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BARTS AND THE LONDON NHS TRUST Recruitment Material For the post of Consultant in Haemato-oncology Part 1: Job Description Part 2: The Trust, the Cancer Clinical Academic Unit and the Haematological Oncology Service Person Specification BARTS AND THE LONDON NHS TRUST CONSULTANT IN HAEMATOLOGICAL ONCOLOGY JOB DESCRIPTION SUMMARY: The advertised post is for a full-time (10 PAs) Consultant in Haemato-oncology within the Cancer Clinical Academic Unit at Barts and the London NHS Trust. This is a replacement post and will be based at St Bartholomew’s Hospital. The successful candidate will work with the Haemato-oncology Team in the provision of services to patients with haematological malignancies. BLT is a provider for the extended network for care of patients with haematological malignancies and is the only level III/IV facility within the North East London Cancer Network. The successful candidate would be expected to work with the existing team in providing in-patient and out-patient management for patients with haematological malignancies, including stem cell transplantation, and to participate in the associated teaching programmes. He/she will also be expected to participate in professional medical responsibilities and training of the junior staff. The Haemato-oncology service is a component of the Cancer Clinical Academic Unit at BLT and is closely allied to the Centre for Experimental Cancer Medicine in the Institute of Cancer at Barts & The London School of Medicine & Dentistry. The successful candidate will be encouraged to undertake research with colleagues in the Institute of Cancer where there are significant opportunities for collaborative work. The Haematooncology service naturally has close links with the Medical Oncology and Clinical Oncology services, as well as with the Clinical Haematology service, although the latter comes under the Pathology Clinical Academic Unit, which is in a different division. The successful candidate will need to demonstrate professional excellence and the ability to deliver effective care. He/she will need to agree a job plan with the Clinical Academic Unit Director and review this on an annual basis in the light of service development and changes in activity levels. The successful candidate will be required to adhere to the Trust’s policy on maintaining medical excellence and to be committed to maintaining their standard of performance by keeping their knowledge and skills up to date. 2 BARTS AND THE LONDON NHS TRUST CONSULTANT IN HAEMATOLOGICAL ONCOLOGY JOB DESCRIPTION General duties of the post To contribute to the provision of a comprehensive, efficient and high quality evidence-based Haemato-oncology service, with continuing responsibility for the care of patients in his/her charge, including all administrative duties associated with patient care. Leadership, development and organisation of the services in his/her charge in line with Trust / Divisional business plans. Full participation in the management of the Cancer Clinical Academic Unit (CAU) and the Haemato-oncology service.` Liaison and communication with the Clinical Lead in Haemato-oncology , the Clinical Academic Unit Director, the General Manager and with the Director and Head of Operations of the Regional Services Division. To develop his/her own interests and specialities within haemato-oncology, including active participation in research programmes. To participate in the undergraduate and postgraduate teaching programmes To be responsible for continuing professional development To maintain and promote team and multidisciplinary work. To participate fully in the management of the Haemato-oncology Service and the Cancer CAU and to liaise closely with the General Manager, the Clinical Lead and the Director of the CAU To participate fully in the preparation for and representation at peer review site visits. Corporate and individual responsibility for the professional management of doctors in training To engage fully in the annual job planning and appraisal cycle and to contribute to the appraisal of doctors in training. 3 Specific duties of the post at Barts and the London Hospitals NHS Trust To contribute to the provision of comprehensive, efficient and high quality care throughout the treatment and management pathway of patients with haematological malignancies. To provide, with colleagues, specialist advice to patients and services for the diagnosis and treatment of referred illness. To provide, with colleagues, a referral service for inpatients under the care of other clinical departments in the Trust, who are diagnosed with or develop haematological malignancy-related complications during their inpatient stay. To participate in the Consultant on-call rota (1:4) for which an appropriate on-call supplement rate (Band B 3%) will be applied. To provide evidence-based care for all inpatients and out-patients and to accept personal responsibility for the total clinical care of the patients referred to him/her. To have regard at all times to the clinical and quality standards set out in the NHS Cancer Plan, the Improving Outcomes reports and National Institute for Clinical Excellence (NICE) guidance reports. To participate in the supervision, training and professional development of the junior medical staff working in the department. To attend the weekly MDT case-review meeting. To liaise effectively and on a timely basis with General Practitioners, community services, and all healthcare agencies. To provide, with colleagues, a referral service for inpatients under the care of other clinical departments in the Trust, who are diagnosed with or develop haematological malignancy during their inpatient stay. To collaborate positively with colleagues to provide effective clinical leadership for all the staff in the service. To develop Risk Strategy Management in Haemato-oncology. Infection control is a very important aspect of every employee’s role in the Trust and it is expected that all policies and procedures for infection control would be adhered to, including the adequate decontamination of hands before every patient contact 4 On-call commitment To participate with the existing team to provide cover for patients under the care of Haemato-oncology, supervising the on-call SpR. Accountability The appointee will have full professional independence on medical matters but will be managerially accountable to the Trust and the Chief Executive, through his/her CAU Director. Clinical Governance The appointee is expected to participate in the Trust’s clinical effectiveness activities, and to encourage and foster improvements in the quality and standards of clinical services. The appointee will assist with the safeguarding of high standards of care by participating in the creation of an environment in which excellence in clinical care will flourish. Continuing Professional Development and Continuing Medical Education The appointee is expected to take responsibility for their own continuing professional development (CPD) and take part in continuing medical education activities (CME), in line with the requirements of the Royal College of Pathology and/or Physicians guidelines to maintain standards of performance and in consultation with the CAU Director The appointee will be expected to be committed to the concept of lifelong learning and produce and maintain a personal development plan in agreement with their CAU Director Study leave is available as provided for under the Terms and Conditions of Service for Consultants (England) 2003 and subject to the approval of the CAU Director / General Manager. At BLT the recommended standard for Consultants is a maximum of 30 days in total in any period of 3 years within the United Kingdom, or 10 days per year within the UK. This includes both professional and study leave. The Postgraduate Medical & Dental Education Centre approves requests for study leave expenses. There is no set allocation, but all course and meeting fees within the recommended standard for study leave will be met (assistance is not generally provided with travel or accommodation expenses). Appraisal and Development All consultants must undergo annual appraisal. This is conducted by an appraiser (or appraisers) and is expected to provide key information with regard to continuing 5 professional development and in due course validation on a 5 yearly basis. Appraisal is based on GMC guidelines and incorporates all clinical governance responsibilities of the post. Teaching and Training The Trust is committed to sustaining and advancing the provision of medical, dental, nursing and other professional education and to the delivery of high quality postgraduate and undergraduate training. The appointee will be expected to participate fully in the education of postgraduate doctors within the Haemato-oncology Service and the Cancer CAU and, where appropriate, across the Trust. This will involve regular teaching commitments agreed with the CAU Director, and will be supervised by the Unit Training Director. The appointee will also assist with the teaching of medical students attached to the department, and with teaching non-medical personnel as appropriate. Teaching within the department includes regular presentations, and informal practical and theoretical training sessions. Research and Development The appointee will be expected to participate actively in clinical and laboratory based research programmes and initiatives, in co-operation with the Institute of Cancer, under the guidance of the Research and Development department and within the guidelines of Trust policies. The appointee will be encouraged to initiate his/her own research projects. The appointee will be expected to maximise recruitment of patients to National Cancer Research Network-accredited trials. Equal Opportunities The appointee must at all times carry out responsibilities and duties with due regard to the Trust’s Equal Opportunities Policy. Health and Safety The appointee is expected to undertake the appropriate management responsibilities, and be aware of individual responsibilities in accordance with the Trust’s Health and Safety policy and report as necessary, any untoward accident, incident or potentially hazardous environment. The appointee will promote and implement the Health and Safety Policy. The Trust operates a no smoking policy. Infection Prevention