North Bristol NHS Trust

Exceptional healthcare, personally delivered Job Description

SECTION 1 – JOB DETAILS

Job Title: Consultant Histopathologist

Division: Core Clinical Services

Location/Base: Southmead Hospital, Bristol

SECTION 2 – THE WORK OF THE DEPARTMENT North Bristol NHS Trust is seeking a full-time (10 PAs) substantive Consultant Histopathologist within the Department of Cellular Pathology.

This is a replacement post. It is expected that the appointee will have an established or developing interest in Gastrointestinal (GI) Pathology and will join a team of 3 specialists and 4 non-care GI Pathologists. As we are growing our service across all sub-specialisms, additional interest in Head and Neck Pathology and Endocrine Pathology is highly desirable.

Severn Pathology

Severn Pathology lies at the heart of patient care. Severn Pathology’s mission is to provide a best in class, high quality, innovative, value for money Pathology service that serves the needs of the healthcare market in the South West region and beyond. In doing so, we will strive to put Pathology at the heart of a modern patient pathway, serving an increasingly diverse market. The combination of general pathology services with a thriving and growing genetics laboratory service will ensure continued development of state of the art pathology services in to the future.

On 1 May 2016, North Bristol NHS Trust’s (NBT) Department of Cellular Pathology and the Department of Histopathology at the University Hospitals Bristol NHS Foundation Trust (UHB) merged and co-located the bulk on their services to a new, purpose-built facility on the Southmead Hospital site. The service is managed by NBT which also manages the Essential Services Laboratory and Paediatric / Perinatal mortuary located on UHB premises. The department provides services to the two acute hospital Trusts in Bristol as well as to a number of other local Trusts and other local organisations.

Prior to the merging of the services, each laboratory was CPA accredited and the NBT laboratory had been assessed by UKAS to ISO15189:2012 and is awaiting confirmation of accreditation status.

The Genetics Department is based at Southmead Hospital incorporating both conventional cytogenetics by G-banding, FISH and also molecular genetics by FISH, PCR with facilities for array based analysis at UHBristol there is provision of several GI-related molecular tests, including KRAS and BRAF mutation analyses, and KIT/PDGFRA mutation analyses.

Neuropathology, albeit located alongside Cellular Pathology, is currently a separate and independent

service affiliated to the Musculoskeletal and Neurosciences Division and carried out only by specialist Neuropathologists.

Cellular Pathology

The nature of the work of Bristol Cellular Pathology Service reflects the clinical services in Bristol with both NBT and UHBristol providing secondary care and extensive tertiary and specialist services. Bristol Cellular Pathology Service provides much of the specialist cancer work for Somerset, Wiltshire, Avon and Gloucestershire (SWAG) Cancer Alliance and therefore a wide range of resections for cancer work are performed in the hospitals. Cases are referred to the Network MDMs requiring review of their Pathology. Breast and GI teams currently support the 100000 Genomes project locally. Please see Appendix B for details on departmental workload.

The laboratory at Southmead incorporates the Avon Cervical Screening Service that provides a centralised service for Bristol and surrounding districts. The South West Regional Cytology Training Centre is situated in the laboratory complex.

A dedicated team of Paediatric and Perinatal Pathologists support the Bristol Children’s Hospital which provides paediatric services for the South West England. Our renal pathologists support specialist renal services for both adults and children, including transplants. The Bristol Dental Hospital is a tertiary referral centre for oral medicine, paediatrics and restorative services and is supported by a specialist oral pathologist. A new Laboratory Information and Management System (Clinisys WinPath Enterprise) went live across Pathology in October 2016.

We have implemented specialist reporting and the consultants are members of one to three specialist teams working to common standards. A number of consultants support referral practices.

The service monitors its performance using the RCPath KPIs and strives to achieve a satisfactory level of service as measured by these and other criteria.

Multiple cancer and non-cancer MDTs are held across the city and again the successful candidate will be expected to participate in the MDT(s) relevant to their special interest area.

GI Pathology

Specialist GI and hepatobiliary services for the south west are based in Bristol. These are supported by a dedicated team of 3 specialist GI pathologists and 4 pathologists who have an interest in GI pathology amongst other specialities. This post is for a specialist GI pathologist. Specialist GI pathologists participate in the GI EQA and are core members of the various MDTMs at both sites including the Network Upper GI and Hepatobiliary MDTM.

