Public Health Registrars
East of England
East of England Placements Guide
A guide to placement options for public
health speciality registrars in the East of
England
May 2015
Version
1.0
Author
Sally Cartwright
Date
01/06/2015
1
Introduction
There is a wide range of placement opportunities in the East of England for Public Health Registrars.
This document aims to give an overview of options to assist registrars in placement move planning,
through giving summaries of placements from first-hand experience from trainees. The guide does
not include health protection placements.
The health system and organisations are changing constantly, and subsequently placement
opportunities are also subject to change. This is current as of May 2015.
Other opportunities may become available, and areas of interest can be discussed and further
opportunities developed where possible. Placement ideas and options should be discussed with
educational supervisors in the first instance.
This document also aims to list some of the roles and opportunities within the programme for
trainees, such as PHREE committee roles, and training and development roles.
2
Table of Contents
Full list of placements ....................................................................................................... 5
1.
Local authority placements ........................................................................................ 6
Bedford Borough Council & Central Bedfordshire Council Public Health Team............................ 6
Cambridgeshire County Council ................................................................................................ 8
Essex County Council .............................................................................................................. 10
Hertfordshire County Council.................................................................................................. 12
Luton borough Council ........................................................................................................... 13
Norfolk county council ........................................................................................................... 14
Suffolk County Council ........................................................................................................... 15
CCG Placements ............................................................................................................. 17
Cambridgeshire and Peterborough CCG .................................................................................. 17
Academic Placements ..................................................................................................... 18
University of East Anglia ......................................................................................................... 18
MRC Epidemiology Unit .......................................................................................................... 20
CLARHC East of England(formerly Cambridge and Peterborough CLAHRC)................................ 21
Public Health England ..................................................................................................... 22
Knowledge and Intelligence Team East ................................................................................... 22
Anglia and Essex Centre, Public Health England ....................................................................... 24
NHS England ................................................................................................................... 25
East Anglia Screening and Immunisations Team ...................................................................... 25
Providers and hospital trusts .......................................................................................... 27
South Essex Partnership University NHS Foundation Trust (SEPT) ............................................ 27
Princess Alexandra Hospital Trust (PAH) ................................................................................. 28
Other opportunities........................................................................................................ 29
East of England Public Health Training Programme Faculty ...................................................... 29
National Cancer Registration Service, Eastern office ................................................................ 30
National Treasures ......................................................................................................... 31
Foundation for Genomics and Population Health (PHG Foundation) ........................................ 32
Registrar roles ................................................................................................................ 33
PHREE committee .................................................................................................................. 33
Co-chairs (or chair and deputy) .................................................................................................... 33
Secretary ....................................................................................................................................... 33
PHREE Treasurer ........................................................................................................................... 34
Academic facilitator ...................................................................................................................... 35
Social secretary ............................................................................................................................. 35
Other committees .................................................................................................................. 35
Trainee forum representative ....................................................................................................... 35
SRC representative ........................................................................................................................ 36
Health protection ................................................................................................................... 36
On call teleconference coordinator .............................................................................................. 36
3
Training roles and teaching opportunities ............................................................................... 37
Part A and B preparation .............................................................................................................. 37
FY2 teaching coordinator .............................................................................................................. 37
Public Health Practitioner programme teaching .......................................................................... 38
Cambridge Clinical School Teaching opportunities....................................................................... 38
University of East Anglia teaching opportunities.......................................................................... 39
4
Full list of placements
The full list of placement options can be found at the Health Education East of England website:
https://heeoe.hee.nhs.uk/node/1872. Where possible, this guide attempts to match the list of
training locations. However, there are some placements not included in this guide. For those
placements, the training lead can be contacted directly. The complete list of GMC approved
locations, as listed on the website, is below:
Training location as approved by GMC
PHE Anglia Health Protection Team
PHE Essex Health Protection Team
PHE Anglia and Essex Centre
PHE Bedfordshire and Herts Health
Protection Team
Cambridgeshire Police Authority
Cambridgeshire and Peterborough CCG
- HQ
Health Education England - School of
Public Health
PHE South Mids and Herts Centre
PHE London Screening and Quality
Assurance Centre
NHS England
NHS England Herts & South Mids
SCRIMS team
NHS England Anglia SCRIMS team
NHS England Essex SCRIMS team
NHS England (Midlands and East)
PHE KIT East
PHE Colindale
Public Health Genetics Foundation
University of Cambridge
University of East Anglia
South Essex Partnership University
NHS Foundation Trust
Cambridgeshire County Council
Bedford Borough Council
Essex County Council
Hertfordshire County Council
Luton Borough Council
Norfolk County Council
Peterborough City Council
Southend Unitary Authority
Thurrock Unitary Authority
Suffolk County Council
Training Lead
Kate King
Sultan Salimee
Leonie Prasad
Smita Kapadia
Email
[email protected]
[email protected]
[email protected]
[email protected]
Dorothy Gregson
Fiona Head
[email protected]
[email protected]
Alistair Lipp
[email protected]
Smita Kapadia
Jem Rashbass?
[email protected]
[email protected]
None
Cath Fenton
[email protected]
Shylala Thomas
Pam Hall
Alistair Lipp
John Battersby
Ruth Ruggles
Mark Kroese
Carol Brayne
Richard Holland
Mel Conway
[email protected]
[email protected]
[email protected]
[email protected]
Sally Gray
Celia Shohet
Maggie Pacini
Sue Matthews
Stephen Gunther
Augustine Pereira
None
Maggie Pacini
Maggie Pacini
Mashbileg Maidrag
[email protected]
[email protected]
[email protected]
[email protected]
[email protected]
[email protected]
None
[email protected]
[email protected]
[email protected]
[email protected]
[email protected]
[email protected]
[email protected]
5
1. Local authority placements
Bedford Borough Council & Central Bedfordshire Council Public Health
Team
Bedford Borough Council:
Borough Hall, Cauldwell Street, Bedford, MK42 9AP
Central Bedfordshire Council Public Health team:
Unit 3 Doolittle Mill, Froghall Road, Ampthill, MK45 2NX
Clinical supervisors
Name
Email
Phone number
Celia Shohet
[email protected] 0300 300 4578
Bharathy Kumaravel
[email protected]
(PA) 01234 276 865
Sanhita Chakrabarti
[email protected]
(PA) 01234 276 865
Recent registrars
Name
Email
Victoria Hall (Author)
[email protected]
Sally Cartwright
[email protected]
Clare Ebberson
[email protected]
Helena Jopling
[email protected]
Ian Brown
[email protected]
Rebecca Hams
[email protected]
Mei-Li Komashie
[email protected]
Hannah Goodchild
[email protected]
Demography
 Bedford Borough (population ~160,000) includes Bedford town and surrounding villages.
Bedford has a mixed population with pockets of socio-economic deprivation and relatively
high proportion of BME groups.
 Central Bedfordshire (population ~270,000) is largely rural villages. Some areas of relative
deprivation e.g. around Leighton Buzzard and Dunstable. Predominately white population,
less diverse than Bedford town.
Examples of recent projects
 Designing, implementing and evaluating the ‘Get fit for your Op’ policy
 Dementia healthneeds assessment
 Assisting the mental health reprocurement and developing the mental health strategy
 Support localities to improve management of long-term conditions
 Implementation of Health and Wellbeing Strategy
 Smoking Cessation Intervention for Bedford College
 Review of mental health pathway in maternity services
 Strengthening local blood borne virus clinical pathways and the BBV clinical network
 Improving screening and immunisation performance
Good points
 Diverse projects available
 High levels of responsibility and autonomy expected of more senior registrars
 Supported to get out and about, e.g. presenting work at Board meetings, Overview and
Scrutiny, Health and Wellbeing Board.
 Good opportunity for close working with Bedfordshire Clinical Commissioning Group (on
policies, service re-designs, service evaluations), developing healthcare public health skills
6
 Good access to supportive Consultants
 Lots of registrars – opportunities to learn from each other
Other considerations
The two authorities used to be joined, but now run independently. The public health team works
across the two authorities, with staff split between three teams , with one based in Bedford, one in
Central Bedfordshire in Flitwick, and one working across both as the ‘shared team’. Registrars may
be aligned with one of the three teams but generally can work on projects across the two
authorities.
Useful information re location, parking, etc
Most registrars are based at Borough Hall, Bedford, but registrars are also encouraged to work at the
Central Bedfordshire office in Flitwick.
