Health Education North-West (Mersey) 

Local Representative: Dr Eva Kapravelou

Training Programme Director: Dr Atul Kalaentre

Health Education North West is one of two organisations in the NHS North West region responsible for the facilitation, commissioning and management of postgraduate medical and dental education and training of doctors and dentists.

Health Education North West (HENW) is a non-statutory organisation and is co- terminus with the Cheshire and Merseyside boundaries (2,265,000 population1). Since October 2011, as a consequence of ‘Equity and excellence: Liberating the NHS’, HENW as part of the former NHS North West comes under NHS North of England as the current statutory body.

From April 2013, HENW is part of a Local Education and Training Board under Health Education England; a Special Health Authority accountable to the Secretary of State for Health.

Rotation Information

Expected rotation arrangements for this programme are:

  • The programme will be divided into six month rotations – with exposure to general cardiology, interventional cardiology, fetal cardiology, cardiac MRI/CT, electrophysiology and adult congenital cardiology.

  • The main duties are at the Alder Hey Children’s NHS Foundation Trust, serving wards 1C, High Dependency Unit and the Paediatric Intensive Care Unit, along with outpatients. Occasionally duties will include visits and duties in hospitals other than headquarters.
    A trainee may occasionally travel to Manchester for additional training experiences, either at the new Royal Manchester Children’s Hospital (general paediatric cardiology) or at St Mary’s Hospital, Manchester (foetal cardiology) or at the Manchester Royal Infirmary/Liverpool Heart and Chest Hospital (Adolescent and Adult Congenital Heart Disease).

    Trust Generic/Specialty Information

    Alder Hey Children's NHS Foundation Trust is one of Europe’s biggest and busiest children’s hospitals providing care for over 200,000 children and young people each year. It is one of only four stand-alone paediatric trusts in the UK and is staffed by 2,800 employees.

    The department, which is the cardiac surgery centre for the North West, North Wales and the Isle of Man, has been selected to remain a dedicated centre for paediatric cardiac surgery following a national review of children’s cardiac services by the Safe and Sustainable team 

  • The Liverpool department provides a fully integrated regional and supra- regional medical and surgical service for infants, children, adolescents and adults with congenital heart disease. Close links exist with the Institute of Child Health at the University of Liverpool, the Department of Child Health at the University of Manchester and, for adolescent and adult congenital heart disease, with both the Liverpool Heart and Chest Hospital and the Manchester Royal Infirmary.

 

Statistics
Each year there are approximately 7,000 clinic attendances, 300 cardiac catheterisations and 430 cardiac operations. The regional unit in Manchester is based at the Manchester Children’s Hospital. Close working links exist between the two Units. All cardiac surgery and interventional catheter procedures are undertaken in the Liverpool Unit. Both units have active foetal diagnostic services and training in adult congenital heart disease.

  • Services provided to patients
    The Liverpool department provides a fully integrated regional and supra- regional medical and surgical service for infants, children, adolescents and adults with congenital heart disease. Close links exist with the Institute of Child Health at the University of Liverpool, the Department of Child Health at the University of Manchester and, for adolescent and adult congenital heart disease, with both the Liverpool Heart and Chest Hospital and the Manchester Royal Infirmary.

  • Department staff breakdown
    8 Consultant Paediatric Cardiologists
    3 Consultant Paediatric Cardiac Surgeons

  • Junior Staff:
    4 Specialist Registrars in Paediatric Cardiology, 2 Paediatric Registrars,
    2 Clinical Fellows
    5 Cardiology SHOs and 1 F2 post holders
    5 Cardiac Surgical Registrars.

 

Rota
This is a resident partial-shift rota (1:8)

  • Timetable information
    The training timetable can be adapted to meet the training requirements of any individual trainee. The successful applicant will be provided with training in all aspects of paediatric cardiology. Their specific timetable will be appropriate to their previous experience and level of expertise within the specialty.

 

Teaching​

  • There are formal teaching sessions in cardiology and cardiac surgery on a regular basis. There are joint cardiology and cardiac surgical meetings on Mondays and Thursday mornings where the results of cardiac catheterisation and echocardiography are presented and discussed. There are regular clinical audit meetings and the post holder is expected to take an active part in the audit cycle.

  • On the Alder Hey site a good library is available around the clock in the Education Centre. It contains up to date textbooks and the most important paediatric journals. A separate cardiac library is also available within the department and there are two medical reference libraries at the Liverpool Medical Institution and the University of Liverpool sited within 6 miles of the hospital. 

© 2018 by Ryan Abumehdi with sponsorship from The BCCA