SECTION 3 – MANAGEMENT STRUCTURE

PHE STRATEGIC EXECUTIVE REVIEW OVERSIGHT MEETING GROUP

Severn DIRECTORATE Pathology MANAGER Board

PHE HEAD OF LEAD PUBLIC CLINICAL HEAD OF PATHOLOGY OPERATIONS HEALTH PATHOLOGY SERVICES Jon Turner CONSULTANT MANAGER Professional Accountability David Gibbs

LEAD CONSULTANT SERVICE MANAGER SERVICE MANAGER SERVICE MANAGER SERVICE MANAGER INFECTION SCIENCES INFECTION GENETIC SCIENCES BLOOD SCIENCES CELLULAR SCIENCES Dr Kim Jacobson SCIENCES Lorraine Warne Paul Virgo Andrew Heryet Jon Steer

LEAD CONSULTANT GENETIC SCIENCES Eileen Roberts

LEAD CONSULTANT BIOCHEMISTRY

LEAD CONSULTANT HAEMATOLOGY Dr Alastair Whiteway

LEAD CONSULTANT IMMUNOLOGY Dr Joe Unsworth

LEAD CONSULTANT CELLULAR SCIENCES Dr Nidhi Bhatt

The appointee will be contractually accountable to the North Bristol NHS Trust for the provision of services. The appointee will be managerially responsible to the Chief Executive through the Medical Director and the Clinical Director. All Consultants are required to undergo an annual appraisal carried out in accordance with the Trusts policy.

This is a substantive appointment.

The post holder will be a member of: -  The NBT Department of Pathology  The NBT Medical Advisory Committee  The NBT Core Clinical Services Division

The appointee is expected to participate in delivery of services within their agreed specialities and assist with developing the direction of the future service through liaison with department colleagues and clinical users.

The appointee is required to take an active and co-operative approach to their job planning and will be reviewed on an annual basis by their Directorate Lead. Any dispute that may arise as a result of job planning or any other aspect of the job will be referred to the relevant Medical Director for resolution if they are related to clinical activity and to the Chief Executive if the dispute is around management activity that cannot be solved within the Directorate Structure.

Consultants will, at all times, be expected to have exemplary standards of professional and personal behaviour and to act as role models within the Trusts.

It is a requirement that if the employee has concerns about the professional performance of a member of the medical staff, they have a duty to speak to the person concerned. If the matter is potentially serious or satisfaction is not obtained with a direct approach, such concerns should be discussed with the Trust’s Medical Director. There is a protocol in place in the Bristol Cellular Pathology Service

specifically covering this area.

The appointee will be expected to be fully involved in the developments of the Speciality to take account of the Trust policies, including Risk Management Strategy and developments in Clinical Governance.

SECTION 4 – LOCATION

The base Hospital will be Southmead Hospital however the on-going requirements to provide services on UH Bristol premises may require staff to spend time there.

SECTION 5 – DUTIES OF THE POST

(i) Clinical Leadership

 To participate in the strategic development of Severn Pathology services, in line with the business aspirations of NBT.

 To work with the Clinical Lead for the service on the continued integration of the two cellular pathology services in to a single service embracing the clinical and operational requirements including meeting KPIs and other quality standards and ensuring maintenance of ISO accreditation.

 Represent the department at all appropriate clinical forums necessary to deliver optimum clinical effect.

(ii) Clinical Duties The appointee will join the team of consultant Histopathologists making up the Cellular Pathology Service. You will be employed by NBT and will be based at Southmead.

There is a well-established system of specialist reporting and the appointee will be expected to be part of a number of specialist teams to complement the needs of the service.

