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GLOUCESTERSHIRE HOSPITALS NHS FOUNDATION TRUST CONSULTANT IN MEDICAL ONCOLOGY Breast, Upper GI JOB DESCRIPTION JANUARY 2017 GLOUCESTERSHIRE HOSPITALS NHS FOUNDATION TRUST Page(s) Contents 3 Introduction Purpose of the post & general responsibilities Specific Aims & Responsibilities of the post 5 Location 6 Review Important information for candidates 7-8 Appendix 1 - Provisional Job Plan 9-10 Appendix 2 - Person Specification 11-18 Appendix 3 – Additional information for candidates 493700953 2 GLOUCESTERSHIRE HOSPITALS NHS FOUNDATION TRUST JOB DESCRIPTION Consultant in Medical Oncology 1 INTRODUCTION The post is based in the Gloucestershire Oncology Centre at Cheltenham General Hospital. The Centre provides the non-surgical oncology services for the whole of Gloucestershire, Herefordshire and some specialities in South Worcestershire. The contract will be held by Gloucestershire Hospitals NHS Foundation Trust (GHNHSFT), although the appointee will spend a proportion of their time at other hospitals in the catchment area. 2 PURPOSE OF THE POST & GENERAL RESPONSIBILITIES The post holder will provide specialist medical oncology services for breast and Upper GI cancers for Herefordshire and for breast cancer for the Gloucestershire population (in conjunction with colleagues). GHNHSFT is now part of the Southwest Strategic Clinical Network (SCN) but we continue to care for patients across a broad catchment area and have strong links with the Midlands and East (SCN) which is the Strategic Clinical network for Herefordshire. Site specialised interests are indicated by the job plan and are determined by a balance of site specialisation, geographical demands and caseload. The job plan may be subject to change after consultation with and agreement of the appointee, to ensure the requirements of the department and the individual continue to be met. The successful candidate will be expected to continue the established links with site specialised teams through the appropriate multidisciplinary team meetings. The appointee will be encouraged to participate in the departmental philosophy of entering patients into clinical trials wherever possible. Further strengthening and development of multidisciplinary teams is anticipated. The post holder will maintain and develop links with the Palliative Care teams, the multi-disciplinary staff groups within Oncology and with clinical colleagues in medical and surgical specialities. The post-holder will foster links with primary care. 3 SPECIFIC AIMS & RESPONSIBILITIES OF THIS POST: Clinical The appointee will be expected to take responsibility for the delivery of high quality nonsurgical medical oncology care to the patients presenting to them in the Department To examine and treat patients in accordance with agreed Department, Regional Cancer Network and Trust wide policies To work with local and regional MDT colleagues to ensure the most appropriate care is delivered to patients in a timely way To support the clinical decision making of junior medical, nursing and pharmacy staff To provide on call support, participating in the Department rota for on-call and as per agreed protocols. To remain contactable and available when on call To carry out additional ward visits appropriate to the level of clinical care required by patients, as agreed with the AOS nursing teams on a rota basis and at the request of Consultant colleagues. Teaching/Training (as agreed with Specialty Director) A weekly multi-disciplinary meeting is held in the Centre, attended by Consultants of the Directorate of Oncology, Haematology and Palliative Care (OHP), supporting medical staff, senior 493700953 3 GLOUCESTERSHIRE HOSPITALS NHS FOUNDATION TRUST nurses, radiographers, physiotherapists, occupational therapists, palliative care nurses, dietetics, social services and the local in-patient hospice. A regular programme of meetings and activities is scheduled which the post holder will be expected to contribute to including: the SpR and SHO teaching programmes Joint teaching Audit programme Morbidity and Mortality meeting Department management meetings The Consultants hold regular tutorials for junior medical staff and there is a monthly Journal Club meeting. There are post-graduate medical centres attached to Cheltenham General and Gloucestershire Royal Hospitals, which run regular programmes of activities, lectures and seminars. The postholder will be expected to take an active part in teaching junior medical and other clinical staff. Quality Improvement and Audit (as agreed with Specialty Director) The clinical improvement and audit department of Gloucestershire Hospitals works closely with the Oncology Department and the postholder will be expected to take an active part in such activity. Opportunities for formal quality improvement