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GLOUCESTERSHIRE HOSPITALS NHS FOUNDATION TRUST
CONSULTANT IN MEDICAL ONCOLOGY
Breast, Upper GI
JOB DESCRIPTION
JANUARY 2017
GLOUCESTERSHIRE HOSPITALS NHS FOUNDATION TRUST
Page(s)
Contents
3
Introduction
Purpose of the post & general responsibilities
Specific Aims & Responsibilities of the post
5
Location
6
Review
Important information for candidates
7-8
Appendix 1 - Provisional Job Plan
9-10
Appendix 2 - Person Specification
11-18
Appendix 3 – Additional information for candidates
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JOB DESCRIPTION
Consultant in Medical Oncology
1
INTRODUCTION
The post is based in the Gloucestershire Oncology Centre at Cheltenham General Hospital. The
Centre provides the non-surgical oncology services for the whole of Gloucestershire, Herefordshire
and some specialities in South Worcestershire. The contract will be held by Gloucestershire
Hospitals NHS Foundation Trust (GHNHSFT), although the appointee will spend a proportion of
their time at other hospitals in the catchment area.
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PURPOSE OF THE POST & GENERAL RESPONSIBILITIES
The post holder will provide specialist medical oncology services for breast and Upper GI cancers
for Herefordshire and for breast cancer for the Gloucestershire population (in conjunction with
colleagues). GHNHSFT is now part of the Southwest Strategic Clinical Network (SCN) but we
continue to care for patients across a broad catchment area and have strong links with the
Midlands and East (SCN) which is the Strategic Clinical network for Herefordshire.
Site specialised interests are indicated by the job plan and are determined by a balance of site
specialisation, geographical demands and caseload. The job plan may be subject to change after
consultation with and agreement of the appointee, to ensure the requirements of the department
and the individual continue to be met. The successful candidate will be expected to continue the
established links with site specialised teams through the appropriate multidisciplinary team
meetings. The appointee will be encouraged to participate in the departmental philosophy of
entering patients into clinical trials wherever possible. Further strengthening and development of
multidisciplinary teams is anticipated.
The post holder will maintain and develop links with the Palliative Care teams, the multi-disciplinary
staff groups within Oncology and with clinical colleagues in medical and surgical specialities.
The post-holder will foster links with primary care.
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SPECIFIC AIMS & RESPONSIBILITIES OF THIS POST:
Clinical
 The appointee will be expected to take responsibility for the delivery of high quality nonsurgical medical oncology care to the patients presenting to them in the Department
 To examine and treat patients in accordance with agreed Department, Regional Cancer
Network and Trust wide policies
 To work with local and regional MDT colleagues to ensure the most appropriate care is
delivered to patients in a timely way
 To support the clinical decision making of junior medical, nursing and pharmacy staff
 To provide on call support, participating in the Department rota for on-call and as per
agreed protocols. To remain contactable and available when on call
 To carry out additional ward visits appropriate to the level of clinical care required by
patients, as agreed with the AOS nursing teams on a rota basis and at the request of
Consultant colleagues.
Teaching/Training (as agreed with Specialty Director)
A weekly multi-disciplinary meeting is held in the Centre, attended by Consultants of the
Directorate of Oncology, Haematology and Palliative Care (OHP), supporting medical staff, senior
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nurses, radiographers, physiotherapists, occupational therapists, palliative care nurses, dietetics,
social services and the local in-patient hospice.
A regular programme of meetings and activities is scheduled which the post holder will be
expected to contribute to including:
 the SpR and SHO teaching programmes
 Joint teaching
 Audit programme
 Morbidity and Mortality meeting
 Department management meetings
The Consultants hold regular tutorials for junior medical staff and there is a monthly Journal Club
meeting.
There are post-graduate medical centres attached to Cheltenham General and Gloucestershire
Royal Hospitals, which run regular programmes of activities, lectures and seminars.
The postholder will be expected to take an active part in teaching junior medical and other clinical
staff.
Quality Improvement and Audit (as agreed with Specialty Director)
The clinical improvement and audit department of Gloucestershire Hospitals works closely with the
Oncology Department and the postholder will be expected to take an active part in such activity.
