Southern Trust Job Description Consultant Haematologist

SOUTHERN TRUST JOB DESCRIPTION CONSULTANT HAEMATOLOGIST

TH ROYAL COLLEGE APPROVED BY ROYAL COLLEGE OF PATHOLOGISTS – 24 MAY 2021 APPROVAL:

JOB TITLE: CONSULTANT HAEMATOLOGIST

DEPARTMENT: Haematology

BASE/LOCATION: All posts are appointed to the Southern Health and Social Care Trust. The base hospital for this post is CRAIGAVON AREA HOSPITAL however the post holder may be required to work on any site within the Southern Health and Social Care Trust.

RESPONSIBLE TO: Dr Clare McGalie – Clinical Director

REPORTS TO: Dr S Tariq - Associate Medical Director for Cancer and Clinical Services

ACCOUNTABLE TO: Mrs M McClements – Director of Acute Services

SUMMARY OF POST:  This is a full-time position (10 PAs), however anyone interested in working part-time / job share is welcome to apply.  The post holder will join 4 Consultant Haematologists (3 full-time and one part-time) in delivering clinical and laboratory services in Haematology to the Southern Trust area.  The post holder will participate in a 1:5 Category A on-call rota (5%).  The post will attract a salary of £82,500 - £111,230 per annum.  Annual leave will be 32 days per annum initially rising to 34 days after 7 years’ seniority, plus 10 statutory and public holidays.  The post has an attractive study leave entitlement of up to 30 days paid leave with expenses in any period of three years.  A relocation package may also be available if appropriate.  The Southern Trust has established a dedicated revalidation support team which ensures all doctors have an annual appraisal with a trained appraiser and supports all doctors through the revalidation process. The Trust has also appointed Corporate, Consultant and SAS Leads for appraisal and revalidation.  The Trust supports the requirements for continuing professional development (CPD) as laid down by the GMC and is committed to providing time and financial support for these activities.  The post will attract all the terms and conditions and employment benefits associated with an NHS post e.g. NHS indemnity; access to NHS pension scheme and many additional benefits such as child care vouchers etc.

THE SOUTHERN TRUST The Southern Trust is one of the largest employers in Northern Ireland and Craigavon Area and Daisy Hill hospitals form the Southern Trust Acute Hospital Network – employing 13,612 staff and serving a population of over 383,000. Each year in our hospital network there are approximately 58,000 inpatient admissions; 37,000 day cases; 363,000 outpatient appointments; 139,000 Emergency

Department attendances; and over 5,500 births. Statistics updated in 2019/20.

The Southern Trust provides integrated hospital, community and primary care services to the areas of Armagh, Banbridge, Craigavon, Dungannon, South Tyrone, Newry and Mourne, across the southern part of Northern Ireland.

General acute inpatient hospital services are located in Craigavon Area and Daisy Hill Hospitals and acute Mental Health and Learning Disability inpatient hospital services are located in the Bluestone Unit, also based on the Craigavon Area Hospital site. Working in collaboration with GP’s and other agencies, Trust staff provide locally based health and social care services in Trust premises, peoples own homes and in the community.

As part of our medical workforce you will be one of the key leaders and role models in our team of outstanding individuals. Our doctors play a vital role in the care and treatment of our patients and in return you can expect to receive a positive experience and an environment that treats you as a valued member of the Trust that will support you and your professional development. But don’t just take our word for it – listen to the comments of a few of our European doctors who have chosen to relocate from their home country and make a career with the Southern Trust: Doctor 1 Doctor 2 Doctor 3

The Southern Trust’s acute hospital network was reaffirmed in 2016 as one of the UK’s Top Hospitals for the fifth consecutive year. The national CHKS Top 40 Hospitals programme recognises acute sector organisations for their achievements in healthcare quality, improvement and performance. The Top Hospitals award is based on the evaluation of over 20 key performance indicators covering safety, clinical effectiveness, health outcomes, efficiency, patient experience and quality of care. As well as being placed in the Top 40 Hospitals, the Southern Trust was shortlisted for the first time ever for the CHKS National Data Quality Improvement Award. Our vision is to 'to deliver safe, high quality health and social care services, respecting the dignity and individuality of all who use them'.

WHY SHOULD YOU WORK FOR US? The Southern Trust was the first Trust in Northern Ireland to invest and implement in a fully electronic job planning system which is available for all permanent consultant and SAS doctors. This makes it much easier for doctors to maintain an up to date job plan to ensure they are paid correctly and to support the revalidation and appraisal process. Doctors in longer term temporary posts may also be able to use this system. As well as Corporate and Departmental Induction each new permanent medical employee will have an opportunity to have an informal meeting with the Medical Director at the end of month three / four of commencement with the Trust during which time they can explore the option of job shadowing a non-clinical manager within their speciality for a morning / afternoon. This will be facilitated via the relevant Associate Medical Director. There is also a fully embedded revalidation and appraisal process which supports all doctors with all of their appraisal and revalidation requirements. Opportunities also exist for doctors to avail of the Trust medical mentoring scheme.