training are available via the Gloucestershire Quality Improvement and Safety Academy Research The Consultants Oncologists participate in national research trials where appropriate and the majority of these trials are externally funded and non-commercial. Typically the trials are those run by organisations such as MRC, UKLG/BNLI, UKCCR and ICR/Royal Marsden and under the auspices of the NCRN. Oncology also undertakes some local research projects. All research activity is undertaken following agreement by the appropriate committee/individuals. The Cancer Research Network was established in April 2002 and has developed an infrastructure that actively supports trials and a strategy for developing R&D in the Cancer Network. A dedicated research suite has opened at the Oncology Centre with facilities for patient consultation and examination, which will further enhance the potential for trials activity. Regional non-recurring funding has been agreed, for 2 years, to support Consultants in trials participation. The postholder will be expected to take an active part in research activities. 493700953 4 GLOUCESTERSHIRE HOSPITALS NHS FOUNDATION TRUST Clinical Governance The Trust has established a framework for clinical governance and the post holder will be expected to contribute to the relevant local programmes. Management (as agreed with Specialty Director) To provide medical information for the development of services appropriate for Trust and catchment population needs. This will include analysis of the impact of National Guidance, the results of clinical trials and the emergence of new therapies on site speciality demand and capacity planning To participate in departmental Consultant and senior staff meetings whilst remaining within the framework of the agreed strategy of the Trust and the Department To attend other departmental, Divisional and Trust meetings as necessary, including OHP Monthly Board Sub-specialty meetings Management meetings; including monthly Consultant meeting To attend regional and national meetings as necessary To undertake all work in accordance with Trust procedures and operating policies Teamwork To work within the framework of multidisciplinary team decisions. To take a whole systems approach to working with the wider health community To show initiative, enthusiasm and flexibility Strategic Development To be aware of the national changes to health care provision, the regulation and monitoring of health care services and the drivers for change To support the Speciality Director and Trust management colleagues in developing effective links with commissioners and other providers to meet the Trust strategic objectives Accountability The post-holder will be immediately accountable to the Specialty Director. Further line management is provided by the Divisional Chief of Service and subsequently the Medical Director The post-holder has a general duty of care for their own health, safety and well being and that of work colleagues, visitors and patients within the hospital. This statutory duty is in addition to any specific risk management or clinical governance accountabilities associated with the post. Finally, the post-holder is expected to: 1. 2. 3. 4 Observe the rules, policies, procedures and standards of Gloucestershire Hospitals NHS Foundation Trust together with all relevant statutory and professional obligations Observe and maintain strict confidentiality of personal information relating to patients and staff Be responsible, with management support, for their own personal development and to actively contribute to the development of colleagues LOCATION The place of clinical work for this post is split between Hereford Hospital and Gloucestershire Hospitals. Other work locations, including off site working, may be agreed in the post-holder’s Job Plan where appropriate. The post-holder will generally be expected to undertake their Programmed Activities at the principal place of work or other locations agreed in the Job Plan. Exceptions will include travelling between work sites and attending official meetings away from the workplace. You will be required to work at any site within the Trust. 493700953 5 GLOUCESTERSHIRE HOSPITALS NHS FOUNDATION TRUST 5 REVIEW This job description will be regularly reviewed. It is intended as a guide to the general scope of duties and is not intended to be definitive or restrictive. It is expected that some of the duties will change over time and this description will be subject to review in consultation with the post-holder. 