RECRUITMENT INFORMATION PACK

FOR THE POST OF

CONSULTANT HISTOPATHOLOGIST

DEPARTMENT OF HISTOPATHOLOGY PATHOLOGY SERVICE AIREDALE NHS FOUNDATION TRUST

Page 1 of 29 SECTION 1

The Post and Job Description

JOB TITLE: Consultant Histopathologist

DEPARTMENT: Histopathology

MANAGERIALLY ACCOUNTABLE TO: Chief Executive via Clinical Director

DIRECTORATE: Integrated care

PROFESSIONALLY ACCOUNTABLE TO: Medical Director via Clinical Director

BACKGROUND TO THE POST This post is a full time (10 programmed activity) appointment as Consultant Histopathologist to Airedale NHS Foundation Trust, with all programmed activities currently based at Airedale General Hospital. The post is a replacement resulting from the retirement of the current postholder. The appointee will be part of a team of five Consultant Histopathologists. The Department of Histopathology receives a wide range of histopathological and cytology specimens from within the Trust, from General Practitioners, other community based sites and from the & Airedale Bowel Cancer Screening Programme. There is no cervical cytology. The undertaking of post-mortems is not a requirement of the post. A new collaboration between Airedale NHS Foundation Trust and Bradford Teaching Hospitals NHS Foundation Trust delivers laboratory aspects of the pathology service to both Trusts. Consultant staff continue to be employed by their respective Trust, however will contribute to the management and delivery of the Integrated Pathology Service. The appointee will be expected to be able to deliver all aspects of the general histopathology service at Airedale NHS Foundation Trust and, in due course, may be able to develop a subspecialisation as the collaboration with Bradford Hospitals develops. We welcome applications from both general histopathologists and those who have already developed a subspecialised interest.

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

AIREDALE NHS FOUNDATION TRUST Airedale NHS Foundation Trust is an award winning integrated Trust (consistently in the top 10 nationally for quality of care), set in a beautiful location extending from the in the south, to the upland hills and valleys of the Dales National Park in the north, providing genuine opportunities for a great work-life balance.

We provide high quality, personalised, acute, elective, specialist and community care for a population of over 250,000 people across West and and East Lancashire in an area extending from the fringes of north Bradford to parts of the National Park.

Our main hospital, which is Airedale General Hospital, is situated in the countryside between and . We also provide services from community hospitals Coronation Hospital in and Skipton Hospital – as well as local health centres and General Practices (GPs).

Airedale General Hospital is on good rail and road links to major cities and the Lake District. The main road links are with the M1 at (25 miles), the M62 at Bradford (15 miles) and the M6 at Preston (25 miles). In addition to Leeds, Bradford and Manchester, there are good shopping centres and cultural facilities at Ilkley (7 miles), Skipton (5 miles) and Harrogate (20 miles). The

Page 2 of 29 centres of population are the towns of Keighley, Ilkley and in West Yorkshire; Skipton, Settle and Grassington in North Yorkshire; and , Earby and in East Lancashire. There are state education facilities available at Bingley, Keighley, Skipton and Ilkley. There are excellent, high performing Grammar Schools in Skipton and independent schools at Giggleswick, Settle, Bradford, Ilkley and Leeds. If the appointee wished to reside at a distance greater than 10 miles, this should be easily agreed by discussions with the Trust.

Airedale General Hospital is a District General Hospital built on a green-field site and opened in 1970. The Hospital is very well maintained and has been substantially upgraded over the past few years with a new state of the art Emergency Department being completed in December 2014. A new Endoscopy unit opened in Autumn 2013. The pathology department had a £400,000 upgrade to its facilities in 2014 and had further new laboratory space built last year as part of a £6 million Acute Medical Unit and Pathology Laboratory development.

Over the past few years, we have received a number of accolades for patient safety and our quality of care and the Trust has also been named as one of the top 40 hospitals by CHKS, an independent provider of healthcare intelligence and quality improvement services, on six occasions.

On its main site, Airedale Hospital, the Trust provides acute and outpatient services including: critical care (intensive care, high dependency and coronary care); a modern operating suite with seven main theatres with dedicated obstetric and trauma theatres and a satellite treatment suite; diagnostic imaging with computerised tomography, magnetic resonance imaging and ultrasound; pathology laboratories; medical specialities including neurology and rheumatology; surgical specialities including orthopaedics, gynaecology, urology and general surgery; obstetrics and paediatrics with a special care baby unit and neonatal intensive care; cardiac catheter suite; endoscopy and colposcopy suites; diabetes centre; haematology and medical oncology day unit; dedicated day care and private wards; together with physiotherapy, occupational therapy, dietetics and speech and language therapy services.

All surgical, obstetric, medical, elderly and orthopaedic wards are on the site together with a pre- admission ward. Diagnostics includes state of the art computerised tomography (CT), cardiac CT, magnetic resonance imaging, MR angiography, MR venography and ultrasound. A second CT scanner was introduced in 2010 and more ultrasound capacity is planned to support acute care.

Acute and older people’s mental health services are provided on site, managed by Bradford District Care Trust (BDCT). BDCT opened a new build mental health facility on the ANHSFT campus in August 2007.

Telemedicine has been a significant addition to the services provided by the Trust to patients, providing rapid access to high quality interventions and specialist advice, regardless of the patients’ location. We receive national recognition for our telehealth services and as a result are a Vanguard site for the new care models and lead on using technology for enhancing health in care homes. Our new Digital Care Hub at Airedale Hospital now provides enough space to extend and integrate services such as telemedicine to benefit more patients and care homes. With more than 20 screened workstations for nurses, it means all our digital care services can be located together. These services include the Intermediate Care Hub – which is run by social care and health care staff to provide a single point of access for professionals to refer patients into intermediate care and help get them home more quickly; the Gold Line service which provides care for residents in the last 12 months of their life; and the round-the-clock telemedicine service which is currently provided for over 300 care homes, 365 days a year throughout the country and around 100 people in their own homes. There are also separate rooms for private consultations and the telemedicine service for prisons nationwide.