Opportunities for formal quality improvement training are available via the Gloucestershire Quality
Improvement and Safety Academy
Research
The Consultants Oncologists participate in national research trials where appropriate and the
majority of these trials are externally funded and non-commercial. Typically the trials are those run
by organisations such as MRC, UKLG/BNLI, UKCCR and ICR/Royal Marsden and under the
auspices of the NCRN.
Oncology also undertakes some local research projects. All research activity is undertaken
following agreement by the appropriate committee/individuals.
The Cancer Research Network was established in April 2002 and has developed an infrastructure
that actively supports trials and a strategy for developing R&D in the Cancer Network. A dedicated
research suite has opened at the Oncology Centre with facilities for patient consultation and
examination, which will further enhance the potential for trials activity. Regional non-recurring
funding has been agreed, for 2 years, to support Consultants in trials participation.
The postholder will be expected to take an active part in research activities.
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Clinical Governance
The Trust has established a framework for clinical governance and the post holder will be expected
to contribute to the relevant local programmes.
Management (as agreed with Specialty Director)
 To provide medical information for the development of services appropriate for Trust and
catchment population needs. This will include analysis of the impact of National Guidance,
the results of clinical trials and the emergence of new therapies on site speciality demand
and capacity planning
 To participate in departmental Consultant and senior staff meetings whilst remaining within
the framework of the agreed strategy of the Trust and the Department
 To attend other departmental, Divisional and Trust meetings as necessary, including
OHP Monthly Board
Sub-specialty meetings
Management meetings; including monthly Consultant meeting
 To attend regional and national meetings as necessary
 To undertake all work in accordance with Trust procedures and operating policies
Teamwork
 To work within the framework of multidisciplinary team decisions.
 To take a whole systems approach to working with the wider health community
 To show initiative, enthusiasm and flexibility
Strategic Development
 To be aware of the national changes to health care provision, the regulation and monitoring
of health care services and the drivers for change
 To support the Speciality Director and Trust management colleagues in developing
effective links with commissioners and other providers to meet the Trust strategic objectives
Accountability
 The post-holder will be immediately accountable to the Specialty Director. Further line
management is provided by the Divisional Chief of Service and subsequently the Medical
Director
The post-holder has a general duty of care for their own health, safety and well being and that of
work colleagues, visitors and patients within the hospital. This statutory duty is in addition to any
specific risk management or clinical governance accountabilities associated with the post.
Finally, the post-holder is expected to:
1.
2.
3.
4
Observe the rules, policies, procedures and standards of Gloucestershire Hospitals NHS
Foundation Trust together with all relevant statutory and professional obligations
Observe and maintain strict confidentiality of personal information relating to patients and
staff
Be responsible, with management support, for their own personal development and to
actively contribute to the development of colleagues
LOCATION
The place of clinical work for this post is split between Hereford Hospital and Gloucestershire
Hospitals. Other work locations, including off site working, may be agreed in the post-holder’s Job
Plan where appropriate. The post-holder will generally be expected to undertake their Programmed
Activities at the principal place of work or other locations agreed in the Job Plan. Exceptions will
include travelling between work sites and attending official meetings away from the workplace. You
will be required to work at any site within the Trust.
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5
REVIEW
This job description will be regularly reviewed. It is intended as a guide to the general scope of
duties and is not intended to be definitive or restrictive. It is expected that some of the duties will
change over time and this description will be subject to review in consultation with the post-holder.
6
IMPORTANT INFORMATION FOR CANDIDATES
The appointee will be required to live within Gloucestershire, within 30 minutes or 10 miles of base,
and will be expected to agree an appropriate location with the Specialty Director.
The post-holder will have access to vulnerable adults and may have access to children under the
provision of Joint Circular No HC(88) 9 HOC8/88 WHC (88) 10. Criminal Records Bureau
clearance is a job requirement. Therefore, applicants are advised that the appointment will be
subject to disclosure of any convictions, bind-over orders or cautions. Attention is also drawn to the
provisions of the Rehabilitation of Offenders Act 1974 (Exceptions) (Amendment) Order 1986,
which allows convictions that are spent to be disclosed for this purpose by the police and to be
taken into account in deciding whether to engage an applicant.
Candidates are asked to note that canvassing of any member of the Advisory Appointment
Committee or Gloucestershire Hospitals NHS Foundation Trust Board will disqualify them from
appointment. This should not deter candidates from approaching any person for further information
about this post.
