Brighton:
University Hospitals Sussex NHS Foundation Trust
The Royal Sussex County Hospital & Royal Alexandra Children's Hospital, Brighton
Princess Royal Hospital & Hurstwood Park Hospital, Haywards Heath
Worthing Hospital
Queen Victoria Hospital, East Grinstead
The Brighton rotation
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Acute services and admissions are based at Royal Sussex County Hospital, Brighton
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RSCH, Brighton acts as the hub for a network of ENT services delivered at Worthing Hospital and Princess Royal Hospital, Haywards Health. This is a tertiary centre with on-site neurosurgery, cardiac surgery and vascular teams. It is a Major Trauma Centre and also provides some specialist paediatric services with an onsite PICU. The ENT unit is a regional hub for Head & Neck Cancer services and Skullbase conditions.
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Like every inner-city hospital, space is at a premium so new buildings have to be built on the original site or units created within the existing buildings and expansion tends to be upwards. Bring comfortable shoes as there are a lot of stairs! Parking is notoriously a nightmare so Brighton is perfect for those who like to cycle/walk/run to work from where you've parked.
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Brighton is a city on the South Coast, originally a fashionable seaside resort during the Georgian era, and more recently becoming well-known as the "gay capital of the UK" with its large LGBT-population, and LGBT-friendly activities as well as the constituency to appoint the first Green Party MP. The local area has a mixture of affluence and deprivation, with the highest rate of homelessness outside of London. This comes with issues of gang-violence and self-inflicted violence as well as the social impacts of homelessness and its associations with mental health disorders.
The Brighton team
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As of October 2021, there are 10 substantive consultants and 1 associate specialist who work cross-site between Brighton (Royal Sussex County and Royal Alexandra Children's Hospitals), Worthing, Haywards Heath (Princess Royal and Hurstwood Park Hospitals) and East Grinstead (Queen Victoria Hospital).
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Specialist services:
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Audiology: Balance testing, tinnitus/hyperacusis therapy
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Head and neck oncology: Regional Centre for head and neck oncology ​
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Skull-base surgery (with neurosurgery)
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Secondary-care Paediatric ENT
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Weekly local anaesthetic clinic in outpatients
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Nurse practitioner led aural care clinics
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Prodip Das
Consultant Otologist
Departmental role: Supervisor for Foundation Doctors
Special Interest: Laser assosted otological surgery; hearing/balance, surgical education including specialisation selection and undergraduate teaching
Professor Mahmood Bhutta
Consultant Otologist
Special Interest: Ear disease and global health
Consultant to World Health Organisation on prevention of deafness and hearing loss
Nick Saunders
Consultant Otologist
Special Interest: ear disorders, dizzness/balance, skull base surgery
Andrew Moore
Consultant Head & Neck Surgeon
Departmental role: Clinical Lead for ENT and Head and Neck Cancer at Worthing Hospital
Special Interest: Head and neck cancer surgery, thyroid/parathyroid surgery, salivary gland surgery
Simon Watts
Consultant Rhinologist and Facial plastic surgeon
Departmental role: Educational Supervisor for Higher Trainees
Special Interest:facial plasty surgery, rhinology/rhinoplasty, sinus surgery
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Michael O'Connell
Consultant Rhinologist
Special Interest: Diseases of the nose, nasl reconstruction and nasal aesthetic surgery
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James "Tony" McGilligan
Consultant Rhinologist
Special Interest: endoscopic management of complex nasal and sinus disease (including removal of skull base brain tumours)
Philippe Bowles
Consultant Laryngologist
Special Interest: Airway and voice disorders
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Ketan Desai
Associate Specialist in ENT
,Special Interest: Paediatric ENT & General ENT
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Robert Grounds
Consultant otologist
,Special Interest: implantation and lateral skull base surgery
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Brighton jobs/rotations
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Brighton rotations involve sessions at Princess Royal Hospital and Hurstwood Park Hospital, Haywards Heath (PRH & HWP); Worthing Hospital, The Royal Sussex County Hospital, Brighton (RSCH), Royal Alexandra Children's Hospital (RACH) as well as Queen Victoria Hospital, East Grinstead (QVH - for head and neck oncology surgery cases)
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On-call:
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Weekdays:
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8am - 5pm: Since Covid there has been a Red Reg who covers the day time on-call and supports the juniors
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Red Week is between 1 in 9 and 1 in 12 (depending on how many middle grades are in post)
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Weeknights:
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Starting from 5pm until 8am the next day, as non-resident on-call (1st on-call is ENT SHO at Brighton or ENT SHO at Worthing)
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Cover Brighton, Princess Royal and Worthing Hospitals
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Currently 1 in 6 weekday nightswith 1 in 7 weekends
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Weekends:
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5pm Friday - 8am Monday.
