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Sheffield Teaching Hospitals NHS Foundation Trust Consultant Radiologist with an interest in Breast & Gynaecology Imaging Job Description Appointment Whole time Consultant Radiologist with an interest in Breast and Gynaecological Imaging within the Medical Imaging and Medical Physics Directorate of the Sheffield Teaching Hospitals NHS Foundation Trust, based at the Royal Hallamshire Hospital (RHH), Sheffield. This is a replacement post that has been reconfigured to meet the needs of Breast Services both symptomatic and screening and also the Gynaecological service. The successful candidate will join the existing team of 33 NHS radiologists within the Trust. This post is based at the Royal Hallamshire Hospital where the candidate will be expected to take part in the general on-call rota , which is currently 1 in 11. The job is for a 10 PA full time contract and the candidate is expected to have a major interest in Breast & Gynaecology imaging with an ability to perform interventional diagnostic procedures. The candidate will be expected to provide support for Sheffield Breast Screening Service, the Breast Clinic & the Gynaecology service within the Trust. 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. Any candidate wishing to apply for only part of this post may also be considered. The radiology department in Sheffield has a strong track record of research & an interest in academic radiology would be welcomed. Sheffield Sheffield is England's fourth largest city, with a population of over half a million, and is well situated in the centre of Britain. It has good rail and road links, with a typical train journey to London taking 2hr 30mins. A new airport has recently opened near Doncaster just 30 minutes drive from Sheffield and has an ever expanding repertoire of routes to national and international destinations. Steelmaking still forms the hub of industrial activity, but the city has diversified its economic base into sports, leisure and tourism making it an interesting place to visit. The Crucible and Lyceum are world-class theatres and major regional attractions. Sheffield also boasts two of Britain's most popular and successful Universities, which between them attract more than 38,000 students a year. There are many good schools in both the public and private sector. Located on rolling hills and dissected by river valleys, Sheffield is one of the greenest and most wooded cities in Europe. The city lies very close to the Peak District, one of the most beautiful regions in the country and is popular with walkers and climbers. The Botanical Gardens have recently been fully restored at a cost of £6.69 million. TRUST PROFILE Sheffield Teaching Hospitals NHS Foundation Trust manages the five adult hospitals in Sheffield (Northern General, Royal Hallamshire, Jessop Wing, Weston Park and Charles Clifford hospitals). As a trust we are responsible for the planning and delivery of the highest quality patient care and provide services for patients from not only Sheffield and South Yorkshire but all parts of the UK. We have an annual budget of around £690 million, employ over 13,000 staff and provide around one million patient episodes each year, making us the second largest NHS trust in England. As well as providing hospital services for our local population, our hospitals provide a range of vital regional and national specialties. Regionally these include cardiac and orthopaedic surgery, neurology and renal care. National services include pulmonary hypertension treatment, particular ophthalmology, spinal and neurosurgical care, and specialist cancer treatments. We have been one of the best performing NHS organisations in the country over the last five years. In October 2007 the Healthcare Commission scored us excellent in use of resources and excellent for quality of services. We are also proud of our record as having the lowest MRSA infection rates amongst major teaching hospitals in the UK, according to figures released by the Health Protection Agency in 2007. The Trust was awarded the Dr Foster’ Hospital of the Year accolade in 2005, 2008 and 2011 (north). The integration of community health services into the Trust in April 2011 improved coordination and communication between hospital, community, mental heath and social care services, resulting in patients experiencing more responsive and seamless care. Community health services, which includes services such as nursing, health visiting and physiotherapy, transferred to be managed by the three local foundation trusts - Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield Children’s