The Southern Trust is keen to become an employer of choice for SAS doctors who choose to spend their career with us. The Trust has been proactive in encouraging the role of SAS doctors within the Trust and has a number of trained SAS Medical Appraisers and Mentors. Regular lunchtime SAS Link- Up sessions are held across the Trust which provide an opportunity for the SAS group of doctors to establish relationships and network with each other. A regional SAS Conference is also hosted by the

Trust each year and a number of initiatives are being developed to support and retain our doctors within their chosen specialties. Our doctors play a vital role in the care and treatment of our patients and in return you can expect a positive experience that will support your development as a key member of the Southern Trust. However don’t just take our word for it – listen to the comments of a few of our European doctors who have chosen to relocate from their home country and make a career with the Southern Trust: https://www.youtube.com/watch?v=PmfX1fiAoac https://www.youtube.com/watch?v=IPMi3xDKUXQ https://www.youtube.com/watch?v=bV7EnYNN9Ns

SOME RECENT KEY ACHIEVEMENTS A Day in the life of the SHSCT - YouTube

Work of Specialist Cardiology Registrars Published! https://southerntrust.hscni.net/work-of-specialist-cardiology-registrars-published/

Acute Care at Home Contributing to Major Research

Southern Trust Teams shortlisted for National Awards

National Recognition for Rheumatology

Mental Health Team Shortlisted for UK Award

CRAIGAVON AREA HOSPITAL Craigavon Area Hospital is the main acute hospital within the Southern Health and Social Care Trust and provides acute services to the local population and a range of services to the total Southern Trust area. It is the designated Cancer Unit for the Southern area and is one of the Main teaching hospitals of Queen’s University, Belfast.

The current bed complement is distributed over the following specialties; General Surgery, Urology, Trauma and Orthopaedics, ENT, Paediatric Surgery, General Medicine including a dedicated acute admissions ward, Geriatrics, Dermatology, Cardiology, Haematology, Obstetrics and Gynaecology, Paediatrics, Intensive Care, Special care babies, 24 hour Emergency Medicine and Psychiatry.

Many additional specialties are represented as outpatient services including Oncology, Ophthalmology, Anti-Coagulant Service, Interventional Cardiology, Neurology, Maxillo-facial and Plastic surgery, Orthodontic and special dental clinics.

The Radiology unit includes access to CT, MRI and interventional radiology.

DAISY HILL HOSPITAL

Daisy Hill Hospital is a district general hospital located in the border city of Newry.

It has a 24 hour Emergency Department, inpatient beds in Medicine, Surgery, Obstetrics and Gynaecology, ENT and Paediatrics. There is a Coronary Care Unit and Surgical High Dependency Unit, a day procedure unit and a Radiology unit with CT scanning facility. Daisy Hill also contains the Southern Trust regional dialysis unit.

The Professions Allied to Medicine (Physiotherapy, Occupational Therapy, Chiropody, Dietetics, Cardiology and Respiratory Investigation) are all on site, together with a 24 hour Laboratory service at both hospitals

The Trust has strong and effective links with the Belfast Trust which acts as a tertiary referral source for patients requiring services not provided within the Southern Trust.

Laboratory Services

Laboratory services consist of Clinical Chemistry, Haematology and Blood Transfusion, Cellular Pathology and Cytopathology, Microbiology and Serology laboratories.

Pathology and Laboratory Management Arrangements

In the Southern Trust the Pathology and Laboratory services are managed within the Integrated Maternity and Women’s Health and Cancer and Clinical Services Division of the Acute Services Directorate. The Associate Medical Director for this division is Dr Shahid Tariq. The Clinical Director for Pathology and Laboratory Services is Dr Clare McGalie. They are supported by Lead Consultants in each main discipline (Appendix 1 and 2)

 Lead Consultant Haematology and Blood Transfusion - Dr Christina Bradford  Lead Consultant Microbiology - Dr Angel Boulos  Lead Consultant Clinical Chemistry - Dr Peter Sharpe  Lead Consultant Cellular Pathology/Cytopathology - Dr Aaron Ervine

All posts rotate on a 3 year basis however with consensus may be renewed.

The Head of Laboratory Services (Mr Geoff Kennedy) reports to the Assistant Director of the Cancer and Clinical Services Directorate, Mr Barry Conway. The Management arrangements are outlined in the accompanying diagram (Appendix 2) and are in accordance with the recommendations of the Strategic Review, Pathology Services 1995 Paragraphs.

The laboratory budget is administered by the Head of Laboratory Services. The goods and services budget for the Haematology and Blood Transfusion laboratories excluding the cost of blood and blood products is £2.31M. A further £1.5M is spent on Blood and Blood Products supplied by the Northern Ireland Blood Transfusion Service (N.I.B.T.S.).

The Department of Haematology and Blood Transfusion holds full accreditation for all tests scoped with UKAS. The Departments of Microbiology, Biochemistry, Andrology and Cellular pathology have

UKAS accreditation for all tests scoped. The Blood Bank is licensed by the Medicines and Health Regulatory Authority (MHRA). The Quality Manager for the laboratory service is Miss Pamela Allen.

There is a Health and Safety Committee serving the whole laboratory service with nominated officers within each discipline.

