Emergency MedicineA&E Team Photo 2015

‘Royal Surrey County Hospital was my second choice for ST4; now I would gladly go back when I have finished my training as it is a great place to work with a tremendous feeling of team work and trust’
Dr Lorraine Apps, ST4, A&E


  • The Emergency Department provides services to the population of Guildford and surrounding towns and villages; it has an annual attendance of approximately 80,000 per year. The Department is purpose-built with a newly refurbished 5 bay Resuscitation Room, 13 majors and 7 minors cubicles, a 7 bay CDU and a separate paediatric area supported by experienced paediatric nurses. There are 2 integral x-ray rooms providing 24 hour service.
  • The Department is working towards a full quota of 12 consultants and 12 middle grade doctors. The team is well supported by its FY2 and CT1 junior doctors as well as outstanding administrative and nursing staff. There is a rota of experienced Emergency Nurse Practitioners providing care in minor injury and illness.
  • As an Emergency Medicine HST, you could be part of the remarkable team that makes up the Royal Surrey County Hospital Emergency Department. Recently identified as the 4th best Accident & Emergency in England by its patients, nowhere else is more welcoming and responsive to its doctors and nursing staff.
  • The Emergency Department are a motivated, experienced and trusted team of doctors who work together under the pressures that affect all Emergency Departments, and you could join us. Recent rota changes have resulted in greater work-life balance and we are always looking for ways to improve this further.

Training Programme:

There is a robust and lively teaching programme for middle grades with protected half-day teaching twice a month. These include talks from ED consultants and other specialists, as well as management scenarios, practical sessions, ATLS/APLS & ALS moulages and simulation. In addition there are opportunities to attend educational meetings as well as lead on department or clinical governance meetings.

Attendance at regional training days is encouraged and supported.

These are exciting times for the RSCH A&E as many changes are underway to improve the care pathway for all of our patients. Involvement in these changes will lead to greater understanding of the management role of the ED consultant and will help the trainee to meet these areas of the curriculum.

Many of our consultants are experienced in sub-specialties and have areas of interest such as minor injuries, musculoskeletal, paediatrics and major trauma. We also have several consultants with advanced ultrasound skills who can support trainees in this area of the curriculum.

Notable of the RSCH Emergency Department is its staff. A cohesive group of doctors, nurses and allied professionals work closely to ensure high quality patient care. There is much support for innovation and initiative, so providing an excellent opportunity for specialist trainees to develop ideas and services.

There are two half-day training days each month and other educational events such as lunchtime meetings, monthly clinical governance meetings and the department’s weekly breakfast meetings.

Participation in the Royal College of Emergency Medicine audits is essential and active support for other research and projects is encouraged.
Study leave is available for exam courses and personal study.

Educational Supervision:

  • Emergency Department Consultants act as mentors to middle grade trainees with clinical supervision given by a named consultant. Regular meetings ensure that trainees are on track to meet Personal Development Plans and the required curriculum.


Faculty Lead: Mr Mark Pontin

I trained at St Thomas’s and then completed house jobs there and in Guildford before taking an antomy demonstrating job in Southampton and passing the old primary FRCS exam. An A&E SHO job at the John Radcliffe in Oxford put A&E into my thoughts as a possible career and was followed by basic surgical training in Brighton (which included ICU, neurosurgery, urology, orthopaedics and general and vascular surgery) which was then the usual route into A&E. After I passed the old FRCS part 2 exam I worked in New Zealand in orthopaedics and ICU for 6 months before returning to the UK. I initially worked in non-training middle grade posts at St Peters and St Georges and as a locum SHO in paediatrics at the Royal Surrey before entering registrar training on the old South West Thames Georges based rotation. I passed what is now the FRCEM examination in 2004 and became a consultant at the Royal Surrey the following year. I was clinical director for A&E between 2007 and 2014. I am also the undergraduate tutor at the Royal Surrey responsible for medical students here and associate clinical subdean of Southampton medical school. I am an ATLS course director, an ALS medical director and an EPLS instructor. I am an examiner for both MRCEM and FRCEM and I am a member of the Royal College of Emergency Medicine’s educational committee. I have a voluntary role on the medical advisory board of the Clinical Research Centre which is part of the University of Surrey. My subspecialty interest is education and the goal is to lead a department which is an enjoyable place to work with plenty of support whenever it is required. Our last CQC patient survey placed us within the top 10 departments in the UK for patient satisfaction.


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