Having a car can help you get around to meetings, especially in Central Bedfordshire. It is not
essential though – I am a train and bike commuter and can get to meetings (e.g. at CCG and
localities) by bike from the nearest train station.
Ample car parking space in Doolittle Mill, no office car park in Borough Hall. Local car parks
(~£3/day) or on street parking a 5-10 minute walk away (e.g. St Leonard’s Avenue).
7
Cambridgeshire County Council
Shire Hall, Castle Hill , Cambridge, CB3 0AP
Clinical supervisors
Name
Email
Phone number
Liz Robin (DPH)
[email protected]
01223 703250
Emma De Zoete
[email protected]
Kirsteen Watson
[email protected]
Angelique Mavrodaris
[email protected]
Raj Laksman
[email protected]
Recent registrars
Name
Email
Sara Dunling-Hall
[email protected]
Peter Barrett
[email protected]
Emmeline Watkins
[email protected]
Sandra James
[email protected]
Demography
The estimated population of Cambridgeshire in 2012 was 628,339. 16.9% of the population are aged
65 or over, which is the same as the England average; 18.2% are under 16. Levels of deprivation are
low for the county as a whole but this varies by district; the most deprived district in the county is
Fenland (the 112th most deprived local authority district out of 326 in England). The least deprived
district is South Cambridgeshire (ranked 322).
Average life expectancies for men and women in Cambridgeshire are higher than the national
averages at 81.0 and 84.6 years respectively. However this varies by district: for both men and
women, the lowest life expectancies are found in Fenland (79.1 and 82.8 years respectively) and the
highest in South Cambridgeshire (82.8 and 85.9 years respectively).
Examples of recent projects




Working with Cambridgeshire & Peterborough CCG transformation team to provide
information and evidence to support decision making about the future of maternity services
across the county
Working on various ‘Joint Strategic Needs Assessments ’including ‘Primary Prevention of illhealth in older people’, Older people’s mental health’, ‘Autism, Personality Disorders and
Dual Diagnosis’ and ‘Transport and Health’ - Opportunities for stakeholder engagement and
presentations to health and wellbeing board
Evidence reviews for ‘green spaces’ health promotion activity
Suicide Audit
Good points





The team at Cambridgeshire are very welcoming and more than happy to help you out if and
when is needed
The induction programme is very useful – designated time is arranged for you to meet every
member of the team individually to find out more about their work
There is lots of opportunity to work with CCG colleagues
You are actively encouraged to attend the various local authority public health meetings
Cllr Kilian Bourke, Chair of the Health Committee is very interested in public health and open
to ideas and suggestions. He was happy to come and talk at PHREE during one of our training
days in 2014.
8

Cambridgeshire have a very good data and information team who are always willing to help
and explain things if needed.
Other considerations



As of 2013 Cambridgeshire County Council changed it’s governance arrangements to adopt a
committee system. The greatest number of seats in the committee is held by Conservative
councillors, however there is also strong representation from the Liberal Democrats and
UKIP.
In recent years there has been a small number of junior registrars at Cambridge, which can
sometimes limit the opportunity for things such as journal clubs and other useful training
Many of the consultants at Cambridgeshire work part-time. This means you have to plan
work and training requirements appropriately
Useful information re location, parking, etc.

Office style: PH registrars are usually expected to work in the Shire Hall office at Cambridge,
although occasional work from the Huntingdon office can be arranged. All members of the
PH team hot desk within three designated public health offices. All staff members are
provided with a locker. Registrars are not normally provided with laptops or mobiles.

Rail travel: The council offices are located on the opposite side of the city to the train
station. It is approximately a 30-minute walk from the station to the office.

Parking is not provided for registrars. There is free street parking behind the council, which
is approximately a 10-15 minute walk away from the office.

Other. The city centre is approximately a 15-minute walk from the council offices.
9
Essex County Council
County Hall, Chelmsford
Clinical supervisors
Name
Maggie Pacini
Jo Broadbent
Krishna Ramkhelawon
Danny Showell
Recent registrars
Vicki Peacey (Author)
Jon Fok
Ian Diley
Molly Thomas- Meyer
Claire Currie
Funmi Worrell
Tim Elwell-Sutton
Jennifer Yip
Email
[email protected]
Phone number
Mobile: 07921397122
[email protected]
[email protected]
[email protected]
[email protected]
[email protected]
[email protected]
[email protected]
[email protected]
[email protected]
[email protected]
[email protected]
[email protected]
Demography
Essex CC covers a huge area (1.4m people) with some very rural, very wealthy areas (eg Uttlesford),
and also some very deprived areas within coastal areas (eg Jaywick in Clacton). Coastal areas in Essex
are traditionally retirement areas and so these communities are feeling the impact of an ageing
population. The southern Essex area also includes London’s outskirts.
Examples of recent projects
 Working with North East Essex CCG and NHS England’s Area Team to increase the number of
patients diagnosed with dementia.
 Evaluating bids to provide a breastfeeding support service to new mothers in south Essex.
 Working with the screening and immunisation team to develop a quality assurance
programme for immunisations in Essex.
 Working with West Essex CCG to undertake a maternity capacity review at Princess
Alexandra hospital.
 Producing a stroke epidemiology and service performance report for the Mid Essex CCG
Board.
 Undertaking a falls prevention audit at Mid Essex Hospital Trust.
 Leading the design, development and implementation of public health skills training for staff
in commissioning roles.
Good points
 Maggie Pacini is very committed to registrar development and often identifies interesting
pieces of work and opportunities for learning and development.
 The three heads of PH commissioning are all very experienced and although busy are usually
supportive of registrars.
 The demography of Essex provides exposure to work in areas of great societal variation.
 The DPH (Dr Mike Gogarty) is very keen that PH demonstrates its value to the work of ECC as
a whole through savings as a result of public health preventive activity.
 The PH team is just starting to work more closely with the district and borough councils
within Essex in order to be able to influence many of the determinants of health at a more
local level.
10
Other considerations
 Essex CC’s PH team is fairly small with 5 consultants and 3 ‘Heads of PH commissioning’ who
are very experienced in health improvement and drugs and alcohol. The structure of the
team was considerably reorganised shortly after transition from the various PCTs to the CC,
when most specialist PH roles below consultant level were reorganised into generalist roles
supporting many teams across the council (many staff left rather than take up the generalist
positions). As a result, compared to other areas there are relatively few experienced PH staff
below consultant level although a few excellent people remain.
 The area covered by Essex CC includes five CCGs: North East Essex, Mid Essex, West Essex,
Castle Point and Rochford, and Basildon and Brentwood. Each area has an assigned PH
consultant who works closely with the CCG Board. (There’s also Southend CCG but that is
coterminous with Southend unitary council, and Thurrock CCG, coterminous with Thurrock
unitary council.) At the time of writing many of the CCGs are facing considerable financial
challenges and GP recruitment across Essex is also difficult.
 Consultants often work from home or spend the day at their CCG office so the opportunities
for interaction can be minimal. Mondays is a good day to talk to consultants as the public
health leadership team meeting is held that day.
 Essex is strongly Conservative in colour but also has a significant UKIP presence on the
county council (at the time of writing – Jan ‘15) plus England’s first UKIP MP in Clacton – they
may well win some more seats in May 2015.
Useful information re location, parking, etc
 Office style. PH registrars are loaned an ECC laptop and hot desk in the same area as the
consultants and commissioning heads, and there are also lots of other senior ‘People’ staff
hot desking in the same area. Lockers are available for personal bits and pieces. Registrars
are also loaned an ECC mobile phone and there are no fixed land lines in hot desk areas.
 Rail travel. County Hall is very close to Chelmsford rail station, a straightforward train
journey from Liverpool Street, Ipswich or Colchester.
 Parking is available in the multi storey next door but this is expensive. Most people choose
the park and ride – two sites, one north of town and one just off the A12. Park and Ride
costs £3 / day which to be honest is not a bad deal as you could probably spend close to this
on petrol getting in and out of town. The buses are clean and frequent.
 Other. The town centre shops are right next to County Hall.
