Str LAT/Clinical Fellow in Clinical Haematology

STR LAT/CLINICAL FELLOW IN CLINICAL HAEMATOLOGY

WEST OF SCOTLAND ROTATION

INFORMATION PACK

REF: 31319D

CLOSING DATE: NOON 20TH DECEMBER 2013 www.nhsggc.org.uk/medicaljobs SUMMARY INFORMATION

POST: STR LAT/CLINICAL FELLOW IN CLINICAL HAEMATOLOGY

BASE: WEST OF SCOTLAND ROTATION

Applications are invited for Locum Appointment for Training (LAT Specialty registrar ST3) in Haematology. The post is available from December 2013 until 5th August 2014. This programme provides training in Haematology and integrates fully with the specialty training programme at an appropriate level. The successful candidate will receive an excellent introduction to the specialist care of patients with Haematological disorders and malignant diseases along with the appropriate laboratory training.

For appointment to a LAT post you must possess full MRCP (UK), or equivalent, and core medical training competencies, or equivalent. Previous experience in Haematology is desirable though not essential. The post has educational approval from the Postgraduate Dean. Applicants who do not meet the above LAT essential criteria may be considered for appointment to a similar post as a Clinical Fellow (a post which would not be recognised for training).

To practice medicine in the UK you need to hold both GMC registration and a licence to practise.

NHS EDUCATION FOR SCOTLAND, WEST REGION

LOCUM APPOINTMENT for TRAINING / CLINICAL FELLOW

IN HAEMATOLOGY

JOB DESCRIPTION

REF: 31319D

1. INTRODUCTION

These posts post provide training in Haematology and integrates fully with the Regional Specialty Training Programme at the appropriate level. The successful candidate will receive an excellent introduction to the specialist care of patients with Haematological disorders of a malignant and non- malignant nature along with training in the appropriate diagnostic and laboratory investigations. The West of Scotland region covers a wide geographical area and a total population of 2.55 million in 5 major health boards. The rotation involves periods in specialist areas such as paediatrics, blood transfusion, bone marrow transplant and coagulation with time spent in both North and South Glasgow, or surrounding Health Boards for generalist haematology training. Applicants must possess MRCP UK and have core medical training competencies or equivalent. Previous experience in Haematology is desirable, but not essential. Glasgow offers a wide range of culture and sporting opportunities. The West of Scotland Postgraduate Deanery confirms that these placements and/or programme have the required educational and Postgraduate dean’s approval. If appointed as a Clinical Fellow these posts will not be recognised for training.

After entering the programme, an Educational Supervisor from the allotted rotational attachment and hospital will meet with the trainee and set training targets; draw up a learning agreement; arrange three monthly assessments; and provide feedback to trainee as required. Performance assessment is on a regular basis throughout training.

The training programme is supervised by the Haematology Sub-committee of the West Region NHS Education for Scotland (NES) with a dedicated Training Programme Director- Dr RC Tait. Each segment of the rotation is overseen by a named Educational Supervisor.

2 ENTRY REQUIREMENTS

The Trainee will be appointed by a Committee comprising representatives of the Postgraduate Dean, Speciality Training Committee, and involved hospitals. Candidates must have had satisfactory completion of Core Medical Training / General Professional Training, including at least 2 years of experience in acute medical specialties. Experience in haematology or oncology specialties is desirable. Possession of the full MRCP is essential for appointment to a LAT post.

3 COUNTING PERIOD TOWARDS A CCT-CERTIFICATE OF COMPLETION OF TRAINING

Appointees to a LAT Post who envisage the possibility of later entry to a Type I Higher Training Programme in a medical specialty, and wish this period to be counted, must enrol with JRCPTB. Unless approval by JRCPTB is obtained prospectively, training undertaken during tenure of a LAT cannot count towards a CCT. Trainees who enroll must

 meet the entry requirements for Higher Training in their specialty  occupy posts which have been approved for inclusion in a Higher Training programme in their specialty  have been appointed for a minimum of three months and maximum 1 year. Appointments of shorter duration will not be countable for CCT purposes.  declare to the Postgraduate Dean (or Deputy) at the time of appointment the intention to seek educational recognition of time in post for CCT purposes  obtain the Postgraduate Dean's signature on the enrolment form  undergo such assessments and appraisals as may be required by the Postgraduate Dean and Educational Supervisors during tenure of the post

4 DUTIES OF THE POST

(i) Training

The Trainee must make full use of the training opportunities provided in each placement.