Latest developments

Page 3 of 29 In recent years the Trust has invested significantly in its clinical services, most recently the Emergency Department. Additional investment has also been made to improve our maternity and endoscopy units and to support patients with dementia.

The Emergency Department is designed to future-proof emergency care at Airedale. The department benefits from a four bed resuscitation room (one dedicated paediatric bay), 18 treatment rooms including an eye/ENT room, a paediatric HDU room, facilities for bariatric patients and patients with dementia, and internal decontamination facilities. There are separate paediatric and adult waiting areas as well as X-ray facilities and a plaster room within the department. It has Trauma Unit status within the Yorkshire Major Trauma network and due to the unique geography of the region continues to see some major trauma work.

Airedale Hospital’s Emergency Department was the first in the UK to use integrated electronic records with GPs using SystmOne, allowing access to patients’ medical history, drug history and allergy status as well as records of recent consultations. The majority of our hospital wards now also use electronic prescribing, which aims to help reduce any prescribing errors and create an overall improvement in patient safety with greater efficiency for clinicians.

Page 4 of 29 Airedale NHS Foundation Trust Right Care Vision

We want our local community to trust us to provide Right Care, with our focus on putting patients at the heart of everything we do. We need to enable patients to be in control of their health and care and respond to their needs, aligned to their preferences.

In Right Care, patients have help to navigate them through the system, which can often appear confusing and fragmented. Patients are at the centre, supported in a way that best meets their needs, enabled by technology. They are able to access compassionate, safe care that empowers them, helps to keep them active and which retains their dignity. Care is integrated around the patients’ needs, not those of the organisations providing the care. In this approach, patients are able to access support around the clock every day of the week, either at or closer to home, utilising community level or hospital support where appropriate.

Overall, our approach is focussed on embedding the key principles of good experience, by continuously assessing the impact and outcome for patients. We are focussed on being an inclusive provider and employer and continue to prioritise patient and public engagement and experience, both areas for which we have developed supporting strategies. These are central to achieving our Right Care ambition and are at the heart of the NHS and our Trust values.

We are serious about safety and believe there is a clear link between providing safe healthcare and delivering strong finances. We are ambitious about our future, and in support of this, there are a series of key principles supporting the delivery of the vision in the years ahead:

 Safety, quality, patient experience and staff engagement are at the centre of what we do;  The need to be serious about efficiency and business control to be viable in the future;  Transforming care is critical to the delivery of our strategy;  Ensuring the care of the vulnerable, elderly, patients with dementia and those with nutrition needs are given priority focus;  Ensuring a greater focus on clinical leadership, engagement and outcomes;  Partnerships shall form a significant part of the design and delivery of services;  We are committed to being an inclusive health care provider and employer;  Ensuring the value of the Airedale brand is retained within the community and beyond and that we remain the hospital of choice; and  The requirement to adapt the size and shape of the workforce and estate in response to the updated service strategy.

Overall, our approach is focussed on embedding the key principles of good experience, by continuously assessing the impact and outcome for patients. This is how we will sustain and secure our future.

THE PATHOLOGY SERVICE The Pathology Service is based at Airedale General Hospital and comprises Departments of Histopathology, Clinical Chemistry, Microbiology and Haematology. It provides a service to the hospital and the surrounding clinics and general practices, employs over 250 staff and has an annual budget of over £20 million. All of the departments are housed in a single laboratory area and share facilities such as reception, administrative and secretarial support. The laboratories underwent a major £400K refurbishment during 2014, which expanded and modernised the laboratories, and provided additional laboratory facilities. A further laboratory extension is has recently been completed as part of a £6 million Acute Medical Unit and Pathology Laboratory development. The Histopathology department holds full ISO15189 accreditation.

The Pathology service forms part of the Women’s, Children’s & Specialist Services Directorate. The Clinical Director for the Integrated Pathology service which includes the pathology laboratory services at both Airedale and Bradford Hospitals, is currently Dr P Carder.

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The Histopathologists are:  Dr Ritesh Sachdev (Head of Department)  Dr Navidul Khan  Dr Andrew Clarke  Dr Nick Griffin (P/T)  Dr Prithivi Maheswaran (P/T)

The Managing Director of the Integrated Pathology service is Dr Afruj Ruf who is a Consultant Biomedical Scientist in Haematology. There are Consultants in Clinical Chemistry (Mr Colin Evans), Haematology (Dr Michail Spanoudakis, Dr Aikaterini Manaka and Dr Emma Nga) and Microbiology (Dr Emma Wilkinson).

PATHOLOGY JOINT VENTURE Bradford Hospitals NHS Foundation Trust, Airedale NHS Foundation Trust and Harrogate and District NHS Foundation Trust have formed a Joint Venture to deliver integrated pathology services across the district in order to achieve economies of scale and deliver a high-quality pathology service for our patients. The Joint Venture (which is entitled Integrated Pathology Solutions™) delivers the laboratory aspects of the pathology service for both Trusts. The main histopathology laboratory is based at Airedale General Hospital and Harrogate and District NHS Foundation Trust there is also a brand-new cut up laboratory on the Bradford Hospital site. The laboratory staff are all employed by Airedale NHS Foundation Trust and Harrogate and District NHS Foundation Trust and the Consultant staff are employed by their respective Trusts. The Clinical Director of the Joint Venture is Dr Pauline Carder, a Bradford Consultant Histopathologist. The laboratories are run by the Joint Venture and there are very close working relationships with laboratory and Consultant staff at all three hospitals.

There are 10 Consultant Histopathologists at Bradford who undertake sub- specialised reporting.

 Dr David Gouldesbrough  Dr Faisal Ali  Dr Nima Maleki  Dr Pauline Carder  Dr Julian Ostrowski  Dr SandhyaJoshi  Dr Arun Manoharan  Prof M Wells  Vacant posts x2

Following the successful integration of the two laboratory services there may be opportunities for the Consultant staff across both sites to work more closely together in order to develop and deliver sub-specialised pathology reporting across the district. This is currently being actively explored.

