University Hospitals of Leicester NHS Trust, Glenfield Hospital

Contact Details
  • Address: University Hospitals of Leicester NHS Trust, Glenfield Hospital, Groby Rd, Leicester LE3 9QP
  • ICU Department Contact Details - 0300 303 1573
  • Faculty Tutor Name: Dr Vasileios Zochios
Unit Structure
  • Number of Beds: Number of physical beds: 32 Number of beds nursed: 26                
  • Number of Admissions per year: Level 3: 60% Level 2: 40% Based on ICNARC data for last year - Total admissions: 1800
  • Percentage of Elective vs Emergency Admissions: 60% Elective : 40% Emergency admissions
Overview of Case Mix within the Unit:

 

  • Cardiothoracic surgery 46.9%, General surgery 23.1%, Cardiology 9.8%, Urology 5.3%, General medicine 5.0%, Thoracic surgery 3.2%, Nephrology 2.9%, Respiratory medicine 2.5%, Other 1.4%
  • There is no split site working within this unit
Research projects being undertaken within this Unit:

We are actively recruiting patients to the following studies:

  • GuARDS – Glucocorticoids in ARDS
  • PROPHESY II – PPC versus FFP for post cardiac surgical bleeding
  • PROTECT AIRWAYS
  • HACEC – HA380 in critically ill patients requiring extracorporeal support
Overview of the staffing for the Unit (including medical, ACCP, AHPs)

JUNIOR MEDICAL STAFF

Specialist Trainees in cardiothoracic anaesthesia: 8 

Fellows in cardiothoracic anaesthesia: 2

Fellows/MTIs in Intensive Care: 3 

Fellows in ICM / ECMO: 2 

ECMO SSYs: 2

Internal Medical trainees:  5 

Foundation Year 2 trainees:  2 

Foundation Year 1 trainees:  2 

Advanced Critical Care Practitioners/tACCP:  5 

Non-Consultant rota:

All training levels of junior staff from ST3 to ST7 are allocated training attachments of 3 months to Glenfield Hospital by the East Midlands School of Anaesthesia. Compliant resident rotas are run covering Anaesthesia and Intensive Care. Out of hours cover is provided by 3 resident on call rotas supervised by three separate non-resident consultants in Anaesthesia, in ECMO and in Intensive Care.

AICU (non-ECMO) Consultant rota:

'The unit has programmed resident consultant cover, seven days per week from 07.45 to 21.00hrs. There is non- resident cover by a single consultant from 21.00 to 07.45hrs.

Two consultants share ICU cover from Monday to Friday in an overlapping A / B pattern. Consultant A starts on Monday morning and is resident (as above) then non-resident oncall overnight. This consultant then hands over to consultant A for Tuesday, and stays until 12.30hrs as consultant B. This pattern is repeated by these two consultants.

The weekend is shared by two consultants. Consultant A starts on Friday, resident from 07.45 to 21.00hrs, non-resident overnight, then hands over to consultant A on Saturday, and stays until 12.30hrs on Saturday as consultant B. This is repeated on Sunday. 

In addition to the overlapping A /B consultant, there is a resident consultant D, Monday to Friday, 07.35 to 20.30hrs to provide additional support to the unit. This consultant is not oncall overnight. The same consultant usually covers the D shift Monday to Thursday. Another consultant covers the D shift on Friday and then takes over as consultant A on Saturday.

In summary, there are three resident consultants in the morning session, Monday to Friday, two resident consultants in the afternoon and evening sessions, Monday to Friday. There are two resident consultants in the morning session, Saturday and Sunday and one resident consultant in the afternoon and evening sessions, Saturday and Sunday. There is one non-resident oncall consultant every night.

ECMO Consultant rota:

There is an on-call rota of 1:8. In hours on-call duties are for ECMO/SRF referrals and retrievals only, out of hours on-call duties are for ECMO/SRF referrals, retrievals and oversight of the management of ECMO/SRF patients on AICU.

Training

Training opportunities when working at this Unit:
  • Training in point of care ultrasound
  • Opportunity to attend theatre for airway experience
  • Interhospital transfers
  • Opportunity to attend a Cardiac Catheterisation lab
  •  Other: Exposure to Extracorporeal Life Support (all modes of ECMO)

 

Departmental Teaching:
  • Induction day to include essential topics pertinent to GH such as pacemakers, IABP, PAC, ECMO etc.
  • Two hours bleep free consultant delivered teaching on Friday afternoons plus a journal club by trainees
  • Regional ICM study days
  • Weekly ICM teaching for IMT and FY residents delivered by senior ICM residents
  • Monthly ECMO teaching for ECMO fellows and ECMO SSYs
  • Regular bedside teaching
  • Introduction to ECMO Study days for new CT3+ trainees joining GH 

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

  • Quarterly AICU M&M meetings with a review of our ICNARC data
  • Quarterly Thoracic surgical and Vascular surgical M&M meetings
  • Monthly Cardiac surgical M&M meetings
  • Twice weekly microbiology MDT
  • Weekly radiology MDT
The medical specialties and subspecialties it is possible to complete within theTrust/Health Board:
  • Stage 1: Medicine, Anaesthesia
  • Stage 2: Cardiothoracic ICM
  • SSY: Academic Research, Cardiothoracic ICM, ECMO, Home Ventilation
Other facilities: 

Access to parking:

  • All applications for a car parking permit are made via our online parking portal.
  • The link is - University Hospital Leicester NHS Trust | Parking Portal
  • Staff must create an account, and then make an application under the relevant category, this will in most instances be 'Staff Permit Confirmation/New Application'.
  • Staff are required to provide their assignment number and an upload a picture of their staff ID as part of the verification process.  As a result, we advise new staff to complete an application only when they have this information.
  • Once completed, staff are auto allocated points based on their responses in the application against a scoring matrix.  Their points allocation determines where the staff member is placed on the waiting list for their base site.  When available, permits are allocated from the waiting list to those with the highest points, on a first come first served basis.
  • There is a waiting list at each site.
  • Payment for permits are done via salary sacrifice, or in some instances paid via invoice.
  • The cost of the permit is determined based on pay banding, please see below table.
  • Salary Banding PCM charge rates      
    Up to £19,999.99 £15.34      
    £20k to £29,999.99 £22.96      
    £30k to £39,999.99 £31.08      
    £40k to £70k £34.94      
    Over £70k £42.57      

    On-call rest facilities 

  • Available to medical staff covering AICU. It is located above AICU and includes showering facilities. Please make sure you leave this room as you find it and dispose of any used linen/towels in a white laundry bag.
  • Available ICM non-clinical work spaces.
  • No out-of-hours hot food arrangements.