[ref. r51578324] NHS - JSD Higher - Respiratory Medicine
NHS Jobs Birmingham
The respiratory inpatients are looked after at Respiratory Hub at City Hospital in wards D15 and D17. There are 13 consultants based at City & Sandwell Hospital who work on the wards in turns for 2 weeks in a row as COW (Consultant of the week).
There is also a dedicated consultant rota for Sandwell cover which is mostly telephone advice in conjunction with SPR on site. We cover Sandwell Hospital for AMU in reach and review of referrals. There is no specified respiratory bed base at Sandwell hospital and all patients requiring intervention, long stay are transferred from Sandwell to City Hospital, when they are clinically stable to do so.
There are 4 SPRs and 6 Trust middle grade specialty doctors who provide cover on wards at city and Sandwell hospital. The respiratory rota is split into predominantly ward weeks and non-ward weeks for SPRS. They will carry out clinics, procedure lists and Lung Cancer MDT during their clinic week and cover ward, referrals and in patient procedures during ward week.
Ward week at City Hospital Board Round 8:45-9:30am (one by one for each D15 and D17 ward.): Full team assemble with allied health / nursing staff to establish key actions for each patient, highlight unwell patients and discuss discharge plans.
Ward round 9:30-11:30 Daily consultant ward round at both wards along with SPR junior doctors. 11.30: SpR / consultant go down to AMU for In reach/to see referrals. Second opinion forms and OP referrals are also collected from AMAA (Ambulatory Care).
The registrar triages the OP referrals to the appropriate clinic and assess the timeframe patient need to be seen. The registrar, supported by the COW, also arranges the necessary investigations to better streamline the referral pathway. The forms are then handed over to the Respiratory Secretaries to arrange follow up.
Pleural Clinic: There is a dedicated pleural clinic opposite ward D15 which runs twice weekly. All pleural procedures should be done in pleural clinic. There is a dedicated pleural nurse who can help with pleural procedures. D17 SPR should aim carry out all pleural procedures after ward round.
Patients can be referred to pleural clinic via email swbh.pleuralreferrals@nhs.net. Ward Week at Sandwell Hospital: AMU inreach for NIV patients review: 9am Virtual clinic: 9:30-11am There is a daily virtual clinic, where you need to chase results of pending investigations and action accordingly.
This is usually for follow up of ward discharges and now days for virtual COVID follow up as well. AMU In Reach: 11:30am Daily in reach to AMU to review any patients referred to respiratory and to notify transfer of appropriate patients. Respiratory referrals: 1-5pm Referrals are sent to the respiratory secretaries which need to be There will be a nominated consultant every day for Sandwell available during the afternoon to discuss any referrals or further review of patients.
The ROW should discuss all referrals with them highlight any queries in regards to the Virtual Clinic patients. Weekly meetings: Tuesday 2.00 to 5.00pm Lung Cancer MDT. This is split into: Diagnostic MDT: This is to discuss the most appropriate diagnostic procedures, nodule pathway and for radiological diagnosis if patient is deemed inappropriate for further investigations.
Main MDT: to discuss the results of investigations (i.e. PET scans, histology etc), surgical & oncology patients pre and post treatment etc. Tuesdays 12.30 1.30pm Departmental Teaching Usually drug representative presentations with lunch provided.
Junior/consultant presentation on respiratory topic. Thursdays 12.30 1.30pm Radiology meeting. You can discuss ward and OP interesting images. There is also a monthly joint rheumatology-ILD meeting. Lung Cancer MDT: The SpR prepares the MDT notes, takes part in MDT discussions and also help in requesting investigations..
Virtual Nodule Clinic: Nodules less than 10mm can be followed up by Nurse led clinic virtually for follow up once seen by a respiratory physician as IP or OP. Please refer by email swbh.virtualnoduleclinic@nhs.net Respiratory nurse referral is via extension / bleep (see below) and they support with inhaler technique/escalation of therapy/home nebulisers/can support home oxygen initiation/alteration/community nurse follow up.
They also attend AMU Boardround at Sandwell Hospital and assist the registrars in the management of complex patients and help in urgent transfer of patients to the Respiratory HUB at City Hospital. Lung cancer nurse referral via extension / bleep for patients newly diagnosed with lung cancer.