THE DEPARTMENT OF HISTOPATHOLOGY The Department of Histopathology at Airedale provides a wide range of histopathology, non- gynaecological cytology and autopsy service for Airedale NHS Foundation Trust, associated general practices, the Eccleshill Diagnostic and Treatment Centre and the Bradford & Airedale Bowel Cancer Screening Programme.

Histopathology service The histopathology workload of about 19000 requests is diverse and typical of a District General Hospital. It includes a broad range of specimens, including endoscopic and needle biopsies and an array of surgical biopsies generated by the out-patient, day-care units and in-patient facilities

Page 6 of 29 of the Trust and by general practices. There are a high proportion of resection specimens particularly in regard to breast surgery, lower gastro-intestinal surgery, urology and gynaecology. Radical surgery for some cancer types has been centralised in Leeds or Bradford (upper gastrointestinal cancer, radical pelvic surgery for urological and gynaecological cancers and head and neck cancer).

The Histopathology Department spends a considerable amount of time in diagnosing and reporting malignancies and is committed to the highest standards of service. There is active support for the multidisciplinary team approach to the management of cancers and the department is involved in clinical meetings, the establishment of management protocols, the audit of clinical work and the recruitment of patients to clinical trials. Tumour resections are dissected and reported in accordance with national and regional protocols (for example, RCPath guidelines and those agreed by the Yorkshire Cancer Network and regional Histopathologists’ Group).

The Department uses a number of reporting proformas and synoptic reports for resected cancers, to ensure that all relevant data items are included and to achieve a degree of uniformity of reporting style. This is facilitated by the incorporation of templates into the Histopathology computer system. In addition, minimum dataset proformas are completed for the cancer registry for a number of cancers. Copies of these are kept and form a valuable resource for audit.

In compliance with the national cancer standards, the Consultant Histopathologists take the role of Lead Pathologist for various cancer sites. This is a co-ordinating role, in that the Lead Pathologist for any particular cancer site attends multidisciplinary team meetings, ensures compliance with dissection and reporting protocols, and co-ordinates service delivery and liaison with the Cancer Unit Team. After the new appointee is in post the five Histopathologists will discuss appropriate allocation of the role of Lead Pathologist for each of the cancer sites. Whilst some diagnostic sub-specialisation may take place amongst the Histopathologists, it is envisaged that each Pathologist will retain the ability to report most, if not all, cases that come through the routine surgical workload. It is not expected that the lead pathologist and their deputy will report all specimens from the relevant site.

There is a strong ethos of collaborative working both within the Department and with specialist Pathologists in Bradford, Leeds and elsewhere. The Consultants share and discuss difficult diagnoses and interesting cases, and there are established referral patterns for consultation about problematic cases. Specimens for neuropathology, lymphoid and haematological phenotyping and molecular pathology are referred to the accredited regional diagnostic services provided by the Leeds Teaching Hospitals NHS Trust. Genomics testing for cancers and electron microscopy are undertaken in various accredited laboratories depending on quality and turnaround times and there are well-established pathways to undertake this work.

The Department is committed to exploring innovative ways of working, such as remote reporting and digital microscopy.

We have an advanced specialist practitioner in Histopathology, Mrs Sarah Flitcroft, who undertakes a large proportion of the cut-up of specimens of varying complexity. She has completed her training and passed the examination for the Advanced Specialist Diploma in Breast pathology Specimen Dissection. We have one other member of staff who has completed the diploma of expert practice in histological specimen dissection and one other Biomedical Scientists currently undertaking the training programme in specimen dissection. The section lead for the department is Miss Alison Boyle.

Cytology service The total cytology workload is approximately 1400 cases per year (1600 specimens), comprising a mixture of respiratory cytology (including TBNAs), FNAs from various sites, pleural and peritoneal fluids and urines. There is no pre-screening by Biomedical Scientists and all cases are

Page 7 of 29 reported by the Consultant Histopathologists. There is no commitment to perform fine needle aspirates or to report cervical cytology.

Cervical cytology (screening and symptomatic) is undertaken by the Cervical Cytology service in Leeds. The Department maintains a close liaison with the cervical screening programme, to allow audit and correlation of cytology and biopsy findings. Information about biopsy findings is exchanged with the cervical screening laboratory and also recorded on the Trust’s colposcopy database to facilitate collation of the KC65 statistical returns. There are multidisciplinary team meetings every month, at Airedale Hospital to correlate histology, cytology and colposcopy findings. The hospital-based screening coordinator is Dawn Gulliford, the Trust Cancer Manager.

Autopsy service The Mortuary is situated adjacent to the laboratories and is staffed by an Anatomical Pathology Technician, who holds the Diploma of Anatomical Pathology Technology.

The Trust covers two Coronial districts; the Western District of West Yorkshire and the District of North Yorkshire. In 2010 the Coroner for West Yorkshire built a new mortuary in Bradford and moved his post-mortem activity, which had up to then been undertaken at Airedale, to his new facility. In April 2016 the Coroner for the Western District of North Yorkshire consolidated his mortuary arrangements onto the Harrogate Hospital site. In view of this, the Trust took the decision to close the post-mortem room. We therefore do not undertake any autopsies. If a candidate is keen to undertake Coronial work then discussions can take place with the Coroner for West Yorkshire who may well allow the successful candidate to undertake Coronial Post-mortem examinations at his facility in Bradford. This work would have to be undertaken outside of the Programmed Activities undertaken for the Trust.

Fetal and perinatal autopsies are referred to specialist Paediatric Pathologists in Leeds.

FACILITIES AVAILABLE IN THE DEPARTMENT The laboratories were comprehensively refurbished in 2014, as part of the £400K Pathology modernisation project. There are good "cut-up" facilities with two down draft dissection tables and ventilated specimen storage cabinets.

