The Obstetric Service
The Consultant Obstetric Unit is located at the PRH. In addition, there are two midwifery led units in Shropshire. Midwifery practice in mid-Wales is also supported by the Consultant Unit.
The Consultant unit conducts approximately 4500 deliveries per year with a further 300 deliveries occurring in the alongside and freestanding midwife led units. The Consultant Maternity Unit currently has 56 beds and a Level 2 neonatal unit of 22 cots.
We have a very active maternal and foetal medicine unit run by three of the Consultant Obstetricians, two of who are sub-specialty trained in maternal and foetal medicine. Antenatal practice is divided up into specific speciality clinics to which expectant mothers are allocated. The vast majority of routine and detailed scans with invasive diagnostic procedures are performed within the department. Specific antenatal clinics are supported by Consultant Physicians and Nurse Specialists. External cephalic version is promoted and conducted weekly.
ANC are staffed with two consultants in each clinic and Tier 1, or Tier 2 staff are supernumerary and there for education & training.
The Neonatal Service
The neonatal unit is designated as a Local Neonatal Unit (level 2) working in conjunction with the Neonatal Intensive Care Units in the Royal Stoke and Royal Wolverhampton Hospitals as part of the Shropshire Staffordshire and Black Country Neonatal Network (SSBCNN). Care is supplied by four Consultant Neonatologists; three Consultant Paediatricians with a specific interest in Neonatology and supported by three ST4+ trainees, 3 ST1–3 trainees in paediatrics and five ANNPs. There are 22 cots including six intensive/high dependency cots. The department works in close conjunction with the obstetric unit and the SSBCNN to ensure effective care of extreme prematurity and complex antenatal problems.
The Gynaecology Service
The gynaecological inpatient unit is located at the Princess Royal Hospital. At present, there are 12 beds with the use of further beds in the day surgery unit at both the Royal Shrewsbury Hospital and Princess Royal Hospital.
Each year we perform:
- 1900 day case procedures
- 600 elective inpatient procedures
- 7500 new outpatients.
- 11000 FU patients
- Community (GP practice) gynae OPD clinics are held 4 times a week
A full range of gynaecology procedures are provided including advanced laparoscopic and urogynaecology surgery advanced ambulatory procedures and colposcopy. There is a large and very active ambulatory care unit performing MyoSure, NovaSure and other outpatient techniques.
There is specific Consultant-led practice in cervical pathology; oncology; fertility; ambulatory care and urogynaecology; and full facilities are available for the support of minimal access gynaecological surgery. Early pregnancy assessment is supported by nurse lead practice in both the Princess Royal and the Royal Shrewsbury Hospitals. The gynae-oncology service is provided at the unit level at SaTH with tertiary level cancer centre support provided by the University of North Midlands and the Royal Wolverhampton Hospitals. Gynae-oncology MDT meetings are held every Wednesday morning with support provided at the meeting by Gynae-oncologists from nearby tertiary centres.
For a full-time contract, the job plan will be divided on average per week (pro-rata for a part time post) as:
- The obstetric risk post attracts 2.5spa and 7.5DCC (this includes the 1.5 SPA core activity - mandatory training, appraisal, audit and CPD)
- All nights are 830pm to 9am
- All non -surgical sessions are 1pa = 9am-1pm or 1:30pm-5:30pm
- All C/Section lists are 8am-1pm and 1.25pa each which includes ward round time
- All clinics are 1pa 4hr daytime sessions
- All C/section lists are 1.25pa 5hr sessions
- Nights are remunerated at 3hr/pa after7pm and until 7am and 4hr/hr during 7am-7pm
- Admin will be fixed to a day of your choosing
- When on call you are resident and not permitted to do any other work.
- All shifts are resident, and you are not expected or allowed to deliver any other work during this time.
- Ward rounds are only conducted as part of your resident night DCC and pre/post CS list which has time factored in already to allow this