11
Hertfordshire County Council
Address
, 2nd Floor Farnham House, Six Hills Way, Stevenage, SG1 2FQ
Clinical supervisors
Name
Email
Joel Bonnet
[email protected]
Louise Smith
[email protected]
Linda Mercy
[email protected]
Piers Simey
[email protected]
Raj Nagaraj
[email protected]
Sue Matthews
[email protected]
David Conrad
[email protected]
Recent registrars
Phone number
Name (Author) Kathryn Faulkner
Elizabeth Elliot
Carol Wilson
Funmi Worrall
Miranda Sutters
Ian Brown
Jessica Stokes
Demography
Hertfordshire consistently performs above the average for England in terms of health and wellbeing
and life expectancy indicators, however significant inequalities exist across the county regarding the
health and lifestyle behaviours which lead to health problems for people, e.g Watford and
Stevenage. There are significant variations in levels of health and wellbeing between different local
areas in Hertfordshire.
Examples of recent projects
 Care Leavers Health Needs Assessment
 Sexual Health Improvement Strategy
 Alcohol Licensing
 Workplace health project evaluation and service spec
 Health trainers strategy
Good points
 DPH very enthusiastic and good at sharing information
 New project management structure has been rolled out which is interesting and effective
 Possibility to get involved in high level projects
 Sue Matthews and Linda Mercy in particular very interested in trainee development
Other considerations
Eg structure, historic info
Useful information re location, parking, etc
Parking at all the sites fine.
12
Luton borough Council
Luton Borough Council
Town Hall, Upper George Street, Luton, LU1 2BQ
Clinical supervisors
Name
Email
Phone number
Stephen Gunther
[email protected] 01582 548450
Recent registrars
Name
Emma Waters
Email
Insert more rows as required
Demography
Luton is home to circa 210,000 people forming a mix of communities speaking as many as 122
languages and dialects. Luton has a highly dense population and has high levels of deprivation,
similar to many London Boroughs. Situated 30 miles north of London, the town has excellent road,
rail ad airport connections. Luton is a unity authority, has one CCG and one main hospital provider
(Luton & Dunstable).
Examples of recent projects
 There will be a large and varied range of projects available and work can be tailored to meet
trainee’s needs.
Good points
Expectations
 Wide range of diverse projects available
 High levels of responsibility and autonomy expected of more senior registrars
 You’ll be supported to get out and about across the borough, e.g. presenting work at Board
meetings
 Good relationships across other directorates across the Council and the council priding itself
on being a “Public Health Council”
 Good relationships with Luton CCG, with a wide range of opportunities to develop policy,
service re-design and evaluations.
 Good working relationship with Luton & Dunstable Hospital with opportunities to undertake
audits and pathway redesign etc.
 Good access to supportive Consultants as all based on one office.
Other considerations
Luton’s Pubic Health team works closely with the CCG and across the council. The CCG is a five
minute walk from the PH office and Luton and Dunstable Hospital a 15 minute bike ride or 10 minute
drive.
Useful information re location, parking, etc
No onsite parking. Local parking is at a range of different sites. Many staff use a local temple,
costing £40 per month. Street parking is a ten minute walk away. Luton is well served by rail and
major roads.
Luton Borough Council works agile with a hot desk policy. There are changing and shower facilities
available at the Town Hall. Being located in the town centre there are a range of shops and local
amenities available right outside the office.
13
Norfolk county council
County Hall, Martineau Lane, Norwich, Norfolk NR1 2DH
Clinical supervisors
Name
Email
Phone number
Dr Shamsher Diu
[email protected]
01603 638304
Dr Augustine Pereira
[email protected] 01603 638304
Dr Helen Adcock
[email protected]
01603 638304
Dr Bonny Rodrigues
[email protected]
01603 638304
Dr Abhijit Bagade
[email protected]
01603 638304
Dr Martin Hawkings
[email protected] 01603 638304
Recent registrars
Name
Email
Stuart Keeble
[email protected]
Rebecca Hams
[email protected]
John Ford
[email protected]
David Edwards
[email protected]
Demography
Population is estimated to be 870,100.
Over the last decade, Norfolk's population has increased by 6.7% (7.3% in England).
Population profile, much older than England average
An estimated 47,400 people in Norfolk (5.6% of the area's population) were living in the most
deprived ten per cent of LSOAs in England, according to the Index of Multiple Deprivation 2010.
Examples of recent projects
 Dementia needs assessment
 Children and Young People domestic abuse and violence needs assessment
 Dual Diagnosis Needs Assessment and strategy
 Tier 3 weight management business case
 Service review of school age hearing screening
 Warm and well in Norfolk implementation
 Funding policy for Continous Glucose Monitoring
Good points
 Large number of consultants (8) and big public health team
 PH team all located in same office
 Good links to CCGs and UEA
 GP / FY2
 Good facilities at base – Restaurant, shop, cash machine
Other considerations
Links to anywhere else – Direct train to London, via Diss / Stowmarket / Ipswich / Colchester /
Chelmsford leave every 30 mins during the day, journey time to London approx. 2hours.
Rural dispersed population – long travel times within locality
Useful information re location, parking, etc
Car parking on site (one non parking day per week)
20 minute walk from station
Park and ride buses drop of and pick up at county hall
14
Suffolk County Council
Ipswich
Endeavour House, 8 Russell Road, Ipswich, IP1 2BX
Clinical supervisors
Name
Email
Phone number
Dr Mashbileg Madraig (Mash)
[email protected]
01473 260058
Dr Padmanabhan Badrinath (Badri) [email protected]
01473 260056
Recent registrars
Name
Email
Ben Brown (Author)
[email protected]
Stuart Keeble
[email protected]
Ian Diley
[email protected]
Andrea Clement
[email protected]
Martin Seymour
[email protected]
Demography
 Suffolk is a large county, largely comprised of low-lying arable land. It also has the wetlands
of the Broads, the Suffolk Coast and Heaths Area of Outstanding Natural Beauty in the East
and the sandy heathlands of Breckland in the North West.
 Total population is in excess of 732,000, and has grown by 10.3% since 1998 (based on 2012
estimates – ONS 2013). The number of older people is increasing rapidly, with almost 21%
of the population aged 65 or more in 2012, with this figure projected to rise to a quarter by
2021.
 In 2010, 7.4% of Suffolk’s population lived in the most deprived areas in England. This is
about 54,000 people. Ipswich remains the most deprived Local Authority (LA) in Suffolk,
being ranked 87th out of 326 LAs in England. Ipswich has risen in the rankings from 109 in
2007, but remains outside the top 20% of worst deprived LAs in England.
Examples of recent projects
Oral Health Improvement Projects for infants
Evidence Review of Freestanding Midwifery Units
Learning Disability Needs Assessment
Health Needs Assessment – Child and Adolescent Mental Health Services
Health Needs Assessment – Children and Young People
Evaluation Framework for stroke services
Review of antenatal screening performance at Suffolk acute hospitals
Good points
There are a good number of Consultants in Public Health (10+) and a diverse range of other
disciplines including, communication and social marketing, library and knowledge, epidemiology,
health improvement managers (incl sexual health, mental health, smoking, occupational health),
licensing, quality and governance.
The Directorate is divided into three areas, each led by a DPH (Wider Determinants, Intelligence and
Business, Health Protection and Improvement, Health and Care Commissioning). This provides the
opportunity for a wide range of potential projects and learning opportunities.
It is a vibrant and positive work environment. The public health team are very helpful and
supportive.
The Directorate has a strong presence within the county council and there is opportunity to gain
15
exposure of the political processes such as Cabinet and Corporate meetings.
The facilities and work environment are excellent.
Other considerations
Useful to have a car to reach CCG and other council offices.
Useful information re location, parking, etc
The train station is a 5-10 minute walk.
There is a secure staff multi-story car park next door.
Secure bicycle storage & pool bikes available
10 minute walk to town centre (free shuttle bus)
Onsite canteen, café and library.
16
CCG Placements
Note that other CCG placements may be an option. Registrars are also currently being placed in
Essex and Bedfordshire, and will add an entry to this guide at a later date.
Registrars should discuss possibilities with their educational supervisor in the first instance.
Cambridgeshire and Peterborough CCG
Cambridgeshire & Peterborough CCG, Lockton House, Clarendon Road, Cambridge, CB2 8FH
Clinical supervisors
Name
Email
Phone number
Fiona Head
[email protected]
01223 725486
Recent registrars
Name
Vicky Head
Anne Swift
Email
[email protected]
[email protected]
Demography
Cambridgeshire broadly affluent, though pockets of deprivation particularly in Fenland, North
Cambridge and Huntingdon. Peterborough has much more widespread deprivation, with large
Pakistani and Eastern European communities. Health outcomes generally good, with some
exceptions, but health service overstretched and underfunded.
