Neurology

The Neurology & Stroke training programme is typically 5 years in duration, starting at ST4 (after completion of IMT3). 

Neurologists deal with common conditions such as stroke, epilepsy, multiple sclerosis and Parkinson’s disease. Neurology training will provide you with a strong diagnostic skill set, as well as capabilities in the rapidly expanding management landscape of the wide range of neurological conditions. Neurology training also offers ample opportunities to develop academic skills and career paths. 

The Neurology programme is based at the John Radcliffe Hospital in Oxford, but may include attachments at Northampton General Hospital, The Royal Berkshire Hospital in Reading, Milton Keynes Hospital and the National Hospital for Neurology and Neurosurgery, London.

The programme is based in several different Trusts so trainees may find themselves placed in any of the following hospitals:

TrustHospitals and Locations
Oxford Radcliffe Hospitals NHS TrustJohn Radcliffe Hospital, Oxford; Horton Hospital, Banbury
Royal Berkshire NHS Foundation TrustRoyal Berkshire Hospital, Reading
Northampton General Hospital TrustNorthampton General Hospital
Milton Keynes Hospital NHS Foundation TrustMilton Keynes General Hospital
University College London Hospitals NHS Foundation TrustThe National Hospital for Neurology and Neurosurgery, London

John Radcliffe Hospital

The West Wing of the John Radcliffe Hospital opened in 2007 and houses the neuroscience disciplines of Neurology, Neurophysiology, Neurosurgery, Neuroradiology, Neuropathology, Neuropsychology and Neurocritical Care. The Rehabilitation Service is at the Nuffield Orthopaedic Centre in Oxford.

The Regional Neurological Service at the JRH comprises NHS consultants (predominantly Oxford or District Hospital based) and the University Department of Clinical Neurology.  These departments are closely integrated.  The service encompasses a wide range of sub-specialities including cerebrovascular disease, dementia, headache, movement disorders (including a joint movement disorder surgery team), epilepsy (including a joint epilepsy surgery team), peripheral neuropathy, myasthenia gravis, muscle diseases, and multiple sclerosis. The service includes nationally commissioned (NSCAG) services for congenital myasthenia, neurofibromatosis II and neuromyelitis optica.  Within the Department there are currently 18 beds, including two video-telemetry beds, with a further 12 being available on a day-case basis.

There is extensive neuroscience research activity within the NHS and University Department and this includes functional MRI, a neuroscience group investigating ion-channel immunology and molecular genetics, neuropathological research, a stroke group, a collaborative muscle group, MS and epilepsy research and a major established Parkinson’s disease research program.  Additionally many interactions exist between other university department and clinical groups within and outside Oxford.

National Hospital Neurology and Neurosurgery (NHNN) 

The National Hospital Neurology and Neurosurgery (NHNN) in London is a leading centre for the diagnosis, treatment and care of patients with a wide range of conditions such as epilepsy, MS, Alzheimer’s, stroke and head injuries. With its neighbour, the Institute of Neurology, it is a major international centre for research and training.

Most (but not all) Oxford program trainees will rotate through the NHNN spending 6 -12 months working with two or three of the subspecialty teams.  The trainee works Mon-Fri in London and is part of the neurology registrar on-call rota at the NHNN.

Northampton General Hospital 

Northampton General Hospital NHS Trust is a large (750 beds) district hospital providing a full range of acute services. The registrar programme at NGH runs from Monday to Thursday and is designed to be flexible and to meet the needs of the trainee. Fixed sessions include one new and one follow up neurology clinic a week, regular ward referrals, a medical student teaching session and a weekly grand round (neurology is on the case presentation/image of the week rota).  Neurophysiology training is flexible and can be extensive if required (There is a consultant clinical neurophysiologists and 3 qualified technicians). Other flexible experience includes excellent stroke facilities run through the stroke physicians (including thrombolysis), neurorehabilitation, botox clinics, first fit clinics, and headache clinics.

Royal Berkshire NHS Foundation Trust

The Royal Berkshire Hospital (650 beds) serves people across the West of Berkshire and South Oxfordshire with a population of about 550,000. 

The neurology specialty trainee works Mon-Thur in Reading; they takes part in a neurorehabilitation and general neurology clinics each week.  They work with the consultants to provide a liaison neurology service and in particular rapid neurological opinions for patients admitted to the Clinical Decision Unit.  They are part of the thrombolysis team and work with the stroke specialty trainee on the stroke unit.

Milton Keynes University Hospital

Milton Keynes University Hospital is a medium size hospital with approximately 500 inpatient beds and provides a broad range of general medical and surgical services, including A&E, for over 300,000 people every year.

The specialty trainee works Mon-Thur in MKH, and does 2 new outpatient clinics per week with a mixture of routine and urgent new slots. There are opportunities to attend specialist PD, MS, epilepsy & neuromuscular clinics and the trainee will attend monthly botoulinum toxin injection clinics for focal dystonias. There is a large inpatient ward referral service of which a significant proportion is seen by the registrar. 

Stroke Training

Stroke training will be provided over 6 months with 3 months each at the tertiary stroke unit at the John Radcliffe Hospital and at the hyperacute stroke unit at the Royal Berkshire hospital.

Teaching

  • There is an active post-graduate education programme with a weekly grand round on Friday mornings incorporating two case presentations and regular teaching sessions including neuropathology presentations, talks by visiting lecturers, presentations of research, and clinical governance/audit sessions. These mornings are attended by neurology trainees in all the JRH and DGH posts.
  • A monthly neurology specialty trainee teaching half day is organised jointly with the Wessex training programme; the venue alternates between Oxford and Southampton.

On Call Arrangements

Trainees at the JRH and in the regional DGH posts take part in the neurology registrar on-call rota at the JRH.  This provides cover of neurology in-patients on the neuroscience ward, and advice to hospitals in Oxford and the region.  Trainees at the NHNN take part in the on call rota there.