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Job Title: Specialty Doctor – Haematology - 1.0 wte
1.
WE CARE FOR YOU
We care because:
•
We always put the patient first.
•
Everyone counts – we treat each other with courtesy, honesty,
respect and dignity
•
Committed to quality and continuously improving patient experience.
•
Always caring and compassionate.
•
Responsible and accountable for our actions – taking pride in our
work.
•
Encouraging and valuing our diverse staff and rewarding ability and
innovation
2.
JOB IDENTIFICATION
Job Title:
Specialty Doctor
Grade:
Specialty Doctor
Department(s): Haematology
Responsible to: Care Group Director, Specialty Services
Accountable to: Medical Director of the Trust
JD Ref No: (for A4C office use)
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3.
JOB PURPOSE
This is a substantive appointment. The post is based at Doncaster Royal
Infirmary but the post holder will work across hospital sites. The post holder
will be responsible for the continued delivery and further enhancement of a
highly regarded Haematology service for patients living within the catchment
area of the Doncaster and Bassetlaw CCGs and in conjunction with the
Haematology team they will be responsible for the continued delivery and
further development of the well-established Haematology service for local
patients.
4.
MAIN DUTIES/RESPONSIBILITIES
We are looking for an enthusiastic and forward-looking Specialty Doctor who
will contribute to the further development of Haematology services across the
Trust. The post will be mainly based at Doncaster Royal Infirmary (DRI) but
will include clinical commitments on the other sites.
5.
SCOPE AND RANGE
The successful applicant will be based at Doncaster Royal Infirmary.
However, you will be expected to contribute to the delivery and development
of Haematology services across all Trust sites.
The Hospitals within the Trust comprise:Doncaster Royal Infirmary
Doncaster Royal Infirmary is a District General Hospital, provides a full range
of medical and surgical specialties, as well as women’s and children’s
services. The Infirmary has a campus style design with separate Women’s &
Children’s Hospital, as well as the main hospital buildings, which house the
Emergency Department and Unplanned Care Centre, Medical and Surgical
Acute Assessment Units, inpatient wards and outpatient facilities.
There is a well-equipped endoscopy unit providing the full range of diagnostic
and therapeutic upper GI endoscopy, colonoscopy, ERCP, bronchoscopy and
transoesophageal echocardiography. The Medical Imaging Department has
been redeveloped and provides a consultant-led service for all general and
specialist diagnostic and interventional imaging with digital angiography, realtime ultrasound, spiral CT scanning and MRI together with a fully equipped
nuclear medicine department.
The Accident & Emergency Department was re-configured to incorporate an
unplanned care facility. A modern laboratory complex houses Histopathology,
Cytopathology, Microbiology, and Clinical Chemistry departments.
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The Department of Critical Care has 20 beds in a flexible HDU/ITU
configuration. There is an active multidisciplinary Critical Care outreach team,
which provides advice for ward-based patient management.
The renal dialysis unit opened in 2004, run in conjunction with Sheffield
Kidney Institute, and the Department of Renal Medicine opened in 2007.
General and Acute medical services contained in the East Ward Block and
consist of dedicated wards for gastroenterology, stroke, diabetes and
endocrine and respiratory medicine. There is also a 45 bed Medical
Assessment Unit which is managed 9am – 9pm by an expanding team of
acute physicians. The specialist registrar of the admitting team is free of all
fixed commitments for the ‘take’ day and the consultant physician of the day is
on call for 24 hours and shares the post take ward round with the acute
physicians the following day. The dedicated short stay ward is run,
exclusively, by the acute physicians.
There is a 24-bed Coronary Care/Cardiology/Haematology Unit with full
facilities for arrhythmia monitoring (including telemetry), haemodynamic
monitoring and pacemaker insertion. There is also a well-established service
for elective cardioversion. There are direct links with the ambulance service
and with A&E for faxing of ECGs with direct admission to CCU as appropriate.
On this unit there are inpatient facilities for management of
immunocompromised GU Medicine patients when required. There is a
purpose-built Chemotherapy Day Unit on site.
There is a new day care Unit for patients undergoing coronary/peripheral
angiography, biopsies or ERCP’s.
A new £2 million state of the art Postgraduate Centre at the Doncaster Royal
Infirmary was completed in 2013. Among other benefits, the new centre
enables junior clinicians and students to access in-depth, eyewitness training
by watching live footage of operations taking place in DRI’s Theatre Six,
which is used for minimally invasive surgery. The procedures are beamed
live to the lecture theatre and interlinked training rooms. As a result, many
more junior clinicians and students will be able to observe surgical
techniques.
The focal point of the new centre is a 140-seated tiered lecture theatre with
state-of-the-art audiovisual equipment to enhance audience/presenter
interaction. The four training rooms can be interlinked to the lecture theatre,
acting as an overspill to view presentations. There is also a dedicated suite for
easy access to e-Learning programmes. The videoconferencing facilities in
the centre will mean that hospital staff will also be able to watch other live
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training events taking place in the new education centre from PCs anywhere
