Job summary
This post is ideal for someone who wishes to pursue a career in Haematology. There will be support and supervision by the consultants, to ensure that competencies are achieved in diagnosis and management of both malignant and non-malignant Haematology.
You will join a team of two other ST3/4 level Haematology trainees, with cross cover for absence. Outpatient and Ward patients should have dedicated cover at all times. No two ST3/ 4 should be absent at once, but if this occurs, the Ward cover also holds the referrals duties.
All ST3/4 trainees should attempt to attend and present patients at the weekly multidisciplinary team meeting on Tuesday afternoon, and the weekly morphology session.
The successful candidate will be expected to work 09:00am - 5:00pm Monday to Friday on their allocated ward. There is also on call cover involved with the role, you are expected to be first on call one weekend per month supported by consultant.
Main duties of the job
This post is ideal for someone who wishes to pursue a career in haematology. There will be support and supervision by the consultants, to ensure that competencies are achieved in diagnosis and management of both malignant and non-malignant haematology.
The haematology service is delivered at WHHT by an innovative, forward-thinking team of 7 Consultant Haematologists (5 full-time/ 2 part time), supported by 6 Clinical Nurse Specialists and 2 registrars from the East of England Deanery.
The team treats a wide range of malignant and benign conditions, including level 2A malignant haematology patients. Most treatment of malignant haematology patients takes place at the Helen Donald haematology day unit, with some patients requiring in patient chemotherapy administration.
The day unit also offers transfusion service, including for patients with chronic anaemia- nurse led clinics, as well immunoglobulin infusions.
About us
With a new hospital planned for Watford and work underway to update theatres at St Albans City Hospital, this is an exciting time to join us.
We are building on the success of our award-winning virtual hospital and re-imagining models of care, working ever more closely with partners and making the most of advances in digital healthcare.
Staff wellbeing and development are a priority at our Trust, as is the role of innovation in improving clinical care, outcomes and patient experience.
Our vision is Excellent patient care, together and our values are to be empowered, compassionate, professional and inclusive. They capture an important balance across what we must all do as individuals and to support others.
At West Herts we offer a variety of flexible working options as we recognise the importance of a good work life balance and the ability to work flexibly.
www.westhertshospitals.nhs.uk/flexibleworking
We kindly invite you to consider submitting an application.
If you have a disability or long-term health condition and should you require support or guidance please contact westherts.recruitment@nhs.net
If you are a Service Leaver, Veteran, Military Reserve, Cadet Force Adult Volunteer, or partner/spouse of those serving please tick "Member of the Armed Forces Community" on the application form.
If you do not hear back within 3 weeks of your application, please assume you have been unsuccessful on this occasion.
Job description
Job responsibilities
Referrals, day unit and Laboratory Duty:
Carry the Referrals Bleep
Ensure referrals are seen promptly, discussed with the consultant, and shared between you and the relevant consultants if you get too busy.
Ensure the online referrals system is checked at least twice daily or delegated to a colleague.
If needed, see the outlying medical patients with haematological issues who are not eligible to come under primary haematology care.
Support the nursing staff at the day unit with medical reviews of patients and chemotherapy prescribing, if required
Report blood films*. Supervised by the consultants, to ensure that all blood films are reported within 72 hours (unless flagged as urgent by laboratory, in which case within 4 hours).
Attend clinics
Perform* bone marrow biopsy on the planned list on Thursdays
Administer intrathecal chemotherapy- once completed training and achieved competency
*LAS applicants with no prior experience in reporting blood films, or performing bone marrow biopsy will be trained by the consultant and will only be expected to carry them independently once signed off as competent.
Ward Duty: You will generally be responsible for 8-11 inpatients: mainly patients with post chemotherapy complications and occasionally patients needing to start chemotherapy as in patients. There may also be patients admitted with sickle cell disease crisis and benign haematological disorders such as unexplained lymphadenopathy, and autoimmune haemolytic anaemia. There are three consultant ward rounds a week depending on the attending consultants commitments but generally on Mondays, Wednesdays and Friday morning.
There is also a haematology FY1 or SHO who are based with the haematology team but also have on call commitments with the acute medical take.
Carry the Ward Cover Bleep
Assist and manage the FY1/SHO team on the wards
Ensure the standard hospital discharge summaries are done by the FY1/SHO
Ensure patients leave with adequate and properly booked follow up plans (next outpatients, next chemotherapy cycle, next day unit review)
On call Duty:
Once the right competencies have been achieved, you will share the on-call rota with the two other ST3+. The usual rota has 3 out of the 5 weekday nights have the ST3+/LAS as first on call (on rotation bases) with the consultant second on call. You are expected to be first on call one weekend per month supported by consultant.