and Control Roles Infection Prevention and Control Roles and Responsibilities 6 To adhere to Trust policy and infection control principles and standards to minimise patient risk and ensure high quality patient care. Undertake appropriate training and practice to ensure you (and your teams) have the right skills and are competent. Are responsible for keeping the environment clutter free, clean and raising issues of concern in the interest of staff and patient safety. Ensure high cleaning standards to prevent infection and increase patient's confidence Work together and with others to design the BLT IPC Service in line with national guidance With others, support and develop good IPC practices consistent with national guidance and the Trust's Pathfinder Strategy Advise and support the Director of Infection Control and Prevention (DIPC), Deputy DIPC and infection control team in achieving their objectives and fulfilling their responsibilities Advise and support Divisional and CAU Infection Control leads Salary and Conditions of Service This appointment is subject to the Terms and Conditions of Service for Consultants (England) 2003, to the General Whitley Council Conditions of Service and also to the NHS Pension Scheme regulations. The illustrative job plan / timetable set out below are in line with the Terms and Conditions of Service for Consultants (England) 2003. The appointment is on a full time basis (i.e. an average of 10 programmed activities per week). The present salary scale is £73,403 - £98,962 for 10 programmed activities. Applicants must have completed specialist training in Haematology or Medical Oncology and be on the Specialist Register before they take up this appointment. The Trust requires the appointee to have and to maintain full registration with the General Medical Council/Dental Council. Medical and dental staff are advised to continue membership of a medical defence organisation. The successful candidate will also receive a London Weighting allowance of £2,162 per annum (London Zone). Due to the nature of the work in this post, it is exempt from the provision of section 4 (2) of the Rehabilitation of Offenders Act 1974, by virtue of the Rehabilitation of Offenders Act 1974 (Exemption Order 1975). Applicants are therefore not entitled to withhold information about convictions, including those which, for other purposes are “spent”, under the provisions of the Act, and are required to disclose convictions including those pending, to the Trust. Failure to disclose such information may result in dismissal or disciplinary action. The successful candidate will normally be required to live within 10 miles or 30 minutes travelling time from the Trust. 7 Illustrative job plan and proposed timetable This job plan is illustrative only and is in line with the Consultant Contract (England) 2003. It is subject to negotiation with the successful candidate and will be reviewed annually by the CAU Director and the appointee. If there is a disagreement over the appraisal, in the first instance the appraisee can approach a third party (a senior member of staff) to act as a mediator. If the appraisee is still unhappy with the outcome, the matter will be addressed through the Trust’s Grievance Policy & Procedure. The table shows timetable commitments (currently 10 PAs) apportioned to direct clinical care (DCC – 7.50 PAs) and supporting professional activity (SPA - 2.50 PAs). Sessional commitments may be revised in the future by mutual agreement as the needs of the service and the work patterns with oncology colleagues change. 8 Day Monday Tuesday AM PM 09.00 – 13.00 14.00 – 17.00 Clinical Research (1.25PA x SPA) Clinical Research & Teaching (0.75 PA x SPA) 08.30 – 11.00 14.00-16.00 (0.50 x DCC) MDM (0.60PA x DCC) Ward round/Day Unit 11.00-14.00 (0.75PA x DCC) [for 6 months of the year each] Ward round/Day Unit + clinical admin. 16.00 – 17.00 (0.25PA x SPA) [for 6 months of the year each] Wednesday 09.00 – 14.00 14.00 – 16.00 Outpatient Clinic + clinical admin. (1.25PA x DCC) Clinic-related admin. (0.50PA x DCC) 16.00-17.00 (0.25PA x SPA) Departmental Seminar (CME related activity) Thursday 09.00 – 14.00 14.00-15.00 Outpatient Clinic + clinical admin. (1.25PA x DCC) BMT meeting (0.25PA x DCC) 15.00-16.00 HLA typing meeting (0.25PA x DCC) 16.00-17.00 Consultant meeting (0.25 PA x DCC) Friday 09.00 – 14.00 14.00 – 16.30 Ward round/Day Unit + clinical admin. (1.25PA x DCC) Ward work and clinic-related admin. (0.65 PA x DCC) [for six months of the year each] 9 Office accommodation and secretarial support The post-holder will have office accommodation in the Department of Haematooncology at Barts with a computer terminal for access to the Trust Electronic Patient Record viewer. Full time secretarial support is provided. Hepatitis B and HIV/AIDS policy Prior to employment the Trust will require you to undertake a medical examination which will include Hepatitis B screening. The BMA code of conduct in case of doctors who have HIV infection / AIDS should be followed. In such cases the Trust expects all doctors to make disclosure to the Occupational Health Physicians whether they will be undertaking invasive procedures or not. Other aspects of the