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Consultant Cellular Pathologist (1 post) Job Description Date: August 2020

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WeCare about our ambition for excellence

Our WeCare values shape everything that we do, every single day. They are visible in every interaction we have with each other, our patients, their families and our partners.

WeCare about everything from the appointment letters our patients receive, to the state of our facilities when they walk through the door, to the care and compassion they receive when they are discharged. WeCare that the people who join our trust will hold the same values as we do, so our values are embedded within our recruitment and selection processes. WeCare that you feel valued working here, so our values also guide our training and development and performance and talent management. WeCare about working with suppliers that live and breathe our values too.

We have come a long way on our journey to delivering safe and compassionate care. By embracing these values as the way we behave around here, we will achieve our ambition for excellence.

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Context

Barts Health NHS Trust is one of Britain’s leading healthcare providers and the largest trust in the NHS. It was created on 1 April 2012 by bringing together three trusts: Barts and The NHS Trust, Newham University Hospital NHS Trust and Whipps Cross University Hospital NHS Trust. The new trust has a turnover of approximately £1.4billion and approximately 16,000 employees.

Together our hospitals - Newham University Hospital in Plaistow, St Bartholomew’s (Barts) in the City, The Royal London in , and Whipps Cross in - deliver high quality clinical care to the people of east London and further afield. Around 2.5 million people living in east London look to our services to provide them with the healthcare they need.

The hospitals offer a full portfolio of services that serve the needs of the local community, and are home to some of Britain’s leading specialist centres including the second largest cancer centre in London, the largest cardiovascular centre in Europe, an internationally- renowned trauma team, and the home of the London Air Ambulance. Barts Health also has one of the UK’s busiest children’s hospitals and internationally renowned surgical facilities and dental hospital.

Our vision is to create a world-class health organisation that builds on strong relations with our partners and the communities we serve – one dedicated to ending the historic health inequalities in east London. We are part of vanguard projects that seek to transform healthcare in the UK.

We will build an international reputation for excellence in patient care, research and education. And as members of UCLPartners, the largest academic health sciences system in the world, we will ensure that our patients are some of the first in the country to benefit from the latest drugs and treatments. Each year we recruit more than 20,000 patients into pioneering clinical trials.

We are looking for the best talent to lead our ambitious new healthcare organisation. In return, Barts Health will provide unsurpassed professional development opportunities, enabling investment in a range of new initiatives that would mean:

• Doctors and nurses in training will be able to gain experience in different hospitals along the whole patient pathway;

• There would be greater opportunity for career progression – we retain good staff who might otherwise leave to gain promotion. When last benchmarked, Barts Health was the fourth best NHS trust in London at retaining its staff and we aspire to be the best.

• Becoming world-class will enable us to recruit some of the best doctors and researchers in the world – who can share their knowledge and experience;

• Success breeds success. An organisation that is recognised as a world-leader will find it easier to recruit more staff, meaning we can work to reduce the number of persistent vacancies;

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• Joining forces with other partners in an Academic Health Science System will mean that staff would be better able to secure funds and pool their talents to develop new technology, techniques and treatments.

The Trust’s management structure is now partially devolved and in addition to Executive stream, each hospital site has a managing director, a medical director and a nursing director. At the directorate level, clinical structure is based around six Clinical Academic Groups (CAGs) which are:

 Cancer CAG  Cardiovascular CAG  Emergency Care and Acute Medicine CAG  Surgery CAG  Women’s and Children’s Health CAG and  Clinical Support Services CAG

The Pathology directorate lies within the Clinical Support Services group and Mr Simon Ashton is the managing director. The group is divided into:

These Departments are independently managed within the directorate.

Pathology also includes various specialist services (including, Immunology, Immunophenotyping, Clinical transplantation & Retinoblastoma genetic screening unit)

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Job description Job title: Consultant Cellular Pathologist – 1 post Clinical academic group: Clinical Support Services Salary band: Consultant, commensurate with length of service Responsible to: Lead Clinician for Cellular Pathology Accountable to: Clinical Director for Pathology Hours per week: 40 (10 PA) Location: Department of Cellular Pathology at , may be required to carry out duties in any of the hospitals to which the Trust provides services Budgetary responsibility: None

Aim of the role This is a replacement whole-time (10PA) Consultant Cellular Pathologist post to support the provision of a comprehensive, high quality Cellular Pathology service for Barts Health NHS Trust and for other Trusts which this Department undertakes service provision, within North East London. We intend to flexibly recruit to the this post, so that the post holder will complement the specialist interests of the Consultants in the department and, together, the posts will meet the specialist interest requirement of the department. Suitably qualified candidates will be expected to assist in the teaching of undergraduate and postgraduate students. The post holder will be based at the Royal London Hospital.