More specifically as part of your direct clinical care (DCC) you will: -  Work to the standards set by the Cellular Pathology Service described in its policies, protocols and procedures  Cutup and report specimens as required within your areas of specialist practice  Contribute to the running of the MDMs and CPCs as appropriate to your areas of practise  Cover for colleagues' annual leave and other authorised absences

The Trust supports fully the concepts of CPD, clinical audit and EQA and time for undertaking such activities is included in job plans. Therefore, in addition to the direct provision of the diagnostic service the following are other activities in which the appointee will be expected to participate: -  To take part in continuing professional development and to join the RCPath CPD scheme  To audit aspects of your work and to produce or contribute to at least one audit per year relevant to your areas of work  To participate in EQA schemes and proficiency testing relevant to your areas of practice  To use your study and professional leave allowance of 30 days over 3 years to attend relevant professional and educational meetings  To develop and maintain a portfolio of evidence to support GMC revalidation  To undergo an annual appraisal carried out in accordance with the Trust policy.  To contribute to the training and supervision of junior medical staff sharing these

responsibilities with your consultant colleagues

The post holder will be provided with office accommodation with appropriate facilities including microscopes, computers and email access to support both management and clinical functions. Specific requirements may be subject to further negotiation and agreement however will necessarily involve IM&T tools and appropriate levels of secretarial support

Post-mortems

Post-mortems are not performed on NBT premises. Any hospital post-mortems requested are performed at a purpose built off site mortuary operated by Bristol City Council.

Post-mortems are performed on UHBristol premises. The small number of hospital post-mortems are performed in the mortuary at St Michaels Hospital which has adult facilities.

Paediatric and perinatal post-mortems are performed by the dedicated perinatal pathologists at St Michael’s Hospital.

Consultants are welcome to come to an agreement with HM coroner regarding participation in autopsy work. Many of the current post holders do participate in coronial autopsy work. Agreement on time- shifting to enable this work should be reached through the job planning process.

(iii) Teaching and Supervision of Junior Medical Staff & Students

The Cellular Pathology departments at both NBT and UHBristol have been approved for Higher Specialist Training by the Royal College of Pathologists.

The postholder will be responsible for the professional supervision and management of junior medical staff. Where appropriate, the postholder will be named in the educational contract of junior staff as the person responsible for overseeing their training and as an initial source of advice to such doctors regarding their careers.

In liaison with the Director of Postgraduate Medical Education the postholder may be required to contribute to undergraduate and postgraduate training.

(iv) Study & Research

The postholder can request up to a maximum of 30 days study leave within a 3-year period (pro rata for part-time posts) as stated in the Terms and Conditions of Service. The Trust is committed to ensuring that support is given for Continuing Medical Education. The postholder will be required to fulfil the requirements laid down by the relevant Royal College, and to fulfil the requirements for revalidation laid down by the General Medical Council. There is a budget for study leave of approximately £650 per Consultant, although this may be increased if unused funds are available.

The postholder will not necessarily be expected to undertake research however opportunities do exist and encouragement is given to develop collaborative projects with other departments within the Trust or with the University of Bristol and the University of the West of England. The postholder will be required to submit all research development plans which have resource implications to the Clinical Director prior to implementation.

There are professionally staffed Medical Libraries in the Medical Postgraduate Centre at Southmead Hospital, with a rapid service between these and the University Library situated in the centre of Bristol City. A computer literature search facility is available for which a charge is made and the library has links with other networks. The libraries are at the forefront of developments in electronic knowledge delivery.

The Severn Pathology buildings are located in the Science Quarter of Southmead Hospital Site with a large L&R facilitate that contains a permanent University of Bristol presence and a clinical research unit which are laid out in a campus basis.

(v) Audit

The postholder will be required to take part in a Clinical Audit Programme. The Trust has an audit department which supports and monitors such activity. There is an active Trust Clinical Audit Committee.

(vi) Out of hours

NBT runs a Saturday and bank holiday service for urgent renal biopsies and it is expected that the successful applicant will contribute to the rota. This is currently treated as on-call in the contract though this is under review.

(vii) Major Incident Or Civil Unrest

In the event of a major incident or civil unrest all trust employees will be expected to report for duty on notification. All Trust employees are also expected to play an active part in training for and preparation or a major incident or civil unrest.

(viii) Privacy & Dignity & Respect and Equality of Opportunity

The Trust is committed to ensuring that all current and potential staff, patients and visitors are treated with dignity, fairness and respect regardless of gender, ethnicity, disability, sexual orientation, age, marital or civil partnership status, religion or belief or employment status. Staff will be supported to challenge discriminatory behaviour.