As part of the Joint Venture with Bradford Hospitals NHS Foundation Trust, we have entered into a managed service contract with Beckman Coulter who have supplied extensive new equipment within the Airedale laboratory. The laboratory now has 4 Peloris tissue processors, 4 Leica Arcadia Tissue Embedders, 14 Microtomes, 4 Leica autostainers, 2 Leica Bond Immunostainers along with the Cerebro tracking system. The laboratory provides tissue processing, section production and immunohistochemistry for both Airedale NHS Foundation Trust and Bradford Teaching Hospitals NHS Foundation Trust. A 420 m² laboratory extension has been built to accommodate the Joint Venture laboratory expansion requirements.

The Department uses a Fordman Labnet computer system which provides an easy to use system working in a Windows© environment. It consists of a Local Area Network running two virtualised file servers with networked PCs, which integrate all the separate sections of the Pathology Department. The Histopathology Department has been fully computerised since 1988 and the Laboratory Information Management System (LIMS) holds complete reports for all specimens from then, allowing instant retrieval and a complete historical record. The LIMS system is linked to an ICE electronic requesting and reporting system, which is used by both primary and secondary care. Data quality is high and considerable effort is put into linking historical and current data, and ensuring that diagnostic (SNOMED) and operational coding is accurate, thereby facilitating data retrieval for audit and management purposes.

There is a requirement to replace the laboratory computer system. The Joint Venture along with other pathology providers in the region have written a business case to secure funding to procure and implement a regional system.

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The Histology Department has UKAS accreditation and had its last full inspection in November 2018 under ISO15189. The Department has a Quality Management System (QMS) in place and a comprehensive series of standard operating procedures, which cover all aspects of the service. An electronic version of all procedure and operational documents is held on the Trust’s information and document management system (AireShare), which can easily be accessed from all PCs.

FACILITIES FOR APPOINTEE The successful candidate will have their own recently refurbished office, personal computer and modern double-headed microscope (which is suitable for the work that the appointee will be required to perform) situated within the laboratory envelope. Facilities for digital macro- and micro-photography are available in the department. Neither electron microscopy nor immunofluorescence is performed on site. Secretarial support will be provided by one of the Pathology secretaries. Voice recognition software for the generation of reports is in use within the department.

There are good IT facilities allowing access to the Fordman Pathology LIMS system, the Hospital intranet (including clinical systems, AireShare, PACS system, e-mail and e-learning resources), the NHSnet and Internet. The Department has an extensive collection of current reference textbooks and bench books. Major Pathology journals are available in the Department. Digital dictation is also available.

The Pathology Laboratory has a seminar room, which is equipped with a microscope and high quality digital video camera linked to a multimedia projector. There are good IT facilities with PCs and presentation software.

Medical Education The Education Centre at Airedale is headed by the Clinical Director of Multi-Professional Education and Training along with a team of course organisers, faculty tutors and support staff. The work of the team incorporates the Trust’s education provision for all training grade doctors, SAS and Consultant doctors and medical undergraduates. In delivering the undergraduate curriculum, the Centre has established a strong partnership with the University of Leeds, School of Medicine, with whom it has been awarded the prestigious Associate Teaching Hospital status. Regular teaching sessions, with both internal and external speakers, are organised across all specialities demonstrating the strong commitment of clinical staff to education. Administrative support and a range of well-equipped teaching rooms along with a lecture theatre are provided within the Education Centre. The hospital also has a Clinical Skills Centre, with specialised teaching rooms, delivering a wide range of courses to clinical staff at all levels from across the region.

Knowledge Services The recently refurbished health information centre is a hub for journals, books and information. The information centre staff will be happy to issue you with passwords to enable you to access the online collection of over 1200 journals; key databases such as MEDLINE, CINAHL and Cochrane databases; and online textbooks including the BNF, Oxford Textbook series, and BMJ Clinical Evidence. There is also a small multidisciplinary collection of key textbooks and journals available in paper format.

Recent re-development work has created increased spaces for quiet study and excellent IT facilities that are available to use 24 hours a day. Photocopying and printing facilities are also available.

The information centre staff are experts in finding information and will be happy to carry out literature searches/evidence summaries, request documents from other libraries, set up current awareness services, supply the latest guidelines, advise on the quality / critical appraisal of

Page 9 of 29 information and research, and assist with any other information or knowledge management related enquiry.

The newly developed Patient Advice Desk is also located in the centre, offering patients an opportunity to discuss basic information needs and obtain patient leaflets and information prescriptions.

WORKLOAD 2017 (% indicates proportion from GPs)

Type of activity Requests in year Specimens in year Histology 19094 (GP 15%) 30548 Diagnostic cytology 1490 (GP 15%) 1720 Cervical screening 0 0 cytology Adult autopsies 0 0

FACILITIES FOR CLINICOPATHOLOGICAL/MULTIDISCIPLINARY TEAM MEETINGS The Department contributes to a large number of multidisciplinary team meetings (MDTMs): • Breast (diagnostic) – weekly • Breast (therapeutic) – weekly • Lung – weekly • Colorectal – weekly • Upper GI – weekly • Unknown primary – weekly • Gynaeoncology – weekly • Urology – weekly • Cervical biopsy/cytology –monthly

The meetings are held in the “Sarah McKie” room, a multidisciplinary team meeting suite situated in the oncology unit, which has been equipped with state of the art equipment, including video- conferencing. Some joint video conferenced MDTMs are held with the specialist MDTs in Leeds and Bradford. A gastro-intestinal CPC is held weekly and a colposcopy/cytology/histology correlation meeting is held every two months. The Department also contributes to the clinical audit and morbidity/mortality meetings with physicians, surgeons and paediatricians, where relevant.

The cancer multidisciplinary teams are supported by MDT co-ordinators and cancer information officers who work closely with the Department of Histopathology. Most cases for discussion are identified through the departmental computer system, and the Consultant Histopathologists assist in the accurate recording and validation of datasets and management plans.

