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JOB DESCRIPTION
LOCUM CONSULTANT
IN
DIAGNOSTIC RADIOLOGY
10 Programmed Activities
Person Specification
Job Description
Proposed Job Plan
Terms and Conditions
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Consultant in Radiology 2010
1
PERSON SPECIFICATION
POST:
BASE:
Locum Consultant Diagnostic Radiology
The Christie NHS Foundation Trust, Withington, South Manchester
REQUIREMENTS
ESSENTIAL
DESIRABLE
QUALIFICATIONS
FRCR
Sub-speciality fellowship
MBChB or equivalent
Holding (or within 6 months of
appointment obtaining) CCT in
Radiology
TRAINING & EXPERIENCEExperience in general radiology,
cross sectional imaging, PET-CT
and interventional radiology
ACADEMIC ACHIEVEMENTS
Track record of productive research,
relevant to Radiology
PERSONAL SKILLS
Good interpersonal skills
Experience in CT colonography
Recent publications in
peer-reviewed journals
Job Description for Consultant in Diagnostic Radiology
The Post
This is a new consultant post and consists of 10-programmed activities (PA’s) funded by the
Trust, initially for 12 months. It is based at The Christie.
Clinical Service
The Radiology Directorate has a departmental budget of £6 million (2010/11).
The Department is spread across four areas:
In the Pat Seed Department are the MR and CT scanners, and there are 2 CT and 2 MR
machines.
General Ultrasound and Interventional Radiology and Fluoroscopy and inpatient plain film are
based in Radiology 2. Outpatient plain film radiography is within Radiology 1.
There is an Office Suite housing secretaries, Consultant Radiologists, a seminar room and a
staff room.
A team of Clinical Nurse Specialists (Procedures team) provide diagnostics and therapeutic line
and drainage insertions, within the Day ward facility.
The Nuclear Medicine department is operated by the North Western Medical Physics division, in
Palatine House. where Clinical and Research PET-CT and conventional Nuclear Medicine
Imaging occur.
The current RIS (CRIS) went live in February 2007. PACS went live in March 2007.
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Radiology Examination Totals 2007 - 2010
Activity –Totals by patient attendance Radiology Specialty
2007-08
2008-09
2009-10
CT
MR
PET
9316
10489
10541
3449
3997
4035
1562
1961
1980
Plain
Film
16139
16002
16269
US
2349
2282
2563
Nuclear
Medicine
1650
1702
1910
Fluoroscopy +
angiography
270
348
276
Fluoroscopy
Interventional
261
264
282
Procedures
team
3000
3000
3873
Staff and Management Structure
The Department management structure is as follows:
Medical:
Clinical Director (appointed by the trust board, 3 year tenure) with overall departmental
responsibility, lead consultants in CT, MR, US, Interventional Radiology, Nuclear
Medicine, General Radiology, Clinical Audit and Information Technology. The clinical
tutor has responsibilities for registrar training and assessment. Day-to-day operational
issues are dealt with by the section leads, as required.
Non-medical:
There is a Radiology manager (radiographer) supported by 4 modality service leads /
superintendents and a Secretarial & Clerical Team leader. The procedures team have a
unit manager (clinical nurse). Additional support is provided by the divisional roles of
Performance & Contracting manager and Quality & Governance manager.
Medical
Consultant Staff
Dr
Dr
Dr
Dr
Dr
Dr
Dr
Dr
Dr
Dr
Dr
Dr
C Barker, Plain film lead, 6 PA
S Bonington, Clinical Tutor, 8 PA
R Bramley, Clinical Director and IT lead, 10 PA
B Carrington, 11 PA
P Hulse, Nuclear medicine and PET CT lead, 10 PA
H-U Laasch, Interventional, 11 PA
J Lawrance, Divisional Director for Clinical Support Services, 12 PA
S Mak, CT lead, 10 PA
P Manoharan, MR lead, 11 PA
M B Taylor, 12 PA
F Wong, Ultrasound lead, 6 PA
R Kochhar 11 PA
All consultants hold FRCR qualification. All consultants are radiologists with special
interest in cancer imaging and cross-sectional imaging skills
Junior medical Staff
1 Clinical Fellow in Oncology Imaging / PET-CT
1 Clinical Fellow in Oncology Imaging / Cross sectional imaging (currently vacant)
3 senior SpR’s and 1 junior SpR.
