Download Portsmouth Hospitals NHS Trust

PORTSMOUTH HOSPITALS NHS TRUST
An Equal Opportunity Employer
CONSULTANT IN DIAGNOSTIC IMAGING
Whole Time or Part Time
JOB DESCRIPTION
CONSULTANT IN BREAST IMAGING
INTRODUCTION
Portsmouth Hospitals NHS Trust is a provider of Acute Health Services under contract to a range of
Purchasers in the area of the Hampshire basin and Western South Downs. The catchment population is
in excess of 650,000 (people). The area served by the Trust is on the Solent and English Channel and
includes the City of Portsmouth and the Boroughs of Gosport, Fareham and Havant extending from
Warsash in the west to Emsworth on the Sussex border and its northern boundaries encompass
Petersfield and Liss. With the exception of the rural north, it is essentially an urban area that grew up
around Royal Naval establishments in Portsmouth and Gosport. It now provides a wide range of modern
high-tech industry and facilities associated with a commercial port and cross Channel ferry terminal.
Portsmouth is a thriving naval city, steeped in history, on the South Coast. It is ninety minutes from
central London and has good transport links, including regular ferries to France and Spain. The major
airports are easily accessible. It has some of the best water sports facilities in Europe, with sandy
beaches within easy reach. Developments within the city itself and on the Gosport side of the harbour
suggest a vibrant future for the area. Inland from the hospital is the beautiful and relatively unspoilt
countryside of rural Hampshire, and the recently designated National Park of the South Downs. The
New Forest is also close by. The area combines the advantages of city life with pleasant villages and
seaside towns. There are a number of first rate schools both in the state and private sector and it is an
excellent place to raise a family.
PORTSMOUTH HOSPITALS NHS TRUST
Portsmouth Hospitals NHS Trust has a vision to be recognised as a world-class hospital, leading the
field through innovative healthcare solutions, focusing on the best outcomes for our patients, delivered in
a safe, caring and inspiring environment.
At present PHT provides the following services, Emergency Medicine, Trauma and Orthopaedic Surgery,
Oncology, Radiology, Orthodontic and Oral Surgery, General and Specialist Medicine, General Surgery,
Breast Screening and Surgery, Plastic Surgery, Renal Services, Acute Medical Admissions,
Ophthalmology, Maxillofacial, ENT, Critical Care, Coronary Care, Elderly Medicine, Rheumatology,
Elderly Medicine, Rehabilitation, Dermatology and Neurology.
THE JOB
Consultant Radiologist
Portsmouth Hospitals NHS Trust
Accountable to: Chief of Service for Clinical Support
PORTSMOUTH BREAST UNIT
1
The Breast Unit is situated in the Outpatients facility in the new hospital build on the Queen Alexandra
Hospital site, close to the main Radiology department. The breast team is multi-disciplinary with 4
consultant radiologists contributing to the service and 1 Breast Physician. Other members of the team
include 4 breast surgeons, 1 dedicated onco-plastic surgeon, 4 dedicated breast pathologists, 2 clinical
oncologists, 2 medical oncologists, close links with the military plastic surgeons, 3 advanced
practitioners in radiography who are fully involved with screen reporting, a consultant nurse, 5 specialist
breast care nurses and within breast radiology alone, a dedicated team of radiographers, radiographic
department assistants, admin and clerical staff.
DUTIES OF THE POST
Portsmouth Hospitals NHS Trust is looking to appoint an enthusiastic, forward-thinking Consultant in
Breast Radiology.
The appointee will join the Breast Imaging Team as a Breast Radiology Consultant and will be expected
to participate in all facets of departmental activity. A potential secondary role for the appointee may be
to support the Women’s Imaging service by contributing to the Gynaecology imaging reporting, the
gynaecology MDT meeting and an HSG list.
This is a new post to support the NHS BSP age extension trial and increasing symptomatic breast
workload. The successful candidate will have a specialist interest in breast imaging and will be expected
to participate fully in the breast screening and symptomatic breast programmes in the department. A
minimum of 4 PAs will be dedicated to this work. The successful candidate who wishes to work full time
would normally be expected to contribute to the acute work of the radiology department.
