Job Description

This is an exciting opportunity to join the Haematology & TYA Directorate as a Clinical Fellow for 31 hours per week. We are seeking an innovative and enthusiastic individual who is interested in later pursuing Haematology or Oncology speciality training.



The post holder will provide inpatient medical cover for Haematology patients on the Palatine and Withington Wards as well as having opportunities to provide input into the Haematology outpatient service by training and carrying out procedures and also supporting the Haematology Day Unit.



An example job plan has been included below but is subject to change and can be negotiated:



Monday



Tuesday



Wednesday



Thursday



Friday



Ward



Bone Marrow Biopsy List



NWD



Haematology Grand Round



Outpatient Clinic



Ward



Haematology Day Unit



NWD



Ward



Ward



The postholder will work as part of the existing ward team which includes 2 Speciality Training Doctors, 1 Young Adult Oncology Speciality Doctor, 3 Ward Based IMTs and Advanced Care Practitioners. The postholder will also receive training to carry out Haematology procedure lists as well as providing cover for the Haematology Day Unit.

The successful candidate will be responsible for:

Providing both inpatient and outpatient medical support across the service. There will also be an opportunity to attend Haematology departmental teaching sessions. Flexible working will be required within this role to enable cross cover for inpatient and outpatient areas.

Reviewing all inpatients on Palatine and Withington Wards when allocated to provide inpatient support, including young oncology, lymphoma and medical outliers.

Communicating effectively and collaboratively within broader teams but also with patients and their families to build rapport, especially for patients who are undergoing complex treatments.

The postholder will be flexible, adaptable and able to communicate positively at all times.

Providing information at an appropriate level of understanding to ensure a patient and/or their family/carer is fully informed at all stages of their pathway and will communicate with patients, families and carers with empathy.

The postholder will be expected to have good time management skills and organisational skills to prioritise patient workload.



A more extensive list of roles and responsibilities are detailed within the attached job description.



The Christie is one of Europe's leading cancer centres, treating over 60,000 patients a year. We are based in Manchester and serve a population of 3.2 million across Greater Manchester & Cheshire, but as a national specialist around 15% patients are referred to us from other parts of the country.



We provide radiotherapy through one of the largest radiotherapy departments in the world; chemotherapy on site and through 14 other hospitals; highly specialist surgery for complex and rare cancer; and a wide range of support and diagnostic services. We are also an international leader in research, with world first breakthroughs for over 100 years.



We run one of the largest early clinical trial units in Europe with over 300 trials every year. Cancer research in Manchester, most of which is undertaken on the Christie site, has been officially ranked the best in the UK.



DUTIES AND RESPONSIBILITIES



The medical establishment provides a 12M inpatient facility which opened in June 2014. The Palatine Ward consists of 31 individual en-suite rooms, 12 of which have HEPA filtration. The ward also houses Teenage and Young Adult (TYA) patients who are aged between 16 and 24 as part of the Young Oncology Unit. The Palatine Ward is co-located with the Haematology and Transplant Day Unit (HTDU) which was built in 2008 to expand the department's ambulatory facilities. The HTDU houses a dedicated outpatient clinic space with 5 consulting rooms, day care facilities with 4 individual rooms, 8 treatment chairs, 2 beds and an apheresis suite.



A separate ambulatory care facility was opened in 2018 and has 8 treatment spaces for patients undergoing chemotherapy, supportive therapies, and stem cell transplantation.



A further 4 bed inpatient unit was opened in 2021 to provide additional capacity and support expansion with ambulatory care provision. When required, patients who are undergoing less intensive therapies may be managed on Oncology wards.



Emergency admissions are assessed on the Acute Admissions Unit (AAU) which is staffed by consultants, resident medical staff and advanced care practitioners (ACPs).



The Haematology department works closely with colleagues in Clinical and Medical Oncology who run the lymphoma service and also collorbate with Haematology departments in the South Sector of the GMCCN.



Additionally, the Haematology team are supported by dedicated Haematology Pharmacists, Operational Managers and Quality Managers. The Clinical Research Team supports clinical trial activity for the department across all disease areas. Currently the team comprises 13 administration staff, 9 nursing staff and 1 research practitioner.



Diagnostic Haematology service



Diagnostic services on the Christie Site are provided by The Christie Pathology Partnership (CPP); a joint venture which brings together brings together the clinical expertise of the Christie NHS Foundation Trust (rated 'Outstanding' by the Care Quality Commission in 2017) and Synlab UK (the UK division of one of the largest providers of laboratory services in Europe).



Ambulatory care



In recent years there has been a shift towards administration of complex cytotoxic and supportive medications in an ambulatory setting which traditionally would have been administered in an inpatient setting. Palatine Ambulatory care (AC) at The Christie has been introduced to facilitate the management of patients having a specified range of haematological and Teenage and Young adult (TYA) high dose chemotherapy, transplant and CART regimens previously managed on an in-patient basis. The aim is to improve patient experience and reduce pressure on in-patient beds.