6 IMPORTANT INFORMATION FOR CANDIDATES The appointee will be required to live within Gloucestershire, within 30 minutes or 10 miles of base, and will be expected to agree an appropriate location with the Specialty Director. The post-holder will have access to vulnerable adults and may have access to children under the provision of Joint Circular No HC(88) 9 HOC8/88 WHC (88) 10. Criminal Records Bureau clearance is a job requirement. Therefore, applicants are advised that the appointment will be subject to disclosure of any convictions, bind-over orders or cautions. Attention is also drawn to the provisions of the Rehabilitation of Offenders Act 1974 (Exceptions) (Amendment) Order 1986, which allows convictions that are spent to be disclosed for this purpose by the police and to be taken into account in deciding whether to engage an applicant. Candidates are asked to note that canvassing of any member of the Advisory Appointment Committee or Gloucestershire Hospitals NHS Foundation Trust Board will disqualify them from appointment. This should not deter candidates from approaching any person for further information about this post. Candidates are most welcome to visit the hospital and are encouraged to discuss the post with all consultants and any other members of staff they wish: Dr Charles Candish Specialty Director; Oncology Haematology and Palliative Care Tel: 03004 224925 Binoy Kuriakose General Manager, Oncology & Haematology Tel: 03004 224017 Ms Tracy Iles Divisional Operations Director Tel: 03004 225555 Mr Neil Borley Trust Lead Cancer Clinician (Consultant Colorectal Surgeon) Tel: 03004 223176 Short listed candidates only must make arrangements to meet or speak with the Medical Director (or his designated representative) prior to the interview. They should also meet with the Speciality Director and the Cancer Network Lead Clinician prior to the interview as part of the selection process: Dr Sean Elyan, Medical Director 493700953 Tel: 03004 222321 6 GLOUCESTERSHIRE HOSPITALS NHS FOUNDATION TRUST Proposed Job plan JOB PLAN MEDICAL ONCOLOGIST - APPENDIX 1 Breast, Upper – Herefordshire Breast - Gloucestershire PAs Monday am N/FU GRH 1.0 Monday pm AOS GRH 1.0 Tuesday am MDT Upper GI (via V/C) Chemo clinic CGH 0.25 1.0 MDT Breast CGH Ward Round SPA 0.5 0.25 1.0 Tuesday pm Wednesday am Travel Daily PAs 0.25 2.25 total 2.0 1.0 Wednesday pm Thursday am Thursday pm Friday am MDT Meeting SPA 0.25 0.5 DCC Admin Breast MDT HCH Chemo clinic HCH 0.75 0.25 1.0 N/FU OP HCH 1.0 1.5 2.75 0.5 Friday pm On call 0.5 Total PAs 10 CGH – Cheltenham General GRH – Gloucestershire Royal Hospital HCH – Hereford County Hospital Programmed activity Direct clinical care (including unpredictable on-call) 10 8.5 Supporting professional activities 1.5 Programmed activity 10 2. On-call availability supplement Agreed on-call rota: 493700953 1:16 7 GLOUCESTERSHIRE HOSPITALS NHS FOUNDATION TRUST Agreed category: On-call supplement: A 3% The Medical Local Negotiating Committee (LNC) has agreed on behalf of the medical staff body within the Trust a standard allocation of 1.5 SPAs for all new appointments. Core duties are included in the present allocation of 1.5 SPAs but additional SPAs (up to a total maximum of 2.5 SPAs) may be available following discussion with the Specialty Director, depending upon Trust requirements and individual expertise. In line with the terms and conditions, the final job plan is subject to the agreement of the Trust through the Specialty Director and the appointee. Consultants provide cover for their colleagues for emergency work whenever they are away. The maximum number of Consultants away at any one time is always subject to the provision of an adequate service for patients. The job plan represents an average week. The plan may vary in response to other consultants leave and to unplanned increases in work. The consultant will be expected to monitor their hours to ensure that the workload averages out to the proposed job plan. 493700953 8 GLOUCESTERSHIRE HOSPITALS NHS FOUNDATION TRUST APPENDIX 2 PERSON SPECIFICATION - CONSULTANT IN MEDICAL ONCOLOGY REQUIREMENTS ESSENTIAL Full GMC Registration DESIRABLE Qualifications MRCP/FRCP or equivalent Entry on the GMC Specialist Register via Clinical Experience CCT or CESR (CP) (proposed CCT/CESR (CP) date must be within 6 months of interview) CESR or European Community Rights Evidence of expertise in the areas of special interest relevant to the Job Plan of interest. Another sub-specialty interest according to previous experience A full understanding of clinical risk assessment Clear logical thinking showing an analytical/ scientific approach to clinical practice Management & Administrative Experience Participation in clinical audit including completion of audit project Developing clinical protocol in site specialised groups Understanding of Clinical Governance Teaching Experience Training of junior doctors Training of specialist registrar grade 9 493700953 GLOUCESTERSHIRE HOSPITALS NHS FOUNDATION TRUST Research Experience Active involvement in clinical trials Personal Attributes/Attitudes Evidence of effective team working Higher research to degree level