Trust Doctor in Haematology

Job responsibilities

INFORMATION ABOUT THE DEPARTMENT

The department is seeking to appoint a full time Trust Doctor in Adult Clinical

Haematology to increase the capacity and continuity of our medical staffing at

middle grade / StR level. The post will be offered initially for a period of 12 months.

The Haematology department in Leeds is a large and diverse unit, with 40

dedicated inpatient beds on wards J88 and J89 and up to 20 additional

haematology inpatients on other wards, including a Teenage and Young Adult

Unit. There is a substantial specialist and subspecialist practice here in all aspects

of haematological malignancy, general and benign haematology, cell therapy and

bone marrow transplantation, providing many opportunities for career development

in all areas of the specialty.

The appointee will join a medical team of around 20 consultant staff, 12 training

registrars and 3 specialty doctors as well as FY/IMT trainees, Physician Associates,

and Advanced Clinical Practitioners. The department and its staffing

is described in more detail at the end of this job description.

DUTIES OF THE POST

The post-holder will be part of the Leeds Teaching Hospitals NHS Trust Haematology team, supporting the Clinical Haematology service. The post is based almost entirely at St Jamess Hospital but on rare occasions it may be necessary to visit other trust sites (principally the Leeds General Infirmary).

The appointee will participate in the investigation and management of patients with haematological disorders in collaboration with colleagues. The successful candidate would have the opportunity to develop a degree of subspecialty interest if desired but this is not essential.

We are looking for candidates who would be able to work alongside the middle

grade staff on the registrar rota, covering both inpatient and outpatient work, and

who would contribute 1-in-8 weekend work.

The appointee will have the opportunity to rotate through a variety of subspecialty

areas within haematology, in a similar way to our StR trainees, gaining experience

in the inpatient and outpatient management of patients with myeloid and lymphoid

malignancies, myeloma, patients undergoing autologous and allogeneic stem cell

transplantation, and patients with non-malignant haematological conditions.

The appointee will also participate in the regular bone marrow biopsy (aspirate and trephine) and intherathecal chemotherapy lists in the day unit.

Assessment and review of patients attending our chemotherapy suite and our supportive therapy and ambulatory care facilities (i.e. all day care areas) also forms part of the clinical duties for these posts and this may include review of patients undergoing therapeutic apheresis and stem cell collection procedures, which are performed adjacent to our day care area under the auspices of NHSBT.

Involvement in laboratory haematology will be encouraged but is not essential depending on the experience and interest of candidates; however clinical advice and liaison regarding haematological laboratory enquiries from around the hospital (e.g. interpreting abnormal blood parameters) will be part of the role.

LEVELS OF RESPONSIBILITY

To deliver care to haematology inpatients with the support of the relevant consultant haematologist

To review patients in outpatient clinics with the support of the relevant consultant haematologist

To perform procedures including bone marrow biopsy and lumbar puncture and to gain intrathecal chemotherapy competencies

To be part of the middle grade rota

To contribute to haematology multi-disciplinary team meetings

TEACHING AND RESEARCH/STUDY AND TRAINING

The Trust as a Teaching Hospital recognises the importance of links with the University of Leeds School of Medicine for the Undergraduate teaching and all medical staff are expected to provide an appropriate contribution to the undergraduate teaching programme. The precise details of the contribution to teaching will be discussed with the appointee after taking up post.

THE LEEDS WAY VALUES

Our values are part of what make us different from other trusts, so we see this as a strength, as well as a responsibility. They have been developed by our staff and set out what they see as important to how we work. Our five values are:

Patient-centred

Collaborative

Fair

Accountable

Empowered

All our actions and endeavours will be guided and evaluated through these values

Additionally the following are core values which relate specifically to this post:

The beliefs and attitudes that underpin effective performance within the job role. Emphasis should be on the requirements of the role not the individual when completing this section. Examples might include: quality focus, mistakes are used as a continual learning experience, honesty, integrity etc.

CONDITIONS OF SERVICE

This post is covered by the Hospital Medical and Dental Staff (England and Wales) Terms and Conditions of Service. These documents are available on the Medical Staffing Intranet site.

