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General Practitioner with a Specialist Interest in Oncology

Guy's and St Thomas' NHS Foundation Trust

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Job summary

GUY'S AND ST. THOMAS' HOSPITAL NHS FOUNDATION TRUST

Oncology

General Practitioner with a Specialist Interest in Oncology

GP Payscale: Min grade value is £68,975. Max grade value is £104,085 excluding LZ

Full Time - 10 PAs per week

The Departments of Oncology, General Medicine and Ageing and Health have worked together to develop a novel and exciting initiative to improve care for people presenting to cancer services.

We are looking to recruit an enthusiastic, motivated experienced GP with a special interest as a diagnostician to join the Rapid Diagnostic Clinic team in South East London. The role will be based at GSTT with the further option to work in other South East London locations in line with service expansion. The SEL RDC is a HSJ award winning team tasked with diagnosing cancer and other serious conditions. The RDC's are a key part of the NHSE ambition to diagnose all Cancer by stage 1 or 2 by 2028. This substantive full time 10 PA post offers an exciting opportunity to join these innovative teams at GSTT. Applicants who would prefer part time post are welcome to apply. The final job plan is subject to agreement.

The post has been established to broaden the scope of the RDC in South East London and continue in developing close working relationships between primary and secondary care to better cater for the needs of our patients and the wider RDC programme in South East London.

Main duties of the job

Candidates are not expected to have received subspecialty training in oncology but should demonstrate enthusiasm and track record in innovative service delivery and evaluation, clinical skills in evaluating complex medical patients, education and training and quality improvement programmes. The successful candidate will be expected to be intellectually flexible and able to look beyond existing structures, ways of working and traditional care boundaries in order to produce more effective and innovative service delivery. They will be expected to take an active role in research and development and to participate in the teaching programs of the department. The post-holder will need to adapt quickly to new situations and provide high level clinical care to complex in and out-patients.

The post holder will work in both the out and in-patient setting to:-

Develop, implement, and evaluate new pathways of care for in- and out-patients with multimorbidity, polypharmacy and early diagnosis of cancer of serious benign conditions
Provide proactive comprehensive, holistic assessment for patients referred to RDC
Provide education and training on issues related to multimorbidity and medical conditions for the wider multidisciplinary cancer teams

About us

The Trust consists of St Thomas' Hospital at Waterloo, including the Evelina Children's Hospital, and Guy's Hospital at London Bridge. We are also part of King's Health Partners Academic Health Sciences Centre (AHSC), a pioneering collaboration between one of the world's leading research-led universities and three of London's most successful NHS Foundation Trusts. Our AHSC is one of only five in the UK and consists of King's College London and Guy's and St Thomas', King's College Hospital and South London and Maudsley NHS Foundation Trusts. Our AHSC brings togetherthe best of basic and translational research, clinical excellence and world-class teaching to deliver groundbreaking advances in physical and mental healthcare. For further information about Kings' Health Partners, Kings College London and our research please see the following links: www.kingshealthpartners.org , http://www.kcl.ac.uk/medicine/index.aspx, http://www.guysandstthomas.nhs.uk/research/research.aspx and www.biomedicalresearchcentre.org|

Date posted

10 November 2023

Pay scheme

Hospital medical and dental staff

Grade

Doctor - other

Salary

£68,975 to £104,085 a year p.a. excl. LZ (pro rata)

Contract

Permanent

Working pattern

Full-time

Reference number

196-MED4248

Job locations

Guy's Hospital

Great Maze Pond

London

SE1 9RT

Job description

Job responsibilities

The post-holder will be accountable to Dr Hartmut Kristeleit, Clinical Director for Oncology but will have strong links with James Fleet, Clinical Director of Acute & General Medicine. The post holder will report to Dr Saoirse Dolly, Clinical lead for RDC.

Specifically, the post-holder will deliver general medical expertise in the outpatient Rapid Diagnostic Centre (RDC) and support delivery of acute medical care across the Guys site. The need for such a role has been demonstrated through local work showing that 55% of outpatient RDC attendees are aged over 60 years, with a significant proportion of patients on the oncological wards being older and multimorbid with implications for both acute and longer-term management. The success of the Guys RDC model has been demonstrated (Dolly et al, BJC 2021) and is being rolled out across the South East London Cancer Alliance. The team recently won the Integrated Healthcare Partnership Award of the Year from the Health Service Journal.

The key roles and responsibilities of the role will be:

To undertake face to face and virtual RDC clinics
Oversee Advanced Nurse Practitioner telephone assessment
Participating in RDC MDMs
Service development between RDC and primary care
Involvement in SEL RDC education work inc. ANP and GP education
Option to undertake audit/ RDC research

Provide High Quality Care to Patients

The post holder must be medically qualified and maintain GMC specialist registration and hold a licence to practice in relevant specialties
To develop and maintain the competencies required to carry out the duties required of the post.
To ensure prompt attendance at agreed direct clinical care Programmed Activities.
To ensure patients are involved in decisions about their care and to respond to their views.