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Radiographic and Nursing Staff
1 Radiology manager
4 Superintendent Radiographers/Clinical Specialists (3.6 wte)
27 Radiographers (21.4 wte)
2 radiology nurses (2.0 wte)
7 clinical nurse specialists – procedures team – including unit manager (6.2 wte)
9 Radiographic Aides / healthcare assistants (8.92 wte)
1 porter
A and C staff
6 Secretaries / Personal Assistants. (5.5 wte)
9 Clerical officers (7.23 wte)
Diagnostic Radiology Equipment and Replacement Programme
Equipment
Kodak Digital Chest Unit
Phillips ceiling suspended
tube and
generator,
rise and fall table with
bucky,
Erect bucky
OPG unit
Kodak general digital room
Phillips ceiling suspended
tube and generator, rise and
fall table with bucky,
Erect bucky
Philips digital interventional
equipment including floating
table with bucky and C-arm,
Phillips ceiling suspended tube
and generator, erect bucky
2 mobile IGE x-ray machines
with AEC
1 mobile IGE AMX4 plus
machine
Siemens C-arm mobile image
intensifier
1 Siemens Antares
ultrasound scanner
1 Siemens / Accuson X300
interventional US scanner
1 IGE Lightspeed Plus 4-slice
MD-CT scanner
1 Siemens Sensation 16-slice
Consultant in Radiology 2010
Installation
Date
April 2007
1994
1996
1992
1992
2006
June 2007
1997
Replacement
Date
2017
2009
(being replaced
2010/11)
Site
Radiology 1, Rm 4
Radiology 1, Rm 1
2016
2017
2007
Radiology 1, Rm 1
Radiology 1, Rm 2
Radiology 2, Rm 2
2015
Radiology 2, Rm 1
2001
2011
Radiology
March 2007
2017
CCU
2004
2014
Radiology
2007
2012
Radiology 2
2007
2012
Radiology 2/ CCU
2001
2008
Pat Seed, CT
1997
1997
2008
2008
2005
(being replaced
2010/11)
2012
4
MD-CT scanner
1 Siemens TIM Avanto MRI
scanner
1 Siemens TIM Avanto MRI
scanner
1 general X-ray GE Compax
MPG 80
1 GE STE-8 CT-PET
Scanner
Infinia Hawkeye 4 SPECTCT Gamma Camera-CT
Siemens Ecam Signature
Double Headed Gamma
Camera
2004
2011
Pat Seed, MRI
2005
2012
Pat Seed, MRI
1993
2003
2007
2013
Brachytherapy
theatre (Networked
Service division)
Nuclear Medicine
2006
2012
Nuclear Medicine
2005
2011
Nuclear Medicine
Table notes: replacement date overdue in italics
Recommended life of general x-ray equipment = 10 years
Recommended life of CT/MRI scanners = 7 years
Recommended life of ultrasound scanners = 5 years
Duties of the Post
As a consultant radiologist at The Christie, the post holder will be an oncological
radiologist. The post holder is expected to be a competent cross sectional imager (CT,
MR, US). Further experience or fellowship training is desirable and a commitment to
general radiology is expected. This post requires expertise in interventional radiology,
including biopsies, nephrostomies, etc.
There may be a need for cross-site working, as dictated by future developments of the Greater
Manchester and Cheshire Cancer Network and potential expansion of The Christie off the
current site.
