Appointment of

Clinical Fellow
(FHO1 equivalent)
Post 1)
 General Medicine with Care of the Elderly (05 August 2020 until 01 December 2020)
 General Surgery – Colorectal (02 December 2020 until 06 April 2021)
 Emergency Medicine (07 April 2021 until 03 August 2021).

Post 2)
 General Surgery – Colorectal (05 August 2020 until 01 December 2020
 Emergency Medicine (02 December 2020 until 06 April 2021)
 General Medicine with Care of the Elderly (07 April 2021 until 03 August 2021).
Post 3)
 General Medicine with Gastroenterology (05 August 2020 until 01 December 2020)
 General Surgery - Colorectal (02 December 2020 until 06 April 2021)
 Intensive Care Medicine (07 April 2021 until 03 August 2021).

Post 4)
 General Medicine (05 August 2020 until 01 December 2020)
 General Surgery - Colorectal (02 December 2020 until 06 April 2021)
 General Medicine (07 April 2021 until 03 August 2021).

Medical Staffing Department

Box: 154
Cambridge University Hospitals NHS Foundation Trust
Cambridge Biomedical Campus
Hills Road, Cambridge
CB2 0QQ

Medical Staffing: 01223 596301

Medical.staffing@addenbrookes.nhs.uk
www.cuh.org.uk
The Department of General Medicine
Addenbrooke’s Hospital part of Cambridge University Hospitals NHS Foundation Trust (CUH) has
a role in the provision of secondary care for our local catchment area, but also acts as a Tertiary
Referral Centre at a regional and national level. Specialities present on site include Acute
Medicine, Medicine for the Elderly, Respiratory, Cardiology, Gastroenterology, Endocrinology,
Hepatology and Nephrology (including Renal, Liver, Pancreas and Multivisceral Transplantation),
Neurology, Metabolic Medicine, Haematology, Oncology and Clinical Pharmacology.

Medical Services span a number of Divisions with a Specialty Lead (a Clinician) for each Service
Unit. Junior Doctors (FY and CMTs) working in medical specialties typically alternating blocks
covering their specialty ward and the General Medical on-call rota.

There is an active education programme for FHO level Doctors, including weekly FHO specific
teaching, a weekly Medical Grand Round, and speciality teaching.

Working Patterns

The postholder will be working on ward duties in their parent specialty (mainly weekday 08:30-
18:00, with some ‘ward long days’ and some weekend day time duties). In addition to this, the
postholder will also experience ED ‘on take’ duties (day, evening and night shifts) and some day
time ward duties.

Cover for Medical Wards:

The 14 medical specialty wards / teams are each covered during the normal working day by Junior
Doctors working 08:30-18:00 shifts. Evening ward cover is provided by Junior Doctors working
12.00-21:00. Night cover is provided by Junior Doctors working 20:30-09:00. Weekend and bank
holiday day time cover is provided by Junior Doctors working 08:30-21:30 shifts.

Medical On-Take rota:

The medical on-take team sees GP and ED referrals within the ED. The take is split into three
sections: (day shifts: 08:00-18:00) undertaken by Junior Doctors; afternoon/evening shifts: (12:00-
22:00) and night shifts: 21:00-09:00. Day and night StRs cover the 09:00-21:00 and 21:00-09:00
periods, together with additional StR support in the afternoons and evenings.

An Acute Medicine Consultant is present in the ED every afternoon, with one or two General
Medical Consultants then present in the ED from 16:30 to 22:00 (12:00-18:00 at weekends). A
significant amount of senior support is available to the Junior Doctors on the Medical Take, which
contributes to the educational value of these shifts and enables completion of workplace-based
assessments in acute care.

Addenbrooke’s Hospital, Cambridge University Hospitals NHS Foundation Trust

Page 2
The Department of Medicine for the Elderly
The Department of Medicine for the Elderly (DME) is one of the clinical services within Medicine.
The service is needs-based and the majority of in-patients are frail with complex medical,
psychological and social co-morbidities; the average age is mid to late-80s. There are currently
five ‘core’ DME wards, a 26-bedded Frailty and Acute Medicine for the Elderly ward (FAME) and a
14-bed Elderly Trauma Unit (ETU).

Currently many of the over-75s in the Trust are distributed through Medicine and Surgery, with the
frailest in DME specialist beds. Almost all the in-patients are admitted through the single
emergency area at CUH, the Emergency Assessment Unit (EAU) and patients are triaged within 4
hours directly to the service that meets their needs rather than to a Medical Assessment Unit. An
otherwise fit 90 year old with a ‘single’ system problem will be admitted to that specialist service
(e.g. with an MI to CCU); if there is multiple co morbidity or presentation such as a fall, admission is
to FAME if a short length of stay (<5 days) is anticipated or to a core DME ward if a longer stay is
likely.

One of our core wards has recently been redesigned as a specialist Delirium Unit. The Stroke Unit
aims to directly admit all people with a stroke and is not included in the above numbers.

Each DME ward has a ward-based multidisciplinary team, including physiotherapy, occupational
therapy, discharge planning/ case manager and there is pharmacy support and a full range of other
clinical and diagnostic services.

There are 2 Senior Clinical Nurses or ‘Modern Matrons’ within DME. There are close links with the
community and some Consultants have sessions outside CUH including work in community
hospitals run by the PCT. Other duties include liaison work to advise Medical and Surgical
colleagues on the care of older patients elsewhere in the Trust and facilitate discharge planning.

Extensive reorganisation and expansion of the Department of Medicine for the Elderly is underway.
New Consultant colleagues were recently appointed and have been working to develop the Medical
Liaison, Surgical Liaison and Rapid Access Services. A Frailty Unit has recently been established.
This post provides the opportunity to support this service re-organisation and further embed CGA at
the earliest part of the patient pathway.

The Stroke Service is a separate clinical unit, but has close links with Medicine for the Elderly,
Neurology and General Medicine.

Staffing: NHS and Academic

The present medical staff establishment comprises:

NHS DME Consultants and their area of interest

Dr Stephen Wallis, Divisional Director (Medical Liaison, Rapid Access)
Dr Richard Biram, (Surgical Liaison)
Dr Lelane van der Poel (Clinical Lead)
Dr Jane Wilson (Falls)
Dr Duncan Forsyth (Parkinson’s Disease)
Dr Joanna Hampton (Rapid Access, Syncope)
Dr Madhavi Vindlacheruvu (Orthogeriatrics)
Dr Chinga Chileshe (Orthogeriatrics)
Dr Colin Mason (Rapid Access, Medical Liaison)
Dr James Diver (Ambulatory Care)
Dr Roman Romero-Ortuno (Frailty, Research)
Dr Shaun D’Souza (Surgical Liaision)
Addenbrooke’s Hospital, Cambridge University Hospitals NHS Foundation Trust
Page 3
 Dr Victoria Keevil (Frailty, Research)
Dr Alistair Mackett
Dr Matthew Butler
Dr Louise Finch
Dr Christina Pampali

Department of Medicine for the Elderly

EDUCATIONAL OPPORTUNITIES AVAILABLE IN THE DEPARTMENT:

 In clinic –
The DME department has a variety of clinics including General Geriatric Medicine,
Parkinson’s clinic, RADAR (rapid access) and Syncope clinic. Clinical Fellows are
encouraged to attend clinics as their timetables allow.

