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Portsmouth Hospitals NHS Trust Haematology Consultant This is a replacement post for a 10 PA Consultant Haematologist, due to the retirement of the current post holder. The duties are principally in general and malignant haematology, though a special interest may be accommodated. The appointee will be part of a team of six consultants, with a specialist doctor and two specialist registrars. The department provides a comprehensive clinical and laboratory haematology service for the acute trust and primary care, and manages inpatients with a full range of haematology conditions to BCSH Level 2b (2010). The Trust is a large, modern, district general hospital. It is a Cancer Centre and is part of the Central South Coast Cancer Network. The department is a Haemophilia Centre, linked to Basingstoke for Haemophilia Comprehensive Care. Portsmouth NHS Trust Portsmouth Hospitals NHS Trust is a provider of acute health services to a population of over 650,000 in South East Hampshire. The annual budget for the Trust is £430 million and we employ 7000 staff. The Trust is proud of its military associations and hosts the largest Ministry of Defence Hospital Unit (MDHU) in the country. The MDHU Portsmouth also means that the Trust has wider responsibilities than standard NHS organisations. Military staff account for 3% of the Trust’s total workforce. We have a responsibility to ensure these staff have appropriate clinical experience that helps them when they are deployed throughout the world, often on Active Service. The main hospital is Queen Alexandra Hospital situated in an elevated position to the North of Portsmouth City. Services include a wide range of Medical and Surgical Specialities, Emergency Department, Paediatrics, Neonatal ICU, Intensive Care and the Regional Renal Unit. The Haematology and Oncology Centre has a 47 – bedded ward, Day Unit, Outpatient facilities and Radiotherapy. The large catchment area means a busy and wide clinical experience. The Trust works closely with the Universities of Portsmouth, Southampton and Bournemouth where a number of staff hold academic appointments. It is proud of its excellent, nationally recognised contribution to research and development. It encompasses postgraduate teaching facilities and is involved in training of nurses and undergraduate doctors from the University of Southampton. The Trust is the lead body for the local Research and Development Support Unit and has close links with the University of Portsmouth and its new School of Postgraduate Medicine for both education and research. The area of the Health Authority borders on the Solent and English Channel and includes the City of Portsmouth and the Boroughs of Gosport, Fareham and Havant, extending from Warsash in the West to Emsworth on the Sussex border. The Northern boundary extends beyond the South Downs National Park to encompass Petersfield and Liss. The new Oasis Wellness Centre is an exclusive fitness centre for staff comprising a gym, indoor heated swimming pool and a range of health and treatment services. The Tops Day Nursery provides on site flexible child care for staff members. Portsmouth Hospitals Trust, Haematology Consultant Job Description 2013 -1- Portsmouth is a dynamic and vibrant waterfront city and port with an important maritime heritage. The Historic Dockyard hosts the new and acclaimed Mary Rose Museum and HMS Victory, Nelson’s flagship. The Gunwharf Quays development with the iconic Spinnaker Tower offers numerous waterside restaurants and a large shopping and entertainment complex. There are miles of beautiful seafront and great watersport opportunities. Portsmouth and the Spinnaker Tower HMS Victory Redevelopment Queen Alexandra Hospital has been extensively enlarged with a major PFI build which was completed in June 2009, and unified all acute services on one site. PHT provides: Over 1200 inpatient beds, Over 100 day case beds, 27 operating theatres, 7 for day case work, A new Cancer Centre, Automated Blood Sciences laboratory, State of the art diagnostic imaging facilities o Magnetic Resonance Imaging o Computerised Tomography scanners. The South block houses paediatrics, maternity and most of the new wards, including the haematology oncology wards, F5, F6 and F7 with views over the Solent and Isle of Wight. The new West Wing houses the Haematology and Oncology Centre (CHOC) day unit and outpatients, linear accelerators, main outpatients and the academic centre. To the North of the site is the Rehabilitation Unit. The New Pathology Building was opened in August 2007 and is linked to the main hospital campus by an access bridge. On top of the Pathology building is a helipad for the air ambulance service. Portsmouth Hospitals Trust, Haematology Consultant Job Description 2013 -2- Haematology Services The Haematology service is based at Queen Alexandra Hospital. There are six Consultants and an experience