DUTIES
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Reporting of screening and symptomatic mammograms.
Assessment clinics are Consultant Radiologist led. You would be expected to carry out the clinical
assessment of the patient as well as radiological investigation. All patients have the opportunity to
also see a breast care nurse and there is a surgeon in attendance to see patients who have a
malignant biopsy result.
Involvement in symptomatic fast-track clinics. Patients are triaged so may be seen initially by a
surgeon or a radiologist. The radiologists perform the majority of biopsies, where appropriate, at
the time of the initial clinic appointment.
Participation in Breast MRI would be desirable.
Contribute to the general workload of the department including ultrasound, CT and plain film
reporting.
Share with colleagues in the training of Specialty Trainees on the Portsmouth Radiology Training
Scheme.
Share with colleagues in the training, supervision and support of trainee and qualified
ultrasonographers, and when appropriate of Radiographers undergoing skill mix training for
example, intravenous injections, appendicular reporting and barium enemas.
Participate in the development of the Radiology department by involvement with departmental or
Trust projects/committees, equipment procurement, administration and management, audit,
teaching, research, fostering good working relations within the department and good liaison with
hospital clinicians and GPs.
Currently 25 consultants partake in the on-call rota.
They also work in and working weekend sessions to support the emergency corridor and inpatient CT.
Time for this commitment is recompensed with time off in lieu
The consultant’s job plan is subject to change at any time, by negotiation with the consultant, Chief of
Service and Trust management.
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STAFFING
BREAST RADIOLOGY
Dr M King
Breast and Oncology Radiology, Clinical Lead for Breast Imaging and Director of Breast
Screening
Dr A Beling
Breast and Gynae Radiology.
Vacancy
Breast Radiology.
Dr J Nash
Breast and General Radiology.
Dr J Langham-Brown - Symptomatic Breast, Intervention and GI Radiology.
Ms Jo Helsdon, Breast Screening Programme Manager
Mrs Susan Saunders, Superintendent Radiographer & Advanced Practitioner
WORKLOAD
The Breast Unit provides a full symptomatic imaging service, Family History Screening and screening for
74,000 women aged 50-70 eligible for the NHS Breast Screening Programme. Age extension trial for
NHSBSP began in June 2013.
Annual workload (approximate):
Screening mammograms - 20,000
Symptomatic mammography (fast track, follow up and family history) - 5,700
Ultrasound examinations - 4000
Stereotactic and ultrasound localisations - 200
Breast MRI – 150+
EQUIPMENT
The breast imaging department has 3 static mammography units with full field digital mammography.
The double ended mobile screening unit employs digital mammography and started service in March
2013.
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Breast MR is currently performed on the Siemens 1.5T Symphony unit, but is expected to be also
performed on the new GE 1.5T 3T and GE 1.5T = GE 450w Optima MRI scanners (installation
currently underway)
3 GE Full field static digital mammography units.
1 GE DS with stereotactic attachment
1 Faxitron sample x-ray cabinet with small field digital display + hard copy printer.
2 Esaote u/s machines (2008, 2009)
1 two-roomed trailer with Siemens Inspiration digital mammography units.
Encore Vacuum Assisted Biopsy device.
Newly upgraded filmless SECTRA PACS, with NBSS integration planned for August 2014.