Hospital NHS Foundation Trust and Sheffield Health and Social Care NHS Foundation Trust in 2011. We also have a strong tradition of research and the Trust leads on a number of key studies including prostate cancer, diabetes, breast cancer and chronic chest disease. An NHS Foundation Trust We became one of the first NHS Foundation Trusts in the country on 1st July 2004. NHS foundation trusts have greater freedom from central government control and the ability to work with their community and staff to set local health priorities. We have a well established elected governor’s council, which is made up of patients, public, staff and partner organisations and works with the Trust to help set strategic goals and make key decisions. Our Hospitals Although the Trust has overall management responsibility for the services provided, our hospitals each have their own history, which we are rightly proud of. Between them they offer just about every kind of service available in the modern NHS. The Northern General is the largest of our hospitals with 1100 beds. Located to the north of the city, the hospital is spread out over a large site. Amongst the specialist services located there are orthopaedics, renal, spinal injuries, general surgery and cardiothoracic (heart and lung) services. Sheffield’s adult accident & emergency department is also based here. A major £30 million stateof-the-art new medical ward development, known as the Sir Robert Hadfield Wing, opened to patients in April 2007 and a brand new critical care facility, one of the largest in Europe, opened in 2008. The other Trust hospitals are based closely together on a campus to the west of the city centre; this is known as the Central Campus. The Royal Hallamshire is a major acute teaching hospital based around a tower block of 800 beds and a large outpatient department. The hospital is home to a range of expert specialist services which include neurosciences, urology, general surgery, breast surgery, dermatology, hearing services and ophthalmology. The hospital also has a minor injuries unit and an NHS Walk-InCentre for emergency care. Linked to the Royal Hallamshire by a footbridge, the Jessop Wing is Sheffield’s 216 bed women’s hospital. Opened in February 2001 it has brought together all of the city’s obstetric, gynaecology and neonatology services in a state-of-the-art, purpose built, £24 million building. Almost 7000 births take place at the Jessop Wing each year. Weston Park is one of only three purpose built specialist cancer hospitals in the UK and provides a full range of non-surgical cancer services to the population of South Yorkshire, North Nottinghamshire and North Derbyshire. It also enjoys national and international recognition for certain specific treatments. It has 140 beds and is home to a specialist cancer research centre and one of the UK’s only teenage cancer units. The Charles Clifford is a dental teaching hospital linked to The University of Sheffield’s School of Clinical Dentistry. The hospital provides dental outpatient services and emergency dental services for the city. As a teaching trust, all of the hospitals have close links to the University of Sheffield, home to Sheffield’s medical school, and Sheffield Hallam University – which provides nurse training. It is a major teaching centre for future health professionals. The Trust Executive Team Chairman Chief Executive Chief Nurse/Chief Operating Officer Director of Human Resources Director of Service Development Director of Finance Medical Director - Tony Pedder Sir Andrew Cash OBE Prof. Hilary Chapman CBE Mr Mark Gwilliam Ms Kirsten Major Mr Neil Priestley Dr David Throssell. Services Provided at Sheffield Teaching Hospitals NHS Foundation Trust Accident and Emergency Obstetrics/Gynaecology/ Neonatology Acute General and Elderly Medicine Occupational Health Service Assisted Conception Operating Services Anaesthetics Ophthalmology Cardiothoracic surgery & Cardiology Oral-maxillofacial Surgery Chemotherapy Orthopaedics Clinical Research and Development Palliative medicine Communicable Diseases Pharmacy Critical Care Professions Allied to medicine Day Surgery Radiology Dental Services Radiosurgery Dermatology Radiotherapy ENT, Hearing Services and Medical Audiology Reconstructive Plastic Surgery and Burns General Surgery Reproductive Medicine Haematology Renal Services Laboratory Medicine Rheumatology Medical Physics Under and Post graduate Education Mobility and Specialised Rehabilitation Services Urology Metabolic Bone Disease Vascular Surgery Neurosciences Radiology in Sheffield Teaching Hospitals The Breast Imaging Department is located at the Royal Hallamshire