Research, Teaching and Training

Where possible to collaborate with academic and clinical colleagues to enhance the Trusts translational research portfolio, at all times meeting the full requirements of Research Governance.
To provide high quality teaching to medical undergraduates and members of other health care professions as required by the Clinical Director.
To act as educational supervisor and appraiser as delegated by the Clinical Director to ensure external accreditation of training post.

Performance Management

To work with medical, nursing and managerial colleagues to ensure high performance in the following areas:
Clinical efficiency e.g. LOS reductions, reducing cancelled operations and DNA rates.
Quality of outcomes e.g. infection control targets, reducing re-admission rates.
Financial management e.g. identification, implementation and achievement of cost improvement programmes and participating in efforts to ensure services are provided cost effectively e.g. managing locum agency spend, monitoring and managing the drug budget to target, ensuring accuracy of clinical data for the team.
Operational efficiency e.g. day-case rates, waiting list activity and demand management.

Medical Staff Management

To work with colleagues to ensure junior doctors hours are compliant in line with EWTD and New Deal.
To ensure that adequate systems and procedures are in place to control and monitor leave for junior medical staff and to ensure that there is appropriate cover within the clinical areas, including on-call commitments
To participate in the recruitment of junior medical staff as and when required.
To participate in team objective setting as part of the annual job planning cycle.
To be responsible for the annual appraisal of all doctors in training, Trust doctors, Clinical Fellows and non-consultant grades as delegated by the Clinical Director/General Manager.

Governance

To review clinical outcomes in designated area using external benchmarking data where appropriate, to identify and advise variances to the Clinical Director.
Participate in clinical audit, incident reporting and analysis and to ensure resulting actions are implemented.
To work closely with the Directorate, Patient and Public Involvement panels in relation to clinical and services developments as delegated by the Clinical Director.
Participate in ensuring NICE requirements are reviewed and implemented and monitored in the speciality areas.
To ensure clinical guidelines and protocols are adhered to by junior medical staff and updated on a regular basis.
To keep fully informed about best practice in the speciality areas and ensure implications for practice changes are discussed with the Clinical Director.
To role model good practice for infection control to all members of the multidisciplinary team.

Strategy and Business Planning

To participate in the business planning and objective setting process for the directorate and Trust where appropriate.
To represent the Trust at appropriate clinical networks/other external clinical meetings, as delegated by the Clinical Director.

Leadership and Team Working

To demonstrate excellent leadership skills with regard to individual performance, clinical teams, the Trust and when participating in national or local initiatives.
To work collaboratively with all members of the multi-disciplinary team and Kings Health Partners as required.
To chair regular meetings for the specialties.
To resolve conflict and difficult situations through negotiation and discussion, involving appropriate parties.
Adhere to Trust/departmental guidelines on leave including reporting absence.

Job description

Job responsibilities

The key roles and responsibilities of the role will be:

To undertake face to face and virtual RDC clinics
Oversee Advanced Nurse Practitioner telephone assessment
Participating in RDC MDMs
Service development between RDC and primary care
Involvement in SEL RDC education work inc. ANP and GP education
Option to undertake audit/ RDC research

Provide High Quality Care to Patients

The post holder must be medically qualified and maintain GMC specialist registration and hold a licence to practice in relevant specialties
To develop and maintain the competencies required to carry out the duties required of the post.
To ensure prompt attendance at agreed direct clinical care Programmed Activities.
To ensure patients are involved in decisions about their care and to respond to their views.

Research, Teaching and Training

Where possible to collaborate with academic and clinical colleagues to enhance the Trusts translational research portfolio, at all times meeting the full requirements of Research Governance.
To provide high quality teaching to medical undergraduates and members of other health care professions as required by the Clinical Director.
To act as educational supervisor and appraiser as delegated by the Clinical Director to ensure external accreditation of training post.

Performance Management

To work with medical, nursing and managerial colleagues to ensure high performance in the following areas:
Clinical efficiency e.g. LOS reductions, reducing cancelled operations and DNA rates.
Quality of outcomes e.g. infection control targets, reducing re-admission rates.
Financial management e.g. identification, implementation and achievement of cost improvement programmes and participating in efforts to ensure services are provided cost effectively e.g. managing locum agency spend, monitoring and managing the drug budget to target, ensuring accuracy of clinical data for the team.
Operational efficiency e.g. day-case rates, waiting list activity and demand management.

