Newham Hospital opened in 1983, providing centralised services for the population of Newham, replacing Queen Mary’s Hospital for the East End in Stratford and East Ham Memorial Hospital, both of which closed. In 2012, Newham University Hospital NHS Trust merged with Barts and The London and Whipps Cross University Hospital NHS Trusts to form Barts Health NHS Trust. Newham hospital has just under 400 beds. The latest CQC rating was “requires improvement” overall, an improvement on the previous “inadequate“. It is said to be “good” in the domain of caring.
Consultant speciality interests
- Terry O’Shaughnessy (cancer, asthma, COPD)
- Nivenka Jayasekera (TB)
- Vladimir Macavei (Sleep and ventilation)
- Rory McDermott (TB)
- Weekly lung cancer diagnostic MDT
- Weekly radiology meeting
- Monthly clinical meeting/journal club
- Monthly mortality and morbidity meeting
- Adequate experience in diagnostic Bronchoscopy and endobronchial biopsy – 2 lists a week with up to 4 patients on each list
- Transbronchial biopsy rarely done
- EBUS not available (linked with Barts)
- Suitable for ST3/4 as regular experience with good support
- TBNA performed on occasion
There is a TB clinic, and a sleep/vent clinic which have SpR lists each week. There are other clinics including lung cancer, general Resp, general medicine, and advanced COPD.
Typical week (example: TB SpR)
Well balanced between ward/clinics/referrals. In general there are 2 clinics for each SpR per week. A trainee can expect to do one bronchoscopy list of around 4 patients per week (both lists if the other SpR is an acute medic/locum – there are 2 lists per week). 1-2 chest drains/pleural aspirations per week is average.
As TB SPR week is as follows:
Monday: Consultant ward round, pm TB clinic
Tuesday: am SPR ward round, pm-Bronchoscopy
Wednesday: am SPR ward round, +/- general respiratory clinic
Thursday: am Bronchoscopy or SPR ward round, lunch educational meeting (radiology followed by clinical review)
Friday: Lung Cancer/Sleep Clinic (most of the day)
- There is a dedicated USS machine in the Respiratory Department – great news!
- Dr Jayasekera is the level 2 competent Consultant in the Respiratory department.
- The GIM commitment is a 1/8 rota. This works out as 1 weekend per month and 2 nights per month (single nights, rather than in blocks).The Respiratory team tend to cover the Respiratory Consultants’ take (with mid-take by elderly care consultant team). There is no ‘MAU’ per se so patients are under the admitting team unless moved to a specialist ward or requiring specialist input.
- Rota gaps are thankfully rare. The acute take is well supported generally. There are about 15 patients in 12hrs on average with good SHO cover. Very manageable.
- Simulation facilities
- Observed undergraduate teaching
- Contribution to PACES
- Rota organiser role available
- Encouraged to take on management projects, and attend course
- Management/governance meetings, lots of incident reporting with feedback, strongly encouraged and supported in service improvement projects
Specialist training opportunities
- Pleural ultrasound level 1 sign-off is possible in this post.
- Good TB experience
- No specific opportunities highlighted, but the department actively contribute to a number of Trust-wide research projects
- QIP opportunities always available
Stage of training best suited to this rotation
- ST3-6 (flexible opportunities for more or less support, and leadership roles dependant on seniority)
Recent trainee comments:
“A pleasant hospital with excellent clinical support from supervisors.”
“Lots of vital TB experience.”
“Ideal post for early respiratory trainee.”
“I really enjoyed working at Newham and gained a lot of general SpR experience whilst being well supported by the consultants.”
Would you recommend this post to other Respiratory SpRs? Yes, strongly agree.
Would you consider applying to work here as a Consultant? Yes, agree.