(ix) Equal Opportunities The Trust is committed to the development of positive policies and practices to promote equal opportunity and will take all possible steps towards eliminating discrimination and promoting good employee relations and equality of opportunities generally

SECTION 6 – PROPOSED JOB PLAN

The job plan below is by necessity indicative only and the candidate will be expected to agree a substantive job plan with the departmental lead at NBT within three (3) months of starting.

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.

Day Time Work Categorisation No. of PAs MONDAY 8.00 – 12.00 Cut up and reporting DCC 1 12.00 – 12.30 lunch 12.30 – 3:30 reporting DCC 0.75 3.30 – 5.30 MDT prep DCC 0.5 TUESDAY 8.30 – 10:30 MDTM DCC 0.5 10:30 – 12.30 Reporting DCC 0.5 12.30 – 1 Lunch DCC 1 - 2 Cut-up and reporting DCC 0.25 2-5 CPD/Audit SPA 0.75

WEDNESDAY 8.00 – 12.00 Reporting DCC 1 12.00 – 12.30 lunch 12.30 – 4.30 Reporting and cut-up DCC 1 THURSDAY 8:00-12:00 Reporting DCC 1 12.00 – 12.30 lunch 12.30 – 4:30 MDT prep DCC 1 FRIDAY 9.00 - 12:00 MDT DCC 0.75 12.00 – 12.30 lunch 12.30 – 2.30 MDT and post MDT DCC 0.5 admin 2:30 - 5.30 CPD SPA 0.75 SATURDAY

SUNDAY

Predictable Direct Clinical emergency on call Care work Unpredictable Variable Direct Clinical emergency on call Care work (Max per week until 31 March)

Total PAs 10

Programmed activity Number Direct clinical care (including unpredictable on-call) 8.5 Supporting professional activities 1.5 Other NHS responsibilities (to be discussed with Clinical Director) External duties (to be discussed with Clinical Director) Total Programmed Activities 10

On Call Availability Supplement Rota Frequency (Schedule 16, para 5) the number of consultants on rota) Frequency of Rota Value of supplement as a % of WT basic salary Commitment (please tick appropriate box) Category A Category B High Frequency: 1:1 to 1:4 8.0% 3.0% Medium Frequency: 1:5 to 1: 5.0% 2.0% 18 Low Frequency: 1:9 or less 3.0% 1.0%

NOTE This is a proposed job plan. Only those times that need to be fixed, such as the start and usual finish times of clinics are detailed. All other times must be discussed with the appointee. The timetable will be reviewed after the appointee has been in post for three months. It must therefore be regarded as a temporary work programme only

SECTION 7 – PERSON SPECIFICATION

Assessment at Shortlisting stage

Category Essential Desirable Scoring Matrix Qualifications Full and specialist registration (and Higher academic Qualifications And with a licence to practise) with the qualification (e.g. MD or Registration General Medical Council (GMC) (or PhD) be eligible for registration within six months of interview) Management qualification

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 required to show evidence of equivalence to the UK CCT

Training Knowledge of the NHS Healthcare Subspecialty interest in one Experience And system and of Cellular Pathology or more specialist areas of Experience service redesign processes work

Recent experience and familiarity of UK hospital systems and practices (or equivalent).

Further Evidence of participation in Clinical Completion of a general Knowledge Training, Audit projects. management course or Management, programme. Audit Awareness of the requirements of clinical governance and experience in merging processes to single system demands Research, Commitment to undertake teaching Published research and Skills Teaching, and training of medical and dental peer review publications Publications undergraduates and postgraduates Experience in the teaching Demonstrable research experience. of undergraduates and Published research and peer review clinical trainees publications Ability to teach effectively

Willingness to lead medical staff and biomedical scientists in research activities Personal Excellent motivational, Evidence of attendance at Other Requirements communication and organisational a healthcare management (eg. skills. course. Communication Leadership Ability to influence peers and Skills, previous experience of engagement

Flexibility) with executive leads of Trust organisations.

Assessment at Interview stage

Further Evidence of thorough and broad Subspecialty interest in one or more Training, training and experience in specialist areas of work Management, histopathology and cytopathology Audit Willingness to develop a special Recent experience and familiarity of UK interest in one or more areas of hospital systems and practices (or practice equivalent).

