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CONSULTANT IN MEDICAL
ONCOLOGY
Lower Gastrointestinal & Breast
Cancers
INTRODUCTION – DEPARTMENT AND POST
The Post
This post is an exciting opportunity to join our new medical oncology service at Mid Yorkshire
Hospitals NHS Trust. The team of six consultant medical oncologists and two speciality doctors
provide treatments for common cancers at the trust. Each consultant leads in one of the common
cancers with a secondary interest supporting another colleague in a second tumour site.
This appointment is for a substantive NHS post in medical oncology to Mid Yorkshire Hospitals
NHS Trust. The post holder will lead oncology services for Lower Gastrointestinal cancers and
provide support to his/her colleague in delivery of breast cancer services. This is a replacement
post. The postholder will contribute to acute oncology services and provide a one in six “consultant
of the week” and on call service for our new inpatient unit which opened in April 2016.
The post-holder will provide clinics and chemotherapy for patients with lower gastrointestinal and
breast cancer. He/she will provide medical oncology support to the Colorectal cancer MDT.
He/she will work closely with their Mid Yorkshire and Leeds colleagues to support a robust acute
oncology service at MYHT.
The post holder will be supported by visiting clinical oncology colleagues to MYHT and by local
medical oncology colleagues, with mentorship provided from a senior member of the team within
the department.
The gastrointestinal cancer practice is currently expanding and is supported by this postholder, Dr
Kamposorias (lead for upper gastrointestinal cancers) and the speciality doctors. Visiting clinical
oncology services are provided from Leeds Teaching Hospitals Trust.
JOB CONTENT
The post is advertised as a whole time (10PA) post, although less-than-full time applications or job
sharing arrangements may be considered. Additional Programmed Activities may be offered, and
the indicative timetable, below, is based on a base of 11.5 PA’s, inclusive of 1.5PA for on-call* and
0.25PA for inter-site travel. The actual job plan will vary following discussion agreement with the
successful candidate on the number and balance of activities and with changing service
configurations over time.
AM
MONDAY
TUESDAY
WEDNESDAY
THURSDAY
FRIDAY
1 SPA
Core SPA
(Audit, CPD,
teaching )
1 DCC
Lower GI OPD
(Pinderfields)
1 DCC
Lower GI OPD
(Dewsbury)
0.5 DCC
Ward referrals
(Pinderfields)
1 DCC
Breast OPD
(Dewsbury)
Lower GI MDT
PM
1.0 DCC
1 DCC
(has OPD and
Lower GI OPD
DCC Admin in
(Pinderfields)
alternative weeks)
0.5 SPA (Research)
0.5 SPA
(business and
governance
meetings)
0.5 DCC
IPU Ward Round
1 PA DCC Admin
0.75 DCC
Annualised cover by Chemotherapy
substitution of Breast prescribing
MDT for colleague
absence 1hr approx
8 x per year (tbc)
The 10PA allocation will be a mixture of DCC and SPA. All posts are offered a minimum of 1.5
SPA’s to a maximum of 2.5 SPA’s depending upon the requirements of the role**. Additional PAs
may be offered as the final timetable and job plan are developed in partnership with the successful
candidate. The indicative timetable above includes such additional PAs in the form of a funded
research role, subject to agreement and objectives.
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** SPA: The Trust, in line with the Academy of Medical Royal Colleges, accepts that 1.5 SPA reflects the
minimum time required to meet the needs of core consultant roles and revalidation; the Trust thus
describes this essential time as “Core SPA”, and will be offered to all consultants. Additionally agreed
activities are described as “Additional SPA” which will be reviewed through job planning and time
allocated against activities with a measurable outcome directly linked to agreed objectives.
*On Call PA allocation is currently constructed as a “consultant of the week” model shared
amongst 6 consultants. During that week clinic sizes are reduced or cancelled or provided by a
colleague to facilitate a ward round and board round each day on the inpatient unit. It is assessed
that during that week the consultant will be on site for on average two additional hours each day
during the week and do a ward round on Saturday and Sunday. On call is currently assessed as
1.5PA per week with an availability supplement of 5%.
