Download Job Description for Locum Consultant in Clinical Oncology

Portsmouth Oncology Centre.
Job Description for Locum Consultant in Clinical Oncology
Special Interest in Urology, Upper GIT and Lung cancer,
Introduction
A full time appointment is available to cover a 12 month period of absence.
 Joining 2 clinical oncologists and 2 medical oncologists in looking after approximately
400 new patients with Lung Cancer malignancy seen annually.
 Joining a Medical Oncologist in treating Upper GIT Cancer
 Looking after Urological cancers on the Isle of Wight and joining a team of a medical
oncologist and 3 clinical oncologists managing Urological malignancy excluding germ
Cell tumours in Portsmouth.
A part-time appointment would be considered with appropriate reduction in clinical
responsibilities.
Portsmouth Haemato-Oncology Centre, Queen Alexandra Hospital, Cosham.
The Oncology Centre serves the local population of 550,000 and part of West Sussex which
enlarges the catchment to 800,000 people. The higher than average age increases the
incidence of malignant disease. Patients with urological and maxillofacial tumours are
referred from the Isle of Wight.
The department achieved Cancer Centre Status in September 1996, had a successful peer
review in November 2005, and treats the wide range of adult solid tumour malignancies.
Strong links have been forged with other specialties through weekly Joint Clinics in Breast
Cancer, Lung Cancer, Head and Neck, Gynaecological malignancies, Urology and
Lymphoma. There are also fortnightly joint clinics in Dermatology and monthly Thyroid
clinics.
All procedures and work instructions for radio and chemotherapy are protocol driven.
Documents for radiotherapy cover the prescription, planning and delivery of treatment, and
the care and monitoring of patients from referral to completion of treatment by clinicians,
radiographers and administrative staff.
Good working relationships and constant review of the quality of the care we provide is
achieved by monthly multidisciplinary management meetings, consultants meeting,
radiographers meeting, technical staff meeting, A&C, outpatients, and governance groups in
radiotherapy and chemotherapy.
The centre moved to a new purpose-built Haemato-Oncology Centre at Cosham, 2 miles
North of Portsmouth in the summer of 2009.
Facilities and Equipment
Outpatient consultations and chemotherapy
There are 14 consult/exam rooms in the outpatient suite.
Adjacent to this is the Haemato-oncology Day Unit (HODU). This is staffed by a team of
trained chemotherapy nurses. An outpatient chemotherapy service is also provided in the
Fernhurst Unit at Chichester and on the Isle of Wight. The unit comprises a large open area
for the administration of chemotherapy, individual rooms for infusions, interview rooms, and
a dedicated intrathecal side room. Electronic prescribing has started for lung cancer
chemotherapy and will be rolled out to other tumour sites. There are associated waiting
areas.
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The Macmillan Patient Information Suite is situated adjacent to the main waiting room and
the outpatient suite, providing a full range of information and support services including
welfare benefits and advice. wigs clinic and complementary therapies.
The service is
accessible for patients, carers and anyone affected by cancer. The Centre has achieved
the Macmillan Environmental Kite Mark Status (MQUEM) and continues to work with
Macmillan Cancer Support and external partners to further develop the service.
Inpatient care is based on a purpose built complex of 3 wards F5,6 & 7 shared with
haematology. There are facilities for patients undergoing radioiodine therapy or requiring
protective isolation in positive pressure rooms. There is a regular rotation of skilled
chemotherapy/oncology trained nurses between the Day Unit and the ward and continued
and developing relationships between these nurses and senior medical and nursing staff.
Megavoltage radiotherapy is given by 4 Varian Clinac accelerators all with 6 and 10 MV
protons and a range of electron energies. All machines have MLC’s, patient verification and
portal imaging with asymmetric collimation. The treatment machines are operated by a team
of about 24 WTE radiographers. IMRT is in an advanced stage of development.
