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1. JOB IDENTIFICATION Job Title: Lead Cancer Clinician – South East Scotland Cancer Network (SCAN) Responsible to: Chair of Regional Cancer Advisory Group (Rotational post among the South East Scotland Health Board Chief Executives) or nominated deputy. Department(s): South East Scotland Cancer Network, hosted by Lothian NHS Board on behalf of the South East Scotland NHS Boards Directorate: Strategic Planning Job Reference: Last Update: May 2011 2. JOB PURPOSE To provide strategic clinical leadership for: The delivery across South East Scotland of the fundamental patient-centred clinical changes required by the national cancer plan. The development and delivery of a regional programme of work in conjunction with the Network Manager and the Regional Cancer Advisory Group (RCAG). Promoting and driving change through the cancer tumour-specific groups (TSGs) in order to deliver the agreed standards of care through regional planning, service improvement and investment. The development and successful delivery of national strategies and programmes of work, ensuring that these consider and take account of the needs of patients and the health service. 3. DIMENSIONS The South East Scotland Cancer Network (SCAN) is a dynamic, virtual organisation that continues to evolve and develop. The Network serves a population of 1.3m (25% of the Scottish population) of which 1 in 3 will get cancer and 1 in 4 will die from cancer. SCAN spans Borders, Lothian, Fife and Dumfries & Galloway, with some people travelling from other parts of Scotland to receive specialist treatment and care. SCAN involves all people and organisations, statutory and voluntary, with an interest or role in the planning, development and delivery of cancer services within the South East of Scotland. This includes: Patients, carers, and their families All staff involved in cancer care NHS organisations – unified NHS systems and Community Health Partnerships National bodies including the Scottish Government Health Directorates (SGHD) and the Scottish Parliament, plus key organisations such as Healthcare Improvement Scotland (NHS HIS), NHS Education for Scotland (NES), the Information and Statistics Division (ISD), Scottish Intercollegiate Guidelines Network (SIGN), Royal Colleges, professional groups and many others Partner organisations e.g. Macmillan Cancer Support, Marie Curie Cancer Care, local support groups, Scottish Partnership for Palliative Care and local authorities 1 March 2011 Function The main function of SCAN is to improve the quality of care, outcomes and experience for patients and their families across the South East of Scotland. Structure The organisational structure and environment in which SCAN operates is complex. The RCAG Executive provides high-level strategic guidance to constituent NHS Boards and the Regional Cancer Planning Group; progresses work on priority issues identified; ensures a coherent and equitable approach is taken to the development of cancer services across the South East of Scotland, taking account of local, regional and national priorities; agrees and reviews annual work programmes with tumour specific groups and specialty networks/services; reviews network audit data and reports to Chief Executives; and ensures adequate two-way communication and accountability between tumour specific groups, RCAG, NHS Boards and the Regional Cancer Planning Group. Membership includes: Designated Chair (Rotates among SCAN Health Board Chief Executives); Lead Cancer Clinician for the South East of Scotland; senior management/planning and clinical representatives from each of the 4 East of Scotland NHS Board areas and the Regional Cancer Centre; Tumour Specific Group Chairs; Chairs of RCAG sub groups; patient; and voluntary sector representatives The delivery of clinical care throughout the South East of Scotland is driven by region-wide tumour specific groups (detailed below). Each tumour-specific group is responsible to the RCAG/RCPG for their activities and has been developed in line with national guidance. Breast Colorectal Lung Skin Urology Head & Neck Haematology Upper Gastrointestinal Gynaecological Oncology Tumour-specific groups are complemented by a number of formalised regional specialty networks that span tumour types, for example: Primary Care Pharmacy Audit Cancer Research Network Palliative Care Clinical Psychology Nursing Cancer Information Network/Patient Involvement Projects identified by the RCAG are progressed via sub-groups and short-life working groups, for example: Review of Non Surgical Oncology Services across the South East of Scotland Implementation of Electronic Prescribing of Chemotherapy across the South East Scotland Review of Audit Services across the South East of Scotland 2 March 2011 4. ORGANISATIONAL POSITION SCAN is one of three regional cancer networks in Scotland. It reports to the Scottish Cancer Taskforce and the Scottish Government Health Directorates (SGHD). See separate organisational chart (Appendix 1) 5. ROLE OF DEPARTMENT According to the governance arrangements for cancer managed clinical networks, SCAN is required to: Operate within the context of Scottish Government guidance on managed clinical networks (NHS MEL (1999) 10 and NHS HDL (2002) 69) Demonstrate compliance with NHS HDL (2001) 71, “Regional Cancer Advisory Groups” (RCAGs) Ensure appropriate links with generic regional planning structures as per NHS HDL (2002) 10 accepting that regional cancer networks are increasingly being recognised as the vehicles for planning of and investment in cancer services. SCAN brings together cancer professionals and organisations from primary, secondary and tertiary care to work in a co-ordinated manner, transcending geographical, organisational and professional boundaries. The Network exists to ensure equitable provision of high quality, clinically effective cancer services throughout the region across diagnosis, treatment, information provision, palliation and bereavement such that cancer incidence, morbidity and mortality are decreased, whilst patient empowerment, knowledge and quality of life are increased. This involves creating and influencing national and local agendas and ensuring they are followed locally. The Regional Cancer Network is responsible for driving and enabling the improvement of cancer services through development of regional tumour-specific groups to ensure that national and local standards are met, that clinical practice is developed consistently and that cancer services, including sustainable tertiary services, are delivered by means of agreed protocols. In addition, through collaborative working with the Regional Cancer Planning Group, the tumour-specific groups aim to ensure that: a more systematic approach to the development and planning of cancer services is developed for those aspects of the service that are more appropriately provided at a regional level. specialist cancer services, which require a population in excess of the average Board population (c400, 000) to ensure clinical sustainability, are planned and delivered appropriately. the highest possible standard of cancer care, which can be provided within available resources, is available to all residents in the East of Scotland. the particular geographic challenges to the delivery of safe and effective cancer care within the region are addressed. 