post / additional Information This job description is an outline only. It is not exhaustive and may be altered from time to time in accordance with the needs of the service, following negotiation with the appointee. The appointee will be required to be co-operative and flexible in accordance with the needs of the service. In addition to their commitment to on-going patient care and the supporting professional activities outlined on the preceding pages, all consultants at this Trust have a continuing responsibility for the smooth functioning of their department / CAU and the efficient management of its resources. This includes the provision of adequate cover for colleagues on leave by mutual agreement. Further information from: Prospective candidates are encouraged to visit the Department of Haemato-oncology at Barts, which may be arranged by contacting one of the following: Dr Jamie Cavenagh, Clinical Lead in Haemato-Oncology PA Reba Begum, 020 7601 8202 [email protected] Professor John Gribben, Director of Bone Marrow Transplantation and Centre for Experimental Cancer Medicine PA Lynn Haddon, 020 7882 3804 [email protected] Professor Nick Lemoine, Director of the Cancer CAU PA Blanca Rybnickova, 020 7882 3503 [email protected] 10 BARTS AND THE LONDON NHS TRUST CONSULTANT IN HAEMATOLOGICAL ONCOLOGY Part 2: The Trust, the Cancer CAU and the Haematological Oncology Service General Information The post holder will be expected to work closely with the Clinical Lead and the General Manager in the management and administration of resources and to be active in promoting changes which improve the delivery of service to patients. Barts and the London NHS Trust Barts and The London is one of Britain’s top teaching hospital trusts. Our mission is literally to bring excellence to life – to give patients the best possible care so that they can live better, fuller, longer lives. Every year we care for over 500,000 people from the City, East London and beyond – communities with a rich ethnic, religious and cultural diversity; from the affluent finance and business centres of the City and Docklands, to the vibrant Bangladeshi community in and around London’s Brick Lane. The Trust is made up of the following leading teaching hospitals: St Bartholomew’s Hospital (Barts) in the City of London The Royal London Hospital in Whitechapel The London Chest Hospital in Bethnal Green. Barts and The London is organised into three divisions (Acute and Family Services; Regional Services; Clinical and Diagnostic Services) under the leadership of the Chief Executive. Each Division is headed by a Divisional Director (Dr Celia Skinner in the case of Regional Services) supported by a Divisional Head of Operations (Ms Julie Lamb for Regional Services) and a Divisional Senior Nurse. The Divisions comprise a varying number of Clinical Academic Units. The Cancer Clinical Academic Unit lies in the Regional Services Division. The Divisional Directors, supported by Operational Managers and CAU Directors, are responsible for the day-to-day management and the running of the Trust's services, while the Trust Board (comprising full-time executive directors and part-time nonexecutive directors) is accountable for setting the strategic direction of the Trust, monitoring performance against objectives, ensuring high standards of corporate governance and helping to promote links between the Trust and the local community. 11 The New Hospitals Development Construction work is at an advanced stage to build Britain’s biggest new hospital on the Royal London Hospital site in Whitechapel and to redevelop St Bartholomew’s as a Cancer and Cardiac Centre of Excellence. The £1 billion private finance initiative development is being carried out by the Skanska Innisfree John Laing consortium. The entire redevelopment of both hospitals is expected to be completed in 2015. The new Cancer Centre at Barts is due to open in 2010 and most new facilities at The Royal London should be operational early in 2012. Barts and the London Cancer Centre and the Institute of Cancer Barts and The London Cancer Centre (www.bartsandthelondon.nhs.uk/cancercentre) is based at Barts Hospital in the City of London. The centre is a major tertiary referral centre for all forms of malignant disease in adults, providing cancer services to a population of more than one and a half million people in East London and the City. Our new hospitals programme will create a purpose-built Cancer and Cardiac Centre of Excellence at Barts, providing facilities to improve the high standard of clinical care that patients already receive. In conjunction with the Institute of Cancer at Barts and The London, Queen Mary’s School of Medicine and Dentistry (www.cancer.qmul.ac.uk) our mission is to establish a major international centre of excellence in both cancer research and clinical cancer care on the West Smithfield site at Barts Hospital and in Charterhouse Square. Our clinical and research teams were awarded Experimental Cancer Medicine Centre (ECMC) status by the Department of Health and Cancer Research UK and our Experimental Cancer Unit was recently opened at the Barts site. We are the specialist regional centre for cancer treatment in North