The post holder will be included on the on-call rota. This is currently approximately 1/10 but
may decrease with new consultants. There is an on-call SpR, and consultants are not usually
required to attend the hospital, but are called in for nephrostomies and MR of spinal cord
compression patients. Other problems arise from time-to-time.
Professional Development:
He/she will support and encourage continuing professional development for all medical and
non-medical staff and that of him/herself consistent with the recommendations of the Royal
College of Radiologists. He /she will make appropriate arrangements for study leave with
colleagues and non-medical staff.
Teaching Commitment:
The department is active in teaching at SpR level, with further commitments to national and
regional radiology teaching. Medical student, SHO and non-radiology SpR teaching is also
supported. SpRs are generally one hour per week per consultant (tutorial style), with the
requirement to teach during general lists and to check CT scans and contrast studies.
Multi-disciplinary team meetings:
The department currently supports 18 disease related clinical Multidisciplinary Team Meetings
(MDTs). Each MDT has a lead consultant. The meetings are covered by rota of between two
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and five consultants. The MDT consultant rotas are reviewed annually to meet the MDT peer
review requirements and provide an appropriate distribution of workload and case mix.
Clinical Governance:
The post-holder will be expected to participate in all relevant aspects of clinical governance,
including maintaining up to date protocols, errors reporting, guidelines and clinical audit in
conjunction with the other consultants in the department.
Research:
There are excellent opportunities for research within the department. The department
is active in research and audit. Our activity is published on the intranet.
Office and Secretarial:
The Trust will endeavour to provide consultant offices, but this may be shared office
space with another consultant radiologist. Secretarial support is mostly shared.
PROVISIONAL ACTIVITY TIMETABLE
As agreed with the clinical director on an annual basis. The exact timetable depends upon the
needs of the department and the skills and desires of the successful candidate.
In general, the post will be offered as 10 PAs. The usual split is 7.5 Direct Clinical Care (DCC)
PAs and 2.5 Supporting Activity (SPA) PAs, or pro rata. The DCC PA would initially comprise 6.5
fixed DCC PAs and 1 PA MDT commitment by rota. The proposed timetable is attached; note that
the actual clinical sessions and MDT commitment will be allocated based on the skill of the
successful candidates and requirements of the department.
On call: currently 1 in 10 nights and weekends.
Monday
AM
PM
CT
Tuesday
Wednesday
Interventional Ultrasound
Radiology
Interventional Admin/CPD
MR
Radiology
Consultant in Radiology 2010
Thursday
Friday
CT
Admin/CPD
Admin / CPD
MDT
Interventional
Radiology
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TERMS AND CONDITIONS OF SERVICE
The appointee must be on the GMC specialist register or be within 6 months of obtaining a CCT
in Radiology at the date of the interview.
PAY
The salary details for this post are aligned with Guidelines set out in the New Consultant
Contract.
CONFIDENTIALITY
The post-holder must maintain the confidentiality of information about patients, staff
and other health service business.
HEALTH AND SAFETY
Employees must be aware of the responsibilities placed on them under the Health &
Safety at Work Act (1974), to ensure that the agreed safety procedures are carried out
to maintain a safe environment for employees.
RISK MANAGEMENT
All staff have a responsibility to report all clinical and non-clinical accidents or incidents
promptly and when requested to co-operate with any investigation undertaken.
EQUAL OPPORTUNITIES
The Trust has adopted an equal opportunities policy and it is the duty of every employee
to comply with the detail and spirit of the policy
CONFLICT OF INTEREST
The Trust is responsible for the service for the patients in its care meets the highest
standards. Equally, it is responsible for ensuring that staff do not abuse their official
position to gain or to benefit their family or friends.
The Trust’s standing orders require any officer to declare any interest, direct or indirect
with contracts involving the Trust. Staff are not allowed to further their private interest
in the course of their NHS duties.
NO SMOKING
The Trust operates a no smoking policy. Anyone who wishes to smoke may do so only
in one of the designated smoking areas at a time agreed with their line manager.