DEPARTMENT OF HAEMATOLOGY

Laboratory Haematology and Blood Transfusion

The main Haematology and Blood Transfusion Laboratories are at Craigavon Area Hospital. At Daisy Hill Hospital there is a combined Haematology and Clinical Chemistry laboratory delivering basic routine services and a separate Blood Transfusion laboratory responding to the needs of the local hospital which has 24 hr Emergency Medical, Surgical and Obstetric services. In Haematology, Biomedical Scientists rotate between duties on each hospital site. Emergency on-call services are provided in Haematology and Blood Transfusion at both Craigavon and Daisy Hill Hospitals.

Haematology and blood transfusion tests are accredited by UKAS. The Blood Bank is licensed under G.M.P. by the MHRA.

The laboratory equipement is due for upgrade within the next 12 months.

The Haematology Laboratory in Craigavon Area Laboratories is equipped with two Sysmex XE2100 FBC analysers. This is a tracking system with a SP1000 Slide maker / Stainer and TS500 archive system plus a Starsted Compact ESR machine. There are two Sysmex 2100 coagulation analysers.

The laboratory in Daisy Hill Hospital has two Sysmex XS1000 FBC analysers and a Sysmex 2100 coagulation analyser. It has recently obtained a slide maker and stainer.

The Blood Transfusion Laboratory uses both manual tube techniques and gel column technology systems for blood grouping, antibody screening and cross matching. Blood transfusion has automated blood grouping analysers and associated software in both DHH and CAH laboratories, CAH site having 2 BioRad IH1000 systems in the CAH laboratory site and a Diamed Gel Station in the DHH laboratory site.

The Haematology and Blood Transfusion Laboratories participate in the following National External Quality Assurance Schemes:

1. FBC, Reticulocytes and Automated DWCC 2. Abnormal Haemoglobins (Sickle cell). 3. Morphology and Parasitology 4. FMH (Kleihauer). 5. Level 1 Coagulation (PT, INR, APTT, Fibrinogen, D-Dimers). 6. Level 2 Coagulation (PC, PS, AT, APCr and Lupus). 7. Blood Transfusion Laboratory Practice. 8. Andrology.

The Consultant Haematologists, the Lead Biomedical Scientists, Haematology & blood Transfusion Managers, Head of Laboratory Services & Quality Manager participate in bimonthly Specialty meetings

to review laboratory management, quality assurance and clinical governance issues. There is a monthly quality meeting to review EQA data. The Haematology department participates in the quarterly meetings of the Pathology and Laboratory Services Committee chaired by the Clinical Director and in the Annual Laboratory management review.

Laboratory Andrology services for the Southern trust are managed within the haematology department. Dr Andrew Knox, Consultant Obstetrician, is lead Consultant for Andrology and attends the Andrology specialty meetings

WORKLOAD General Practitioner samples comprise 50 - 55% of the laboratory workload, contracted as a block with the Southern Health and Social Care Trust.

Activity Information Southern Trust Haematology & Blood Transfusion 2019 extracted from Activity Data. Note HbA1c, CRP and Haematinics are performed in Biochemistry laboratory within the SHSCT.

Routine Haematology 2019 Blood film - with report 17,267 ESR 103318 FBC 466861 Glandular fever screening 2447 Malaria parasite film 80 Other Malaria Tests 80 Reticulocytes 21580 Semen Analysis: fertility 930 Semen Analysis: post vasectomy 510 Section Subtotal - Routine Haematology 613,073

Bone Marrow Investigations Aspirate 251 Section Subtotal - Bone Marrow Investigations 251

Coagulation APTT 60,960 AT (Anti Thrombin) 208 Factor Xa 232 FDP/D Dimer 33384 Fibrinogen: Clauss etc 60684 INR 54768 Lupus Anticoagulant 639 Protein C 181 Protein S 188 PT 54768 Section Subtotal – Coagulation 211244

Arrangements are in place for the referral to Belfast HSC Trust Laboratories for specialised tests such as immunophenotyping, cytogenetics, molecular analysis, haemoglobinopathy screening, coagulation and platelet function tests and erythropoietin assay.

Autologous blood transfusion may be arranged through the Northern Ireland Blood Transfusion Service (NIBTS). Antenatal screening is performed regionally in Northern Ireland by the NIBTS.

Laboratory Staff

There are 25 Biomedical Scientists in Haematology and Blood Transfusion. The Haematology & Blood Transfusion service is led by a Band 8a Biomedical Scientist. His staff comprises:

1 x Band 7 BMS - Haematology Manager 1 x Band 7 BMS - Blood Transfusion Manager 1 x Band 7 BMS with responsibility for Auto Haematology and DWCC analysis 1 x Band 7 BMS with responsibility for coagulation. 1 x Band 7 BMS with responsibility for andrology 1 x Band 7 BMS with responsibility for blood transfusion. 15 x Band 6 BMS - 1 (part-time 20 hours) 3 x Band 5/6 BMS 1 x HSAP

The main reception duties are shared by a pool of MLAs, shared with and managed by Biochemistry staff.

The Department is recognised by HCPC/IBMS for training.

Administrative and Clerical staff

There is a Band 5 Service Administrator overseeing all administrative and clerical staff in the laboratory.