The post-holder will be expected to contribute to the delivery of acute oncology services and work
with the research team to support clinical trials work in Lower GI and Breast oncology at Mid
Yorkshire; and lead on NPSA and NICE guidance implementation and audit for Lower GI oncology
at Mid Yorkshire.
ABOUT THE TRUST
We provide community, acute (hospital-based treatment) and specialist health services to around
half a million people living in the Wakefield and North Kirklees areas. We also treat patients who
choose to use our services from surrounding areas, including South Leeds, North Yorkshire,
Barnsley and Doncaster.
Since it was established in April 2002, our Trust has provided mainly hospital services. In 2010,
our Trust also started providing community therapy services and intermediate care services. These
services provide short-term specialist care to people who have been discharged from hospital but
need extra support, care and rehabilitation before they go home or to the place where they
normally live.
In April 2011, our Trust expanded to provide community health services for the Wakefield district
to include Adult Community Nursing and Children’s and Families’ Health Services to become a
new integrated care organisation for local people.
Our Trust completed a major hospital development programme in March 2011, which involved
opening new, state-of-the-art hospitals in Wakefield (Pinderfields) and Pontefract. Alongside the
excellent modern hospital in Dewsbury, these fantastic new buildings are helping to transform local
patient care.
We have an annual income of more than £440 million and employ more than 8,500 staff. The vast
majority of our income comes from our local Primary Care Trusts, NHS Wakefield District and NHS
Kirklees, which are part of the Calderdale, Kirklees and Wakefield Cluster Partnership.
ABOUT THE DEPARTMENT
Divisional and Department Management
Oncology Services at Mid Yorkshire Hospitals
The Oncology Service at Mid Yorkshire has undergone significant change in the last five years with
a shift in service provision to resident non-surgical oncology from visiting services from Leeds
Teaching Hospitals NHS Trust.
Oncology services at Mid Yorkshire are led by Dr Jay Naik (consultant in medical oncology with
interest in Breast Cancer and lead for Acute Oncology).
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Jay is supported by Dr Konstantinos Kamposioras (consultant in medical oncology with interest in
Upper and Lower GI cancer), Dr Barbara Crosse (consultant in medical oncology with an interest in
Gynaecological cancers and CUP) Dr Iva Damyanova (consultant in medical oncology with an
interest in Urological & Upper GI cancers) and Dr Rasheid Mekki (consultant in medical oncology
with an interest in Lung and Breast cancers) and currently there is a locum providing services for
this post. Sr Claire Copperwheat is the lead nurse for acute oncology and Ward Manager for the
new in-patient unit. Each of the oncology posts has a primary cancer site of interest and a second
cancer site. This allows the oncologists to work together as a team and also to ensure that there is
support for the service when one of the medical oncologists is on leave.
In patients are looked after on Gate 46a (G46a), which offers 12 out of 14 of the proposed beds
required for our services.
Chemotherapy is delivered in day case chemotherapy units on three sites. The chemotherapy units
are led by Sr Jane Murray. All units have nurse prescribers on site. Long day case chemotherapy
can be delivered on all three sites but patients requiring in-patient chemotherapy will be treated on
G46a.
The post holder will have the opportunity to participate in trust management committees of interest
eg the chemotherapy management committee. Decisions as to which member of the team attend
or represent the service are decided at the annual team job planning meeting and included in the
job planning process. All team members are expected to participate in the oncology business and
governance meetings which include regular morbidity and mortality meetings.
Haematology services are well established at Mid Yorkshire with an integrated consultant led team
providing care on all sites. In patient haematology is provided at Pinderfields Hospital.
Specialist Palliative Care services are well established at Mid Yorkshire with a multidisciplinary
team providing services across the Mid Yorkshire Hospitals and local communities. There are three
voluntary sector hospices: Wakefield Hospice which is adjacent to Pinderfields Hospital, Prince of
Wales Hospice in Pontefract and Kirkwood Hospice in Huddersfield.
Oncology is managed within Specialist Medicine which is led by Dr Anne-Marie Seymour (Head of
Clinical Service), Ms Hannah Dews (Patient Service Manager) and Mrs Jane Farley (Matron).
