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Sheffield Teaching Hospitals NHS Foundation Trust
CONSULTANT CLINICAL ONCOLOGIST
Job Description
Appointment
We are looking to appoint a Consultant Clinical Oncologist with an interest in Uro-Oncology
to support the Specialised Cancer Services Directorate of the Sheffield Teaching Hospitals
Foundation Trust. This is a full-time (10 PA) Consultant Clinical Oncology and is to provide
input into the Urology teams in Doncaster and also to contribute to caring for the UroOncology patients from the Barnsley locality. In addition this post will provide Clinical
Oncology input into the Testicular Tumour service and the post holder will be expected to play
a major role in radiotherapy developments in the Uro-Oncology field. Further substantive
appointments are anticipated in 2014.
Weston Park Hospital is the specialist cancer centre, serving the hospitals and population of the
North Trent Cancer Network.
Qualifications and Experience Required
The successful candidate must have full GMC registration, completed Specialist Training (or
equivalent) and be entered on the Specialist Registrar of the GMC, or have a CCT date within six
months of the date of interview.
Trust Profile
Sheffield Teaching Hospitals NHS Foundation Trust manages the five adult hospitals in Sheffield
(Northern General, Royal Hallamshire, Jessop Wing, Weston Park and Charles Clifford hospitals).
As a trust we are responsible for the planning and delivery of the highest quality patient care and
provide services for patients from not only Sheffield and South Yorkshire but all parts of the UK.
We have an annual budget of around £690 million, employ over 13,000 staff and provide around
one million patient episodes each year, making us the second largest NHS trust in England.
As well as providing hospital services for our local population, our hospitals provide a range of
vital regional and national specialties. Regionally these include cardiac and orthopaedic surgery,
neurology and renal care. National services include pulmonary hypertension treatment, particular
ophthalmology, spinal and neurosurgical care, and specialist cancer treatments.
We have been one of the best performing NHS organisations in the country over the last five
years. In October 2007 the Healthcare Commission scored us excellent in use of resources and
excellent for quality of services. We are also proud of our record as having the lowest MRSA
infection rates amongst major teaching hospitals in the UK, according to figures released by the
Health Protection Agency in 2007. The Trust was awarded the Dr Foster’ Hospital of the Year
accolade in 2005, 2008 and 2011 (north).
The integration of community health services into the Trust in April 2011 improved coordination
and communication between hospital, community, mental heath and social care services,
resulting in patients experiencing more responsive and seamless care. Community health services,
which includes services such as nursing, health visiting and physiotherapy, transferred to be
managed by the three local foundation trusts - Sheffield Teaching Hospitals NHS Foundation
Trust, Sheffield Children’s Hospital NHS Foundation Trust and Sheffield Health and Social Care
NHS Foundation Trust in 2011.
We also have a strong tradition of research and the Trust leads on a number of key studies
including prostate cancer, diabetes, breast cancer and chronic chest disease.
An NHS Foundation Trust
We became one of the first NHS Foundation Trusts in the country on 1st July 2004. NHS
foundation trusts have greater freedom from central government control and the ability to work
with their community and staff to set local health priorities. We have a well established elected
governor’s council, which is made up of patients, public, staff and partner organisations and
works with the Trust to help set strategic goals and make key decisions.
Our Hospitals
Although the Trust has overall management responsibility for the services provided, our hospitals
each have their own history, which we are rightly proud of. Between them they offer just about
every kind of service available in the modern NHS.
The Northern General is the largest of our hospitals with 1100 beds. Located to the north of the
city, the hospital is spread out over a large site. Amongst the specialist services located there are
orthopaedics, renal, spinal injuries, general surgery and cardiothoracic (heart and lung) services.
Sheffield’s adult accident & emergency department is also based here. A major £30 million stateof-the-art new medical ward development, known as the Sir Robert Hadfield Wing, opened to
patients in April 2007 and a brand new critical care facility, one of the largest in Europe, opened in
2008.
The other Trust hospitals are based closely together on a campus to the west of the city centre; this
is known as the Central Campus.
