekly clinical risk management meetings for paediatrics which incorporates our
neonatal clinical incidents.
There
is a quarterly peri-natal morbidity and mortality meeting with attendance from
across the Womens and Childrens care Group.
There
are weekly gynaecology Multi-Disciplinary team meetings (MDT) linking in with
the Royal Marsden Hospital in London to discuss Gynaecological /Oncology cases
and with UK fertility units to discuss subfertility cases.
There
are monthly Colposcopy MDT meetings. The
colposcopy clinicians in Jersey link in with Gateshead who currently provide
the cervical screening services for Jersey.
There
are monthly Fetal Medicine MDT meetings with the Fetal Medicine Consultants,
Paediatric Consultants, Fetal Medicine midwives and the obstetric
ultra-sonographer.
There
is a weekly dedicated departmental post graduate teaching meeting.
There
are bimonthly hospital wide Mortality and Morbidity meetings where routine
clinical activity is cancelled in order to facilitate maximum attendance from
clinical and nursing staff.
In house
Practical Obstetric Multi Professional Training (PROMPT), Basic Life Support
and Public Health study days are held at which annual attendance is mandatory.
Private Practice
Jersey is a
well-developed mixed healthcare system with around 30% of the Island'
population holding some form of private medical insurance with additional
private patient demand for self-funding services. HCJ supports many
consultants to practise privately through provision of a dedicated ring-fenced
ward for inpatients, plus access to theatres, day surgery, outpatients, imaging
and other departments and resources across the organisation. In addition, many
consultants wish to independently develop their own services outside of Jersey
General Hospital and there are well developed locations that offer access to
consulting rooms to support this that offer a great deal of choice about where
to practise. HCJ's governance structures involve consultant participation,
and the service is led by a dedicated private patient leadership team that
works with Care Groups and departments to support consultants with their
private practice alongside delivering their agreed public service job plan. The
private patient leadership team are happy to answer any questions candidates
may have and on appointment will assist with establishing private practise
within HCJ.