The clerical work required by the 5 Consultant Haematologists is shared by 2.8 WTE Band 4 Personal Secretaries in Haematology, 0.9 WTE Band 2 Audio Typists and 0.6 WTE Band 2 Clerical Officer with filing duties.

There is 0.8WTE Band 4 secretarial support in Daisy Hill Hospital for the outpatient Consultant activity and laboratory services.

CLINICAL HAEMATOLOGY

Medical Staffing of Department

Dr Christina Bradford - Lead Consultant Haematologist (1 WTE) Dr Mark Bridgham - Consultant Haematologist (0.8 WTE) Dr Allister Foy - Consultant Haematologist (1 WTE) Dr Chris McCauley - Consultant Haematologist (1 WTE) Dr Kathryn Boyd - Consultant Haematologist (0.2 WTE) Vacant Consultant post - Filled by Locum Consultant Hameatologist (1 WTE) Specialist Registrar - 1 WTE on rotation from NI Deanery Dr Jonathan Palmer - Specialty Doctor Haematology (1 WTE) Dr S Elsir Mohammed - Locum Specialty Doctor post (0.6 WTE) Vacant Specialty Doctor post

Foundation Year 1 and Core Trainee Doctors on medical rotations assist with medical cover for Haematology inpatients and day patients.

Haematology Specialist Registrars in the Northern Ireland Deanery each have one 6 month placement at a district general hospital and this rotation includes Craigavon Area Hospital. This placement has been approved by NIMDTA and JRCPTB. It was last inspected in 2013. The Clinical Supervisor for the rotation to CAH is Dr C Bradford who reports to the Trainee’s Educational Supervisor. The Educational Supervisors for the Specialty programme are Prof M F McMullin, Dr G Benson, Dr O Sheehy, Dr C Bradford (Southern Trust), Dr C McCauley (Southern Trust), Dr B Merron (Northern Trust) and Dr S McCloskey (Northern Trust). The specialty programme director is Dr O Sheehy who reports to Dr M Trimble, NIMDTA who in turn reports to the postgraduate Dean, Prof Keith Gardiner.

The medical team is supported by four Clinical Nurse Specialists and Two Advanced Nurse Practitioners in haematology; see below for details.

The Consultant Haematologists in post have special interests in haemostasis / thrombosis, blood transfusion, Obstetric haematology, myeloproliferative disorders and lymphoproliferative disorders. The post holder will be encouraged to develop a sub-speciality interest that will complement those of the Haematologists in post. In fulfilling the needs of a changing service, flexibility will be essential. To date all Consultant Haematologists have maintained an interest in Haemato-oncology and share the malignant and non-clinical haematology workload.

The level of care of the services provided is Level 2A as defined by the BCSH, patients requiring a higher level of service are referred to the Regional Haematology Unit at the Belfast Health and Social Care Trust.

The post holder will have use of an office and a microscope. The post holder will have a personal computer with internet access and electronic mail facility.

The Clinical and Laboratory Haematology services are integrated. The Consultant Haematologists are responsible for reporting bone marrow aspirate samples. Bone marrow trephine samples are reported by the Consultant Pathologists with a special interest in Haemato-pathology at Belfast Link Labs. Flow cytometry, immuno-cytochemistry, cytogenetics and molecular analysis are performed at the Belfast City Hospital laboratories.

Referral of abnormal blood films from Biomedical Science Staff is according to a rota arrangement. The Consultant Haematologists liaise with other Consultant colleagues, other medical staff and General Practitioners throughout the area concerning clinical and laboratory haematology and are available to advise accordingly.

The Trust Transfusion Team consisting of Dr M Bridgman (Chair), Haemovigilance practitioners and Blood Bank BMS meets on a fortnightly basis or more frequently as needed. They report to the Chief Executive, through the Director of Acute Service and to the Trust Transfusion Committee. The Trust Transfusion Committee meets 3 monthly and the Chair is Dr J Harty, Consultant Nephrologist.

Haemovigilance Practitioners assist with transfusion education, competency assessment, audit and implementation of the Trust Transfusion policy and guidelines in the Southern Health and Social Care Trust.

Outpatient and Day Case Haematology Activity SHSCT

WORKLOAD STATISTICS 2020 Consultant Outpatient Clinics New Review

482 5558 Consultant Daycases 1514 Advanced Nurse Practitioner Clinics ( from July 2020) New Review 128 561 Clinical Nurse Specialist Clinics 1677 Clinical Nurse Specialist Daycases 82 Pharmacy Led Haematology Clinics 106

The Consultant Haematologists jointly provide an area wide diagnostic and treatment service for patients with Lymphoma, Myeloma, Chronic Leukaemia, Myeloproliferative Disorders and other haematological conditions. Advice is provided to Consultant colleagues and General Practitioners concerning the management of haematological problems.

Day case and outpatient Haematology services are managed by the Cancer and Clinical Services Directorate. Inpatient Haematology services are managed by the Acute services Directorate. The Clinical Director for Cancer and Clinical Services is Mr David McCaul, Consultant ENT surgeon.

