INFORMATION FOR APPLICATIONS FOR RECRUITMENT TO START IN AUGUST 2019

Higher Specialist Training in Public Health

Health Education (West )

Recruitment to a post in the is through the national recruitment process.

For full recruitment information such as job description, frequently asked questions etc., please visit the Faculty of Public Health Website at www.fph.org.uk.

The recruitment process is managed by Health Education England East Midlands. For all enquiries about the recruitment and selection process please contact [email protected]

Training placements available in 2019

Starter training location 1 post Council 1 post Council 1 post University 1 post Council 1 post Walsall Council 1 post Council 1 post Dudley Council 1 post Council 1 post Hereford Council 1 post Council

There are also two NIHR funded Academic Clinical Fellow posts.

One is between Dudley Council and University of

One is between Coventry Council and Warwick University.

1 The West Midlands

The West Midlands covers a population of 5.6 million and is very diverse. It contains many areas of outstanding natural beauty, such as the Malverns and the Hills. There are many historic market towns and cathedral cities such as Worcester, Hereford, Shrewsbury, Warwick, Stratford upon Avon and Lichfield. The largest city is Birmingham, with other large conurbations in Coventry, Stoke and Wolverhampton.

2 Higher Specialist Training in the West Midlands

The School of Public Health has about 50 Specialty Registrars placed in approved training locations within the West Midlands. The Higher Specialist training scheme balances academic training with experience of working in public health. Each public health registrar is assigned an Educational Supervisor, with whom they meet regularly to discuss their work in the placement organisation. Public Health registrars agree a training plan with their Educational Supervisor which is assessed every six months to ensure that the registrars receive good experience.

Registrars generally currently spend most of their training in Local Government Departments of Public Health. This is apart from the posts based at the Universities of Warwick and Birmingham and Public Health England. Public health departments see their role as assessing the needs of the population for health care, helping to change services and other agencies to provide care, and contributing to protecting the health of the population.

Training departments are grouped in three zones:

November 2018 & Shropshire Black Country, & Worcestershire Birmingham, Solihull, Coventry & Warwickshire

The first training placement is either in a specific Local Authority or the Universities of Warwick or Birmingham. Registrars usually work in two training departments across the training period, usually in the same zone. Registrars are allocated their first training location based on their personal preference list and their ranking from national recruitment.

3 Training placements in 2019

It is expected that training placements will be available in each of the following training locations for an August 2019 start:

Starter training location 1 post Warwickshire Council 1 post Coventry Council 1 post Warwick University 1 post Wolverhampton Council 1 post Walsall Council 1 post Sandwell Council 1 post Dudley Council 1 post Worcestershire Council 1 post Hereford Council 1 post Telford and Wrekin Council

Please note there is the potential for these locations to change.

There are also two NIHR funded Academic Clinical Fellow posts. One is between Dudley Council and University of Birmingham and one is between Coventry Council and Warwick University. Starter locations for Public Health

New registrars who live outside the region are encouraged to move the West Midlands if at all possible on starting in post. Commuting from outside the West Midlands is feasible due to its location centrally in England but prospective applicants need to be realistic about the practicalities of this. In particular people need to consider that if they are starting at ST1, they will be doing the MPH at the University of Birmingham and will need to spend much of their first year on site.

Further information on some of the starter locations is given below

Dudley

Dudley Borough has a population of 319,400 with slightly fewer young people and slightly more older people than the England average. White British people constitute the largest ethnic group at 88%, which is considerably higher than the England value of 79.8%. In the 1850s Dudley became notorious for having the shortest life expectancy in England due to the effects of poverty and poor sanitation. We’ve come a long way since then, and today many of the indices of public health for November 2018 Dudley are similar to the England average. However, our educational attainment is relatively poor and we have particularly high rates of childhood obesity. Major challenges for the adult population include obesity and lack of physical activity.

Dudley has long been a political “bellweather”, and the council frequently changes from Conservative to Labour to no overall control. This enables you to gain valuable experience of working with councillors across the political spectrum.

Dudley CCG is pioneering the formation of a Multispecialty Community Provider to deliver many of our preventative services, mental health services and community services. GPs all use a single IT platform, EMIS Web and a data sharing agreement with Dudley Council allows our public health intelligence team to analyse primary care data.

As a registrar you will be mainly based in Dudley Council’s public health department which is located in the centre of Dudley town. We have four consultants in public health plus a Director of Public Health, all of whom have been trained as educational supervisors. A number of teams report to the consultants based around the lifecourse – children and young people, working age, healthy adults, healthcare public health and healthy communities. We have a particular interest in health protection and work closely with CCG and hospital colleagues to improve population resilience against communicable disease.