Stem Cell Transplantation



The Christie Stem Cell Transplant Program was established in 1982 since when it has performed over 2900 procedures (autologous, allogeneic and alternate donor). In recent years the department undertakes between 120 and 160 procedures annually for patients with haematological malignancies. The department has been fully JACIE accredited since 2009. In 2017, the Christie was selected as the second donor centre outside London by Anthony Nolan and in 2018, was selected as one of 7 first wave centres nationally for delivery of CAR-T therapies.



CAR-T therapy



In 2018 the program was accredited as one of 7 UK phase 1 treatment centres for delivery of CAR-T therapy. Advanced cellular therapies (CAR-T, tumour infiltrating lymphocytes) have been used at the Christie for over 10 years as part of clinical trials and we will be treating the first standard of care patients for lymphoma and leukaemia in 2019. CAR-T activity for both haematological and solid tumours is anticipated to grow significantly over the next few years. The Trust has supported a comprehensive business case to support the delivery of this service. As well as delivery of routinely commissioned therapies, the Christie has a strong research program for development and delivery of novel treatments in clinical trials. In 2018, the Christie was awarded 6.9m from Innovate UK (one of 3 successful awards in the UK) to support the iMATCH program which is a Christie led collaboration between 3 NHS Trusts, University of Manchester and 7 industry partners to support the development of advanced therapies for the region. This is part of a UK wide network of 5 Advanced Therapy Treatment Centres which will increase the ability of the NHS to deliver these state of the art treatments.



Research, Audit and Quality Improvement



The post holder will develop knowledge of research governance, clinical governance, research ethics, and work within and comply with the principles of Good Clinical Practice (ICH GCP). They will work to support clinical audits, report results and where necessary, to implement change. They may be required to disseminate relevant research findings to colleagues and members of the health professions via presentation and publication. They will work within and contribute to the Trust's governance processes and framework.



Educational Opportunities



There is a wide range of educational opportunities available and educational support and career development planning will be supported. The hospital has a Medical Library staffed by professional librarians offering a range of services including a modern journal collection, extensive book library and online search facilities. The post holder will be expected to consider opportunities for career development through participation in departmental audit/service evaluation projects.



Continuing Professional Development



The Trust supports the requirements for continuing professional development (CPD) as laid down by the GMC and surgical colleges and is committed to providing time and financial support for these activities.



Role Planning



Please note that this is an example job plan and may be subject to change



Monday



Tuesday



Wednesday



Thursday



Friday



Ward



Bone Marrow Biopsy List



NWD



Haematology Grand Round



Outpatient Clinic



Ward



Haematology Day Unit



NWD



Ward



Ward



On call Commitments



This role may require participation on the Haematology middle grade on call rota. However, this is dependent on postholder experience and capabilities. The rota ranges between 1:6 and 1:8 frequency.



PERSON SPECIFICATION



Essential for the post



Desirable for the post



METHOD OF ASSESSMENT



1. ATTAINMENTS



Educational



Qualifications



MRCP or equivalent Primary medical qualification (MBBS or equivalent)



FRCPath or equivalent Good Clinical Practice



AF/CE



Professional Qualifications



GMC registration



AF/CE



Research / Publications



Interest and documented experience in Clinical Audit



Recent publications in peer-reviewed Journals Conference presentations



AF/I



2. TRAINING



Experience managing Haematology or Oncology inpatients.



3. EXPERIENCE



Job Specific



Experience managing Haematology inpatients, including managing the acutely unwell patients undergoing chemotherapy



Higher degree



ALS certificate in date.



Evidence of clinical leadership



AF/I



Management / Audit



4. TEACHING



Documented experience of ward based peer to peer teaching or teaching of undergraduates



Teaching qualification



AF/I



5. PERSONAL SKILLS



Acceptability



excellent written and oral communication skills. Flexibility, commitment and compatibility with colleagues and multidisciplinary staff in the department. Reliable work record



AF/I



Leadership



Flexible and adaptable to change



Acts with integrity - honest and trustworthy towards both patients and staff



Is comfortable dealing with



people



AF/I



Self- reliance



Ability to work under pressure.



Awareness of personal limitations



AF/I



Motivation



Committed to career pathway in Haematology. Aspiration to develop extensive clinical experience in Haematology Oncology including novel high intensity therapies. Motivation to present Haematology research findings



AF/I



6. CIRCUMSTANCES



Domicile



Within 30 minutes travel time to the hospital.



AF/I

Abbreviations for Methods of Assessment:

AF - Application Form



I - Interview



R - References



CE - Certification Evidence