LAT posts have educational approval from the Postgraduate Dean. If appointed as a Clinical Fellow these posts will not be recognised for training.

(ii) Clinical

Under the supervision of the Haematology Consultants, the Locum Appointment for Training (LAT) will be expected to participate in all clinical duties as the St3s as detailed in Appendix2 - commensurate with their experience. The LAT appointee will be expected to join in the provision of the on call service.

(iii) Administration

The Trainee will be expected, when appropriate, to participate in the day to day running of the department in administrative activities such as organisation of undergraduate training, patient reports and letters. The Trainee will have the opportunity to develop management skills as required.

(iv) Communication

This will include:

Discussion with Haematology Consultants regarding clinical problems. Communication with General Practitioners - this will include telephone discussion of problems and writing of letters about cases seen in the Department. Liaison with Specialists in other hospitals/agencies, such as district nurses, ambulance, police etc.

5 EDUCATION

(i) Continuing Education

In each department, each trainee will have dedicated periods of training with the trainer consultant and a minimum of a half day per week for self learning. Attendance at relevant departmental and hospital meetings is expected. In addition, there is a rolling programme of selected topics of teaching/CME provided over a two year cycle on Wednesday afternoons during term time covering specialist areas in haematology, management, medical audit and quality assurance. Participation is also expected at the quarterly evening meetings of the West of Scotland Blood Club. During the second phase of the programme, registrars will attend a formal management course.

(ii) Teaching

At the appropriate stage of training, the Trainee will be expected to participate in both undergraduate and postgraduate teaching.

6 RESEARCH AND AUDIT

(i) Research

There is a strong tradition of research in the West of Scotland. Facilities and support for research activities are available through the University academic department and within hospital departments. The trainee will be encouraged to participate in clinical research and time will be allocated consistent with current Terms & Conditions.

During training for the Part 1 FRCPath Exam, trainees will be introduced to the discipline of research. Opportunities exist for original work especially in the fields of haemostasis and haematological oncology. Approved “out of programme experinece” for research in grant funded posts is often available e.g. LRF Clinical Research Fellowships. Work towards a higher degree is encouraged. (ii) Audit Audit is an essential component of Haematology practice and the Trainee will be required to participate in local and national audit activities.

7 LOCATION OF DUTIES

The hospitals (detailed in Appendix 1) involved in the training programme are as follows:

Glasgow Royal Infirmary Beatson West of Scotland Cancer Centre West Glasgow Hospitals Monklands Hospital Victoria Infirmary Regional Transfusion Centre Southern General Hospital Crosshouse Hospital Stobhill Hospital Royal Alexandra Hospital Royal Hospital for Sick Children Forth Valley Royal Hospital

8 ASSESSMENTS

Assessments will be tailored to successful candidate’s requirements and may include:

(i) The Trainee will be continuously assessed by the trainers (Clinical & Educational Supervisors) at their place of work with local appraisal every 6 months (ii) Throughout training their will be regular assessment of trainees by their Educational Supervisors through: Mini Clinical Evaluation Exercise (Mini-CEX) – assesses core clinical skills (approx 4-6 per year) Case-based Discussions (CbD) - to assess a variety of clinical, problem-solving and laboratory skills and knowledge Directly Observed Procedures (DOPs) - assesses technical ability for procedures (approx 2-4 in total) - procedures to be assessed will include BM Aspirate & Trephine, IT- chemotherapy Multi-Source Feedback Analysis (MSF) - allows structured feedback about a trainees overall performance in post - undertaken towards end of year 1 and again during year 4 (iii) If in the opinion of the Training and Assessment Committee, the Trainee fails to show adequate commitment or progress, career guidance will be arranged, and exceptionally, in the absence of satisfactory progress, the committee may recommend that the contract be terminated. (iv) Trainees are required to keep an electronic portfolio following the requirements laid down by the JRCPTB. 9 GENERAL INFORMATION

Hours and Salary The standard hours of duty shall be the working week of forty hours for which the salary scale currently applicable is appended under general information. On call is non residential and banded at 2B. (Banding is subject to change).