Hospital adjacent to the Radiology Department. There are 3 Hologic Dimensions digital mammography machines which were installed in 2011 & are used predominantly for screening. There are 2 Hologic Selenia mammography machines, a prone table biopsy mammography machine, 2 Philips iU22 Ultrasound scanners, a Suros Atec unit & a Vacuum Assisted Biopsy machine which are used for Assessment /Symptomatic cases. The Department of Radiology at the Royal Hallamshire Hospital houses 2 GE multislice (64 and 32 slice) CT scanners. A Philips Ingenia 3T MR scanner was installed in 2012 & a Siemens Avanto 1.5T scanner was installed in 2009. (The adjacent Academic Radiology Department houses a further 3T Philips Ingenia MRI scanner & a GE 1.5T MR Scanner.) There are 6 ultrasound rooms, all of which are equipped with Philips iU22 scanners, 2 modern fluoroscopy rooms & 2 angio/interventional rooms, both of which will be replaced during the coming financial year The Department of Radiology at the Weston Park Hospital has 2 GE multislice CT scanners (a 4 slice scanner used for virtual simulation & a 16 slice scanner which is for simulation & as a diagnostic scanner), a 1.5T Siemens Avanto MR scanner & a Philips iU22 ultrasound scanner. The Jessop Wing Ultrasound department is managed by Radiology & houses 7 ultrasound rooms. Three of which are equipped with Philips iU22 scanners & 4 Toshiba Aplio MX scanners The Department of Radiology at the Northern General Hospital has 2 GE 64 multislice CT scanners, a 1.5T Siemens Avanto MR scanner. There are 8 ultrasound rooms equipped Philips iU22 scanners & 2 modern fluoroscopy units. An independent sector PET CT scanner is installed on the site & is available for the trust’s use There are 2 Vascular angiography rooms (both of which will be replaced in 2013/14) & an angiography day ward adjacent to the Radiology Department which are managed as part of the Vascular Surgery directorate There is a suite of 4 cardiac catheter labs on the site which are managed as part of the Cardiology directorate. Breast Imaging Service This is one of 3 radiology posts with an interest in breast imaging and the service makes extensive use of advanced practitioners who undertake stereo biopsies, symptomatic ultrasound, cyst aspirations and stereo localisations as well as screening film reading. The unit has its own call-recall database for management of family history and cancer follow-up women. Such mammograms account for approximately 1000 mammograms per year. MRI scanning is increasing, and encompasses high risk family history screening, neoadjuvant chemotherapy scans (pre and post treatment), Hodgkins surveillance scans and clinical scans. All MRIs are double reported and audited. Scans are done at Weston Park Hospital on the Siemens Avanto 1.5T scanner. Surgical services are provided by four breast surgeons, Prof Malcolm Reed, Ms Lynda Wyld, Mr Stan Kohlhardt and Ms Vidya Chandran. At present, two breast clinicians provide clinic support, in addition to the surgical SpRs. There is a team of 5-6 breast care nurses, who support both screening and symptomatic women. Two psychologists (both part time for breast) are employed by breast services. There is a weekly MDT meeting, discussing both screening and symptomatic women, with diagnostic cases discussed at the beginning of the meeting. In addition to the surgeons, radiologists, pathologists and breast care nurses, there is representation from clinical and medical oncology plus a research nurse. Radiographer and breast screening clerical staff attend on a rota. Dr Christine Ingram is Lead Clinician for Breast Services and Director of Breast Screening. The staff of the screening unit and the directorate managers meet regularly with the Commissioners to discuss funding issues and compliance with standards. The unit holds a meeting twice a year to discuss operational issues and peer review compliance. The unit works within QA standards on almost all criteria & has a commendably high non-operative diagnosis rate Gynaecological Imaging This is one of 2 posts with an interest in Gynae imaging which is performed within the radiology departments and in the ultrasound department in the Jessop wing. Currently the majority of Gynaecological imaging is provided by Dr S Abdi. The majority of Gynaecological ultrasound is performed by sonographers. The appointee will be expected to perform complex examinations (including transvaginal scans) & offer expert advice as part of the sonographer service. The appointee is expected to play an active role in the hysterosalpingography (HSG) service, the majority of which are performed by radiographers. There is a weekly