STAFFING

Consultant Histopathologists:

Name Whole/part time Cancer site lead Dr Ritesh Sachdev Whole Breast, urology Dr Navidul Khan Whole Colorectal, upper GI and CUP Dr Andrew Clarke Whole (works remotely) Dr Nick Griffin P/T Gynae and lung Dr Prithivi Maheswaran P/T General

The Department has no trainees at the present time.

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Managing Director, Integrated Pathology Solutions (IPS) Dr Afruj Ruf

Deputy Managing Director, IPS Mr Mark Harrison

Operational Manager, AGH Ms Hannah Bateson

Quality Manager Mrs Jayne Buckley

Biomedical Scientists and Technical Staff: Mrs S Flitcroft Band 8a Advanced Specialist Practitioner Miss Alison Boyle, Band 7 Section Lead 2 Band 7 BMS, Quality and Training Leads 5.5 Band 6 BMS 5.5 Band 5 BMSs 1 Trainee BMS 10 Band 3 MLAs 2 Band 2 MLAs

Mortuary Staff: 1 Senior Mortuary Technician 1 Mortuary Technician

Secretarial Staff: 3 Secretaries provide support to entire Pathology Service

MANAGEMENT ARRANGEMENTS The Pathology Service at Airedale is part of the Women’s, Children’s & Specialist Services Directorate. The General Manager is Mr Michael Smith. With the development of the Joint Venture the laboratory service is managed by an Operational Management Group, which has representation from the Consultant and Scientific staff from the three Trusts.

The Joint Venture is currently led by the Clinical Director (Dr Pauline Carder), the Managing Director (Dr Afruj Ruf), Deputy Managing Director (Mr Mark Harrison), two Operational Managers (Mrs S Hird and Ms H Bateson) and the Quality Manager (Mrs Jayne Buckley) who are responsible for the strategic leadership of the Pathology Service. The Clinical Director is the accountable officer for the overall effective organisation and running of the Joint Venture service and I supported by the Managing Director and his team for personnel management, health and safety issues, risk and complaint management and budgetary control.

The Pathology Service at Airedale is organised into four sections – Histopathology including the Mortuary, Clinical Chemistry, Microbiology and Haematology. Each is professionally led by a Consultant who works with the relevant Section Leader – the senior Biomedical Scientist who is responsible for technical and operational aspects in the section.

Policy is developed by the Clinical Director, Managing Directors, Operational Managers, the Heads of Department, Consultant Pathologists and Section Leaders, who meet as the Integrated Pathology Solutions Operational Group. This forum is supported by a number of subsidiary groups, which address specific issues such as clinical governance, health and safety and training.

Page 11 of 29 The Department of Histopathology is professionally directed by one of the Consultant Histopathologists who is appointed by the Clinical Director following consultation with consultant colleagues. The head of department is currently Dr N Griffin, and this appointment is reviewed every year. The opportunity exists for the headship to rotate between colleagues with an interest in, and aptitude for, management. Notwithstanding this, the Consultant Pathologists have a collaborative approach to the provision and management of the service, and the appointee will be invited to contribute fully to this and to develop a lead role to match their areas of interest.

The management arrangements within the Department are consistent with the recommendations of the Strategic Preview of Pathology Services, especially paragraphs 4.22 to 4.26.

The Advanced Practitioner and Section Leader are responsible to the Consultant Head of Department and Pathology Managing Director via the Operational Manager for the provision of the service. The non-medical staff are also responsible to the Head of Department and Pathology Managing Director through the Section Leader.

There are a number of departmental operational and management meetings:  Monthly senior staff meeting between the Operational Manager, BMS Section Leader, senior BMSs, Senior Mortuary APT and consultants.  Monthly departmental and audit and educational meetings.  Monthly joint seniors meeting with Histopathology representatives from Bradford  Monthly Consultants’ business meeting.

Management meetings involving all four pathology departments include the Pathology Operational Group meetings, Clinical Governance meetings, Health and Safety and training/education meetings.

OBJECTIVES OF THE POST To work collaboratively with colleagues to provide a high quality, efficient and timely diagnostic and advisory Histopathology and Cytopathology service appropriate to the needs of service users and in compliance with the Departmental and Trust objectives

REQUIREMENTS OF THE POST A Histopathologist with full and specialist GMC registration and a licence to practice with experience of a wide range of diagnostic histopathology and non-gynaecological cytopathology appropriate to the repertoire and workload of the Department.

Applicants must hold full and specialist registration (and with a licence to practice) with the General Medical Council (GMC) or be eligible for registration within six months of interview. If an applicant is UK trained, they must also be a holder of a Certificate of Completion of Training (CCT), or be within six months of award of CCT by the date of interview. If an applicant is non-UK trained, they will be required to show evidence of equivalence to the UK CCT. If you are a trainee, currently on a UK training programme, and are not yet on the Specialist Register, please provide details of your expected CCT date on your application form.

DUTIES AND RESPONSIBILITIES OF THE POST

Clinical and Diagnostic Service To provide, in collaboration with their Consultant colleagues, a timely, reliable and comprehensive diagnostic service in histopathology and non-gynaecological cytopathology.

To provide advice and support to clinical colleagues, and to be available to discuss histological findings.

Page 12 of 29 To participate in multidisciplinary clinical care, to attend multidisciplinary team meetings and to assume the role of “Lead Pathologist” in the Cancer Unit Teams for designated sites.

Service Delivery To maintain a close working relationship with the other Consultant Histopathologists and the technical and scientific staff within the Department. All Histopathology staff work as a team, responsible to the Head of Department. Consultant staff are expected to work within the established management structure and abide by Departmental and Trust Policies.