on the Trust’s sites and participate in question and answer sessions.
There is a regular weekly clinical lunchtime meeting for all the Medical CSU`s,
where Consultants and Junior Staff present cases to hospital colleagues, and
a weekly multidisciplinary CSU Journal Club. There is a hospital-wide Friday
lunchtime meeting on topics common to all disciplines.
There is a purpose-built professional library adjacent to the Postgraduate
Centre with a full-time professional librarian. There are over 15,000 volumes
in stock and access is available by a joint scheme with other libraries and with
the National Lending Library. The library obtains over 150 journals. There are
comprehensive computer and Internet facilities.
There is an excellent Medical Illustration department in the hospital.
Bassetlaw Hospital
Bassetlaw Hospital is in Worksop, Nottinghamshire. It is 18 miles from
Doncaster Royal Infirmary and serves two main centres of population,
Worksop and Retford. The hospital has approximately 170 adult beds,
covering the full range of medical and surgical specialities plus women’s and
children’s services. The hospital has a 24 hour Emergency Department and
an Assessment and Treatment Centre, supported by a modern Pathology
Department, Pharmacy and Clinical Therapy Services.
The Medical Unit has integrated General and Elderly medical services. There
are five acute medical wards including the Assessment and Treatment
Centre. The other wards are dedicated to the specialties of Gastroenterology,
Respiratory, a mixed Stroke Unit and Endocrine ward and a newly-built and
fully-equipped Cardiology and general medicine ward.
The existing
endoscopy suite is to be replaced by a new purpose-built Endoscopy Unit
offering diagnostic and therapeutic UGI endoscopy, colonoscopy and
bronchoscopy.
Cardiology services include exercise stress testing, echocardiography and
temporary pacing. Diagnostic angiography and permanent pacing are
performed in Doncaster. There is also a fully-equipped lung function and
sleep laboratory. The Diabetes Centre includes Specialist Diabetes Nurses,
diabetic foot services and a Dietetics Department. Stroke services include a
Stroke Unit, TIA clinic, and facilities for urgent CT scanning and carotid
Doppler studies.
There are currently eight Consultant General Physicians at Bassetlaw, all of
whom have a commitment to acute General Medicine. All acute medical
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emergencies are seen in the Assessment and Treatment Centre by a team of
acute physicians during the day.
There is a satellite Haemodialysis unit which forms part of the Trusts Renal
services.
The main Outpatients Department is located at Bassetlaw Hospital but there
are also outreach clinics at Retford Hospital. Bassetlaw Hospital provides onsite urgent pathology tests, pharmacy and clinical therapy.
A Theatre complex containing four main theatres and a day surgery unit
serves the surgical specialities and there is a combined HDU and ICU.
Consultant Radiologists provide a broadly based medical imaging service,
with the latest MRI and CT technology, ultrasound and full screening facilities.
Mental Health Services, including old age psychiatry, are provided by
Nottinghamshire Healthcare Trust, and are also based on the Bassetlaw
Hospital site. The Clinical Skills Laboratory is also on the campus.
Montagu Hospital, Mexborough
Montagu Hospital is on Adwick Road, Mexborough, 9 miles to the west of the
centre of Doncaster. The inpatient Wards and comprehensive outpatient
department serve patients from the Dearne Valley, including residents of
Rotherham and Barnsley.
In September 2014, The hospital opened a modern rehabilitation centre,
which has benefited from a five million pound investment by Doncaster &
Bassetlaw Hospitals NHS Foundation Trust and the Fred and Ann Green
charitable foundation.
There is an endoscopy suite with plans for an upgrade to enable further work
to be undertaken to achieve the increase demand generated by the screening
programmes.
Inpatient rehabilitation services are provided on two wards, Wentworth and
Adwick. Outpatient rehabilitation is within the day hospital which will form part
of the new development.
The Day Surgery Centre serves most of metropolitan Doncaster, undertaking
a wide range of day case ophthalmic, urology, general and podiatric surgery.
The Minor Injuries Unit, staffed by Nurse Practitioners, operates throughout
the day and into the early evening. The Department of Oral Surgery and
Orthodontics works in close association with the Dearne Valley Dental Access
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Centre, which is also on the hospital site. Visiting consultants provide
comprehensive outpatient services in the large modern out-patient facilities,
supported by radiology and ultrasound services on site.
The Doncaster Pain Management Service is based at Montagu Hospital,
providing comprehensive care.
Montagu Hospital hosts a state of the art high fidelity Clinical Simulator Centre
serving the hospitals in the Trust, supporting advanced clinical skills training
throughout South Yorkshire.
There is a satellite Haemodialysis unit which forms part of the Trusts Renal
services.
The specialties within the Trust are managed through six Care Groups.
Emergency Care Group
MSK & Frailty Care Group
Specialty Services Care Group
Surgical Care Group
Diagnostic and Pharmacy Care Group
Children and Families Care Group
These Care Groups are managerially accountable to the Chief Executive, via
the Chief Operating Officer with professional accountability through the
Medical Director and Director of Nursing. Each Care Group has a Care
Group Director, General Manager and Matron.
6.
PERSONAL ATTRIBUTES
A. Core Attributes
Provide The Safest Most Effective Care Possible