Other Treatment Equipment
A dual energy – 250kv and 80-120kv Gulmay machine. Brachytherapy is given via a
Microselectron HDR using a cobalt source. Low dose rate iodine seeds are also being
implanted in theatres at QAH for prostate brachytherapy.
A Toshiba CT simulator was commissioned for the new hospital and 3D treatment planning
uses virtual simulation software (Prosoma) and plans created on (CMS XiO). All diagnostic
images generated within the Trust can be accessed on a digital PACS system. Outlining of
treatment volumes can be done from a Central Reporting room or in consultant offices.
A Varian simulator is used for pre-treatment verification and as back up for the Toshiba
machine.
Specialist Palliative Care services are provided by a combination of hospital and community
based services supported primarily by the Rowans Hospice with the help of Countess
Mountbatten House and St. Wilfrid’s hospices for patients living towards the west and east
edges of the catchment area. The centre is supported by frequent visits to our inpatients
from the Consultant in Palliative Medicine, heading a hospital-based Macmillan nurse team
and homecare sisters based at each of the hospices. There is a well established pain clinic
also on site.
Southampton University Trust Hospitals
Provide services for Thoracic Surgery, Neurosurgery, Paediatric Oncology and Bone Marrow
and Peripheral Stem Cell Transplantation. Their Cancer Centre forms with Portsmouth the
Central South Coast Cancer Network (CSCCN).
Portsmouth University
A Postgraduate Medical School has been established, and collaboration with PHNHST
hospitals will lead to the development of further academic departments. Professor Ian Cree
has a major research interest in translational oncology research.
Research
We are part of the Central South Coast Cancer Research Network and the research team
includes network and trust research practitioners. There is an active portfolio of network and
commercial trials. Research practitioners support all relevant clinics. In conjunction with the
professor of experimental pathology tumour chemosensitivity assays are being assessed in
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Portsmouth Oncology Centre.
a wide range of conditions. There is an active and supportive local RSDU.
Oncology at St Richard’s Hospital, Chichester
The Fernhurst oncology day unit provides state of the art facilities for chemotherapy of both
haematological and oncological malignancy and support for oncology patients throughout
the week.
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Consultant Staff - Clinical Oncology; Radiotherapy and Chemotherapy.
Dr Ghassan Khoury,
FRCR, FRCP.
Breast, gynaecological +urological malignancies. Outlying clinics at
Chichester.
Dr David Boote,
FRCR, FRCP.
Urological malignancies; head and neck + CNS tumours, and thyroid
carcinoma. Outlying clinic at Chichester.
Dr Danny Dubois,
FRCR, MD, FRCS.
Patients with breast cancer, head and neck and brain tumours.
Head of Radiotherapy
Dr Anne Suovuori,
MD.
Breast and Skin tumours. Melanoma and Sarcoma.
Dr Youdhvir Nagar,
MD
Gynaecological and Urological Malignancies. Outlying clinics at
Chichester.
Dr Suhail Baluch,
FRCR, PhD, MRCP.
Lung, lymphoma and colorectal, outlying clinic at Chichester.
Dr K Madhava,
MRCP, FRCR.
Bronchial Malignancy and Urology. Outlying clinic for urology IoW. On
leave of absence for one year from Sep. 2011.
Dr Yasser Haba,
FRCR, FRCP
Bronchial Malignancy and Lower GI.
Consultant Staff - Medical Oncology - Chemotherapy.
Dr Ann O’Callaghan,
MRCPI
Lymphoma, chemotherapy of lower GI malignancy, unknown
primary cancers
Dr Tim Gulliford, FRCP
Breast and lung tumours
Clinical Director
Dr Joanna Gale, MRCP
Breast and Urological tumours. Outlying clinic at Chichester.
Dr Caroline Archer, MRCP
Breast and upper GI tumours
Dr Peter Simmonds
FRCP
Testicular tumours 1 session fortnightly.
