Palliative Medicine
LEEDS TEACHING HOSPITAL TRUST PALLIATIVE CARE TEAM
ST JAMES’S AND SEACROFT UNIVERSITY HOSPITAL
Address: Palliative Care Team office
1st Floor
Macmillan
Robert Ogden Building
St James’s University Hospital
Beckett Street
Leeds LS9 7TF
Tel: 0113 2064563
Consultants: Dr Dawn Alison (Tel: 2066950) (Educational supervisor)
Dr Fiona Hicks (Tel: 2066985) (Educational supervisor)
The palliative care team (PCT) is a large well established, multidisciplinary team, which works in an acute hospital setting, with patients needing palliative care. Members of the team act in an advisory role to referring teams from within the hospital. Referrals are made on specific referral forms with the permission of the consultant responsible for the patients. There are no dedicated palliative care beds at St James’s University Hospital. On discharge patients are referred to appropriate primary care or specialist palliative care community services and there is close liaison with the local hospices and home care teams. There are approximately 600 new referrals each year.
ST3-6 doctors will be responsible for providing a palliative care assessment of patients referred to the team including advice on symptom relief, psychological and emotional support for the patient and carers and advice on placement of patients after discharge from hospital where appropriate. Joint visits with Macmillan nurses are encouraged. There is a weekly MDT meeting. The ST3-6 doctor will have their own small case load as well as providing medical assessment of patients on the case load of other members of the team.
LEEDS GENERAL INFIRMARY
Consultant: Dr Suzanne Kite
Contact details see previous.
The PCT at the Leeds General Infirmary (LGI) is a well established multiprofessional team. Members of the team act in an advisory role to referring teams from within the hospital. Referrals are made on specific referral forms with the permission of the consultant responsible for the patients. There are no dedicated palliative care beds at the LGI. On discharge patients are referred to appropriate primary care or specialist palliative care community services and there is close liaison with the local hospices and home care teams.
ST3-6 doctors will be responsible for providing a palliative care assessment of patients referred to the team including advice on symptom relief, psychological and emotional support for the patient and carers and advice on placement of patients after discharge from hospital where appropriate.
LEEDS TEACHING HOSPITALS PAIN MANAGEMENT SERVICES
Address: Pain Management Service
L Ward
Seacroft Hospital
Leeds LS14 6UH
Tel: 0113 2063711
the district. Inpatient and outpatient referrals of patients with cancer and non-cancer pain problems are accepted from consultants or general practitioners. Although the service is hospital based, provision support for primary care both advice and therapy is necessary. The pain service has involvement with many oncology patients.
Consultants: Dr Karen Simpson (Educational supervisor)
Dr Dudley Bush
Dr Louise Lynch
Dr Barahni
Service Description
The pain management service at in Leeds was established in 1978 and provides care for the population of Leeds and many patients referred from outside
Over 1000 new outpatients are referred to the service each year. One half of the referrals are from GP’s and the remaining are tertiary referrals from other consultants. Patients are seen as outpatients, inpatients and at day case theatre sessions. The ST3-6 in palliative medicine is involved in their assessment and on-going care. There is also the opportunity to gain experience in nerve blocks, neuromodulation and see something of pain management programmes.
Trainees in anaesthesia and palliative medicine are regularly attached to the pain management service for training. There is a multi-professional team with specialist nurses, clinical psychologists, physiotherapists and pharmacists.
PROFESSORIAL MEDICAL ONCOLOGY UNIT, ST JAMES’S UNIVERSITY HOSPITAL
Address: CRUK Cancer Medicine Research Unit and the Bexley Wing
St James’s University Hospital
Leeds LS9 7TF
Tel: 0113 2064670 / 2064919
Consultants:
Professor Peter Selby, Consultant in Medical Oncology
Dr Dawn L Alison, Consultant in Oncology and Palliative Medicine
(Educational Supervisor)
Dr Tim Perren, Consultant in Medical Oncology
Dr Geoff Hall, Senior Lecturer & Consultant in Medical Oncology
Dr John Chester, Senior Lecturer and Consultant in Medical Oncology
Dr Galina Velikova , Senior Lecturer and Consultant in Medical Oncology
New Appointments being made in addition.
Research facilities with laboratories, professional scientists and clinical research accommodation for cancer research were completed at the beginning of 1991 and the Imperial Cancer Research Fund Cancer Medicine Research Unit was created in 1993. – now CRUK. The medical oncology service is provided within the Bexley Wing – the newly built, state of the art, integrated oncology centre. There are close links with clinical oncology consultants. In addition to the consultant staff there are a number of ST3-6 posts and clinical research fellows working with the unit. There are a number of ST1-2 doctors and a specialist nurse intravenous team.
During the attachment of the ST3-6 doctor in palliative medicine to the medical oncology service at St James’s University Hospital the time will be divided between two different clinical firms providing experience of management of patients with a range of cancers. The emphasis will be on learning about aspects of cancer treatments and the complications and side effects of these. The trainee will take the role of an onlooker in the first 1 – 2 weeks in outpatient clinics but will subsequently see patients closely supervised by senior staff. There is also the opportunity to attend clinical sessions with the paediatric oncology service, clinical geneticists and liaison psychiatry.
CLINICAL ONCOLOGY ATTACHMENT
Address: Bexley Wing
St James’s University Hospital
Leeds
Tel: 0113 2433144
Educational Supervisor: Dr Suzanne Kite
The regional radiotherapy centre is based within the newly built Bexley Wing. There are 16 full time consultants, many of whom have site specific areas of interest.
The ST3-6 in palliative medicine will spend three months within clinical oncology and three months within medical oncology. This will provide experience of radiotherapy treatments, selection of patients, planning techniques, review of patients, follow-up and assessment of new patients. Timetables are individualised depending on the trainees educational needs.