 On ward –
There are currently five ‘core’ DME wards and a 26-bedded Frailty and Acute
Medicine for the Elderly ward (FAME). Consultant ward rounds on the core wards are
on a Monday and Thursday with StR led ward round on other weekdays (with
Consultant supervision). There is a daily Consultant ward round on FAME.

 In MDT –
Each DME ward has a ward-based multidisciplinary team, including physiotherapy,
occupational therapy, discharge planning/ case manager. There is a daily
MDT/board meeting on all the DME wards.

LOCAL / REGIONAL TEACHING:

 Study Leave –
The entitlement for Clinical Fellows (FHO1 equivalent) is up to 15 days (according to
the needs of the service) per annum.

QUALITY IMPROVEMENT / AUDIT:

 Attendance at M&M –
Governance meetings are held quarterly and M&M meetings every 2 months.
Trainees will have the opportunity to present cases at the mortality meeting.

DEPARTMENTAL/LOCAL INDUCTION:

 Local induction is available for all new trainees at the beginning of each rotation. It is
led by Dr J Wilson and is presented at the Journal club meeting on a Friday.

Addenbrooke’s Hospital, Cambridge University Hospitals NHS Foundation Trust

Page 4
The Department of Gastroenterology
The Gastroenterology Department at Cambridge University Hospitals NHS Foundation Trust (CUH)
sits in the Digestive Disease Directorate and provides comprehensive luminal GI services for the
diagnosis and integrated care of adult patients. We are here to serve the needs of the local
population and also, in a number of subspecialty areas, act as a Regional and National Referral
Centre - for example for inflammatory bowel disease (IBD), Barrett’s dysplasia (including
radiofrequency ablation and EMR), and familial gastric cancer, intestinal failure, and small bowel
transplantation. Our services are available on a number of levels. Within Endoscopy this spans
everything from open access diagnostic gastroscopy and colonoscopy through to advanced
therapeutic interventions. Our clinical services range from simple advice to GP’s through out-
patient consultation to in-patient management across the spectrum of GI disease on our dedicated
GI ward.

All our activities are independently peer-reviewed, and clinical governance meetings are held
quarterly. The Gastro teams integrate closely with colleagues in Surgery; Hepatology; Radiology;
and Histopathology, and have weekly meetings to discuss complex patients.

The Endoscopy Department is housed within a state-of-the-art, purpose built Unit within the
Addenbrooke’s Treatment Centre (ATC). It consists of six procedure rooms with the latest
endoscopy equipment and a complete range of endoscopic procedures including RFA, endoscopic
ultrasound with FNA, capsule and balloon enteroscopy. The Unit is a Bowel Cancer Screening
Centre in October serving south Cambridgeshire and West Suffolk. GI endoscopy is provided by a
multi-disciplinary team of Gastroenterologists, Colorectal and Upper GI Surgeons, a Radiologist
and Nurse Endoscopists.

There are world-class research programmes in Luminal Gastroenterology led from within
Gastroenterology and allied departments. Topics include: IBD, oesophago-gastric cancer and
colorectal cancer among others.

Staffing: NHS and Academic (Gastroenterology)

NHS Honorary / University

Dr Miles Parkes Prof Rebecca Fitzgerald

Dr Stephen Middleton Dr Massi di Pietro
Dr Jeremy Woodward Prof Arthur Kaser
Dr Ewen Cameron Dr James Lee
Dr Edel McDermott Dr Nicole Knaider-Kaser
Dr Gareth Corbett
Dr Dunecan Massey
Dr Lisa Sharkey
Dr Nicholas Carroll
Dr Ines Modolell
Dr Stephen Moss
Dr Tim Raine
Dr Sibu Varghese
Dr Joanna Rimmer

Addenbrooke’s Hospital, Cambridge University Hospitals NHS Foundation Trust

Page 5
Duties of this post
This post will require the holder to undertake the following:

 Ward cover for Gastroenterology inpatients. This will involve daily ward rounds,
documenting clinical plans, ordering investigations, ensuring treatments are prescribed and
administered and reacting to emergencies for Gastroenterology inpatients.

 General Medicine on-call shifts. This will involve rostered shifts in the Emergency
Department. The responsibilities will be clerking and documenting clinical notes for these
patients. There will also be a handover responsibility to receiving teams. All admissions will
be reviewed by a senior Doctor holding the MRCP examination.

 Ward cover shifts. This will involve out of hours cover of medical wards covering a variety of
specialties depending on the rota assignment. The postholder will be expected to respond
to the requirements of patients on the wards out of hours and escalate concerns to senior
Doctors.

 The postholder will also be required to attend educational sessions for FHO1 Doctors within
the Gastroenterology Department.

Department of Gastroenterology
EDUCATIONAL OPPORTUNITIES AVAILABLE IN THE DEPARTMENT:

 In clinic –
There will be occasional opportunities to attend Gastroenterology clinics.

 On ward –
Junior Doctor ward rounds will be once weekly. The remaining rounds will be
supervised by a Consultant or Registrar.

 In MDT –
The IBD MDT will be available monthly on a Tuesday.

 In Handover session –
Handover on the Gastroenterology ward occurs daily at 08:30 with a full DFM.
LOCAL / REGIONAL TEACHING:

 Departmental –
Monday morning Colorectal unit review meeting, monthly audit meetings, monthly
journal club, MDT away days, gastrointestinal cancer forum.

 Access to Trust based teaching –

FHO1 training programme, Grand Rounds every Wednesday.

QUALITY IMPROVEMENT / AUDIT:

 Details of opportunity to complete projects –

Addenbrooke’s Hospital, Cambridge University Hospitals NHS Foundation Trust

Page 6
 An opportunity to complete an endoscopy audit will be available.

 Attendance at M&M –
The quarterly Gastroenterology clinical governance meeting will occur during the
rotation and the postholder should attend.

 Attendance at audit meetings –

The Gastroenterology governance meeting is held monthly and will also cover clinical
audit.
DEPARTMENTAL/LOCAL INDUCTION:

 Induction for Junior Doctors will be organised prior to undertaking the post.

