Palliative Medicine

PALLIATIVE MEDICINE TRAINING IN BRADFORD HEALTH DISTRICT

Address:          Bradford Community Health
                        Palliative Care Team
                        Daisy Bank
                        109 Duckworth Lane
                        Bradford   BD9 6RL
                        Tel:  01274 363713

                        Marie Curie Centre, Bradford
                        Maudsley Street
                        Bradford
                        BD3 9LH
                        Tel:  01274 337000

                        Manorlands Sue Ryder Home Hospice
                        Oxenhope
                        Keighley   BD22 9HJ   
                        Tel:  01535 642308

Consultants:   

Dr Andrew Daley                     Job share partners working at Bradford Acute Hospital
Dr Rosemary Lennard             NHS Trust and Bradford Community NHS Trust

Dr Mike Hughes                      Consultant Manorlands Hospice, Oxenhope.            
Dr Linda Wilson and Dr Helen Livingstone
                                                Consultants Airedale Hospital, Airedale

 

INTRODUCTION

Bradford Health District covers a population of 480,000 located in the city of Bradford, and its surrounding towns and villages, and the Aire valley.  Bradford was once a major centre for the wool trade and is struggling to establish a new identity following the decline of traditional industries during this century.  The city centres of Bradford and Leeds are approximately 10 miles apart.
The population of Bradford is ethnically and culturally diverse.  There is a large, growing Asian community (16% of total, mainly Pakistani) as well as small Afro-Caribbean and Eastern European groups.

The district is well provided with various specialist palliative care services to which ST3-6 doctors are attached for part of their training (see below).  There are five palliative medicine consultants in the district.  Between them, they have sessional commitments to all the specialist services, providing a high degree of integration between these services.  They also have a specific contract with Bradford Health Authority to co-ordinate education, audit and planning of specialist services throughout the district.
Trainees have regular individual tutorials with a consultant, usually on a weekly basis.  The two hospices have a fortnightly joint clinical meeting and there is a monthly palliative medicine journal club.  A district wide audit group meets approximately every six weeks.  Both Bradford Royal Infirmary and Airedale Hospital have active postgraduate medical departments with extensive programmes of meetings that trainees are encouraged to attend.

THE HOSPICES

The new purpose built Marie Curie hospice in Bradford opened in June 2001.  The district will be served by two hospices - Sue Ryder Care, Manorlands situated in Oxenhope, 10 miles west of Bradford city centre and Marie Curie Centre, Bradford, near the city centre.  Both will provide in-patient beds (18 and 16 respectively), day care, home care teams serving their surrounding areas, bereavement care and multidisciplinary education programmes.
The hospices admit approximately 330 patients/year each and have discharge rates of 40%-50%.  

                   
Bradford Community Palliative Care Team

This freestanding, advisory team is part of the Community NHS Trust.  It also has sessional commitments from a clinical psychologist and GP clinical assistant.  The team is housed in offices immediately adjacent to Bradford Royal Infirmary and handles approximately 400 referrals/year.
Bradford Hospital Palliative Care Team
Bradford city’s population of 500,000 is served by two general hospitals - Bradford Royal Infirmary and St. Luke’s.  Oncology services are based mainly at the Infirmary where there are two medical oncologists.
The palliative care team consists of two full-time clinical nurse specialists with sessional consultant input.  It is also based at the Infirmary.  Close links exist with the pain management service, oncology department and visiting radiotherapists.  Combined ward rounds are held weekly between the oncology team and palliative medicine consultant and joint medical responsibility for some in-patients is being developed.

Airedale Hospital Palliative Care Team

Airedale General Hospital opened in 1970, has 600 beds and is situated midway between Keighley and Skipton.  It serves a population of 180,000 living in the towns of Ilkley, Skipton, Bingley, Keighley and a large adjacent area of the Yorkshire Dales and East Lancashire.  It has a full-time medical oncologist and a visiting radiotherapist.  The palliative care team consists of one full-time clinical nurse specialist with secretarial support and sessional input from a consultant and clinical psychologist. 

Close links are established with the pain management service and weekly multidisciplinary meetings with the oncology/haematology departments are held.

On-call Arrangements

To live within 40 minutes travelling time.