Candidates are most welcome to visit the hospital and are encouraged to discuss the post with all
consultants and any other members of staff they wish:
Dr Charles Candish
Specialty Director; Oncology Haematology and Palliative Care
Tel: 03004 224925
Binoy Kuriakose
General Manager, Oncology & Haematology
Tel: 03004 224017
Ms Tracy Iles
Divisional Operations Director
Tel: 03004 225555
Mr Neil Borley
Trust Lead Cancer Clinician (Consultant Colorectal Surgeon)
Tel: 03004 223176
Short listed candidates only must make arrangements to meet or speak with the Medical Director
(or his designated representative) prior to the interview. They should also meet with the Speciality
Director and the Cancer Network Lead Clinician prior to the interview as part of the selection
process:
Dr Sean Elyan, Medical Director
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Proposed Job plan
JOB PLAN
MEDICAL ONCOLOGIST -
APPENDIX 1
Breast, Upper – Herefordshire
Breast - Gloucestershire
PAs
Monday am
N/FU GRH
1.0
Monday pm
AOS GRH
1.0
Tuesday am
MDT Upper GI (via V/C)
Chemo clinic CGH
0.25
1.0
MDT Breast CGH
Ward Round
SPA
0.5
0.25
1.0
Tuesday pm
Wednesday am
Travel
Daily
PAs
0.25
2.25
total
2.0
1.0
Wednesday pm
Thursday am
Thursday pm
Friday am
MDT Meeting
SPA
0.25
0.5
DCC Admin
Breast MDT HCH
Chemo clinic HCH
0.75
0.25
1.0
N/FU OP HCH
1.0
1.5
2.75
0.5
Friday pm
On call
0.5
Total PAs
10
CGH – Cheltenham General
GRH – Gloucestershire Royal Hospital
HCH – Hereford County Hospital
Programmed activity
Direct clinical care (including unpredictable on-call)
10
8.5
Supporting professional activities
1.5
Programmed activity
10
2. On-call availability supplement
Agreed on-call rota:
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Agreed category:
On-call supplement:
A
3%
The Medical Local Negotiating Committee (LNC) has agreed on behalf of the medical staff body
within the Trust a standard allocation of 1.5 SPAs for all new appointments. Core duties are
included in the present allocation of 1.5 SPAs but additional SPAs (up to a total maximum of 2.5
SPAs) may be available following discussion with the Specialty Director, depending upon Trust
requirements and individual expertise.
In line with the terms and conditions, the final job plan is subject to the agreement of the Trust
through the Specialty Director and the appointee.
Consultants provide cover for their colleagues for emergency work whenever they are away. The
maximum number of Consultants away at any one time is always subject to the provision of an
adequate service for patients.
The job plan represents an average week. The plan may vary in response to other consultants
leave and to unplanned increases in work. The consultant will be expected to monitor their hours
to ensure that the workload averages out to the proposed job plan.
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APPENDIX 2
PERSON SPECIFICATION - CONSULTANT IN MEDICAL ONCOLOGY
REQUIREMENTS
ESSENTIAL
Full GMC Registration
DESIRABLE
Qualifications
MRCP/FRCP or equivalent
Entry on the GMC Specialist Register via



Clinical Experience
CCT or CESR (CP) (proposed CCT/CESR (CP)
date must be within 6 months of interview)
CESR or
European Community Rights
Evidence of expertise in the areas of special interest
relevant to the Job Plan of interest.
Another sub-specialty interest according to previous
experience
A full understanding of clinical risk assessment
Clear logical thinking showing an analytical/ scientific
approach to clinical practice
Management &
Administrative
Experience
Participation in clinical audit including completion of
audit project
Developing clinical protocol in site specialised groups
Understanding of Clinical Governance
Teaching Experience
Training of junior doctors
Training of specialist registrar grade
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Research Experience
Active involvement in clinical trials
Personal
Attributes/Attitudes
Evidence of effective team working
Higher research to degree level
Conscientious and empathetic
Able to take responsibility, show leadership and make
decisions
Use non-judgemental approach to patients and
colleagues regardless of the sexuality, ethnicity,
disability, religious beliefs or financial status
Flexible and resilient
Initiative, drive and enthusiasm
Probity
Committed to lifelong learning
Able to meet travel commitments of the post
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APPENDIX 3
ADDITIONAL INFORMATION FOR CANDIDATES
1.0
GLOUCESTERSHIRE
Cheltenham and Gloucester lie at the head of the Severn Estuary, midway between London
and South Wales. Gloucester is an old Roman fortification and an historic cathedral city.