Addenbrooke’s Hospital, Cambridge University Hospitals NHS Foundation Trust

Page 7
The Department of General Surgery

The Department of General Surgery is divided into five specialist firms as detailed below. We
provide secondary care for the local catchment area, act as a tertiary referral centre and the
hospital is a regional cancer centre and regional Major Trauma Centre. We offer a full range of
surgical services including major open surgery, advanced laparoscopic surgery, endovascular
surgery, day-case surgery and endoscopy. The general emergency take is shared by the
Colorectal (Monday and Wednesday), and Upper GI Teams (Tuesday and Thursday). The
weekends are split between the 2 teams. Vascular Surgery is on a separate rota at Consultant
level.

Staffing: NHS and Academic

Colorectal: Mr J Davies, Miss N Fearnhead, Mr N Hall, Mr M Powar, Mr J Morton & Mr J Wheeler

Junior Staff: 2 StRs / ST3+, 3 Senior Clinical Fellow, 1/2 Junior Clinical Fellow, 1 Academic
Clinical Fellow, 4 Foundation House Officer Ones

Upper GI/Oesophagogastric: Mr R Hardwick, Mr A Hindmarsh, Mr P Safranek, Mr V Sujendran,

Mr J Bennett

Junior Staff: 1 StR / ST3+, 1 Senior Clinical Fellow, 1 Foundation House Officer Two, 3 Foundation
House Officer Ones

HPB/Transplant: Ms A Balakrishnan, Mr S Liau (HPB only) Mr A Butler, Mr P Gibbs, Mr El

Huguet, Mr G Pettigrew, Mr S Harper, Mr R Praseedom, Mr A Jah, Prof C Watson, Mr N Russell,
Mr K Saeb-Parsey, (these Consultants also have a major interest in Transplant Surgery with a
separate firm structure and department.)

Junior Staff: 1 Senior Clinical Fellow, 5 Clinical Fellow (Core), 2 StRs / ST3+, 1/2 Junior Clinical
Fellows, 1 Core Surgical Trainee, 4 Foundation House Officer Ones

Breast: Mr J Benson, Mr P Forouhi, Mr A Agrawal, Ms E Kleidi

Junior Staff: 1 StR / ST3+, 1 Specialty Doctor, 1 Senior Clinical Fellow, 1 Core Surgical Trainee, 1
Foundation House Officer One

Vascular: Mr J Boyle, Mr P Coughlin, Mr M Gohel, Mr S Harrison, Ms D Hildebrand Mr S Kreckler,

Mr T Lane, Mr C Wijewardena

Junior Staff: 1 Clinical Fellow Higher, 2 StRs / ST3+, 2 Research StRs, 1 Junior Clinical Fellow, 1
Foundation House Officer Two, 2 Foundation House Officer Ones

There are also three Anatomy Demonstrators who work within the department who participate on
the out of hours rota at Junior level.

Addenbrooke’s Hospital, Cambridge University Hospitals NHS Foundation Trust

Page 8
Colorectal Surgery

Colorectal Surgery is based on ward L4, in the Addenbrooke’s Treatment Centre (ATC). In addition,
there is a 12 bedded Intermediate Dependency Area for those patients requiring a higher level of
support directly from theatre. Addenbrooke’s has a 23 bedded general Intensive Care Unit and a
recently expanded overnight intensive recovery area to provide appropriate facilities for patients
requiring complex surgery such as colorectal. Addenbrooke’s surgeons provide an emergency and
elective service both in Outpatients and through the Emergency Department.

Addenbrooke’s is a Major Trauma Centre, with the emergency General Surgery service
contributing to this, with a 23-bedded Neurosciences Critical Care Unit (NCCU) supporting this
service. We also provide an emergency General Surgery service to our local cardiothoracic centre,
Royal Papworth Hospital, which moved to the CUH campus in 2019.

The Colorectal Unit currently has two Specialty Registrars from Health Education East of England,
a part-time academic trainee, and two Senior Clinical Fellows. There are currently four Foundation
House Officer Ones, a Junior Clinical Fellow and one Academic Clinical Fellow at CT1/2 level.

Relationships with other departments

The Colorectal Unit manages about 300 colorectal cancer cases per year, and laparoscopic
colorectal surgery is well-established. Addenbrooke’s is a national Bowel Cancer Screening
Programme (BCSP) screening centre. The unit is also a regional referral centre for anal cancer,
advanced pelvic malignancy and early rectal cancer (including TEMS). The unit supports a sizable
practice in joint procedures with other pelvic Oncological Surgeons. There is a major inflammatory
bowel disease practice working together with Adult Gastroenterology and Consultant Paediatric
Gastroenterologists. Regular joint clinics are run with Gastroenterologists. There is a
multidisciplinary pelvic floor group, and the department has facilities for ano-rectal physiology and
endo-anal ultrasound.

Acute and emergency cases are done on a dedicated Monday-Friday half-day GUTS list. There is
24/7 emergency theatre access shared with a limited number of other acute surgical services, and
supporting the major trauma and NELA laparotomies. There are between 50 and 85 inpatients
under the care of the colorectal unit at any one time. The Colorectal Unit has excellent support from
the Specialist Colorectal and Stoma nursing team.

The Department is fortunate to have excellent secretarial support for the day to day running of the
firm as well as weekly multi-disciplinary meetings and Medical/Surgical Gastrointestinal Radiology
reviews. There is a weekly meeting of the Medical/Surgical Gastrointestinal Team for case
research and presentations. There are several active research projects in progress and the unit
often recruits patients to local studies and national surgical trials.

Colorectal Department
EDUCATIONAL OPPORTUNITIES AVAILABLE IN THE DEPARTMENT:

 In clinic –

Clinical Fellows will be able to attend Colorectal clinics on Monday and Tuesday
afternoons.

 On ward –

There are daily Consultant led ward rounds of L4 (Colorectal ward). Opportunities
are available to learn assessment of unwell surgical patients, review scan and
Addenbrooke’s Hospital, Cambridge University Hospitals NHS Foundation Trust
Page 9
 thorough assessment of patient charts.

 In theatre –

There are daily operating lists within the Colorectal Department on Tuesday-Friday.

 In MDT –

Colorectal MDT is weekly on Mondays. Clinical Fellows (equivalent to FHO1) are not
normally expected to attend these MDTs but are welcome to attend to support their
learning of specific topics.

 In procedural session –

Procedures available to attend: Colonoscopy and theatre sessions

 In Handover session –

Daily morning handover with Consultant involvement.

LOCAL / REGIONAL TEACHING:

 Departmental –

Weekly departmental meetings take place where doctors of all grades take part in
discussing all inpatients.

 Regional –

Attendance at regional teaching programme as per regional guidelines.

QUALITY IMPROVEMENT / AUDIT:

 Details of opportunity to complete projects –

There will be an opportunity to undertake supervised audit / research projects during

the rotation.

 Attendance at M&M –

This takes place monthly and there will be an opportunity to present at these.