Key working relationships The management arrangements are in accordance with the Strategic Review of Pathology Services paragraphs 4.22 - 4.26.

The post holder will be accountable to the Lead Clinician for Cellular Pathology and the CAG Clinical Director for Pathology. Any research and teaching responsibilities in terms of an honorary contract must be agreed with the Academic Head of Department.

The appointee will have full professional independence on medical matters however they will be managerially accountable to the Trust and the Chief Executive, through their Head of Service/Lead Clinician.

The post holder will work with consultant pathology colleagues in appropriate specialist team(s) within the department and liaise with members of appropriate Multidisciplinary Team(s) and lab staff within the department/related departments.

Department of Cellular Pathology

The Department of Cellular Pathology for Barts Health NHS Trust is sited at the state-of-the- art Pathology and Pharmacy building at the Royal London hospital in Whitechapel. Satellite laboratories are based at St Bartholomew’s hospital and Whipps Cross hospital to cover frozen sections for cancer surgery and to support research activities.

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Cellular pathology services are provided along specialist lines with lead consultants and supporting consultants in each specialist area. The department provides a range of services across East London. A wide range of general and specialist histological material is seen including cardiothoracic, dermatopathology, gynaecological, breast, medical renal, lymphoreticular, genitourinary, paediatric and perinatal, endocrine, gastrtointestinal, hepatobiliary, oral and head and neck.

The Clinical Lead for Cellular Pathology post is a 3 year term, with annual review. It is open to all consultant pathologists in the department with an interest in management and is filled following interview by the Clinical Director for Pathology and the Clinical Support Services CAG Director. The current Clinical Lead is Dr A Lee

Cellular Pathology Annual Figures (2018/19) Total Surgical pathology 67787 Cytopathology - Gynaecological 94482 - Non Gynaecological 9383 103, 865

Post-mortems - Adult medico legal 121 - Adult consent 11 - Perinatal/Paediatric 254 386

Gastrointestinal pathology forms the greatest proportion of the departmental workload (about 30%). There is a wide variety, and the team works with more than 60 clinicians at multiple hospital sites to deliver a responsive, patient-orientated specialist GI pathology service. Approximately 20,000 GI cases are reported per annum, including referrals. The majority of the specimens are endoscopic biopsies, however many liver biopsies are also received. Bowel cancer screening biopsies, pancreatic biopsies and cancer resections (oesophagogastric, colorectal, hepatobiliary and pancreatic) also form a significant part of the workload. The oesophagogastric (OG) cancer surgery service has moved to University College London Hospital however resections continue to be processed and reported at BH. GI and HBP cytological specimens are reported by the Non-Gynae Cytology team.

At the present time 5 consultants participate in the GI pathology rota, 2 of whom report solely GI pathology. There are currently 7.37 consultant replacement vacancies to which we are recruiting over 2020-2021, a substantial proportion of which will be to appoint candidates with a sole or major specialist interest in GI pathology. These vacancies are currently being covered by locum staff and outsourcing.

Each rota runs for twelve weeks and is arranged on a weekly basis. Cancer resections, Bowel screening cases and clinically urgent endoscopic and liver biopsies are prioritised for reporting in house with consultants allocated to resections or biopsies on a weekly basis.

Biopsies are allocated on a daily basis. Each consultant on the biopsy rota receives a quota comprising a mixture of endoscopic and colonoscopic biopsies. Medical liver biopsies are currently covered by 3 members of the GI team. GI frozen section cover and supervision of registrars in cut up is included on the rota. The paediatric GI workload is currently reported by the paediatric pathologists. There is a rota for the MDMs supported by the GI pathology team.

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A weekly 1 hour review meeting is held to discuss difficult and interesting GI cases and this is included as DCC in the job plans.

The lead for Bowel Screening and GI pathology is Dr Vinayata Sheshappanavar.

Applicants with specialist interest in GI pathology are required

Diagnostic (non-gynae) cytology accounts for approx. 10,000 specimens a year (approx. 2000 cytology specimens are reported by the Breast pathology team). There is a wide range of specimen types from many clinical specialties.

Five consultants participate in the non gynae cytology rota, with one consultant rostered each week. There is a weekly Head & Neck one stop clinic at St Bartholomew’s hospital, with on-site immediate cytology reporting provided by two of the non gynae cytology team (Professor M Calaminici and Dr A Faruqi) on a rota basis.

The lead for diagnostic cytology is Prof Michael Sheaff.

Applicants with specialist interest in diagnostic cytology are welcomed.