3 March 2011 6. RESPONSIBILITIES OF THE POST To provide clinical leadership to the SCAN Regional Cancer Advisory Group (RCAG) and Regional Cancer Planning Group (RCPG) To provide clinical leadership when working with SCAN tumour-specific groups, NHS Boards, Operating Divisions and other service providers (voluntary & statutory) to facilitate and drive forward service improvement, ensuring robust clinical governance arrangements are in place. In conjunction with the Network Manager, to lead the ongoing development of tumour-specific groups and support the development of national MCNs To support performance of the Chairs of the tumour-specific groups through a coaching relationship, particularly in delivery of strategic goals and the organisational change agenda Provide clinical leadership for development of critical infrastructure such as e-health and audit, to ensure robust clinical audit processes are in place, including data collection, analysis and reporting within an agreed national governance framework. To provide clinical leadership, facilitation and support for development and implementation of new regional models of care In conjunction with the Network Manager, to ensure that a regional approach is taken to planning cancer services in the South East of Scotland and that tumour-specific group activity is fully integrated into both local and regional cancer planning To contribute actively to the Scottish Cancer Taskforce and other relevant local, regional, national and international groups. To contribute actively to the communication and reporting strategies of SCAN. 7. KEY RESULT AREAS Better outcomes in cancer care, as demonstrated by improvements in audit results and other data sources Improved communication across and between key groups and organisations. Clinical and patient/carer input are integral to local and regional planning processes. Open and transparent decision-making processes. 8. ASSIGNMENT AND REVIEW OF WORK The post holder will work with a high degree of autonomy and assignment of work will be self-directed, working within agreed objectives. Review will be carried out by RCAG Chair or nominated deputy. 9. SKILLS AND COMPETENCIES REQUIRED Commitment to patient focus and quality Proven ability to manage change within a complex environment. Flexibility, enthusiasm for working in an open and transparent manner. Excellent influencing and negotiating skills. Experience of working with senior management in affecting the development of strategy. 4 March 2011 Extensive experience in the improvement, provision and planning of cancer services. Experience in audit, research and training. 10. JOB DESCRIPTION AGREEMENT Job Holder’s Signature: Date: Head of Department Signature: Date: 5 March 2011 NHS LOTHIAN South East Scotland Cancer Network (SCAN) Lead Clinician PERSON SPECIFICATION Criteria Essential Qualifications & Training Level of education, professional qualifications, training and learning programmes/courses Experience Length and type of experience, level at which experience gained Knowledge Depth and extent of knowledge Desirable Medical graduate. Higher medical professional qualification Post graduation medical qualifications Evidence of continued professional development Assessment Additional post graduate qualifications e.g. MD, PhD, etc CV / application form Substantial clinical experience at consultant level At least five years’ experience at senior clinical manager level in a relevant healthcare organisation Strong reputation as a clinician and clinical leader, with a proven track record of producing high quality results in the management and leadership of clinical services Experience in building organisational capabilities, including establishing a clear strategic vision and director and translation into successful outcomes Experience commissioning and managing large scale, complex projects across traditional Health Board Boundaries Experience of managing clinical governance Evidence of continuing professional and managerial development Experience of leading complex organisation change Previous managerial training and experience Interview, CV / application form In-depth understanding of the complexity in providing primary, secondary and tertiary healthcare. In depth knowledge of the UK health care sector, cancer strategies and service provision Understand economic constraints and requirements of financial planning and business Knowledge of national and international cancer research and clinical management guidelines CV / application form 6 March 2011 Assessment process Skills/Abilities Range and level of skills, i.e. communication (oral, written, presentation), planning/ organisation, numeracy, leadership etc Personal Attributes governance processes. Broad understanding and knowledge of working at executive team level Experience and able to demonstrate successful team leadership/motivation of others. Demonstrate innovative thinking and vision, including an ability to build organisation capacity and capability Ability to think strategically vision and planning with the ability to demonstrate experience of delivery and achievement of outcomes. Highly effective interpersonal skills including tact and diplomacy Demonstrate understanding of complex clinical work streams across multiple disciplines, localities, operational and regional boards Politically aware of competing complex agendas and able to understand the wider stakeholder views across the Network Computer literate Able to integrate well with colleagues and staff to promote team building Self motivated with vision and drive to improve services Demonstrate successful team leadership and motivation of others A commitment to development of service in a changing environment Ability to work across regional, local and national organisational boundaries Understanding and commitment to Clinical Governance 7 March 2011 Experience in Strategic planning CV / application form Assessment process Assessment process and Interview