East London and belong to the North East London Cancer Network together with Homerton, Newham, Whipps Cross, King George Ilford, and Queens Hospitals. All cancer treatment in BLT is administered at Barts. Clinical Haematology is split across both the St Bartholomew’s and Royal London sites. Inpatient and day-case facilities All Cancer Services facilities are located on the St Bartholomew’s site. Patients with haematological malignancies are cared for on the Bodley Scott Unit which comprises of 35 beds. The Bodley-Scott Unit consists of a purpose built 14 bedded HEPA filtered bone marrow transplant unit, the 21 bed Bodley-Scott 2 Ward and the haemato-oncology day unit (Bodley-Scott 3). The appointee will have full admitting rights to the wards. The apheresis service is in a designated area within the day unit. The day unit also has basic laboratory facilities to allow clinical trial samples to be processed. 12 In addition to the Bodley Scott Unit, Cancer Services also includes 23 clinical oncology beds on Rahere Ward and 23 solid tumour medical oncology beds on Gordon Hamilton Fairley Ward. The Paget Day Unit is primarily a chemotherapy day unit for clinical and medical oncology patients. There is also a 14 bed Patient Hostel for patients on the Barts site. The Cancer CAU has implemented a fully integrated clinical information / chemotherapy prescribing system. There are no dedicated Palliative Care beds. Patients are jointly managed with the team led by Drs Clare Phillips, Teresa Tate and David Feuer (Clinical Lead), Consultant Physicians in Palliative Care. Full pathological (haematology, biochemistry and transfusion) and imaging facilities (including both CT, MRI and CT-PET) are available at Barts. As previously mentioned, Pathology services are part of the Pathology Cancer Academic Unit and the Haematooncology Service has no responsibilities for managing the routine pathology laboratories. The post-holder will have access to microscopes within the haematooncology laboratory facilities, including a multi-headed microscope. Bone marrow and blood film reporting is performed by Dr Mike Jenner. Outpatient clinics There are 3 outpatient clinics held by the service every week which are held either in the Main Outpatient Department or in the West Wing Outpatient Clinic both at St Bartholomew’s Hospital. Haematolo-oncology Centre The service provides specialised care for patients with haematological malignancies treated within The Cancer Centre at Barts and The London. The service is responsible for the management of haematological malignancy for City and Hackney and Tower Hamlets PCT and as the tertiary referral centre for the North East London Cancer Network but also for most of Essex including Southend, Basildon, Colchester and Chelmsford Hospitals, thereby providing supra-regional specialized care for patients with acute and chronic leukaemia, lymphoma, multiple myeloma and related illnesses. The centre is the designated level III/IV facility for the Network and beyond. Specialized services include bone marrow transplant (BMT). The service has been designated by the Trust as leading edge. All patients with haematological malignancies are managed by the Haematooncologists at St Bartholomew’s Hospital. Those patients who are diagnosed by the Clinical Haematology service are referred for further management at Barts. Similarly, newly presenting patients admitted under the medical teams at the Royal London are transferred as soon as possible for appropriate care at Barts. The Clinical Haematology service deals primarily with all non-malignant haematology, but obviously manages haemato-oncology patients who are receiving treatment for other reasons at the Royal London site. 13 Inpatient and day case facilities In 2008/9, there were 537 documented new patients seen and 7415 out-patient visits. There were 1845 attendances in the Bodley Scott Day Unit where day case chemotherapy is delivered to patients. There were more than 100 direct admissions of new patients with acute leukaemia to the in-patient service and 1180 admissions to the wards. BMT activity is increasing, with 105 procedures performed in 2008/9, including 46 allogeneic transplants. The submission for JACIE accreditation of BMT services is planned for late 2009. There has been a shift in activity to an increased number of allogeneic BMT, with the majority of these procedures now performed with reduced intensity conditioning delivered as an out-patient, with these patients seen weekly in the Consultant led BMT clinic. The SLA with the Pan Thames BMT Consortium was costed at £3.6M for 2008/9. In keeping with DoH directives, increasing work-load is being performed in the outpatient setting, thereby increasing the Consultant workload. Clinical Trials A major component of the work is clinical trial activity. Entry for haematological malignancies at Barts accounts for more than 50% of the NCRN sponsored randomized clinical trials activity of the network. Barts has been one of the biggest recruiters to NCRI trials (eg 4th largest UK recruiting centre to AML-15). The Consultant staff play a major role as lead investigators on NCRN study groups in haematological malignancies. There are currently