Newham University Hospital

Contact Details
  • Address: Newham University Hospital, Glen Road, Plaistow, London, E13 8SL
  • ICU Department Contact Details - 0207 476 4000  bleep 4009
  • Faculty Tutor Name: Dr Colette Coyle - colette.coyle@nhs.net
Unit Structure
  • Number of Beds: 12                        
  • Number of Admissions per year: Level 3:194. Level 2: 426
  • Percentage of Elective vs Emergency Admissions: 95.81%:4.19%
Overview of Case Mix within the Unit:
  • NUH is a busy DGH with an interesting workload. Mostly emergency cases, mix of general medicine, renal and infectious diseases.
  • The area has the highest birthrate in the UK and some very high risk maternity patients so the unit often cares for post partum patients with PPH, pre-eclampsia and other maternal emergencies.
  • The surgical admissions to the unit are in the main emergency admissions with a small number of pre booked elective cases.
  • There is 24 hour critical care outreach services, a critical care follow up team and an outreach tracheostomy team on the wards.
  • There is split site working within this Unit
Research projects being undertaken within this Unit:

STUDY T4P:  Timing of platelet transfusion in patients with low platelets. We have made almost all of our doctors collaborators (GCP training, certificate of T4P training, certificate of consent, etc). Currently 7th top recruitment centre from 55 hospitals.

STUDY I-Rehab: This study has recently opened and consist on a multidisciplinary approach for our patients post-ICU. This is an important study for Newham, because it is the first study in which we involve our MDT clinic team- physio, consultant, psychologist and nursing input.

STUDY AIRWAYS 3: This study is under consideration for participation.

A randomised trial for in-hospital cardiac arrests in which whenever there is a cardiac arrest, the team will randomise in an App: to intubate or to put an LMA for the resuscitation.

GENOMICS: This study is recruiting patients that have been admitted to ICU with sepsis, to perform a blood test, and send it to the GENOMICs centre for genetic study. It is simple but it will open us another prospective study in the future (GENOMICS ACUTE) that may bring resources.
Overview of the staffing for the Unit (including medical, ACCP, AHPs)

Consultant staffing:

  • Monday- Friday 0800-1600 2 on site consultants, 1600-2000 1 consultant on site
  • Weekday evenings-2000-0800 consultant on call remote
  • Saturday/Sunday- 1 Consultant on site 0800-1800, on call remote 1800-0800

Junior staffing

Monday to Friday-

  • 1 x airway trained registrar/SCF 0800-1700
  • 1 x airway trained registrar/SCF 0800-2100
  • 1 x airway trained registrar/SCF 2000-0900
  • 2 non airway trained FY2/CT1-2/JCF 0800-1700
  • 1 non airway trained FY2/CT1-2/JCF 0800-2100
  • 1 non airway trained FY2/CT1-2/JCF 2000-0900

Saturday/Sunday

  • 1 x airway trained registrar/SCF 0800-2100
  • 1 x non airway trained FY2/CT1-2/JCF 0800-2100
  • 1 x non airway trained FY2/CT1-2/JCF 0800-1700
  • 1 x airway trained registrar/SCF 2000-0900
  • 1 x non airway trained FY2/CT1-2/JCF 2000-0900

Training

Training opportunities when working at this Unit:
  • Training in point of care ultrasound
  • Interhospital transfers 

  • Other: we also have a trust grade education fellow.
Departmental Teaching:
  • Monthly in situ SIM- run by education fellow with consultant support.
  • Weekly joint anaesthetic/ICM teaching- Wednesday 3pm 1 hour consultant or trainee delivered
  • Weekly  ICU department meeting Friday morning 30 mins- 1 x month consultant delivered, 3 x month trainee delivered.
  • Cross site ECHO education meetings 1 x month
  • Access to accu.london education website which has pre recorded talks from consultants in a variety of ICU topics, kit of the week teaching tools, ultrasound teaching tools.
  • Weekly education newsletter detailing the timings and locations of teaching/education opportunities that week as well as providing links to external educational opportunities of interest.

Details of clinical governance meeting days and/or M & M:                            

  • There is a monthly unit governance update meeting on the last Wednesday of every month.
  • There is a monthly M and M meeting.
  • There is a 6 monthly audit meeting (half day meeting)
  • There is a weekly PSIRM attended by the governance lead.
The medical specialties and subspecialties it is possible to complete within theTrust/Health Board:
  • Stage 1:  Emergency Medicine, Medicine & Anaesthesia   
  • Stage 2:   
  • Neuro ICM (within trust, not at NUH site)  
  • Paediatric ICM (within trust, not at NUH site)
  • Cardiothoracic ICM (within trust, not at NUH site)
Other facilities: 

On call rest facilities-

  • 2 on call rooms on the unit with bed, desk, toilet and sink.

Changing facilities:

  • Yes, single sex with showers and toilets.

Car park facilities:

  • Yes- trainees can apply for a pay as you go parking permit which then allows a full day parking for £2.50 or pay per hour without a permit (more expensive)

Storage:

  • All trainees have access to a locker for storage of personal belongings.

Work space:

  • Resident doctor office is available with 5 computer work stations, 1 large display screen for teaching sessions and handover, 1 network printer, confidential waste bin.

Rest time:

  • The unit has  a lunch/coffee room with refrigerators for storing food, tea, coffee, biscuits, milk available.
  • TV, 2 x microwaves available.
  • There is also a separate quiet rest area with comfortable seating and massage chair.
  • Hospital well being space - there is a well being area on the ground floor in zone 1 which has comfortable seating, massage chair, access to magazines/newspapers and an outside garden area.

Catering options:

  • The hospital canteen is on the first floor in zone 5 and is open:

Monday-Friday 0600-0200 Saturday/Sunday 0700-0200

  • There is a coffee shop on the ground floor health central open Mon-Fri 0800-1700