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Non-resident on-call registrar as 2nd on-call
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On-call room? If you live too far to do non-resident on-call at home, on-call room is available:​
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2 Rooms allocated to "ENT SHO" in Sussex House Annexe​ (St George's Road), 350m from hospital
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No need to book, these are always available and accessed through a key code on the main front door
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Room can only be locked from inside and there is a safe to use for valuables
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Good quality accommodation with comfortable beds, shared showers/toilets and a shared lounge area
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Rota/Timetable:
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BMA Contract compliance:
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Rota is compliant is 1 day off each week - except Red Week but this leads to a day in lieu requested for day of your choice
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Standard working day is 8am-6pm, 4 days a week
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JCST compliance: All job timetables are JCST compliant as stand alone jobs
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Sample timetables:
All the essentials for Brighton
STARTING INFORMATION and ADMIN:
Rotas & leave
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Updated versions: Kept on Google Drive in a shared folder, updated by Abbi Parsley (RSCH)
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Annual leave & Study Leave - paper form request and sent to Abbi Parsley
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Some sessions will change weekly
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Managers/Administrators:
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Service Managers different at each site:
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RSCH/RACH/PRH/HWP Surgery Directorate manager = Wendy Morgan (Emma Goudman is PA to her)
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Worthing = Tracey MacKay
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QVH = Sue Cottingham
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Coordinators:
Head & Neck MDT coordinator: Cheryl Winch (Brighton)
Thyroid MDT Coordinator: Elizabeth Ratigan (Brighton)
Worthing Head & Neck MDM Coordinator:
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THE JOB
Parking:
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This is notoriously not easy in Brighton.The waiting list for an on-site permit is over a year long although they are starting a new application system from Summer 2021 based on need for parking
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Brighton:
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Brighton Racecourse (Free): During Covid & ongoing, you can park behind Brighton Racecourse (with an HM Government pass or note in windscreen) for free. This is a short walk to the hospital or there is a regular shuttle bus.​​
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On-street parking, following local parking regulations, and pay for it daily. The hospital is in Zone H and the limit is usually 4hours for parking, however Zone C (10 mins walk West) has an 11 hour maximum.
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Recommended sites by previous trainees have been: Freshfield Road, BN2 0BJ; Seafront
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Worthing: ​
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Free parking: staff car park with HM Government COVID-19 permit​
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On-street parking - you'll have to park ~10-15min walk from the hospital for all-day spaces
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Patient car park
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Princess Royal Hospital:​
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​Free - staff car park with HM Government COVID-19 permit​
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Patient car park
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Queen Victoria Hospital:​
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Has been free parking since the beginning of the first lockdown​
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Bleeping:​
To bleep @ RSCH/RACH: 26 [bleep no] [ext no]#
To bleep @ Worthing: 71[bleep no] [ext no]#
ENT SHO is bleep 8619 (On-call) or 8519 (Ward cover) - ENT-specific SHO on-call day and night.
