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Sheffield Teaching Hospitals NHS Foundation Trust CONSULTANT CLINICAL ONCOLOGIST Job Description Appointment We are looking to appoint to a part-time (6 PA) Consultant Clinical Oncology post to support the Specialised Cancer Services Directorate of the Sheffield Teaching Hospitals Foundation Trust which is based at Weston Park Hospital, Sheffield. This post is to provide input into the Lung and Upper GI teams at the Chesterfield Royal Infirmary including Acute Oncology / Carcinoma Unknown Primary. Weston Park Hospital is the specialist cancer centre, serving the hospitals and population of the North Trent Cancer Network. Qualifications and Experience Required The successful candidate must have full GMC registration, completed Specialist Training and be entered on the Specialist Registrar of the GMC, or have a CCT date, within six months of the date on interview. General Directorate Information Weston Park Hospital is the base for the Oncological Service for South Yorkshire, North Nottinghamshire and North Derbyshire. It is one of the major Radiotherapy Centres in the country and is sited in the main hospital campus area of the city, within a quarter of a mile from the University, the Children’s Hospital, Jessop Hospital for Women and the Royal Hallamshire Hospital. There are approximately 3,500 inpatient admissions per year, 20,000 daycase chemotherapy attendances and over 7000 new patients registered annually. It is a self-contained hospital unit with 82 inpatient beds. Weston Park Hospital acts as an NSCAG supra-regional referral centre for the diagnosis and treatment of gestational trophoblastic disease and a national and European centre for the treatment of arterio-venous malformations with the stereotactic radiosurgery unit (in conjunction with the neurosurgical team). There is a newly built daycase chemotherapy suite and offers the opportunity to treat 28 patients at any one time. There are outpatient facilities, a radiotherapy department (see below), theatre facilities and pharmacy with a reconstitution service for cytotoxic chemotherapy. A Teenage Cancer Trust Unit for adolescents, jointly funded between the Teenage Cancer Trust and Weston Park Hospital Cancer Appeal, was completed in 2002. There is an Academic Department of Clinical Oncology, with representatives in medical oncology, radiation oncology and, most recently, surgical oncology, the latter in association with the Department of Surgery at the Royal Hallamshire Hospital. (i) Radiology There is a diagnostic imaging department with x-ray ultrasound apparatus and impression suite facilities are provided in close association with the simulator suite and the radiotherapy department. Diagnostic isotope, CT and MRI scanning are now available on site. There is an expanding programme of cytotoxic chemotherapy. The hospital also houses a large radiotherapy and physics department and provides an ocular oncology service in conjunction with the ophthalmic surgeons at the Royal Hallamshire Hospital, who have achieved NSCAG status. (ii) Radiotherapy The radiotherapy equipment is housed in a large treatment hall and comprises: Seven Varian Linear Accelerators, comprising:Four linac 6 MV Accelerators – three with MLCs. Three dual energy (6 MV and 10 MV) Accelerators with electron facilities and MLCs. Currently OBI is available on one Linear Accelerator, all others having portal imaging. IMRT software is commissioned for 5 Linear Accelerators. One spare bunker. One 250 kV Orthovoltage Machine. One Pantak Superficial Set. One Varian Simulator. One Lexsell Stereotactic Radiosurgery Unit. PDR Selectron for gynaecological use in a purpose built extension. Two Virtual Simulators (spiral CT scanner with specific planning software). There are facilities for the use of unsealed isotopes in therapy and diagnosis. (iii) Pathological Services Haematology and histopathology services are currently provided from the Royal Hallamshire Hospital. A service for chemical pathology, bacteriological and other specialised investigations is provided by the appropriate departments in nearby hospitals. Phlebotomists are employed at Weston Park Hospital for both inpatients and outpatients. (iv) Outpatient Services There are outpatient facilities within the hospital with 6 consulting suites and approximately 50% of our outpatient work is carried out at Weston Park Hospital. However, the remaining 50% are seen as outpatients in the local district general hospitals. There is an outpatient chemotherapy suite staffed by appropriately trained nurses. There has been considerable emphasis on the need for parallel consultation in the treatment of malignant disease and joint clinic sessions are held with Consultants in other specialities including haematology, surgery, endocrinology, dermatology, gynaecology, urology, paediatrics, ENT and maxillofacial surgery. (v) Research and North