Updated in Dec 2020
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 are closed. In 2012, Newham University Hospital NHS Trust merged with Barts, Royal 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, effective, responsive and well led. The urgent and emergency services are rated “good” and the medical care services are rated “requires improvement”.
1 Respiratory trainee will be posted here (usually 1 year rotation) at each time. There are normally an Acute medical trainee doing a 6-month respiratory rotation here and 2 trust grade respiratory registrars working with the respiratory trainee.
Consultant speciality interests
- Dr T O’Shaughnessy (cancer, asthma, COPD)
- Dr N Jayasekera (TB)
- Dr V Macavei (Sleep and ventilation)
- Dr R McDermott (TB)
- Dr S Lloyd-Owen (Sleep and ventilation, cancer)
Dr Jayasekera and Dr McDermott rotate to cover the ward monthly.
Dr Macavei and Dr Lloyd-Owen rotate to cover the ward monthly.
Typical week for SpRs
|AM||Cons/SpR WR||Sleep clinic||SpR WR||Cons/SpR WR|
Gen resp clinic
Gen resp clinic
|Lunch||Weekly grand round||Dep. teaching|
|Bronch list||Admin/ Referrals|
|Local diag. MDT||Admin/Referrals|
- The above timetable is for the respiratory trainee. The rota is organised by Dr Jayasekera. Due to the number of respiratory SpRs, it is quite easy to take leave and Dr Jayasekera is quite flexible and understanding to allow leaves. She would also offer to hold the SpR referral bleep if the trainee needed to take annual leave.
- Due to COVID-19, there is no dedicated SpR clinics at present. The SpR will do the above clinics when required to cover the consultant absences or as per trainee requirements.
- There are normally only a handful of referrals a day and this could normally be shared between the SpR colleagues.
- The respiratory trainee is allowed to attend all training days even with no SpR on the ward.
- There is a monthly M&M meeting.
Other optional clinic opportunities that you could join:
- Lung cancer
- Advanced COPD
- Adequate experience in diagnostic bronchoscopy and endobronchial biopsy. 1 lists a week with Dr Jayasekera – up to 4 patients on the list
- The bronch list is normally attended by the respiratory trainee only unless the trust grade doctors would like to be involved as well.
- Dr Jayasekera is quite easy-going and will allow you to do bronchoscopy independently fairly quickly with her still being around in the endoscopy unit if required for help. Therefore, you can expect to achieve full independence at the end of the 1-year rotation
- EBUS with Dr McDermott every other Wednesday as an opportunity
Thoracic US and pleural procedures
- Dedicated Resp department portable US machine available 24/7
- Dr Jayasekera is the level 2 competent Consultant in the Respiratory department to sign trainees off for level 1.
- There are occasional opportunities for medical talc pleurodesis.
- Pleural biopsies are done by radiology.
- Indwelling pleural catheter insertions are referred to Barts.
- Adequate acute NIV and Optiflow/HFNC experience with adequate NIV/Optiflow machines and easy to initiate on the respiratory ward, ED and CCU. (No respiratory HDU here)
- Many cases with chronic respiratory failure requiring domiciliary NIV. These cases are then referred to Barts Sleep service.
- Overnight pulse oximetry available as part of sleep studies investigation.
- Rota is
- The GIM commitment is a 1/12 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 and are well covered by locum. The acute take is well supported generally. There are about 15 – 25 patients during the day and 10 – 15 patients at night on average with good SHO cover.
- 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
- Encouraged to obtain Good Clinical Practice certificate
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.