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The Christie NHS Foundation Trust
Trust Fellow in Breast & Plastic Surgery
Division of Surgery
The Christie
The Christie NHS Foundation Trust became a foundation trust on 1st April 2007 and
was founded under the National Health Service Act 2006. The Christie was founded
in 1901 and is a specialist NHS cancer hospital offering: high-quality diagnosis,
treatment and care for cancer patients, world-class research, and education in all
aspects of cancer. Behind our ambitions to be one of the world's leading cancer
centres is a reputation for exceptional patient care and research, excellent
performance and financial management, together with a high profile and huge public
support. As the leading cancer centre for the Greater Manchester and Cheshire
Cancer Network we cover a population of 3.2 million. Our doctors run clinics at 14
other general hospitals. We register around 12,500 new patients and treat about
40,000 patients every year. Our patients are referred from district general hospitals,
having already had their cancer diagnosed, and often with complex or rare cancer.
Many will also have had their first treatment, usually surgical, before referral. Around
15% of our patients are referred from outside Greater Manchester and Cheshire, and
our private patients unit provides care for people from across the world.
1.1
Cancer services
The Christie provides specialist surgery, chemotherapy, radiotherapy, palliative and
supportive care. As one of the largest radiotherapy departments in the world we
deliver over 84,000 radiotherapy treatments a year. We also annually deliver over
34,000 outpatient chemotherapy treatments and 6,600 admitted chemotherapy stays.
Additionally we undertake around 3,700 surgical operations every year. We are one
of only two hospitals in the country offering surgical treatment for patients with
pseudomyxoma - a very rare type of cancer. Our young oncology unit is one of only
eight dedicated teenage cancer units in the country. We have 257 inpatient beds,
which are intensively used, with an average length of stay of seven days.
1.2
Key player in Europe
The Christie is a member of the Organisation of European Cancer Institutes (OECI)
which provides a forum for discussion and agreement amongst the leading cancer
centres in Europe as well as coordinating a number of specific projects. The OECI is
an important vehicle for taking forward the concept of comprehensive cancer centres
in Europe. We are the first centre in the UK to be voted onto the OEIC as a member
in June 2007.
1.3
Leading clinical trials unit
The Christie runs one of the largest clinical trials units in Europe for phase I/II cancer
trials, with around 1,200 patients going on new trials every year. This is set to double
over the next few years making us one of the largest clinical trials units in the world.
1.4
Partner in the Manchester Cancer Research Centre
We are a partner in the Manchester Cancer Research Centre with The University of
Manchester, Paterson Institute for Cancer Research and Cancer Research UK.The
Manchester Cancer Research Centre brings together the expertise, ambition and
resources of our organisations and will be one of the world’s leading cancer research
institutes by 2015.
1.5
Education
We have a dedicated education unit and provide training for a wide range of pre and
post qualification staff.
1.6
Cancer Registry
We manage the North West Cancer Information Service (cancer registry) for the
whole of the North West region.
1.7
Manchester Versus Cancer alliance
In partnership with the NHS, local authorities and supporters we have established the
Manchester Versus Cancer alliance to help improve the early detection of cancer.
Research shows that around 500 lives across Greater Manchester could be saved
each year if local people went to their GP early with suspected symptoms.
Trust Members
Chief Executive – Caroline Shaw
Medical Director – Chris Harrison
General Manager, Cancer Centre Service Division – Maureen Silcock
Department of Surgery (Christie)
The following is the establishment of Consultant Surgeons at the Christie. Some
Consultants have additional commitments to an associated teaching hospital. The
group comprises:
Department of Plastic Surgery
Mr D Mowatt
Consultant Plastic and Reconstructive Surgeon
Mr G L Ross
Consultant Plastic and Reconstructive Surgeon.
Clinical Lead
Mr D Oudit
Locum Consultant Plastic and Reconstructive
Surgeon
Department of Surgery
Miss ST O’Dwyer
Colorectal and General Surgical Oncology,
Joint lead Clinician Peritoneal Tumour Service
Mr M Wilson
Mr P Fulford
Mr A Renehan
Mr A Baildam
Prof. N W Clarke
Mr V Ramani
Mr M Lau
Mr V Sangar
Mr R Slade
Mr A Ahmed
Mr M Smith
Mr B Winter-Roach
Colorectal and General Surgical Oncology
Clinical Director, Lead for colorectal cancer,
Joint lead Clinician Peritoneal Tumour Service
General
Surgical
Oncology,
Consultant
colorectal and peritoneal tumour surgeon
Senior Lecturer Colorectal Surgery
Breast and Reconstructive Surgery
Urology/pelvic Surgical Oncology
Urology/pelvic Surgical Oncology
Urology/pelvic Surgical Oncology
Urology/pelvic Surgical Oncology
Gynaecological Surgical Oncology
Gynaecological Surgical Oncology
Gynaecological Surgical Oncology
Gynaecological Surgical Oncology
The Consultants have access to surgical beds on ward 10. There is a surgical day
case unit with facilities for preoperative assessment. The Anaesthetic service is
provided by the Department of Anaesthesia at the Christie Hospital, co-ordinator Dr
Van Oldenbeek.
All Consultant Surgeons and Anaesthetists with sessional
commitments to the Christie Hospital are members of the Directorate of Surgery and
Anaesthetics in the division of cancer centre services. The Director of Surgery is Mr
M Wilson.
There are three operating theatres and a separate minor procedure/endoscopy room
in the surgical day case unit. There is also a separate dedicated radiotherapy theatre.
An 6 bedded Critical Care Facility to accommodate surgical and non-surgical patients
was opened in January 2008. It is staffed with medical and nursing staff trained in
critical care.
Additional Clinical Departments
The fundamental approach to treatment at the Christie is as part of a multidisciplinary
team within tumour specific and disease orientated groups. Close collaboration
exists with the Departments of Medical Oncology (Clinical Director: Dr Juan Valle,
Divisional Director: Dr Nick Slevin) and Clinical Oncology (Clinical Director: Dr John
Logue ). In addition clinical groups include endocrinology, paediatric and adolescent
oncology, palliative care, genetics and psychological medicine.
The Christie has both diagnostic and interventional radiological services including
ultrasound, radionuclide, CT and MR scanning.
Pathology services include
histopathology, cytology, haematology and clinical chemistry.
Disease Orientated Groups
In additional to the clinical services, the Trust actively supports the inclusion of
patients in clinical trials and development of integrated laboratory and clinical
research. To facilitate these objectives and advise on best clinical practice, clinicians
are encouraged to join disease orientated groups (DOG’s) relevant to their area of
expertise. The DOG’s and the clinical trials support unit are served by statisticians,
data managers and research nurses.
Other staff in the Plastic Surgery Service at The Christie
2 Specialist Registrars/Speciality Trainees
1 Breast Fellow
2 Trust Fellows
1 Associate Specialist
1 Advanced Nurse Care Practitioner
2 Nurse Care Specialists
1 Breast Care Nurse
The Post
The Trust Fellow is part of an extensive team of surgeons dealing with Oncological
Surgery. They will be attached primarily to the Plastic Surgical Team but also to the
Breast Surgery Team. Plastic Surgery Department comprises of 3 Consultant Plastic
Surgeons and One Associate Specialist. The majority of the work undertaken is in
skin Oncology, Sarcoma and Breast Reconstruction.
The Trust Fellow will be
exposed to all aspects of Oncological Reconstructive Surgery as well as excisional
surgery for Breast Cancer. Regular audit sessions are undertaken and the Trust
Fellow is expected to develop a wide range of surgical skills both in elective and
emergency setting.
The post holder will be working in a 1 : 7 doctors participating in an EWTD compliant
rota banded at 1B. Standard working week will be 40 hours.
Specific Duties will include