DEPARTMENTAL/LOCAL INDUCTION:

 When? – Within the first week

 Where? – Department of General Surgery

 With who? – To be confirmed

OTHER:

 Student Teaching –

There will be the opportunity for teaching undergraduates and allied care
professionals, which is an integral role within the team.
Addenbrooke’s Hospital, Cambridge University Hospitals NHS Foundation Trust
Page 10
The Emergency Department
We run the ED in a different way to the majority of departments in the UK. Essentially, any patient
requiring assessment as an emergency will come via the ED. We work alongside the on-call
Physicians, Surgeons and Paediatricians, sharing the workload. We do not distinguish between the
GP referred patient and the patient who self presents. As soon as a Doctor is free, they see the
next appropriate patient, no matter the referral route.

The ED has direct access to a range of Radiological services including CT Scanning, Nuclear
Medicine and Ultrasound. Open access is also available for patients requiring appointments in
Ophthalmology, ENT, Maxillo-Facial Surgery, Orthopaedic Surgery and Neurology. There are close
links with the adult, paediatric and the Neurosciences Intensive Care Units.

Since April 2012, Cambridge University Hospitals NHS Foundation Trust (CUH)
has been operating as the Major Trauma Centre (MTC) in the East of England and covers 12
hospitals around the region. The MTC is expected to see all patients with ISS>16. Primary
transfers are done for all injured patients within 45 minutes from the MTC and secondary transfers
to the MTC from the remaining units. The EM Consultants lead the Trauma Team 24/7 and all
MTC patients are seen by the Trauma Team which consists of all relevant medical specialties
(middle-grade doctors in Anaesthesia, NCCU, Trauma & Orthopaedics, Surgery and the other
smaller specialties as needed).

Table shows the approximate 2019 ED activity

Total patients seen 120 000
Admitted 32%
Total Paediatric patients 21 000
Paediatric admissions 2300
Paediatric admissions 11%

The Consultant Emergency Physicians have administrative responsibility for the whole department
and share clinical responsibility for patients in the ED with the Acute Medicine Consultants who are
in the department from 12:00-22:00 for medical patients, and other on-call Consultants for other
specialties. This has made the department busier, however the system does work well. Waiting
times for specialty patients having fallen and 40% of GP referrals are now discharged directly from
the ED.

The department is supported by rapid turnaround times for Pathology and Radiology. We work
particularly closely with our Acute Paediatricians (Dr P Heinz, Dr H Bailie and Dr R Clay) and our
Acute Physicians. Short stay wards including the Clinical Decision Unit (8 beds) and Medical
Assessment Unit (26 beds) are located next to the Emergency Department. This facility also
houses the Ambulatory Care Unit, EIT (Early Intervention Team) and the Thrombosis team so vital
to the ED.

The Clinical Decision Unit is run by the ED Consultants. Appropriate patients are admitted
according to the ED protocols and are looked after by the ED staff. We admit patients such as
head injuries for observation, patients requiring treatment of overdose, elderly patients appropriate
for discharge and other patients awaiting investigations with conditions such as chest pain, PE etc.
All admissions are screened by the ED Consultant in charge and the nurse in charge of the
department for the day.

Addenbrooke’s Hospital, Cambridge University Hospitals NHS Foundation Trust

Page 11
Staffing: NHS and Academic
NHS Consultants
Dr Adrian Boyle Speciality Lead for Emergency Medicine
Dr Matthew Pereira Deputy Speciality Lead for Emergency Medicine,
Dr Vazeer Ahmed Emergency Medicine
Dr Ed Barnard Emergency Medicine
Dr Adam Chesters Emergency Medicine
Dr Sophia De Maria Emergency Medicine
Dr Catherine Hayhurst Emergency Medicine
Dr Sarah Hazleman Lead Educator
Dr Ali Hieatt Clinical Governance Lead for Emergency Medicine
Dr Nathan Howes Emergency Medicine
Dr Wayne Kark Emergency Medicine
Dr Richard Kendall Emergency Medicine
Dr John Lankester Emergency Medicine
Dr David Leverton Emergency Medicine
Dr Simon Lewis Major Trauma Network Clinical Director
Dr Lisa Mackenzie Emergency Medicine
Dr Rajeev Madan Emergency Medicine
Dr Eoin MacDonald-Nethercott Emergency Medicine
Dr Rod Mackenzie Clinical Director for Major Trauma Centre
Dr Dominic Rayment Emergency Medicine
Dr Katy Ritson Emergency Medicine
Dr Sue Robinson Emergency Medicine
Dr Dhakshini Sathasivam Emergency Medicine
Dr Maria Smith Emergency Medicine
Dr Lee Soomaroo Emergency Medicine
Dr Yasmin Sultan Lead Educator
Dr Diane Williamson Emergency Medicine

Trainee Medical Staff

Specialty Registrars (ST4-6) 16
Paediatric E-Med StR 1
CT3 6
DREEM 1
ACCS 7
Clinical Fellow s 4
GT ST1 5
Foundation House Officer Two 2
Foundation House Officer One 1

Emergency Department
EDUCATIONAL OPPORTUNITIES AVAILABLE IN THE DEPARTMENT:
 In clinic –

We encourage Fellows to attend Fracture clinic and Ambulatory Care clinics. We

have previously arranged for Trainees to attend Emergency Eye and ENT clinics,
depending on their interest.

 In Handover session –

Addenbrooke’s Hospital, Cambridge University Hospitals NHS Foundation Trust

Page 12
 There is a twice daily handover. The morning handover is followed by a 15 minute
learning bite or a once weekly simulation.

LOCAL / REGIONAL TEACHING:

 Departmental –

There is a monthly, one day full day teaching which Clinical Fellows are expected to
attend. This is mapped to the Royal College of Emergency Medicine curriculum. The
Department runs life support courses locally and local Trainees are prioritised.

 Study leave –

The entitlement for Clinical Fellows (FHO1 equivalent) is up to 15 days (according to

the needs of the service) per annum.

QUALITY IMPROVEMENT / AUDIT:

 Details of opportunity to complete projects –

Clinical Fellows are given time to perform a self-directed project. These can be a
research project with either Dr Newcombe (Traumatic Brain Injury), Dr A Boyle
(Emergency Department Crowding), Medical Education with Dr H Baille (Simulation)
or Audit and Quality Improvement with Dr M Smith (Major Trauma) Ultrasound with Dr
R Madan and Dr R Kendall. Other areas of interest can be developed.

DEPARTMENTAL/LOCAL INDUCTION:

 When – All Doctors joining the Emergency Department will have a Consultant led
Induction.

 Where – The Emergency Department.

 With who – To be confirmed.

Duties of this post

The post offers broad clinical exposure to Emergency Medicine patients. The successful
candidates will work to the level of their experience and be supported by Registrars and
Consultants.