Adult post mortems are performed in the state-of-the-art post mortem suite located on the lower ground floor of the Pathology and Pharmacy building at the Royal London hospital in Whitechapel, including a separate purpose built high risk unit. There are in excess of 150 adult post mortems a year, the majority being by request of a coroner. There are three Coroners in the Barts Health trust area – , Inner North London and East London. There are three consultants who perform adult post-mortems, including coronial post-mortems, rostered on a daily basis. (There is a separate team of two consultant pathologists who perform perinatal/paediatric post-mortems).

Applicants wishing to undertake adult post-mortems are needed and welcomed.

Breast pathology accounts for almost 7% of the departmental histology workload and more than 15% of the non-gynae cytology workload. We receive specimens from Central and East London Breast Screening Service (CELBSS), along with specimens from three Breast Units within Barts Health (St Bartholomew’s hospital, Whipps Cross hospital and Newham hospital) and from the Breast Unit at Homerton University hospital.

Four consultants participate in the breast pathology rota, with two consultants sharing breast reporting duties each week. There is a rota for the MDMs supported by the Breast pathology team.

The lead Breast pathologist is Dr Purnima Makhija.

The Breast Unit runs an active research programme with close links to the Barts Cancer Institute, comprising 250 clinical and scientific researchers in state-of-the-art facilities. We are part of the Breast Cancer Campaign National Tissue Bank and consent the majority of patients for use of their tissue for research, providing the ability to support pathology-based research locally. There are many opportunities to participate in research projects, and pathology in-put is particularly valued by researchers at the Institute. A number of major

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clinical trials, including IBIS-I and IBIS-II, are co-ordinated by the Institute and there is the opportunity to participate in Central Pathology Reviews related to the trials.

Gynaecological pathology accounts for almost 20% of the departmental histology workload and covers a full range of oncology and non-oncology specimens, along with cervical screening cytology. Barts Health has a dynamic Gynaecological Oncology multidisciplinary team with 5 surgical Gynaecological Oncologists and one academic surgical Gynaecological Oncologist, as part of a tertiary referral centre for North East London. There is access to a range of complex oncology cases from within the region. Referrals are also received for complex exenterative surgery and fertility sparing surgery for cervical cancer. A frozen section service is provided for apparent early stage ovarian cancers and occasionally for other indications.

The department provides histology reporting for four busy Colposcopy Units based at St Bartholomew’s hospital (soon to move to the Royal London hospital), Newham hospital, Whipps Cross hospital and Homerton hospital. Monthly colposcopy MDMs occur for each of these Units, with pathology support whether on-site or via video-microscopy.

Currently six consultants participate in the gynae pathology rota. Each rota runs for 12 weeks and is arranged on a weekly basis. It currently has five components: and surgical specimens marked ‘urgent’ -urgent” specimens, including benign resections and POCs

Four of the consultant team will be required to cover all aspects of Gynaecological Oncology (not necessarily required for this post), while the remainder would report a variable proportion of other components on an agreed basis and as determined by the needs of the department.

There is a rota for the MDMs supported by the Gynae pathology team.

In addition to undergraduate and post graduate teaching, there are exciting opportunities for collaborative research within the Department and the QMUL Medical School, within the Institutes of Cancer, Preventative Medicine and Translational Biology.

The co-lead Gynae pathologists are Prof Naveena Singh and Dr Asma Faruqi.

Applicants with an interest in Gynae pathology (including colposcopy) or Breast pathology are welcomed.

The department also has dynamic teams in other specialties which are looking to expand: lymphoreticular, chest, head and neck, and endocrine pathology. The department is equipped for electron microscopy, scanning densitometry, telepathology and image analysis equipment. There is a molecular biology laboratory to which the post holders will have access.

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The Department has full accreditation from CPA Ltd and UKAS ISO 15189 accreditation.

Departmental staff participates individually and collectively in external quality assurance programmes organised nationally and regionally in specialised areas of diagnostic and technical work. These include the national gastrointestinal pathology EQA scheme, the national liver pathology EQA scheme, the national neuropathology EQA scheme, the national renal EQA Scheme, the immunocytochemistry EQA scheme, the regional EQA scheme for general histopathology, the national gynaecological pathology EQA scheme, the national H&N pathology EQA scheme, the national breast screening EQA scheme, and the national paediatric pathology scheme. All departmental staff involved in reporting cervical smears participates in a twice-yearly London Regional Cervical Cytology EQA.

The post holder is expected to have a special interest, or to develop such an interest, in one or more of the following specialty areas: GI pathology, Non-Gynae cytology, and adult Post Mortems, to complement the specialist interests of current consultants and, together, to meet the specialist interest requirements of the department. Applicants with an interest in Gynae pathology (including colposcopy), Breast pathology or other specialties may also be considered. It would be helpful if prospective candidates could indicate their specialty preferences.

