Consultant Haematologist

Job description

Job responsibilities

1. Share with consultant colleagues the Haematology workload.
2. Consultant input to the Anticoagulant, Antenatal Haematology and Transfusion services.
3. Work as part of a multidisciplinary team with junior medical staff, nursing staff, pharmacist, physiotherapists, occupational therapists, social workers and palliative care nurses.
4. Attendance and discussion of all appropriate patients at MDT meetings for Haematological Oncology and any other MDTs that may be set up.
5. Provide Consultant support for the pathology laboratory which functions as part of the Eastern Pathology Alliance (EPA) including attendance and participation in local and EPA level forums.
6. Provide a consultation and advisory service to medical colleagues in other specialities in the Trust and to general practitioners.
7. Participation in clinical meetings, postgraduate and undergraduate activities of the Trust, and in particular offer teaching to UEA Medical Students in various modules.
8. Participation in the teaching and audit activities of the Department, including quality control in the laboratory.
9. Participation in clinical trials.
10. Provide with the other Consultants a system of mutual out-of-hours cover for annual, study and professional leave. Short periods (up to 2 weeks) of sick leave will also be expected to be provided by the remaining consultants
11. Share a 1:5 on-call rota Band A with prospective cover. Junior and middle grade support from within haematology are first on call during the on call period.
12. Participate in the Trusts Clinical Governance processes and in CPD. The Trust will provide study leave expenses in line with national terms and conditions of service.
13. Contribute to management of the service and, by agreement, take on the role of clinical lead in due course.
14. Comply with the outline Consultant work programme (under provisions of Circular HC90/16) and the weekly timetable of fixed commitments (i.e.: regular scheduled NHS activities in accordance with paragraph 30B of the TCS).

There is a dedicated Haematology inpatient ward (ward 17) with direct admission rights, an acute oncology service and a busy haematology and chemotherapy day care unit (the Sandra Chapman Centre). The post holders will be expected to be responsible for the care of haematology inpatients, day care patients and outpatients, including participation in clinical trials.

Other Responsibilities

Subject to the provisions of the Terms and Conditions of Service to observe the Trusts agreed policies and procedures drawn up in consultation with the profession on clinical matters and to follow the standing orders and financial instructions of the Trust.

To observe local and national employment and personnel policies and procedures, and to comply with Regional and Trust Health and Safety policies.

To assume responsibility for and facilitate contact from members of staff with delegated duties for personally accountable patient care.

Job Plan

This replacement Consultant will ideally have a special interest; however the Job plans and detailed timetable will depend on both experience and interests of the candidate and the needs of the department. This will be agreed with the Divisional Director on behalf of the Medical Director, within three months of the commencement date of the appointee. This will be signed by the Chief Executive and will be effective from the date signed by the Divisional Director.

The successful candidate will be offered a 10 PA contract in the first instance in accordance with the terms of the new consultant contract. Additional PAs may be available to interested applicants. The mix of clinical sessions in the final job plan and rota will be agreed after discussion with the Divisional Director, and the weekly timetable will include the following mix of programmed activities.

Direct Clinical Care

(Includes lab work, clinics, day ward, clinical admin): 8.5PAs on average per week

Supporting Professional Activities

CPD/Teaching/Research/Audit/Clinical Governance: 1.5SPAs on average per week

The Job Plan will be reviewed annually, following the Annual Appraisal Meeting. The Job Plan will be a prospective agreement that sets out a consultants duties, responsibilities and objectives for the coming year. It will cover all aspects of the Consultants professional practice including clinical work, teaching, research, education and managerial responsibilities. It will provide a clear schedule of commitments, both internal and external. In addition, it will include personal objectives, including details of their link to wider service objectives, and details of the support required by the consultant to fulfil the job plan and the objectives.

On Call Availability

On-call responsibility will be 1 in 5 with prospective cover for leave with the Consultant. The on-call period includes all hours outside Monday to Friday from 09.00 -1700hrs.

Anticoagulant and Thromboprophylaxis Service

All anticoagulant dosing locally is currently done via the hospital anticoagulant service based on laboratory INRs, although the majority of patients are bled in the community. Dosing is via computer dosing system (APEX). Manual dosing advice is given by the anticoagulant nurse specialists, when required. Inpatients on oral anticoagulants are also dosed by the anticoagulant nurse specialists. A fast track DVT service is run by the anticoagulant nurse specialists.

There are four anticoagulant nurse specialists.

There is active Thromboprophylaxis committee and regular audit of thromboprophylaxis. One of the Consultant posts will include oversight of these services.

Laboratory Haematology and Blood Transfusion

The Haematology and Blood Transfusion Laboratories at James Paget Hospital is managed by the Eastern Pathology Alliance (EPA), an alliance of three hospitals including Norfolk and Norwich University Hospital and the Queen Elizabeth Hospital, Kings Lynn.

Histopathology and Cytology services are based at the Cotman centre in Norwich. Haematology and Blood Transfusion is currently CPA accredited and MHRA compliant.

The Laboratory also operates a comprehensive anticoagulant dosing service to hospital and GP patients.

Haemato-pathology Services

Haemato-Oncology services are currently all provided at Addenbrookes Hospital in line with IOG directives which mandate the delivery of such services through an SIHMDS.

Service Aspects of Haematology

The department provides a 24 hour advice service for the hospital and local GPs including out of hours.

The successful candidate will have an office with their own desk, personal computer and secretarial support.

Person Specification

Education and Qualifications

Essential

• MBBS or Basic Medical Degree
• FRCPath/MRCPath or equivalent
• MRCP or equivalent
• Full and Specialist registration (and with a licence to practise) with the General Medical Council (GMC), or be eligible for registration within six months of interview

Desirable

• Applicants that are UK trained, must ALSO be a holder of a Certificate of Completion of Training (CCT), or be within six months of CCT by the date of interview. Applicants that are non-UK trained, will be required to show evidence of equivalence to the UK CCT

Experience and Knowlege

Essential

• Wide experience in clinical and laboratory Haematology including benign and malignant disease.
• Ability to provide expert clinical opinion across a wide range of problems within Haematology
• Willingness to participate in and lead a multi-disciplinary team, balancing department and personal objectives

Desirable

• Experience of committee work/project management

Academic Achievements

Essential

• Ability to use research outcomes in clinical practice
• Familiarity with conducting clinical audit

Desirable

• Involvement in research projects and published papers

Key Skills

Essential

• Motivation and ability to plan and develop the service
• Experience in teaching junior medical staff
• Able to form part of a team and recognise the importance of team working
• An interest in developing and reinforcing interdepartmental relations
• Conscientious and highly motivated with the ability to communicate clearly with colleagues and staff

Desirable

• Leadership qualities

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 (Opens in a new tab).

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 (Opens in a new tab).

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).

Employer details

Employer name

James Paget University Hospitals NHS Foundation Trust

Address

James Paget University Hosptial

Lowestoft Road

Gorleston

NR31 6LA

Employer's website

https://www.jpaget.nhs.uk/work-for-us/ (Opens in a new tab)