To participate in the effective running of the Department, contributing to an equitable share of workload and facilities, the efficient use of staff and resources and the development of the service in support of the changing needs of clinical users and the Trust. It will be necessary to take delegated responsibility for agreed areas of the service, and to deputise for the Head of Department, or other lead roles, as necessary. The appointee will be expected to actively support the procedures and standards required for UKAS ISO15189 (2012) and the Human Tissue Authority.

To ensure participation in Departmental and external audit and quality assurance (QA) in Histopathology. This will include participation in the Regional Histopathology QA scheme, the NHS Breast Screening Programme QA scheme, the Bowel Cancer Screening Programme QA scheme or other programmes as required.

To work with the Clinical Director, the Lead Clinician for Pathology, the Pathology Managing Director, the Head of Department, the Quality Manager and other medical and scientific staff of the Pathology Service in the delivery of an efficient and effective pathology service.

To assist in co-ordinating the Pathology Department's response to any 'major incident’ occurring within the district, in accordance with the Trust’s Major Incident Procedure.

Professional Standards and Clinical Governance To maintain good clinical practice and contribute to mechanisms established within the Trust for the purposes of Clinical Governance including compliance with professional standards, quality assurance, risk and adverse incident reporting and participation in National Confidential Enquiries and multidisciplinary clinical audits. To support the on-going clinical audit programme within the Department.

To maintain and develop skills and knowledge in the specialty and to participate in the Royal College of Pathologists’ Continuing Professional Development scheme. The appointee will also be expected to provide advice in development of clinical guidelines, investigation protocols and laboratory Standard Operating Procedures.

To participate in annual Consultant appraisal, revalidation and job plan review, in accordance with the Trust’s Consultant appraisal and job planning procedures.

Clinical Supervision and Training To contribute to the professional supervision and training of medical, scientific and technical staff within the Department.

General To abide by Trust policies and procedures, including the Health & Safety, Risk Management and Control of Infection Policies, and procedures relating to personnel, recruitment and disciplinary matters.

To undertake any other duties necessary for the successful performance of the role, commensurate with the grade.

Page 13 of 29 CLINICAL GOVERNANCE Clinical Governance receives high priority in the Department, and full participation in ensuring compliance with the Trust’s Clinical Governance process is required.

Professional Standards The Department is responsible for providing a timely, accurate and clinically relevant service, which is appropriate to the needs of the Trust and the Pathology Service users. In order to achieve this principle, the service is organised and delivered in accordance with professional and NHS guidance, with all staff working within the range of their professional training and competence.

The Consultant Histopathologists adopt a team-based approach whereby standards of service, departmental procedures and reporting criteria are jointly agreed and implemented. Professional and managerial guidance received from bodies such as the Department of Health, the Royal Colleges, the Human Tissue Authority, the Yorkshire and Humber Cancer Network and the National Institute for Health & Clinical Excellence are jointly reviewed at the Consultants’ business meetings and agreement reached about adoption and implementation. There is close collaborative working and interesting and problematic cases are shared by the Consultant Histopathologists and diagnostic work is jointly audited.

Continuing Professional Development The Trust supports the concepts of Continuing Professional Development, clinical audit and external quality assurance and encourages all Consultants to participate in these activities by providing time and resources as part of their Supporting Professional Activities. The post holder will be required to meet the Continuing Professional Development standards of the Royal College of Pathologists and the Trust.

The Consultant Histopathologists participate in the Royal College of Pathologists’ CPD scheme. CPD activities are planned and co-ordinated to reflect departmental and Trust objectives. This is done through the Consultants’ meetings along with the Consultant appraisal system.

All staff are required to attend mandatory training in Fire Safety, Health and Safety, Infection Prevention, Manual Handling, Information Governance etc. There are a number of “in-house” CPD activities, including the departmental education/audit meetings, fortnightly talks organised by the pathology department, a Trust lunchtime lecture programme and a large number of training courses organised by the Education Centre.

There is a well-equipped Education Centre with library, lecture theatre, numerous meeting rooms and an IT resource centre. The hospital library has excellent IT facilities for the delivery of on-line educational resources. The library staff assist in electronic searches and also organise a regular training programme for information skills.

Audit, Clinical Effectiveness and Quality Assurance The appointee will be expected to participate in clinical audit and continuing professional development, and in relevant quality assurance schemes and proficiency testing. Currently these include the Yorkshire General Histopathology Diagnostic EQA Scheme, the NHS Breast Screening Programme Histopathology EQA Scheme, the NHS Bowel Cancer Screening Programme EQA Scheme and other relevant specialist EQA schemes.

An annual audit programme is drawn up to cover clinical areas such as specimen reporting, departmental procedures and service delivery, and all members of staff are expected to participate in these audits. The department has a reputation for successful delivery of its audit programme, which has demonstrated consistent delivery of a high standard of clinical care. The Department also contributes to the National Confidential Enquiries. We review the published reports and assess compliance with the recommendations, changing our practices and procedures where necessary.

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Risk Management, Adverse Incident Reporting and Complaints All adverse and patient safety incidents and complaints are investigated and discussed in the departmental meetings. Any diagnostic discrepancies are jointly reviewed by the consultants as a learning exercise at a quarterly Case Review meeting. A comprehensive annual risk assessment exercise is conducted each year and results fed back to the Pathology Clinical Governance Group, which also reviews adverse incident reports and complaints to ensure that investigations are complete and that action has been taken.

Working with other agencies and professional groups The Consultant histopathologists contribute to the work of the Cancer Screening Programmes and Yorkshire Cancer Network. There is also participation in the Yorkshire Histopathology Group which runs the diagnostic EQA scheme and organises educational activities

The Consultants also participate in other professional fora within and outside the Trust. Work for professional bodies such as the Royal Colleges, GMC, Universities and NHS organisations can be undertaken with the agreement of the Trust and is organised through the job planning process.

APPRAISAL AND REVALIDATION Airedale NHS Foundation Trust has implemented the National Appraisal Scheme for Consultant Medical Staff. All Consultants are appraised annually. The Trust has a bank of appraisers who have been trained in the principles and practice of appraisal techniques..