Knowledge Evidence of self-directed learning in Completion of a general management and skills developing and maintaining course or programme. professional skills Knowledge of evidence based practice Evidence of performing and contributing to clinical audit projects Understanding of the role of management in running pathology services Understanding of how teams work Evidence of working constructively with consultant colleagues in pathology Research, Commitment to undertake teaching Experience in the teaching of Teaching, and training of medical and dental undergraduates and clinical trainees Publications undergraduates and postgraduates Demonstrable research experience. Ability to teach effectively

Willingness to assist medical staff and biomedical scientists in research activities. Published research and peer review publications Personal Ability to communicate effectively Requirements with clinical colleagues, colleagues (eg. in pathology and support staff Communicatio Good knowledge of, and ability to n, Leadership, use, both spoken and written English Skills, Ability to present effectively to an Flexibility) audience, using a variety of methods, and to respond to questions and queries Any other Ability to fulfil all the duties of the General post, including on-call commitments. Requirements

Appendix A. Staffing in cellular pathology Consultant Staffing

Name FT/PT Areas of sub-speciality interest Dr Zainab Abdul-Rahman FT GI pathology

Dr Kavita Amarasinghe 6 PAs Cytopathology, Endocrine pathology

Dr Nahida Banu FT Urological pathology, Cervical pathology, Non-gynae Cytopathology Dr Nidhi Bhatt1 FT Thoracic pathology, Dermatopathology

Dr Mary Brett 9 PAs Cytopathology, Endocrine pathology, Cervical pathology (retiring in April 2018) Dr Helen Burrell FT Consultant Biomedical Scientist in Cervical Cytology

Dr Anastasios Chatzitolios FT Renal Pathology, Urological Pathology

Dr Richard Daly FT Thoracic pathology, Gynaecological pathology, GI pathology Dr Karin Denton 2.5 PAs Cytopathology, Director of Cancer screening QA for South West England Dr Pav Gill FT GI pathology (fixed-term ending 30 April 2018) This vacant post Dr Elise Gradhand FT Paediatric and Perinatal Pathology

Dr Mo Khan FT Breast pathology, GI pathology, Renal pathology

Dr Francesca Maggiani1 FT Soft tissue pathology, Gynaecological pathology

Dr Zsombor Melegh FT GI Pathology - specialist member, Soft Tissue pathology, Urological pathology Dr Keith Miller FT Dermatopathology, GI pathology

Dr Behrang Mozayani FT GI Pathology

Dr Jon Oxley FT Urological Pathology, Dermatopathology

Dr Joya Pawade FT Haematopathology, Gynaecological pathology

Dr Demetris Poyiatzis FT Breast Pathology, Soft Tissue Pathology, Dermatopathology Dr Miranda Pring1 FT Oral and Maxillofacial pathology, ENT Pathology

Dr Chandan Sen FT Urological Pathology, cervical pathology

Dr Muhammed Sohail1 FT Breast Pathology, Urological Pathology, Non-gynae Cytopathology Dr Ed Sheffield 6 PAs ENT Pathology, Endocrine pathology, Thoracic pathology Dr Judit Sutak 6.7 PAs Haematopathology, Renal Pathology

Dr Penny Tidbury3 8 PAs Gynae and Non-gynae cytology, Cervical pathology

Dr Toumazou, Eleni 5 PAs Gynaecological pathology, GI pathology

Dr Newton Wong FT GI pathology

Dr Yve Zhang FT Dermatopathology, Haematopathology

Vacant FT Oral and Maxillofacial Pathology, ENT Pathology

Vacant FT Paediatric/perinatal pathology

Vacant FT Paediatric/perinatal pathology

Vacant FT Breast pathology

Notes 1. Dr Nidhi Bhatt is the Clinical Lead for the service 2. Drs Mohammed Sohail, Miranda Pring and Francesca Maggiani are Consultant Senior Lecturers at the University of Bristol 3. Dr Penny Tidbury is the Lead Consultant for Cytopathology and is also Hospital- based Screening Programme Coordinator

Scientist staffing

Andrew Heryet FT Laboratory Manager Mark Orrell FT Operations Manager

WTE

BMS Band 8 5.32

BMS Band 7 13.00

BMS Band 6 19.00

BMS Band 5 13.10

Technical, Admin and Clerical staffing

MLA (Bands 2 – 4) 31.92

Cytoscreeners 3.42

MTO 4.10

Admin and Clerical 15.57

Numbers and Grades of Junior Medical Staff

Cellular Pathology has been approved for Higher Specialist Training by the Royal College of Pathologists both for general training and for training in Oral and Maxillofacial pathology. There is an active training programme with the following table showing the number of training posts.