Our approach is very much based on identifying assets and working with communities to encourage empowerment and resilience. We are taking an integrated approach to lifestyle and wellness, since it is clear that many people have multiple risk factors for poor health – mostly smoking, poor diet, excess alcohol and lack of physical activity – and benefit more from an integrated approach to addressing these that seeks to improve wellbeing and primarily address what matters to the patient. Recognising the impact they have on poor health and wellbeing and demand for services, the Health and Wellbeing Board has identified three key priorities for public health: achieving healthy weight, resilience to poverty and reducing loneliness and social isolation. To address each of these priorities some measures can be led by statutory organisations, some things can be done in partnership with communities and some things can be done directly by the population of Dudley.

Dudley is a rewarding place to work with plenty of opportunities to engage with communities and NHS partners so you can see how we can work together to improve health and its wider determinants.

Herefordshire

Herefordshire is a predominantly rural county, with the 4th lowest population density in England, although the population is growing slowly, largely as a result of international migration to the county. There are 180,000 residents living in the rural areas and the key urban/town centres of Hereford, Ledbury, Bromyard, Leominster and Ross on Wye. Although rural, Herefordshire is readily accessible with direct trains from Birmingham/Shropshire/West Midlands and Wales. The largest industry sector in Herefordshire is ‘Agriculture, forestry and fishing’ accounting for 24% per cent of total businesses, although the industry employs a disproportionately low number of people in the county. Life expectancy in Herefordshire is 80.4 years for males 83.9 years for females, with both figures being higher than the national figure. Please see the following link for November 2018 the JSNA and more demographic information https://factsandfigures.herefordshire.gov.uk/understanding-herefordshire

Herefordshire Council's priorities are set out in full in the corporate plan and are to: • Enable residents to live safe, healthy and independent lives • Keep children and young people safe and give them a great start in life • Support the growth of our economy • Secure better services, quality of life and value for money

More information on the structure and business of the Council is available at https://www.herefordshire.gov.uk/info/200148/your_council/557/about_herefordshire_council/ 1

The public health team is based at Plough Lane in Hereford city and is made up of consultants, practitioners and staff working across the domains of public health. Herefordshire provides an opportunity for Registrars to be involved in a wide variety of areas covering all ten competencies. Registrars are encouraged to be fully involved in the day-to-day working of the team and depending on their stage in the training programme, be part of the Senior Management Team within the department. There are a range of excellent opportunities to work on commissioning of services, children’s and adults health and wellbeing, health protection issues and the wider determinants of health. Protected time with a designated supervisor is regularly timetabled and Registrars are encouraged to attend relevant training events whenever possible. There are currently two educational supervisors in the team, with a third likely by Summer 2019.

The team has close links to the Herefordshire Clinical Commissioning Group (HCCG) where a further consultant in public health is based who is also an educational supervisor –projects can therefore also be arranged within the CCG. The team are exploring the potential for placements within the acute trust – Wye Valley Trust and also have links with Birmingham University and with Public Health England based in Birmingham and Kidderminster in Worcestershire. Herefordshire Public Health look forward to welcoming you to their beautiful county and work base.

Warwick University

The aim of time spent at the university will be to both 1. Achieve generic training competencies in an academic setting. 2. Undertake academic work

The public health registrar with the as their main base will undertake work with public health clinical academics to achieve a wide range of competencies alongside a focus on research and teaching. Training at this base will be complemented by local authority, health protection, and other attachments to ensure a rounded training in consultation with the training programme director team.

Groups with public health consultants and specialists at the University of Warwick include:

November 2018 Public Mental Health - Prof Sarah Stewart Brown can supervises full or part time attachments including evaluation of public mental health programmes and projects, and work on the Faculty of Public Health's mental health programme by reviewing and updating the evidence base. http://www2.warwick.ac.uk/fac/med/staff/stewart-brown

Collaboration for Leadership in Applied Health Research and Care – Prof Aileen Clarke leads the prevention and disease detection themes in the West Midlands CLAHRC. https://www2.warwick.ac.uk/fac/med/about/centres/clahrc/research/theme3-prevention- detection-diseases Warwick Centre for Applied Health Research and Delivery Low and middle income country focussed work focuses particularly on service delivery in African countries with public health registrars overseen by Dr Oyinlola Oyebode. https://www2.warwick.ac.uk/fac/med/staff/ooyebode/