Conscientious and empathetic Able to take responsibility, show leadership and make decisions Use non-judgemental approach to patients and colleagues regardless of the sexuality, ethnicity, disability, religious beliefs or financial status Flexible and resilient Initiative, drive and enthusiasm Probity Committed to lifelong learning Able to meet travel commitments of the post 10 493700953 GLOUCESTERSHIRE HOSPITALS NHS FOUNDATION TRUST APPENDIX 3 ADDITIONAL INFORMATION FOR CANDIDATES 1.0 GLOUCESTERSHIRE Cheltenham and Gloucester lie at the head of the Severn Estuary, midway between London and South Wales. Gloucester is an old Roman fortification and an historic cathedral city. Cheltenham is a large Regency town renowned for its music, literary and cricket festivals and for the ‘Cheltenham Gold Cup’. Gloucestershire is well known for its cultural and leisure activities and has many excellent state and private schools as well as colleges of higher education and its own university (the University of Gloucestershire). Both Cheltenham and Gloucester are close to the M5 motorway, providing easy access to the university facilities of Bristol, Cardiff and Birmingham. Oxford lies 40 miles to the east on the A40. Cheltenham and Gloucester are served by the Intercity network with easy access by train to Birmingham and the north and Bristol and the south west of the country. There is a direct Intercity service to London Paddington. The airports at Bristol and Birmingham are about an hour away and London Heathrow airport is less than 2 hours by road. 2.0 HEALTH SERVICES IN GLOUCESTERSHIRE Gloucestershire Clinical Commissioning Group (CCG) is now the main commissioner of services in Gloucestershire and includes membership of lead GPs. Within the Gloucestershire CCG area there are five main localities including Stroud, The Forest of Dean, North Cotswolds, Gloucestershire and Cheltenham. The NHS Commissioning Board is responsible for overseeing delivery in the NHS as well as commissioning GP services and holding CCGs to account. They operate through Local Area Teams (LATs) and our LAT covers Gloucestershire, Bath, Swindon and Wiltshire, but operates out of Gloucestershire. Gloucestershire Hospitals NHS Foundation Trust provides acute services to the population of Gloucestershire (600,000), as well as services to parts of Herefordshire and Worcestershire We are the second largest employer in Gloucestershire, with more than 7,400 employees. Our success depends on the commitment and dedication of our staff. Many of our staff are world leaders in the fields of healthcare, teaching and research and we aim to recruit and retain the best staff possible. Our patients are cared for by more than 2,100 registered nurses and midwives and 800 doctors. In addition, we employ more than 600 estates staff, 190 healthcare scientists and 425 health professionals, such as physiotherapists and speech therapists. Gloucestershire Care Services NHS Trust provides a range of community based health and social care services such as District nursing, health visitors, and sexual health services and is responsible for the County’s seven community hospitals in Stroud, Tewkesbury and the Cotwolds. ²gether NHS Foundation Trust provides mental health and learning disability services in Gloucestershire. This Trust works in partnership with Social Services. The South Western Ambulance Service NHS Foundation Trust, which was formed on 1st February 2013 provides emergency and urgent care, patient transport services and out of 493700953 11 GLOUCESTERSHIRE HOSPITALS NHS FOUNDATION TRUST hours services across Cornwall and the Isles of Scilly, Devon, Dorset, Gloucestershire, Somerset, Wiltshire and the former Avon. 3.0 GLOUCESTERSHIRE HOSPITALS NHS FOUNDATION TRUST The Trust was established in April 2002 to provide acute hospital services for the whole of Gloucestershire. The Trust has an income plan for 2015/16 of circa £483 million and employs approximately 6,700 WTEs. The Trust currently manages two hospitals: Gloucestershire Royal Hospital 580 plus 48 day beds (628) Cheltenham General Hospital 378 plus 33 day beds (411) Over the course of a year the average activity for the Trust is more than 17,000 elective inpatient cases, 62,000 emergency inpatient cases, 74,000 day cases, 430,000 outpatients attendances and 100,000 A&E attendances. The Trust serves a population of more than 600,000 for acute care and a population of over 750,000 for cancer. Gloucestershire Royal Hospital provides general hospital services predominantly to people living in the west of the county. Some services such as renal and haemodialysis, inpatient paediatrics, paediatric oncology, inpatient neurology, rheumatology, dermatology and ENT are provided for the whole county. Cheltenham General Hospital provides general hospital services predominantly to people living in the