Support is also given to all aspects of cancer care from the Cancer team which comprises a lead
manager (Katrina Tyldsley) lead clinician (Dr Nick Spencer) and lead nurse (Keely Clawson).
The Oncology team have regular business and governance meetings. Dr Jay Naik is the lead for
Acute Oncology services, Dr Barbara Crosse is the lead for Cancer of Unknown Primary services.
Lower Gastrointestinal Cancer Services
Mr Sivakumar, colorectal surgeon, is the cancer lead for lower gastrointestinal cancer at Mid
Yorkshire Hospitals NHS Trust. The Colorectal cancer MDT is held at midday on Tuesday and has
a full complement of clinicians in line with cancer peer review guidance.
Breast Cancer Services
Mr Zbigniew Kryjak, breast surgeon, is the clinical lead for Breast Cancer. The breast care service
is currently based at Pinderfields and delivered from Pinderfields and Dewsbury Hospitals.
Surgery is performed in both Pinderfields and Dewsbury with breast reconstruction at Pinderfields.
Routine follow-up review for cancer patients is generally annually between surgeons and
oncologists where appropriate, following completion of treatment.
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The MDT is held each Thursday afternoon at Pinderfields. It is attended by the surgical and breast
cancer specialist nursing teams, medical (Dr Jay Naik) and clinical oncology (Dr Sri Kumar and Dr
Fiona Roberts), radiology and pathology. The breast care nursing team is led by Ms Sarah
Sandbach.
There are four weekly clinical oncology breast cancer clinics and four weekly medical oncology
breast cancer clinics.
Office Accommodation
Office accommodation is currently provided in Rowan House on the Pinderfields site. Office
accommodation is co-located with the specialist palliative care team and the haematology
secretaries. Secretarial and IT support will be provided.
Information Technology
Electronic prescribing for chemotherapy using the ChemoCare platform was rolled out across Mid
Yorkshire in summer 2012.
Cancer data is currently held on Infoflex database, with the cancer electronic database/ record
system Patient Pathway Manager (PPM) also currently in use.
Research
Mid Yorkshire Hospitals NHS Trust is committed to an active research programme in cancer and
participates in several National Cancer Research studies. Research and development is led by
Judith Holliday. The cancer research nurse team run an extensive portfolio of research trials.
These include GI, Colorectal, Lung, Breast ,Prostate and Gynaecology. Each speciality has its own
research nurse team: 3 nurses cover GI/Colorectal Cancer. We have recently appointed a band 7
lead research nurse for cancer who will oversee the cancer research team.
It is expected that the post holder would work with the cancer research nurse team to continue
current research activity and develop new research interests.
Undergraduate and Post Graduate Teaching.
Mid Yorkshire Hospitals NHS Trust is an Associated Teaching Hospital for Leeds Medical School.
The post holder is expected to participate in teaching of medical and nursing undergraduates and
postgraduates.
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Department Staffing
Name
Post
Dr Jay Naik
Medical Oncologist and Lead for Oncology
Dr Konstantinos Kamposioras
Medical Oncologist (Upper & Lower GI)
Dr Barbara Crosse
Medical Oncologist (Gynae’ & CUP)
Dr Iva Damyanova
Medical Oncologist (Urology & UGI)
Dr Rasheid Mekki
Medical Oncologist (Lung & Breast)
Sr Claire Copperwheat
Acute oncology lead nurse
Sr Jane Murray
Chemotherapy unit lead nurse
Dr Sri Rodda
Visiting Clinical Oncologist (Lung, Urology)
Dr Ganesh Radhakrishna
Visiting Clinical Oncologist (Lower GI)
Dr Peter Dickinson
Visiting Clinical Oncologist (Lung)
Dr Sri Kumar
Visiting Clinical Oncologist (Breast)
Dr Fiona Roberts
Visiting Clinical Oncologist (Breast)
The Department also has 2 full time middle grade Speciality Doctors, a CMT, FY2, Trust Grade
FY2 equivalent and Advanced Nurse Practitioner posts.