Cheltenham is a large Regency town renowned for its music, literary and cricket festivals and
for the ‘Cheltenham Gold Cup’. Gloucestershire is well known for its cultural and leisure
activities and has many excellent state and private schools as well as colleges of higher
education and its own university (the University of Gloucestershire).
Both Cheltenham and Gloucester are close to the M5 motorway, providing easy access to the
university facilities of Bristol, Cardiff and Birmingham. Oxford lies 40 miles to the east on the
A40.
Cheltenham and Gloucester are served by the Intercity network with easy access by train to
Birmingham and the north and Bristol and the south west of the country. There is a direct
Intercity service to London Paddington. The airports at Bristol and Birmingham are about an
hour away and London Heathrow airport is less than 2 hours by road.
2.0
HEALTH SERVICES IN GLOUCESTERSHIRE
Gloucestershire Clinical Commissioning Group (CCG) is now the main commissioner of
services in Gloucestershire and includes membership of lead GPs.
Within the Gloucestershire CCG area there are five main localities including Stroud, The
Forest of Dean, North Cotswolds, Gloucestershire and Cheltenham.
The NHS Commissioning Board is responsible for overseeing delivery in the NHS as well as
commissioning GP services and holding CCGs to account. They operate through Local Area
Teams (LATs) and our LAT covers Gloucestershire, Bath, Swindon and Wiltshire, but
operates out of Gloucestershire.
Gloucestershire Hospitals NHS Foundation Trust provides acute services to the population of
Gloucestershire (600,000), as well as services to parts of Herefordshire and Worcestershire
We are the second largest employer in Gloucestershire, with more than 7,400 employees.
Our success depends on the commitment and dedication of our staff. Many of our staff are
world leaders in the fields of healthcare, teaching and research and we aim to recruit and
retain the best staff possible.
Our patients are cared for by more than 2,100 registered nurses and midwives and 800
doctors. In addition, we employ more than 600 estates staff, 190 healthcare scientists and
425 health professionals, such as physiotherapists and speech therapists.
Gloucestershire Care Services NHS Trust provides a range of community based health and
social care services such as District nursing, health visitors, and sexual health services and
is responsible for the County’s seven community hospitals in Stroud, Tewkesbury and the
Cotwolds.
²gether NHS Foundation Trust provides mental health and learning disability services in
Gloucestershire. This Trust works in partnership with Social Services.
The South Western Ambulance Service NHS Foundation Trust, which was formed on 1st
February 2013 provides emergency and urgent care, patient transport services and out of
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hours services across Cornwall and the Isles of Scilly, Devon, Dorset, Gloucestershire,
Somerset, Wiltshire and the former Avon.
3.0
GLOUCESTERSHIRE HOSPITALS NHS FOUNDATION TRUST
The Trust was established in April 2002 to provide acute hospital services for the whole of
Gloucestershire. The Trust has an income plan for 2015/16 of circa £483 million and employs
approximately 6,700 WTEs.
The Trust currently manages two hospitals:
Gloucestershire Royal Hospital 580 plus 48 day beds (628)
Cheltenham General Hospital 378 plus 33 day beds (411)
Over the course of a year the average activity for the Trust is more than 17,000 elective
inpatient cases, 62,000 emergency inpatient cases, 74,000 day cases, 430,000 outpatients
attendances and 100,000 A&E attendances. The Trust serves a population of more than
600,000 for acute care and a population of over 750,000 for cancer.
Gloucestershire Royal Hospital provides general hospital services predominantly to people
living in the west of the county. Some services such as renal and haemodialysis, inpatient
paediatrics, paediatric oncology, inpatient neurology, rheumatology, dermatology and ENT
are provided for the whole county.
Cheltenham General Hospital provides general hospital services predominantly to people
living in the east of the county and parts of south Worcestershire. Some services, such as
ophthalmology are provided for the whole county. The Oncology Centre at Cheltenham
General Hospital is the hub of the Three Counties Cancer Network being a centre of
excellence for Gloucestershire, Herefordshire, Worcestershire and parts of Wales.
