Locum Consultant Clinical Oncologist Interest Skin Head & Neck Cancer

Job description

Job responsibilities

This is a 12-month 10 PA appointment for a Locum Consultant Clinical Oncologist, with special interests in Skin and Head and Neck tumours based at the Leeds Cancer Centre, Bexley Wing.

The post holder will provide non-surgical care, including radiotherapy and chemotherapy for patients with skin cancer. They will work alongside Dr Satiavani Ramasamy together to support melanoma and non-melanoma. The post will be based one half day on alternate weeks at Chapel Allerton Hospital (Leeds) to support the non-melanoma skin cancer MDT and provide a joint MDT clinic. It is also an exciting opportunity to develop techniques to treat skin cancer including brachytherapy

The successful candidate will also work within the Leeds and wider H&N non-surgical oncology team, to provide non-surgical oncology care for patients with H&N cancer from Leeds. Share attendance at the Leeds H&N MDT, contribute to the in-patient care of patients receiving radiotherapy and chemotherapy for H&N cancer, work with a medical oncology colleague to provide SACT for patients with recurrent and metastatic H&N cancer from across West Yorkshire. The successful candidate will work alongside Dr Mehmet Sen and Dr Vani Ramasamy (Leeds and Mid Yorkshire), Dr Karen Dyker and Dr Kate Cardale (Bradford, Airedale and Calderdale) and Dr Robin Prestwich (York and Harrogate).

The post will be based at Bexley Wing, St Jamess University Teaching Hospital.

As part of the trusts resource commitment, the post holder will have access to secretarial assistance as required, and will be supplied with adequate office space and IT equipment to support fulfilling their job plan.

The Bexley Wing is one of the largest oncology facilities in the UK, within one of the largest acute general hospitals in Europe. There are 350 beds, day-care and out-patient facilities and a patient hotel. The Bexley Wing incorporates services in non-surgical oncology, haematology, the Academic Unit clinical offices and support areas and substantial services in cancer surgery. There is a dedicated Clinical Research Facility for patients in early-phase clinical trials.

Clinical and Medical Oncology are based in the Bexley Wing, and run as an integrated service within a single bed base, and integrated site specialist teams. The service provides comprehensive non-surgical oncology services to the Trust and to the population of West and the majority of North Yorkshire. They are key components of the Leeds Cancer Centre. There is a hub and spoke arrangement with the surrounding cancer units in Airedale, Bradford, Dewsbury, Halifax, Harrogate, Huddersfield, Pontefract, Wakefield and York. This covers a population of approximately 2.7 million. In addition, there are other tertiary referrals from a more extensive catchment area from East Yorkshire, East Lancashire and North Yorkshire.

The Leeds radiotherapy service treats over 7000 new patients a year with radiotherapy. The department has twelve linear accelerators. There are three CT simulators and an MRI simulator. The building houses a dedicated brachytherapy suite containing two theatres. Shielded treatment rooms on the wards support unsealed source therapy. There are dedicated clinical cancer research facilities with beds and a nursing research team. The links to the Academic Unit of Cancer Medicine are strong and there are world class molecular oncology labs and research programmes on site.

2. OBJECTIVES OF THE POST

2.1 To deliver care to patients with Skin and Head and Neck cancers at St Jamess University Teaching Hospital including:

Out-patient clinics

Care of in-patients

Responsibility for the delivery of radiotherapy

Responsibility for the delivery of systemic therapy

Contribute to specialist MDT meetings

2.2 To link with consultant colleagues in other relevant site specialist teams within the Leeds Cancer Centre and across the Yorkshire Cancer Network. To work with consultant colleagues in all specialties across the Trust to coordinate & deliver care for patients with Skin and Head and Neck cancers. The post holder will be encouraged to facilitate and contribute to the current clinical research programs on going in the department.

2.3 To contribute to research, teaching and new developments within the Leeds Cancer Centre. The post holder will be encouraged to facilitate and contribute to the current clinical research programmes in the department.

2.4 To work with colleagues in clinical oncology to deliver acute on call (currently 1 in 26) for clinical oncology. This includes attendance at hand-over, twice daily ward-rounds to review and manage patients admitted acutely and provide out-of-hours cover and advice to the resident on-call team.

3. REQUIREMENTS OF THE POST

3.1 Service Delivery

General

The Trust expects consultants to deliver clinical service as agreed with commissioners and other stakeholders. This will include:

meeting the objectives of the post (see above)

continuously improving the quality and efficiency of personal and team practice

working with other staff and teams to ensure that the various criteria for service delivery are met, such as

o achieving the best clinical outcomes within the resources available

o waiting times

o infection control standards

Consultants in LTHT are line managed by their specialty Lead Clinician working in conjunction with a Business Manager. This specialty team is then managed alongside a number of other specialties in a Clinical Service (or Support) Unit (CSU) led by a Clinical Director as the responsible person and supported by a full time General Manager and a full time Head of Nursing.