Job description
Job responsibilities
Referrals, day unit and Laboratory Duty:
Carry the Referrals Bleep
Ensure referrals are seen promptly, discussed with the consultant, and shared between you and the relevant consultants if you get too busy.
Ensure the online referrals system is checked at least twice daily or delegated to a colleague.
If needed, see the outlying medical patients with haematological issues who are not eligible to come under primary haematology care.
Support the nursing staff at the day unit with medical reviews of patients and chemotherapy prescribing, if required
Report blood films*. Supervised by the consultants, to ensure that all blood films are reported within 72 hours (unless flagged as urgent by laboratory, in which case within 4 hours).
Attend clinics
Perform* bone marrow biopsy on the planned list on Thursdays
Administer intrathecal chemotherapy- once completed training and achieved competency
*LAS applicants with no prior experience in reporting blood films, or performing bone marrow biopsy will be trained by the consultant and will only be expected to carry them independently once signed off as competent.
Ward Duty: You will generally be responsible for 8-11 inpatients: mainly patients with post chemotherapy complications and occasionally patients needing to start chemotherapy as in patients. There may also be patients admitted with sickle cell disease crisis and benign haematological disorders such as unexplained lymphadenopathy, and autoimmune haemolytic anaemia. There are three consultant ward rounds a week depending on the attending consultants commitments but generally on Mondays, Wednesdays and Friday morning.
There is also a haematology FY1 or SHO who are based with the haematology team but also have on call commitments with the acute medical take.
Carry the Ward Cover Bleep
Assist and manage the FY1/SHO team on the wards
Ensure the standard hospital discharge summaries are done by the FY1/SHO
Ensure patients leave with adequate and properly booked follow up plans (next outpatients, next chemotherapy cycle, next day unit review)
On call Duty:
Once the right competencies have been achieved, you will share the on-call rota with the two other ST3+. The usual rota has 3 out of the 5 weekday nights have the ST3+/LAS as first on call (on rotation bases) with the consultant second on call. You are expected to be first on call one weekend per month supported by consultant.
Person Specification
Education and qualifications:
Essential
- MBBS or equivalent Full MRCP (UK)
- Full GMC registration at time of appointment
- Evidence of achievement of Foundation competencies or equivalent
- Evidence of achievement of CT/ST2 competencies or equivalent
Desirable
- Intercalated BSc or equivalent Higher degree MSc, PhD, MD
Knowledge:
Essential
- Demonstrates awareness of the basics of managing patients with haematological disease
- Competence at core-completion level in the management of medical emergencies, in-patients and outpatients
Desirable
- Evidence of skills in the management of acute medical emergencies (e.g. ALERT, IMPACT certification)
- Evidence of skills in the management of patients not requiring hospital admission
- Evidence of ST3-level procedural skills relevant to medical patients
Experience:
Essential
- Evidence that present achievement and performance is commensurate with totality of training
- Evidence of experience in a range of acute medical specialties, with experience of managing patients on unselected medical take, during core training or equivalent
Desirable
- Experience at CT/ST 1/2-level of managing patients with haematological disease and managing haematological emergencies by the time of commencement of ST3 training
Person Specification
Education and qualifications:
Essential
- MBBS or equivalent Full MRCP (UK)
- Full GMC registration at time of appointment
- Evidence of achievement of Foundation competencies or equivalent
- Evidence of achievement of CT/ST2 competencies or equivalent
Desirable
- Intercalated BSc or equivalent Higher degree MSc, PhD, MD
Knowledge:
Essential
- Demonstrates awareness of the basics of managing patients with haematological disease
- Competence at core-completion level in the management of medical emergencies, in-patients and outpatients
Desirable
- Evidence of skills in the management of acute medical emergencies (e.g. ALERT, IMPACT certification)
- Evidence of skills in the management of patients not requiring hospital admission
- Evidence of ST3-level procedural skills relevant to medical patients
Experience:
Essential
- Evidence that present achievement and performance is commensurate with totality of training
- Evidence of experience in a range of acute medical specialties, with experience of managing patients on unselected medical take, during core training or equivalent
Desirable
- Experience at CT/ST 1/2-level of managing patients with haematological disease and managing haematological emergencies by the time of commencement of ST3 training
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).