RADIOLOGY WORKLOAD
3
CT
MRI
Obstetric Ultrasound
Non-obstetric Ultrasound
Nuclear Medicine
Radiographs
Fluoroscopy/Intervention
Total
2012-13
39,030
11,627
20,560
40,935
5,797
181,516
10,109
309,574
2013-14
54,585
13,432
16,960
51,517
4,594
185,306
13,772
340,166
RADIOLOGY STAFF
RADIOLOGISTS
Member of Staff
Dr J Atchley MA, MBBS, MRCP, FRCR
Dr R Beable MB ChB, MRCS, FRCR
Dr J Bekker (Netherlands)
Dr S Coles BSc. MBBS. FRCR
Dr K Colquhoun BSc, MBBS, MRCP, FRCR
Dr J Domjan MBBS, AKC, MRCP, FRCR
Dr M Firth MBBS, FRCR
Lt Col I Gibb MBBS, FRCR
Dr D Gibson MBBS, BSc, MRCS, DLO, FRCR
Dr R Harrison MRCP, FRCR
Dr A Higginson DA, MRCP, FRCR
Dr C Ihezue MBBS, MRCP, FRCR
Dr J Latham FRCR
Dr J Langham-Brown MA, BMBCh, FRCS, FRCR
Dr P McParland MBChB, MRCP, FRCR
Dr H Megadmi MBBCh, FRCS, MSc
Dr P Osborn BSc, MBBS, FRCR
Dr M Taylor BSc, MBBS, FRCR
Dr E Tilley MRCP, FRCR
Dr A Wallis BSc MBChB, MRCP, FRCR, FHEA
Dr S Ward MBBS, MRCP, FRCR
Dr F Witham BSc, MBBS, MRCP, FRCR
Diagnostic Imaging Services Manager:
Clinical Director:
Total PAs
12
11
10
9
8
11
11.5
4 NHS
11
11.5
12
11.5
4
11.5
10
11
11
10
11.5
10
11.5
11.5
Specialty
IR, Cardiovascular, Renal
GI
Neuro, Head and Neck
IR
Musculoskeletal
Neuro, ENT
Musculoskeletal
Musculoskeletal, General
Head and Neck, MSK
Paeds
GI
Oncology
Chest, Oncology
IR, Breast
Chest, Cardiac
Nuclear Medicine Physician
Uro-radiology, IR
Paeds
Head and Neck, Neuro
Chest, Cardiac
Oncology
Musculoskeletal
Mrs Sarah Skelton.
Dr Louis Merton FRCP (Clinical Neurophysiologist).
14 Radiology Speciality Trainees
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Proposed timetable (areas
in bold are current fixed
requirements (June 2014)
Mon
09:00 - 17:00
09:00 - 17:00
Assessment Clinic
Oncology /
Gynae CT
reporting
9
10
11
12
Tue
1
Wed
09:00 17:00
Fri
09:00 - 17:00
? Gynae MDT
Breast
Assessment
clinic
Breast Fast
Track clinic
SPA
SPA
1.3
2
2.3
Thu
09:00 17:00
Breast Fast
Track clinic
Reporting
3
3.3
4
5
Screen reading
MDT
Symptomatic
Stereo Biopsy
Consensus
Read
Screen reading
MRI reporting
MDT cases
Summary
The job plan comprises 8 PA’s DCC and 2 PA’s SPA.
The job plan will be reviewed within 6 months of commencement of post.
GOVERNANCE, EDUCATION AND RESEARCH
The Wessex Deanery contracts Radiology training to 2 schemes based in Portsmouth and Southampton.
Portsmouth trainees are trained mainly at QA Hospital but also rotate to Chichester, Southampton and
Kings College Hospital, London. Subspecialty training happens at these and other hospitals throughout
Wessex. Intake has recently increased to 3 trainees per year.
The teaching and training of Junior Medical Staff is regarded to be of paramount importance by this
department. The teaching standards are in line with the agreement between the Trust and Post
Graduate Dean.
The successful candidate may opt by agreement to act as Clinical or Educational supervisor to
Radiology Trainees.
It is expected that the appointee would contribute to the active teaching programme for undergraduates /
clinical medical trainees, GPs, radiographers and nurses.
Quarterly departmental governance meetings are held at Queen Alexandra Hospital. These are attended
by all available Consultants, Radiology trainees, nursing staff, radiographers and support staff.
There are opportunities to attend, on a monthly basis, the monthly Breast and Plastic surgery morbidity
and mortality meeting.
CONDITIONS OF SERVICE
The post is covered by the Terms and Conditions of Service Consultant Contract (2003).
The Trust expects all Medical and Dental staff to work within the guidelines of the GMC ‘Guide to Good
Medical Practice’ which can be viewed on the GMC website www.gmc-uk.org.