Demonstrate an understanding of the importance of quality of care

Be accountable for own actions and those of their team
Develop Responsibly, Delivering the Right Services with the Right Staff

Have an ability to work efficiently, effectively and professionally in a
multidisciplinary team

Demonstrate that everyone’s contribution is valued
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Control and Reduce the Cost Of Healthcare

Work to ensure the care group/directorate improves efficiency and
reduces waste

Demonstrate that you will be open to improving everything that you do
Focus on Innovation for Improvement

Have an ability to consider and implement new solutions

Displays networking skills
B. Values Based Behaviours for Leaders
The following characteristics are expected for senior leaders in the
organisation:
Strategic Approach
(be clear on objectives and clear on expectations)

Will always plan and take initiative in the best interest of the patient

Will make decisions based on the strategic direction of the organisation

Can make success criteria clear to others and focuses them on what
matters most

Avoid major problems by anticipation and contingency planning
Relationship Building
(can communicate effectively, be open and willing to help, courteous)

Able to consistently understand and meet the needs and interests of
patients

Can develop joint solutions by use of open questions and listening to
others

Can involve key stakeholder and staff in planning organisational
change
Personal credibility
(Is visible, approachable, confident, good role model, resilient and honest)
 Can articulate a compelling vision
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
Will consistently deliver on promises and champions DBHs values

Displays sensitivity to the needs and feelings of others

Will have a zero tolerance to bad behaviour and actively manage poor
performance
Passion To Succeed
(Is patient centered, positive attitude, takes responsibility, aspires to
excellence)
 Will motivate others with enthusiasm and a positive attitude

Can maintain optimism and sense of humour in stressful situations

Can infuse pride and joy in work

Always leads by example by taking responsibility, being compassionate
and aspiring to excellence
Harness Performance Through Teams
(Able to develop staff, actively listen and value contribution, give feedback,
empower staff and respect diversity, champion positive change, creating a
culture without fear of retribution)
 Able to take proactive steps to develop team members using a variety
of approaches