There are 2 tiers of rota: Junior doctors (ACCS, GPST, CT1-3), and senior doctors (ST4+). The
successful applicant will be expected to work on the Junior tier. The rota is full-shift and provides
24hr presence in the department. The medical staffing composition and rota pattern are consistent
with the European Working Time Directive and from August 2017, with the New Junior Doctor
Contract.

The appointee will, in conjunction with the other Medical and Nursing staff of the department,
participate in providing an Accident and Emergency service to the local population. They are
expected to see and treat ED patients under the supervision of other more experienced staff within
the department and assist the Consultant staff in the day to day management of the department.

Each day, responsibility for the clinical areas of the department will be allocated. The appointee will
be expected to be present in the clinical areas assessing new patients and supervising other junior
medical staff where appropriate. Attendance on the ward rounds is expected. There is extended

Addenbrooke’s Hospital, Cambridge University Hospitals NHS Foundation Trust

Page 13
'shop-floor' Consultant presence from 08:00-02:00 providing supervision, support and training 7
days a week. There are long-term plans to have 24/7 Consultant shop floor presence.

The Department of Intensive Care Medicine

The John Farman Intensive Care Unit (JVF ICU) is a 20-bedded Critical Care Unit admitting 1000
adult patients annually. The medical case mix reflects the complex nature of the patients within
Addenbrooke’s: significant numbers of admissions are from Hepatology, Haematology, Nephrology
and Transplant Medicine. Addenbrooke’s performs around 100 liver transplants annually and is the
UK’s sole Multivisceral Transplant Centre. Patients are admitted to the JVF ICU from all major
specialties excluding Cardiothoracics and Neurosurgery.

The Rapid Response Team (RRT) successfully provides emergency support for deteriorating
patients throughout the hospital. The RRT also provides medical cover for four dedicated HDU
beds to allow rapid stabilisation of critically ill patients.

There are regular multidisciplinary clinical governance and audit meetings. The unit is recognised
for training at all levels in ICM by the GMC, and participates in the ICNARC case mix programme.
There is a weekly ICU follow up clinic and monthly audit programme.

Effective and multidisciplinary team-working is integral to the JVF ICU. We have an establishment
of more than 100 WTE Nurses, a Specialist Physiotherapist and a dedicated Pharmacist.
Microbiology and Radiology rounds are held each day on the unit.

ICU and RRT Consultants are on-site 08:00-20:00 seven days a week and available on-call 24
hours a day. We are dedicated to supporting our junior medical staff.

Staffing: NHS and Academic

NHS & Honorary
Consultants
Dr Andrew Johnston Speciality Lead, Consultant in ICM, Anaesthesia and Vascular
Access
Dr Peter Bradley Regional Advisor in ICM, Consultant in ICM, Anaesthesia and
Vascular Access
Dr Andrew Conway Morris Honorary Consultant in ICM, Senior Research Associate
Dr James Varley FICM tutor, Consultant in ICM, Anaesthesia and Vascular Access
Dr Peter Featherstone Consultant in ICM and Anaesthesia
Dr Stephen Ford Consultant in ICM and Anaesthesia
Dr Milena Georgieva Consultant in ICM and Anaesthesia, Lead for Echocardiography
Dr Razeen Mahroof Consultant in ICM and Anaesthesia; Lead for M&M and e-hospital
Dr Jonathan Martin Consultant in ICM and Anaesthesia; Lead for ICNARC
Dr Vilas Navapurkar Consultant in ICM and Anaesthesia
Dr Jacobus Preller Consultant in ICM and Acute Medicine, Research Interest
Dr Charlotte Summers Honorary Consultant and University Lecturer in ICM
Dr Monica Trivedi Consultant in ICM and Anaesthesia; Lead for Rapid Response and
Follow-up Clinic
Dr Kamal Patel Consultant in ICM & Acute Medicine

Trainee Medical Staff

Specialty Registrars/Clinical Fellows 12
CT1’s/CT2’s 5
Foundation House Officers (FY1’s and FY2’s) 3

Addenbrooke’s Hospital, Cambridge University Hospitals NHS Foundation Trust

Page 14
Department of Intensive Care Medicine
EDUCATIONAL OPPORTUNITIES AVAILABLE IN THE DEPARTMENT:

 In clinic –
There will opportunities for exposure to the Critical Care services and the Trust-wide
Rapid Response Team, with duties divided between RRT and ICU on a rotational
basis.

 On ward –
RRT duties include dedicated time supporting the Rapid Response Team alongside
RRT Nurses and a Critical Care Consultant.

 In MDT –
There are regular multidisciplinary, clinical governance, and mortality and morbidity
meetings.

 In Handover session –
There are regular handovers of patient care at multidisciplinary daily ward rounds.
LOCAL / REGIONAL TEACHING:

 Departmental –
There is a formal education programme of weekly tutorials on ICU topics to which
both Junior Doctors and Consultants contribute.

 Access to Trust based teaching –

Attendance at multidisciplinary governance, educational and administrative meetings
is encouraged for Clinical Fellows (Equivalent to FHO1).

 Study Leave –
Fellows are encouraged to apply for study leave outside the unit. The entitlement for
Clinical Fellows (FHO1 equivalent) is up to 15 days (according to the needs of the
service) per annum.

QUALITY IMPROVEMENT / AUDIT:

 Details of opportunity to complete projects –

During the rotation Fellows will have the opportunity to undertake supervised audit /
research projects.

DEPARTMENTAL/LOCAL INDUCTION:

 When? – Within the first week of the rotation.

 Where? – To be completed within the department
 With who? – The local Induction will be Consultant led

Addenbrooke’s Hospital, Cambridge University Hospitals NHS Foundation Trust

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Duties of this post
This post supports Critical Care services and the Trust-wide Rapid Response Team, with duties
divided between RRT and ICU on a rotational basis (approximately 1/3 RRT, 2/3 ICU).

RRT duties include dedicated time supporting the Rapid Response Team alongside RRT nurses
and a Critical Care Consultant. This team will run cardiac arrest calls and attend to all rapidly
deteriorating patients on wards (in conjunction with the parent team). This will include making
decisions about transfer of patients to higher levels of care or treatment limits, and also follow up of
ICU discharges. Fellows will also need to coordinate calls to the RRT, work with the RRT nurses on
duty and liaise with the supervising Consultant. This will provide experience of leadership and
communication to a greater degree than most training posts.

Duties in the ICU will involve participation in ward rounds, multidisciplinary interaction, practical
procedures, teaching junior medical staff and nursing staff.

There will therefore be ample opportunity to develop skills in research, echocardiography, teaching,
management skills, etc according to individual interest. We would expect appointed fellows to
assemble non-clinical as well as clinical learning objectives for their time with us.

Fellows will also be expected to take part in a regular appraisal process.

