Friday, 18 November 2011

Modular posts

We have had a few queries recently about whether doctors can undertake modular posts. Being able to do a modular post is a 'privilege' and not a 'right'. They can be undertaken in the second post of ST3 IF:
  • You have successfully passed AKT
  • Taken CSA
  • Your trainer, educational supervisor and TPD have no concerns about your progress
No concerns about your progress means precisely that; you are up to date with your ePortfolio and not been to panel or have had comments made about your progress. You will not have had got your CSA result before you start your modular post but we would expect you to pass. If you fail it then you need to leave the modular post and start doing full time general practice again.

Its easy - modular posts are for high flyer's who are at the top of the game!

Monday, 7 November 2011

Ponte A&E to close at 10 pm and then permanently ....?

Mid Yorks Hospital Trust, which is the organisation that runs our local hospitals has recently announced that Pontefract Accident and Emergency Unit is to temporarily close overnight from 10 pm. To read the full story click here. But essentially it is because there are not enough junior doctors to work in all three Accident and Emergency Departments to maintain a safe level of service to patients. The Trust denies that it is accelerating the closure of Pontefract A&E.

But a week later at the Trusts Public Board meeting it announced that it is considering proposals to change the way it provides services to patients in Dewsbury, Wakefield and Pontefract. To read the full briefing paper click here. In order to become a Foundation Trust, Mid Yorks needs to demonstrate that its services are financially and clinically viable. In a nutshell that means that it can live within its financial means (ie save £30 million a year) and make sure that its clinical services are safe and effective. The current configuration of services does not allow it to do this.

The Trust has produced five proposals that will reconfigure services. All of the proposals have Pontefract A&E becoming a Minor Injury Unit only and In-Patient Paediatrics being centralised at Pinderfields. Three of the options have the Consultant Obstetric Unit being centralised as well. To make room for all these services the options have various surgical units moving to Dewsbury and Pontefract. The Trust is currently consulting with staff and GPs to produce one preferred option that it will take to public consultation next year.

So, .... watch this space (again!).