Will involve team members in planning and delivering change

Matches the needs of activity to available resources
Seeks out and listens to team members and stakeholders, welcoming
warnings or problems
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7.
ORGANISATIONAL POSITION
Care Group
Director
8.
Head of Nursing &
Quality
Care Group General
Manager
Assistant Care Group
Director
Matrons
Matrons
Business Manager
Business
Manager
Consultants
Consultants
JOB DESCRIPTION AGREEMENT
Job Holder’s Signature:
Date:
Head of Department Signature:
Date:
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APPENDIX 1 - SPECIFIC TERMS

All staff and volunteers working within the trust have a duty to be aware of
their own and the organisation’s roles and responsibilities for safeguarding
and protecting children and young people, and vulnerable adults. You
must be competent to recognise abuse, respond appropriately and
contribute to the processes for safeguarding, accessing training and
supervision as appropriate to your role. The prevention and control of
infection is an integral part of the role of all health care personnel. Staff
members, in conjunction with all relevant professionals will contribute to
the prevention and control of infection through standard infection control
practices and compliance with the Trust’s infection control policies in order
to ensure the highest quality of care to patients. If your normal duties are
directly or indirectly concerned with patient care you must ensure you
receive sufficient training, information and supervision on the measures
required to prevent and control risks of infection.

You must be aware of and adhere to Health and Safety legislation, policies
and procedures, to ensure your own safety and that of colleagues,
patients, visitors and any other person who may be affected by your
actions at work. You are reminded of your duty under the Health & Safety
at Work Act 1974 to take reasonable care to avoid injury to yourself and
others; to officially report all incidents, accidents and hazards using the
Critical Incident Reporting Procedure; to use safety equipment provided for
your protection at all times and to co-operate with management in meeting
statutory requirements.

Maintaining confidentiality of information related to individual patients or
members of staff is a very important aspect of your work within the Trust.
Failure to maintain confidentiality of such information may constitute a
serious disciplinary offence. Staff should also bear in mind the importance
of sharing essential information with carers and others, with the consent of
each patient. There will also be circumstances where critical risk
information will need to be shared with partner agencies, subject to
guidance and advice available from your manager. You should remember
that your duty, to respect the confidentiality of the information to which you
have access in the course of your employment with the Trust, continues
even when you are no longer an employee.

This job description is not intended to be a complete list of duties and
responsibilities, but indicates the main ones attached to the post. It may
be amended at a future time after discussion to take account of changing
patterns of service and management.
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WORKING AT DBH. PART 1. THE TRUST
A. Who we are, where we are, and what we do
In 2004, Doncaster and Bassetlaw Hospitals became one of the first ten NHS
trusts in the country to be awarded foundation trust status. This means we
have considerably more freedom to act than a traditional NHS trust, although
we are still very closely regulated and must comply with the same strict quality
measures as non-foundation trusts.
As well as being an acute foundation trust with one of the busiest emergency
services in the country, we are also an associate teaching hospital of Sheffield
University, an associate college of Sheffield Hallam University and have
strong links with Health Education England and our local Clinical
Commissioning Groups in Doncaster and Bassetlaw.
We are fully licensed by Monitor and fully registered (i.e. without conditions)
by the Care Quality Commission (CQC) to provide the following regulated
activities and healthcare services:

Treatment of disease, disorder or injury

Nursing care

Surgical procedures

Maternity and midwifery services

Diagnostic and screening procedures

Family planning

Termination of pregnancies

Transport services, triage and medical advice provided remotely

Assessment or medical treatment for persons detained under the
Mental Health Act 1983
We provide the full range of district general hospital services, some
community services, including family planning and audiology, and some
specialist tertiary services including vascular surgery.
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We serve a population of more than 420,000 across South Yorkshire.
Doncaster and Bassetlaw Hospitals NHS Foundation Trust provides services
on five hospital sites for 410,000 people living in Bassetlaw, North
Nottinghamshire and Doncaster, South Yorkshire, and employs over 6,000
staff.
Over the last three years we have made excellent progress towards delivering
harm free care, resulting in significant improvements in patient experience
and quality outcomes. We have seen reductions in the number of healthcare
associated infections, serious falls, hospital acquired pressure ulcers and
serious incidents. Our mortality performance has improved, and for the last six
months our hospital standardised mortality ratio has been less than 100,
meaning our twelve month rolling position is within the 'lower than expected'
range.
We have significantly reduced the number of patients waiting more than 18
weeks for treatment and our performance remains on track to achieve
national standards. Like the rest of the NHS, our emergency departments are
under constant pressure which, in some instances, results in patients waiting
longer than desirable, however we continue to be one of the best performing
trusts in the country.
As a foundation trust we have a history of strong financial performance,
delivering a financial surplus every year since the foundation trust was first
authorised in 2004. However in October 2015 we reported a change in
position, from forecasting a small end of year surplus to a substantial deficit,
after uncovering significant misreporting of the financial situation to the board
of directors. As a result the Trust ended the 15/16 financial year with a deficit
of £36.4m.
The current challenge for the Trust is to deliver financial turnaround, taking
every opportunity to reduce the gap between income and expenditure, without
compromising service provision or patient safety.
Our hospitals are:
Doncaster Royal Infirmary (DRI)
DRI is a large acute hospital with over 500 beds, a 24-hour Emergency
Department (ED), and trauma unit status. In addition to the full range of
district general hospital care it also provides some specialist services
including vascular surgery. It has inpatient, day case and outpatient facilities.
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Bassetlaw District General Hospital (BDGH) in Worksop
BDGH is an acute hospital with over 170 beds, a 24-hour Emergency
Department (ED) and the full range of district general hospital services
including a breast care unit and renal dialysis. It has inpatient, day case and
outpatient facilities.
Montagu Hospital in Mexborough
Montagu is a small non-acute hospital with over 50 inpatient beds for people
who need further rehabilitation before they can be discharged. There is a
nurse-led Minor Injuries Unit, open 9am-9pm. It also has a day surgery unit,
renal dialysis, a chronic pain management unit and a wide range of outpatient
clinics. Montagu is the site of our Rehabilitation Centre, Clinical Simulation
Centre and the base for the Abdominal Aortic Aneurysm screening
programme.
We are also registered to provide outpatient and other health services at
Retford Hospital, including clinical therapies and medical imaging. Our site at
the Chequer Road Clinic in Doncaster town centre offers audiology and
breast screening services. We also provide some services in community
settings across South Yorkshire and Bassetlaw. The rehabilitation beds we
used to have at Tickhill Road Hospital in Doncaster transferred to Montagu
Hospital in August 2012 however we still provide outpatient care of older
people there.
Since July 2014, we have organised our clinical services into six Care
Groups. Each Care Group has a senior management team of a Care Group
Director, General Manager and Head of Nursing. This innovate structure
builds management responsibility across patient pathways allowing for
improved clinical outcomes and increased cross specialty working.
B.
Our vision, mission, values and strategy
Vision
Our vision is to become recognised as the best healthcare provider in our
class, consistently performing in the top 10% in the UK.
Mission