The Trust has agreed a Job Planning Framework with the Local Negotiating Committee which outlines the process of production, approval, revision, annual and interim job plan reviews, mediation and grievance procedures for job planning.

A summary of the key issues arising from the appraisal is submitted to the Responsible Officer. Any proposed changes to job plans are then discussed at the annual job plan review.

The Trust has a well-established mechanism to support the GMC’s revalidation process (relicensing and recertification) and, as part of Supporting Professional Activity, provides time and support to enable consultants to revalidate appropriately.

TEACHING AND RESEARCH The Department contributes to the following:  Medical student tutorials  Pre registration FY1 orientation and clinical skills training course  Induction course for junior doctors  Foundation years and specialty training  Intercalated BSc students on Biomedical Science courses at Bradford University  BMS MSc project supervision

The department has been approved for BMS training by the IBMS. The Consultant pathologists contribute to the training and education of Biomedical Scientists, including the supervision of Expert Role and Advanced Practitioners.

There are also a number of other ad hoc teaching activities including contributions to junior doctor and GP training, and to the teaching of nursing, allied health professionals and paramedical staff.

Research & Development The Trust is keen to support research and development activities. The Department actively participates in regional and national research programmes and clinical trials.

Page 15 of 29 The Trust has a Research and Effectiveness department which co-ordinates activity and assists in the planning and submission of project proposals. A member of the Research staff deals specifically with the pathological aspects of clinical trials.

JOB PLAN/TIMETABLE The histopathology and cytology services will be provided on an agreed shared basis by the five Consultant Histopathologists. An agreed job plan and schedule of programmed activities (PAs) will be developed between the Consultant Histopathologists and the Trust. This will comprise of at least 1.50 PAs of supporting professional activities and up to 8.50 PAs of direct clinical care. The split between SPAs and DCC PAs will depend on the type of supporting activities each Consultant undertakes. Discussions concerning the job plan will cover the schedule of programmed activities, fee-paying and private work. The appointee will be involved in such discussions and will agree their job plan in conjunction with the established post-holders and the Clinical Director. The Trust has agreed a Job Planning Framework with the Local Negotiating Committee which outlines the process of production, approval, revision, annual and interim job plan reviews, mediation and grievance procedures for job planning.

Each PA of direct clinical care may include a variety of duties including specimen dissection, case reporting, MDTMs, etc. A rota detailing the major types of duty is drawn up in advance. This rota will be for discussion as part of the job planning process. “Time-shifting” to accommodate fee- paying or private work will be considered as part of the job planning process.

A possible allocation of direct clinical care programmed activities may include:  7.00 diagnostic and reporting PAs  1.00 MDTM and clinical liaison PAs  0.50 clinical administration PAs

The supporting professional activities (1.50 SPAs) will cover aspects of the job such as:  Continuing professional development  Clinical governance activities  Clinical audit, EQA  Teaching/training/assessment and examination duties  Research/special interest  Appraisal and revalidation

The Trust supports national guidance on study and professional leave. External duties for the wider NHS are supported within the Department and, if applicable, approval of such duties would form part of the job planning process.

The relative balance between the various supporting activities is agreed between the Consultants to reflect their differing roles.

There are no out of hours or on-call duties applicable to this post.

An outline timetable is included below. Involvement in the differing activities, particularly MDTMs will vary from week to week, depending on clinical and service requirements. Work is organised collectively with a monthly rota and worked flexibly amongst the consultants. Prospective holiday cover is worked into the job plan.

DAY AM PM

Page 16 of 29 MONDAY Laboratory duties/SPA Laboratory duties/SPA 1600 - 1715 Urology MDTM (weekly)

TUESDAY Laboratory duties/SPA Laboratory duties/SPA 1230 – 1330 Tuesday lunchtime 1400 - 1500 Senior staff meeting lecture (monthly) 1500 - 1630 Pathology Service Group meeting (monthly)

WEDNESDAY Laboratory duties/SPA Laboratory duties/SPA 0800 – 0900 Gynae MDTM 1230-1400 Colorectal and Upper GI 1200 - 1245 Pathology education and CUP MDTMs programme (fortnightly)

THURSDAY Laboratory duties/SPA Laboratory duties/SPA 0830 - 0915 Breast therapeutic 1400 - 1500 Departmental meeting MDTM (monthly) 1000 - 1200 Consultants 1400 - 1500 Departmental business meeting (monthly) Audit/Educational meeting (monthly)

FRIDAY Laboratory duties/SPA Laboratory duties/SPA 0800 - 0930 Lung cancer MDTM 0830 - 0900 GI CPC 1230 - 1315 Breast diagnostic MDTM

ANNUAL LEAVE The leave entitlement for Consultants with less than 7 years service as a Consultant is 32 days per year, rising to 34 days after 7 years service. This entitlement is in accordance with Schedule 18 of the Terms & Conditions – Consultants () 2003. There are, in addition to the above, eight Bank Holidays per annum.

Internal prospective cover for annual and study leave is worked into the consultants’ job plans.

STUDY LEAVE Study leave will be granted at the discretion of the Clinical Director of Multi-professional Education & Training, up to a maximum of 30 days per three years, in accordance with Schedule 18 of the Terms & Conditions – Consultants (England) 2003.

TERMS AND CONDITIONS OF SERVICE

1. The appointment will be subject to the Terms & Conditions – Consultants (England) 2003 as amended from time to time (and any reference in those Terms and Conditions to an employing Authority shall be construed as if it were to include a reference to an Employing Trust) and to the General Whitley Council Conditions of Service.

2. Any applicant who is unable for personal reasons, to work full-time 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.

Page 17 of 29 3. The basic salary scale for this post is presently £79,860 - £107,668 pa and is paid monthly by credit transfer. Any additional PAs are paid in line with the Terms & Conditions – Consultants (England) 2003.