Gloucestershire Royal Hospital has a 24-hour accident and emergency department with helipad access. A day time and early evening service is provided on the Cheltenham General
site
As a large acute Trust, Gloucestershire Hospitals NHS Foundation Trust attracts staff in all
clinical and non-clinical disciplines. It is able to offer an excellent career structure,
opportunities for flexible working and a wide range of services to support staff.
The Trust places great emphasis on improving patient access to services and reducing visits
to hospital where possible through the provision of “one-stop clinics” where all tests,
consultations and treatments are provided with only one visit to the hospital.
The Trust provides opportunities for the public to be involved through patient surveys, focus
groups and a good working relationship with the Patients’ Fora.
A Patient Advice and Liaison Service within the Trust provides the opportunity for patients,
their relatives and friends to access clear and friendly information.
The Hospitals’ Leagues of Friends, other support groups and organisations play an important
role in the life of the service and are an effective link to the public.
The Trust enjoys strong and fruitful relationships with its partners in the Gloucestershire
Health Community and in Social Services and other statutory organisations, working together
to ensure the best health care for people in Gloucestershire.
The Trust received approval to become a Foundation Trust from July 2004.
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4.0
LOCALITY HOSPITALS IN GLOUCESTERSHIRE
The county is currently well served by a large range of community hospitals including those
within the CCG’s, many of which provide outpatient, radiology, elective surgery, therapy and
emergency services, as well as inpatient rehabilitation and intermediate care.
Dursley (The Vale)
Cirencester
Cinderford (The Dilke)
Lydney
North Cotswold (Moreton-in-Marsh)
Stroud
Tewkesbury
Winchcombe
20 beds
75 beds
26 beds
27 beds
26 beds
44 beds
54 beds
6 beds
Within the Gloucestershire 2gether Foundation Trust, community facilities are also provided
for mental health services, mental health resource centres and in facilities offering services to
people with learning disabilities.
5.0
CANCER NETWORK STATUS
Until April 2013, all cancer services across Gloucestershire, Herefordshire and south
Worcestershire formed the 3 Counties Cancer Network. As part of the reorganisation across
the NHS, the Cancer Centre now serves a population which is split across 2 SCN’s. The
Southwest Strategic Clinical Network now acts as the lead organisation for the decisions on
provision of services to this population, liaising with the Midlands and East network. This
process has led to the need for increasing sub-specialisation amongst oncologists, surgeons
and physicians, and the development of multi-professional team working.
The Radiotherapy element of these services is based in the Gloucestershire Oncology
Centre at Cheltenham General Hospital and a new purpose built Satellite Radiotherapy Unit
which opened in August 2014 at Hereford County Hospital, adjoining the Macmillan funded
outpatient and chemotherapy suite on the site.
Chemotherapy is delivered in the Centre, Gloucester Royal Hospital and at the Cancer Unit
in Hereford. It is also delivered from the Mobile Chemotherapy Unit which travels to 4
community hospital sites each week; bringing care closed to patient’s homes and we are
developing homecare services where appropriate for patients.
6.0
THE DIAGNOSTICS AND SPECIALTIES DIVISION
The Gloucestershire Oncology Centre is within the Service Line of Oncology, Clinical
Haematology and Palliative Care in the Diagnostics and Specialties Division (D&S) of the
Gloucestershire Hospitals NHS Foundation Trust.
Dr Frank Jewell is Chief of Service for D&S, Mr Adrian Bamford is Operations Director, Mrs
Julie Garnham; Divisional Nursing Director Nurse and Mrs Nicola Turner; Speciality Director
of Allied Health Professionals.
7.0
GLOUCESTERSHIRE ONCOLOGY SERVICES
The Gloucestershire Oncology Centre is located on the Cheltenham General Hospital site
and provides sub-regional cancer services for a catchment population of more than 1.1
million people living in Gloucestershire, Herefordshire, Worcestershire and parts of
Shropshire and Powys.
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7.1 Gloucestershire Oncology Centre
Services are provided across Gloucestershire Hospitals NHS Foundation Trust at its Cancer
Centre on the Cheltenham hospital site and also in Gloucestershire Royal Hospital, where
outpatient clinics are held and outpatient haemato-oncology clinics and treatments are given
in the Edward Jenner Unit.
