Trust Doctor in Clinical Haematology

Job responsibilities

The department is seeking to appoint a full time Trust Doctor in Adult Clinical

Haematology to increase the capacity and continuity of our medical staffing at

middle grade / StR level. The post will be offered initially for a period of 12 months.

The Haematology department in Leeds is a large and diverse unit, with 40

dedicated inpatient beds on wards J88 and J89 and up to 20 additional

haematology inpatients on other wards, including a Teenage and Young Adult

Unit. There is a substantial specialist and subspecialist practice here in all aspects

of haematological malignancy, general and benign haematology, cell therapy and

bone marrow transplantation, providing many opportunities for career development

in all areas of the specialty.

The appointee will join a medical team of around 20 consultant staff, 12 training

registrars and 3 specialty doctors as well as FY/IMT trainees, Physician Associates,

and Advanced Clinical Practitioners. The department and its staffing

is described in more detail at the end of this job description

In addition to the consultants listed below, there are 7 other consultants who have a primary responsibility to the Haematological Malignancy Diagnostic Service (HMDS), 5 of whom also have clinical sessions (Dr Roger Owen, Dr Cathy Burton, Dr Catherine Cargo, Dr Alesia Khan and Dr Anita Sarma).

Consultant Primary area of Responsibility/Specialist Interest

Dr Anjum Khan Myeloid Malignancies / Bone marrow transplant

Dr Abraham Varghese PNH, CLL

Dr Rod Johnson Lymphoma, CAR-T

Dr Simon Bulley Myeloma, BMT

Dr John Ashcroft* Myeloma

Dr Lishel Horn Haemophilia Director, Haemostasis and Thrombosis

Dr Quentin Hill Haemoglobinopathy services, General and red cell Haematology

Prof Gordon Cook Myeloma

Dr Chun The Myeloid

Dr Julie Tarrant Haemostasis / Thrombosis

Dr Angela Kanny Haemostasis / Thrombosis

Dr Richard Kelly PNH/ myeloid

Dr Mary Owen Lymphoma, CLPD

Dr Tahla Munir CLL / PNH service

Dr Morag Griffin CLL/ PNH Service

Dr Frances Seymour Myeloma, CAR-T

Dr Emma Thomas Clinical Oncology, lymphoma

Dr Robin Prestwich Clinical Oncology, lymphoma

Dr Jen Clay Lymphoma, Bone Marrow Transplant

Dr Chris Parrish Myeloma, Bone marrow transplant

Dr Marina Karakantza Blood transfusion (joint NHSBT post)

Dr Katja Kimberger CAR-T,Blood transfusion (joint NHSBT post)

Dr Gill Gidley Haemostasis / Thrombosis

*also works at MidYorks

In addition, the department is supported by:

10 Specialist registrars (StR)

3 Specialty doctors (one in haemostasis)

6 FY2 / CT1+2 (medical trainees on rotation)

8 Clinical Nurse Specialists in Lymphoma/Myeloma/leukaemia/BMT

4 Clinical Nurse Specialists in PNH

2 Clinical Nurse Specialists in Haemophilia (adult)

2 Clinical Nurse Specialists in Haemophilia (Paediatric)

2.2 Clinical Nurse Specialists in Anticoagulation

3 Physician Associates

KNOWLEDGE, SKILLS AND EXPERIENCE REQUIRED

Please see Person Specification

DUTIES OF THE POST

The post-holder will be part of the Leeds Teaching Hospitals NHS Trust Haematology team, supporting the Clinical Haematology service. The post is based almost entirely at St Jamess Hospital but on rare occasions it may be necessary to visit other trust sites (principally the Leeds General Infirmary).

The appointee will participate in the investigation and management of patients with haematological disorders in collaboration with colleagues. The successful candidate would have the opportunity to develop a degree of subspecialty interest if desired but this is not essential.

We are looking for candidates who would be able to work alongside the middle

grade staff on the registrar rota, covering both inpatient and outpatient work, and

who would contribute 1-in-8 weekend work.

The appointee will have the opportunity to rotate through a variety of subspecialty

areas within haematology, in a similar way to our StR trainees, gaining experience

in the inpatient and outpatient management of patients with myeloid and lymphoid

malignancies, myeloma, patients undergoing autologous and allogeneic stem cell

transplantation, and patients with non-malignant haematological conditions.

The appointee will also participate in the regular bone marrow biopsy (aspirate and trephine) and intherathecal chemotherapy lists in the day unit.

Assessment and review of patients attending our chemotherapy suite and our supportive therapy and ambulatory care facilities (i.e. all day care areas) also forms part of the clinical duties for these posts and this may include review of patients undergoing therapeutic apheresis and stem cell collection procedures, which are performed adjacent to our day care area under the auspices of NHSBT.

Involvement in laboratory haematology will be encouraged but is not essential depending on the experience and interest of candidates; however clinical advice and liaison regarding haematological laboratory enquiries from around the hospital (e.g. interpreting abnormal blood parameters) will be part of the role.