We are here to safeguard the health and wellbeing of the population and
communities we serve, to add life to years and years to life. We aim to
combine the very highest levels of knowledge and skill with the personal care
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and compassion that we would want for our friends and families at times of
need. In short, as our logo says: We Care for You.
Values
Our values show WE CARE:
 We always put the patient first.
 Everyone counts – we treat each other with courtesy, honesty, respect
and dignity.
 Committed to quality and continuously improving patient experience.
 Always caring and compassionate.
 Responsible and accountable for our actions – taking pride in our work.
 Encouraging and valuing our diverse staff and rewarding ability and
innovation.
Strategic themes
Our strategic direction is founded on four core principles and themes:
1. Provide the safest, most effective care possible.
2. Control and reduce the cost of healthcare.
3. Develop responsibly, delivering the right services with the right staff.
4. Focus on innovation and improvement.
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WORKING AT DBH. PART 2. THE CARE
GROUP/DIRECTORATE
A. Introduction
Specialty Services Care Group, covering the following specialities:Breast, Cardiology, Dermatology, Diabetes & Endocrine, Haematology,
Urology, Vascular, Chemotherapy/Acute Oncology Services / End of Life /
Palliative Care, Nephrology, Stroke, Diagnostic Day Unit
B. Our Resources
Jasmine Centre (Breast) DRI, Diana Princess of Wales (Breast) BDGH
Ward 18 (Coronary Care) DRI, CCU/C2 (Coronary Care) BDGH
Dermatology Out-Patients
Ward 17 (Diabetes) DRI, & Diabetic Eye Screening
Ward 18 (Haematology), & Chatsfield Unit (Chemotherapy Day Unit) &
Palliative Care
Ward S10 (Urology); & Urology Out Patients
Ward S11 (Vascular)
Renal Out Patients DRI; Ward 32 & Ward 28 Haemodialysis Unit (MMH &
BDGH Satellite Day Units)
Ward 16 Stroke Unit
C. Our People
Dr Gillian Payne, Care Group Director
Mr Vivek Kumar, Assistant Care Group Director
Dr Shivani Dewan, Assistant Care Group Director
Sarah Bayliss, General Manager
Lesley Barnett, Head of Nursing
Haematology department
Dr Joe Joseph MBBS;MD; FRCP; FRCPath , Consultant Haematologist
Dr Stuti Kaul, MBBS;MD;MRCP; FRCPath, Consultant Hematologist
Dr Atchamamba Bobbili MD; MRCP; FRCPath Consultant Haematologist
Dr Tobore Gbemre MBBS;MRCP; DipRCPath - Locum Consultant
Haematologist
Dr Ruth Medlock, Consultant Haematologist (joining the team April 2017)
Dr Manori J Imaduwa- Middle grade doctor
Dr Rowena C Buyan-Middle Grade doctor, shared with oncology
1 CT1 doctor- full time, on medical rotation
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4 Specialist NursesSister Rachel Cloke, lead Haematology CNS
Sister Andrea Cairns
Sister Samantha Johnson
Sister Amy White
We are also supported by 5 Acute Oncology specialist nurses.
Secretarial staff- We have 4 Haematology secretaries and one assistant
secretary.
D. How we work and rotas
Haematology beds are available on Ward 18 at DRI only. Eight isolation
rooms with en suite facilities are dedicated for Haematology patients though
these are utilised by general medical patients if they are not required by
Haematology patients. Additional isolation rooms are available at DRI on
other medical wards. There is no limit to the number of Haematology patients
admitted to these wards. A protected isolation room is always available for
admitting patients with neutropenic sepsis. All parenteral chemotherapy are
given at DRI site.
Clinics for new and follow up patients are held at Doncaster Royal Infirmary
and at Bassetlaw Hospital. In addition there is a weekly haemato-oncology
clinic every Monday afternoon, consultant Haematologist take turns to do
these clinics on a 1:4 rota. A specialist nurse supports patients who are
given bad news at these clinics. The specialist nurses run myeloproliferative
clinics independently at Doncaster and at Bassetlaw.
The Haematology consultants provide Haematology cover for all hospitals in
the Trust to provide a 24 hour on-call service. Prospective cover for annual
leave and study leave is expected. We have a 1:5 ‘Consultant Haematologist
of Day’ rota whereby the on-call consultant Haematologist and this post holder
takes all the internal referrals and GP calls, replies to GP letters and emails,
reports blood films requiring medical attention and supports the
anticoagulation lab and blood bank. There are no clinics when a person is
Consultant of the Day. The Consultant of the Day will continue to remain oncall after 5pm. Weekend on-calls are also on a 1:5 rota. The four consultant
Haematologists work in teams of two each. The two consultants in a team will