Speciality Doctor who takes a full share in many of the consultant duties. There are two Haematology Speciality Registrars from the Wessex Rotation. The Department prides itself in good and well organised team working with an equitable share of workload rotating between in-patient cover and laboratory duties. Consultants have individual clinic lists and are supported in clinic by the registrars, staff grade and specialist nurses. At present all Consultants manage the full range of haematology malignancy cases. Lymphoma is run as a joint clinical service with oncology. There is the opportunity for the post holder to be either a general haemato-oncologist or have some specific interests, but the post holder would need to cross-cover colleagues and take a share in duties, rotating through ward cover, outlier and liaison haematology, laboratory cover and anticoagulation advice. The successful candidate would be expected to adopt a flexible approach to job planning and to fully engage in the team-based cross-cover of all duties and the provision of out-patient services to sites outside the main department. Haematology Staff Consultant Medical Staff Dr Mary Ganczakowski Dr Helen Dignum Dr Tanya Cranfield (retiring) Dr Robert Corser Dr Hussain Hirri Dr Chris James Clinical Director, General & Malignant Haematology, Haemoglobinopathy General and Malignant Haematology. MDT lead. Clinical trials lead. General and Malignant Haematology, Haematinics General and Malignant Haematology, Lymphoma General Haematology, Haemophilia, Thrombosis General and Malignant Haematology, Laboratory Lead, Associate Medical Director Other Medical Staff Dr Gwynn Matthias Speciality Doctor, Transfusion lead 2 Haematology Speciality Registrars from Wessex Rotation, rotating annually 7 SHO staff on the wards, rotating 4-6 monthly The Haematology medical staff are assisted by and work closely with a comprehensive team of specialist and senior nurses and other support staff Specialist and senior nurses Liz Gifford Brenda Dillon. Wendy White Janet Yeoman Annie Curtis Wendy Wharton Caroline Seymour Claire Marsh Jessica Nelthorpe Anila Varghese Richard Palmer Helen Moorey Ruth Carter Jane Blake Kay Heron Sue Chambers Haematology Clinical Nurse Specialist Part time Haematology clinical nurse specialist (retiring) Nurse specialist for TYA and lymphoma Haemophilia Nurse Specialist Anticoagulant nurse Anticoagulant nurse Anticoagulant nurse Clinical Nurse Specialist Acute Haematology Oncology Nurse Practitioner Acute Oncology Assessment Unit Nurse Practitioner Acute Oncology Assessment Unit Nurse Practitioner Acute Oncology Assessment Unit Lead Cancer Nurse Ward Sister and manager Sister in charge of Outpatients and Day Unit Transfusion Nurse Specialist Transfusion Practice Educator Portsmouth Hospitals Trust, Haematology Consultant Job Description 2013 -3- Clinical Trials team Shanquin Liu Jo Kerr Liza Shiner Luke Smith Juan CamposPerez Haematology Clinical Trials Practitioner Haematology Clinical Trials Practitioner Haematology Clinical Trials Practitioner Clinical Trials Assistant Research Facilitator Haematology and Oncology Pharmacy team Catrin Watkinson Lead Haematology Oncology Pharmacist Heather Cuell Haematology Oncology Pharmacist Kathy Blightly Haematology Oncology Pharmacist Beverley Miell Haematology Oncology Pharmacist Day unit support team (including transfusion support service) Alison Maylam Angela Murphy Administrative support Paula Taylor Janet Somerset (retiring) Heather Hayward Nicola Duncan Penny Wiseman Haematology Oncology General Manager Oncology Haematology Administation Manager Haematology Secretary Haematology Secretary Haematology Secretary Clinical Haematology The size and population base of the hospital creates a wide-ranging clinical service. The Service Level is 2B, with a full range of adult haematology care including acute leukaemia induction and complex chemotherapy, as well as the full range of other benign and malignant haematology conditions. Bone marrow transplant referrals are sent to Southampton; the department has an excellent working relationship with the Wessex Bone Marrow Transplant Centre at Southampton, which performs autologous, sibling and matched unrelated bone marrow transplants. In future, Portsmouth expects to become a satellite centre for autologous transplants. The Cancer Centre is part of the Central South Coast Cancer Network. The regional Renal Service is based in Portsmouth giving additional exposure to myeloma patients in renal failure and plasma exchange treatment facilities for TTP. Malignant Paediatric haematology cases are managed at Southampton with shared care at Portsmouth provided by the Paediatricians. The lymphoma CNS provides specialist support for Teenage and Young Adult Cancer patients. Inpatients are housed on Haematology & Oncology wards in the new buildings. Six of the beds on F7 form the acute oncology assessment unit. There are a high proportion of