Job summary
The most recent national lung cancer audit attributed 296 cases to ICHT, the second highest in our region. Our data recording and completeness was the best in the region and our performance measures are also above national standards.
The lung cancer service is supported by 6 CNSs across the sites and an MDT coordinator and data tracker. The team run a diagnostic MDT once a week and a treatment MDT once a week. Both MDTs serve pan-site patients, including patients from the Hammersmith site. A dedicated pulmonary nodule MDT sits within the diagnostic MDT and is similarly supported by the MDT coordinator and the radiology team.
The lung cancer service is supported by 5 full time and 1 part-time CNSs across the sites and an MDT coordinator and data tracker, with a plan to recruit a further lung CNS. There is one cross-site lung cancer MDT and a separate cross--site lung nodule/diagnostic MDT each week.
We have two clinical oncologists and one medical oncologist. We have a four full time Thoracic surgeons, supported by dedicated thoracic surgery clinical nurse specialists. We have an excellent thoracic radiology service, with 5 consultants and full interventional radiology services. We have 3 specialist respiratory histocytopathologists.
ICHT is a specialist centre for a number of other cancer sites and a significant proportion of the MDT and nodule workload is generated by other cancer MDTs and the service has strong links with all of the other cancer MDTs as a result.
Main duties of the job
This is a one-year clinical fellowship post designed to provide the clinical fellow with the unique opportunity to work with the lung cancer clinicians at Imperial. The role will involve supporting the lung cancer screening service through the Screening review meetings (SRM) and the post holder will be responsible for enacting the outcomes from these meetings. The fellow will support the clinical services so that they can understand the clinical pathways and be immersed in the service - they will be expected to attend and support the MDTs - and do clinics, they will be supported by the lung cancer clinicians and work closely with the clinical nurse specialist teams. The post would be well-suited to a respiratory trainee as an out-of-programme experience during specialist training, or as a post-CCT fellowship. The post will provide the fellow with the opportunity to work with the clinical lung cancer team at imperial and gain experience across the whole lung cancer pathway, at the same time as working within the new lung cancer screening service which is a collaboration between Inhealth, The Joint thoracic service (RMH and RBHT) and Imperial. The post will be held within Imperial. There will also be opportunities for the fellow to learn or develop interventional skills in either bronchoscopy/ EBUS or pleural respiratory medicine.
About us
At Imperial College Healthcare you can achieve extraordinary things with extraordinary people, working with leading clinicians pushing boundaries in patient care. Become part of a vibrant team living our values - expert, kind, collaborative and aspirational. You'll get an experience like no other and will fast forward your career. Benefits include career development, flexible working and wellbeing, staff recognition scheme. Make use of optional benefits including Cycle to work, car lease schemes, season ticket loan or membership options for onsite leisure facilities.
The statutory requirement to be fully Covid-19 vaccinated as a condition of employment from April 2022 is subject to legislative review. At Imperial College Healthcare NHS Trust, we strongly encourage and support vaccination uptake as this remains the best line of defence against COVID19. The successful applicant may have contact with patients and service users and as part of our pre-employment checks and risk assessments, we will ask all candidates to confirm whether or not they have been fully vaccinated or have a medical exemption.
As part of our continued response to Covid19 we are still conducting the majority of our interviews virtually.
We are committed to equal opportunities and improving the working lives of our staff and will consider applications to work flexibly, part-time or job share. Please talk to us at interview.
Job description
Job responsibilities
The post holder will work closely with other members of the team to ensure high quality respiratory services within the strategic framework agreed by the team. They will work closely with the appropriate clinical management teams.
Provide High Quality Care to Patients in Acute & General Medicine and Respiratory medicine
- The post holder must be medically qualified and maintain GMC specialist registration.
- They maintain the competencies required to carry out the duties of the post.
- They must ensure prompt attendance at agreed direct clinical care Programmed Activities.
- They must ensure patients are involved in decisions about their care and to respond to their views.
Research
The further development of Pleural and/or Lung Cancer research and clinical trials in this post would be strongly supported and encouraged, including involving both acute sites in NIHR portfolio trials in the first instance.
Performance Management
The post holder will work with medical, nursing and managerial colleagues to ensure high performance in the following areas:
- Clinical efficiency e.g. length of stay reductions, reducing cancelled procedures and DNA rates.
- Quality of outcomes e.g. infection control targets.
- Financial management e.g. identification of cost improvement programmes and participating in efforts to ensure services are provided cost effectively e.g. ensuring accuracy of clinical data for the team.
- Operational efficiency e.g. day-case rates, waiting list activity and demand management.
Governance
The post holder will:
- Review clinical outcomes in designated clinical areas using external benchmarking data where appropriate, to identify and advise variances to the Head of Specialty.
- Participate in clinical audit, incident reporting and analysis and ensure resulting actions are implemented.
- Work closely with the Directorate, Patient and Public Involvement panels in relation to clinical and services developments as delegated by the Divisional management team.
- Ensure clinical guidelines and protocols are adhered to by junior medical staff and updated on a regular basis.
- Keep fully informed about best clinical practice and ensure implications for practice changes are discussed with the Divisional management team.
- Role model good practice for infection control to all members of the multidisciplinary team.
Administrative duties
The post-holder will be expected to undertake the administrative duties associated with the care of individual patients, and to contribute to the proper functioning of the clinical department, including involvement in audit and clinical governance.