There is also a dedicated consultant rota for Sandwell cover which is mostly telephone advice in conjunction with SPR on site. We cover Sandwell Hospital for AMU in reach and review of referrals. There is no specified respiratory bed base at Sandwell hospital and all patients requiring intervention, long stay are transferred from Sandwell to City Hospital, when they are clinically stable to do so.
There are 4 SPRs and 6 Trust middle grade specialty doctors who provide cover on wards at city and Sandwell hospital. The respiratory rota is split into predominantly ward weeks and non-ward weeks for SPRS. They will carry out clinics, procedure lists and Lung Cancer MDT during their clinic week and cover ward, referrals and in patient procedures during ward week.
Ward week at City Hospital Board Round 8:45-9:30am (one by one for each D15 and D17 ward.): Full team assemble with allied health / nursing staff to establish key actions for each patient, highlight unwell patients and discuss discharge plans.
Ward round 9:30-11:30 Daily consultant ward round at both wards along with SPR junior doctors. 11.30: SpR / consultant go down to AMU for In reach/to see referrals. Second opinion forms and OP referrals are also collected from AMAA (Ambulatory Care).
The registrar triages the OP referrals to the appropriate clinic and assess the timeframe patient need to be seen. The registrar, supported by the COW, also arranges the necessary investigations to better streamline the referral pathway. The forms are then handed over to the Respiratory Secretaries to arrange follow up.
Pleural Clinic: There is a dedicated pleural clinic opposite ward D15 which runs twice weekly. All pleural procedures should be done in pleural clinic. There is a dedicated pleural nurse who can help with pleural procedures. D17 SPR should aim carry out all pleural procedures after ward round.
Patients can be referred to pleural clinic via email swbh.pleuralreferrals@nhs.net. Ward Week at Sandwell Hospital: AMU inreach for NIV patients review: 9am Virtual clinic: 9:30-11am There is a daily virtual clinic, where you need to chase results of pending investigations and action accordingly.
This is usually for follow up of ward discharges and now days for virtual COVID follow up as well. AMU In Reach: 11:30am Daily in reach to AMU to review any patients referred to respiratory and to notify transfer of appropriate patients. Respiratory referrals: 1-5pm Referrals are sent to the respiratory secretaries which need to be There will be a nominated consultant every day for Sandwell available during the afternoon to discuss any referrals or further review of patients.
The ROW should discuss all referrals with them highlight any queries in regards to the Virtual Clinic patients. Weekly meetings: Tuesday 2.00 to 5.00pm Lung Cancer MDT. This is split into: Diagnostic MDT: This is to discuss the most appropriate diagnostic procedures, nodule pathway and for radiological diagnosis if patient is deemed inappropriate for further investigations.
Main MDT: to discuss the results of investigations (i.e. PET scans, histology etc), surgical & oncology patients pre and post treatment etc. Tuesdays 12.30 1.30pm Departmental Teaching Usually drug representative presentations with lunch provided.
Junior/consultant presentation on respiratory topic. Thursdays 12.30 1.30pm Radiology meeting. You can discuss ward and OP interesting images. There is also a monthly joint rheumatology-ILD meeting. Lung Cancer MDT: The SpR prepares the MDT notes, takes part in MDT discussions and also help in requesting investigations..
Virtual Nodule Clinic: Nodules less than 10mm can be followed up by Nurse led clinic virtually for follow up once seen by a respiratory physician as IP or OP. Please refer by email swbh.virtualnoduleclinic@nhs.net Respiratory nurse referral is via extension / bleep (see below) and they support with inhaler technique/escalation of therapy/home nebulisers/can support home oxygen initiation/alteration/community nurse follow up.
They also attend AMU Boardround at Sandwell Hospital and assist the registrars in the management of complex patients and help in urgent transfer of patients to the Respiratory HUB at City Hospital. Lung cancer nurse referral via extension / bleep for patients newly diagnosed with lung cancer.
They can be present during breaking bad news and act as a point of contact for patients and families as well as arranging community support (i.e. McMillan Team) for terminally ill patients. NIV initiation normally done by outreach team acutely, respiratory physiology for domiciliary NIV
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