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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) Date issued (November 2016) 1 of 21 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. Date issued (November 2016) 2 of 21 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 Date issued (November 2016) 3 of 21 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 Date issued (November 2016) 4 of 21 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 Date issued (November 2016) 5 of 21 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 Date issued (November 2016) 6 of 21 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 Date issued (November 2016) 7 of 21 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 Date issued (November 2016) 8 of 21 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: Date issued (November 2016) 9 of 21 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. Date issued (November 2016) 10 of 21 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. Date issued (November 2016) 11 of 21 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. Date issued (November 2016) 12 of 21 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 Date issued (November 2016) 13 of 21 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. Date issued (November 2016) 14 of 21 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 Date issued (November 2016) 15 of 21 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. Date issued (November 2016) 16 of 21 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 Date issued (November 2016) 17 of 21 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. Date issued (November 2016) 18 of 21 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 Date issued (November 2016) 19 of 21 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. Date issued (November 2016) 20 of 21 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. Date issued (November 2016) 21 of 21