Cambridge University Health Partners, the academic health sciences centre, in conjunction with the
Institute of Continuing Education at The University of Cambridge are pleased to offer a one year
Postgraduate Certificate in Clinical Medicine to all clinicians employed in Cambridge. Further
details and registration: www.ice.cam.ac.uk/ClinMed

Study and Research

You are eligible for up to 15 days study leave per annum pro rata in agreement with your clinical
lead

Arrangements for Leave

The annual leave entitlement for a full-time Clinical Fellow is based on a standard working week of
five days:

a. On first appointment to the NHS: 27 days

b. After five years’ completed NHS service: 32 days.
Arrangements for booking leave are departmental and will be confirmed as part of local induction.

Addenbrooke’s Hospital, Cambridge University Hospitals NHS Foundation Trust

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 PERSON SPECIFICATION
Post: Clinical Fellow (FHO1 equivalent)
Department: General Medicine/General Surgery / Medicine for the Elderly / Gastroenterology /
Colorectal / Emergency Medicine / Diabetes & Endocrinology

ESSENTIAL CRITERIA DESIRABLE CRITERIA

The applicant must have Full General Medical

Council (GMC) registration including License to
Practice at the point of application to be eligible to
apply as per the guidance of the UK Foundation
Programme Office
Qualifications
The applicant must have achieved, or expect to
achieve, a primary medical qualification as
recognised by the General Medical Council (GMC)
by the start of appointment

The applicant must be familiar with and be able to

demonstrate an understanding of the major
principles of the GMC’s Good Medical Practice
(2013) including:

Knowledge, skills and performance

Maintaining good medical practice
 Teaching and training, appraising and
Clinical assessing
Knowledge &  Relationships with patients, and can apply this
Skills understanding
 Working with colleagues, and can apply this
understanding
 Probity
 Health

The applicant must demonstrate an understanding

of the outcomes to be achieved in the Foundation
Programme as set out in The New Doctor (2009)

Good organisation
Skills / Ability / Basic computer skills including
Knowledge Microsoft word and Outlook
Ability to organise own learning and time

Ability to work as part of a team

Ability to undertake research
Ability to keep good medical records and projects and audit
Qualities / communicate with other hospital departments and
Attributes primary care Show interest in investigative,
audit and research work outside
Ability to understand and communicate with immediate clinical responsibility.
patients and colleagues

Addenbrooke’s Hospital, Cambridge University Hospitals NHS Foundation Trust

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 The applicant must have demonstrable skills in
listening, reading, writing and speaking in English
that enable effective communication about medical
topics with patients and colleagues, as set out in
the GMC’s Good Medical Practice (2014).

If the Primary Medical Qualification including

Language clinical contact was not carried out using English,
Requirements applicants must either:
• Have an academic IELTS score of at least 7.0 in
each domain and an overall score of 7.5 within the
same test to meet the GMC’s requirements
or
• Complete the medical Occupational English Test
(OET) and achieve grade B in each of the four
domains tested to meet the GMC’s requirements

Addenbrooke’s Hospital, Cambridge University Hospitals NHS Foundation Trust

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General Information
Cambridge University Hospitals NHS Foundation Trust (CUH) in profile

We are one of the largest and best known acute hospital trusts in the country. The ‘local’ hospital
for our community, delivering care through Addenbrooke’s and the Rosie, CUH is also a leading
regional and national centre for specialist treatment.

The hospital fulfils a number of important functions; its three main core actives are clinical care,
research and teaching. It is the local hospital for people living in the Cambridge area, providing
emergency, surgical, medical and maternity care but as well as delivering care, it is also:
 A leading national centre for specialist treatment for rare or complex conditions such as organ
transplantation, cancer, neurosciences and paediatrics. (For further information about clinical
services www.cuh.nhs.uk/services-0)
 A government-designed biomedical research centre and part of the National Institute for Health
Research (NIHR)
 One of six academic health science centres in the UK
 A university teaching hospital with a worldwide reputation
 A partner in the development of the Cambridge Biomedical Campus.

Our vision is to improve people’s quality of life through innovative and sustainable healthcare.

Our CUH Together Strategy has been developed with staff, patients and partners. Patients are
central to everything we do and we want to ensure that CUH is an exciting and supportive place to
work. Our vision is to improve people’s quality of life through innovative and sustainable
healthcare. We will deliver our vision in a way that is consistent with our values of Together –
Safe | Kind | Excellent, and the associated behaviours that define how we care for our patients
and work with our colleagues and partners.

Our strategy has four key priorities:

• Improving patient journeys

• Working with our communities
• Strengthening the organisation
• Contributing nationally and internationally

We share our site with a range of other organisations including the University Clinical School, the
National Blood Authority, and laboratories funded by the Medical Research Council (MRC), the
Wellcome Trust and Glaxo SmithKline, University of Cambridge Hutchison/Cancer Research UK
(CRUK) Cancer Centre and The Medical Research Council’s facility to house the Laboratory of
Molecular Biology. The most recent addition is Royal Papworth Hospital which relocated to the
Campus in April 2019. Building is currently underway on a new global R&D Centre and Corporate
HQ for AstraZeneca.

In December 2018 it was announced that The Cambridge Childrens Hospitals will be added to the
campus, the first phase is due to be open by 2023. The Childrens Hospital vision is to treat the
whole child, not just the illness or condition.

The children’s hospital project will be delivered through an innovative joint proposal between
ourselves, Cambridgeshire and Peterborough NHS Foundation Trust (CPFT), providing mental
health services and the University of Cambridge, providing world-leading academic research. We
are acutely aware that this hospital needs to provide support to develop and strengthen
paediatrics across the whole region and we will be working with our networks to build a shared
vision for this. The partnership is pioneering the full integration of physical and inpatient mental
healthcare in the same setting, alongside ground breaking genomic science and mind and body
mental health research to find new ways of preventing and detecting childhood diseases. The

Addenbrooke’s Hospital, Cambridge University Hospitals NHS Foundation Trust

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hospital will provide a permanent and sustainable home for CPFT’s inpatient children and young
people’s mental health services currently provided on the Ida Darwin site in Cambridge.

It is an exciting time for the city and the region. For us at CUH, being based at the heart of the
Cambridge Biomedical Campus means we are perfectly situated to make the most of the
opportunities that are arising.

We pride ourselves on the teamwork, energy and commitment of our excellent staff – they are our
most important assets. Recognising this, we have taken a positive approach to supporting them in
their work through schemes to help work-life balance, improvements in the working environment
and initiatives to make it easier for staff to explore new career opportunities and to develop
professionally and personally.