Dr S R Muthuramalingam,
MD, MRCP
Gastro-intestinal and lung malignancies
Non-Consultant Medical Staff
Dr M Nicholson, and Dr Gyi, Staff Grade Doctors.
2 SpR’s in Clinical Oncology and one Medical Oncology SpR rotating with Southampton and Poole.
2 junior specialist trainees; 1 F2 trainee (Portsmouth Hospitals Medical Rotation)
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Duties of the Post







To share the lung cancer radiotherapy for Portsmouth.
To assist Dr Haba in seeing lung cancer patients for radiotherapy at SRH and share in delivery
of chemotherapy.
To provide a general service in oncology including Acute Oncology working closely with other
members of Portsmouth Haemato-Oncology Centre (HPOC) including being responsible for
the management of inpatients at QAH.
To instigate and contribute to research and audit projects within POC and associated cancer
units and to work collaboratively with Southampton OC within the Central South Coast Cancer
Network
To take responsibility for the training and supervision for all junior medical staff.
To undertake continuous medical education (CME) under the auspices of the Royal College of
Radiologists
To promote risk management and audit activity to achieve the Trust policies on Clinical
Governance, prevention of hospital acquired infection and national initatives to reduce the risk
of venous thrombosis in hospital admissions.
Visiting
The Trust will reimburse expenses for one pre-interview visit for shortlisted candidates. Those who
wish to visit the hospital should contact Ms. Elaine Burridge, PA/Administrative Secretary 02392
286000 ext. 4804. She will be pleased to arrange appointments with Dr Gulliford, Dr Dubois, Dr
Haba, Dr Ann O’Callaghan, and Dr Muthuramalingam as possible.
Enquiries may also be sent to [email protected], [email protected].
Commencement of Duties
Post is available from 1st September 2011.
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Job Plan
Day
Time
Location
Work - description
DCC SPA
Monday
1030 - 1200
1300 - 1400
0830 0900
0900-1300
1300-1400
1400-1430
1400-1700
QAH
QAH
travel
SRH
SRH
travel
QAH
DCC Admin, 1,3,4th Mondays
Clinical Review meeting
SRH 2nd Monday month
Lung clinic 2nd Monday month
MDT Lung 2nd Monday month
SRH 2nd Monday month
Clinic New and Chemo patients
0.20
Tuesday
0930 - 1200
1230-1730
QAH
QAH
Computer Planning + Admin
Simulator Planning and Trt. Review
0.63
1.25
Wednesday
0800-1000
1000-1300
1400-1600
1600-1645
QAH
Lung MDM
lung cancer clinic
ward round and patient admin
SPA
0.50
0.75
0.50
Thursday
0730-0900
0900-1230
1030-1230
1230 -1400
1400-1700
1400-1700
1700-1830
Travel
IOW
QAH
QAH/IOW
IOW
QAH
Travel
IOW Ferry/Hover 1st,3rd
Clinic 1st,3rd
Trt.Revews, Sim. Plan, 2,4,5th
Urology MDM Videoconference
Clinic 1st,3rd
Clinic 2,4,5th
IOW Ferry/Hover 1st,3rd
0.17
0.40
0.27
0.37
0.35
0.40
0.17
Friday
1000-1130
1130 - 1330
1330 -1430
1430-1600
QAH
Upper GI MDM
Computer planning / SPA
Journal Club
Patient Admin + SPA
0.37
0.40
SMH
QAH
0.25
0.03
1.00
0.06
0.03
0.75
0.20
0.18
0.10
0.25
0.17
8.78
Saturday and
Sunday
Periods totalling up to 6.5 hours
When on call
each day one week in 13
0.25
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Totals PA
9.03
0.97
10.00
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Administrative Arrangements

The Cancer Centre is part of the new Cancer and Surgery Clinical Service Centre with Mr
Constantinos Yiangou, Head of Service. For Oncology, Dr Tim Gulliford is the CD, the
General Manager is Mr Jeremy Whiteley, the Assoc. General Manager is Miss Jane Eshelby
and the Head of Radiotherapy is Dr Danny Dubois. Office space will be provided for the Postholder, and the assistance of a full-time secretary. There is IT access to patient notes,
diagnostic images, and chemotherapy prescription sheets electronic booking forms for
radiotherapy and departmental guidelines are available on the G Drive of networked Trust
PC’s. Remote access to this is available at outlying clinics.