The Clinical Director and their team report operationally to the Chief Operating Officer (COO). The Clinical Director will work closely with the Chief Operating Officers team which includes two Medical Directors for Operations, Nurse Directors for Operations, Deputy Chief Operating Officer, Assistant Directors of Operations (ADOs) and a Performance Team, with each ADO aligned to specific CSUs.

Professionally, consultants report to Dr Magnus Harrison, Chief Medical Officer.

3.2 Quality

The Trust has a programme of activities that are designed to help consultants improve the quality of the service they offer. This includes a range of activities shown below as examples not all activities can be undertaken every year! Consultants are expected to routinely engage in relevant activities in their specialty that are focussed on quality improvement. This participation should be reflected at annual appraisal and job planning and will be discussed in specialties as part of clinical governance programmes and meetings.

Clinical Audit and standard setting

Clinical audit projects

Development and application of agreed clinical guidelines

Ensuring compliance against relevant national specifications, e.g. NICE guidelines

External Peer review and relevant national audits

Implement improvements identified in GIRFT reviews

Clinical outcome review

Mortality and morbidity reviews

Structured Judgement Reviews

Monitoring of outcomes reflected in routinely collected data

Participation in clinical coding review and improvement

Improving patient safety

Participation in Trust-wide programmes, including mandatory learning

Respond to national patient safety alerts

Implementation of local improvements, including actions from serious incident investigation reports, following clinical review

Promptly record patient safety incidents on Datix and immediately escalate potential serious incidents to the CSU management team

Ensure Duty of Candour requirements are met

Improving service effectiveness and efficiency

Service or system improvement projects, including small scale change, lean or other recognised improvement methods

Conducting or considering reviews of the evidence to plan better service delivery

Where agreed, working with commissioners to match service delivery with requirements of relevant populations

Improving the patient experience

Implementing service improvements based on individual or service feedback from patients or carers

Raising the profile and impact of patient participation in decisions about their own care

Involvement in understanding and improving the ethical basis of care provided, utilising where necessary the trusts clinical ethics committee

Respond to complaints in a timely and open manner and ensure lessons are learned for future patient care

3.3 Research

The Trusts Research Strategy encourages all clinicians to participate in high quality, nationally recognised clinical research trials and other well-designed studies, with a particular emphasis on work supported by the National Institute for Health Research. The Trust has several major programmes in experimental medicine and applied health research, developed in partnership with the University of Leeds, which reflect strengths described in the Strategy and clinicians are encouraged to participate in these programmes.

The Trust also supports bespoke academic development and participation programmes linked to the Research Strategy, including academic mentoring, and embedding of clinicians within the major research programmes.

Sessional time required for any participation in research activity will be agreed on commencement and kept under review, but not all consultants will require such sessional time.

3.4 Teaching

The Trust is a Teaching Hospital and therefore considers the active participation of consultant and other medical staff in teaching and training to be part of our core activities. Not all consultants will have regular and substantial teaching commitments, but all will be involved in related activities from time to time, if only through informal opportunities, for example as part of service quality improvement (see above). It is therefore expected that all consultants will be familiar with the principles of effective teaching .

Person Specification

Additional Requirements

• a.Applicants must be on the Specialist Register or within six months of being admitted to the Register for trainees if currently in a training
• programme within the UK, or have references which have been authorised by the Deputy Medical Director and Clinical Director.

Experience

• a.Must be able to demonstrate a high level of clinical experience and competence in clinical oncology.
• b.Specifically, must demonstrate higher training in managing patients with Breast cancer.
• c.Must have experience of delivering systemic therapy.

Clinical, Academic, and Personal Skills

• a.Well organised and skilled in good time management
• b.Effective interpersonal skills
• c. Demonstrate ability to relate to and work within a team
• d.Experience in training undergraduate medical students and postgraduate doctors
• e.Understanding of current issues in the NHS
• f.Evidence of the ability to carry out medical research
• g.Experience of participation in regular clinical audit

Eligibility, Fitness to practice, and Language Skills

• a.Eligible for full registration with the GMC at time of appointment and hold a current licence to practice.
• b.Eligibility to work in the UK
• c.Demonstrate written and spoken English adequate to enable effective communication
• d.Is up to date and fit to practise safely

Qualifications

• FRCR or equivalent qualification

Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

Certificate of Sponsorship

Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website.

From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants.

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website.

Employer details

Employer name

Leeds Teaching Hospitals

Address

St. James's University Hospital

Beckett Street

Leeds

LS9 7TF

https://www.leedsth.nhs.uk/