Trent Cancer Service There are excellent opportunities for clinical research, co-ordinated by the Clinical Trials Centre at Weston Park Hospital. The Clinical Trials Centre is a phase I National Cancer Research Network site. Support for health services research is provided by Sheffield University’s School for Health Related Research (ScHARR). The “North Trent Cancer Network”, which co-ordinates cancer services across all Trusts in North Trent covering a population of nearly 2 million, provides overall co-ordination of cancer developments, clinical cancer research and audit. We have recently been accorded CRUK centre status. Any candidate who is unable for personal reasons to work full-time will be eligible to be considered for the post; if such a person is appointed, modification of the job content will be discussed on a personal basis with the Trust in consultation with consultant colleagues. DUTIES OF THE POST This is a part-time (6 PA) Consultant Clinical Oncology post to support the Specialised Cancer Services Directorate of the Sheffield Teaching Hospitals Foundation Trust which is based at Weston Park Hospital, Sheffield. This post is to provide input into the Lung and Upper GI teams at the Chesterfield Royal Infirmary including Acute Oncology / Carcinoma Unknown Primary. The appointee will join established multidisciplinary teams for these cancers and all Cancer Unit oncology input is by teams of visiting sub-specialists from Sheffield. The post holder(s) may also be involved in developing an Acute Oncology service on the Northern General site. The appointee will work to the terms and conditions of the new Consultant Contract. The allocation of time between the various duties of the post will be open to some adjustment in consultation with Consultant colleagues and the employing Trust, but initially will be as follows:Specimen Timetable for Consultant Clinical Oncologist Direct Clinical Care sessions: 5 Supporting Professional Activities: 1 The precise details of the appointees’ timetable will be negotiated at the time of appointment and will be dependent on previous experience / interests. However, initially this post will provide cover for maternity leave and will therefore involve input into the Breast and Lung cancer teams at Chesterfield Hospital and it is that initial timetable that is used for illustrative purposes as shown below: Timetable Clinical Oncology 6 PA Monday Tuesday Wednesday Thursday Lung OPD Chesterfield Lung Chemotherapy OPD Chesterfield Lung MDT Sheffield Admin SPA Admin SPA Radiotherapy Planning Sheffield Admin Radiotherapy Sheffield Friday The appointee may in agreement with visiting oncology colleagues in the Cancer Units, share responsibility for the very small number of residual referrals of a general (unspecified) nature which are outside the now extensive range of visiting sub-specialisations. The duties of the post include clinics at Weston Park Hospital, together with outpatient clinics in the Cancer Units. The appointee will have access to inpatient beds at Weston Park Hospital, not in the Cancer Units. The appointee will have office accommodation, which may be shared, secretarial support and access to a computer and the intranet. An annual review of duties including fixed commitments will take place with the Clinical Director as part of the job plan process. The person appointed will take his/her equal share in providing emergency cover (currently 1:18) and will be required to cover for colleagues during periods of absence. He/she will have continuing responsibility for patients in his/her care and the proper functioning of the Department. The appointee will be expected to take an active part in Undergraduate and Postgraduate teaching and training and in this respect, as long as you remain a Consultant within the Trust, you will be regarded as an Honorary Senior Clinical Lecturer in the University of Sheffield, subject to the regulations of the University Management Arrangements Clinical Directorates became operational at the Royal Hallamshire Hospital on 1 April 1991 and are now well established. Clinical Directors are appointed by the Chief Executive for a three year period, subject to annual review. Clinical Director, Specialised Cancer Services Lead Clinician for Chemotherapy Services Lead Clinician for Radiation Services Senior Manager, Radiation Services Acting General Manager Nurse Director Business Manager Senior Group Accountant – – – – – – – – Dr P M Fisher Dr L S Evans Dr S Pledge Mrs M Tomlinson Mr I Scott Mrs M Yates Mrs G Marsden Mr N Leek Staffing (a) NHS Consultants in Clinical Oncology Special Interest Dr S Clenton Colorectal, Neuro-oncology Dr O Din Urology, Breast Dr K S Dunn Breast cancer , TBI Dr C Ferguson Urological Oncology Dr P M Fisher Lung Cancer Dr B Foran Neuro-oncology, Head & Neck Cancer Dr M Q Hatton Lung, Breast Cancer Dr C Lee Lung, Breast Cancer Dr J Lester Head & Neck