CAR PARKING/TRANSPORT
Car parks for staff are on site, depending on availability of permits.
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INFORMAL VISITS
Informal visits are welcome and interested candidates should visit the department by
arrangement with:
Dr Rhidian Bramley
Clinical Director
Department of Radiology
Christie NHS Foundation Trust
Wilmslow Road
Manchester M20 4BX
Tel: 0161 446 8112
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GENERAL INFORMATION
Greater Manchester itself is a large consumer and business market in its own right, with
a population of 2.5 million, a workforce of 1.2 million and a GDP of £28 billion (US $41
billion). This represents around 38% of the regional GDP of £75 billion.
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Over 25% of the UK’s motorway network runs through the Greater Manchester
area, placing it within 2 hours´ drive time of 20% of the UK population - some
12 million people.
Over 2 million people live within a ten-mile (16 km) radius of Manchester and
more than 5 million people within a radius of 30 miles (48 km).
Manchester’s population is multi-cultural and predominantly young - 65% of the
population is under 45 years old.
According to an independent survey of senior executives responsible for location
in more than 500 European companies, Manchester places second of the top 10
European cities (after London) for its cost and availability of staff.
Ref. http://www.salford.gov.uk/business/bas/demographics.htm
Manchester airport is a large international airport and there are good rail links to the
south and north.
The Christie NHS Foundation Trust
One of Europe’s leading cancer centre’s with exciting and ambitious plans for the future.
“We care, we discover, we teach”
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An exceptional reputation for patient care and research, excellent record in performance
and financial management, high profile and huge public support is behind the Christie’s
ambitions to be one of the world’s leading cancer centres.
Foundation Trust status has allowed us to embark on a highly ambitious plan to expand
and develop our patient services, research and education.
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The Christie in Manchester is a specialist NHS cancer hospital offering:
 high-quality diagnosis, treatment and care for cancer patients
 world-class research
 education in all aspects of cancer
We are one of the leading cancer centres in Europe - registering around 12,500 new
patients and treating about 40,000 patients every year.
We are the lead cancer centre for the Greater Manchester and Cheshire Cancer Network,
covering a population of 3.2 million. Our medical staff also share their expertise with
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colleagues across the region, with our doctors running clinics at 16 other general
hospitals.
Because of the specialist services we provide around 15% of our patients are referred
from outside Greater Manchester and Cheshire, and our private patients unit provides
care for people from across the world.
Our patients are referred from district general hospitals, having already had their cancer
diagnosed, and often with complex or rare cancer. Many will also have had their first
treatment, usually surgical, before referral.
Wide range of cancer services
We offer a wide range of services including specialist surgery, chemotherapy,
radiotherapy, palliative and supportive care and endocrinology.
As one of the largest radiotherapy departments in the world we deliver over 80,000
radiotherapy treatments a year. We also annually deliver over 30,000 chemotherapy
treatments and undertake around 3,700 operations every year. We are one of only two
hospitals in the country offering surgical treatment for patients with pseudomyxoma - a
very rare type of cancer. Our young oncology unit is one of only eight dedicated teenage
cancer units in the country.
We have 257 inpatient beds, which are intensively used, with an average length of stay
of seven days.
Key player in Europe
We are a member of the Organisation of European Cancer Centres (OECI) which
provides a forum for discussion and agreement amongst the leading cancer centres in
Europe as well as coordinating a number of specific projects. The OECI is an important
vehicle for taking forward the concept of comprehensive cancer centres in Europe. We
are the only centre in the UK to be voted onto the OEIC as a member.
Leading clinical trials unit
We also run one of the largest clinical trials units in the country for phase I/II cancer
trials, with around 1,200 patients going on new trials. This is set to double over the
next few years making us one of the largest clinical trials units in the world. Clinical trials
at the Christie are funded by charities such as Cancer Research UK, drug companies and
the national clinical trials network which is made up of the Department of Health and
other key groups. They are the vital step in developing better treatments for cancer
patients and ultimately improving the quality of cancer care.