The post holder will have access to outpatient and day treatment facilities in the Mandeville Unit, Macmillan Building, Craigavon Area Hospital. This provides outpatient services in a modern high quality environment. The accommodation provides facilities for all aspects of the clinical haematology service (other than the Anticoagulant Service) including bone marrow procedures, outpatient blood transfusion and chemotherapy. It is staffed by nurses with specialist practice training in chemotherapy and / or haematology

There are 3.8 WTE outpatient Haematology Nurse Specialists (HNS); Mrs Louise Gribben, an (Advanced Nurse Practitioner, 1 WTE), Mrs Sarah Walker, (CNS, 0.6 WTE), Mrs Laura Creaney (CNS, 0.6 WTE), Mrs Elizabeth McLean (CNS, 1 WTE) and Mrs Jennifer McCormick (CNS, 0.6 WTE). HNS’s Gribben, Walker and Creaney are independent prescribers. The HNS provide holistic support for patients with haematological malignancy and assist with implementing cancer standards. In addition, using standard protocols the CNSs review over 30 patients per week at 3 clinics including one telephone clinic. The patients reviewed have a variety of conditions including high grade NHL in remission, Follicular NHL on maintenance rituximab or watch and wait, myeloproliferative disorders, high risk MGUS, and refractory anaemia. Mrs Gribben reviews around 30 patients per week at 3 clinics. One clinic is dedicated to patients on chemotherapy and another to new patients with MGUS or CLL.

Standard chemotherapy prescribing protocols and discharge summaries are in use and chemotherapy is administered by the specialist nursing team. A Regional Information System for Oncology and Haematology (RISOH) is available and can be used to record consultations and generate letters; the aim is to have electronic chemotherapy prescription and a paperless clinical service in the near future. All chemotherapy is prepared by Specialist Pharmacists; a new aseptic suit adjacent to the Mandeville unit opened in April 2020. Four specialist pharmacists are registered Independent prescribers; two of which are running once weekly independent clinics for Hydroxycarbamide patients and Lenalidomide patients.

Patients with lymphoproliferative disorders and myeloma are presented at the weekly multidisciplinary meeting (MDT) with tele-linking to colleagues in the Belfast and South Eastern HSC Trust. Patients with myeloproliferative disorders, myelodysplasia and acute leukaemia are discussed using tele-link to the weekly leukaemia MDT on Thursday mornings with Belfast HSC colleagues. Clerical Officers provide clerical support for these two MDT meetings.

Haemato-morphology is discussed once weekly at a meeting of the Haematology medical team; BMSs and HNSs participate in this meeting.

There are 4 morning and 2 afternoon Haematology clinics in the Mandeville Unit. Two consulting rooms are available for 3 of the morning clinics allowing the Consultant and either a Specialist Registrar / Specialty Doctor to see patients; this gives capacity for 18 appointments per clinic. On the fourth morning one consulting room is available allowing 10 appointments. On Monday afternoon there is a general haematology clinic providing 10 appointments and on Wednesday afternoonthere is a chemotherapy clinic providing 10 appointments. Throughout the sessions a nurse is assigned to the clinic. Each Consultant has new, red flag and review appointments every week. Following successful appointment to the post the new Consultant will be allocated clinics.

There are 10 out-patient bone marrow biopsy appointments per week. The Specialty Doctors are trained and competent in the technique of bone marrow biopsy. Mrs Gribben is also trained in bone marrow biopsies. There are 3 lumbar puncture appointments per week for administration of intrathecal chemotherapy.

The insertion of central venous lines (Hickman Lines or peripherally inserted central lines) is performed by the Consultant Radiologists or Specialist Nursing Staff attached to the chemotherapy day treatment service. Care of central lines is performed by the trained and competent Nursing Staff.

5 Consultant Oncologists from Belfast Trust visit the Mandeville Unit each week:

 Dr R Harte and Dr R Park have 2 sessions and each mainly review patients with bowel cancer.  On Tuesdays Dr A Fenton mainly reviews patients with breast cancer.  On Wednesdays Dr Mezynski & Dr Uprichard mainly review patients with lung cancer and prostate cancer.

Since September 2013 there has been an acute Oncologist post for the Southern trust based at Craigavon Area hospital. The acute oncology team includes a Consultant Oncologist, a full-time Specialty Doctor in Oncology and 2.5 WTE Oncology Nurse Specialists.

At the cancer centre, Belfast city Hospital, Dr Heather McCarty and Dr Keith Rooney facilitate radiotherapy for Haematology patients; they attend the MDT and provide consultations as needed.

The Palliative Care team includes Consultants; Dr Osmond Morris, Dr Caroline McLoughlin and Dr Sarah Cousins, Specialist nurses and Allied Health Professionals. The team provides holistic care, advice concerning symptom control and specialist advice in dietetics, occupational therapy, physiotherapy and social work issues.