Further Information For further information on these posts or the training programme, please contact: Dr C Tait, Chair and TPD, Postgraduate Sub-Committee in Haematology, Royal Infirmary, Glasgow Telephone: 0141 211 4669 APPENDIX 1

Glasgow Royal Infirmary (Approximately 1000 beds)

Glasgow Royal Infirmary is one of the main teaching hospitals in Glasgow and houses most major acute medical and surgical specialties, together with a number of University Departments. The Haematology Department is organised in 4 sections:

General Haematology Hospital Blood Banking Haemostasis (Coagulation and Thrombosis) including the Regional Adult Haemophilia Centre Obstetric and Perinatal Haematology

The West of Scotland Comprehensive Care Haemophilia Centre and Thrombophilia Service is one of the largest such services in the UK with more than 1000 patients with inherited bleeding disorders registered and a very busy clinical service for patients with thrombotic disorders. This major subspecialty is supported by the Regional Haemostasis specialist laboratory and research interests include anticoagulation, haemophilia and allied bleeding disorders, thrombophilia, thrombosis prevention, thrombosis risk prediction and management of high risk pregnancies. The department also services a large number of medical and surgical beds and provides a clinical and laboratory service for patients with congenital haemoglobin disorders.

West Glasgow Hospitals [Western Infirmary & Gartnavel General Hospital including West of Scotland Beatson Cancer Centre] (Approximately 946 beds)

The Western Infirmary, Gartnavel General Hospital and WoSBCC complex is the other major teaching hospital complex. In addition to providing comprehensive clinical, laboratory and hospital blood banking services, there is a large acute leukaemia service and lymphoma practice. There is close integration between haematology and the Beatson Oncology services. The Haemato-oncology service has relocated along with the Regional Bone Marrow Transplant Unit to a new build Beatson Oncology Centre at Gartnavel General Hospital in 2007. The laboratory facilities at Gartnavel General Hospital provide regional service for immunophenotyping of haematological malignancies. Research interests include erythroblast and haem iron metabolism and in association with Beatson Institute for Cancer Research: research into stem cell biology, and the regulation of haemopoesis and cord blood haemopoeitic progenitors. Bone Marrow Transplant Unit /West of Scotland Beatson Cancer Centre This is the largest in Scotland performing approximately 50 allogeneic or unrelated and 50 autologous transplants per year. This is the only Unit carrying out unrelated donor bone marrow transplants for adults in Scotland. This unit is co-located with the West Glasgow Haemoto-oncology service in the new build Beatson Oncology Centre at Gartnavel General Hospital. The Department has major research programmes in stem cell biology, transplant techniques, chronic myeloid leukaemia and myeloma. There is also on site a busy Apheresis Unit (including photophoresis) run by the Scottish National Blood Transfusion Service.

Royal Hospital for Sick Children (Approximately 300 beds)

Royal Hospital for Sick Children is the largest paediatric teaching hospital in Scotland. The department treats two-thirds of the cases of childhood leukaemia and cancer in Scotland, houses the National Paediatric Bone Marrow Transplant Unit and the Regional Haemophilia Centre, provides diagnostic and counselling service for haemoglobinopathies and cares for children with a wide range of benign haematological problems. The bone marrow transplant programme is heavily weighted towards unrelated transplants, and a haplo-identical programme is being developed. A molecular biology laboratory supports the leukaemia and bone marrow transplant service, and has a particular interest in the monitoring of minimal residual disease and provides a resource for research activity. A laboratory diagnostic and consultative service is provided to all paediatric specialties including medical and surgical, neonatal intensive care units, cardiothoracic surgery, and the ECMO programme.

Southern General Hospital (Approximately 1100 beds)

This department provides a comprehensive clinical and laboratory haematology and transfusion medicine service for this single site teaching hospital. Specialties included general medicine, general surgery and the sub- specialties; vascular and orthopaedic surgery, urology, ENT, ophthalmology, psychiatry, dermatology and geriatric medicine.