Trainee cellular pathologists ST1s 4 SpRs (general) 6 ST3-5 (Paediatric and Perinatal Pathology) 1 ST3-5 (Neuropathology) 1 Lecturers 2

The trainees on general histopathology training rotate to various training centres in the training region including Weston, Bath, Cheltenham, Swindon and Taunton. All the regional trainees come to Bristol for paediatric pathology, perinatal pathology, neuropathology and lung pathology training.

Bristol is part of the South West Histopathology Training School. This runs a dispersed model with a capacity of 8 ST1 trainees. Four of these training posts are in Bristol with the others based in Plymouth and Exeter.

For the last 5 yrs Bristol has organised the national block teaching week for all the ST1 trainees of England and Wales.

Appendix B: Annual workload in cellular pathology

The following table gives the current workload in cellular pathology for the most recent 12 month period.

Histology requests 66000

Histology specimens 104000

Cytology (non-gynae) 4500

Cytology (gynae) 78300

Hospital adult postmortems 2

Paediatric and Perinatal autopsies 290

Clinics with rapid FNA diagnosis 2 per week

GI pathology workload 18664 requests

Appendix C: List of MDMs and CPCs

Details of Multidisciplinary team meetings and Clinical Pathology Conferences Day and UH Bristol NBT time Monday am  Tumour Board (Paediatrics) MDM.  Skin Cancer Network MDM, 8am to 12.30pm to 1.30 pm weekly at the 11am, in Southmead Children’s Hospital Monday pm  Gynae CIN CPC, 12pm to 2pm at St  Thyroid CPC, 12.15pm to 1.45pm in Michaels, monthly Southmead  Lung surgical MDM, 2 to 2:30pm at BRI attended via videolink Tuesday am  Skin cancer MDM, 11:30am to 1.00pm in  Lower GI MDM, 8.30am to 10.30am the BRI Southmead  Sarcoma MDM, 8.45am to 10am in Southmead Tuesday pm  Head and Neck MDM, 1.30pm to 3.30pm at BRI Wednesday  Gynae MDM, 8.30am to 12.30pm at St  Interstitial lung disease CPC, 10.30am am Michaels to 11.15am in Southmead  Lung Cancer MDM, 11.15am to 1pm in Southmead  Gynae CIN CPC, 12pm to 2pm at Southmead, monthly Wednesday  Paediatric Gastroenterology CPC, 1 pm  Network Mesothelioma MDM, 1pm to pm to 2 pm in the Children’s Hospital 1.30pm (Fortnightly)  Urology local MDM, 1 to 2pm at  Perinatal Mortality CPC, 2.30pm to Southmead 4.30pm, monthly on 3rd Wednesday of  Urology Network MDM, 3pm to 5pm at the month Southmead  Paediatric Dysmorphology, monthly, 1st Wednesday of the month Thursday  Unknown primary MDT, UHBristol,  Breast MDT, 8.30am to 11am in am 08:30-09:30 Southmead  Haematological MDM 9am – 12pm  Haematological MDM 9am – 10am via  Skin Lymphoma sub regional MDM, 2pm video link to 3pm at the BRI, monthly  Paediatric Haematology MDM, 10am to 11am in the Children’s Hospital. Monthly, 2nd Thursday of the month  Surgical MDM, 12.30 to 1.30 pm, monthly, 4th Thursday of month in the Children’s Hospital. Thursday  Endoscopy CPC, 1.30pm to 2.30pm pm  Testicular MDM, 8.30am to 9.30am at the BRI  Dermatopathology CPC, 2pm to 3pm at the BRI, every other week  Dermatopathology Combined Clinic, 3pm to 5pm at the BRI Friday am  Lung cancer MDM, 11.30am to 1pm at the BRI  Network Upper GI MDM, 9am to 11.30am in the BRI  Neuroendocrine MDT, bimonthly 11:15 – 12:30  Paediatric Surgical Mortality meeting CPC, Bi-monthly, 10.30am to 12.00

noon. BRI, King Edwards’s room. Friday pm  Urology MDM, 9.30am to 11am at the  GI Medical CPC, 1pm to 2pm at BRI Southmead  Lower GI MDM, 1pm to 2pm in the BRI  Network Anal MDM, 1.30pm to 2pm in the BRI

Appendix D: Resources available Facilities

A new purpose built laboratory opened in April 2016.