Where the post holder manages employees of the Trust, he/she will be expected to follow the local and
national employment and personnel policies and procedures.
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ACCOMMODATION
Shared office accommodation will be made available within the main Radiology Department together
with secretarial support.
MANAGEMENT
The post holder will be expected to work with local managers and professional colleagues in the efficient
running of services and will share with Consultant colleagues in the medical contribution to management.
Subject to the provisions of the Terms and Conditions of Service, the post holder is expected to observe
agreed policies and procedures drawn up on consultation with the profession on clinical matters and
follow the standing orders and financial instructions of the Portsmouth NHS Trust. In particular,
Managers of employees of the Portsmouth Hospitals NHS Trust are expected to follow the local and
national employment and personnel policies and procedures. The post holder will be expected to ensure
that there are adequate arrangements for hospital staff involved in the care of patients to be able to
contact him/her when necessary.
All medical and dental staff are expected to comply with the Portsmouth Hospitals NHS Trust Health and
Safety Policies.
STUDY LEAVE
30 days within a three-year period, subject to national and local policies will be allowed.
STATUS OF POST
This is a full time post but candidates who wish to work part-time/job share are welcome to apply.
RESIDENCE
Residence within either 10 miles or 30 minutes by road from Queen Alexandra Hospital is usually
required unless alternative arrangements agreed with the Trust management. His/her private residence
must be maintained in contact with the public telephone service.
SAFE GUARDING
Act in such a way that at all times the health and well being of children and vulnerable adults is
safeguarded. Familiarisation with and adherence to the Safeguarding Policies of the Trust is an
essential requirement for all employees. In addition all staff are expected to complete essential /
mandatory training in this area.
INFECTION CONTROL
In compliance with the Trust's practices and procedures associated with the control of infection, you are
required to:
Adhere to Trust Infection Control Policies assuring compliance with all defined infection control
standards at all times.
Conduct hand hygiene in accordance with Trust policy, challenging those around you that do not.
Challenge poor practice that could lead to the transmission of infection.
HAND HYGIENE POLICY
The Trust has adopted "Naked Below the Elbow" strategy which means that when involved in patient
care and direct physical contact with patients, you must wash or decontaminate your hands as per the
Hand Hygiene Policy.
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Compliance with the Hand Hygiene Policy is mandatory; you must wear short sleeved shirts / blouses /
uniform, remove any out jackets and roll up your sleeves. No jewellery should be worn below the elbow
(except a plain wedding band) and wrist watches must be removed.
Compliance with this policy will be monitored and any non compliance may be subject to disciplinary
action.
REHABILITATION OF OFFENDERS
Because of the nature of the work for which you are applying, this post is exempt from the provisions of
Section 4(2) of the Rehabilitation of Offenders Act, 1974 by virtue of the Rehabilitation of Offenders Act,
1974 (exceptions) order 1975. Applicants are therefore not entitled to withhold information about
convictions. This could result in dismissal or disciplinary action from the Trust.
Any information given will be completely confidential and will be considered only in relation to an
application for positions to which the order is applied.
POST VACANT
The post is currently available and the appointee will be required to take up the post no later than four
months from the date of the offer of an appointment, unless a special agreement has been made
between the appointee and Portsmouth Hospitals NHS Trust
If you consider it unlikely that you will be able to take up the appointment within such a period, you are
advised to point this out at the time of your application.
VISITING ARRANGEMENTS
Intending applicants may obtain further information and/or arrange a visit by contacting Dr Mike King,
Director of the Breast Unit via 02392 286000 ext 5302. Meetings with Dr Merton can also be made via
the same number.
Please note that Portsmouth Hospitals NHS Trust will reimburse expenses for one pre interview visit in
respect of short listed candidates.
Due to the high volume of recruitment and our desire to treat all applicants fairly it is not possible to meet
with the Chief Executive, Miss Ursula Ward, prior to the Appointments Advisory Committee.