Medical Staff Management

To work with colleagues to ensure junior doctors hours are compliant in line with EWTD and New Deal.
To ensure that adequate systems and procedures are in place to control and monitor leave for junior medical staff and to ensure that there is appropriate cover within the clinical areas, including on-call commitments
To participate in the recruitment of junior medical staff as and when required.
To participate in team objective setting as part of the annual job planning cycle.
To be responsible for the annual appraisal of all doctors in training, Trust doctors, Clinical Fellows and non-consultant grades as delegated by the Clinical Director/General Manager.

Governance

To review clinical outcomes in designated area using external benchmarking data where appropriate, to identify and advise variances to the Clinical Director.
Participate in clinical audit, incident reporting and analysis and to ensure resulting actions are implemented.
To work closely with the Directorate, Patient and Public Involvement panels in relation to clinical and services developments as delegated by the Clinical Director.
Participate in ensuring NICE requirements are reviewed and implemented and monitored in the speciality areas.
To ensure clinical guidelines and protocols are adhered to by junior medical staff and updated on a regular basis.
To keep fully informed about best practice in the speciality areas and ensure implications for practice changes are discussed with the Clinical Director.
To role model good practice for infection control to all members of the multidisciplinary team.

Strategy and Business Planning

To participate in the business planning and objective setting process for the directorate and Trust where appropriate.
To represent the Trust at appropriate clinical networks/other external clinical meetings, as delegated by the Clinical Director.

Leadership and Team Working

To demonstrate excellent leadership skills with regard to individual performance, clinical teams, the Trust and when participating in national or local initiatives.
To work collaboratively with all members of the multi-disciplinary team and Kings Health Partners as required.
To chair regular meetings for the specialties.
To resolve conflict and difficult situations through negotiation and discussion, involving appropriate parties.
Adhere to Trust/departmental guidelines on leave including reporting absence.

Person Specification

Clinical Experience

Essential

3 years' experience in Primary Care post full GP registration
Experience in acute medicine / chronic conditions / management of mental health conditions
Management of patients with long term conditions / multi-morbidities / acutely unwell patients

Desirable

Experience in Cancer care
Robust working knowledge of local population needs

Audit Management & IT

Essential

Understanding of Quality Improvement Programmes

Desirable

Evidence of contribution to effective clinical audit and clinical risk management
Experience in delivery of quality improvement programmes

Leadership / Management skills

Essential

Ability to communicate with clarity and intelligently in written and spoken English; ability to build rapport, listen, persuade/ negotiate.
Ability to take responsibility, lead, make decisions and exert appropriate authority.
Empathy, understanding, listening skills, patience and ability to work co-operatively with others.
Able to change and adapt, respond to changing circumstances and to cope with setbacks or pressure.
Ability to work as part of a team

Desirable

Evidence of experience in delivery of change
Experience of performance management, developing and motivating staff.

Professional Qualifications

Essential

Full GMC Registration

Desirable

Robust working knowledge of local cancer pathways
MRCP

Clinical Skills

Essential

Management of acutely unwell patients
Management of patients with long term conditions
Management of patients with multi-morbidities

Desirable

Evidence-based knowledge of medical assessment of cancer patients

Research and Teaching Experience

Desirable

Teaching experience
Experience of the principles and applications of clinical research

Person Specification

Clinical Experience

Essential

3 years' experience in Primary Care post full GP registration
Experience in acute medicine / chronic conditions / management of mental health conditions
Management of patients with long term conditions / multi-morbidities / acutely unwell patients

Desirable

Experience in Cancer care
Robust working knowledge of local population needs

Audit Management & IT

Essential

Understanding of Quality Improvement Programmes

Desirable

Evidence of contribution to effective clinical audit and clinical risk management
Experience in delivery of quality improvement programmes

Leadership / Management skills

Essential

Ability to communicate with clarity and intelligently in written and spoken English; ability to build rapport, listen, persuade/ negotiate.
Ability to take responsibility, lead, make decisions and exert appropriate authority.
Empathy, understanding, listening skills, patience and ability to work co-operatively with others.
Able to change and adapt, respond to changing circumstances and to cope with setbacks or pressure.
Ability to work as part of a team

Desirable

Evidence of experience in delivery of change
Experience of performance management, developing and motivating staff.

Professional Qualifications

Essential

Full GMC Registration

Desirable

Robust working knowledge of local cancer pathways
MRCP

Clinical Skills

Essential

Management of acutely unwell patients
Management of patients with long term conditions
Management of patients with multi-morbidities

Desirable

Evidence-based knowledge of medical assessment of cancer patients

Research and Teaching Experience

Desirable

Teaching experience
Experience of the principles and applications of clinical research

Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.