In addition there is an affiliated cancer units in Hereford. As well as services within the
Oncology Centre, and affiliated Units, non-surgical oncology services are provided in Stroud,
Dursley, Cirencester, Lydney and Tewkesbury and Moreton. These include new patient and
follow-up clinics, joint clinics and meetings. Consultants and some specialty grade staff have
sessional commitments to these.
The Oncology Centre in Cheltenham is the base for non-surgical oncology treatments.. In
2014 a Satellite Radiotherapy Unit opened at Hereford County Hospital and is adjacent to the
Macmillan Chemotherapy Unit. The successful applicant for this new post will also support
Consultants working in Hereford to enable them to have time to care for patients receiving
radiotherapy services at Hereford.
There are 40 dedicated beds in the Oncology Centre accepting both oncology and malignant
haematology patients. They are staffed with attending Consultant Oncologists and
Haematologists who work on rotation, Specialist Registrars, and up to 9 junior medical staff.
Oncology trained nurses, some with prescribing qualifications provide specialist care for
these patients and support inpatient chemotherapy pathways. There is a dedicated
neutropenic and high dependency section. An active autologous stem cell transplant
programme is in place. A dedicated and staffed space is provided within the Centre for the
care of those suffering acute side effects of treatment and disease and which is accessed
directly by patients.
Palliative care is coordinated from within the Trust with teams based at the Centre and at
Gloucester, linked to community teams, local hospice services, primary care and specialist
nursing. They provide County wide services for Gloucestershire.
Clinical haematology is contained within the same clinical directorate for the management of
adult haematological malignancies and as part of the lymphoma team.
The Radiotherapy Department offers a wide range of treatment modalities with five linear
accelerators, a high dose rate selectron, prostate brachytherapy, superficial X-rays and
electrons. There is a dedicated CT planning and virtual simulator suite and full physics back
up.
The Cancer Centre Clinical Trials Unit, staffed by a team of research nurses, is based in the
Oncology Centre and has recently been extended with the opening of a dedicated research
suite with consultation rooms.
The Centre currently registers more than 4000 new patients per year.
7.2 CONSULTANT STAFFING
Clinical Oncology
Dr K Benstead
Dr S A G Elyan
Dr R Counsell
Dr S Shepherd
Dr P Jenkins
Dr A Cook
Dr J Bowen
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Lymphomas, lower GI,
Neuro-oncology, upper GI, breast,
Gynaecology, breast, brachytherapy
Lower GI, Skin
Urology, breast
Gynaecology, head and neck, urology, brachytherapy
Urology, breast, brachytherapy
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Dr C Candish
Dr S Guglani
Dr N Reed
Dr W Grant
Dr S Jonnada
Upper GI, sarcoma, thyroid
Neuro-oncology, lung
Lung, lower GI, Upper GI
Urology, Head & Neck
Lung, Urology, Skin
Medical Oncology
Dr D Farrugia
Dr M Decatris
Lung, germ cell, melanoma, renal, CUP lead
Lung, melanoma, renal
Haematology
Dr R Lush
Dr S Chown
Dr A Jonny
Dr A Rye
Dr R Frewin
Dr O Miles
Dr M Shields
Dr P Robson
Palliative Care
Dr P Perkins
Dr E Husbands
Non-consultant staff in the Oncology Centre includes specialty trainees in Clinical Oncology,
Haematology and Palliative Care and in addition, 1 Associate Specialist, 7 Specialty Doctors,
2 x F1s, 3 x F2s, 2 x CMTs and 4 x ST1/2/VTS doctors.
7.3 CHEMOTHERAPY
Oncological Chemotherapy is carried out in dedicated outpatient suites in Cheltenham and
Hereford Hospitals. The nursing staff provide a pre-chemotherapy clinic for newly diagnosed
patients, consisting of drug and side-effects information, and answer specific questions on
their disease. Additionally, there is a ward based chemotherapy service at Cheltenham
General Hospital. A 24 hour chemotherapy ‘help line’ is run in a dedicated acute oncology
assessment unit at the Oncology Centre and is equipped with trolley bays and chair spaces
for acute assessment and treatment.