over 30 clinical trials recruiting patients with haematological malignancies. Multidisciplinary meetings As required, all new patients and all new events are reviewed in the weekly MDM, for patients seen at Barts and The London, Newham and Homerton Hospitals, and the MDM has recently been expanded to also cover all patients seen at Whipps Cross. It is recognised that this requires expansion of the MDM to review this increased activity, as well as to comply with the recommendation of the Haematology Peer Review for review of patients with different subtypes of malignancies. Together these measures have required lengthening of the MDM to twice its previous level of activity, increasing the workload for each consultant as key members of the MDM with required attendance. The weekly MDM meeting is held in the Williamson Library. Outpatient clinics Out-patient clinics are held in the Main Outpatient Department at Barts and in the purposely designed and newly opened £13.5 million Breast Care Centre on Wednesday. Staffing Summary/ Clinical Activity There are 15 Consultant sessions weekly at the Haemato-oncology clinics which are held each week on Monday, Wednesday and Thursday. The service operates with two teams to cover specialised in-patient service and each team has a Consultant led ward round twice weekly, so that there are 4 Consultant ward rounds each week. There is a 14 weekly review of BMT patients attended by all Consultants, and a bi-weekly Tissue Typing meeting. The current Consultant workload of the Haematological Oncology service is provided by the following staff: Dr Samir Agrawal, Senior Lecturer and Honorary Consultant in Haematology Dr Rebecca Auer, Senior Lecturer and Honorary Consultant in Haematology Dr Jamie Cavenagh, Consultant and Honoraray Reader in Haematology Professor John Gribben, Professor of Experimental Cancer Medicine Dr Michael Jenner, Consultant Haematologist Professor T Andrew Lister, Professor of Medical Oncology Dr Silvia Montoto, Senior Lecturer and Honorary Consultant in Medical Oncology Dr Heather Oakervee, Senior Lecturer and Honorary Consultant in Haematology Dr Manoj Raghavan, Senior Lecturer and Honorary Consultant in Haematology Professor Ama Rohatiner, Professor of Haemato-Oncology Dr David Taussig, Senior Lecturer and Honorary Consultant in Haematology Radiologists Consultant Radiologist, Lead, Dr Sarah Vinnicombe Consultant Radiologist, Dr Ian Goddard Haemato- Pathologists Haematology Pathology Lead, Dr Maria Calaminici Consultant Pathologist, Dr Hasan Rivzi Clinical Oncologists Consultant Clinical Oncologist, Dr Melanie Powell Clinical Nurse Specialists Leukaemia Clinical Nurse Specialist, Elaine Stewart Myeloma Clinical Nurse Specialist, Emma Masters Lymphoma Clinical Nurse Specialist, Louise Smith Four BMT Clinical Nurse Specialists: Sonia Rissman, Filipo Oliviero, Samantha Miles & Marissa Farrell Junior Doctors 2 Foundation Year 1 Trainees 1 Foundation Year 2 Trainee 4 Senior House Officers 2 Clinical Fellows (SHO Grade) 4 SpRs in Haematology 15 2 SpRs in Medical Oncology Research The Cancer Services Directorate has research laboratory facilities in Little Britain and on the Medical College site off Charterhouse Square. The Haemato-oncology research is funded through Cancer Research UK and the Leukaemia Research Fund, and research interests not only include clinical studies in the management of leukaemia, lymphoma and myeloma but also parallel laboratory work including the “molecular” follow-up of patients on and post-treatment. The research laboratories have excellent facilities for cytogenetic analysis and molecular biology. CME and postgraduate education Full library facilities exist on the Barts, Royal London and Charterhouse sites, including Internet and Medline access. The majority of the national and international oncology journals can be found within the Directorate departmental collections. Across the Directorate there is an extensive timetable of multidisciplinary meetings and Research Seminars. The Medical College holds weekly Grand Rounds on both sites 16 BARTS AND THE LONDON NHS TRUST CONSULTANT IN HAEMATOLOGY ONCOLOGY PERSON SPECIFICATION Qualifications Knowledge Essential MB BS, or equivalent MRCP , or equivalent FRCPath or equivalent (if CCST in Haematology) CCST in haematology or medical oncology (or within 3 months of date of interview) Broad based knowledge of and understanding of Haematological Oncology. Training Expected Higher Specialist Training in Haematology Experience in teaching / training undergraduates and postgraduates Management/Audit Experience Academic Achievements Experience of clinical audit Experience of research Research Publications Personal Skills Personal Qualities Publications in indexed journals Good presentational and verbal skills Ability to motivate and develop medical trainees Self motivated Able to work as part of a team Ability to work under pressure Reliable work record 17 Desirable Higher degree, e.g. MD/PhD Specialist experience in management of lymphoma Formal management training (e.g. course) PhD/ MD Thesis Computer literacy/ IT skills appropriate to a clinical service using computerised record systems and electronic prescribing system (VARIS)