General Provision
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 postholder is
expected to observe agreed policies and procedures drawn up in consultation with the profession
on clinical matters and follow the standing orders and financial instructions of the Portsmouth
Hospitals 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 postholder 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.
Study Leave
Study leave is granted to a maximum of thirty days in any three years for professional purposes in
accordance with the national and local guidelines on study leave.
Status of Post
In accordance with the Terms and Conditions of Service, the postholder will be entitled to opt for a
whole time or part-time contract. Any consultant, who is unable for personal reasons to work fulltime, will be eligible to be considered for the post. If such a person is appointed, modification of the
job plan will be discussed between the consultant and operational manager.
Residence
The postholder must normally have a current driving licence and his/her private residence must be
maintained in contact with the public telephone service. As this is a locum post there is no
requirement for the appointed candidate to move but he/she will be responsible for meeting clinical
commitments. Temporary single accommodation would be available on the Cosham Site if needed.
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 The Rehabilitation of Offenders Act 1974 (exemptions) Order 1975. Applicants
are therefore not entitled to withhold information and convictions and if such information is withheld
it 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.
Medical Clearance
Appointment to this post is subject to satisfactory medical clearance. If short-listed for interview
you will be required to complete a simple medical questionnaire.
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Person Specification – Locum Consultant Clinical Oncologist Post 2011.
REQUIREMENTS
ESSENTIAL
DESIRABLE
1. Educational
Qualifications
FRCR or
European/Commonwealth
equivalent
Post Graduate
Qualification from
another Royal College.
Research degree such as
MD, PhD
2. Experience

General
Professional

Specialist
Completion of requirements for
full registration as a medical
practitioner, and
At least two years postregistration general professional
training.
Experience in a variety of
clinical settings in more
than one centre, and
possibly in more than one
country.
Planning of radiotherapy for
common solid tumours,
including
Chemotherapy given
concurrently with radiotherapy
for Upper GI, Lung, and
Urological cancers.
Critical appreciation of
modalities used to treat
Colorectal Lung, as
evidenced by appropriate
publications.
Experience in the use of
IGRT in the treatment of
Thoracic malignancy, and
IMRT for prostate
tumours.
Experience in Outpatient
management of patients in a UK
setting
At least 5 years in
approved posts.
Eligible for the award of CCST
in Clinical Oncology within 6
months of the interview date.
3. Ability
 Research
Ability to use research-based
evidence in clinical practice
Previous and future
contributions to the
evidence on which care is
based.
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
Clinical Ability

Practical
Requirements
Confidence in directing the work
of the oncology team in the care
of individual patients.
Ability to influence the
practice of others for the
improvement of patient
care
4. Motivation
Commitment to providing a high
standard of care to patients and
their relatives.
Commitment to
participate in wider Trust
activities
5. Personality
Good communicator and ability
to work flexibly and well within a
multi-professional team.
Open to new concepts
and able to reflect
critically upon them.
Sense of proportion and
humour.
Ability to function successfully
under stress and to accept
responsibility.
Ability and willingness to share
clinical knowledge and
difficulties with colleagues.
6.Audit/Governance
Evidence of interest in, and
Interest in leading clinical
achieving change from, effective governance
clinical audit.
Knowledge of issues relating to
clinical governance
8. Education
9. Other
Experience and training
in undergraduate and
postgraduate medical
education
Able to travel to meet the
requirements of the post
Membership of medical
defence organisation.
Valid driving licence
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