Any candidate who is unable to work full-time for personal reasons will be eligible to be considered for the post. If such a person is appointed, modification of the job content will be discussed on a personal basis with the Trust, in consultation with consultant colleagues.

Multidisciplinary Team meetings are predominantly held at the departmental seminar room at the Royal London hospital and are attended by pathologist(s), with video-link facilities for off-site teams. Some multidisciplinary meetings are held at other hospital sites (St Bartholomew’s, Whipps Cross), some with video-link facilities for off-site teams and/or pathologists. Time spent attending and travelling to these meetings will be identified as DCC PAs in job plans. The post holder will be required to participate in MDM meetings, frozen section service and may participate in the one stop clinic for diagnostic cytology evaluation.

The rota runs for 12 weeks and is arranged on a weekly basis. Cut up is supported by the trainees under consultant supervision.

If any MDM or clinical work is off site, time spent attending and travelling to these meetings will be identified as DCC PAs in job plans. A comprehensive timetable of departmental MDT meetings is appended below.

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Day & Time Meeting Frequency Location Monday 12.45 - 14.00 Colposcopy (SBH, RLH, HUH, NUH, WXUH) Weekly RLH 13.00 - 14.00 Colposcopy (HUH) Monthly RLH (via videolink) 13.00 - 14.00 Testis (Regional) 2 weekly SBH 16.00 - 17.00 Retinoblastoma (RLH) Monthly RLH Tuesday 08.00 - 09.00 Colorectal (RLH) Weekly RLH 08.00 - 09.00 UGI (RLH, NUH, HUH) Weekly RLH 08.00 - 09.30 Respiratory (SBH) Weekly SBH 08.30 - 09.30 Paediatric Surgical (RLH) Monthly RLH 08.00 - 10.00 Haem-Onc (SBH) Weekly SBH 08.00 - 10.30 Urology (SBH, RLH) Weekly SBH 09.00 - 10.00 Supraregional Skin Cancer MDT (RLH) Weekly RLH 09.15 - 10.15 Upper GI (WXH) Weekly WXH 10.00 - 10.30 Haem-Onc (NUH) Weekly SBH (via videolink) 10.30 - 11.00 Haem-Onc (WXH) Weekly SBH (via videolink) 10.45 - 11.45 IBD (RLH) 2 weekly RLH 12.30 - 13.30 Dermpath (WXH) Weekly WXH 12.45 - 14.00 Colorectal (WXH) Weekly RLH (via videolink) 16.00 - 17.00 Retinoblastoma (RLH) Monthly RLH Wednesday 08.00 - 12.00 Gynaecological-Onc (SBH, NUH, WXH, HUH) Weekly SBH 08.30 - 11.30 Breast (SBH, NUH, HUH incl WXH screening) Weekly SBH (WXH via videolink) 10.30 - 11.30 HPB (RLH) 2 weekly RLH 11.30 - 12.30 Colposcopy (SBH) 2 monthly SBH 10.30 - 13.00 Head & Neck (SBH, NUH, WXH and UCLH) Weekly SBH 11.30 - 12.30 Liver (RLH) Monthly RLH 12.30 - 13.30 Perinatal mortality (NUH) 3 per year RLH 12.30 - 13.30 Perinatal mortality (Regional) 3 per year RLH 13.00 - 14.00 Local Skin Cancer Meeting (BLT) Weekly WXH Thursday 08.00 - 09.00 Respiratory (WXH) Weekly WXH 09.30 - 10.30 Colposcopy (NUH) Monthly RLH (via videolink) 12.30 - 13.30 Dermpath (WXH) Weekly WXH 12.30 - 13.30 Trauma M&M (RLH) 2 weekly RLH 13.00 - 14.00 Respiratory (NUH) 2 weekly NUH 13.30 - 14.30 Local Skin Cancer Meeting (WXH) Weekly WXH 14.00 - 15.00 Renal (RLH) Weekly RLH 13.30 - 15.30 Perinatal (Regional) 2 monthly RLH 14.00 - 15.00 Trauma Peer review (RLH) Monthly RLH Friday 08.30 - 09.30 Colorectal (HUH) Weekly RLH (via videolink) 08.30 - 09.00 Respiratory (LCH) Weekly LCH 09.00 - 12.00 Maxillo Facial (RLH) Monthly RLH 09.30 -10.00 Cancer of unknown primary Weekly RLH (via videolink) 10.30 - 11.30 Paediatric Gastrointestinal (BLT) Weekly RLH 12.30 - 13.30 Perinatal (WXH) 3 per year RLH 13.00 - 14.00 Dermpath CPC (RLH, WXH, HUH) Weekly RLH 13.15 - 14.30 Thyroid (SBH) Weekly SBH 14.00 - 15.00 Perinatal mortality (RLH) 3 per year RLH 14.00 - 15.00 Perinatal mortality (Queen's) 3 per year RLH 14.30 - 16.00 General Endocrine (SBH) Weekly SBH 14.30 - 15.30 Perinatal mortality (HUH) 3 per year RLH 15.00 - 16.00 Colposcopy (WXH) Monthly WXH