single rooms all with en-suite facilities including 10 HEPA-filtered rooms for neutropenic patients. There are 12-18 haematology inpatients at any time, principally acute leukaemia treatment, myeloma, elderly haematology and non-malignant haematology. Lymphoma inpatients are allocated to haematology or oncology depending on their clinic consultant. The consultants rotate for a period of ward cover. The ward consultant manages all the haematology inpatients, assisted by the ward registrar, SHOs and nursing teams. There is a weekly ward multidisciplinary meeting, supported by microbiology and palliative care. There are seven haematology-oncology SHO-grade doctors covering the wards and day unit. One SHO is allocated to each of F5, F6, F7 wards and to the acute oncology unit. One is on twilights and one is on planned leave. Night cover is provided by Hospital at night. Consultants have admitting rights to available beds in the Haematology & Oncology Unit. Portsmouth Hospitals Trust, Haematology Consultant Job Description 2013 -4- Outpatient Facilities Clinics are held in the Haematology Oncology Centre on Level B. All consultants have two main clinics for general and malignant haematology on weekday mornings, which include both new and follow-up patients. There are additional emergency/rapid review clinics on Monday and Friday lunchtimes. Specialist thrombophilia and haemophilia clinics are held weekly. There are two nurse-led anticoagulation clinics for new patients each week and one review clinic. Additional general haematology peripheral clinics are held at least once a month at community hospitals on Portsea Island, Gosport, Fareham and Petersfield. Dr Ann O’Callaghan (Consultant Medical Oncologist) and Dr Corser (Haematology) lead the Lymphoma Service with clinics on Tuesday and Wednesday. Dr James attends the lymphoma follow-up clinics. There will be an opportunity for Candidates with a particular lymphoma interest to incorporate a share of the lymphoma practice into their job plan. Day Unit The Haematology Oncology Day Unit is adjacent to Outpatients on Level B and administers intravenous chemotherapy, blood and platelet transfusions, immunoglobulin infusions iron infusions, venesections etc. Bone Marrow Biopsies are performed in the Laboratory with MLA support. Haematology Activity General/Malignant Haematology New General/Malignant Haematology Follow-up Anticoagulation New Anticoagulation Follow-up Thrombophilia New Thrombophilia Follow-up Lymphoma New Lymphoma Follow-up Day Unit Activity Inpatient numbers: elective Inpatients: non-elective 757 7283 700 435 clinic patients, 100,000 Anticoagulation tests 266 141 154 2258 1313 144 235 Haematology MDTs Haematology has two weekly video-conferenced Cancer MDTs with its MDT partner, Western Sussex Hospitals Trust, Chichester. There is a Leukaemia/Myeloma MDT and a Lymphoma MDT . The lymphoma MDT includes a specialist lymphoma histopathologist from Southampton by videoconferencing. MDTs are supported by an MDT coordinator, in a purpose-built MDT room. MDT new diagnosis AML ALL Myeloma CML CLL Lymphoma Hodgkins MPD MDS 2010 (Jan-Dec) 30 4 52 2 29 98 13 38 12 April 2011- March 2012 32 4 37 10 25 132 14 32 10 Portsmouth Hospitals Trust, Haematology Consultant Job Description 2013 -5- Haemophilia and Thrombophilia The department is a District Haemophilia Centre. Dr Hirri leads the service and works with the Regional Haemophilia Network. Two part-time Haemophilia Clinical Nurse Specialists and two A&C are seconded from North Hampshire NHS Trust at Basingstoke. There are 51 Haemophilia A patients on the database, including 9 severe haemophiliacs. Dr Hirri runs a monthly joint paediatric haematology clinic. Dr Hirri and Dr James run a weekly thrombophilia clinic. Research The department actively participates in a number of NCRI haematology and lymphoma trials and is supported by two clinical trials practitioners and a clinical trials assistant. There is excellent administrative support from the Central South Coast Cancer Research Network. Palliative Care The hospital has a specialist palliative care team including a palliative care consultant and specialist nursing team. There is excellent hospice provision in the district provided at Rowans Hospice, Countess Mountbatten House and St Wilfred’s Hospice. Laboratory Haematology Automated Haematology Track The Blood Sciences Department has an integrated haematology and biochemistry laboratory. It has CPAaccreditation (June 2013). There is a high level of automation, with an integrated robotic track system. Automated blood analysis, is performed on four Coulter LH 780 analysers on a track, with two slide stainers. Anticoagulation utilises two ACL TOPS; platelet studies are performed on a PFA and an aggregometer. Blood transfusion uses three Diamed gel stations for grouping, with manual Diamed crossmatching. Dr Gwynn Matthias is the lead clinician for transfusion is the Haematology representative