There is a large obstetric unit serving South & West Glasgow and in addition to the routine haematology and blood bank support, the laboratory provides a comprehensive ante natal haemoglobinopathy screening service.

The Institute of Neurological Sciences provides a tertiary referral service, and the National Spinal Injuries Unit provides a service for all of Scotland.

The nuclear medicine department provides experience in the use of radio- isotopes in haematology.

There is an extensive clinical and laboratory service for patients with thrombotic and haemorrhagic disorders including the management of pregnancy-associated thromboembolic disease. There is the opportunity to gain experience in the management of patients with a wide range of haematological malignancies.

Victoria Infirmary (approximately 485 beds)

Exposure to a wide variety of clinical and laboratory haematology including lymphomas and autologous bone marrow transplant is available. In the laboratory setting there is an interest in thrombophilia screening, immunocytochemistry in haemopoietic malignancies and in haemoglobinopathies. The unit will provide general haematology laboratory experience including blood film and bone marrow morphology, general haemostasis and blood banking. The nuclear medicine department provides experience in the use of radio-isotopes in haematology. There will be opportunities for publication of case reports and for audit and research during placements at this site. During changes in provision of acute health care in Glasgow, 2 major Outpatient centres have been built on the Stobhill and Victoria sites. The new centre at the Victoria Infirmary along with the West of Scotland Beatson Cancer Centre will be the only sites for Outpatient Intravenous Cytotoxic therapy.

Stobhill Ambulatory Care Hospital

Stobhill ACH provides a day case and outpatient facility, with no acute beds and only a small number of rehabilitation beds. All clinical activity at this site is supported by the laboratory services at Glasgow Royal Infirmary. Haematology outpatient clinics and day case activities at Stobhill ACH are supervised by Dr M Leach and Dr L McIlwaine. Any trainees attached to Stobhill will be linked with the parent unit at either Glasgow Royal Infirmary or Gartnavel General Hospital.

District General Hospitals

In addition to rotation within the Glasgow Hospitals, there are training posts recognised in Monklands General Hospital (Airdrie), Wishaw Hospital, Royal Alexandra Hospital (Paisley), Forth Valley Royal Hospital (Larbert) and Crosshouse Hospital (Kilmarnock). These hospitals offer trainees a wide variety of clinical and laboratory experience in a District General Hospital setting whilst maintaining the academic environment necessary to stimulate training and discussion together with an interest in research.

Regional Blood Transfusion Centre

Rotation of Higher Specialist Trainees is arranged to provide the necessary experience required in transfusion medicine as specified in the PMETB Haematology Curriculum. The RTC also provides a regional Apheresis Service.

HAEMATOLOGY CONSULTANT STAFFING

Glasgow Royal Infirmary WOSCC /West Glasgow Hospitals Dr R C Tait Dr E J Fitzsimons Dr C Bagot Dr M Drummond Dr L McIlwaine Dr R Soutar Dr A Parker Dr P McKay Dr G McQuaker Dr M T J Leach Dr A Clark Dr N Heaney

Paul O’Gorman Leukaemia WOSCC/Bone Marrow Transplant Unit Research Laboratories Dr A Parker Professor T Holyoake Dr G McQuaker Dr M Copland Dr A Clark Dr M Copland

South Glasgow-Southern General South Glasgow-Victoria Dr A E Morrison Dr A Hart Dr I McDonald Dr G Loudon

Regional Transfusion Centre Royal Hospital for Sick Children Dr R Green Dr B Gibson Dr U Paulus Dr. E.A. Chalmers Dr K Douglas Dr N Heaney Dr K Bailey Dr C Halsey Dr R Soutar

Wishaw Hospital Monklands Hospital Dr J Laird Dr JA Murphy Dr A Hung Dr I Singer Dr C Thomas Dr A Raafat Dr P Paterson Dr L Mitchell Dr A Fyfe

Royal Alexandra Hospital Crosshouse Hospital Dr A Todd Dr M McColl Dr C Stirling Dr. P Eynaud Dr A Sefcick Dr J Gillies Dr A McCaig Dr F Cutler Dr P MacLean Dr W Gordon