Continuing Education and Development
The Service strongly supports continuing and education and development for personal,
professional and corporate objectives. The trust also has a programme of mandatory training which
all relevant staff must complete regularly (much annually) as a condition of employment.
Medical staff are encouraged to develop areas of personal interest and the Trust supports research
and development, within the policies of the Trust. It is, of course, a requirement of the post that the
appointee will fulfil the professional and educational standards set down by the General Medical
Council, the Royal Colleges and, where relevant, other recognised professional and regulatory
bodies. Time and funding for CPD is available according to departmental and Trust policies,
subject to approval through the clinical management structures.
Appraisal and Revalidation
Employment as a doctor brings with it an obligation to engage with all the processes of
revalidation, job planning and appraisal on an annual basis. The Trust has procedures that comply
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with national recommendations and believes that a supportive and developmental appraisal
process is an important part of Revalidation, Service and personal quality assurance. The post
holder will also be mentored by a specified senior member of the team and have access to the
Trust’s wider coaching/mentoring service.
Teaching
The service supports training for its own staff, career and trainee, medical and non-medical, as well
as for rotational medical students.
The Trust is keen to maintain its reputation for high quality training and to attract the highest calibre
of trainee and career-grade doctors. All senior staff are encouraged and expected to support the
training of junior doctors attached to the Service, and many have taken on personal tutor and/or
mentoring roles, co-ordinated by our Royal College Tutors. Opportunities can be provided to
develop training and education interests.
Audit and Clinical Governance
There is a monthly half-day clinical governance programme and the Medical Oncology Service’s
audit meetings are well attended and lively. The Clinical Audit Department assists with setting and
supporting an audit programme for the Service with which all colleagues are encouraged to
engage. Clinical Audit is considered within objectives as part of job planning.
Representation
The Medical Staff Committee (MSC) provides a forum for senior staff from across the Trust to
share their views and expertise, and to both seek and provide feedback from and to senior
management. All senior doctors are a member of this committee, which meets monthly.
The Local Negotiating Committee (LNC) is accredited by the Trust and by the British Medical
Association to negotiate on behalf of doctors with the Trust. It reports to the MSC.
DEPARTMENT OF EDUCATION
Medical Education operates purpose built, fully equipped education centres on each of the sites,
and a new centre is planned for development on the Pinderfields site.
The DME supports the development and delivery of high quality teaching and educational events.
The centres provide support for in house teaching programmes, multi-disciplinary events,
vocational training schemes, clinical meetings and study days as well as some core competency
courses for GPs and several bespoke training courses. The DME is proud to host examinations on
behalf of The Royal College of Physicians and The Royal College of Paediatrics and Child Health.
The Royal College of Surgeons (Urology) conduct mock examinations within the Department of
Medical Education.
Consultant and non-consultant career grade medical staff appraisal processes are managed
through the medical education department. Full training, support and advice are available
regarding appraisal through the medical education department.
There are close working links with the Yorkshire Deanery where a range of educational and
developmental courses are available throughout the year to Trust medical staff.
Director of Medical Education /
Associate Medical Director
Dr A Jackson
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Assistant Director of Medical Education:
Mrs D Matthews
Library & Information Service
The three Trust libraries are user-friendly and well resourced for research needs. Staff can access
any library across the Trust.
Over 1,000 journals, databases, textbooks and other electronic resources can be accessed using
Trust-based Athens passwords from Trust or home PCs with Internet access. All three libraries
have extensive book stocks. Library information web pages and an integrated book catalogue can
be searched via the Trust Intranet. 24-hour access is available to all three libraries.
Document supply and current awareness updating services are offered to all medical staff. Advice
and training is offered on literature searching. This support is offered on a one-to-one basis, at
small group sessions for departments, or through attending formal training sessions which are
widely advertised.
There is an active Trust-wide Library Development Group which supports service developments.