The Royal Hallamshire is a major acute teaching hospital based around a tower block of 800 beds
and a large outpatient department. The hospital is home to a range of expert specialist services
which include neurosciences, urology, general surgery, breast surgery, dermatology, hearing
services and ophthalmology. The hospital also has a minor injuries unit and an NHS Walk-InCentre for emergency care.
Linked to the Royal Hallamshire by a footbridge, the Jessop Wing is Sheffield’s 216 bed women’s
hospital. Opened in February 2001 it has brought together all of the city’s obstetric, gynaecology
and neonatology services in a state-of-the-art, purpose built, £24 million building. Almost 7000
births take place at the Jessop Wing each year.
Weston Park is one of only three purpose built specialist cancer hospitals in the UK and provides
a full range of non-surgical cancer services to the population of South Yorkshire, North
Nottinghamshire and North Derbyshire. It also enjoys national and international recognition for
certain specific treatments. It has 140 beds and is home to a specialist cancer research centre and
one of the UK’s only teenage cancer units.
The Charles Clifford is a dental teaching hospital linked to The University of Sheffield’s School of
Clinical Dentistry. The hospital provides dental outpatient services and emergency dental services
for the city.
As a teaching trust, all of the hospitals have close links to the University of Sheffield, home to
Sheffield’s medical school, and Sheffield Hallam University – which provides nurse training. It is
a major teaching centre for future health professionals.
The Trust Executive Team
Chairman - Tony Pedder
Chief Executive - Sir Andrew Cash OBE
Chief Nurse- Prof. Hilary Chapman CBE
Director of Human Resources and Organisation Development - Mr Mark Gwilliam
Director of Strategy and Operations - Ms Kirsten Major
Director of Finance - Mr Neil Priestley
Medical Director - Dr David Throssell
Services Provided at Sheffield Teaching Hospitals NHS Foundation Trust
Accident and Emergency
Obstetrics/Gynaecology/ Neonatology
Acute General and Elderly Medicine
Occupational Health Service
Assisted Conception
Operating Services
Anaesthetics
Ophthalmology
Cardiothoracic surgery & Cardiology
Oral-maxillofacial Surgery
Chemotherapy
Orthopaedics
Clinical Research and Development
Palliative medicine
Communicable Diseases
Pharmacy
Critical Care
Professions Allied to medicine
Day Surgery
Radiology
Dental Services
Radiosurgery
Dermatology
Radiotherapy
ENT, Hearing Services and Medical Audiology
Reconstructive Plastic Surgery and Burns
General Surgery
Reproductive Medicine
Haematology
Renal Services
Laboratory Medicine
Rheumatology
Medical Physics
Under and Post graduate Education
Mobility and Specialised Rehabilitation Services Urology
Metabolic Bone Disease
Vascular Surgery
Neurosciences
General Directorate Information
Weston Park Hospital is the base for the Oncological Service for South Yorkshire, North
Nottinghamshire and North Derbyshire. It is one of the major Radiotherapy Centres in the
country and is sited in the main hospital campus area of the city, within a quarter of a mile from
the University, the Children’s Hospital, Jessop Hospital for Women and the Royal Hallamshire
Hospital.
There are approximately 3,500 inpatient admissions per year, 20,000 daycase chemotherapy
attendances and over 7000 new patients registered annually. It is a self-contained hospital unit
with 82 inpatient beds.
Weston Park Hospital acts as an NSCAG supra-regional referral centre for the diagnosis and
treatment of gestational trophoblastic disease and a national and European centre for the
treatment of arterio-venous malformations with the stereotactic radiosurgery unit (in conjunction
with the neurosurgical team).
There is a newly built daycase chemotherapy suite and offers the opportunity to treat 28 patients
at any one time. There are outpatient facilities, a radiotherapy department (see below), theatre
facilities and pharmacy with a reconstitution service for cytotoxic chemotherapy. A Teenage
Cancer Trust Unit for adolescents, jointly funded between the Teenage Cancer Trust and Weston
Park Hospital Cancer Appeal, was completed in 2002. There is an Academic Department of
Clinical Oncology, with representatives in medical oncology, radiation oncology and, most
recently, surgical oncology, the latter in association with the Department of Surgery at the Royal
Hallamshire Hospital.
