Clinical Fellow (ST1/2)
Brighton and Sussex University Hospitals
Brighton, GB
6d ago

BSUH is the hub of a hub and spoke’ vascular network covering 1.6 million people over East Sussex, West Sussex and Brighton and Hove.

The hub is at the Royal Sussex County Hospital in Brighton which is also the designated Major Trauma Centre, and has tertiary services for cardiology, nephrology, neurosurgery, and stoke services in the region.

The vascular department provides 24 / 7 cover with 10 consultants, 8 registrars and 8 SHOs, and there is also 24 / 7 interventional radiology availability.

The entire range of vascular and endovascular procedures including complex thoracic and abdominal aortic procedures and renal access surgery are undertaken by the unit.

There are 4 consultants based solely in Brighton : the others have their arterial sessions and on calls at the hub, but are otherwise based around the region with 2 in Worthing Hospital, 1 at St.

Richard’s Hospital Chichester, 1 at East Surrey Hospital, and 2 covering both Eastbourne and Hastings hospitals.

There are 8 registrars based at Brighton with a 1 : 8 on call rota. With regards to inpatient care, the emphasis is on team working (rather than firm based) with daily vascular ward rounds, and efficient use of theatre time so urgent cases are dealt with on the next available list regardless of consultant ownership.

There is a dedicated vascular theatre team and vascular theatres including a hybrid endovascular theatre. There is a close working relationship between the vascular surgeons, vascular anaesthetists, and interventional radiologists with excellent training opportunities in endovascular surgery.

In-patient care is provided by a specialized team of vascular nurses on a 37 bed vascular ward. There are 7 Vascular Nurse Specialists working both in the hub and the spokes on wards, outpatients, and also run supervised exercise clinics for claudicants.

The Vascular Assessment Centre provides dedicated vascular ultrasonography to patients in Brighton and the peripheries. Endovenous treatment is also offered through the vascular lab and is performed in spokes as well as the hub.

  • There are weekly MDT meetings with interventional radiology and monthly audit meetings. There is close collaboration with cardiac surgery, cardiology, stroke, and renal medicine;
  • with joint renal MDT for access patients, and a joint stroke MDT with neuro-radiologists and stroke physicians. BSUH is the hub of the Sussex Kidney Unit and provides vascular access for Sussex.

    There is a Vascular Access Training Programme providing exposure and confidence in the management of access in renal patients.

    The unit is a recognised site for the Vascular Society Cook Endovascular Fellowship. There are opportunities for clinical research.

  • Medical students from Brighton and Sussex Medical School (BSMS) have dedicated rotations in general surgery and vascular surgery in year 3 and year 5;
  • and there are opportunities for educational activities such as teaching, examining, and simulation.

    Mr Edwards

    For further details / informal visits contact :

    Mr Matthew Button

    Consultant Vascular Surgeon

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