VISITS
Shortlisted applicants wishing more information and wishing to visit the Trust may do so by
contacting:
Dr Jay Naik
Consultant Oncologist
Pinderfields Hospital
Tel: Secretary (01924 542486)
Dr Anne-Marie Seymour
Consultant in Palliative Medicine
Head of Clinical Service Specialist Medicine (Rheumatology, Dermatology, GUM,
Oncology, Haematology and Palliative Care)/ Interim Divisional Clinical Director Division of
Medicine
Mid Yorkshire NHS Trust
Pinderfields Hospital
Tel Secretary 01924 543801
Ms Hannah Dews
Patient Services Manager
Mid Yorkshire NHS Trust
Pinderfields General Hospital
Tel: Secretary (01924) 543652
Formal visits may only be offered to candidates who have been shortlisted for interview. Such
candidates may be reimbursed their travel and subsistence expenses for one such visit only. In the
case of candidates travelling from abroad, travelling expenses are normally payable only from the
point of entry to the UK.
Should you require any further information please contact the Medical Staffing Department on
(01924) 543642 (direct line).
The Trust is an equal opportunities employer and operates a no smoking policy.
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SECTION 2
MAIN TERMS AND CONDITIONS
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MAIN TERMS AND CONDITION OF EMPLOYMENT
Conditions of Employment
The appointment will be on the basis of the new national contract laid down by the Medical and
Dental Staff Terms and Conditions of Service and General Whitley Council (or successor body).
Any subsequent changes will be notified to the successful candidate and thereafter form part of
his/her contract of employment. The arrangement of duties will be such as may be agreed from
time to time between the employing Trust and the person appointed.
The Trust has established negotiating and consultation machinery for its employees and has a
specialist sub-committee for Medical and Dental Staff.
Duties and Responsibilities
Senior medical staff have ongoing clinical and professional responsibility for patients admitted
under their care. It is also their duty to:




Keep patients (and/or their carers if appropriate) informed about their condition
Involve patients (and/or carers if appropriate) in decision making about their treatment
Maintain professional standards and obligations as set out from time to time by the General
Medical Council (GMC) and comply in particular with the GMC’s guidance on ‘Good Medical
Practice’ as amended or substituted from time to time.
Maintain professional standards and obligations as set out from time to time by the General
Dental Council (GDC) (Dental consultants only)
Senior Medical Staff are responsible for carrying out any work related to and reasonably incidental
to the duties set out in their Job Plan such as:



The keeping of records and the provision of reports
The proper delegation of tasks
Maintaining skills and knowledge
Senior Medical Staff shall be expected in the normal run of their duties to deputise for absent
colleagues so far as is practicable, even if on occasions this would involve interchange of staff
within the same employing organisation. When this is not practicable the doctor is responsible for
bringing the need to engage a locum to the notice of the employer – whose responsibility it is to
engage an appropriate locum and assess the number of Programmed Activities required.
Job Plan
Job planning is undertaken in partnership with the Trust through departmental clinical managers.
The clinical manager will prepare a draft job plan, which will then be discussed and agreed with the
doctor. Job plans will list all the NHS duties of the doctor, the number of Programmed Activities for
which they are contracted, their objectives and agreed supporting resources.
The duties and responsibilities set out in a Job Plan will include, as appropriate:
 Direct Clinical Care duties including on-call work
 Supporting Professional Activities
 Additional NHS responsibilities
 External Duties
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The Post
The post is available on a full time basis (10 Programmed Activities).
Any applicant who is unable, for personal reasons, to work full-time will still be eligible to be
considered for the post. Is such a person is appointed, modification of the job content will be
discussed on a personal basis, in consultation with consultant colleagues.
Salary
The salary is based on the national salary scale as outlined in the Medical and Dental Terms and
Conditions.
Base
Initially the main base will be at Pinderfields Hospital. There will be a requirement to work at other
hospitals within the Trust, subject to service needs described previously in this document and the
base hospital may be subject to change as services and service requirements change.
Registration
The Trust requires the successful applicant to have and maintain full registration with the General
Medical Council and hold a licence to practise. While membership of a medical defence
organisation is not a contractual requirement, medical staff are strongly advised to take
out/continue membership of one of the medical defence organisations.
Pre-Employment Screening
The appointment is subject to satisfactory medical health clearance from the Trust’s Occupational
Health Department. The successful applicant may be required to undergo an examination prior to
taking up appointment.