be expected to cover each other for annual leave and study leave and provide
Consultant of the Day service and out of hours on-call service.
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During weekends and during bank holidays the on-call consultant / specialty
doctor will be expected to do ward rounds daily when they will see all
inpatients, take referrals and report blood films that need medical input.
The Haematology-Oncology Day Unit (Chatsfield Suite) is situated close to
the laboratory at DRI & is open from 8 am to 8 pm on weekdays. Sister Lara
Cunnane is the senior sister and ward manager for the haematology /
oncology day ward.
A Day Unit facility is also available at BDGH on ward B7 for two days a week .
This facility is used for blood transfusions, venesections, administration of iv
drugs such as immunoglobulins and zoledronic acid etc but not for
administering parenteral chemotherapy.
All adult haematology patients, excepting those for high dose therapy and
stem cell support and intrathecal chemotherapy are treated at DRI (BSH Level
2b activity). Only outpatient oral chemotherapy (BSH Level 1 activity) is
undertaken at BDGH site. All paediatric haematology patients are referred to
the Sheffield Children’s Hospital while young adults with cancer between the
ages of 16 and 18 are referred to the Teenage and Young adults unit in Royal
Hallamshire Hospital. We do not treat children and young adults with cancer
below the age of 18 in our Trust as per IOG guidelines.
Out of hours patients are usually admitted through the acute system to the
medical admissions unit at DRI. These patients are initially admitted under the
medical team on take & handed over to the Haematology team on the next
working day. There is however 1 protected bed on ward 18 for admitting
haematology patients with neutropenic sepsis as an emergency
Wards 18 is staffed with chemotherapy trained nurses. In addition in-patients
at both sites are also cared for by specialist haematology/oncology nurses on
virtually every day.
Support service includes Hickman line insertion by interventionist radiologists,
radiotherapy by consultants from Weston Park Hospital. Patients with
malignant spinal cord compression are immediately referred to the on-call
spinal surgeon at Northern General Hospital who act as regional co-ordinators
for Metastatic Spinal Cord Compression.
All major specialties are covered between the two sites with good imaging (CT
scanners & MRI) & medical physics facilities.
There are 2 bone marrow biopsy sessions a week- Monday afternoon and
Thursday morning. The biopsies are performed by haematology specialist
nurses or middle grade doctors. Bone marrow biopsies are sent to the
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Haemato-oncology Diagnostic Service ( HODS) in Sheffield for central
reporting, the report is available on the HODS website. All lymph node
biopsies suspected as lymphoma are also sent directly to HODS for central
reporting.
There is a weekly South Yorkshire network haemato-oncology MDT meeting.
The meeting is video-conferenced and links with Haematologists in Sheffield,
Barnsley, Rotherham, Chesterfield and Doncaster. All consultant
haematologists are core members of the MDT and 67 % attendance in person
is mandatory as per Quality Surveillance Team (formerly peer review)
measures. All newly diagnosed and relapsed patients are discussed at this
meeting. In addition, weekly medical imaging review meetings are held every
Wednesday afternoon where medical images on haematology patients are
reviewed.
The Trust lead clinicians for cancer and haemato-oncology (Dr Joseph) and
chemotherapy (Dr Kaul) attend the 3-monthly Cancer Management Team
meetings in the Trust.
Entering patients into clinical trials is expected & developing subspecialisation
will be encouraged. There are close links with neighbouring hospitals through
the South Yorkshire Haemato-oncology network.
We have close links with the Sheffield hospitals, as providing a tertiary referral
service: Sheffield Children's Hospital for all childhood leukaemias, bleeding disorders,
etc
Royal Hallamshire Hospital, Sheffield, for autologous & allograft stem cell
transplants
Adult haemophiliacs & other severe bleeding disorders are cared for centrally
at the Royal Hallamshire Hospital, Sheffield.
Reference laboratories for cell markers, molecular haematology, coagulation
& cytogenetics are all based in Sheffield.
As part of the Sustainability and Transformation Plan (STP) we are in
discussion with Trusts in the neighbourhood regarding collaborative working.
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Indicative Job plan:
Day
Morning
Afternoon
Monday
SPA allocation
Admin allocation
Tuesday
Outpatient Clinic
BDGH
Outpatient Clinic
BDGH