The out-patient service currently comprises chemotherapy trained nurses based in
Cheltenham and Gloucester, a twice weekly PICC line service, weekly Groshong line
service, specialist pharmacy service providing a ward based visiting service and a cytotoxic
dispensing service. In addition to this, Pharmacy provides clinical support through
attendance at regular multidisciplinary meetings, drug information services and expenditure
advice. There is a pharmacist with special responsibility for ensuring compliance in Clinical
Trials.
A mobile chemotherapy unit, supported by telephone assessment clinics provides
chemotherapy services at Cirencester, Stroud, Tewkesbury and the Dilke Hospital in
Cinderford. Plans for the MCU to visit additional sites are being worked up.
A Consultant Nurse, Advanced Nurse Practitioners with chemotherapy prescribing
qualifications and prescribing Oncology Pharmacists also support the work of the
chemotherapy service on both hospital sites.
Ward and outpatient nurses who have undertaken ENB N59 administer in-patient
chemotherapy in either bolus or infusional form.
7.4 RADIOTHERAPY
All radiotherapy treatment machine accommodation has been modernised as part of the
rebuild of the Oncology Centre and the opening this year of a Satellite Unit at Hereford
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County Hospital. Treatment facilities include 4 matched dual energy (15 and 6 MV) Linear
Accelerators with 5 electron energies, KV imaging and cone beam CT capabilities for IGRT.
There is also one 6MV Linac with ASi MV imaging. Over 50% of radical treatments are
delivered using IMRT with both static and arcing techniques. All Linacs have MLC’s and ASi
MV portal imaging. The Linacs, including the Satellite are networked and the Centre is paperlight and moving towards paperless working by the early 2015.
The Centre also has a Superficial Treatment unit, CT simulator, Treatment Planning
Computers and High dose rate Selectron. Support services of a Mould Room, Electronics
and Engineering Services are within the department. HDR Brachytherapy is established in
the department for the treatment of gynaecological malignancies and plans are being
developed to extend this to other tumour types. There is a well established prostate seed
brachytherapy programme.
7.5 HAEMATOLOGY SERVICES
The Haematology service provides treatment for haematological malignancies for patients in
the Gloucestershire and Herefordshire catchment area. The Gloucestershire haematologists
collaborate with their colleagues in Hereford; all in-patient episodes take place in
Cheltenham.
The Consultant Haematologists work as a team providing cross county cover for all their
patients. Blood stem cell autografts are performed in county; allogeneic transplants are
referred to Bristol Children’s Hospital. The haematology service is supported by the full range
of laboratory services.
7.6 PALLIATIVE CARE SERVICES
The Cancer Network has hospital and community based palliative care services on both
sides of the county; these comprise Macmillan Consultants in Palliative Medicine with teams
of clinical assistants, clinical nurse specialists, and social workers on each side of the county.
In addition there is a clinical psychology input. The Palliative Care Education Group (PEGG)
provides a regular multidisciplinary education programme.
There are very strong voluntary sector palliative care services available locally. These
services make an essential contribution to the overall inpatient palliative care provision in the
county. In-patient continuing care beds are situated at the Sue Ryder Home, Cheltenham
and St Michael’s Hospice, Hereford. Day care is also available at Cotswold Care Hospice
and Great Oaks Hospice.
7.7 CANCER GENETICS SERVICE
Access to clinical cancer genetic services are available.
7.8 NON- NHS FUNDING SUPPORT
Ongoing charitable support is provided by FOCUS (Fund for Oncology Centre Users and
Supporters) which is part of the Trust’s Charitable Funds. From time to time the services are
also supported by the Cobalt Appeal Fund Cheltenham.
8.0
THE ONCOLOGY POST
The appointee will join an active and cohesive team, which collectively has expertise in the
management of both rare and common cancers. The predominant referrals include patients
with breast, lung, colorectal and urological cancers as well as the less common neurological,
upper GI, sarcoma, gynaecological tumours, haematological and head and neck cancers.
Most patients are treated on standard protocols and many are entered into clinical trials.
All developments are tumour site specialised rather than by treatment modality.
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The post-holder will be expected to support development of oncology services in
collaboration with other Consultant Oncologists, joining the relevant site specific teams.
All Consultants participate in the undergraduate and postgraduate training programmes
within the Centre and share some administrative responsibilities. It is planned that the postholder will have fixed sessions. This may be modified, by agreement between the Specialty
Director and the successful candidate.