Outpatient Anticoagulant services are delivered at Craigavon Area Hospital, Daisy Hill Hospital and South Tyrone Hospital sites. Dr Bridgham has responsibility for the service: the Haematology medical team supports the Specialist Pharmacists as required. There are 2 WTE Specialist Pharmacists to provide outpatient anticoagulant services: Mrs Sinead Doyle (0.5 WTE) and Mrs Roisin Murphy (0.5 WTE) job share and Miss Joanne Doogan (1WTE). They are independent prescribers and are responsible for providing the anticoagulant clinic services. DAWN decision support software with connectivity to the Coagucheck POC instruments is used. At the Craigavon Area Hospital clinic 50 patients attend the once weekly clinic and another 40 patients who are unable to attend are managed remotely. At the Craigavon hospital site there is a daily interim clinic in main outpatients and a daily service for new patients requiring education on anticoagulation and warfarin induction.There are 2 weekly Pharmacist led anticoagulant clinics at Daisy Hill Hospital and one weekly anticaoagulant clinic at South Tyrone Hospital.

Dr Bannaga, Locum Consultant attends Daisy Hill Hospital on Mondays: he has a morning clinic and an afternoon session for clinic administration and inpatient referrals.

Patients are referred to Clinical Haematology at Belfast City Hospital for management of acute leukaemia within clinical trials, stem cell transplantation and apheresis.

Paediatric patients with acute leukaemia and other haematological malignancies and some with non- malignant haematological problems are referred to the Specialist Paediatric haematology and oncology services in the Royal Belfast Hospital for Sick Children. The post holder may advise on the initial diagnosis and management of these cases.

The Regional Haemophilia Centre is based in Belfast City Hospital. All patients with inherited bleeding disorders are referred for investigation and management. Joint management of appropriate cases may be undertaken.

It is expected that the post holder will continue to enter patients into appropriate regional and national trials (Appendix 3). The Cancer Clinical trials nurses are Mrs Denise Bond (part-time) and Mrs Karen Parsons (part-time).

Inpatient Haematology Clinical and managerial accountability for haematology in-patient care lies within the Medicine/Unscheduled Care Directorate. The Associate Medical Director is Dr P Murphy, Consultant Physician and Gastroenterologist.

The Consultant Haematologists have access to 9 designated haematology beds with en-suite facilities. Dr Jonathan Palmer, Specialist doctor for Haematology, leads the inpatient medical management of patients and is supported by the Consultants who together carry out daily ward rounds. On addition he is assisted by a Internal Medicine Trainee and a Foundation Year 1 Doctor on a training rotation. Mrs Stephanie Carson is the ward Nurse Practitioner. There is a weekly multi-disciplinary ward meeting attended by ward Nursing Staff, a Consultant Microbiologist, ward Pharmacist, trainee doctors and the Haematology medical team. The ward nursing team is led by the Ward Manager, Mrs Jill Robinson and she is supported by Clinical Managers, Mrs Paula Joyce and Miss Eimear McAleenan. The Nursing Staff are competent to administer chemotherapy and are encouraged to do specialist training in haematology or palliative care. The Macmillan team of specialist nurses led by the Consultants in palliative care medicine provide specialist services to the haematology inpatients.

Emergency medical (including Haematology) admissions are referred to the Acute Medical Unit from the Emergency Medicine Department. An arrangement for direct admission on an elective basis to Clinical Haematology is in place. The CT/SPR on call for General Medicine will discuss as appropriate emergency admissions of Haematology patients with the Consultant Haematologist on call. A 'hospital at night' service is led by a clinical co-ordinator.

There is access to the Intensive Care Unit at Craigavon Area Hospital for Haematology patients requiring respiratory and other high dependency support. The renal dialysis unit and specialist renal service is at Daisy Hill Hospital.

LIBRARY AND TEACHING FACILITIES Craigavon Area Hospital is a recognised teaching hospital/ Deanery for the Medical School, Queen’s University Belfast and has an active Medical Education Centre with Postgraduate Secretary and Postgraduate Clinical Tutor. During the academic year there is an active programme of meetings and seminars for postgraduate staff.

Undergraduate medical teaching is undertaken in Craigavon Area Hospital for third year students onwards and includes the third year Haematology course. The latter involves seminars, case presentations, clinic, ward and laboratory exposure where possible. The undergraduate teaching programme requires a teaching commitment from the Consultant Haematologists in both clinical and laboratory haematology. The Clinical Supervisor for the third year teaching is Dr Allister Foy. It is expected that the post holder will participate actively in undergraduate and post graduate teaching.

The post holder will be required to participate in the professional training of staff in the department, both medical and non-medical and contribute as required to teaching sessions for other hospital staff.

In the Medical Education Centre there is a Post-Graduate Library serviced by the Medical Library branch of Queen’s University Belfast.