east of the county and parts of south Worcestershire. Some services, such as ophthalmology are provided for the whole county. The Oncology Centre at Cheltenham General Hospital is the hub of the Three Counties Cancer Network being a centre of excellence for Gloucestershire, Herefordshire, Worcestershire and parts of Wales. Gloucestershire Royal Hospital has a 24-hour accident and emergency department with helipad access. A day time and early evening service is provided on the Cheltenham General site As a large acute Trust, Gloucestershire Hospitals NHS Foundation Trust attracts staff in all clinical and non-clinical disciplines. It is able to offer an excellent career structure, opportunities for flexible working and a wide range of services to support staff. The Trust places great emphasis on improving patient access to services and reducing visits to hospital where possible through the provision of “one-stop clinics” where all tests, consultations and treatments are provided with only one visit to the hospital. The Trust provides opportunities for the public to be involved through patient surveys, focus groups and a good working relationship with the Patients’ Fora. A Patient Advice and Liaison Service within the Trust provides the opportunity for patients, their relatives and friends to access clear and friendly information. The Hospitals’ Leagues of Friends, other support groups and organisations play an important role in the life of the service and are an effective link to the public. The Trust enjoys strong and fruitful relationships with its partners in the Gloucestershire Health Community and in Social Services and other statutory organisations, working together to ensure the best health care for people in Gloucestershire. The Trust received approval to become a Foundation Trust from July 2004. 493700953 12 GLOUCESTERSHIRE HOSPITALS NHS FOUNDATION TRUST 4.0 LOCALITY HOSPITALS IN GLOUCESTERSHIRE The county is currently well served by a large range of community hospitals including those within the CCG’s, many of which provide outpatient, radiology, elective surgery, therapy and emergency services, as well as inpatient rehabilitation and intermediate care. Dursley (The Vale) Cirencester Cinderford (The Dilke) Lydney North Cotswold (Moreton-in-Marsh) Stroud Tewkesbury Winchcombe 20 beds 75 beds 26 beds 27 beds 26 beds 44 beds 54 beds 6 beds Within the Gloucestershire 2gether Foundation Trust, community facilities are also provided for mental health services, mental health resource centres and in facilities offering services to people with learning disabilities. 5.0 CANCER NETWORK STATUS Until April 2013, all cancer services across Gloucestershire, Herefordshire and south Worcestershire formed the 3 Counties Cancer Network. As part of the reorganisation across the NHS, the Cancer Centre now serves a population which is split across 2 SCN’s. The Southwest Strategic Clinical Network now acts as the lead organisation for the decisions on provision of services to this population, liaising with the Midlands and East network. This process has led to the need for increasing sub-specialisation amongst oncologists, surgeons and physicians, and the development of multi-professional team working. The Radiotherapy element of these services is based in the Gloucestershire Oncology Centre at Cheltenham General Hospital and a new purpose built Satellite Radiotherapy Unit which opened in August 2014 at Hereford County Hospital, adjoining the Macmillan funded outpatient and chemotherapy suite on the site. Chemotherapy is delivered in the Centre, Gloucester Royal Hospital and at the Cancer Unit in Hereford. It is also delivered from the Mobile Chemotherapy Unit which travels to 4 community hospital sites each week; bringing care closed to patient’s homes and we are developing homecare services where appropriate for patients. 6.0 THE DIAGNOSTICS AND SPECIALTIES DIVISION The Gloucestershire Oncology Centre is within the Service Line of Oncology, Clinical Haematology and Palliative Care in the Diagnostics and Specialties Division (D&S) of the Gloucestershire Hospitals NHS Foundation Trust. Dr Frank Jewell is Chief of Service for D&S, Mr Adrian Bamford is Operations Director, Mrs Julie Garnham; Divisional Nursing Director Nurse and Mrs Nicola Turner; Speciality Director of Allied Health Professionals. 7.0 GLOUCESTERSHIRE ONCOLOGY SERVICES The Gloucestershire Oncology Centre is located on the Cheltenham General Hospital site and provides sub-regional cancer services for a catchment population of more than 1.1 million people living in Gloucestershire, Herefordshire, Worcestershire and parts of Shropshire and Powys. 