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Current staff:

Consultant Cellular Pathologists (FT = full time, LTFT, less than full time)

Name Specialty interests

Dr Petra Balogh Skin, Bone & Soft tissue and GI pathology

Dr Luis Beltran (FT) Urological and Endocrine pathology

Professor Dan Berney (FT) Urological and Endocrine pathology

Dr Victoria Bryant (FT) Perinatal and Paediatric pathology

Prof Mariarita Calaminici (FT) Lymphoreticular pathology and Diagnostic cytology

Dr Laura Casey (FT) Gynaecological, Thoracic and Breast Pathology

Dr Jo-Anne Chin Aleong (FT) GI and HPB pathology and Adult Post-mortems

Dr Hannah Cottom (FT) Oral pathology

Dr Asma Faruqi (FT) Gynaecological pathology, Diagnostic cytology

Dr Kostantinos Giaslakiotis (FT) Thoracic and GI pathology

Dr Mark Hawthorne (FT, accepted) Dermatopathology and renal pathology

Dr Lauren Heptinstall (LTFT) Renal pathology

Dr Sharanpal Jeetle (FT) Dermatopathology and Adult post-mortems

Professor Louise Jones⃰ (LTFT) Breast pathology

Dr Esin Karaa (FT) Perinatal and Paediatric pathology

Dr Sarah Lam Shang Leen (LTFT) Gynaecological and Genitourinary Pathology

Dr Abigail Lee (FT) Renal, Breast and Gynaecological pathology & Diagnostic cytology Dr Marcin Ligaj (FT, accepted) Dermatopathology

Dr Purnima Makhija (FT) Breast pathology

Professor Silvia Marino⃰ (LTFT) Neuropathology

Professor Jo Martin⃰ (LTFT) Renal pathology

Dr SM Hasan Rizvi (FT) Lymphoreticular pathology

Dr Deirdre Ryan (LTFT) Breast pathology

Dr Valentina Sangiorgio Lymphoreticular pathology

Professor Michael Sheaff (FT) Thoracic, Renal and Dermatopathology, Diagnostic cytology, Adult post-mortems

Dr Vinu Sheshappanavar (LTFT) GI and HPB pathology

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Professor Naveena Singh (FT) Gynaecological pathology and Diagnostic cytology

Dr Krishna Suchak (LTFT) Oral pathology

Dr Nairi Tchrakian (FT, currently on Gynaecological, Thoracic and Breast Pathology 12-month sabbatical leave) Dr Giorgia Trevisan (FT) Gynaecological pathology and Dermatopathology

7.37 replacement posts (whole-time) Consultant Pathologist x 7.37 (including this post) ; 2 of these posts have been advertised for Specialty doctors and are currently recruiting.

Technical Staff

Service Manager 1 WTE Advanced Practitioner (Band 8c) 1 WTE Cytoscreener 2 WTE BMS (Band 4, 6 and 8a) 42.47 WTE MLA (Band 2 and 3) 15.69 WTE Admin and Clerical 11.98 WTE

Senior Technical Staff

Matt Miller BMS 8c, Service Manager Hasit Patel BMS 8c, Cytology Advanced Practitioner Dean McDonald BMS 8a, Dissection Lead Lee Jefferies BMS 8a, Quality Lead Graham McPhail BMS 8a, EM Lead Suzanne Jordan BMS 8a, Immunohistochemistry Lead Keziban Rehman Cytology Lead Lynne Pulman Mortuary Lead

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Training and Education

There are currently 2 ST1 histopathology trainees and 12 Year 2+ STs in the department, recruited via the National Histopathology Training Programme under the current run-through training scheme. Year 2+ trainees are incorporated into the North Central and East London (NCEL) Training Programme and rotate to participating hospitals across this Local Education and Partnership Board (LETB) area.

Local training is overseen by the Local Faculty Group - Histopathology. The group meets on a quarterly basis and is chaired by the Training Programme Director and includes the Educational Supervisors, 2 Clinical Supervisors and the AD, PGDME for UCLP. The trainees have a Trainees Forum chaired by the Trainee Representative who also attends the LFG-H meetings to present the findings of the Juniors Forum.

All Clinical supervisors should complete the requisite training modules. All Consultants are expected to double head with trainees and be available to train/assist at cut up. They are expected to provide regular feedback to the trainees and their educational supervisors. There are formal weekly teaching sessions in histology and cytology conducted by consultant trainers on a rota basis.