(i)
Radiology
There is a diagnostic imaging department with x-ray ultrasound apparatus and impression
suite facilities are provided in close association with the simulator suite and the
radiotherapy department. Diagnostic isotope, CT and MRI scanning are now available on
site.
There is an expanding programme of cytotoxic chemotherapy. The hospital also houses a
large radiotherapy and physics department and provides an ocular oncology service in
conjunction with the ophthalmic surgeons at the Royal Hallamshire Hospital, who have
achieved NSCAG status.
(ii)
Radiotherapy
The radiotherapy equipment is housed in a large treatment hall and comprises:
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Seven Varian Linear Accelerators, comprising:Four linac 6 MV Accelerators – three with MLCs.
Three dual energy (6 MV and 10 MV) Accelerators with electron facilities and
MLCs.
Currently OBI is available on one Linear Accelerator, all others having portal
imaging.
IMRT software is commissioned for 5 Linear Accelerators.
One spare bunker.
One 250 kV Orthovoltage Machine.
One Pantak Superficial Set.
One Varian Simulator.
One Lexsell Stereotactic Radiosurgery Unit.
PDR Selectron for gynaecological use in a purpose built extension.
Two Virtual Simulators (spiral CT scanner with specific planning software).
There are facilities for the use of unsealed isotopes in therapy and diagnosis.
(iii)
Pathological Services
Haematology and histopathology services are currently provided from the Royal
Hallamshire Hospital.
A service for chemical pathology, bacteriological and other specialised investigations is
provided by the appropriate departments in nearby hospitals.
Phlebotomists are employed at Weston Park Hospital for both inpatients and outpatients.
(iv)
Outpatient Services
There are outpatient facilities within the hospital with 6 consulting suites and
approximately 50% of our outpatient work is carried out at Weston Park Hospital.
However, the remaining 50% are seen as outpatients in the local district general hospitals.
There is an outpatient chemotherapy suite staffed by appropriately trained nurses.
There has been considerable emphasis on the need for parallel consultation in the
treatment of malignant disease and joint clinic sessions are held with Consultants in other
specialities including haematology, surgery, endocrinology, dermatology, gynaecology,
urology, paediatrics, ENT and maxillofacial surgery.
(v)
Research and North Trent Cancer Service
There are excellent opportunities for clinical research, co-ordinated by the Clinical Trials
Centre at Weston Park Hospital. The Clinical Trials Centre is a phase I National Cancer
Research Network site. Support for health services research is provided by Sheffield
University’s School for Health Related Research (ScHARR). The “North Trent Cancer
Network”, which co-ordinates cancer services across all Trusts in North Trent covering a
population of nearly 2 million, provides overall co-ordination of cancer developments,
clinical cancer research and audit. We have recently been accorded CRUK centre status.
Any candidate who is unable for personal reasons to work full-time will be eligible to be
considered for the post; if such a person is appointed, modification of the job content will be
discussed on a personal basis with the Trust in consultation with consultant colleagues.
DUTIES OF THE POST
This is a full-time (10 PA) Consultant Clinical Oncology and is to provide input into the
Urology teams in Doncaster and also to contribute to the care of Uro-Oncology patients from
the Barnsley locality. In addition this post will provide Clinical Oncology input into the
Testicular Tumour service and the post holder will be expected to play a major role in
radiotherapy developments in the Uro-Oncology field.
The appointee will join established multidisciplinary teams for these cancers and all Cancer Unit
oncology input is by teams of visiting sub-specialists from Sheffield.
The appointee will work to the terms and conditions of the new Consultant Contract. The
allocation of time between the various duties of the post will be open to some adjustment in
consultation with Consultant colleagues and the employing Trust, but initially will be as follows:Specimen Timetable for Consultant Clinical Oncologist
Direct Clinical Care sessions: 8.50
Supporting Professional Activities: 1.50
The precise details of the appointees’ timetable will be negotiated at the time of appointment and
will be dependent on previous experience / interests. However, this post is designed to provide
input into the Urology teams in Doncaster and also to contribute to the care of Uro-Oncology
patients from the Barnsley locality and it is that timetable that is used for illustrative purposes as
shown below.