Examples of recent projects
 Involvement with major System Transformation Programme, including work to model and
forecast health h service activity;
 CHD clinical priority area: briefing on E-cigarettes, evaluation of health checks
 Involvement with County Council on JSNA for long-term conditions
Good points
 Small team, potential for contact with senior people within the organisation and across
organisations
 Fast paced
 Exposure to commissioning culture and projects – less ‘pure’ public health.
 Opportunities to network and influence, scope out own work and work fairly autonomously.
 Good links to Cambridgeshire County Council PH Team and potentially to Peterborough City
Council
Other considerations
Just one clinical supervisor, potentially just one registrar at a time, therefore may feel isolated.
Not much pure ‘public health’ activity, but exposure to commissioning culture. Opportunities to
work autonomously (and expectation that you’ll scope out much of your own work) may feel
alarming if not ready/confident.
Useful information re location, parking, etc
Few minutes’ walk from Cambridge railway station. Good bus links. No free parking. Bike parking
and shower. Co-op and Costa 2 minutes ‘ walk.
17
Academic Placements
University of East Anglia
Norwich
Clinical supervisors
Name
Email
Phone number
Prof Richard Holland
[email protected]
01603 593574
Dr Nick Steel
[email protected]
01603 591161
Prof Max Bachmann
[email protected]
01603 591220
Recent registrars
Name
Email
John Ford
[email protected]
Jon Cox
[email protected]
Tim Elwell-Sutton
[email protected]
Demography
UEA undertakes both national UK research (N. Steel & R. Holland) and international PH research (M.
Bachmann, P. Hunter). UEA provides support for many local evaluations including drugs related
work, and most recently work with Norfolk and Suffolk Constabulary.
Possible supervisors
 Dr Nick Steel is interested in quality of care and primary care
(https://www.uea.ac.uk/medicine/people/profile/n-steel).
 Prof Max Bachmann undertakes South African research looking at HIV and TB
(https://www.uea.ac.uk/medicine/people/profile/m-bachmann) .
 Prof. Paul Hunter undertakes health protection research, focused on waterborne disease
 (https://www.uea.ac.uk/medicine/people/profile/paul-hunter)
 Prof Richard Holland is the MBBS course director
(http://www.uea.ac.uk/medicine/people/profile/r-holland) .
Examples of recent projects
 Systematic review of heart failure medications
 Secondary analysis of the English Longitudinal Study of Ageing
 Evaluation of referral management scheme in Norfolk
 Structural equation modelling of socioeconomic pathways to and from depression in South
African adults with long term conditions
Other opportunities include participation in various ongoing RCTs.
Examples of registrars’ published research at UEA:
 Time series analysis of trends in hospital outpatient attendences in Norfolk: Cox JMS, Steel
N, Clark AB, Kumaravel B, Bachmann MO. Do referral-management schemes reduce
hospital outpatient attendances? British Journal of General Practice 2013;63:299-300.
 Diagnostic accuracy of screening tests: Kumaravel B, Bachmann MO, Murray N, Dhatariya K,
Fenech M, John WG, Scarpello TJ, Sampson. Use of haemoglobin A1c to detect impaired
fasting glucose or Type 2 diabetes in a United Kingdom community based population.
Diabetes Research and Clinical Practice 2012; 9 : 211– 216
Good points
 Close supervision with a focus on addressing specific training needs
 Supervisors keen that registrars publish and present at conferences.
 Opportunities to get involved in bid writing
 Plenty of teaching opportunities (see teaching opportunities section for further details)
Other considerations
18
Matching registrar’s interests with supervisor is key. Therefore if you are interested in a placement
get in touch early with Richard Holland to discuss what’s going on.
Useful information re location, parking, etc
Parking ok as long as you have a permit.
About 20-30 mins cycle from train station.
No. 25 bus goes from train station to UEA, but can be unreliable
19
MRC Epidemiology Unit
University of Cambridge School of Clinical Medicine
Level 3 Institute of Metabolic Science
Addenbrooke’s Treatment Centre
Cambridge Biomedical Campus
Cambridge
CB2 0SL
Clinical supervisors
Name
Raj Lakshman
Insert more rows as required
Recent registrars
Name
Mei-Li Komashie
Email
Phone number
[email protected]
Email
[email protected]
Demography
NA
Examples of recent projects
 Evaluation of weight loss programme for children
Good points
 Opportunity to take part in research
 National Treasure placement
Other considerations
The goal of the MRC Epidemiology Unit is to study the genetic, developmental and environmental
determinants of obesity, type 2 diabetes and related metabolic disorders and to contribute to the
prevention of these disorders.
Useful information re location, parking, etc
Parking available in staff carpark with registered ID badge
20
CLARHC East of England(formerly Cambridge and Peterborough CLAHRC)
Institute of Public Health, Addenbrookes Hospital
Clinical supervisors
Name
Email
Phone number
Christine Hill (project supervisor)
[email protected]
Recent registrars
Name
Mei-Li Komashie
Email
[email protected]
Demography
NA
Examples of recent projects
 Literature search for Cambridge CCG and Cambridge County Council re:features of successful
integrated care model
 Response to NICE re:new scope for guidance for mid-life interventions to prevent frailty
 PPI event re:Alzheimer’s screening
Good points
 Research working with frontline staff
Other considerations
Useful information re location, parking, etc
Located in IPH although main office in Trumpington Rd
21
Public Health England
Note that PHE is currently undergoing consultation regarding restructuring so placement
opportunities are likely to change in terms of structure and supervision.
Knowledge and Intelligence Team East
Public Health England
Cambridge Institute of Public Health
Forvie Site
Addenbrookes Hospital
Cambridge
Clinical supervisors
Name
John Battersby
Email
Phone number
[email protected] 01223 330 353 (KIT admin
number)
[email protected] As above
[email protected]
As above
[email protected]
As above
Julian Flowers
Sian Evans
Gyles Glover
Recent registrars
Name
Email
Katie Johnson
[email protected]
Claire Currie
[email protected]
Jessica Stokes
[email protected]
Ian Brown
[email protected]
Demography
The KIT currently covers the whole of the East region including Norfolk, Suffolk, Cambridgeshire,
Peterborough, Essex, Bedfordshire, Hertfordshire, Luton, Northamptonshire and Milton Keynes.
This will soon be changing to the old (LGA) East of England boundaries, plus Milton Keynes.
Examples of recent projects
 Production of health information briefings on a variety of topics including cancer survival,
health inequalities, child deaths.
 Delivery of training to CQC inspectors regarding the use of data in the new GP inspection
programme.
 Creation of a national primary care measures and indicators network.
 Stakeholder consultation on the development of the Fingertips products
 National report on an inpatient learning disability census
 Delivery of Foundation Course for Public Health Analysts
 Developing a monthly winter pressures bulletin
 Establishing a regular journal club
Good points
 Development of analytical skills on a variety of different levels depending on your existing
experience, development needs and future career plans.
 Opportunity to work on regional and national high-profile projects.
 Development of academic skills and ‘rigour’.
 Opportunity to work with partners from range of different organisations e.g. NHS England,
local authorities, PHE Centres, HSCIC, CQC, charities.
 Variety of teaching/presentation opportunities.
22
 Opportunity to work with all consultants within the KIT East.
Other considerations
The KIT East was formerly the Eastern Region Public Health Observatory before it became part of
Public Health England on 1 April 2013. The team are re-locating to Victoria House, Fulbourn in late
2015.
Useful information re location, parking, etc
 Parking is available for registrars on-site and is currently free.
 The guided bus way connects the hospital to Cambridge train station.
23
Anglia and Essex Centre, Public Health England
Eastbrook
Shaftesbury Road
Cambridge
CB2 8DF
Clinical supervisors
Name
Email
Phone number
Catherine Goodall
[email protected] 0303 444 6691
0303 444 6690
Robert Lindfield
[email protected]
Leonie Prasad
[email protected]
0303 444 6695
Recent registrars
Name
Email
Emma Waters
[email protected]
MartinSeymour
[email protected]
Miranda Sutters
[email protected]
Demography
The centre currently covers all of Essex and Anglia( Norfolk, Suffolk and Cambridgeshire). Post April
2015 the centre is likely to cover a slightly larger area..