The post holder is required to be fully registered with the General Medical Council (GMC) and hold a licence to practice.

Standards of Conduct and Behaviour

You are required to work to the standards set out by the General Medical Council in Good Medical Practice. This includes protecting patients when you believe that a doctors or other colleagues conduct, performance or health is a threat to them. If, after establishing the facts, it is necessary, you must follow the Trusts procedures in this matter and inform your Clinical Director or Medical Director in the first instance.

The Trust has a set of expected behaviours for all employees and additional behaviours and skills that are expected of managers and supervisors.

Qualifications

Essential

• MBBS or equivalent medical qualification, MRCP part 1

Desirable

• MRCP (full diploma), FRCPath or past thereof or equivalent

Eligibility, Fitness to practice, and Language Skills

Essential

• Eligibility to work in the UK. Full registration with the GMC and license to practise.
• Evidence of achievement of core medical capabilities or equivalent. Examples as below,
• UK Internal Medicine Stage 1 Training
• UK ACCS (Internal Medicine)
• UK core medical training or ACCS (acute medicine)
• Joint Royal Colleges of Physicians Training Board (JRCPTB) internationally level 3 accredited equivalent Internal Medicine Stage 1 Training programme
• Applicants knowledge is up to date and fit to practise safely
• All applicants to have demonstrable skills in written and spoken English that are adequate to enable effective communication about medical topics with patients and colleagues
• Effective communication skills: demonstrates clarity in written/spoken communication and capacity to adapt language as appropriate to the situation.
• Empathy and sensitivity: capacity to listen and take in others perspectives.
• Works in partnership with patients: always considers patients preferences when discussing treatment options.
• Always considers the full impact of clinical decisions on the patients, Practice shared decision making.
• Directs and supports patients to access the information they need to support decision making

Clinical Experience and Career Progression

Essential

• Acute care safe: up-to-date ALS.
• Relevant specialty clinical knowledge: capacity to apply sound clinical knowledge relevant to the job,
• Clinical judgement: experience in making clinical decisions and managing risk. Knows when to seek help, able to prioritise clinical need.
• Practical skills: shows aptitude for practical skills, required in the job.
• Proven ability to work effectively in different clinical settings required in the job.
• Team working: demonstrated experience working in a team, values the input of other professionals in the team.
• Managing others & team involvement: capacity to work co-operatively with others and demonstrate leadership when appropriate. Capacity to work effectively in multi-professional teams.
• Coping with pressure: capacity to operate under pressure. Demonstrates initiative and resilience to cope with setbacks & adapt to rapidly changing circumstances.
• Problem solving & decision making: capacity to use logical/lateral thinking to solve problems & make decisions.
• Organisation & planning: capacity to organise oneself and prioritise own work. Demonstrates punctuality, preparation and self-discipline. Understands importance of information technology.
• Flexible approach to work: able to adapt and work with employers to deliver improved patient care.
• Equality and diversity: promotes equality and values diversity
• Professional integrity and respect for others: capacity to take responsibility for own actions and demonstrate a non-judgmental approach towards others
• Displays honesty, integrity, awareness of confidentiality and ethical issues.

Desirable

• ALS instructors certificate Out of hours experience relevant to the job.
• Specialty knowledge exam
• Experience in Bone Marrow biopsy
• Experience in Lumbar puncture/ intrathecal chemotherapy administration

Other criteria (optional) eg practical skills

Essential

• Clinical governance: Capacity to be alert to dangers or problems. Demonstrates awareness of good decision making
• Demonstrates awareness of good decision making
• Aware of own limitations. Track record of engaging in clinical governance: reporting errors, learning from errors.
• Audit: evidence of active participation in audit.
• Teaching: evidence of interest and experience in teaching where required in the job (see notes).
• Research Skills: demonstrates understanding of the principles of research, evidence of relevant academic and research achievements (see notes).
• Teaching: evidence of experience in teaching where required in the job.

Clinical, Academic, and Personal Skills

Essential

• Adequate experience in an acute medical hospital setting.
• Evidence of experience in clinical haematology.
• Experience working with patients receiving systemic anti-cancer therapy (SACT)

Desirable

• Experience prescribing SACT, monitoring and managing side effects.

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).