The estimated workload for this post is 300 new patients per annum.
Timetable
Clinical Oncology 10 PA
Monday
Chemo OPD
Sheffield
Tuesday
Urology OPD
Doncaster
Wednesday
Radiotherapy
development
Thursday
Radiotherapy
Urology MDT
and OPD
Doncaster
Network Urology
MDT
Admin
SPA
Barnsley Urology
MDT (12.30 – 13.00
videoteleconference)
Radiotherapy
planning
Testicular
Tumour OPD
(14.00 – 15.00)
Friday
Radiotherapy
Admin
CPD
Meetings
Radiotherapy
planning
The appointee may in agreement with visiting oncology colleagues in the Cancer Units, share
responsibility for the very small number of residual referrals of a general (unspecified) nature
which are outside the now extensive range of visiting sub-specialisations.
The duties of the post include clinics at Weston Park Hospital, together with outpatient clinics in
the Cancer Units. The appointee will have access to inpatient beds at Weston Park Hospital, not
in the Cancer Units. The appointee will have office accommodation, which may be shared,
secretarial support and access to a computer and the intranet.
An annual review of duties including fixed commitments will take place with the Clinical
Director as part of the job plan process.
The person appointed will take his/her equal share in providing emergency cover (currently 1:18)
and will be required to cover for colleagues during periods of absence. He/she will have
continuing responsibility for patients in his/her care and the proper functioning of the
Department.
The appointee will be expected to take an active part in Undergraduate and Postgraduate
teaching and training and in this respect, as long as you remain a consultant with the Trust, you
will be regarded as an Honorary Senior Clinical Lecturer in the University of Sheffield, subject to
the regulations of the University.
Management Arrangements
Clinical Directorates became operational at the Royal Hallamshire Hospital on 1 April 1991 and
are now well established. Clinical Directors are appointed by the Chief Executive for a three year
period, subject to annual review.
Clinical Director, Specialised Cancer Services
Lead Clinician for Chemotherapy Services
Lead Clinician for Radiation Services
Senior Manager, Radiation Services
Acting General Manager
Nurse Director
Business Manager
Senior Group Accountant
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Dr P M Fisher
Dr L S Evans
Dr S Pledge
Mrs M Tomlinson
Mr I Scott
Mrs M Yates
Mrs G Marsden
Mr N Leek
Staffing
(a)
NHS Consultants in Clinical Oncology
Special Interest
Dr E Bates
Lung Cancer, Upper GI
Dr S Clenton
Colorectal, Neuro-oncology
Dr T Das
Lung Cancer, Urology
Dr A Dewdney
Colorectal
Dr O Din
Urology, Breast
Dr K S Dunn
Breast cancer , TBI
Dr C Ferguson
Urological Oncology
Dr P M Fisher
Lung Cancer
Dr B Foran
Neuro-oncology, Head & Neck Cancer
Dr M Q Hatton
Lung, Breast Cancer
Dr C Lee
Lung, Breast Cancer
Dr J Lester
Head & Neck Cancer, Melanoma
Dr J E Martin
Urology, Gynae
Dr S D Pledge
GI, Gynaecological oncology, Paediatric Radiotherapy
Dr O P Purohit
Breast Cancer, ENT, Maxillofacial, Lymphoma
Radiotherapy & Metastatic Bone Disease
Dr S Ramakrishnan
Breast, Skin Cancer
Dr J Wadsley
GI, thyroid
(b)
NHS Consultants in Medical Oncology
Special Interest
Dr S Darby
Upper GI, Lymphoma, Unknown primary
Dr L Evans
High dose chemotherapy, urology including testicular
tumours, Unknown primary
Dr J Hornbuckle
GI
Dr M Winter
Breast Cancer, gestational trophoblastic disease
Dr L Walkington
Acute Oncology, CUP, breast and lung cancer
(c)
Consultants in the Academic Department of Clinical Oncology
The Academic Department of Clinical Oncology was established as a joint initiative between the
University, the Yorkshire Cancer Research Campaign and (former) Trent Regional Health
Authority. The clinical base is situated at Weston Park Hospital. Laboratory facilities are based at
the adjacent Royal Hallamshire Hospital within the Institute of Cancer Studies. There is a
complete integration of the department within the National Health Service and research facilities
are available, if required, to the appointee.