Examples of recent projects
 Prison Health Needs Assessments
 Setting up region wide health improvement networks.
 Improving the quality and coverage of NHS Health Checks for people with learning
disabilities.
 NHS specialised commissioning service audit.
 Primary care needs assessment
 Health improvement intervention evaluation
Good points
 Opportunities to work with NHS England and LAs on regional and potentially national
projects.
 A number of supportive consultants.
Other considerations
You are unlikely to be directly commissioning services in this role, so there may be some learning
outcomes that are harder (although not impossible) to achieve in this placement compared to LAs.
Useful information re location, parking, etc
Currently located at Eastbrook in central Cambridge. Very close to the station (less than a 10 minute
walk). There is only limited parking at Eastbrook, so you are unlikely to be allocated a parking space
every day, but there are places you can park nearby, or you can use the park and ride or guided
busway. The centre plans to move to Victoria House, Fulbourn in October 2015.
24
NHS England
East Anglia Screening and Immunisations Team
Public Health England (but embedded within NHS England East Anglia Area Team)
West Wing
Victoria House
Capital Park
Fulbourn
Cambridge
CB21 5XB
Clinical supervisors
Name
Email
Phone number
07900715458
Dr. Shylaja Thomas (known as Shyla)
[email protected]
Recent registrars
Name
Email
Katie Johnson
[email protected]
Demography
The East Anglia Screening and Immunisations Team currently covers Norfolk, Suffolk,
Cambridgeshire and Peterborough.
Examples of recent projects
 Project management of commissioning of flu vaccination pilot in school-aged children.
 Evaluation of MMR catch up campaign.
 Data analysis of cervical screening uptake.
 Mapping of screening and immunisations in East of England prisons.
 Antenatal and newborn screening health equity audit toolkit.
Good points
 Opportunity to develop commissioning experience for core public health programmes.
 Experience working with both NHS England and Public Health England.
 Essential experience if considering future consultant role as Screening and Immunisations
Lead.
 Opportunity t
 o get involved in variety of work including evaluation, commissioning, serious incident
investigations, programme management boards.
 Working with variety of partners including local authorities, acute trusts, general practice,
community trusts.
Other considerations
The geography of the screening and immunisations teams (SITs) could be subject to change
following the forthcoming restructures of the PHE centres and NHS England area teams. I am no
longer based at the SIT and therefore not aware if/how the restructures will affect the SITs.
Useful information re location, parking, etc
The East Anglia SIT is part of the Anglia and Essex Public Health England Centre, although it is
embedded within the NHS England East Anglia Area Team. The team sits within the Public Health
team within the Commissioning directorate of the area team and works very closely with colleagues
in the public health team. The team is responsible for commissioning all section 7A screening and
immunisations programmes for the region. (https://www.gov.uk/government/publications/publichealth-commissioning-in-the-nhs-from-2013)
The SIT is based in Capital Park where free parking is available on-site or close by. There is a bus that
goes from Cambridge train station to Capital Park.
25
There are currently two other SITs in the East of England: the Essex SIT based in Witham and the
Hertfordshire and South Midlands SIT based in Welwyn Garden City. Claire Currie and Funmi
Worrell have completed placements at the Essex SIT.
26
Providers and hospital trusts
Other options of placements in hospital trusts may be possible.
South Essex Partnership University NHS Foundation Trust (SEPT)
The Lodge
The Chase
Wickford
Essex
SS11 7XX
Clinical supervisors
Name
Email
Phone number
Mel Conway
[email protected]
01268 739609
Recent registrars
Name
Email
Emma Waters (Author)
[email protected]
Sue Matthews
[email protected]
Demography
SEPT covers a quite a large geographic area (Bedfordshire, Essex, Luton and Suffolk).
Project examples
 Setting up a liaison psychiatry service
 Service evaluation
 Trust wide falls audit.
Good points
 Opportunity to work in a service provider
 Supportive consultant who is based in the trust.
 Wide range of projects (SEPT deliver mental health , community, learning disability and
social care services).
Other considerations
Unless things have changed significantly you are unlikely to have a desk or permanent place to work
on this placement. This placement may work best as a split placement, so you have a permanent
work space located at a different placement.
Useful information re location, parking, etc
There is plenty of parking at the Lodge, but it is difficult to get to by public transport.
27
Princess Alexandra Hospital Trust (PAH)
*currently in the process of becoming an accredited PH placement
Hamstel Road
Harlow
Essex
CM20 1QX
Clinical supervisors (Interim arrangement)
Name
Email
Phone number
Maggie Pacini
[email protected] 07921397122
Recent registrars
Name
Email
Miranda Sutters (author)
[email protected]
Demography
The hospital serves both West Essex and East & North Hertfordshire, in particular the localities of
Stort Valley and Villages, and some of Lower Lea Valley and Upper Lea Valley.
Project examples
 Facilitating and leading on large scale service redesign
 Developing clinical pathways
 Working with health partners to integrate care across the local health system
Good points
 Opportunity to work in a service provider
 Having the opportunity to work with senior members of the Trust and CCG, reporting
directly to the Director of clinical pathways and partnerships
 Huge range of projects and opportunities to raise awareness amongst clinicians about the
importance and role of public health.
 Opportunity to be innovative and implement interventions
 Opportunity to work at a senior level, leading on large scale projects.
 PAH is very receptive to having a public health team/registrar based at the Trust and wish to
develop this as an on-going sustainable placement.
Other considerations
This is an extremely exciting time to be working at the Trust as it moves to become an integrated
care organisation. This placement would be most suited for motivated individuals post part-B.
There are opportunities to achieve most of your Phase 2 and Phase 3 LO’s here, although you may
need to be proactive in identifying some of the projects.
Registrars will have their own desk in a small shared office on site.
You will get the opportunity to also work closely with the local CCG.
There is an opportunity to support PH teaching within the Trust.
PAH is in the process of becoming an accredited PH placement, at present the governance is
managed by Essex CC under Maggi Pacini.
Useful information re location, parking, etc
There is a staff car park on site and NCP close by. Harlow is served by the main train line.
28
Other opportunities
East of England Public Health Training Programme Faculty
Health Education East of England
Victoria House
Capital Park
Fulbourn
Cambridge
CB21 5XB
Clinical supervisors
Name
Email
Phone number
Dr Maggie Pacini
[email protected] 07921 397122
Recent registrars
Name
Email
Ian Diley
[email protected]
Demography
This is a placement with the public health training programme faculty covering all registrars and
supervisors involved with the PH registrar training in the region
Examples of recent projects
 Analysis of registrar expectations of educational and clinical supervisors,
 Development and delivery of supervisor training update programme in Essex and
subsequent input to the region-wide programme,
 Development of a public health commissioning academy in Essex,
 Administration and delivery of the introduction to on call training day for post-Part A
registrars
Good points
 Opportunity to develop educational skills (curriculum development, learning facilitation,
teaching),
 Opportunity to gain a clearer understanding of educational delivery within the training
programme,
 Opportunity to work with experienced and highly skilled educators/supervisors
Other considerations
This has been run as a 2 day per week placement (0.4 wte).
There has been a period of vacancies in programme strand leads that has limited the access to
potential clinical supervisors during the placement to date. The appointment of deputy TPDs will
widen the possibilities for projects and for learning from key individuals in the programme.
Much of the work undertaken in this placement to date has been specific to the location of the
clinical supervisor to begin with, before being rolled out to region-wide forums.
Useful information re location, parking, etc
Due to the vacancies /absences in the faculty during the period of my placement, I have been based
with my clinical supervisor for the post, Maggie Pacini, in Essex which is where I work for my other
0.6 wte placement. It may be that the post can be flexibly located for practicality on discussion with
allocated clinical supervisors.
29
National Cancer Registration Service, Eastern office
Unit C, Magog Court
Shelford Bottom
Hinton Way
Cambridge
CB22 3AD
Clinical supervisors
Name
Email
Phone number
Sarah Stevens
[email protected] 07468 473744
Recent registrars
Name
Email
Andrea Clement (Author)
[email protected]
Anne Swift
[email protected]
Demography
National service (England); of which there are 8 regional centres.
Examples of recent projects
 Mesothelioma Compensation Claims project in which the aim is to establish a system within
the NCRS that enables expedited receipt of pathology records and imaging reports for
mesothelioma patients.