As well as routine histological and cytological techniques, there is a wide range of immunocytochemistry and immunofluorescence available.

Digital micro- and macro photography equipment including the supporting software has recently been purchased and installed in both laboratories. There is facility to view slides in real time through a network link between both sites and the trust is committed to further development of video linking and related technologies.

The diagnostic service is fully computerised with extensive databases. The department implemented a new LIMS, Clinisys Winpath Enterprise, in October 2016.

The laboratory maintains an excellent selection of up-to-date textbooks

Secretarial Support/Office Accommodation

Within the department, you will be assigned an individual reporting room with a consultant grade microscope (with a teaching arm to allow teaching of pathology trainees to be carried out in the Consultant’s office), and a personal computer linked to the Trust’s IT system, internet, digital dictation and e-mail facilities. Secretarial and administrative support, predominantly for general diagnostic work but also for personal professional tasks (managerial, teaching and administrative) is provided from our team of excellent medical secretaries. The department has good facilities for digital photography of macroscopic and microscopic specimens.

Library Facilities

There are professionally staffed Medical Libraries in the Postgraduate Medical Centre at Southmead Hospital, with a rapid service between these and the University Library situated in the centre of Bristol city. A computer literature search facility is available and the library has links with other networks across the country, thus ensuring a comprehensive and rapid service in response to information needs.

The Postgraduate Medical Centre has an active programme of clinical meetings, lectures and symposia.

Academic Facilities

North Bristol NHS Trust currently has medical education facilities available on Southmead site. The Learning & Research Centre opened in December 2009 and has the following facilitates: 130 seated lecture theatre, Library (24 hour access), Seminar Rooms, Resuscitation training rooms, IT training suite, Clinical Skills Laboratory, Manual handling training rooms and University of Bristol laboratories and office base.

Appendix D: Organisation information Information about North Bristol NHS Trust

North Bristol NHS Trust is the largest Trust in the South West region and one of the largest trusts in the country. Last year the Trust treated over 100,000 inpatients, over 35,000 outpatients, 90,000 emergency department patients and helped deliver over 6,000 babies. It employs more than 8,000 staff, has approximately 1,050 inpatient beds and income in excess of £540 million.

The Trust provides Medical, Surgical, Neonatal, and Maternity Care for its local population of approximately a million people in Bristol, South Gloucestershire and North Somerset. The Trust also provides regional services in Neurosciences, Orthopaedics, Pathology, Plastic Surgery and Burns, Renal Medicine and Transplant and Urology and is the Major Trauma Centre for the West Country.

The health service in Bristol, North Somerset and South Gloucestershire is being remodelled to concentrate on acute facilities and where appropriate to provide more care close to patient home through a network community hospitals and facilities. The Trust recently moved the majority of its acute services to the Brunel Building, regarded as one of the best hospital facilities in Europe, on the Southmead Hospital Site. At Southmead Hospital, we also have our excellent maternity and women’s health services, the Bristol Breast Care Centre and the Trust’s Severn Pathology service.

As well as Southmead Hospital, the Trust also has Cossham Hospital, in Kingswood, that recently underwent a £19m refurbishment, the Bristol Centre for Enablement, at Cribbs Causeway (Bristol) and the Trust also runs children’s community health services across Bristol and South Gloucestershire.

The Trust has University Teaching status and is associated with both the University of Bristol and the University of the West of England.

The organisation of North Bristol NHS Trust

The Board of North Bristol NHS Trust comprises of the chairman and chief executive, 6 non-executive directors, and directors of capital projects, finance, facilities, I M and T, organisation, people and performance, as well as a director of operations, medical director and director of nursing. For further information, refer to the trust website, www.nbt.nhs.uk

NBT has five Clinical Divisions.  Medicine  Musculoskeletal and Neurosciences  Surgery  Women's and Child Health  Core Clinical services and Out-Patients

Pathology is part of the Core Clinical Services Division together with critical care, radiology and pharmacy. The Clinical Director of the Core Clinical Services Division is Dr Rommel Ravanan, Consultant Nephrologist. The Head of Pathology post is vacant and the Divisional General Manager is Ms Sarah Robinson. Within Pathology a unified management structure has been implemented.