Participation in the primary care of patients admitted to the Christie Hospital.

The management of the daily care of inpatients, including undertaking routine
and special investigations, attendance at preadmission clinics.

Attendance at outpatient clinics and theatre lists as required by the
supervising consultant.

Out of hours cover for all branches of surgical oncology.
Research Opportunities
Each clinical department has an active research profile accommodating clinical and
laboratory research activity to support MSc, MPhil, MD and PhD projects. The Trust
actively supports the inclusion of patients in clinical trials and development of
integrated translational research. Laboratory studies can include attachment to the
research laboratories under the Directorship of Professor N Jones at the Cancer
Research UK Paterson Laboratories.
Clinical studies will be supported by a
nominated Consultant/Supervisor and complement clinical practice within the
respective Disease Orientated Group (DOG). The DOG’s and Clinical Trials Support
Unit are served by statisticians, data managers and research nurses.
Education and Training
The trust supports postgraduate education with a special interest in oncology.
Collaboration with university departments allows access for employees to a wide
range of seminars and lectures and staff are actively encouraged to take part in
continuous professional development at all levels.
Recent developments have included a new Education Centre with meeting/seminar
rooms and a state-of-the-art lecture theatre/auditorium. The Department of Medical
Illustration offers a comprehensive service with advanced IT facilities for production
of lectures, posters and preparation of material for publication. Library facilities onsite are excellent with easy access to electronic databases for literature review. Oncall rooms are equipped with computers with access to medical and surgical text
CD’s and on-line search facilities.
Conditions of Employment
a)
Registration
The post holder is required to hold current Full Registration with the General
Medical Council on commencement.
b)
Pre-employment Checks
Appointment is subject to a satisfactory pre-employment checks
c)
Cardiopulmonary Resuscitation
The post holder will be required to demonstrate their ability to perform cardio
pulmonary resuscitation and undergo further training in this area if deemed
necessary.
d)
Rehabilitation of Offenders
This post is exempt from Section 4(2) of the Rehabilitation of Offenders Act
1974, by virtue of the Rehabilitation of Offenders (Exemption) order 1975. You
are required to reveal any information you may have concerning convictions
which would otherwise be considered relevant to your suitability for
employment. Any such information will be kept in strict confidence and used
only in consideration of suitability for appointment where appropriate.
Personal Specification
Essential
Desirable
Qualification
First Level medical Degree
MRCS
Training
Full registration with GMC
Job
Experience
Minimum 3 years postgraduate
experience
Leadership
To display leadership qualities
within
the
surgical
team,
particularly
towards
junior
doctors
Self-reliance
To recognise personal limitations
but to work competently within
these boundaries
Attainments
Motivation
Good interpersonal skills
Good
communication
(written and verbal)
skills
Professional
Membership of appropriate
professional society /societies,
knowledge of up to date
literature
Interests
Other
To be a ‘team player’ both within
the surgical training firms and the
Health Service itself.