 Facilitation of data transfer and analysis of electronic prescriptions for cancer patients.
 Development of a web-based access portal for brain tumour patients to view their cancer
registry records
Good points
 Opportunity to lead on national level work
 Opportunity to work closely with other professionals e.g. data analysts, IT developers etc
 Great opportunity to learn about technical aspects of data flows and presentation (to the
public or to other professionals)
 Very forward-thinking work environment; considerably different culture compared to usual
public sector placements
Other considerations
 Only registrar in the service base
 Sarah is the only PH consultant but happy for registrars to access other consultants eg at
PHE centre for Part B practice etc
 You need to be confident in directing your own project and understanding what you will
have to do to achieve your aims (e.g. identifying networks and stakeholders who can make
things happen) – suggest this is most suitable for senior trainees
Useful information re location, parking, etc
 Plenty of free parking at Magog Court
 Across the road from Babraham Park and Ride for access to Addenbrookes/Central
Cambridge
 Hot desking arrangements
 Some travel required to PHE offices in Waterloo for meetings – access can be arranged for
hot desking at Waterloo.
30
National Treasures
Opportunities are available through the approved National Treasures, listed on the Faculty of Public
Health website: http://www.fph.org.uk/national_treasures_placements
Application procedures vary, some are once annually and some take applications at all times of the
year. Registrars should consult the website for more details and discuss with their educational
supervisor.
East of England Registrars have recently successfully obtained placements at Nuffield Trust (Claire
Currie) and DFID (Tim Elwell-Sutton).
As of March 2015 the current list of National Treasures was as follows:























BUPA
Cochrane UK
Department for International Development (DFID)
Department of Health
Department of Health, Chief Medical Officer (CMO)
Department of Health, Behavioural Insights Team
Department of Health, Health Inequalities Unit
Department of Health, Strategy Group
Foundation for Genomics and Population Health (PHG Foundation)
Met Office
MRC Epidemiology Unit
NHS & PHE Chancellor Court
NHS Sustainable Development Unit
National Institute for Health and Care Excellence (NICE)
NIHR (National Institute for Health Research) Evaluation, Trials and Studies
Coordinating Centre
National Perinatal Epidemiology Unit (NPEU)
The Nuffield Trust
Public Health England – Centre for Chemicals, Radiation and
Environmental Hazards, London
Public Health England – Centre for Infectious Disease Surveillance and Control (PHE
CIDSC)
Public Health England – Emergency Response Department
Public Health England – Field Epidemiology Training Programme
Public Health England – Strategy Division
School of Health and Related Research (ScHARR)
University of Nottingham/HPA East Midlands, Health Protection Research Group
University of Leeds/Leeds Teaching Hospitals Trust
31
Foundation for Genomics and Population Health (PHG Foundation)
PHG Foundation
2 Worts Causeway
Cambridge
CB1 8RN
Clinical supervisors
Name
Email
Phone number
Mark Kroese
[email protected] 01223 761900
[email protected]
01223 740153 (PA)
Paul Pharoah
Recent registrars
Name
Email
Charlotte Warren-Gash (author)
[email protected]
Demography
This is an independent policy think-tank. Results of projects are applicable nationally/
internationally.
Examples of recent projects
 Published report on modelling outcomes of whole genome sequencing used to screen for
high risk breast cancer variants in unselected populations
 Review of evidence for the clinical validity of inclusion of a range of susceptibility genes in
colorectal cancer gene panels
 Production of expert opinion pieces on recent genomic advances for the PHG Foundation
blog
Good points
 Gives an excellent grounding in genomics and frameworks to evaluate use of genomic
technologies for population health
 Academically rigorous
 Opportunity to work with people from different backgrounds e.g. ethics, law, economics.
policy as well as partners from other organisations e.g. universities, NHS England, charities
 Flexibility to tailor project work around areas of interest and time spent at the organisation
 Opportunities to attend National meetings e.g. the UK Genetic Testing Network and the
Joint Committee on Genetics in Medicine
 Potential to publish academic papers
Other considerations
 This is most suitable for motivated individuals with a strong interest in genetics/ science who
are able to direct their own projects
 Supervisors are happy to consider full-time or part-time placements (I did 0.4 fte)
Useful information re location, parking, etc
 The PHG Foundation is located at Strangeways Research Laboratory which is a 5-10 minute
walk from Addenbrookes hospital
 The guided bus way connects the hospital to Cambridge train station.
32
Registrar roles
There are a number of ways in which registrars can be involved in the programme and teaching
throughout their time as a registrar, gaining important experience in leadership, teaching,
facilitating, chairing, and other transferable skills.
PHREE committee
Co-chairs (or chair and deputy)
PHREE Committee role
o Represent all PHREE members;
o Attend and Chair 6 PHREE Committee meetings/teleconferences;
o Revise Terms of Reference every two years (even numbered years) or as required;
PHREE meetings
o Responsible for delegating organisation of educational component of PHREE meetings;
o Set business agendas & chair the meetings.
Liaison with TPD/HOS
o Arrange and attend update meetings with Training Programme Director/ HOS on a regular
basis (at least 3 times per year).
Annual report
o Responsible for writing/collating the PHREE Annual Report of PHREE activity (to be
presented at October STC);
Represent PHREE at the Specialty Training Committee / School Board of the Multidisciplinary
Deanery
o Represent PHREE at the twice yearly STC meetings;
o Represent PHREE at the August induction programme for new registrars.
Address pertinent issues throughout term of office
o Responsible for bringing matters raised by PHREE to the attention of the appropriate party;
o Ensure accurate and appropriate representation of PHREE on any matters where our input
is requested (see ToR Position statements);
o Review any policies that PHREE may be asked to consider by the LETB;
o Co-ordinate and assist in addressing specific training issues associated with annual events
e.g. GMC survey.
Examples of learning outcomes:
Leading the team: EMS 4, 6, 9, 10, 11, 15, 4.1, 4.2, 4.3, 4.9, 4.12 and 4.14
Day-to-day committee work: EMS 1, 2, 5, 4.3, 4.12
Developing the ’vision’ and delivering it: 4.4, 4.8, EMS7, small contribution to 3.5 – 3.9, 9.12
STC representation: 2.10, 4.3, 4.15
Secretary
PHREE Committee role
o Represent all PHREE members;
o Attend 6 PHREE Committee meetings/teleconferences;
o Make meeting/teleconference arrangements for bi-monthly PHREE Committee meetings
o Draft and send out agendas and take minutes for bi-monthly meeting of PHREE Committee;
33
o Send out agendas and take minutes for PHREE business meetings
o Review any policies that PHREE may be asked to consider by the LETB;
o Perform any other duties that may be required to support the PHREE Chairs
o Circulate PHREE evaluation surveys and collate results
PHREE meetings
o Responsible for creating annual calendar of meetings and booking venues;
o Liaise with venues and social secretary to organise refreshments and lunch facilities for
PHREE meetings
o Organise and set up equipment for PHREE days (e.g. projector etc)
o Collate agenda, record apologies, send out agenda and take minutes for PHREE meetings;
o Circulate updates from Committee representatives to PHREE with the papers for PHREE
meetings
o Ensure business papers for the meeting are sent out at least one week prior to meeting &
minutes are sent out within 2 weeks of the meeting
File and data management
o Responsible for electronic filing of PHREE related documents on website
o Maintain email distribution lists (including communicating with the FY2 teaching coordinators to add the new FY2s to the distribution list every 3 months)
Examples of learning outcomes:
PHREE minutes/papers/meetings: EMS 2, 3, 4, 6, 11
General role on committee: EMS 10, 4.9, 9.12, 4.7,
PHREE Evaluation surveys: LO 1.6
Small contribution to virtual budget: EMS 16, 3.2, 3.8, 4.10
PHREE Treasurer
PHREE Committee role
o Represent all PHREE members;
o Attend 6 PHREE Committee meetings/teleconferences;
o Review any policies that PHREE may be asked to consider by the LETB;
o Perform any other duties that may be required to support the PHREE Chairs.