on the Hospital Transfusion Committee. The onsite flow cytometry laboratory uses two Beckman Coulter FC500, Navios, FP1000 cell preparation and a TQ prep. Haematinics are on the automated biochemistry track, utilising a Beckman Coulter DXL 800. Haemoglobinopathy testing uses two TOSOH G8, and SEBIA HYDRASYS gel electrophoresis. The department provides a regional service for universal neonatal screening. Future pathology services may be subject to change, for example a network pathology consortium is under consideration, with some redistribution of services, which could involve increased Blood Sciences capacity at Portsmouth. The post holder will be expected to participate in laboratory management, authorisation of laboratory results, anticoagulation dosing, and advice to hospital and GP staff on abnormal results. Laboratory Workload (2012) FBC 460,000 INR 182,000 Cross Matches 8,300 Portsmouth Hospitals Trust, Haematology Consultant Job Description 2013 -6- Laboratory Staff: Blood Sciences Laboratory Staffing 129 WTE staff in establishment. 5 Clinical Scientists - 3 x band 8 and 2 x band 7 19.4 Band 7 BMS 28.0 Band 6 BMS 7.0 Band 5 BMS Senior Blood Sciences Staff Dr David Sinclair Clinical Lead, Consultant Clinical Scientist Rodger Paylor Blood Sciences Head Biomedical Scientist Alison Windust Operational Manager, Haematology Specialist Barry Hearn Transfusion Manager Helen Smith Consultant Clinical Scientist Aimee Smith Clinical Scientist Dr Laura Wainwright Clinical Scientist Sophy Smith Clinical Scientist Helen McGregor Trainee Healthcare Scientist Steve Simpson Quality Manager Pathology Alex Walster Quality Lead for Blood Sciences Lesley Pearson Senior Biomedical Scientist – coagulation Sandra Boddy Senior Biomedical Scientist – coagulation Sue Colenutt Senior Biomedical Scientist - haematology Dave Colenutt Senior Biomedical Scientist - haematology Natalie Peck Senior Biomedical Scientist - haematology Lucy Jerram Senior Biomedical Scientist - transfusion Christine Meeks Senior Biomedical Scientist - transfusion Tony Cleal Senior Biomedical Scientist - transfusion Toby Greenfield Senior Biomedical Scientist - haemoglobinopathy Anticoagulation The department operates a postal anticoagulation service for 8000 patients. Community phlebotomy INRs are analysed in the laboratory and dosed on RAID software by anticoagulation specialist nurses with assistance from the medical staff. Management Structure Clinicians are expected to take an active interest in the management of the department, the clinical service centre and the hospital. They will be expected to work together with professional managers in the interests of improving the service provided and in the overall objectives of the Trust. Development of leadership and management skills will be encouraged. Haematology works across administrative boundaries: Clinical Haematology is part of the Cancer and Surgery Clinical Service Centre. The Chief of Service is Mr Constantinos Yiangou. Laboratory Haematology is part of Blood Sciences, Clinical Lead Dr David Sinclair, part of the Pathology Directorate, Clinical Director Dr David Cowlishaw, within the Support Services Clinical Service Centre, Chief of Service Dr Simon Ward. Portsmouth Hospitals Trust, Haematology Consultant Job Description 2013 -7- The Haematology Consultants’ contracts and budget are held by the Cancer and Surgery CSC, with one third of the budget cross-charged to the Support Services Clinical Service Centre. Cancer and Surgery CSC Chief of Service General Manager Haematology Oncology Manager Lead Nurse Business Manager Cancer Lead Nurse Mr Constantinos Yiangou Linda Power Paula Taylor Gill Gould Lesley Coman Helen Moorey Support Services CSC Chief of Service General Manager Lead Nurse Pathology Clinical Director Pathology Manager Blood Sciences Clinical Lead Blood Sciences Head BMS Dr Simon Ward Paul Knight Alison Fitzsimmons Dr Dave Cowlishaw Michael Hickton Dr David Sinclair Roger Paylor Oncology Service The Haematology service works closely with the Oncology Service with a shared Day Unit, Ward and outpatients facilities. The Haematology and Oncology Consultants have a close working relationship and the Lymphoma service is run jointly with Medical and Clinical Oncology. Oncology Consultants Medical Oncology Consultants Caroline Archer Joanna Gale Tim Gulliford Sethupathi Muthuramalingam (Ram) Ann O’Callaghan Yeo Chit Cheng Breast, Upper GI Urology, Breast Lung, Breast Lung, Colorectal Lymphoma, Colorectal Acute Medical Oncology Clinical Oncology Consultants Suhail Baluch David Boote Katy Bradley Danny Dubois Rachel Gabbitas Yasser Haba (Clinical Director) Ghassan Khoury Yoodhvir Nagar (Radiotherapy Lead) Ann Suvuori Colorectal, Lung, Lymphoma Urology, Head and Neck, Thyroid, Upper GI Lung, Head and Neck, Breast Breast, Melanoma, Sarcoma, Head & Neck, Brain Lung, Upper GI, Urology Lymphoma, Lung Gynae, Breast, Urology Gynae, Urology Breast, Melanoma, Sarcoma Portsmouth