The appointee will be supported by a personal secretary and share the departmental
secretariat with the other consultants. An office will be provided for the consultant in the
Oncology Centre.
Clinical duties will include outpatient clinics at Cheltenham General, Gloucestershire Royal
Hospital, Hereford County Hospital with variation depending on the particular post.
The appointee will be expected to share an on call rota covering the Oncology Centre. This
arrangement equates to 1 in 16 on call commitment. Additionally , cover for radiotherapy
emergencies is provided by a Clinical Oncologist.
9.0
TEACHING, RESEARCH, AUDIT AND CLINICAL GOVERNANCE
The post-holder will be encouraged to be active in clinical research. The Trust is part of a
network of hospitals that have been collaborating with Cranfield University to form the
Cranfield Postgraduate Medical School (based at Redwood House in Gloucester).
Consultants at Gloucestershire Royal and Cheltenham General Hospitals currently hold
professional honorary academic appointments. The successful applicant may be afforded
the opportunity to join this multi-disciplinary postgraduate medical school as a faculty member
depending on interests and research activity.
The Trust has a well established framework for clinical governance that incorporates the
clinical audit program. A wide variety of audits are undertaken within the Department. The
Department is supported by a dedicated audit assistant, a dedicated member of the
Information department and a dedicated risk manager. Clinical Governance meetings are
regular. The post-holder will be expected to take part in developing clinical audit activities
within the department and achieving clinical governance objectives in accordance with the
agreed Divisional and Trust clinical governance programs.
The health community of Gloucestershire supports the development of the Gloucestershire
Academy. The Academy is hosted by the Gloucestershire Hospitals NHS Foundation Trust.
Initially led by the University of Bristol Medical School and now involving the University of the
West of England Faculty of Health and Social Care, it will continue to grow to embrace the
ambitions of the NHS, the University and other organisations that may be relevant to our
county’s Trusts and employees. Meanwhile its implementation currently involves providing
an academic infrastructure for students in medicine, nursing and the allied health professions
to pursue the curriculum with relevant high education institution, in the health service, clinical
setting of the primary and secondary care Trusts of Gloucestershire.
10.0
CONTINUING PROFESSIONAL DEVELOPMENT
The Trust recognises the importance of continuing medical education and actively
encourages consultant staff to give priority to their continuing professional development. The
appointee will undertake CME / CPD as per College recommendations. Consultant appraisal
now operates within Gloucestershire Hospitals NHS Foundation Trust and it is mandatory
that the appointee undergoes yearly appraisals. A mentoring scheme for new consultant staff
has recently been established and each new appointee will be appointed a mentor shortly
after appointment.
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11.0 TERMS AND CONDITIONS OF SERVICE
11.1 Contract
Appointment will be offered on a Gloucestershire Hospitals NHS Foundation Trust contract.
General Terms and Conditions of Service are contained in the “Terms and Conditions,
Consultants (England) 2003”. Copies of this are available on-line on the Department of
Health website or from the Human Resources Department. Any locally agreed terms,
conditions, policies and procedures applicable to this post are available from the Human
Resources Department or through the LNC or Human Resources intranet sites.
11.2 Relocation
The appointee will be required to live within a reasonable travelling distance (normally 10
miles) of the Base Hospital. Reasonable traveling distance will be determined by the
Specialty Director. Candidates will be eligible to claim relocation expenses up to a maximum
of £8,000 under the terms of the Trust policy.
11.3 Salary
£76,001 rising by increments to £102,465 per annum (based on 10 PAs 2016/7 pay rates).
Full details, including those of seniority, are outlined in the “Terms and Conditions of Service
– Consultants (England) 2003” and subsequent amending national pay circulars.
11.4 Annual Leave Arrangements
It is expected that all leave will be booked at least 8 weeks in advance. The locally agreed
leave policy is available on the Local Negotiating Committee website or via Human
Resources.
11.5 Secretarial Support and Accommodation
The post-holder will have secretarial support. Office accommodation will be provided within
an office shared with other consultants and their secretaries. The postholder and his/her
secretary will be linked to the Trust’s Infoflex data collection / discharge summary system and
have computer access to radiology, PAS, Trust intranet, e-mail and internet and other
hospital systems.
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