meeting where the important cases are discussed with the fertility specialists. The Clinical Director of Obstetrics and Gynaecology is Mr Andrew Farkas who is supported by: Gynaecology - Mr A Gillespie, Mr J Tidy, Miss F Kew, Dr J Palmer, Miss V Brown, Mr AJ Baxter, Miss ME Conner, Mr A Galimberti, Mr M Paterson Obstetrics - Mr T Farrell, Dr F Fairlie, Dr K Selby, Dr D Fothergill, Mr D Anumba, Prof TC Li, Dr S Jha, Mr S Radley, Dr J Skull, Mr B Ola, Dr P Madhuvrata, Mr R Keriakos, Mr S Gandhi, Dr R Jokhi, Dr S Jivraj, Clinical Activity The Breast Screening service covers an eligible population of 80,000 women in the city The assessment rate for the screening service is 3.25% In addition to the above - Symptomatic Breast Imaging approximate annual workload: 4,000 Mammograms 5,000 Diagnostic Breast Ultrasound 1,500 Aspirations, Biopsies & Drainages including 50 Vacuum Assisted Biopsies 200 Stereotactic & Ultrasound Guided Localisations 200 Breast MR 600 HSG 1,700 Female MR Abdomen, a large proportion of which are Gynae 9,300 Female CT Abdomen, a significant proportion of which are Gynae 36,000 Female US Abdo a large proportion of which are Gynae Teaching Junior and senior Specialty Registrars are attached to both Breast & Gynae radiology as part of their general and subspecialty training. Advice and teaching is provided to Registrars throughout their training. There are 33 Radiology Registrars on the training scheme. Sheffield radiologists take an active role in the Sheffield FRCR part IIb course (which is heavily oversubscribed) & are expected to take part in ‘in-house’ anatomy teaching and film viewing Viva practice as part of the Sheffield Radiology training programme. Sheffield radiologists regularly speak at national teaching courses and are involved in local undergraduate medical teaching and in the teaching of other groups, e.g. Anaesthetists, Physiotherapists, Radiographers, Emergency Department staff and Orthopaedic surgeons. Research All Sheffield radiologists have the opportunity to participate in original research & the Academic Section of Radiology has an extremely active programme of research. The breast imaging unit contributes to research by both the surgical oncology professorial unit and by the Cancer Research Centre. There is scope for further research, and ample support. There are active links with the Clinical Research Centre at Weston Park Hospital, and the unit has a good record of recruitment to clinical trials. Clinical Governance All consultants are expected to undertake audit of their clinical practice and provide evidence of this for appraisal and ultimately, revalidation. There is a monthly radiology audit meeting at the NGH which includes CT, MR and plain radiography audit. In addition, there is an anonymised monthly review of reporting discrepancies with constructive feedback, in line with RCR guidelines. Full participation in this process will be a requirement for the post holder. Duties of the Post Together with Consultant colleagues, the appointee will be responsible for the provision of comprehensive Breast & Gynae Radiological services to the Trust. This will be predominantly at the Royal Hallamshire site but the successful candidate will be expected to provide support to all other hospitals with the Trust (Weston Park, Jessop Wing & Northern General Hospitals). The appointee will share the relevant radiological workload, on the basis of equal participation in activities, and participate in the weekly general on-call rota (1 in 11) at RHH. The successful candidate will work according 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:3.875 PAs: 1 PA: 2 PAs: 1 PA: 0.5 PA: 0.125 PA 8.5 PAs: Breast Imaging Breast MDT (including preparation) Gynae Imaging (including HSG CT & MR) Gynae MDT (including preparation) General Reporting Unpredictable Emergency Cover Direct Clinical Care 1.5 SPAs: Audit, Research, Teaching & non-clinical administration Provisional timetable Monday Tuesday Wednesday Thursday Friday Morning Gynae Imaging Gynae MDT Preparation Gynae Imaging Breast MDT Breast Imaging Breast Imaging Breast Imaging Afternoon Gynae MDT Gynae Imaging SPA & Breast MDT Preparation Breast Imaging SPA Breast Imaging & General Reporting It’s expected that there will be discussion between the successful candidate & existing Consultant Radiologists regarding possible reconfiguration of sessions. Applications from candidates wishing to apply to only a part of the described job activities may also be considered An annual review of duties 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 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, be regarded as an