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 .