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ENT ward:
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Adults admitted to Ward 8A West - Millenium Building
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Paediatric admitted to Paediatric Medical Ward Level 9 - RACH
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Treatment room: in ENT outpatient department, in Barry Building
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Ward round: 8am start (prompt) from ENT OPD
SHOs:
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posts (FY1 FY2s, GPST2s & core trainee grade)
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ENT experience: They all have various levels of ENT experience. They all attend an emergency course, held at Brighton, on the first Thursday of the 4-month rotations.
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Shift patterns:
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Day on-call: 8am-8:30pm
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Night on-call: 8:00pm - 8:30am
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SERVICES/TRAINING SESSIONS:
Emergency clinic called "Hot clinic/treatment room?"
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Booked via SHOs on Outlook Calendar
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Runs daily 10am - 5 pm in Main ENT Outpatients at RSCH (and similar at Worthing) run by the SHOs.
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If SHO needs advice, they will ask another SpR in outpatients/the Red Reg
Theatre:
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All elective cases should have discharge letters completed at the end of the case
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Briefing time: 8:15am for 8:30 start (AM and All Day) and 13:15 for 13:30 start (PM lists)
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Elective cases:
- ​​Head & Neck cases are all booked on the shared Outlook Calendar (Under Mr Davies-Husband's account)
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Worthing have their own TCI cards (filled out by hand, in clinic) and sent to Sarah Ayling, waiting list scheduler
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PRH/HWP/RSCH/RACH: admissions are organised via IP admissions team (inc Abby Parsley)
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QVH: Theatre booking organised by Scheduling team at QVH
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CEPOD cases in main theatre
- ​CEPOD coordinator based in Main Theatres
- Level 5 Thomas Kemp Building
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Pre-admissions for theatres:
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RSCH: Theatre Admissions Unit (TAU) on Level 5, Thomas Kemp Building
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RACH: Surgical Day Case unit, Level 7
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Worthing: Chanctonbury Suite (Level 2) & Bluefin for Children (Level 1)
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HWP: Surgical day case ward at HWP
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Theatre locations: ​
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RSCH: Theatre 2, Main Theatres, Level 5 in Thomas Kemp Building​
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RACH: Level 7
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HWP: Ground floor, HWP Theatres
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Worthing: Level 3,
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QVH: Theatre 6, Main theatres (Location 60 in main building)
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Sick notes:
- Traditional paper notes, found in pre-admissions unit
Clinics:
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AM clinic start time: 9:00
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PM start time : 14:00
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Royal Sussex County Hospital: 3rd floor, Barry Building
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​Princess Royal Hospital in Haywards Heath:
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Worthing Hospital: Next to Pharmacy in 'MFU/ENT' Outpatients:
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Queen Victoria Hospital, East Grinstead:Building 3, ground floor (shared with OMFS)
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USEFUL MISCELLANEOUS INFO:
Common investigations/referrals
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Vestibular function tests: Paper referrals via "dizzy" clinic - Mr Saunders is lead
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Regular Epley's for BPPV - refer to audiology
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BAHA/MEI assessments: Refer via Prof Bhutta's auditory implant clinic
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Sleep studies:
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Adults: Refer to respiratory sleep service (PRH or QVH when PRH-service in backlog)
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Paeds: Refer to sleep study team, paper proforma
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Allergy skin prick tests: Runs alternate weeks, by ENT nursing staff
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Allergy RAST testing: available. If you request, be clear on form what allergens should be tested
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Outpatient blood tests
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Adults: Weekday walk-in phlebotomy service in Main Outpatients (all sites)
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Paeds: discuss with clinic nurse
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Skullbase referrals: To consultant within department
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Local Cochlear implant centre for referrals: Southampton
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Local Paediatric Tertiary Centre for referrals (airway or PICU/NICU needing: Evelina
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Maxillofacial emergencies: On-site at RSCH weekdays 8am-5pm. Out of hours, discuss with QVH