Financial management
o Manage and administer the LETB-provided PHREE virtual budget, in liaison with the
Community Schools Coordinator
o Manage and administer a petty cash system for other adhoc payments to PHREE and
tea/coffee subscriptions
Study leave report
o Gather qualitative data on registrars’ use and value of study leave events, e.g. through
PHREE business meeting standing item and/or study leave log books
o Write an annual report describing the use of study leave by PHREE members
Knowledge Sharing/Wiggio Responsibilities
o Maintain administration responsibilities over Wiggio
o Maintain and keep PHREE documentation organized on Wiggio
o Optimize and look for potential opportunities to expand knowledge sharing among the
registrars
Examples of learning outcomes:
General LOs from being part of committee EMS 2, 6, 10, KA4.9
Developing PHREE petty cash policy – KA3.2
34
Managing petty cash and virtual budget - EMS 16
knowledge management – KA4.2, 4.9, 4.13, 8.1
Academic facilitator
PHREE Committee role
o Represent all PHREE members;
o Attend 6 PHREE Committee meetings/teleconferences;
o Review any policies that PHREE may be asked to consider by the LETB;
o Perform any other duties that may be required to support the PHREE Chairs.
Academic liaison
o Responsible for determining the educational agenda for up to two academic meetings per
year including the annual PHREE spring conference;
o Input into educational agenda for remaining four meetings, to incorporate academic issues
where appropriate.
Academic issues
o Responsible for informing PHREE of pertinent academic issues in the region;
o Requested to disseminate details of academic meetings, events or opportunities of interest
to PHREE, via the Secretary.
Examples of learning outcomes:
Organising Spring Conference – EMS 13, 16, 4.2, 4.3, 4.4, 4.5, 4.8, 4.9, 4.14, 4.18, 9.12, 9.16
General duties – EMS 2, 4, 5, 6, 10, 18
Social secretary
PHREE Committee role
o Represent all PHREE members;
o Attend 6 PHREE Committee meetings/teleconferences;
o Perform any other duties that may be required to support the PHREE Chairs.
Social events
o Lead the organisation of social events for PHREE members, visitors and guests, including but
not limited to:
 Induction social for new starters
 Lunch and/or evening socials on PHREE training days
 Christmas party
 Summer gathering
o Liaise with PHREE secretary to organise refreshments and lunch facilities for PHREE meetings
Examples of learning outcomes:
General LO’s from being part of committee EMS 2, 6, 10, KA4.9
Other committees
Trainee forum representative
The vision of the Trainee Forum is to provide trainee views and feedback to ensure that training in
the East of England is delivered to the highest standard, in order to deliver excellent and safe clinical
care to patients. There is an invitation to all medical disciplines receiving training from HEEoE to
provide representatives. Meetings take place quarterly.
Key tasks:
o To offer trainee input into key strategic and management issues pertaining to HEEoE’s
educational governance and quality assurance functions.
35
o
o
o
o
o
To facilitate trainee engagement and participation in HEEoE’s educational governance and
quality assurance functions such as Quality Visits to Trusts and ARCP Appeal Panels.
To raise issues, challenge proposals and processes which impact on the quality or delivery of
training where appropriate.
To identify challenges to the quality or delivery of training and make recommendations to
contribute to the formation of future strategy
To work collaboratively in identifying, and sharing good practice and innovation in education
and training throughout the East of England.
To provide an additional forum for communication between trainees and HEEoE
Additional benefits:
o Opportunities to develop working links with representatives from other disciplines,
o Opportunity to hear talks/presentations from guest attendees from major health
organisations (e.g. CQC, NHS England etc),
o Opportunity to help raise the profile of public health with fellow trainees across HEEoE
Potential learning outcomes available:
o Several EMS outcomes
o Several Key Area 4 outcomes
SRC representative
The Specialty Registrars’ Committee (SRC) is a sub-committee of the Faculty of Public Health
Education Committee.
SRC rep role:
 Represent the views and interests of East of England Public Health registrars in the work of
the SRC.
 Ensuring the views of registrars are heard at other FPH committees
 Ensure that decisions taken at FPH committees are relayed in a timely manner back to
registrars in the East of England
 Support networking across regions and sharing of good practice between public health
registrars.
 There is the opportunity to be involved to represent the SRC on other FPH committees.
Learning outcomes related to:
 Personal effectiveness
 Leadership
 Having a strategic approach (national perspective on things)
 Communication
 Management
Health protection
On call teleconference coordinator
Two Registrars take on the role of chairing and co-ordinating the on-call health protection
teleconferences. One Registrar chairs the teleconferences hosted by Anglia & Essex, and one
Registrar chairs those hosted by South Midlands & Hertfordshire. These alternate monthly, and
therefore each Registrar is in charge of six teleconferences over a 12 month period.
Responsibilities:
o Collate the logbooks of all Public Health Registrars on-call for the East of England Deanery.
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o
o
o
o
Choose cases of interest which include valuable learning points for those on-call. Invite
Registrars to present these cases and share their learning points.
Identify topics for discussion, usually some new briefings from PHE or any other topics which
are felt to be relevant.
Chair the teleconference every second month, and take minutes for your fellow Registrar at
the teleconferences you are not chairing.
Email correspondence with all Registrars, Consultants, Health Protection nurses for matters
relating to the teleconference, and distribution of any relevant materials.
This role is ideal for someone who has a particular interest in health protection, or who wants to
increase their knowledge of health protection issues. It is slightly easier for someone who has
already done their health protection placement, but this is not essential.
Learning:
o There is good learning within the role for health protection learning outcomes and broader
understanding of health protection
o experience in chairing
o communicating with a mixed audience
o Some leadership and management skills
Training roles and teaching opportunities
Part A and B preparation
There are opportunities for registrars post-part A or B to support the registrars in preparation for
exams. Although the exact format of this is subject to change, there will be good opportunities to
develop skills in teaching, mentoring, and leadership.
FY2 teaching coordinator
The role is undertaken for one year (August onwards), and can be shared by two or more Registrars.
The role is to co-ordinate the public health teaching for FY2 doctors on public health placements in
the East of England. There are three cohorts of FY2s per year (3 x 4 month placements). FY2s attend
one public health teaching day per month, at the Institute of Public Health in Cambridge.
Responsibilities:
o Book dates and rooms for teaching sessions for the year
o Identify each cohort of FY2s and invite them to teaching days
o Plan teaching days and circulate details, agendas and papers
o Identify SpRs or guest speakers to deliver teaching sessions
o Teach and facilitate sessions as required
o Collate feedback on teaching and provide feedback to SpRs who have taught sessions
o Provide feedback to FY2s on presentations they deliver at teaching days (including feedback
provided on e-portfolio systems as required)
o Collate feedback on teaching days and placements and use this to make improvements to
the teaching programme and to feedback suggestions for placement improvements to FY2
trainers
o Review teaching materials against learning objectives of programme as required
o Time commitment is approximately 1 day per month (teaching day) and half a day per
month (organising days, identifying teachers, providing feedback, preparing for teaching etc)
although this can be less if the role is shared by more than one SpR
Learning outcomes
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o
o
The role contributes to a range of learning outcomes, particularly those around teaching and
input to teaching programmes
The role provides an opportunity to develop confidence in teaching, and to develop
mentoring, feedback and organisational skills
Public Health Practitioner programme teaching
East of England has recently established the Public Health Practitioner programme. There are
opportunities for registrars to be involved in the programme, through being an assessor and also
through teaching on some cohort learning events. These opportunities are currently advertised as
and when they occur, but this may change as the programme becomes established.
Cambridge Clinical School Teaching opportunities
The Public Health course at the University of Cambridge Clinical School offers various opportunities
to teach undergraduate medical students during the 3 years of their clinical training. Traditionally, all
registrars teach for at least one year on the course, usually in ST3, although this is not mandatory.
Teaching in the first clinical year covers key basic topics in public health and enables you to practice
and experience various teaching methods with quite a large group. This offers a chance to facilitate
and teach a standard seminar in a fairly safe environment, alongside a more experienced teacher
who can give you advice and feedback.
More specialist PH topics are covered in Stages 2 & 3 and the Student Selected Component modules,
offering opportunities to teach on subjects of specific interest to you (e.g. climate change,
international health, nutrition, health policy, health protection, leadership and management) or
focus on public health topics in child health, the elderly population, women’s health and mental
health.
Learning outcomes:
Educating and communicating effectively with others is integral to our professional development
and practice, as evidenced in learning outcomes in key area 9:
9.12
9.13
9.14
9.15
9.16
Contribute to the education and training of other staff, medical students and colleagues.