Forth Valley Royal Hospital Dr R Neilson Dr M Hughes Dr C Brammer

Appendix 2 Specialty Registrar Duties

The post of Specialty Registrar (StR) in Haematology provides up to 5 years of graduated, but flexible, experience in all aspects of clinical and laboratory haematology, including hospital blood banking and training in transfusion medicine, as indicated in the specialist curriculum published by the Postgraduate Medical Education and Training Board (PMETB) in 2010. It is delivered in a succession of rotational posts of six months’ duration which may be extended to one year to suit the needs of the individual trainee. The programme is divided into two parts - pre- and post-FRCPath Part 1.

Years 1 and 2

The trainee will acquire a broad general experience in haematology under supervision with formal and informal instruction. There is a two months’ formal induction to laboratory aspects of haematology followed by training in all clinical and laboratory aspects of general haematology, hospital blood banking, specialist haematology, and haematology relating to other medical specialties.

The rotation involves a selection of the five adult hospitals in Glasgow and includes six months’ experience in haemostasis and thrombosis at the Regional Haemophilia Unit at Glasgow Royal Infirmary and six months’ experience at the Regional Adult BMT Unit, West of Scotland Beatson Cancer Centre.

In addition to the instruction in hospital blood banking provided in all the hospitals, the trainees will participate in four 1-week formal courses in transfusion medicine at the Regional Transfusion Centre.

Although some experience will have already been acquired in neonatal and obstetric haematology, six months will be spent at Royal Hospital for Sick Children gaining specific experience in all aspects of paediatric haematology (The Regional Paediatric Haemophilia Centre and BMT Unit).

Years 3, 4 and 5

During the second phase of training, Specialty Registrar Trainees StR will acquire clinical independence in a more flexible fashion. They will gain wider experience in the sub-specialties and be encouraged to expand their interest for a period of up to one year in one of the areas of haematological oncology, haemostasis, or transfusion medicine. To meet training requirements, trainees who wish to pursue a career in Paediatric Haematology must completed total of 30 months training in Paediatric Haematology at StR level and in addition have at least 12 months general paediatrics experience. All trainees will rotate to the Regional Transfusion Centre for 3-6 months prior to completing the MRCPath Part 2 which may be sat towards the end of year 3 or later.

A minimum 6 month experience of District General Hospital Haematology is an essential part of training. This may be obtained during the initial or final stages of training at any of programme-approved District General Hospitals ie: Crosshouse Hospital, Wishaw Hospital, Monklands General Hospital, Forth Valley Royal Hospital and Royal Alexandra Hospital. Rotation outwith Glasgow is encouraged. TERMS AND CONDITIONS OF SERVICE

The conditions of service are those laid down and amended from time to time by the Hospital and Medical & Dental Whitley Council.

TYPE OF CONTRACT Fixed Term

GRADE AND SALARY StR LAT/Clinical Fellow

- If appointed as an StR (Locum Appointment for Training) the salary range will be: £30,002 to £47,175 (pro rota) - If appointed as a Clinical Fellow the salary range will be: £30.002 to £39,693 (pro rota)

New Entrants to the NHS will normally commence on the minimum point of the salary scale, (dependent on qualifications and experience). Salary is paid monthly by Bank Credit Transfer.

HOURS OF DUTY Full Time 40.00

New entrants to NHS Greater Glasgow and Clyde who are aged sixteen but SUPERANNUATION under seventy five will be enrolled automatically into membership of the NHS Pension Scheme. Should you choose to "opt out" arrangements can be made to do this via: www.sppa.gov.uk

REMOVAL EXPENSES Assistance with removal and associated expenses may be given and would be discussed and agreed prior to appointment.

EXPENSES OF Candidates who are requested to attend an interview will be given assistance CANDIDATES FOR with appropriate travelling expenses. Re-imbursement shall not normally be APPOINTMENT made to employees who withdraw their application or refuse an offer of appointment.

TOBACCO POLICY NHS Greater Glasgow and Clyde operate a No Smoking Policy in all premises and grounds.