Cancer, Melanoma Dr J E Martin Urology, Gynae Dr J Mohanamurali Lung Cancer, Urology Dr S D Pledge GI, Gynaecological oncology, Paediatric Radiotherapy Dr O P Purohit Breast Cancer, ENT, Maxillofacial, Lymphoma Radiotherapy & Metastatic Bone Disease Dr S Ramakrishnan Breast, Skin Cancer Dr J Wadsley GI, thyroid (b) NHS Consultants in Medical Oncology Special Interest Dr S Darby Upper GI, Lymphoma, Unknown primary Dr L Evans Lymphoma, high dose chemotherapy, urology including testicular tumours, Unknown primary Dr J Hornbuckle GI Dr M Winter Breast Cancer, gestational trophoblastic disease Dr L Walkington Acute Oncology (c) Consultants in the Academic Department of Clinical Oncology The Academic Department of Clinical Oncology was established as a joint initiative between the University, the Yorkshire Cancer Research Campaign and (former) Trent Regional Health Authority. The clinical base is situated at Weston Park Hospital. Laboratory facilities are based at the adjacent Royal Hallamshire Hospital within the Institute of Cancer Studies. There is a complete integration of the department within the National Health Service and research facilities are available, if required, to the appointee. Special interest Professor R E Coleman Professor in Medical Oncology (Honorary NHS Consultant) Breast cancer Metastatic bone disease Gestational Trophoblastic Disease Dr S Danson Medical Oncology (Honorary NHS Consultant) Malignant melanoma and Lung Cancer Professor P Woll Professor in Medical Oncology (Honorary NHS Consultant) Lung cancer Sarcomas Dr M H Robinson Reader in Clinical Oncology (Honorary NHS Consultant) Sarcomas Lymphomas (d) Junior Medical Staff Twelve Specialist Registrars in Clinical Oncology. Five Specialist Registrars in Medical Oncology. Six core medical trainees. Two F2 and one F1 doctors. One Senior House Officer (VTS for general practice). Four Specialist Registrars in Palliative Medicine (rotation through WPH). Current trainee staffing will be shared with the new Consultant. (e) Other Medical Staff Two Consultant Radiologists (sessional attachment). Two Consultant Anaesthetists (sessional attachment). Two Speciality Doctors in Oncology. (f) Support Staff (including nursing, professional and technical staff) There is a full establishment of nursing staff, radiographers, physicists and physics technicians (including an impression suite). The Main Conditions of Service The appointment will be in accordance with the Terms and Conditions of Service of Hospital Medical and Dental Staff (England) as amended from time to time. The arrangement of duties will be such as may be agreed from time to time between the employing Trust and the person appointed. Whether the successful candidate chooses to accept a whole-time or part-time contract, it is agreed that any private practice undertaken, whether limited or not by the Terms and Conditions of Service, will in no way diminish the level of service that may be expected from him/her in carrying out the duties specified above (Schedule 9 Terms and Conditions of Service). This Trust supports the concept of Continuing Medical Education and in line with Clinical Governance Senior Clinicians are expected to participate in continuing professional development (CPD). HEALTH CLEARANCE & MEDICAL EXAMINATION This appointment is subject to medical fitness and the appointee may be required to undergo a medical examination and chest X-ray. Potential applicants should be aware of the Department of Health and GMC/GDC requirements with regard to HIV/AIDS, Tuberculosis, Hepatitis B and Hepatitis C viruses. The successful candidate must be immune to Hepatitis ‘B’ and Tuberculosis. They will be required to provide, in advance of appointment, evidence of immunity or have a local blood test (as deemed appropriate by the Occupational Health Department). CRB DISCLOSURE This appointment is subject to an enhanced Criminal Records Bureau disclosure. Please note that all charges associated with this check will be passed on to the applicant. Residences and Removal Expenses The successful candidate will be required to maintain his/her place of residence in contact with the public telephone service and not more than 10 miles by road from the Royal Hallamshire Hospital, Sheffield, unless prior specific approval to a greater distance is given by the Trust. Removal expenses on appointment will be paid in accordance with the Sheffield Teaching Hospitals NHS Foundation Trust Terms and Conditions of Service. These documents can be seen at the offices of the Medical Personnel Department. It should be noted that it is not Trust policy to reimburse interest payment on bridging loans. Visits If candidates wish to visit the hospital(s) concerned, they are at liberty to make arrangements direct with: Dr P M Fisher Clinical Director, Oncology Weston Park Hospital Whitham Road Sheffield S10 2SJ Tel: (0114) 226 5241 JobDescription-ConsClinicalOncologist 05.2013