493700953 13 GLOUCESTERSHIRE HOSPITALS NHS FOUNDATION TRUST 7.1 Gloucestershire Oncology Centre Services are provided across Gloucestershire Hospitals NHS Foundation Trust at its Cancer Centre on the Cheltenham hospital site and also in Gloucestershire Royal Hospital, where outpatient clinics are held and outpatient haemato-oncology clinics and treatments are given in the Edward Jenner Unit. In addition there is an affiliated cancer units in Hereford. As well as services within the Oncology Centre, and affiliated Units, non-surgical oncology services are provided in Stroud, Dursley, Cirencester, Lydney and Tewkesbury and Moreton. These include new patient and follow-up clinics, joint clinics and meetings. Consultants and some specialty grade staff have sessional commitments to these. The Oncology Centre in Cheltenham is the base for non-surgical oncology treatments.. In 2014 a Satellite Radiotherapy Unit opened at Hereford County Hospital and is adjacent to the Macmillan Chemotherapy Unit. The successful applicant for this new post will also support Consultants working in Hereford to enable them to have time to care for patients receiving radiotherapy services at Hereford. There are 40 dedicated beds in the Oncology Centre accepting both oncology and malignant haematology patients. They are staffed with attending Consultant Oncologists and Haematologists who work on rotation, Specialist Registrars, and up to 9 junior medical staff. Oncology trained nurses, some with prescribing qualifications provide specialist care for these patients and support inpatient chemotherapy pathways. There is a dedicated neutropenic and high dependency section. An active autologous stem cell transplant programme is in place. A dedicated and staffed space is provided within the Centre for the care of those suffering acute side effects of treatment and disease and which is accessed directly by patients. Palliative care is coordinated from within the Trust with teams based at the Centre and at Gloucester, linked to community teams, local hospice services, primary care and specialist nursing. They provide County wide services for Gloucestershire. Clinical haematology is contained within the same clinical directorate for the management of adult haematological malignancies and as part of the lymphoma team. The Radiotherapy Department offers a wide range of treatment modalities with five linear accelerators, a high dose rate selectron, prostate brachytherapy, superficial X-rays and electrons. There is a dedicated CT planning and virtual simulator suite and full physics back up. The Cancer Centre Clinical Trials Unit, staffed by a team of research nurses, is based in the Oncology Centre and has recently been extended with the opening of a dedicated research suite with consultation rooms. The Centre currently registers more than 4000 new patients per year. 7.2 CONSULTANT STAFFING Clinical Oncology Dr K Benstead Dr S A G Elyan Dr R Counsell Dr S Shepherd Dr P Jenkins Dr A Cook Dr J Bowen 493700953 Lymphomas, lower GI, Neuro-oncology, upper GI, breast, Gynaecology, breast, brachytherapy Lower GI, Skin Urology, breast Gynaecology, head and neck, urology, brachytherapy Urology, breast, brachytherapy 14 GLOUCESTERSHIRE HOSPITALS NHS FOUNDATION TRUST Dr C Candish Dr S Guglani Dr N Reed Dr W Grant Dr S Jonnada Upper GI, sarcoma, thyroid Neuro-oncology, lung Lung, lower GI, Upper GI Urology, Head & Neck Lung, Urology, Skin Medical Oncology Dr D Farrugia Dr M Decatris Lung, germ cell, melanoma, renal, CUP lead Lung, melanoma, renal Haematology Dr R Lush Dr S Chown Dr A Jonny Dr A Rye Dr R Frewin Dr O Miles Dr M Shields Dr P Robson Palliative Care Dr P Perkins Dr E Husbands Non-consultant staff in the Oncology Centre includes specialty trainees in Clinical Oncology, Haematology and Palliative Care and in addition, 1 Associate Specialist, 7 Specialty Doctors, 2 x F1s, 3 x F2s, 2 x CMTs and 4 x ST1/2/VTS doctors. 7.3 CHEMOTHERAPY Oncological Chemotherapy is carried out in dedicated outpatient suites in Cheltenham and Hereford Hospitals. The nursing staff provide a pre-chemotherapy clinic for newly diagnosed patients, consisting of drug and side-effects information, and answer specific questions on their disease. Additionally, there is a ward based chemotherapy service at Cheltenham General Hospital. A 24 hour chemotherapy ‘help line’ is run in a dedicated acute oncology assessment unit at the Oncology Centre and is equipped with trolley bays and chair spaces for acute assessment and treatment. The out-patient service currently comprises chemotherapy trained nurses based in Cheltenham and Gloucester, a twice weekly PICC line service, weekly Groshong line service, specialist pharmacy service providing a ward based visiting service and a cytotoxic dispensing service. In addition to this, Pharmacy provides clinical support through attendance at regular multidisciplinary meetings, drug information services and expenditure advice. There is a pharmacist with special responsibility for ensuring compliance in Clinical Trials. A