Hospitals Trust, Haematology Consultant Job Description 2013 -8- Qualifications The appointee will have completed the GMC approved Joint Royal Colleges of Physicians Training Board (JRCPTB) curriculum in haematology or be able to show (to the GMC or an Advisory Appointments Committee) evidence of equivalence in knowledge, training and experience in clinical and laboratory haematology practice. Applicants must hold the Fellowship of the Royal College of Pathologists and Membership of the Royal College of Physicians. Candidates must be registered Medical Practitioners and on the Speciality Register of the GMC or be eligible to be on the Speciality Register within 6 months of the date of the Advisory Appointments Committee (AAC). Representative Timetable & Job Planning Monday Ward MDT/ward round/lab Tuesday SPA, management meetings/ Emergency FU clinic 11-1 Clinic Wednesday Clinic Ward/Lab duties/SPA Thursday SPA at home Free, not at work Friday MDT meetings Ward/Lab duties Ward/Lab duties/SPA One DCC PA for on call commitment. On call is 1 in 6, prospective cover, 8 DCC, 2 SPA The timetable will be finalised on appointment. The above would be fixed commitments within a 10 PA job plan. Additional PAs would be subject to negotiation. The successful candidate would also be expected to adopt a flexible approach to working to allow prioritisation of activity dependant on the clinical requirements of the department and Trust. If there is disagreement in between a Consultant and the CD for Haematology then review will be undertaken with the CSC lead Consultant initially and/or a Deputy Medical Director. In the rare event of major disagreements then there is a mediation and appeals process. A detailed Trust policy is available upon request, details this policy, it can also be accessed from the Trust Intranet. Teaching There is a commitment to teach junior medical staff at all levels including training of Specialist Registrars on the Wessex Training Scheme. There is also an opportunity to teach medical students from Southampton. Audit and CPD The appointee is expected participate in audit and to undertake appropriate continuous professional development (CPD) each year. General Points Work Commitment The New Consultant Contract (2003) terms and conditions will apply together with appropriate Trust Policies and Procedures. The appointee will be required to take part in an on call rota, currently 1 in 6 prospective. Portsmouth Hospitals Trust, Haematology Consultant Job Description 2013 -9- Accommodation Office accommodation will be made available within the department together with secretarial and audiotyping support. There will be access to a PC and current books and journals. A modern microscope is available for the appointee, suitable for the work that he/she will be required to perform. Management The post holder will be expected to work with local managers and professional colleagues in the efficient running of services and will share with consultant colleagues in the medical contribution to management. Subject to the provisions of the Terms and Conditions of Service the post holder is expected to observe agreed policies and procedures drawn up on consultation with the profession on clinical matters and follow the standing orders and financial instructions of the Portsmouth NHS Trust. In particular, managers of employees of the Portsmouth Hospitals NHS Trust are expected to follow the local and national employment and personnel policies and procedures. The post holder will be expected to ensure that there are adequate arrangements for hospital staff involved in the care of patients to be able to contact him/her when necessary. Disputes with management (or ‘whistle-blowing’) Should a disagreement with Trust management occur, the appointee has an obligation to endeavour to resolve any dispute constructively, through the normal management channels or by informing the Clinical Director, Medical Director, Chief Executive or Chair of the Trust. Should the problem not be resolved, the Trust has a list of Designated Officers available on the Internet available to hear complaints. The Trust Policy is available at www.porthosp.nhs.uk/about-us/Policies-and-Guideline/human-resources-polices.html. If the problem is still unresolved, the appointee should seek advice from an authoritative external medical source such as the College’s Regional Specialty Advisor, the British Society for Haematology or a mentor from the Association of Clinical Pathologists. Appraisal Annual appraisal according to the GMC’s Good Medical Practice Framework cumulating in successful revalidation process is expected. Your annual appraisal will be performed by a fellow consultant who has received specific training in appraisal, with a change in appraiser after a maximum of three years. Any substantive issues arising from an appraisal will be communicated directly to the CSC lead for Cancer and Surgery or Medical director. The