Partner in the Manchester Cancer Research Centre
We are a partner in the Manchester Cancer Research Centre with The University of
Manchester, Paterson Institute for Cancer Research and Cancer Research UK. The
Manchester Cancer Research Centre brings together the expertise, ambition and
resources of our organisations and will be one of the world’s leading cancer research
institutes by 2015.
Education
We have a dedicated education unit and provide training for a wide range of pre and
post qualification staff.
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Cancer Registry
We manage the North West Cancer Information Service (cancer registry) for the whole
of the North West region.
Manchester Versus Cancer alliance
In partnership with the NHS, local authorities and supporters we have established the
Manchester Versus Cancer alliance to help improve the early detection of cancer.
Research shows that around 500 lives across Greater Manchester could be saved each
year if local people went to their GP early with suspected symptoms.
History
We have achieved world firsts since the Christie was established in 1901. It was named
The Christie in recognition of the pioneering work of both Richard Copley Christie and
his wife Helen Christie. At this time there were 30 beds and 463 patients a year.
Foundation Trust
We became a foundation trust on 1st April 2007. Foundation trust status brings us new
freedoms to further develop our services and greater public accountability.
Funding
We have a total annual turnover of around £151 million. Most of this is from the NHS,
together with income from private patients (around 8%), and from charitable and
research organisations.
Staff
Around 2000 staff and over 300 volunteers work at the Christie.
Awards
Staff teams and individuals have won numerous awards for services and research over
the years, and we were shortlisted for the Health Service Journal’s ‘Acute Healthcare
Organisation of the Year Award 2005’.
Charity
We run the country’s second largest hospital charity in terms of fundraising, with more
than 2000 fundraisers and 20,000 supporters. Our charity contributes about £12 million
a year from fundraising, donations and legacies.
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Background
The Christie was formed in 1932 and has grown to be one of the largest cancer
hospitals in Europe. It is the base hospital for the North Western Regional Department
of Clinical Oncology. Along with the North Western Regional Medical Physics
Department, it forms The Christie NHS Foundation Trust. The Paterson Institute for
Cancer Research is adjoins the Trust and has recently been incorporated into
Manchester University. In partnership with Cancer Research UK and Manchester
University the Trust has formed the Manchester Cancer Research Centre (MCRC). The
Trust serves a network population of 3.2 million people (Greater Manchester and
Cheshire), the largest network in the country. The health economy of the Greater
Manchester and Cheshire Cancer Network includes 15 acute and mental health Trusts.
Approximately 20% of patients are referred from outside this network. In 2007-08
there were 12,500 new patients with cancer referred to the hospital and around 180,000
treatments were administered. The Trust has 1,900 staff, 257 beds and three surgical
theatres. A new critical care facility (6 beds with room to expand to 8 beds) opened in
December 2006.
The Christie is composed of three clinical management divisions:
Networked Services Division – Director, Dr Nick Slevin – includes the Departments of
Medical Oncology, Clinical Oncology, Paediatric and Adolescent Oncology, including
radiotherapy department.
Cancer Centre Services – Director, Prof Peter Trainer- includes Surgery, Haematology,
Anaesthetics, HDU, Endocrinology
Clinical Support Services – Director, Dr Jeremy Lawrence - Radiology, Pathology,
Pharmacy, Supportive Care, Palliative Care, Outpatients and Therapies
Other support services are provided by the Corporate services Division including
Finance, Nursing & Governance, and Estates and Facilities.
Both the Departments of Medical Oncology (Director: Dr Michael Leahy) and Clinical
Oncology (Director: Dr John Logue), have international reputations for their clinical
work. All consultants are site specialised and common treatment policies are developed
through the multi-disciplinary Disease Groups (DGs). Links to the cancer units are
maintained through a number of peripheral and outreach clinics across the network.