Job description
Job responsibilities
The post holder will work closely with other members of the team to ensure high quality respiratory services within the strategic framework agreed by the team. They will work closely with the appropriate clinical management teams.
Provide High Quality Care to Patients in Acute & General Medicine and Respiratory medicine
- The post holder must be medically qualified and maintain GMC specialist registration.
- They maintain the competencies required to carry out the duties of the post.
- They must ensure prompt attendance at agreed direct clinical care Programmed Activities.
- They must ensure patients are involved in decisions about their care and to respond to their views.
Research
The further development of Pleural and/or Lung Cancer research and clinical trials in this post would be strongly supported and encouraged, including involving both acute sites in NIHR portfolio trials in the first instance.
Performance Management
The post holder will work with medical, nursing and managerial colleagues to ensure high performance in the following areas:
- Clinical efficiency e.g. length of stay reductions, reducing cancelled procedures and DNA rates.
- Quality of outcomes e.g. infection control targets.
- Financial management e.g. identification of cost improvement programmes and participating in efforts to ensure services are provided cost effectively e.g. ensuring accuracy of clinical data for the team.
- Operational efficiency e.g. day-case rates, waiting list activity and demand management.
Governance
The post holder will:
- Review clinical outcomes in designated clinical areas using external benchmarking data where appropriate, to identify and advise variances to the Head of Specialty.
- Participate in clinical audit, incident reporting and analysis and ensure resulting actions are implemented.
- Work closely with the Directorate, Patient and Public Involvement panels in relation to clinical and services developments as delegated by the Divisional management team.
- Ensure clinical guidelines and protocols are adhered to by junior medical staff and updated on a regular basis.
- Keep fully informed about best clinical practice and ensure implications for practice changes are discussed with the Divisional management team.
- Role model good practice for infection control to all members of the multidisciplinary team.
Administrative duties
The post-holder will be expected to undertake the administrative duties associated with the care of individual patients, and to contribute to the proper functioning of the clinical department, including involvement in audit and clinical governance.
Person Specification
Qualifications
Essential
- GMC registered Medical Practitioner
- MRCP(UK) or an equivalent qualification
- National training number to work in the UK as at the level of a Specialist Registrar to attain CCT in Respiratory & General Internal Medicine OR already on GMC Specialist Register
Desirable
- Higher qualifications MD, PhD
Language
Essential
- Able to speak and write English to the appropriate standard necessary to fulfill the job requirements
Knowledge/Skills
Essential
- Experience of participating in lung cancer MDTs and clinics
- Experience in respiratory medicine at Higher Specialty Trainee level
- Understanding of evidence-based best practice for the management of patients with lung cancer disease
- Knowledge and understanding of lung cancer and nodule management and pathways
- Knowledge and understanding of the Lung cancer screening program
Desirable
- Knowledge of the lung cancer waiting time standards and national audit targets
- Evidence of interest in quality improvement and service development
- IT skills/experience with Cerner electronic health records and e-prescribing
- Evidence of working effectively as part of a multidisciplinary team
- IT Skills and computer literacy
Leadership/ Management skills
Essential
- Able to take responsibility, show leadership, make decisions, exert appropriate authority
- Evidence of leading improvement projects
Desirable
- Knowledge of finance/budgets
Teaching & Training
Essential
- Experience of teaching and training undergraduates / postgraduates and junior medical staff
Audit
Essential
- Understanding of principles of clinical audit
- Evidence of previously leading audits
Desirable
- Knowledge of the national lung cancer clinical audit
Academic achievements including research/publications
Desirable
- Experience research
- Experience of commercial and NIHR funded studies
Person Specification
Qualifications
Essential
- GMC registered Medical Practitioner
- MRCP(UK) or an equivalent qualification
- National training number to work in the UK as at the level of a Specialist Registrar to attain CCT in Respiratory & General Internal Medicine OR already on GMC Specialist Register
Desirable
- Higher qualifications MD, PhD
Language
Essential
- Able to speak and write English to the appropriate standard necessary to fulfill the job requirements
Knowledge/Skills
Essential
- Experience of participating in lung cancer MDTs and clinics
- Experience in respiratory medicine at Higher Specialty Trainee level
- Understanding of evidence-based best practice for the management of patients with lung cancer disease
- Knowledge and understanding of lung cancer and nodule management and pathways
- Knowledge and understanding of the Lung cancer screening program
Desirable
- Knowledge of the lung cancer waiting time standards and national audit targets
- Evidence of interest in quality improvement and service development
- IT skills/experience with Cerner electronic health records and e-prescribing
- Evidence of working effectively as part of a multidisciplinary team
- IT Skills and computer literacy
Leadership/ Management skills
Essential
- Able to take responsibility, show leadership, make decisions, exert appropriate authority
- Evidence of leading improvement projects
Desirable
- Knowledge of finance/budgets
Teaching & Training
Essential
- Experience of teaching and training undergraduates / postgraduates and junior medical staff
Audit
Essential
- Understanding of principles of clinical audit
- Evidence of previously leading audits
Desirable
- Knowledge of the national lung cancer clinical audit
Academic achievements including research/publications
Desirable
- Experience research
- Experience of commercial and NIHR funded studies
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.
Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).
From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).
Additional information
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.
Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).
From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).
