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eMITTEN

East Midlands Paediatric Trainees Website

 

Nottingham City Hospital

Nottingham City Hospital Campus is a teaching hospital located two miles north of Nottingham City Centre.  It became an NHS Trust in April 1992 and merged with Queen’s Medical Centre to form the Nottingham University Hospitals Trust in April 2006. At that time, paediatric services moved to the Queens Medical Centre campus, becoming concentrated on a single site. Nottingham City Hospital campus continues to provide tertiary neonatal services. The Child Development Centre is also located here.    

The Neonatal Unit is a tertiary referral centre and is located in the Maternity Unit (>5,500 deliveries per year).  There is a large, (28 cots) busy intensive care unit which admits babies from other Hospitals.  Twelve cots for intensive care, 10 for High Dependency care and 6 for special care.  There is an active research programme with an adjoining lab and a varying number of research fellows.  Neonatal follow-up clinics are held and there is a long term follow-up scheme for high risk neonates. The Child Development Centre is situated on the City Hospital campus and is specially designed for the multi-disciplinary assessment of handicapped children.

Neonatology

There are a total of 9 Specialist Registrar Posts that work within the Neonatal hybrid full shift and on call rota.   This is made up of 5 SpRs with daytime commitments in Neonatology, three Community Paediatric SpR’s and one paediatric SpR who also take part in out of hours work. 

Four neonatal consultant staff oversee the unit: Dr Craig Smith (Clinical Director), Dr Jon Dorling (RCPCH Tutor), Dr Bernard Schoonakker and Dr Dulip Jayasinghe. 5 ST 4-8 trainees and 7 ST 1-3 trainees provide junior cover. 5 Advanced Neonatal Nurse Practitioners support ward and transport medical work.

Currently 9 ST 4-8 trainees work a hybrid shift rota.  Neonatal daytime duties are shared amongst 5 Neonatal trainees and include provision of clinical care to NICU, labour suite and the post natal wards.  Additional duties include neonatal activity data monitoring, audit, teaching, liaison with fetal medicine and labour suite, guideline development and mortality/morbidity reviews.  Neonatal guidelines are available for many problems and are updated regularly.  The Neonatal ST 4-8 trainees are encouraged to lead at least one ward round per week.   The neonatal consultant is available at handover to support management issues and give direct feedback.  On call facilities are modern and are regularly reviewed by the postgraduate Dean and RCPCH.