There are plans for the Christie to develop satellite centres in the Pennine Trust and in
Salford so that ambulatory care can be can be delivered more locally.
The Trust has been designated as the cancer centre for the Greater Manchester and
Cheshire Network by Dr C Harrison in a report commissioned by the Strategic Health
Authority (the ‘Harrison report’). Financially the Trust has achieved a surplus for the
past 2 years and a break even position at financial year for the previous 3 years.
The largest clinical department is the Regional Department of Clinical Oncology with 31
consultants which provides a service to The Christie and other hospitals in Greater
Manchester and some in the surrounding region through regular clinics staffed by
consultants. The Clinical Director is Dr J Logue.
There is a University Department of Medical Oncology with 18 consultants, headed by
Professor R E Hawkins.
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The clinical staff of the hospital also includes two physicians with an interest in
Endocrinology and visiting specialist surgeons with interest in plastic, breast, head and
neck, urological, gastro-enterological, ENT and gynaecological surgery, all of whom have
access to beds. The current Clinical Director of Surgery is Mr M Wilson.
The hospital also has dedicated departments of Radiology, Haematology/Oncology,
Epidemiology, Psychological Medicine, Anaesthesiology, Occupational Health and a
Statistics Department, which, in addition to the collection of basic statistics, offers
support to clinicians involved in clinical studies and trials.
Specific disease groups (DGs) comprised of multidisciplinary teams have been active for
10 years. Their function is to facilitate investigation, treatment and research on cancers
of site specific areas. The DGs are also linked to the Cancer Network Clinical Subgroups,
responsible for ensuring that NICE directives and Improving Outcomes Guidance are
implemented Fourteen such DGs exist in the Trust and pathologists are members of
those groups.
The North Western Regional Department of Medical Physics and Bioengineering is
situated at the Christie [Director Dr R Mackay].
The hospital has a Medical Library staffed by professional librarians. The range of
services include a modern journal collection, extensive book library and on line search
facilities. The library is also connected with the Internet. A postgraduate centre is also
operational.
Attached to the hospital is the Paterson Institute of Cancer Research, [Director Professor
N Jones], now part of Manchester University and extensive complex of laboratories
supported by the Cancer Research UK. The Institute is dedicated to fundamental and
clinically orientated cancer research in many fields, including radiation chemistry,
radiobiology, cell population kinetics, molecular biology, tumour chemotherapy and
cytogenetics. Some of these laboratories are involved in joint collaborative research
projects and Clinical Research Fellows have been appointed between the Institute and
the hospital.
Research facilities exist in the Paterson Institute for Cancer Research. The consultant
may to negotiate collaborative projects with Professor N Jones, Head of the PICR.
The Trust Directors are:
Ms C Shaw
Mr R Spencer
Mr I Moston
Dr C Harrison
Ms J Sykes
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Chief Executive
Chief Operating Officer
Director of Finance and Business Planning
Medical Director
(Acting) Director of Nursing and Governance
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THE CHRISTIE STRUCTURE
Executive Team Structure
Each of the Three Divisional Directors will have professional accountability to the Medical Director
Caroline Shaw
Chief Executive
Dr Chris Harrison
Medical Director
Jane Sykes
Director of Nursing
and Governance
Roger Spencer
Chief Operating
Officer
Ian Moston
Director of Finance
and Business
Development
Research &
Development
Division ofClinical
Cancer Centre
Services
Division ofClinical
Networked Services
Division ofClinical
Support Services
Headof Workforce
Services
North West Medical
Physics Division
Headof
Facilities
Director
Prof. John Radford
Divisional Director
Prof Peter Trainer
Divisional Director
Dr Nick Slevin
Divisional Director
Dr Jeremy Lawrance
Tracy Boylin
Dr Ranald MacKay
Bob Higginbotham
General Manager
Angela Ball
General Manager
Maureen Silcock
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General Manager
Jason Dawson
General Manager
Stephanie Jenkins
General Manager
John Adams
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