INTRODUCTION The post holder will be one of a team of 10 Middle Grades with sessions at both Ashford and St. Peters Hospitals. Ashford & St. Peters Hospitals merged to form a single NHS Trust in 1998. Trauma is primarily carried out on the St. Peters site. The Ashford site has outpatients and a dedicated orthopaedic ward which is used for joint replacements and other elective surgery. The postholder will participate in the on-call trauma rota. ASHFORD & ST. PETERS HOSPITALS TRUST The Trust was formed by the merger of the two hospitals in 1998. The Ashford/St. Peters Trust is the largest non-teaching Trust in the region and provides a full range of acute hospitals services. All surgical and trauma emergencies are admitted into St. Peters Accident and Emergency Department. There is a 9 bedded ITU service on the St. Peters site. The two hospitals serve a population of around 450,000 from an area which includes Guildford, Woking, Chertsey, Walton-on-Thames, Weybridge, Staines, Bedfont, Feltham, Spelthorne. There are 650 beds in a range of specialities, and a full imaging department with CT and MRI scanning and laboratory services. Both hospitals have a modern post graduate centre with full library services and the Trust runs an hourly transport between the two sites for staff. THE DEPARTMENT OF ORTHOPAEDICS AND TRAUMA Since April 1998, the Department of Orthopaedics and Trauma has operated jointly across the two sites. The Department has 21 consultants continuing the trend of increasing sub-specialisation, minimising the number of tertiary referrals and improving training opportunities. The consultants working in the Department are as follows: Mr T Antonios Trauma & Upper Limb Mr C Busch Lower Limb Mr O Garcia-Casas Spine Mr R Gupta Upper Limb Mr Z Harb Trauma, Foot & Ankle Mr A Hassan Lower Limb Prof M Imam Trauma & Upper Limb Mr J Jacob Trauma & Lower Limb Mr A Khaleel Trauma, Lower Limb, Foot & Ankle Mr G Kiziridis Trauma, Foot & Ankle Mr D Michael Lower Limb Mr J Monk Lower Limb Mr A Narvani Upper Limb Mr V Prasad Trauma & Spine Miss T Sarkhel Upper Limb Mr A Sharma Trauma & Spine Mr T Thangarajah Trauma & Upper Limb Mr P Trikha Lower Limb Mr E Tsialogiannis - Trauma & Lower Limb Mr A Unnithan Trauma & Lower Limb Mr A Vats Trauma & Lower Limb Supporting the consultants are the following staff: Associate Specialist Podiatrist Registrars x 10 (3 x Fellows) 1 x CT2 1 x CT1 5 x F2 5 x Trust Grade SHO 3 x F1 2 x GPST 1 x Plaster Technician 2 x Orthotic Technicians, Appliance Workshop DUTIES OF THE POST The post-holder will be required to be a non-resident on-call in rotation with the other SpRs. Office accommodation and secretarial support is provided. The Middle Grades in the department are expected to arrange and cover each others duties and on-call commitments during periods of absence. The post-holder undertakes, exceptionally, to perform additional duties in occasional emergencies and unforeseen circumstances. The main duties and responsibilities of the appointee will be: To work with the orthopaedic surgeons across both Ashford and St. Peters Hospitals to provide an efficient and effective orthopaedic service. To provide inpatients, day case and outpatients care for the patients requiring elective emergency orthopaedic surgery, in accordance with the Trust contractual obligations. To adopt a continuing responsibility for the care of patients in his/her charge and in partnership with other colleagues working in the speciality for the proper function of the department to which he/she is appointed. To ensure that clinical audit was an ongoing programme and that agreed actions required as indicated from audit were implemented. MAIN CONDITIONS OF SERVICES The post is covered by the local Terms and Conditions of Service and Ashford & St. Peters Hospitals Policies. Where local terms and conditions do not exist, NHS Terms and Conditions of Hospital Medicine and Dental Staff (England and Wales) and the Whitley Council Conditions of Service will apply. STUDY AND TRAINING There is a well-stocked hospital library available on site in Ashfords new Education Centre and in the Orthopaedic Department. There are weekly clinical meetings in the Education Centre including clinical pathological demonstrations. Lunchtime lectures are given on alternate Tuesdays by hospital staff or invited speakers from other centres. There is regular orthopaedic participation in other teaching courses held in the Post Graduate Centre at the invitation of the Clinical Tutor. RESEARCH Opportunities for postgraduate education for the post-holder includes departmental meetings, clinical meetings, college courses and meetings and joint meetings with surgical specialities. The Department holds regular audit meetings and in addition there are protected hospital half days for education on a regular basis. RECREATION, TRANSPORT, ETC In the immediate locality, there are leisure centres at Staines, Sunbury, Woking and Feltham, squash courts, in Egham and Feltham and many golf courses nearby. Windsor, Runnymede, Hampton Court, Wisley (RHS) Gardens, the Thames and other places of interest are within a 10 mile radius. Central London is easily accessible with regular BR trains from Ashford and Woking to Waterloo and Piccadilly Line trains running from Hatton Cross Underground station. For motorway travel, M3, M4, and M25 are close.