Trainees have protected time for cytology and educational events. All trainees attend mandatory training days and therefore consultants in the relevant specialities are expected to provide cut up cover and primary report as necessary.

The aim of the department is to provide high quality training and education in an atmosphere that facilitates trainees to achieve their maximum potential.

Main duties and responsibilities

Together with consultant colleagues, the post holder will be responsible for the provision of Barts Health Cellular Pathology service, including one (or more) of the following: GI pathology, Non-Gynae cytology, and adult Post Mortems. Applicants with an interest in Gynae pathology (including colposcopy) and Breast pathology will be considered.

The post holder will be expected to support the relevant specialty lead(s) and the Clinical Lead in the management of the cellular pathology service. The configuration of all the responsibilities will be reviewed from time to time and the post holders will be expected to work with consultant colleagues to provide a reliable and expeditious service, with scope for service development.

The rota(s) will be subject to negotiation between colleagues. Should disputes regarding rota(s) arise, the Lead Clinician will mediate.

Compliance with the requirements of good clinical governance and national arrangements for medical recertification will be expected. DBS (Disclosure and Barring Service, formally CRB) checks will be applied.

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Applicants should be aware that regardless of country of origin, their ability to communicate in written and spoken English to the standard required to carry out the posts will be assessed during the selection process. www.ukba.homeoffice.gov.uk/visas-immigration/working/

Applications from job seekers who require Tier 2 sponsorship to work in the UK are welcome and will be considered alongside all other applications. www.ukba.homeoffice.gov.uk/visas-immigration/working/tier2/general/

Facilities for appointee The post holder will be provided with office space in the Cellular Pathology department at the Royal London hospital, equipped with a PC with appropriate software (including access to internet and e-mail), access to the laboratory information management system (Winpath) and access to the digital dictation system (G2Speech), along with access to current books and journals. A modern microscope will be available, suitable for the work required, with double-head for teaching.

Terms and conditions of service The appointee will be required to maintain General Medical Council (GMC) registration and revalidation, and should follow the GMC’s Code of Good Medical Practice.

The appointment will be covered by the National Health Services Terms and Conditions of Service for Hospital, Medical and Dental Staff (England and Wales) and the General Whitley Council Conditions of Service.

This job description is not intended to be exhaustive and it is likely that duties may be altered from time to time in the light of changing circumstances and after consultation with the post holders.

The post holder might be required to work across the Trust at any time throughout the duration of their contract, which may entail travel and working at different hospitals, which will be identified as DCC PAs in job plans.

Effort, skills and working conditions

Physical skills Microscopy skills Keyboard skills Physical effort Working for sustained periods at a microscope Mental effort Concentration Interruptions Need to meet deadlines Emotional effort Responding to urgent requests for reports Working conditions Office environment Laboratory environment May include outpatient environment (for one stop clinics)

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Performance management, appraisal and revalidation

The post holder is expected to participate in individual performance management process and reviews. Annual appraisal is a professional and contractual requirement. Revalidation by the General Medical Council (GMC) normally occurs every five years. As appropriate, completed appraisal documentation is passed to the Trust Responsible Officer (Medical Director) for approval and submission to the GMC to support revalidation.

Any concern arising from the appraisal process should be brought to the appraiser, in the first instance. Where the above step has not settled the concern, or where it would be inappropriate to raise the issue with the appraiser, an opportunity to talk to the Deputy Medical Director is offered. If the concern is not resolved, a formal written submission of the concern is forwarded to the Deputy Medical Director. If the concern is still not resolved, it is escalated in writing to the Medical Director.

Personal development and training The post holder will be expected to participate in clinical audit and CPD, and in relevant quality assurance schemes and proficiency testing. The Trust supports the concepts of CPD, clinical audit and EQA, and encourages all consultants to participate in these activities by providing time and resources. Study and professional leave amounts to 30 days over a 3 year period, usually at a rate of 10 days per year. Funding for study leave is not automatic and the degree of financial support to be considered may vary and will depend on service requirements, financial and budgetary constraints.

Barts Health NHS Trust actively encourages development within the workforce and employees are required to comply with trust mandatory training. Barts Health’s education academy aims to support high quality training to NHS staff through various services. The trust is committed to offering learning and development opportunities for all full-time and part-time employees.

No matter where you start within the NHS, you will have access to extra training and be given every chance to progress within the organisation. You will receive an annual personal review and development plan to support your career progression and you will be encouraged to develop your skills and experience.

Research and development (R&D) There are several flourishing research programmes in the Trust and Queen Mary University of London School of Medicine and Dentistry, which require input from diagnostic cytopathology and histopathology services. Many of these programmes regularly request support from the clinical teams, and the post holder would be encouraged to become involved where feasible.