outcome of appraisal is routinely communicated to the Medical Director through the trust CRMS – Clinical Resource Management System. Job Planning review will occur at yearly intervals. All medical and dental staff are expected to comply with the Portsmouth Hospitals NHS Trust Health and Safety Policies. Study leave 30 days within a three-year period, subject to national and local policies will be allowed. Portsmouth Hospitals Trust, Haematology Consultant Job Description 2013 - 10 - Status of Post The post holder will be appointed on the new consultant contract and the sessions have been allocated accordingly. The job plan is for a 10 PA working week. The job plan is reviewed on an annually. Any Candidate, who is unable to work full-time, i.e. only able to work part-time, will be eligible to be considered for the post. If such a person is appointed, modification of his/her job plan will be discussed between the Consultant and Clinical Director in conjunction with Consultant Colleagues if appropriate. Similar considerations will be made if the Candidate wishes to Job Share Residence Residence within either 10 miles or 30 minutes by road from Queen Alexandra Hospital is usually required unless alternative arrangements are agreed with the trust management. The post holder must normally have a current driving licence and his/her private residence must be maintained in contact with the public telephone service. Safe Guarding The appointee must act in such a way that at all times the health and well being of children and vulnerable adults is safeguarded. Familiarisation with and adherence to the Safeguarding Policies of the Trust is an essential requirement for all employees. In addition all staff are expected to complete essential/mandatory training in this subject. Infection Control In compliance with the Trust's practices and procedures associated with the control of infection, you are required to: Adhere to Trust Infection Control Policies assuring compliance with all defined infection control standards at all times. Conduct hand hygiene in accordance with Trust policy, challenging those around you that do not. Challenge poor practice that could lead to the transmission of infection. Hand Hygiene Policy The Trust has adopted the "Naked Below the Elbow" strategy which means that when involved in patient care and direct physical contact with patients, you must wash or decontaminate your hands as per the Hand Hygiene Policy. Compliance with the Hand Hygiene Policy is mandatory; you must wear short-sleeved shirts / blouses / uniform, remove any outer jackets and roll up your sleeves. No jewellery should be worn below the elbow (except a plain wedding band) and wrist-watches must be removed. Compliance with this policy will be monitored and any non compliance may be subject to disciplinary action. Rehabilitation of Offenders Because of the nature of the work for which you are applying, this post is exempt from the provisions of Section 4(2) of the Rehabilitation of Offenders Act, 1974 by virtue of the Rehabilitation of Offenders Act, 1974 (exceptions) order 1975. Applicants are therefore not entitled to withhold information about convictions. This could result in dismissal or disciplinary action from the Trust. Any information given will be completely confidential and will be considered only in relation to an application for positions to which the order is applied. Portsmouth Hospitals Trust, Haematology Consultant Job Description 2013 - 11 - Vacant Post The post is expected to be available in November 2012, and the appointee will be required to take up the post no later than four months from the date of the offer of an appointment, unless a special agreement has been made between the appointee and Portsmouth Hospitals NHS Trust If you consider it unlikely that you will be able to take up the appointment within such a period, you are advised to point this out at the time of your application. Visiting Arrangements Intending applicants may obtain further information and/or arrange a visit by contacting Dr Helen Dignum (02392 286311), Clinical Director, or Mr Constantinos Yiangou, Clinical Service Centre Chief of Service (02392 286000 ext 6287). Please note that the trust will reimburse expenses for one pre-interview visit in respect of short listed candidates. Due to the high volume of recruitment and our desire to treat all applicants fairly it is not possible to meet with the Chief Executive, Miss Ursula Ward, prior to the Appointments Advisory Committee. However, arrangements to meet with Mr Simon Holmes, Medical Director, can be made by contacting Claire Woodward on 023 9228 6801. Both Mr Holmes and Ms Ward are extremely committed and supportive of this appointment and to appointing the right candidate and, as part of the induction programme the successful applicant will have an opportunity to meet with them. Portsmouth Hospitals Trust, Haematology Consultant Job Description 2013 - 12 -