mobile chemotherapy unit, supported by telephone assessment clinics provides chemotherapy services at Cirencester, Stroud, Tewkesbury and the Dilke Hospital in Cinderford. Plans for the MCU to visit additional sites are being worked up. A Consultant Nurse, Advanced Nurse Practitioners with chemotherapy prescribing qualifications and prescribing Oncology Pharmacists also support the work of the chemotherapy service on both hospital sites. Ward and outpatient nurses who have undertaken ENB N59 administer in-patient chemotherapy in either bolus or infusional form. 7.4 RADIOTHERAPY All radiotherapy treatment machine accommodation has been modernised as part of the rebuild of the Oncology Centre and the opening this year of a Satellite Unit at Hereford 493700953 15 GLOUCESTERSHIRE HOSPITALS NHS FOUNDATION TRUST County Hospital. Treatment facilities include 4 matched dual energy (15 and 6 MV) Linear Accelerators with 5 electron energies, KV imaging and cone beam CT capabilities for IGRT. There is also one 6MV Linac with ASi MV imaging. Over 50% of radical treatments are delivered using IMRT with both static and arcing techniques. All Linacs have MLC’s and ASi MV portal imaging. The Linacs, including the Satellite are networked and the Centre is paperlight and moving towards paperless working by the early 2015. The Centre also has a Superficial Treatment unit, CT simulator, Treatment Planning Computers and High dose rate Selectron. Support services of a Mould Room, Electronics and Engineering Services are within the department. HDR Brachytherapy is established in the department for the treatment of gynaecological malignancies and plans are being developed to extend this to other tumour types. There is a well established prostate seed brachytherapy programme. 7.5 HAEMATOLOGY SERVICES The Haematology service provides treatment for haematological malignancies for patients in the Gloucestershire and Herefordshire catchment area. The Gloucestershire haematologists collaborate with their colleagues in Hereford; all in-patient episodes take place in Cheltenham. The Consultant Haematologists work as a team providing cross county cover for all their patients. Blood stem cell autografts are performed in county; allogeneic transplants are referred to Bristol Children’s Hospital. The haematology service is supported by the full range of laboratory services. 7.6 PALLIATIVE CARE SERVICES The Cancer Network has hospital and community based palliative care services on both sides of the county; these comprise Macmillan Consultants in Palliative Medicine with teams of clinical assistants, clinical nurse specialists, and social workers on each side of the county. In addition there is a clinical psychology input. The Palliative Care Education Group (PEGG) provides a regular multidisciplinary education programme. There are very strong voluntary sector palliative care services available locally. These services make an essential contribution to the overall inpatient palliative care provision in the county. In-patient continuing care beds are situated at the Sue Ryder Home, Cheltenham and St Michael’s Hospice, Hereford. Day care is also available at Cotswold Care Hospice and Great Oaks Hospice. 7.7 CANCER GENETICS SERVICE Access to clinical cancer genetic services are available. 7.8 NON- NHS FUNDING SUPPORT Ongoing charitable support is provided by FOCUS (Fund for Oncology Centre Users and Supporters) which is part of the Trust’s Charitable Funds. From time to time the services are also supported by the Cobalt Appeal Fund Cheltenham. 8.0 THE ONCOLOGY POST The appointee will join an active and cohesive team, which collectively has expertise in the management of both rare and common cancers. The predominant referrals include patients with breast, lung, colorectal and urological cancers as well as the less common neurological, upper GI, sarcoma, gynaecological tumours, haematological and head and neck cancers. Most patients are treated on standard protocols and many are entered into clinical trials. All developments are tumour site specialised rather than by treatment modality. 493700953 16 GLOUCESTERSHIRE HOSPITALS NHS FOUNDATION TRUST The post-holder will be expected to support development of oncology services in collaboration with other Consultant Oncologists, joining the relevant site specific teams. All Consultants participate in the undergraduate and postgraduate training programmes within the Centre and share some administrative responsibilities. It is planned that the postholder will have fixed sessions. This may be modified, by agreement between the Specialty Director and the successful candidate. The appointee will be supported by a personal secretary and share the departmental secretariat with the other consultants. An office will be provided for the consultant in the Oncology Centre. Clinical duties will include outpatient clinics at Cheltenham General, Gloucestershire Royal Hospital, Hereford County Hospital with variation depending on the particular post. The appointee will be expected to share an on call rota covering the Oncology Centre. This arrangement equates to 1 in 16 on call commitment. Additionally , cover for radiotherapy emergencies is provided by a Clinical Oncologist. 