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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. C\:MD\ConsJD\JDCons Jun 11 Portsmouth Oncology Centre. 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 2 JDCons2011 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. 3 JDCons2011 Portsmouth Oncology Centre. 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) C\:MD\ConsJD\JDCons Jun 11 Portsmouth Oncology Centre. 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. 5 JDCons2011 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 C\:MD\ConsJD\JDCons Jun 11 Portsmouth Oncology Centre. Totals PA 9.03 0.97 10.00 7 JDCons2011 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. C\:MD\ConsJD\JDCons Jun 11 Portsmouth Oncology Centre. 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. C\:MD\ConsJD\JDCons Jun 11 Portsmouth Oncology Centre. 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 10 JDCons2011