DBS The appointment is subject to an enhanced DBS clearance evidenced by the applicant.
Pension
There is an option of joining the NHS Pension Scheme. Further details are available on request.
Leave and Holidays
Terms and Conditions set out the entitlements in respect of:
 annual leave
 professional and study leave
 sabbaticals
 sick leave
 special leave
 maternity leave and domestic personal and care relief.
 Public holidays will be 8 days in line with national terms and conditions of service.
Private Residence
When on duty (if not resident) the postholder should be able to reach the hospital in normal traffic
conditions within 30 minutes. The postholder must be contactable by telephone.
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Rehabilitation of Offenders Act 1974
Because of the nature of the work concerned, this post is exempt from the provisions of section 4
(2) of the Rehabilitation of Offenders Act 1974. You are not entitled to withhold information about
convictions which for other purposes are ‘spent’ under the provisions of the Act. Any information
given will be completely confidential and will be considered only in relation to your application for
this post.
Disciplinary and Grievance Procedures
In matters of professional conduct or competence the arrangements set out in the Maintaining High
Professional Standards: Conduct, Capability, Ill Health and Appeals Policies and Procedures for
Medical and Dental Staff will be followed.
In cases of personal conduct, the Trust Disciplinary Procedure will apply and the power to dismiss
lies with the Chief Executive.
Any grievance related to your employment should be raised in the first instance with the General
Manager in accordance with the Trust Grievance Procedure.
Health and Safety at Work
There is a requirement to observe all the safety rules and instructions at the workplace. It is the
responsibility of all staff to bring to the immediate attention of the General Manager any aspects of
their work, or the conditions in which they work, which they do not consider to provide the degree
of safety normally expected.
Infection Control
The Trust has infection control policies including standards of dress and “bare below the elbows”.
The Trust expects that all staff adhere to these policies in clinical areas. The policy statements are
accessible on the intranet and defines clinical areas. Individuals must expect to be challenged and,
if necessary action taken if they are not to be adhering to these patient safety initiatives.
Conflict of Interest
You must declare to the Trust any financial interest or relationship which you have which may
affect the Trust’s policies or decisions.
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PERSON SPECIFICATION
POST TITLE:
CONSULTANT
DEPARTMENT:
CRITERIA RELEVANT TO
THE JOB eg. Experience,
education, disposition
ESSENTIAL REQUIREMENTS
necessary for safe and effective
performance in the job
GMC/Permit Status
Inclusion on the GMC Specialist
Register or within 6 months of
obtaining CCT
ADDITIONAL/USEFUL
elements that contribute to
improved/immediate
performance in the job
HOW IDENTIFIED e.g.
application form,
interview, reference
Application form/CV
Letter of confirmation
from GMC
GMC Full Registration with
licence to practise
Qualifications
MBChB (or equivalent)
Application form/CV
Certificates
Member of Royal College of
Physicians (or equivalent)
Experience
Evidence of completion of a
period of approved training in
medical oncology including
Colorectal and Breast cancer
Experience in training Junior
Staff
Evidence of interest in research
Previous experience at
consultant level/acting up
Application form/CV
Interview
Previous interest and specific
extra experience in Colorectal
and Breast Cancer
Interview
Training in delivery of
education programmes
Evidence of publication in peer
reviewed journals relevant to
this post
Higher degree in research
Personal Attributes










Good communication
skills
Personal insight into
own strengths and
weaknesses
Works well with
colleagues at all levels
Ability to work on own
initiative
Ability to make sound
and appropriate
decisions
Has demonstrable
problem solving skills
Demonstrates ability to
adjust to new
environments and
demands
Ability to organise own
work and that of others
Ability to contribute to
the corporate
development of the
Trust and its services
Willingness to work
flexibly
Evidence of personal
contribution to service
development in oncology
Interview
Demonstrates awareness of
the current UK Healthcare
system and the need to
develop services in line with
current policy
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Circumstances
Driving Licence
Application
Satisfactory DBS clearance
CRB Clearance
Eligible to work in the UK
Interview/Health
Screening
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