9.0 TEACHING, RESEARCH, AUDIT AND CLINICAL GOVERNANCE The post-holder will be encouraged to be active in clinical research. The Trust is part of a network of hospitals that have been collaborating with Cranfield University to form the Cranfield Postgraduate Medical School (based at Redwood House in Gloucester). Consultants at Gloucestershire Royal and Cheltenham General Hospitals currently hold professional honorary academic appointments. The successful applicant may be afforded the opportunity to join this multi-disciplinary postgraduate medical school as a faculty member depending on interests and research activity. The Trust has a well established framework for clinical governance that incorporates the clinical audit program. A wide variety of audits are undertaken within the Department. The Department is supported by a dedicated audit assistant, a dedicated member of the Information department and a dedicated risk manager. Clinical Governance meetings are regular. The post-holder will be expected to take part in developing clinical audit activities within the department and achieving clinical governance objectives in accordance with the agreed Divisional and Trust clinical governance programs. The health community of Gloucestershire supports the development of the Gloucestershire Academy. The Academy is hosted by the Gloucestershire Hospitals NHS Foundation Trust. Initially led by the University of Bristol Medical School and now involving the University of the West of England Faculty of Health and Social Care, it will continue to grow to embrace the ambitions of the NHS, the University and other organisations that may be relevant to our county’s Trusts and employees. Meanwhile its implementation currently involves providing an academic infrastructure for students in medicine, nursing and the allied health professions to pursue the curriculum with relevant high education institution, in the health service, clinical setting of the primary and secondary care Trusts of Gloucestershire. 10.0 CONTINUING PROFESSIONAL DEVELOPMENT The Trust recognises the importance of continuing medical education and actively encourages consultant staff to give priority to their continuing professional development. The appointee will undertake CME / CPD as per College recommendations. Consultant appraisal now operates within Gloucestershire Hospitals NHS Foundation Trust and it is mandatory that the appointee undergoes yearly appraisals. A mentoring scheme for new consultant staff has recently been established and each new appointee will be appointed a mentor shortly after appointment. 493700953 17 GLOUCESTERSHIRE HOSPITALS NHS FOUNDATION TRUST 11.0 TERMS AND CONDITIONS OF SERVICE 11.1 Contract Appointment will be offered on a Gloucestershire Hospitals NHS Foundation Trust contract. General Terms and Conditions of Service are contained in the “Terms and Conditions, Consultants (England) 2003”. Copies of this are available on-line on the Department of Health website or from the Human Resources Department. Any locally agreed terms, conditions, policies and procedures applicable to this post are available from the Human Resources Department or through the LNC or Human Resources intranet sites. 11.2 Relocation The appointee will be required to live within a reasonable travelling distance (normally 10 miles) of the Base Hospital. Reasonable traveling distance will be determined by the Specialty Director. Candidates will be eligible to claim relocation expenses up to a maximum of £8,000 under the terms of the Trust policy. 11.3 Salary £76,001 rising by increments to £102,465 per annum (based on 10 PAs 2016/7 pay rates). Full details, including those of seniority, are outlined in the “Terms and Conditions of Service – Consultants (England) 2003” and subsequent amending national pay circulars. 11.4 Annual Leave Arrangements It is expected that all leave will be booked at least 8 weeks in advance. The locally agreed leave policy is available on the Local Negotiating Committee website or via Human Resources. 11.5 Secretarial Support and Accommodation The post-holder will have secretarial support. Office accommodation will be provided within an office shared with other consultants and their secretaries. The postholder and his/her secretary will be linked to the Trust’s Infoflex data collection / discharge summary system and have computer access to radiology, PAS, Trust intranet, e-mail and internet and other hospital systems. 493700953 18