Warwick Evidence - systematic reviews This NICE - HTA supported group, led by Prof Aileen Clarke, undertakes a wide range of commissioned systematic reviews for NICE and are also now approved to bid for National Screening Committee evidence work. http://www2.warwick.ac.uk/fac/med/about/centres/warwickevidence

Communicable disease control evidence and epidemiology The CDCE2 focus is on the development and application of epidemiological methods in service work in communicable disease control. It is a joint unit with Public Health England and is led by Prof Noel McCarthy. http://www2.warwick.ac.uk/fac/med/research/hscience/pet/cdcee

Attachments with other research groups at Warwick Public health registrars can also under take research and projects with other groups at the university overseen by their university based educational supervisor. Examples include Health Economics where Prof Stavros Petrou leads this group researching and teaching health economics. http://www2.warwick.ac.uk/fac/med/research/expert/healthec and mathematical modelling of infectious disease with UK and international focuses. https://www2.warwick.ac.uk/fac/cross_fac/zeeman_institute/

Do feel free to search the university website or discuss particular academic interests with the training lead ([email protected]).

Warwickshire

Warwickshire County Council is situated in the centre of historic Warwick. The council is responsible for approximately 554 000 people located across five districts and boroughs; Borough, and Borough, Rugby Borough, Stratford-on-Avon District, Warwick District.

Although Warwickshire has a relatively affluent population, it is not excluded from public health challenges. 18 local areas in Warwickshire are in the top 20% most deprived areas nationally, and 11.8%of children are in low-income families. With an aging population 12.2% are experiencing fuel November 2018 poverty. Mental health in our population is a key priority; we have a relatively high-rate of 10-24 year old admitted to our hospitals as a result of deliberate self- harm.

Registrars will be based in the friendly Public Health department at Saltisford Office Park in Warwick. Registrars will have lots of opportunities to get involved, from commissioning services, strategic planning, communications and marketing and numerous other roles. There is a monthly departmental meeting which is a great opportunity to meet colleagues and find out what is going on in the department and the bigger aims for the department in the future. There are strong academic links with Coventry University within the Public Health team. You will have supervisors within the department who will oversee your training, and ensure you meet your portfolio requirements.

Warwick is well connected in the county, with very nearby, and Stratford-upon- Avon and the Cotswolds just a short drive away. There are train stations with good regional and national connections throughout the area. Birmingham is approximately 35 minutes from Warwick, and London 1 hour and 20 minutes from Leamington Spa Station.

Wolverhampton

Wolverhampton is a diverse city with a population of approximately 250,000. This is a time of change for the city, with ambitious plans in place for regeneration and economic growth. However, there are also significant health and social inequalities that present a challenge for Public Health.

Our vision sets out priority areas across four key workstreams – Starting & Developing Well, Healthy Life Expectancy, Healthy Ageing and System Leadership – with the aim to reduce inequalities across the life course and ensure inclusive growth. There is a strong emphasis on improving the wider determinants of health through partnership working, both internally and externally. The Public Health team has strong links with Community Safety, Resilience, Education and Planning, and with Royal Wolverhampton Trust and Wolverhampton CCG.

The training placement will be based within the recently refurbished Civic Centre in the city centre near the train station. Registrars sit together in the department with Foundation year doctors and General Practice registrars. We encourage a culture of continuous learning across the department, with monthly training and learning sessions. There are currently four educational supervisors within the team. Registrars will have the opportunity to support and lead on a variety of projects across the four portfolio areas, and to present to a wide range of audiences.

Wolverhampton has excellent public transport links and is just 15 minutes from Birmingham by train.

Worcestershire

The population of Worcestershire is around 583,000. The county is predominantly an affluent and rural county with pockets of high deprivation in urban Worcester, Kidderminster and . Overall health in Worcestershire is generally better than nationally. However there are large numbers of people living in poorer health and there are significant inequalities in health outcomes particularly between advantaged and disadvantaged communities. Life expectancy is 7.7 years

November 2018 lower for men and 6.4 years lower for women in the most deprived areas of Worcestershire than in the least deprived areas. Priorities in Worcestershire include mental health and wellbeing, reducing harm from alcohol, and increasing physical activity. For more information see www.worcestershire.gov.uk/jsna

This training placement is a mixture of rural and semi-urban localities. Registrars are based in County Hall which is on the outskirts of Worcester, close to the M5. Worcestershire provides a variety of public health training opportunities. Health needs are diverse and challenging with a mixture of urban and rural populations. The training placement provides a good opportunity to experience public health in a rural setting as well as in significantly deprived communities. Worcestershire County Council is a two tier authority with six District Councils, three CCGs, an Acute Trust, a Community & Mental Health Trust and two prisons.