However, arrangements to meet with Mr Simon Holmes, Medical Director, can be made by contacting
Claire Woodward on 023 9228 6801. Both Mr Holmes and Ms Ward are extremely committed and
supportive of this appointment and to appointing the right candidate and, as part of the induction
programme the successful applicant will have an opportunity to meet with them.
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PERSON SPECIFICATION / SELECTION CRITERIA
CONSULTANT IN BREAST RADIOLOGY
Requirements
Essential
Desirable
Qualifications
Professional qualifications:-
BSc
MD
Higher professional
Radiology.
training
in MRCS, MRCP or equivalent.
Full GMC registration with license to
practice
Clinical
Experience
Entry on the GMC Specialist Register
via

CCT (proposed CCT date
must be within 6 months of
interview)

CESR or

European Community Rights
Experience of certified training at a
UK Breast Screening Teaching
Centre.
Clinical Skills
Demonstrable experience of Breast Demonstrable skills in Oncology
Radiology to Sub-specialty level.
imaging or Gynaecology imaging
(Women’s Imaging).
Experience of presenting at MDT.
Understanding
management.
Knowledge
of
clinical
risk
Experience of Vacuum Assisted
Biopsy.
Able to demonstrate appropriate level IT skills.
of clinical knowledge.
Knowledge and use of evidence Breadth of experience in and
based practice.
outside speciality.
Organisation
and Planning
Able to organise oneself
prioritise clinical need.
and Evidence of managerial skills: -
Experience and ability to work in - achievements
multi-professional teams.
Understanding of: - course attended
- NHS
- Clinical Governance
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- resource constraints
Teaching skills
Academic
Research
Evidence of teaching experience –
particularly junior medical staff.
Willingness to contribute to teaching.
/ Understanding of the principles of
research.
Evidence of participation in audit.
Research experience.
Publications.
Regional presentation.
Prizes and honours.
Career
progression
Personal
Attributes
Appropriate progression of career
to date.
Evidence of: -
Evidence of: -
Good communication skills: - Oral
- Written
Decisiveness/accountability.
-
logical thinking
problem solving
decision making
Interpersonal skills.
Non-judgemental
patients.
Flexibility.
approach
to
Resilience.
Thoroughness.
Initiative/ drive/ enthusiasm.
Probity.
Leadership skills.
Presentation
Skills
Effective, confident presentation
ability.
The opportunity to take up additional PAs may be offered.
Programmed activity
Number
Direct Clinical Care (Including unpredictable On-Call)
8 PA’s 32 hours
Supporting professional activities
2 PA’s 8 hours
Other NHS responsibilities
External Duties
TOTAL PROGRAMMED ACTIVITIES
10 PA’s 40 hours
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1.
On-Call availability supplement
Agreed on-call rota:
1 : 20
Agreed category:
A
On-call supplement: 3%
2.
Objectives
Objectives
1.
2.
3.
4.
5.
6.
3.
To contribute to the radiology service.
To supervise non-consultant staff in clinic.
To fulfil college and CPD requirements.
To participate in the teaching of undergraduates, postgraduates and GP’s or nurses.
Keeping up to date in areas of specialist interest.
Contribute to the team working within the department.
Supporting Resources
Staffing support:
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Accommodation:
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Equipment:
4.
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Resident junior staff (SPR/SHO) for theatre and unit work as deemed
appropriate by Department.
Secretary and administration staff.
Nurse practitioners for pre op clinics and trauma.
Hospital practitioners for outpatient and fracture clinics.
Adequately equipped shared office with desk, telephone, computer with
internet access. Access in office to printer, photocopier and fax.
Suitably equipped out patient consulting rooms, theatre suites, day
case and procedure rooms.
Meeting room to accommodate whole department with AV facilities.
Access to drinking water and beverage facilities.
Conveniently located secure car parking with 24 hour access.
Access to internet in units/theatre/department.
Library and database links.
Access to confidential telephone and fax facilities.
Teaching, training and simulation equipment.
IT for data collection and analysis.
Out patients department and theatres equipped to standard set by RCS
and BOA.
Other Comments or Agreements
1. An annual report detailing research progress and evidence of SPA would be required.
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