Cambridge University Hospitals - Board of Directors

Chair and Chief Executive:

Dr Mike More – Chair
Roland Sinker – Chief Executive

Non-Executive Directors:
Daniel Abrams
Adrian Chamberlain
Dr Annette Doherty
Dr Michael Knapton
Professor Sharon Peacock
Doris Olulode

Executive Directors:
Claire Stoneham - Director of Strategy and Major Projects
Dr Ewen Cameron – Director of Improvement and Transformation
Nicola Ayton – Chief Operating Officer
Paul Scott – Chief Finance Officer
Dr Ashley Shaw – Medical Director
Lorraine Szeremeta – Chief Nurse
Ian Walker – Director of Corporate Affairs
David Wherrett – Director of Workforce

Cambridge University Hospitals NHS Foundation Trust in detail

Last year 70,665 men, women and children were treated as inpatients, 121,871 people attended
accident and emergency, and there were 818,893 visits to outpatient clinics (2018-2019 figures).
CUH medical staff hold clinics in 14 different regional hospitals so that patients do not have to
travel to Cambridge. Nearly 100 of our Consultants hold some form of joint appointment with a
dozen neighbouring hospitals.

CUH is a teaching hospital for medical undergraduates and postgraduates, nurses and students in
other clinical professions and has a variety of initiatives to encourage life-long learning’. Many
training schemes are in place in our National Vocational Qualification Centre, Postgraduate
Medical Education Centre and Learning Centre. Training schemes include cadet schemes in
nursing, office technology, science, modern apprenticeships in clinical engineering and supporting
training placements for biomedical scientists.

Addenbrooke’s Hospital, Cambridge University Hospitals NHS Foundation Trust

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CUH has:
 Around 11,000 staff of which 1,400 are medical and dental staff
 5,330 births per year
 Around 1,000 beds
 185,136 inpatient admissions including births
 121,871 Emergency Department attendances
(2018/2019 figures)

Addenbrooke's history

Addenbrooke's was one of the first provincial, voluntary hospitals in England. The Hospital opened
its doors in 1766 with 20 beds and 11 patients. Dr John Addenbrooke, a fellow and former Bursar
of one of the Cambridge Colleges, left just over £4500 in his will "to hire and fit up, purchase or
erect a small, physical hospital in the town of Cambridge for poor people".

In 1540, two centuries before Addenbrooke's was founded, the Regius Professorship of Physic in
the University of Cambridge was founded by Henry VIII. Medical training on a modest scale
developed at Addenbrooke's during the late 1700s, and in 1837 (the year of Queen Victoria's
accession to the throne) the hospital became a recognised school of medicine.

Addenbrooke's grew rapidly during the 19th and early 20th centuries, as medical science
developed. By the 1950s, the hospital was having difficulty accommodating the expansion
generated by the introduction of the National Health Service.

In 1959, building began on a new 66-acre site south of Cambridge, and the first phase of the
Hospital was opened by Her Majesty the Queen in May 1962. Work continued to provide the
majority of Addenbrooke's as we know it today, with a fully-fledged Clinical School being
established in 1976.

History

1766 Addenbrooke's Hospital was opened in Trumpington Street

1847 The first general anaesthetic using ether at Addenbrooke's was carried out two weeks after
it was first used in the USA
1918 Addenbrooke's welcomed its first female medical student
1962 New site on Hills Road was officially opened by the Queen
1966 The first kidney transplant in the NHS was carried out at Douglas House Renal Unit
1968 Professor Sir Roy Calne carried out the first liver transplant in the NHS
1975 The first open heart surgery was carried out at Addenbrooke's
1981 Addenbrooke’s first whole body scanner opened by Prince of Wales
1983 The Rosie Hospital was opened on the Addenbrooke’s Campus
1984 Last patient left the ‘old’ Addenbrooke’s Hospital site in Trumpington Street
1992 Addenbrooke's NHS Trust formed
1995 MRC Cambridge Centre for Brain repair opened by Duke of Edinburgh
2004 Addenbrooke's Hospital becomes a Foundation Hospital as is known as- Addenbrooke’s
Hospital Cambridge University Hospitals NHS Foundation Trust
National Centre for pancreatic surgery was opened
2006 Addenbrooke’s Hospital was named one of five National Institute for Health Research
comprehensive biomedical research centres
2007 New European headquarters for Cancer Research UK based on the campus were
opened by the Queen
2009 CUH and local partners in clinical care, education and research became one of the
government’s new academic health science centres, forming an alliance called
Cambridge University Health Partners
2009 CUH was named by Dr Foster as one of the country’s best performing trusts for patient
safety
2012 CUH is now the designated level 1 Major Trauma Centre for the East of England region
Addenbrooke’s Hospital, Cambridge University Hospitals NHS Foundation Trust
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2014 Our new electronic patient record system (EPIC) was implemented at CUH making us the
first hospital in the UK to go paperless
2019 The Royal Papworth Hospital was opened by Queen Elizabeth II

Positioning for the future

Cambridgeshire is one of the fastest growing counties in the UK and it is estimated that the
number of people over 45 years of age will rise by 55% over the next 20 years, and the county will
see the continued expansion of research, business and high-tech industries.

Planning is already well advanced for additional capacity to meet this growing local demand. But it
is not just a matter of providing extra beds and recruiting extra staff. The hospital needs to ensure
high standards of patient care by supporting training and education for staff, and work closely with
NHS partners and others to ensure that care is tailored to the needs and expectations of users.
This is likely to involve developing some alternatives to hospital-based care.

Another challenge will be to ensure that improvements in clinical facilities keep up with the rapid
pace of research investment, and that processes and governance support this growing research
activity, some of which involves sensitive ethical, legal and social issues.

CUH contributes to the economic strength of the greater Cambridge area as a major employer
and, with our research partners, to the biotechnology sector. As a public benefit corporation, the
new NHS Foundation Trust will work in partnership with other local bodies, primarily local
authorities and education providers, to support sustainable economic development in the locality.

Research and development

Cambridge medical research enjoys a world-wide reputation. More organisations and more
individuals continue to be attracted to the city; working alongside each other they have created
one of the richest pools of clinical and scientific knowledge and expertise not only in the country
but in the world. At CUH this is reflected in clinical teams working in the hospital alongside world-
class scientists from a wealth of internationally renowned organisations such as the Medical
Research Council (MRC) which shares the hospital campus. Doctors and scientists collaborate
across disciplines and specialties and it is this co-existence of experience and expertise that
fosters translational research – turning basic science into new drugs and new therapies giving
patients innovative and excellent care.

We work with many partners in other NHS organisations, universities, research councils, research
charities and industry to provide infrastructure and networks to build research capacity and support
clinical research.

With the University of Cambridge, CUH is a partner in the National Institute for Health Research
(NIHR) Cambridge Biomedical Research Centre (CBRC). This partnership uses our combined
strengths in biomedical science – the science that forms the basis of medicine including scientific
laboratory-based knowledge and understanding – and translates them into clinical research.
Established in 2007 the centre was recently awarded funding of £114.5m for 2012 to 2017. It was
judged by the international selection panel as to have an outstanding breadth of world-leading
investigators and represented the UK’s primary academic resource in biomedical research.