Develop skills and attitudes for teaching including appropriate supervision and
assessment
Supervise a junior colleague in a one-to-one project mentorship
Conduct a group tutorial
Develop and give a large class lecture
For those with an interest in teaching, optional learning outcomes may also be attained through
developing your role and contributions to teaching:
9.25
9.26
9.27
9.29
9.30
9.31
9.32
Participate in developing and teaching courses and related material
Organise the design and delivery of an academic course or lecture series
Supervise others(eg MPH or other aspiring academics) and demonstrate ability to assess
and to respond reflectively to being assessed
Play a role in a teaching committee
Advocate beneficial changes in research funding and administrative arrangements for
improving public health
Practice inter-professional and interdisciplinary academic public health
Be a reflective educator, evaluating practice across research, teaching and administration
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Teaching also facilitates the development of key transferable skills which are fundamental to the
role of a Consultant in Public Health. These include: effective communication, active listening,
strategic thinking, presentation, leadership, teamwork and mentoring. Development of these skills
could be documented in reflective narratives in your Professional Development portfolio and also
evidenced through a number of relevant learning outcomes.
Teaching public health is also an excellent way to consolidate key concepts, convey new PH
knowledge to colleagues and to keep your own knowledge base and analytical skills up to date. This
may provide evidence of learning on a variety of PH topics which can contribute towards broader
learning outcomes.
Support available:
The teaching faculty offers a valuable resource for excellent educational supervision and advice.
Professor Steve Gillam is Director of the Public Health teaching programme and Dr Kirsteen Watson
(MA Medical Education) and Dr P Badrinath (PG Cert in Medical Education) are Associate Lecturers,
all of whom can offer advice and supervision. There are teaching development sessions run by the
Clinical School and each year Dr Watson usually runs a ‘Teaching the Teacher to Teach’ two day
course for those who teach on the course. There are also various Consultants across the region who
contribute to teaching, who can offer 1:1 support when you teach with them or during your
preparation.
On an annual basis, opportunities exist to revise and develop teaching materials. Registrars are
encouraged to attend the Teaching Committee meetings as well as the teaching sessions for this
course, to give feedback and participate in revising the seminar materials.
For the next 2-3 years there are specific and unique opportunities to be involved in curriculum
redesign, evaluation and development as the Cambridge Clinical School introduces a new revamped
course from Sept 2015 and the Public Health course is being completely revised for this. This also
aims to accommodate an increase in student numbers from approx. 180 per year to 270 by 2016.
If you would like to be involved please contact Prof Steve Gillam ([email protected]) or Dr
Kirsteen Watson ([email protected]).
University of East Anglia teaching opportunities
Opportunities are available teaching at UEA as part of a placement, or opportunities outside of a
placement at UEA for registrars interested in teaching can also be discussed.
Public Health registrars have the opportunity to develop skills in small group facilitation through
acting as a problem based learning (PBL) tutor for students in the medical school, and many trainees
have already thoroughly enjoyed this challenge. Alongside PBL, many registrars have delivered
Public Health seminars or research methods seminars, allowing them to consolidate their own
knowledge and skills in core areas covered within their Part A training. Equally, with a steady stream
of F2 doctors working in the department, registrars have ample opportunity to develop their
mentorship skills, supporting these junior doctors to make the most of their 4 month public health
academic placements. This also allows development of 1:1 supervision skills where registrars take a
more active, leadership role, co-supervising a short research or evaluation project delivered by
either an F2, or a medical student, alongside an experienced academic.
For registrars interested in Clinical Education and/ or Technology Enhanced learning, opportunities
are available to be involved in developing curricula, and delivering and assessing teaching sessions
using innovative methods, collaborating with Faculty from other UEA schools and the UEA Learning
Technologists.
As described above, Public Health physicians are well represented in leadership positions on the MB
BS course giving PH registrars who have a specific interest in Medical Education, the opportunity to
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unrivalled access to a range of course leadership opportunities, through participation in new course
developments/enhancements, evaluations, and teaching committee roles.
Support: all registrars on placement are well supported by our placement supervisors and bespoke
training is provided for all teaching activities. In addition, as a tutor/lecturer you would participate
in peer review – seeing other tutors at work, as well as having your skills reviewed in a formative
way. Dr Platt and Dr Rodrigues, are both Fellows of the Academy of Medical Educators (AoME) and
our institution is a corporate partner of AoME. Finally, those who act as PBL tutors also receive
detailed student feedback at the end of each year. This gives tutors both quantitative and
qualitative feedback on students’ views of a tutor’s tutoring skills. This is extremely helpful
developmentally. Our tutors are highly valued by students, and receiving positive and constructive
student feedback allows you to develop and enhance your skills as a future educator.
Teaching Learning Outcomes in Key Area 9 that could be addressed through a placement at UEA
Outcome
Teaching opportunity
9.12 Subsection: Facilitate learning
Contribute to the education and training of
other staff, medical students and colleagues.
Opportunities to teach colleagues through
journal clubs, or formal seminars. Student
teaching opportunities – see below.
9.13 Subsection: Facilitate learning
Develop skills and attitudes for teaching
including appropriate supervision and
assessment
Supervision skills developed as a PBL tutor
(full training provided), with assessment skills
and feedback through termly reports.
Opportunity also to participate as an OSCE
(Objective structured clinical examination)
assessor with full training provided.
Opportunity for supervision and assessment
of SSS students in the Public Health or
Medical Education themes.
9.14 Subsection: Facilitate learning
Supervise a junior colleague in a one-to-one
project mentorship
F2 trainees present throughout the year, and
registrars regularly provide mentorship and
guidance and opportunity to co-supervise one
of their projects.
9.15 Subsection: Facilitate learning
Conduct a group tutorial
PBL facilitation and SSS group tutorials
9.16 Subsection: Facilitate learning
Develop and give a large class lecture
Multitude of Public health or research
methods lecture opportunities with options
of using audience response systems to
engage students and collect feedback.
9.24 Subsection: Facilitate learning
Relate proposed or existing curricula and
courses to learning objectives
Course planning opportunities exist alongside
either Veena Rodrigues (MBBS Public Health
theme lead & Medical Education SSS theme
lead; Contemporary Methods in Medical
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Education Masters module lead) or Richard
Holland (MBBS Course Director).
9.25 Subsection: Facilitate learning
Participate in developing and teaching
courses and related material
There is opportunity to provide course
leadership for registrars on longer placements
with a special interest in Medical Education –
either as co-lead of the Public Health theme,
or delivering a component of our Student
Selected Study programme in an area of
special interest to the registrar. Further
opportunities are also available within our
taught Masters curriculum under the
supervision of Veena Rodrigues.
9.26 Subsection: Facilitate learning
Organise the design and delivery of an
academic course or lecture series
As above in 9.25
9.27 Subsection: Facilitate learning
Supervise others(eg MPH or other aspiring
academics) and demonstrate ability to assess
and to respond reflectively to being assessed
For registrars present on longer attachments
there is the opportunity to supervise Masters
dissertations. Those on shorter attachments
can assist with supervision of F2 doctors’
projects as well as summative assessments of
Masters level module submissions (research
protocols & data analysis)
9.28 Subsection: Leadership and advocacy
Engage in leadership roles in curriculum
development
With three public health doctors all in key
leadership roles in UEA’s curriculum there are
unique opportunities to participate in
curriculum development and delivery.
9.29 Subsection: Leadership and advocacy
Play a role in a teaching committee
Several different teaching committee meet
regularly and there is therefore ample
opportunity to participate in one or more of
those (e.g. Research methods group; Public
Health theme group; or our overall
Curriculum Development and Delivery team.)
9.31 Subsection: Leadership and advocacy
Practice inter-professional and
interdisciplinary academic public health
Our team is inter-professional with input from
statisticians, health economists, health
geographers and full range of other health
professionals
9.32 Subsection: Leadership and advocacy
Be a reflective educator, evaluating practice
across research, teaching and administration
All of the above! Veena Rodrigues has been
involved in developing the educational and
clinical supervisors within the public health
specialty training programme to meet the
GMC standards for supervisors of
postgraduate trainees and preparation for
educational appraisal against these
standards. Veena Rodrigues is also Co-Chair
of the Public Health Educators in Medical
Schools (PHEMS) group which is a
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collaborative group that shares good practice
in Public Health teaching and learning across
UK medical schools.
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