LEVELS OF RESPONSIBILITY

To deliver care to haematology inpatients with the support of the relevant consultant haematologist

To review patients in outpatient clinics with the support of the relevant consultant haematologist

To perform procedures including bone marrow biopsy and lumbar puncture and to gain intrathecal chemotherapy competencies

To be part of the middle grade rota

To contribute to haematology multi-disciplinary team meetings

TEACHING AND RESEARCH/STUDY AND TRAINING

The Trust as a Teaching Hospital recognises the importance of links with the University of Leeds School of Medicine for the Undergraduate teaching and all medical staff are expected to provide an appropriate contribution to the undergraduate teaching programme. The precise details of the contribution to teaching will be discussed with the appointee after taking up post.

THE LEEDS WAY VALUES

Our values are part of what make us different from other trusts, so we see this as a strength, as well as a responsibility. They have been developed by our staff and set out what they see as important to how we work. Our five values are:

Patient-centred

Collaborative

Fair

Accountable

Empowered

All our actions and endeavours will be guided and evaluated through these values

Additionally the following are core values which relate specifically to this post:

The beliefs and attitudes that underpin effective performance within the job role. Emphasis should be on the requirements of the role not the individual when completing this section. Examples might include: quality focus, mistakes are used as a continual learning experience, honesty, integrity etc.

Leeds Teaching Hospitals NHS Trust is part of the West Yorkshire Association of Acute Trusts (WYAAT), a collaborative of the NHS hospital trusts from across West Yorkshire and Harrogate working together to provide the best possible care for our patients.

By bringing together the wide range of skills and expertise across West Yorkshire and Harrogate we are working differently, innovating and driving forward change to deliver the highest quality care. By working for Leeds Teaching Hospitals NHS Trust this is your opportunity to be a part of that change.

WYAAT is the acute sector arm of the West Yorkshire and Harrogate Health and Care Partnership, one of the largest integrated care systems in the country. The Partnerships ambition is for everyone to have the best possible health and wellbeing, and the work of WYAAT, and each individual trust, supports that ambition.

Experience

Essential

• Acute care safe: up-to-date ALS.
• Relevant specialty clinical knowledge: capacity to apply sound clinical knowledge relevant to the job,
• Clinical judgement: experience in making clinical decisions and managing risk. Knows when to seek help, able to prioritise clinical need.
• Practical skills: shows aptitude for practical skills, required in the job.
• Proven ability to work effectively in different clinical settings required in the job.

Desirable

• ALS instructors certificate Out of hours experience relevant to the job
• Specialty knowledge exam
• Experience in Bone Marrow biopsy
• Experience in Lumbar puncture/ intrathecal chemotherapy administration

Qualifications

Essential

• MBBS or equivalent medical qualification, MRCP part 1

Desirable

• MRCP (full diploma), FRCPath or past thereof or equivalent

Eligibility, Fitness to practice, and Language Skills

Essential

• Eligibility to work in the UK. Full registration with the GMC and license to practise
• Evidence of equivalent. Examples as below achievement of core medical capabilities or,
• UK Internal Medicine Stage 1 Training
• UK ACCS (Internal Medicine)
• UK core medical training or ACCS (acute medicine)
• Joint Royal Colleges of Physicians Training Board (JRCPTB) internationally level 3 accredited equivalent Internal Medicine Stage 1 Training programme
• Applicants knowledge is up to date and fit to practise safely
• All applicants to have demonstrable skills in written and spoken English that are adequate to enable effective communication about medical topics with patients and colleagues, which could be demonstra
• applicants have undertaken undergraduate medical training in English
• applicants have scores of 7.5 in the academic International English Language Testing System (IELTS) or equivalent
• If applicants believe that they have adequate communication skills but do not fit into one of the examples they need to provide evidence (see notes).

Clinical, Academic, and Personal Skills

Essential

• Team working: demonstrated experience working in a team, values the input of other professionals in the team.
• Managing others & team involvement: capacity to work co-operatively with others and demonstrate leadership when appropriate. Capacity to work effectively in multi-professional teams
• Coping with pressure: capacity to operate under pressure. Demonstrates initiative and resilience to cope with setbacks & adapt to rapidly changing circumstances.
• Problem solving & decision making: capacity to use logical/lateral thinking to solve problems & make decisions.
• Organisation & planning: capacity to organise oneself and prioritise own work. Demonstrates punctuality, preparation and self-discipline. Understands importance of information technology.
• Flexible approach to work: able to adapt and work with employers to deliver improved patient care.
• Equality and diversity: promotes equality and values diversity

Desirable

• Leadership skills: experience in leadership

Additional Requirements

Essential

• Professional integrity and respect for others: capacity to take responsibility for own actions and demonstrate a non-judgmental approach towards others. Displays honesty, integrity, awareness of confi
• Learning and personal development: demonstrates interest in the specialty required for the job. Demonstrates a commitment to maintaining professional skills and knowledge relevant to the job (see note
• Demonstrates a willingness to fully engage in appraisal. Self-awareness and ability to accept and learn from feedback.
• Extracurricular activities / achievements relevant to the job Specialty exams (see notes)
• Displays honesty, integrity, awareness of confidentiality and ethical issues.

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.

Certificate of Sponsorship

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).