Special interest
Professor J Brown
Professor in Medical Oncology
(Honorary NHS Consultant)
Prostate cancer
Metastatic bone disease
Professor R E Coleman
Professor in Medical Oncology
(Honorary NHS Consultant)
Breast cancer
Metastatic bone disease
Gestational Trophoblastic Disease
Dr S Danson
Medical Oncology
(Honorary NHS Consultant)
Malignant melanoma and Lung Cancer
Professor P Woll
Professor in Medical Oncology
(Honorary NHS Consultant)
Lung cancer
Sarcomas
Dr M H Robinson
Reader in Clinical Oncology
(Honorary NHS Consultant)
Sarcomas
Lymphomas
(d)
Junior Medical Staff
Twelve Specialist Registrars in Clinical Oncology.
Five Specialist Registrars in Medical Oncology.
Six core medical trainees.
Two F2 and one F1 doctors.
One Senior House Officer (VTS for general practice).
Four Specialist Registrars in Palliative Medicine (rotation through WPH).
Current trainee staffing will be shared with the new Consultant.
(e)
Other Medical Staff
Two Consultant Radiologists (sessional attachment).
Two Consultant Anaesthetists (sessional attachment).
Two Speciality Doctors in Oncology.
(f)
Support Staff (including nursing, professional and technical staff)
There is a full establishment of nursing staff, radiographers, physicists and physics
technicians (including an impression suite).
The Main Conditions of Service
The appointment will be in accordance with the Terms and Conditions of Service of Hospital
Medical and Dental Staff (England) as amended from time to time. The arrangement of duties
will be such as may be agreed from time to time between the employing Trust and the person
appointed. Whether the successful candidate chooses to accept a whole-time or part-time
contract, it is agreed that any private practice undertaken, whether limited or not by the Terms
and Conditions of Service, will in no way diminish the level of service that may be expected from
him/her in carrying out the duties specified above (Schedule 9 Terms and Conditions of Service).
This Trust supports the concept of Continuing Medical Education and in line with Clinical
Governance Senior Clinicians are expected to participate in continuing professional development
(CPD).
HEALTH CLEARANCE & MEDICAL EXAMINATION
This appointment is subject to medical fitness and the appointee may be required to undergo a
medical examination and chest X-ray.
Potential applicants should be aware of the Department of Health and GMC/GDC requirements
with regard to HIV/AIDS, Tuberculosis, Hepatitis B and Hepatitis C viruses.
The successful candidate must be immune to Hepatitis ‘B’ and Tuberculosis. They will be
required to provide, in advance of appointment, evidence of immunity or have a local blood test
(as deemed appropriate by the Occupational Health Department).
DBS CLEARANCE
This appointment is subject to an enhanced Disclosure & Barring Service (DBS) clearance. Please
note that all charges associated with this check will be passed on to the applicant.
Residences and Removal Expenses
The successful candidate will be required to maintain his/her place of residence in contact with
the public telephone service and not more than 10 miles by road from the Royal Hallamshire
Hospital, Sheffield, unless prior specific approval to a greater distance is given by the Trust.
Removal expenses on appointment will be paid in accordance with the Sheffield Teaching
Hospitals NHS Foundation Trust Terms and Conditions of Service. These documents can be seen
at the offices of the Medical Personnel Department. It should be noted that it is not Trust policy to
reimburse interest payment on bridging loans.
Visits
If candidates wish to visit the hospital(s) concerned, they are at liberty to make arrangements
direct with:
Dr P M Fisher
Clinical Director, Oncology
Weston Park Hospital
Whitham Road
Sheffield
S10 2SJ
Tel: (0114) 226 5241
JobDescription-LocumConsClinicalOncologist
12.2013