DUTIES OF THE POSTS: The post holder will:

 Participate in the clinical management of patients with haematological disease within the Southern Trust. This may include malignant and non-malignant haematology, haemostasis, thrombosis and blood transfusion.  Have responsibility for 2 weekly clinics: these will provide services to a wide range of patients with haematological malignancy including those requiring chemotherapy and patients with other haematological disease.  Have continuing responsibility for the care of patients in their charge and share in the proper functioning of the Haematology Department and management of inpatients.  Develop a specialist interest to complement that of colleagues and develop the service.  Participate in local and regional multi-disciplinary meetings.  Participate in the provision of anticoagulant services as required.  Participate in teaching the 3rd Year Undergraduate Haematology Course.  Participate in supervising trainee doctors attached to the haematology ward.  Share responsibility for satisfactory participation in external quality assurance in all aspects of laboratory practice in co-operation with the Lead Consultant in Haematology.  Undertake Continuing Professional Development (CPD) / Continuing Medical Education (CME) and participate in clinical audit at local, regional and national level. These supporting activities will be given designated time in the job plan.  Participate with colleagues in an out of hours on-call rota for clinical haematology including medical issues arising in the general haematology laboratory and blood bank.  Be expected to provide cover for the absence of colleagues on annual leave or study leave. Arrangements should be put in place to reduce outpatient attendances to an essential minimum during periods of absence.  Be expected to adhere to and participate in the Trust's Clinical Governance procedures including: - Participation in appraisal training according to local arrangements. - Annual appraisal is according to local arrangements and General Medical Council regulations concerning appraisal and revalidation. Appraisal will provide the opportunity for annual job plan review and discussion of an annual personal development plan. Communication of issues arising will be through the existing management framework. - Participation in the Trust's Quality Strategy as appropriate. - Participation in the development of evidence-based medical practice. - Undertake training mandated by the Trust  Participate as required in medical management within Clinical and Laboratory Haematology, the Pathology and Laboratory Services and the Trust as a whole.  Have access to the medical staff budget for study leave through the local arrangements for application.  There is an expectation that the post holder will participate in medical audit/ quality improvement initiatives.  May be required from time to time or due to unforeseen circumstances to undertake additional duties in haematology.

Continuing Professional Development

The appointee will be expected to participate in clinical audit and in the Royal College of Pathologists CPD scheme and to maintain good standing in the programme. The Trust supports the requirements for continuing professional development (CPD) as laid down by the GMC and is committed to providing time and financial support for these activities.

PROPOSED JOB PLAN: A provisional job plan is outlined below which illustrates the content, however not necessarily the distribution of the individual fixed sessions. It is indicative only and may be subject to change following discussion with your Clinical Manager.

HOURS

TIME WORK ACTIVITY LOCATION Prem Total Total

DCC SPA APA EPA 09:00 -13:00 Clinic at Daisy Hill Hospital DHH 4

Mon 8 13:00 -17:00 DHH ward referrals, BM biopsies, DHH 4

clinic administration 09:00-13.00 Procedures at day unit CAH 4

Tues 13:00-15:00 Other Duties CAH 2

15:00- 17:00 SPA 2

No work

Wed 13:00 -17:00 Other duties CAH 4

09:00- 9:30 Morphology Meeting CAH 0.5

09:30-13:30 Chemo Clinic CAH 4 8

Thurs 13:30- 15:30 Multidisciplinary Ward Meeting CAH 2

15:30- 17:00 Other Duties CAH 1.5 09:00- 15:00 SPA CAH 6

Fri 15:00-17:00 Lymphoma/Myeloma MDT CAH 2 8

Meeting TOTAL HOURS 28 8 36 TOTAL PROGRAMMED ACTIVITIES 7 2 9 Programmed Activities Number of PAs/ Sessions Direct Clinical Care 7 Supporting Professional Activities 2 Premium time On call 1.05 Total PAs 10.05 Emergency Work On-call Rota Frequency: 1 in 5 Agreed Category: Category A (consultants only) On-call % Supplement 5%

JOB PLAN REVIEW This Job Plan is subject to review at least once a year with the Clinical Director before being approved by the Director of Acute Services. In the case of a new employee, a review of the Job Plan will take place 3 months after commencement and annually thereafter. If it is not possible to agree a Job Plan, either initially or at an annual review, there are agreed procedures for facilitation and appeal with the final decision normally being accepted by the Trust Board. The allocation of SPAs included in the Job Plan will be subject to review.

Balance between Direct Clinical Care and Other Programmed Activities The Trust expects that all Consultants undertake a minimum of 1.5 SPAs (6 hours) in their job plan every week, however it has been agreed by the Medical Director that all new Consultant appointments will be allocated 2 SPAs per week for a period of 12 months to facilitate induction and orientation into the organisation and the role. This position will be reviewed after the Consultant completes 12 months in post.

The Trust also recognises that there are various activities as identified by all the Associate Medical Directors in each directorate and approved by the Medical Director where additional SPA time will be necessary. Where a newly appointed Consultant will be involved in these additional SPA commitments, the precise balance of programmed activities in their Job Plan will be reviewed on appointment and agreed as part of their individual Job Plan review. These supporting professional activities may include participation in training of other staff, medical education, continuing professional development, formal teaching of other staff, audit, job planning, appraisal, research, clinical management and local clinical governance activities are recognised within the Southern Health and Social Care Trust.

Programmed activities for additional HPSS responsibilities and external duties will also be allocated for special responsibilities that have been formally approved and/or appointed by the Trust.