Any research and teaching responsibilities in terms of an honorary contract must be agreed with the Academic Head of Department (Professor Jo Martin).

Teaching The Trust is committed to sustaining and advancing the provision of medical, dental, nursing and other professional education and to the delivery of high quality postgraduate and undergraduate training. August 2020 Page 17

The post holder will be expected to participate fully in the postgraduate education of medical and technical staff. For the majority of Consultants this will involve specific timetables and regular teaching commitments supervised by the Training Programme Director and Educational Supervisors.

The department is actively engaged in undergraduate teaching with emphasis on the use of non-didactic, self-directed learning methods. The post holder would be expected to participate in this activity together with appropriate training and quality exercises. A specialist interest in pathology education would be welcome.

Health and safety at work The post holder has a duty of care and personal obligation to act to reduce healthcare- associated infections (HCAIs). They must attend mandatory training in infection prevention and control (IP&C) and be compliant with all measures required by the trust to reduce HCAIs. All post holders must comply with trust infection screening and immunisation policies as well as be familiar with the trust's IP&C policies, including those that apply to their duties, such as hand decontamination, personal protective equipment, aseptic techniques and safe disposal of sharps.

All staff must challenge noncompliance with infection, prevention and control policies immediately and feedback through the appropriate line managers if required.

Confidentiality and data protection All employees are expected to comply with all trust policies and procedures related to confidentiality and data protection and to work in accordance of the Data Protection Act 1998.

Conflict of interest The trust is responsible for ensuring that the service provided for patients in its care meets the highest standard. Equally it is responsible for ensuring that staff do not abuse their official position for personal gain or to benefit their family or friends. The trust’s standing orders require any officer to declare any interest, direct or indirect with contracts involving the trust. Staff are not allowed to further their private interests in the course of their NHS duties.

Equality and diversity The trust values equality and diversity in employment and in the services we provide. It is committed to promoting equality and diversity in employment and will keep under review our policies and procedures to ensure that the job related needs of all staff working in the Trust are recognised. The Trust will aim to ensure that all job applicants, employees or clients are treated fairly and valued equally regardless of gender, marital or civil partnership status, age, domestic circumstances, disablement, ethnic or national origin, social background or employment status, sexual orientation, religion, beliefs, HIV status, gender reassignment, political affiliation or trade union membership. Selection for training and development and promotion will be on the basis of the individual’s ability to meet the requirements for the job.

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The post holder will be responsible for ensuring that the trust’s policies, procedures and obligation in respect of promoting equality and diversity are adhered to in relation to both staff and services.

NHS managers’ code of conduct As consultant posts may have a managerial component, the post holder will be expected to follow the code of conduct for NHS managers (October 2002). www.nmc-uk.org/

Safeguarding adults and children Employees must be aware of the responsibilities placed on them to maintain the wellbeing and protection of vulnerable children and adults. If employees have reason for concern that a patient is 'at risk' they should escalate this to an appropriate person i.e. line manager, safeguarding children's lead, matron, ward sister/change nurse, site manager or consultant.

Barts Health values based leadership Our leaders ensure a focus on health where patients are at the centre of all we do. They work to create a culture where innovation is promoted and encouraged. They lead by example and demonstrate value based decision making as being integral to the ways of working within the Trust.

Barts Health leaders are role models who demonstrate those attitudes and behaviours which will make us unique. Our leaders are passionate about delivering high quality patient care, take pride in the work that they do to and are committed to the delivering the Barts Health NHS Trust 10 pledges of: 1. Patients will be at the heart of all we do. 2. We will provide consistently high quality health care. 3. We will continuously improve patient safety standards. 4. We will sustain and develop excellence in research, development and innovation. 5. We will sustain and develop excellence in education and training. 6. We will promote human rights and equalities. 7. We will work with health partners to improve health and reduce health inequalities. 8. We will work with social care partners to provide care for those who are most vulnerable. 9. We will make the best use of public resources. 10. We will provide and support the leadership to achieve these pledges.

Our leaders are visible leaders who believe in spending time listening and talking our staff, patients and partners about the things that are important to them and the changes they would like to make to continuously improve patient care.

Barts Health leaders work with their teams to develop organisational values, embed them in our ways of working and create the cultural changes required to ensure that we consistently provide an excellent patient experience, regardless of the point of delivery, in an environment where people want to work, regardless of where they work or what they do.

