Robert Jones and Agnes Hunt Hospital - Oswestry
A BRIEF HISTORY...
Roberts Jones was born in 1857 and went to Liverpool School of Medicine. He worked with his Uncle, Huw Owen Thomas, the infamous bonesetter from Anglesey (and inventor of the Thomas splint). He worked in and around Liverpool for the early part of his career both as Surgical Super- intendant for the Manchester Ship Canal and in the Royal Southern Hospital. It is here that he met Agnes Hunt in 1903, a nurse who and been crippled as a child and sought his help with her painful hip.
Agnes Hunt was born in 1867 and at the age of 9 became crippled with a hip condition. Despite this, she completed her nurse training in 1891. Alongside her friend Elsie Goodford, they set up Baschurch House, a convalescent hospital for children in 1901. After meeting Robert Jones, Agnes Hunt asked him to become the Honorary Surgeon to the home. He agreed and in 1907 Baschurch opened its first operating theatre. As the home expanded, space within the house was limited. Sheds were built in the garden, open on one side creating the first open air wards.
During the First World War, Baschurch Home became an Auxiliary Military Hospital caring for and around 100 soldiers, and 100 children at times.
The hospital was moved to its current site in 1921 and called the Shropshire Orthopaedic Hospital. The wards were initially number 1-11. Shortly before the hospital opened, Elsie Goodford died after a short illness. Agnes Hunt renamed one of the wards “Goodford Ward” in her memory. In 1932, the wards were updated and refurbished with money donated from the local after-care committees. The wards were renamed in thanks to the local area.
Sir Robert Jones died in 1933 aged 75. In his memory, the hospital was re-named to honour its founders, The Robert Jones and Agnes Hunt Orthopaedic Hospital. Dame Agnes Hunt died in 1948.
Robert Jones and Agnes Hunt Hospital Oswestry SY10 7AG
Switchboard: 01691 404000 Robert Jones and Agnes Hunt Hospital - Oswestry
THE HOSPITAL
RJAH is an elective hospital which also accepts tertiary referrals from Shropshire, Staffordshire, Cheshire and North Wales. Although there is no A&E department attached, emergency admissions may come from clinic or tertiary referrals.
RJAH is primarily an Orthopaedic hospital. It also houses the Midlands Spinal Injuries Unit (covered by medical/rehab teams), elderly care rehab (Sheldon Ward), Outpatient Rheumatology, midwife led maternity unit. It is also home to the Arthritis research centre.
DOCTORS MESS & ACCOMMODATION
There is on-site hospital accommodation in the Doctors Mess Rooms availability is limited and must be requested early. Please note that not all rooms are en suite but there are shared bathroom facilities available. Cost approx. £400/month Mess facilities There is a shared kitchen, computer room, TV room and pool table. Kettle and microwave available in Doctors Mess kitchen. Fish & Chips are served in the dining room on Friday lunchtimes (sign-up sheet and cost deducted out of your wages).
ON-CALL ROOM There is an on-call room available to the registrar on nights. Please see switchboard for the key.
CATERING FACILITIES Denbighs Restaurant- open Vending machines and microwave available 24 hours in Denbighs foyer. League of Friends café- open Serves drinks and cakes.
CAR PARKING There is ample staff car parking around the hospital. It is charged at approx. £10/month. At induction you will be given a temporary parking permit which will last 1 month. You will need to complete an application form to get your permit.
TRAVELLING EXPENSES You can claim back travelling expenses in line with the deanery guidelines. To do so, you will need to register for an E-Expenses account when working at the trust. The icon for E-Expenses is on all desktops. You can register here, but you will need your assignment/payroll number. Any problems, please contact Sue Pryce in medical staffing. Robert Jones and Agnes Hunt Hospital - Oswestry
STUDY LEAVE Study leave budget can be granted as per the deanery guidelines. See Judy Harris in the post grad office for the relevant form.
LIBRARY The library at RJAH- The Francis Costello Library- is located upstairs in the Post-Grad Centre. It is accessible 24/7 with the door code. When starting at RJAH you can register with the library. You will be given a library card which you can use to borrow books 24/7. The library team are extremely helpful; they will register you for an Athens account and help with any queries, literature searches etc. There are 5 computers available for use as well as space for private study.