TERMS AND CONDITIONS: This post will be contracted in accordance with: Consultant Terms and Conditions which can be viewed at: CLICK HERE

Your salary scale will be in accordance with the NHS Remuneration for your grade, which can be viewed at: CLICK HERE

VISITING ARRANGEMENTS Applicants are encouraged to discuss the post and arrange a visit. This can be done by contacting Dr Christina Bradford, Lead Consultant for Haematology. Tel: 0283 756 2487

GENERAL REQUIREMENTS:

The post holder will be required to:

1. Ensure the Trust’s policy on equality of opportunity is promoted through their own actions and those of any staff for whom they have responsibility.

2. Co-operate fully with the implementation of the Trust's Health and Safety arrangements, reporting any accidents/incidents/equipment defects to their manager, and maintaining a clean, uncluttered and safe environment for patients/clients, members of the public and staff.

3. The HSC Code of Conduct for Employees sets out the standards of conduct expected of all staff in the Southern Health & Social Care Trust and outlines the standards of conduct and behaviours required during and after employment with the Trust. Professional staff are expected to also follow the code of conduct for their own professions.

4. Adhere at all times to all Trust policies including for example:

 Smoke Free policy

 IT Security Policy and Code of Conduct

5. Contribute to ensuring the highest standards of environmental cleanliness within your designated area of work.

6. Co-operate fully with regard to Trust policies and procedures relating to infection prevention and control.

7. All employees of the trust are legally responsible for all records held, created or used as part of their business within the Trust including patients/clients, corporate and administrative records whether paper-based or electronic and also including emails. All such records are public records and are accessible to the general public, with limited exception, under the Freedom of Information act 2000 the Environmental Information Regulations 2004 and the Data Protection Acts 1998. Employees are required to be conversant with the Trusts policy and procedures on records management and to seek advice if in doubt.

8. Take responsibility for their own ongoing learning and development, including full participation in KSF Development Reviews/appraisals, in order to maximise their potential and continue to meet the demands of the post.

9. Represent the Trust’s commitment to providing the highest possible standard of service to patients/clients and members of the public, by treating all those with whom they comes into contact in the course of work, in a pleasant, courteous and respectful manner.

This post may evolve over time and this Job Description will therefore be subject to review in the light of changing circumstances. It is not intended to be rigid and inflexible however, should be regarded as providing guidance within which the individual works. Other duties of a similar nature and appropriate to the grade may be assigned from time to time.

It is a standard condition that all Trust staff may be required to serve at any location within the Trust's area, as needs of the service demand.

SOUTHERN HEALTH & SOCIAL CARE TRUST

PERSONNEL SPECIFICATION

JOB TITLE: Consultant Haematologist – Craigavon Area Hospital

DIRECTORATE: Acute Services

HOURS: Full-time

Ref No: 73821051 May 2021

SALARY: £82,500 - £111,230 per annum

Notes to applicants: 1. Your application form: You must clearly demonstrate on your application form how you meet the required criteria – failure to do so may result in you not being shortlisted. You should do this for both essential and desirable criteria requirements. All essential criteria requirements listed below must be met by the stated closing date, unless otherwise stated. 2. Proof of qualifications and/or professional registration will be required if an offer of employment is made – if you are unable to provide this, the offer may be withdrawn.

You MUST demonstrate all necessary shortlisting criteria on the Trust’s standard application form or you may not be shortlisted.

ESSENTIAL CRITERIA – these are criteria all applicants MUST be able to demonstrate either at shortlisting or at interview. Applicants should therefore make it clear on their application form whether or not they meet these criteria. Failure to do so may result in you not being shortlisted. The stage in the process when the criteria will be measured is stated below;

The following are essential criteria which will initially be measured at Shortlisting Stage although may also be further explored during the interview stage;

1. Hold full and specialist registration with the General Medical Council (GMC) with a current licence to practise or be eligible for registration within six months of interview.1

2. 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, they will be required to show evidence of equivalence to the UK CCT.

3. Hold the FRCPath or show evidence of equivalent qualification.

4. Hold the MRCP or show evidence of equivalent qualification.

5. Hold a full current driving license valid for use in the UK and have access to a car on appointment.2

1 If successful at interview, applicants will be required to provide proof of their GMC application. Applicants must be registered, with a licence to practice at the time of appointment. 2 This criterion will be waived in the case of a suitable applicant who has a disability which prohibits them from driving but who is able to organise suitable alternative arrangements in order to meet the requirements of the post in full.

The following are essential criteria which will be measured during the interview stage.

1. Understanding of the implication of clinical governance.

2. Have an interest in teaching and research.

3. Ability to lead and engender high standards of care.

4. Ability to develop strategies to meet changing demands.

5. Willingness to work flexibly as part of a team.

6. Good communication and interpersonal skills.

7. Ability to work well within a multidisciplinary team in both clinical and laboratory settings.

8. Ability to effectively train and supervise medical undergraduates and postgraduates and participate in teaching and training of other health professionals.

9. Ability to take responsibility for the service without direct supervision

10. Good knowledge and ability to use spoken and written English.

DESIRABLE CRITERIA – these will only be used where it is necessary to introduce additional job related criteria to ensure files are manageable. Applicants should therefore make it clear on their application form whether or not they meet these criteria. Failure to do so may result in you not being short listed

1. Have some formal training in teaching methods. 2. Have management experience.

WE ARE AN EQUAL OPPORTUNITIES EMPLOYER