Outstanding facilities for research exist in Addenbrooke’s Clinical Research Facility (ACRC) which
includes the Wellcome Trust Clinical Research Facility and the Clinical Investigation Ward. For
example the CIW includes a research endosocopy suite and area dedicated to intravenous
treatment including cancer chemotherapies.

University of Cambridge School of Medicine

The University of Cambridge School of Clinical Medicine is a major centre for biomedical research
and education of world leading quality. In the most recent University Funding Council Research
Addenbrooke’s Hospital, Cambridge University Hospitals NHS Foundation Trust
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Selectivity Exercise Cambridge shared the highest score for any Medical School in the country.
Whilst the University of Cambridge has granted medical degrees since at least 1363, the university
could not offer undergraduate clinical education until the Clinical School was formally established
in 1975 with purpose built accommodation at Addenbrooke’s. In addition to these facilities
comprising lecture theatres, seminar rooms and first class medical library, a postgraduate
education centre was opened in the Clinical School building in 1980. The most recent HEFC
teaching quality assessment of the undergraduate clinical education judged the learning facilities
and the teaching in the clinical school to be of the highest quality.

Cambridge University Health Partners, the academic health sciences centre, in conjunction with
the Institute of Continuing Education at The University of Cambridge are pleased to offer a one
year Postgraduate Certificate in Clinical Medicine to all clinicians employed in Cambridge. Further
details and registration: http://www.ice.cam.ac.uk/mst-clinical-medicine

General Information

Cambridge is a city in the East of England, home to the University of Cambridge and one of the
fastest growing technology hubs in the UK. The Arts Theatre within Cambridge is thriving and
there are many musical activities to enjoy. The Fitzwilliam Museum is world famous.

For those with children of school age, there is a full range of public and private education
institutions covering all age groups.

Cambridge is served by the national motorway network and regular train services to London King’s
Cross or London Liverpool Street have a journey time of less than one hour.

Within CUH, the main concourse offers shopping facilities; an advice centre; Bank; cafés; clothes
boutique; financial advisory services; hairdressing salon; Marks and Spencer Simply Food;
newsagent; The Body Shop; gift shop and on site solicitors . There is a Food Court which offers
“fast-food”, as well as conventional options 24 hours a day.

In addition the Frank Lee Leisure and Fitness club provides comprehensive facilities for swimming,
racquet sports, a multi-sports hall, a floodlit outdoor multi-sports facility, gym and bar facilities.

The Cambridge University Postgraduate Medical Centre has catering facilities as well as the
library, lecture theatres and seminar rooms.

Within the University of Cambridge, there is an unrivalled range of educational facilities, diverse
cultural, sporting and other leisure activities.

Addenbrooke’s Hospital, Cambridge University Hospitals NHS Foundation Trust

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Addenbrooke’s Hospital, Cambridge University Hospitals NHS Foundation Trust
Page 24
General Conditions of Appointment
1. This appointment shall be governed by the Terms and Conditions of Service for Clinical
Fellows at Cambridge University Hospitals 2018, as amended from time to time, and adhere
to Trusts policies and procedures as appropriate.

2. All matters relating to patient’s health and personal affairs and matters of a commercial interest
to the Trust are strictly confidential and under no circumstances is such information to be
divulged to any unauthorised person. Breach of Trust policy may result in disciplinary action in
accordance with the Trust’s disciplinary procedure. A summary of the Trust’s Confidentiality
Policy, Data Protection and IM & T Security Policy are provided in the Staff Handbook.

3. Cambridge University Hospitals NHS Foundation Trust is committed to a policy of Equal

Opportunities in Employment. A summary is detailed in the staff handbook. Any act of
discrimination or harassment against staff, patients, service users or other members of the
public will be subject to disciplinary proceedings which could include dismissal.

4. As an employee of a Trust, you are expected to develop the IT skills necessary to support the
tasks included in your post. You will therefore be required to undertake any necessary training
to support this. As a user of Trust computer facilities you must comply with the Trust’s IM & T
Security Policy at all times.

5. You are normally covered by the NHS Hospital and Community Health Services indemnity
against claims of medical negligence. However, in certain circumstances (especially in
services for which you receive a separate fee) you may not be covered by the indemnity. The
Health Departments therefore advise that you maintain membership of your medical defence
organisation.

6. The Trust will ensure compliance with the Health and Safety at Work Act 1974.

7. The post is based on a whole time appointment calculated on an average of 40 hours work per
week; the salary for this appointment is £28,243 per annum (April 2020 figures). This is a fixed
nodal pay point and does not increase incrementally.

8. In addition weekend and on-call allowances will be paid where appropriate for agreed hours of
duty within the working pattern.

9. This post is superannuable and you will be subject to the NHS Superannuation Scheme unless
you chose to opt out.

a) The current rate of contribution is 7.1% for posts equivalent to F1

b) The current rate of contribution is 9.3% for posts equivalent to F2 and CF (Core)
c) The current rate of contribution is 12.5% for posts equivalent to CF (Higher) Senior Clinical
Fellows

10. The successful candidate will be expected to complete a medical questionnaire and attend the
Cambridge Centre for Occupational Health at Addenbrooke’s for clearance of the form.

11. The Trust requires the successful candidate to have and maintain registration and a license to
practice with the General Medical Council and to fulfill the duties and responsibilities of a doctor
as set out by the GMC.

12. With the Terms of DHSS Circular (HC)(88) – Protection of Children – applicants are required
when applying for this post to disclose any record of convictions, bind-over orders or cautions.
The Trust is committed to carefully screening all applicants who will work with children and you
will be expected to undertake a 'disclosure' check.
Addenbrooke’s Hospital, Cambridge University Hospitals NHS Foundation Trust
Page 25
The appointment is exempt from the provisions of Section 4(2) of the Rehabilitation of Offenders
Act 1974 by virtue of the Rehabilitation Act 1974 (Exemptions) Order 1975. Applicants are not
entitled therefore to withhold information about convictions which for other purposes are "spent"
under the provision of the Act, and in the event of employing any failure to disclose such
convictions could result in dismissal or disciplinary action by the Trust. Any information given will
be completely confidential and will be considered in relation to an application for positions to which
the Order applies.

13. The appointment is conditional upon the following being received prior to the commencement
of employment; full occupational health clearance, satisfactory references, evidence of
GMC/GDC registration, immigration status and all medical qualification.

14. This post is not recognised for training.

15. Removal expenses will be available to successful applicants within the limits of the Trust policy.

Addenbrooke’s Hospital, Cambridge University Hospitals NHS Foundation Trust

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