Wednesday
SPA Allocation
Radiology Meeting (1 hr )
Admin Allocation
Thursday
Outpatient Clinic
DRI
Outpatient Clinic
DRI
Friday
Consultant of the day (6 hrs )
MDT (3 hrs)
Consultant of the day
On-call
1:5 rota
1:5 rota
Total
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WORKING AT DBH. PART 3. THE AREA
Doncaster
The Metropolitan District of Doncaster covers an area of approximately 200
square miles and the catchment area for the local PCT is around 300,000
people. The major industries in the area historically have been coal mining and
engineering, but the decline in these activities has seen significant diversification
and introduction of new industries.
Communication and transport are ideal with ready access to the motorway
network in all directions and London is only 90 minutes away by Inter City train.
The airport provides easy access to European destinations.
Doncaster boasts a first-class shopping centre and the market held on Tuesday,
Friday and Saturday is famous throughout the North. Meadowhall shopping
centre is only 30 minutes away - one of Europe's largest indoor shopping malls.
Leisure and recreation facilities are well provided for, especially at the Dome one of the largest leisure facilities in Britain including swimming pool, ice rink and
sports hall. There is also a plan to extend facilities with a dry ski slope. The
building of a man-made lake and new sports stadium nearby has enhanced
these facilities.
Doncaster is also proud of its Grade 1 Race Course which has recently been
completely refurbished. It is the home of the world’s oldest classic race - The St
Leger and on non-race days the Race Course is used as an Exhibition Venue
where the Doncaster Motor Show is staged every year. The local rugby club has
benefitted from a new clubhouse and stands and there are several good golf
courses close by.
Worksop
Worksop is situated in the northern part of Nottinghamshire and comprises a
mainly rural area of 250 sq. miles. Its population of 106,000, 10% of the county
total, is focused on Worksop (population 39,500) on the western border and
Retford (population 21,000), a market town in the centre of the district, with
population clusters such as Harworth and Bircotes in the north near the A1, at
Carlton-in-Lindrick and Langold along the A60, and at Tuxford and East
Markham down the A1 along the southern border.
Bassetlaw Hospital is situated in Worksop, and has traditionally also provided the
hospital of choice for local residents of North Derbyshire and South Yorkshire.
Therefore the total catchment population for the Hospital is around 170,000.
Retford Hospital is the headquarters for Community Services and many
community staff are based at local clinics and GP practices in the district.
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WORKING AT DBH. PART 4. TERMS
Medical Examination
If successful, you may be required to undergo a medical examination prior to
appointment.
Health and Safety
Doncaster and Bassetlaw Hospitals NHS Foundation Trust recognises its duties
under the Health and Safety at Work Act 1974 to ensure, as far as is reasonably
practicable, the health, safety and welfare at work of all its employees and in
addition the business of the Trust shall be conducted so as to ensure that
patients, their relatives, contractors, voluntary workers, visitors and members of
the public having access to Trust premises and facilities are not exposed to risk
to their health and safety. All medical staff employed by Doncaster and
Bassetlaw Hospitals NHS Foundation Trust will be expected to comply with Trust
Health and Safety Policies.
Safeguarding Children, Young People and Vulnerable Adults
All staff and volunteers working within the Trust have a duty to be aware of their
own and the organisation’s roles and responsibilities for safeguarding and
protecting children and young people, and vulnerable adults. You must be
competent to recognise abuse, respond appropriately and contribute to the
processes for safeguarding, accessing training and supervision as appropriate to
your role.
Infection Prevention and Control
The prevention and control of infection is an integral part of the role of all health
care personnel. Staff members, in conjunction with all relevant professionals will
contribute to the prevention and control of infection through standard infection
control practices and compliance with the Trust's infection control policies in
order to ensure the highest quality of care to patients.
If your normal duties are directly or indirectly concerned with patient care you
must ensure you receive sufficient training, information and supervision on the
measures required to prevent and control risks of infection.
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