Job responsibilities
Example of the weekly time table
Day
Monday
Tuesday
Wednesday
Thursday
Friday
0830
Handover
Haematology teaching
Morphology teaching
Case of the week
Morning*^
Myeloproliferative
Neoplasia (MPN) OPA
Haem Day unit cover
General Haem OPA
Obstetric Haem OPA
Myeloid
MDT
Trusts grand round
Departmental seminar series
Afternoon*^
Admin and morphology review
Myeloproliferative
Neoplasia (MPN) OPA
Admin and morphology review
Bone marrow List
Haem Day unit
Pre-weekend
handover
Professional / Clinical responsibilities
Review of patients in both in and outpatient settings with senior support.
Ensure timely production of letters within current Trust targets.
Arrange appropriate investigations; ensure all treatments administered as prescribed and appropriate (using the MedChart and CIS/Mosaic systems or outpatient prescriptions); accurate and timely documentation (using the eNoting system); referrals and letters to GP as necessary.
Work alongside CNS team in the day-to-day management of patients.
Work with research nurses as required on relevant commercial and NCRN clinical trials.
Discuss cases with the appropriate consultant/team or specialised/disease-specific management team.
Perform practical procedures as necessary and after appropriate training including: bone marrow aspiration and biopsy and lumbar puncture (+/- insertion and removal of indwelling central venous catheter access).
Undertake appropriate work place based assessments as required e.g. DOPS/mini-CEX/CBDs.
Attend and contribute to departmental meetings / seminars and MDM sessions as required.
Work closely with CMT/CF/FY and specialist trainee colleagues to ensure the duties of the service are supported and work flexibly and co-operatively.
To cover the duties of colleagues who are unexpectedly absent.
Ensure leave requests are submitted with sufficient notice and clinical cover to maintain safe patient care.
Management and Leadership
Work within the Haematology MDT team.
Time management of work profile.
Day-to-day clinical leadership within subspecialty clinical service regarding the ongoing care of patients.
Additional experience appropriate to clinical stage.
Education & Professional Development.
Self directed learning
Formal external courses
Maintaining a personal portfolio
Undertaking the Appraisal process
Learning opportunities
Departmental meetings (including Thursday afternoon seminars and M&M)
The Trusts weekly grand round presentation
Tuesday morning consultant delivered registrar subspecialty teaching
Wednesday morning morphology teaching
Friday morning Case of the week
Assessing and evaluating patients in outpatient settings
Developing and applying patient management plans independently and within the team
Experience in the further management of patients with haematological disorders through a multidisciplinary/speciality approach
Case reports, abstracts, publications or audits according to availability and interest
Course / self directed study relevant to educational research/training*
*to be arranged
Competencies
Management of Haematology patients appropriate to subspeciality area and their investigation, treatment, follow-up and onward referral as appropriate
Management of acutely unwell haematology patients
Ability to deal with malignant and non-malignant haematological emergencies
Ad hoc reviews with CNS and/or consultant for elective or urgent patients
Supportive and palliative care as needed
Case-load prioritisation
Communication skills: with patients and relatives
Communication skills: within multidisciplinary teams
Communication skills: with colleagues in other specialities
Good Clinical Practice
Fire safety and other mandatory training required by the Trust
Formal training in Information Management (as above)
Management of patients on clinical trials
.
Assessment
Appraisal and goal setting meeting with clinical supervisor within 1st 2 weeks of commencement.
At least 2 work place based assessments completed satisfactorily (CBD / mini-CEX / DOPS) within a six month period. One should be undertaken with the clinical supervisor.
End of post appraisal and sign-off.
Duties and responsibilities:
Clinical: The postholder will, together with colleagues, be responsible for the provision of services to the Guys & St Thomas NHS Foundation Trust to include:
(a) Diagnosis and treatment of patients of the trust in such hospitals, health centres or clinics or other premises as required.
(b) Continuing clinical responsibility for the patients in your charge, allowing for all proper delegation to, and training of, your staff.
Training of junior staff: The postholder will take responsibility for the training and direction of junior staff allocated to him/her under aegis of the training plan that that postholder has agreed with their supervising consultant.
Teaching: The postholder will be expected to contribute as appropriate in the teaching of undergraduate and postgraduate students.
Clinical Governance: All medical and dental staff are expected to take part in clinical governance activity, including clinical audit, clinical guideline and protocol development and clinical risk management. They will be expected to produce evidence of their contribution in these areas and their audit of their own clinical work as part of their appraisal.
European Working Time Directive (EWTD): All posts and working patterns are under constant review in line with EWTD guidelines and the rota being new contract compliant.
Appraisal: All medical and dental staff are required to undertake appraisal.
Confidentiality / Data Protection / Freedom of Information
Post holders must maintain the confidentiality of information about patients, staff and other health service business in accordance with the Data Protection Act of 1998
Information Governance
All staff must comply with information governance requirements.
Equal Opportunities
Post holders must at all times fulfil their responsibilities with regard to the Trusts Equal Opportunities Policy and equality laws.
Health and Safety
All post holders have a responsibility, under the Health and Safety at Work Act (1974) and subsequently published regulations, to ensure that the Trusts health and safety policies and procedures are complied with to maintain a safe working environment for patients, visitors and employees.
Infection Control
All post holders must comply with Trust infection screening and immunisation policies as well as be familiar with the Trusts Infection Control Policies, including those that apply to their duties, such as Hand Decontamination Policy, Personal Protective Equipment Policy, safe procedures for using aseptic techniques and safe disposal of sharps.
Risk Management All post holders have a responsibility to report risks such as clinical and non-clinical accidents or incidents promptly.
Safeguarding children and vulnerable adults
Post holders have a general responsibility for safeguarding children and vulnerable adults in the course of their daily duties and for ensuring that they are aware of the specific duties relating to their role.
Sustainability
It is the responsibility of all staff to minimise the Trusts environmental impact.
Smoking Policy
Staff are not permitted to smoke on Trust property or in Trust vehicles
Review of this Job Description
This job description is intended as an outline of the general areas of activity and will be amended in the light of the changing needs of the organisation. To be reviewed in conjunction with the post holder.
Other: The list of duties and responsibilities given above is not an exhaustive list and you may be asked to undertake other duties in line with the overall purpose and nature of the post as may be required from time to time
Study Leave:
Study Leave will be granted at the discretion of the Clinical Lead.
Funding for CPD will be equivalent to that of the appropriate Training post.
Terms and Conditions of Employment:
This post is exempt from the Rehabilitation of Offenders Act 1974 and this means that any criminal conviction must be made known at the time of application.