THE CONSULTANTS ARTHROPLASTY FOOT & ANKLE Mr Richard Spencer-Jones Mr Andrew Bing Mr Chris Evans Mr Simon Hill Mr Niall Steele Mr Chris Marquis Mr Pat Gregson Mr Nilesh Makwana Mr Rob Banerjee Mr Simon Lewthwaite SPORTS KNEE Mr Ben Burston Mr Pete Gallagher Mr Niall Graham Mr Andy Barnett Mr Sudheer Karlakki Mr Steve White Mr JP Whittaker Mr Simon Roberts Lt Col Carl Meyer Mr Paul Jermin Mr Steve Phillips Mr Richard Roach Mr Tony Smith
SPINES Mr Birender Balain PAEDIATRICS Mr Jai Trivedi Mr Nigel Kiely Mr David Jaffray Mr Rob Freeman Mr Matthew Ockendon Mr Derfel Williams Mr Sarfraz Ahmed Mr Shashank Chipgopker Mr Neil Davidson UPPER LIMB Mr Sujay Dheerendra Mr David Ford Mr Cormac Kelly Mr Stuart Hay TUMOURS Mr Simon Pickard Mr Paul Cool Mr Ron Dodenhoff Ms Gill Cribb Mr Piers Moreau Ms Karen Shepherd Mr Ibrahim Roushdi Mr Richard Potter Mr Marck van Liefland Robert Jones and Agnes Hunt Hospital - Oswestry Robert Jones and Agnes Hunt Hospital - Oswestry
DAY-TO-DAY WORK
The service is registrar led, there are no FY1/2 or CT doctors at RJAH. It is therefore down to you to do the ward round, write in the notes, do TTOs and organise any investigations. Depending on what firm you are in will depend on how that works; for example, arthroplasty registrars are ward based and so will look after all arthroplasty patients on that ward. Foot & ankle registrars will look after their boss’s patients and cross cover for leave, nights etc.
8am Ward round & ward jobs See pre-op patients if have theatre list
8.30am Teaching in plaster room
9am – 5pm Clinic/Theatres as per firm rota
End of Day Visit wards to ensure patients OK and no outstanding jobs.
ON-CALL COMMITMENT
1:24 rota covering...
Evenings: 5-8pm (Fridays 1-8pm) Weekends: 8am-8pm Nights: 8pm-8am
On-calls involve covering the wards and completing any appropriate ward jobs, including reviewing unwell patients. Please ensure each ward is visited (there is a sign in book on Alice ward).
There is an on-call medical middle grade who can be called to review and help manage patients with medical problems but you are expected to see the patient first. You are also expected to review any medical patients who have an acute abdomen.
Evening handover takes place on Powys ward at 8pm. If available, clinical outreach will also attend.
There is no official morning handover- if any concerns, please find or contact the relevant firm registrar at 8am. Robert Jones and Agnes Hunt Hospital - Oswestry
COMPUTER SYSTEMS
You are provided training on all these systems on your induction day.
EPR Electronic Patient Record Ward Round Clinic Letter Operation Notes Blood Results Request plain XRs
Bluespeir Theatre Lists Will also link to EPR & PACS
PACS X-ray system
Bighand Dictation System
ROTAS
On-Call Rota Issued by Kim Herbert in Medical Staffing approx. 3 months prior to starting. If you need to swap an on-call, please email Kim and copy in the RSOs for that 6 months. If you swap any nights, please swap those as a block of 3 or 4, not individual nights.
Kim Herbert Medical Staffing Email: [email protected] Phone: 01691 404256
Firm Rotas Your day to day rotas. Each firm will have a firm co-ordinator... usually shown on the deployment list. They will be responsible for the day-to-day allocation of theatres, clinics etc. On the whole, you will work for your Consultant(s), but you may be asked to cross over within your firm if there are shortages. Robert Jones and Agnes Hunt Hospital - Oswestry
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