Worcestershire has three educational supervisors and hosts a number of Registrars as well as FY2 doctors and GP trainees on public health placement. There are close and developing links with the University of Worcester and a culture of learning and continuous professional development within the public health team. There are opportunities to work across the four main portfolios; producing evidence, shaping prevention services, keeping people safe and empowering people to improve health & wellbeing and reduce inequalities. Within each portfolio there are opportunities to work within the county council, across District councils, with the voluntary sector and with the local NHS. There are particularly strong opportunities in STP programmes across Herefordshire & Worcestershire and within Adult Social Care in Worcestershire County Council.

4 Other Public Health Placements

All registrars are expected to do a three to four month attachment with one of three Health Protection Teams (Stafford, Kidderminster and Birmingham). The acute response aspect of that placement will be in the PHE Centre in the centre of Birmingham. Other specialised attachments within the West Midlands are available usually after passing Part A and B MFPH e.g.

• PHE West Midlands Healthcare Public Health, Screening and Immunisation and Specialised Commissioning • PHE West Midlands Health and Well Being. • A specialised PHE Health Protection rotation for those who wish to specialise in Health Protection. • The academic departments at the Universities of Birmingham and Warwick.

Opportunities for registrars to go “out of programme” for placements in more specialised organisations or work areas such as “National Treasures” are available but are considered on a one to one basis. These are usually considered once both part A and part B examinations have been passed.

Academic supervision in the West Midlands

All registrars are allocated to academic learning sets which are overseen by an academic supervisor at the University of Warwick. The sets meet approximately once a term and discuss progress with the academic parts of the training. They will also help to develop work for November 2018 publications, enable access to teaching opportunities and help those registrars who wish to pursue a higher degree.

5 Assessment

Examination support and training

The foundation of the training for the part A examination is the Masters in Public Health (MPH) course at the University of Birmingham. Registrars complete the taught section in the first year and the dissertation in the second year of the programme. Details of the MPH course can be found on the University of Birmingham website. Modules are taught in weekly blocks. The University is easy to reach by public transport, having its own railway station.

If registrars already have a relevant qualification, they do not need to sit the MPH and can start in the second year of training.

To help prepare candidates for the part A MFPH, registrars will have tutorials covering the examination and past paper questions. Registrars are expected to sit the part A MFPH examination in the June of the first year if joining as ST1 and the January of the first year if joining as ST2.

Regulation & Yearly Assessment

In common with all Higher Specialist Training programmes, there is a yearly assessment process. Registrars must make satisfactory progress during the year to continue into the next part of the scheme. Specialty Registrars’ training is subject to the guidance and rules currently in place from the General Medical Council and recorded in the current “Gold Guide”. The particular standards, assessments, phases of training and required learning outcomes are described in full in the 2015 Public Health Training Curriculum (www.fph.org.uk)

Registrars will be awarded the equivalent of a CCT subject to satisfactory annual review acquiring all the curriculum competencies and obtaining MFPH. The Postgraduate Dean confirms that this programme has the required educational and Dean’s approval.

6 Other aspects

Less than Full Time (LTFT) Training

The training scheme is committed to less than full time training for people who have well founded individual reasons for doing so. An application needs to be made to the regional dean for LTFT training before starting in post.

Employer

All registrars are employed by NHS St Helens and Knowsley NHS Foundation Trust. Discussions about pay protection need to be had with this organisation.

November 2018 Study Leave

Registrars have a personal budget and leave allocation to use. There is also a developing regional training programme open to all registrars.

Removal expenses

The reimbursement of removal expenses will be at the discretion of the Postgraduate Dean and subject to employer policy. You should not commit yourself to any expenditure in connection with relocation before first obtaining advice and approval otherwise you may incur costs which you might be unable to claim. Trainees are expected to live within a reasonable distance from their working base. Any trainee who chooses to live a significant distance from their working base may not receive travel expenses in lieu of relocation.

7 For further information on the West Midlands:

Should you require further details about Public Health Training in the West Midlands, please contact:

Dr Annette Wood Training Programme Director (recruitment) Public Health Training Scheme HEE (West Midlands) Email: [email protected]

Please note it is not necessary to make any pre-application visits.

November 2018