Detailed job description and main responsibilities

This post is part of a collaborative venture between The Christie NHS Foundation Trust (CFT) and Tameside and Glossop Integrated Care Foundation Trust (TGH) to support the development of haematology services across the southern sector of the Greater Manchester and Cheshire Cancer Network (GMCCN) and the delivery of clinical and laboratory haematology on the TGH site. The post will be established at the Christie although the clinical sessions will be undertaken at TGH. The post holder will be a core member of the Christie leukaemia/myeloma and lymphoma multidisciplinary teams.

The Haematology department based at TGH is run by a highly motivated team providing outpatient, day care and inpatient service to BCSH level 1. At the Christie, the appointment will join the existing team of Consultants and at TGH will complement the 3 Haematologists, a Clinical Nurse Specialist/Service Manager and Clinical Nurse Specialist.

The appointee will be expected to participate a shared on-call rota (currently with Stepping Hill Hospital) for out of hours work. There will be no on-call commitment on the Christie Site.

Clinical Haematology
There is both inpatient and outpatient management of a wide variety of benign and malignant haematological disorders as would be typical of a District General Hospital haematology practise.

Haematology has no dedicated inpatient beds, however, they provide a service to the Medical and Surgical Directorates to give haematological assessments when required. This is currently provided by ad-hoc visits as required. Haematology patients receiving out-patient care, including those attending the Tameside Macmillan Unit, that require in-patient treatment remain under the care of the admitting General Physician with the haematologist providing relevant advice. General Physicians also manage patients with venous thromboembolic problems and liaise closely with the anticoagulant service.

There is considerable liaison with local General Practitioners for haematological advice, both written and by telephone along with clinical advice and guidance via the NHS Electronic Referral Service.

The current haematology inpatient and outpatient case mix consists of general haematology, low grade haematological malignancy which includes chronic myeloid and chronic lymphocytic leukaemia, myeloma plus myelodysplasias and a variety of haemostatic and thrombotic problems. Cases of acute leukaemia in younger patients requiring intensive chemotherapy are referred onward to the specialist haematology unit at the Christie Hospital.

The treatment of haematological malignancies is by protocol and is also based on the BCSH and North West Haemato-Oncology guidelines. Chemotherapy is electronically prescribed using the iQemo computerised system.

When appropriate, patients with haemoglobinopathies are referred to the Sickle cell and Thalassaemia Centre at the Central Manchester Hospital. Patients with haemophilia and other congenital bleeding disorders are referred to the Thrombosis and Haemostasis Centre at the Manchester Royal Infirmary.

Innovation
Clinicians are expected to look at new and innovative ways of working during the team and individual job plan discussions. Job plans should focus on outcomes and patient experience in order to improve the quality and safety of patient care and to ensure services are cost effective.

Prospective cover for absent colleagues
The postholder will be expected to provide cover for absent colleagues on planned periods of leave and for short term periods unexpected absences to help maintain the continuity of the service. To this end, they would be expected to liaise with their colleagues in planning leave. 

Teaching
It is expected that the post holder will have an interest and active role in teaching.
The Department is involved in teaching medical and nursing staff of all grades as well as medical students. The post holder will be expected to participate in delivery of the weekly junior and middle grade teaching programmes.

From time to time, there may be the requirement to provide clinical training to medical students and paramedics undertaking attachments to the Department. In the main, these activities will be delivered concurrently with normal clinical activities, rather than in addition to these.

Medical practice

All members of the Trust’s medical staff are expected to practice within the GMC Guidelines; in particular those contained within the publications Good Medical Practice and Maintaining Good Medical Practice.
All of the above provide an outline of the duties of doctors who are registered with the GMC and in particular, emphasise the responsibility of every doctor to ensure standards of good clinical care, share good practice, keep up-to-date with clinical skills, work in teams and maintain good relationships with colleagues in all disciplines.

The Trust is committed to the support of these principles and provides funds for education and development of all grades of staff.

• Be responsible to the Clinical Lead for ensuring an annual appraisal is completed and job planning review undertaken.

• Be expected to meet their objectives outlined within the job plan, and the requirements set out for GMC Revalidation.

• Contribute to team objectives and priorities including their contribution to Departmental plans and targets for the GMC/GDC Revalidation process. Revalidation has two components, namely relicensing and recertification. Evidence for relicensing and recertification is based on what a doctor actually does in practice and is evidence based. Enhanced appraisal is at the heart of both relicensing and recertification.

The appointee will be based at Tameside and will report to the Clinical Director of Haematology & Teenage and Young Adult Cancer at The Christie NHS Trust with accountability to the Medical Director at The Christie NHS Foundation Trust.
• To develop and implement best practice in Haematology
• To support the existing staff at Tameside in delivery of a high quality service
• To be a core member of the GMCCN Southern Sector Multidisciplinary Team (MDT).