This post is considered to be in the category of “Regulated Work” and DISCLOSURE SCOTLAND therefore requires a Disclosure Scotland Protection of Vulnerable Groups Scheme (PVG) Membership.

CONFIRMATION OF NHS Greater Glasgow and Clyde (NHSGGC) has a legal obligation to ELIGIBILITY TO WORK IN ensure that it’s employees, both EEA and non EEA nationals, are legally THE UK entitled to work in the United Kingdom. Before any person can commence employment within NHS GGC they will need to provide documentation to prove that they are eligible to work in the UK. Non EEA nationals will be required to show evidence that either Entry Clearance or Leave to Remain in the UK has been granted for the work which they are applying to do. Where an individual is subject to immigration control under not circumstances will they be allowed to commence until the right to work in the UK has been verified. ALL applicants regardless of nationality must complete and return the Confirmation of Eligibility to Work in the UK Statement with their completed application form. You will be required provide appropriate documentation prior to any appointment being made.

REHABILITATION OF The rehabilitation of Offenders act 1974 allows people who have been OFFENDERS ACT 1974 convicted of certain criminal offences to regard their convictions as “spent” after the lapse of a period of years. However, due to the nature of work for which you are applying this post is exempt from the provisions of Section 4 of the Rehabilitation of Offenders Act 1974 by virtue of the Rehabilitation of Offenders Act 1974 (Exceptions Orders 1975 and 1986). Therefore, applicants are required to disclose information about convictions which for other purposes are “spent” under the provision of the act in the event of employment, failure to disclose such convictions could result in dismissal or disciplinary action by NHS Greater Glasgow and Clyde. Any information given will be completely confidential.

DISABLED APPLICANTS A disability or health problems does not preclude full consideration for the job and applications from people with disabilities are welcome. All information will be treated as confidential. NHS Greater Glasgow and Clyde guarantees to interview all applicants with disabilities who meet the minimum criteria for the post. You will note on our application form that we ask for relevant information with regard to your disability. This is simply to ensure that we can assist you, if you are called for interview, to have every opportunity to present your application in full. We may call you to discuss your needs in more detail if you are selected for interview.

GENERAL NHS Greater Glasgow and Clyde operates flexible staffing arrangements whereby all appointments are to a grade within a department. The duties of an officer may be varied from an initial set of duties to any other set, which are commensurate with the grade of the officer. The enhanced experience resulting from this is considered to be in the best interest of both NHS Greater Glasgow and Clyde and the individual.

EQUAL OPPORTUNITIES The postholder will undertake their duties in strict accordance with NHS Greater Glasgow and Clyde’s Equal Opportunities Policy.

NOTICE The employment is subject to one months’ notice on either side, subject to appeal against dismissal.

MEDICAL NEGLIGENCE In terms of NHS Circular 1989 (PCS) 32 dealing with Medical Negligence the Health Board does not require you to subscribe to a Medical Defence Organisation. Health Board indemnity will cover only Health Board responsibilities. It may, however, be in your interest to subscribe to a defence organisation in order to ensure you are covered for any work, which does not fall within the scope of the indemnity scheme. FURTHER INFORMATION

For further information on NHS Greater Glasgow and Clyde, please visit our website on www.show.scot.nhs.uk

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Applicants wishing further information about the post are invited to contact Dr. Campbell Tait on 0141 211 4669 with whom visiting arrangements can also be made.

HOW TO APPLY

To apply for these posts please include your CV and names and addresses of 3 Referees, along with the following documents; (click on the hyperlinks to open)

Medical and Dental Application and Equal Opportunities Monitoring Form

Declaration Form Regarding Fitness to Practice

Immigration Questionnaire

Alternatively please visit www.nhsggc.org.uk/medicaljobs and click on the “How to Apply” tab to access application for and CV submission information.

RETURN OF APPLICATIONS

Please return your application by email to [email protected] or to the recruitment address below;

Medical and Dental Recruitment Team NHS Greater Glasgow and Clyde Recruitment Services, 1st Floor Modular Building, Gartnavel Royal Hospital 1055 Great Western Road GLASGOW G12 0XH

CLOSING DATE

The closing Date will be Noon 20 December 2013