Prospective candidates are strongly encouraged to visit the department, in person or remotely, which may be arranged by contacting:

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Professor Naveena Singh: [email protected] Department of Cellular Pathology, 2nd floor Pathology and Pharmacy Building, Royal London Hospital London E1 2ES 020 3246 0205 (general office) For further information, prospective candidates are also invited to contact:

Prof Michael Sheaff: [email protected] Dr Sharanpal Jeetle: [email protected] Dr Vinayata Sheshappanavar: [email protected] Dr Purnima Makhija: [email protected]

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Proposed Job Plan

Colleague cross cover for annual, professional and study leave is expected. Occasional out- of-hours working may be required.

DCC/ Timing Description Frequency Location Av. PAs/wk SPA Monday 0900- Reporting Weekly RLH DCC 1 AM 1300 Monday 1400- Reporting and trainee Weekly RLH DCC 1 PM 1800 supervision Monday OOH Tuesday 0900- Reporting and trainee Weekly RLH DCC 1 AM 1300 supervision Tuesday 1400- Reporting and trainee Weekly RLH DCC 1 PM 1800 supervision MDM preparation Tuesday OOH Wednesday 0900- MDM Weekly SBH/RL DCC 1 AM 1300 Travel between hospitals H Reporting Wednesday 1400- Reporting and trainee Weekly RLH DCC 1 PM 1800 supervision Wednesday OOH Thursday 0900- Reporting Weekly RLH DCC 1 AM 1300 MDM preparation Thursday 1400- Research/Audit/Teaching Weekly RLH SPA 1 PM 1800 Thursday OOH Friday 0900- Reporting Weekly RLH/SB DCC 1 AM 1300 MDM H Friday 1400- Research/Audit/Teaching Weekly RLH/SB SPA 1 PM 1800 H

The job plan is provisional and will be reviewed, with a performance review carried out by the Clinical Director of Pathology and, through him, the Medical Director of the Trust. A Barts Health job planning policy is currently in draft and is being discussed with the Joint Local Negotiation Committee. Its purpose is to comprehensively and explicitly set out the approach to consultant job planning by the Trust and the QMUL School of Medicine and Dentistry.

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Additional responsibilities Additional NHS responsibilities, which are deemed appropriate (such as giving external lectures, acting as an examiner or CPA inspector, and working for the Department of Health or the College) can be agreed in advance with the Clinical Director and allocated as PA time for additional NHS responsibilities in the job plan. The timing and location of these activities should be included in the job plan. It is important to discuss the potential commitment for external duties so that:

 the impact on the service can be assessed and managed  any potential benefits to the Trust can be identified  there is fairness and transparency between team members

Additional PAs (APAs) are a temporary addition to the substantive contract and will be agreed annually.

All consultants require time to maintain and develop professional expertise, however additional supporting activities (such as educational supervision, teaching and management) may not be evenly distributed within the department.

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Person specification

Post Consultant Cellular Pathologist

Dept/ward Department of Cellular Pathology

Essential defines the minimum criteria needed to carry out the job and the job cannot be done without these.

Desirable refers to criteria which are not essential and which successful applicants would be expected to acquire during their time in post. The desirable requirements are not taken into consideration in a job evaluation panel.

Essential = E E or D Application Interview Desirable = D form

E Qualifications MBBS/MB ChB or equivalent  and knowledge

FRCPath or evidence of equivalent E  qualification

Full and specialist registration (and a licence to practise) with the General Medical Council (GMC) (or eligible for registration within six E  months of interview)

Applicants that are UK trained, must ALSO be a holder of a Certificate of Completion of

Training (CCT), or be within six months of award of CCT by date of interview.

Applicants that are non-UK trained, will be E

required to show evidence of equivalence to the UK CCT 

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Essential = E E or D Application Interview Desirable = D form

Experience Thorough and broad training and experience in Histopathology, in Cytopathology and Adult E   Post Mortems, as appropriate

Ability to take responsibility for delivering service without direct supervision E  

Special interest in one or more of the following E specialties to complement those of other   consultants in the department: -Gynae cytology

Applicants with an interest in breast, gynaecological or other pathology specialties will be considered.

Thorough understanding of the principles of E medical audit   E Undertaken audit projects   D Attendance at management course  

E   Knowledge and experience of Cellular Skills Pathology

 Broad range of IT skills E

E Knowledge of evidence-based practice   E Professional attitude towards work, reliability,  good attendance record and tidy personal  appearance 

E   Experience of undergraduate and/or Personal and postgraduate teaching or training people Experience of undergraduate and/or D   development postgraduate exam preparation

Interest in research with peer reviewed D publications  

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Essential = E E or D Application Interview Desirable = D form

  Ability to communicate effectively with clinical Communication colleagues, colleagues in pathology and E   support staff  Good knowledge of, and ability to use, spoken and written English E   Ability to present effectively to an audience, E using a variety of methods, and to respond to  questions and queries

 Specific Sufficient to perform the duties of the post with E  requirements any aids and adaptations

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