Information about University Hospitals Bristol NHS Foundation Trust

Situated in the heart of Bristol, UHBristol is a large city centre Teaching Trust employing over 7000 staff, with annual revenue of nearly £400 million and with a total of 1156 beds throughout the Trust. UHBristol are one of the largest employers in Bristol and provide a wide range of in-patient, out- patient and day-care services to the local population within Bristol, as well as being the biggest specialist referral centre for the South West of England.

Bristol is a vibrant city with excellent travel access to the South West, Wales, London and the North. Bristol airport is an expanding centre for air travel, with many national and international connections.

Hospital and outpatient services are based over eight sites comprising: the Bristol Royal Infirmary, Bristol General Hospital, Bristol Eye Hospital, Homeopathic Hospital, Bristol Haematology and

Oncology Centre, Bristol Dental Hospital, St Michael’s Hospital and Bristol Royal Hospital for Children. A significant capital redevelopment programme is underway with re-provision and expansion of facilities for Paediatric, Cardiac and Medical patients.

The Hospital has close links with both city Universities. University of Bristol is the largest Medical School in Southwest England, with Bristol Royal Infirmary delivering the largest proportion of teaching to its Medical and Dental Students. The Trust Executive Group has bi-monthly meetings with its teaching and research partners.

The organisation of University Hospitals Bristol NHS Foundation Trust

The Trust Board consists of 7 Executive members and 7 Non-Executive Directors including 1 independent member. There are four public Board meetings a year, normally held on the fourth Tuesday of the month. In addition, the Trust Board holds an Annual General meeting, normally in September. Members of staff and public are welcome to attend these meetings.

The Public Trust Board Meeting agenda contains issues for decision on major strategy and policy direction, as well as regular public reporting on performance against key targets.

As a Foundation Trust, UH Bristol are accountable to the local community and patients. The community and patients are invited to become members of the Trust and currently the Trust has 8,500 members. The membership, which includes staff members, voted in a formal election for governors to represent them on the Membership Council which sits alongside the Trust Board. The Council advises the Board on strategic direction and members and governors are active in improving the services at the Trust.

The Trust structure is based on five autonomous Clinical Divisions:  Medicine and Emergency Care  Surgery and Head & Neck  Women’s and Children’s Services  Specialised Services  Diagnostic and Therapy Services

The Divisions are supported by a sixth Division, Trust Services, which comprises of a number of corporate functions including Finance, IM&T, and Human Resources.

A clinical Head of Division, supported by a Divisional Manager leads each Division.

The Trust is committed to increasing both clinical engagement and the involvement of staff and their representatives in key decisions. A Clinical Reference Group comprising senior clinicians and representatives of clinical professions including the Heads of Divisions is chaired jointly by the Medical Director and Chief Nurse/Director of Governance. The group works collaboratively with a range of committees and groups within the Trust, in order to ensure that there is strong clinical advice, leadership and engagement in all decision-making processes.

Pathology is part of the Division of Diagnostic & Therapy Services, along with Radiology, Pharmacy, Medical Physics (incl. MEMO), Audiology, Neurophysiology, Physiotherapy, Occupational Therapy, Dietetics, Speech & Language and Orthotics.

The Clinical Chair is Kate Love and the Divisional Director is Fiona Jones.

University Of Bristol Links

The University of Bristol Faculty of Medicine: http://www.bris.ac.uk/fmd/

The University of Bristol offers an exciting academic environment with centres of excellence in all of its faculties. It also has an ambitious programme for expansion and a well-established major “campaign for resources” to facilitate future developments. The University is in the city centre and the medical school and basic science departments are within walking distance of UHBristol.

Bristol is one of the few universities with schools of medicine, dentistry and veterinary science, all in close proximity. The Medical School has an intake of 250 students each year to its undergraduate medical course following recent expansion. The Dental School has also recently expanded and now has an intake of 75 undergraduate students per year.

The Faculty’s research philosophy is to undertake internationally recognised basic and applied medical and health services within a setting which patients are cared for in association with undergraduate teaching and postgraduate training.