Honorary Senior Clinical Lecturer in the University of Sheffield, subject to the regulations of the University. Radiology Colleagues Radiology Consultants (RHH) Dr S Abdi (MB ChB (Hons), MRCS, FRCR) (Gynae/oncology) Dr C Davies (MB BCh, MRCP, FRCR) (Chest/CT) (Less than whole time) Dr O Hatsiopoulou (MB ChB, FRCR) (Breast/Gynaecology imaging, HSG) Audit lead Dr C Ingram (MA, MB, BChir, MRCP, FRCR) (Breast/Oncology) Dr I Jolley (MbChB) (Oncology) Lead Radiologist RHH Dr S Kennish (MBChB, MRCS, FRCR) (Uroradiology) Dr E Lorenz (FRCR) (Nuclear medicine/oncology) Dr G Rutherford (Nuclear medicine/oncology) (Less than whole time) Dr F Salim (MB ChB, MRCP, FRCR) (Uroradiology) Dr R Batty Dr S Coley (MBBS, MRCP, FRCR, EQNR) (Neuroradiology incl Paediatric) RCR Tutor (MB Chb MRCP FRCR) (Neuroradiology and Neuro intervention) (RCR Regional Advisor) Dr D Connolly (BSc, MRCP, FRCR) (Neuroradiology incl Paediatric) Dr R Dyde (MB ChB, MRCP, FRCR) (Neuroradiology and Neuro intervention) Dr T Hodgson (FRCS, FRCR) (Neuroradiology and Neuro intervention) Dr C Romanowski (BSc (Hons), MB ChB, MRCP, FRCR, EQNR) (Neuroradiology) Radiology Consultants (NGH) Dr M Bull (MB ChB, FRCR) (Chest/Endocrine/NVI) Clinical Director Dr P Brown (MB ChB, BSc (Hons), FRCS, FRCR) (Renal/ Cardiac imaging) Lead Radiologist Dr A Blakeborough (MB ChB, MRCP, FRCR) (GIT/Hepatobiliary) Dr C Clout (BM (Hons), MRCP, FRCR) (GIT/Hepatobiliary/Ultrasound inc gynaecology/Ultrasound guided intervention) Dr J R Cooper (MBBS, BSc, MRCP, FRCR) (MSK) Dr R De Noronha (MB ChB, BMedSci, MRCP, FRCR) (GIT, PET) (Less than whole time) Dr S Gowlett (BA, MBBChir, FRCR) (MSK) (Less than whole time) Dr J Hampton (MBBS, BSc, FRad, FRCR) (GIT/Hepatobiliary/NVI) Head Of Training Dr A Highland (MB ChB, MRCP, FRCR) (MSK incl Spinal Intervention) Deputy Programme Director/ NGH Discrepancy lead Dr C Hill (MB ChB, MRCP, FRCR) (Cardiothoracic) RCR Tutor Dr N Kotnis (MB ChB, FRCR) (MSK incl Sarcoma Imaging and MSK Intervention) Dr F Lee (MB ChB, FRCR) (NVI/abdominal ) Dr S Matthews (MBBS, BSc, MRCP, FRCR) (Chest /Nuclear Medicine) Dr D J Moore (MB ChB, FRCR) (MSK) Dr R J Peck (BSc, FRCR) (Upper GI, Ultrasound, NVI, Chest) Dr C Tweed (MB ChB, MRCGP, DRCOG, FRCR) (GI Radiology) (Less than whole time) Dr R Vinayagam (MBBS, MRCS, FRCR) (GIT/Hepatobiliary, EUS) Audit Lead Vacant Post (Chest) Vascular Radiology Consultants (Managed as part of Vascular Surgery Directorate) Prof P Gaines (MB ChB, FRCR, FRCP) Dr T Cleveland (BMedSc, FRCS, FRCR) Dr M Regi (FRCR) Dr S Thomas (MBBS, MRCP, FRCR, EBIR) Dr D Turner (FRCR, MRCP, BSc (Hons)) Vacant Post Academic Unit of Radiology Prof P Griffiths (MB ChB, PhD, FRCR, F Med Sci) (Head of Academic Unit) Dr N Hoggard (MD, MRCP, FRCR) Clinical Senior Lecturer in Neuroradiology Dr E Whitby (BSc (Hons), MB ChB (Hons), FFDRCSI, PhD) (Obstetric/Neonatal MR) Clinical Senior Lecturer Management Arrangements The Clinical Director of the Medical Imaging and Medical Physics Directorate is Dr Matthew Bull. Clinical Directors are appointed by the Chief Executive for a three year period, subject to annual review. Radiology, is part of the Medical Imaging & Medical Physics (MIMP) directorate which, along with Laboratory Medicine, Pharmacy & Professional Services, forms the Diagnostic & Therapeutics group. There is a group General Manager & the directorate has a Manager & Deputy along with imaging modality managers for Breast Imaging, Ultrasound, CT & MR, Plain Radiography & Nuclear Medicine. There are 150 Radiographers, 40 Sonographers, 21 Nurses who are lead by a Matron and there is an extensive team of associated support staff An office & secretarial support will be provided 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). Residences & 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. 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. Visits If candidates wish to visit the hospital(s) concerned, they are at liberty to make arrangements direct with: Dr M J Bull Clinical Director Consultant Radiologist Northern General Hospital Herries Road Sheffield S5 7AU Dr C Ingram Lead Breast Radiologist Consultant Radiologist Royal Hallamshire Hospital Glossop Road Sheffield S10 2JF Tel: 0114 271 Fax: 0114 261 1791 [email protected] Tel: 0114 271 3109 Fax: 0114 271 2606 [email protected] Dr S Abdi Consultant Radiologist Royal Hallamshire Hospital Glossop Road Sheffield S10 2JF Dr O Hatsiopoulou Consultant Radiologist Royal Hallamshire Hospital Glossop Rd Sheffield S10 2JF Tel: 0114 226 8029 Fax: 0114 271 2606 [email protected] Tel: 0114 271 2341 Fax:0114 271 2606 [email protected] JobDescription-ConsultantRdiologist-Breast&GynaecologyImaging 02.2013