4. The post holder, as a practitioner with continuing responsibility for the care of patients, must be able to respond promptly to emergency calls from the Hospital.

5. The post holder is required to reside within a distance of 30 minutes or 10 miles by road from their principal place of work, unless the Trust agrees that they may reside at a greater distance.

6. The Consultant must ensure that there are clear and effective arrangements so that the Trust can contact them immediately at any time during a period when he or she is on-call.

7. A period of three months’ notice is applicable to this appointment.

8. The appointment will be made in accordance with the National Health Service (Appointment of Consultants) Regulations. Canvassing of any member of the Advisory Appointments Committee disqualify the applicant.

9. All medical staff are required to undertake Airedale NHS Foundation Trust’s induction as soon as reasonably possible after commencing work. You will also undertake a local induction within the Department which will be organised by the Operational Manager and a record of this induction will be retained by the Education Centre.

ADMINISTRATION You will act as custodian of data under the Data Protection Act and also as a custodian of stored samples.

COMMUNICATION You will ensure that all communications, which may be complex, contentious or sensitive, are undertaken in a responsive and inclusive manner, focusing on improvement and ways to move forward. You will ensure that all communication is presented appropriately to the different recipients, according to levels of understanding, type of communication being imparted and possible barriers such as language, culture, understanding or physical or mental health conditions.

CONFIDENTIALITY AND INFORMATION GOVERNANCE Information relating to patients, employees and the business of Airedale NHS Foundation Trust must be treated in the strictest of confidence. Under no circumstances should such information be discussed with any unauthorised person or organisations. All staff must operate within the requirements of the Whistleblowing Policy.

PROFESSIONAL REGISTRATION You will be required to maintain General Medical Council (GMC) full and specialist registration with a licence to practice and revalidation, and should follow the GMC’s Code of Good Medical Practice. You will be responsible for providing evidence of appropriate registration prior to commencement of employment, and whenever requested by the Trust thereafter.

STANDARDS OF CONDUCT You will be required to work to the standards set out by the General Medical Council in “Good Medical Practice”. This includes protecting patients when you believe that a doctor’s or other colleague’s conduct, performance or health is a threat to themselves or patients. If it is necessary, after establishing that there is a conduct, health or performance issue, you must inform the Medical Director via the Responsible Officer.

Page 18 of 29 Your general conduct at work must comply with the standards of professionalism expected by the Trust, and those set out in the GMC’s guidance document “Good Medical Practice”.

NHS CONSTITUTION You will be expected to have read and understood how the NHS constitution relates to this role within the organisation, with particular reference to the expectations for how you should play your part in ensuring the success of the NHS. In pursuing your duties you will ensure compliance with the NHS Constitution (details of which can be found at the following website NHS constitution).

POLICIES It is the responsibility of staff to be familiar with Airedale NHS Foundation Trust’s policies and procedures which affect them and to work within the scope set out in those policies. The policies and procedures can be found on the intranet site, AireShare. Managers are responsible for ensuring staff know of and work within the policies, procedures and protocols of the organisation.

CONTROLS ASSURANCE Controls assurance is an overarching policy providing a framework of control covering a whole range of other NHS policies enshrined in the 18 Controls Assurance standards. By self- assessment and external and internal audit, Trusts are expected to monitor their progress against the standards. Risk management is the core standard. Staff responsibilities are outlined in the Risk Management Strategy. Controls Assurance in the NHS

IT SKILLS Members of staff should be skilled in Information Technology to the required level for the job.

HEALTH CLEARANCE This appointment is subject to the receipt of a satisfactory medical report from the Trust’s Employee Health and Wellbeing Department. A full medical examination will not normally be required; however, the successful candidate will be required to complete a health questionnaire. Posts are offered on the understanding that the applicant will comply with requirements regarding immunisations. Applicants should be aware of the guidance to HIV infected healthcare workers from the Department of Health and the GMC.

INFECTION PREVENTION & CONTROL You will be responsible, within your area of work, for ensuring, so far as reasonably practicable and in accordance with Trust policies, that all staff are aware of their individual responsibilities in regard to infection prevention and control, hand hygiene and for the provision of the information, training and supervision which is required to achieve these responsibilities. This requires you to:  Maintain a safe infection prevention and control environment for yourself and others  Be familiar with and comply with Trust guidelines, policies and procedures relating to infection prevention and control  Raise matters of non-compliance with your manager or other advisers to reach appropriate solutions  Ensure that infection prevention and control guidelines, policies and procedures are distributed to relevant staff  Ensure procedures specific to your specialty are in place, in collaboration with the Infection Prevention Team  Ensure that infection prevention and control forms part of staff appraisal

HEALTH AND SAFETY You will be required:

Page 19 of 29  to co-operate with supervisors, managers and other employees to achieve a healthy and safe environment,  to take reasonable care of your own health and safety and that of other persons who may be affected by your actions,  to carry out your responsibilities in ways that help to ensure a safe and healthy place of work.

In the course of your work you are to bring to the attention of the person in charge of your area:  any situation which could be reasonably considered to represent a serious or immediate danger to the health and safety of any person  any matter which could be reasonably considered to represent a shortcoming in the Trust's health and safety protection arrangements.

MANUAL HANDLING You may be required to lift and manoeuvre light goods, people and equipment in accordance with manual handling regulations and good practice.

SMOKING POLICY The Trust is “Smoke free”. You may not smoke in Trust owned buildings or grounds except in designated smoking shelters.

INDEMNITY Airedale NHS Foundation Trust will cover all medical staff for NHS work under NHS indemnity. You will be required to ensure that you have adequate defence cover for any work which does not fall within the scope of the Indemnity Scheme. Any private practice undertaken on NHS premises must be covered by subscription to a medical defence organisation.

REHABILITATION OF OFFENDERS ACT 1974 Because of the nature of the work, this post is exempt from the provisions of Section 4 (2) of the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975. Applicants for the post are not entitled to withhold information about convictions which for other purposes are "spent" under the provisions of the Act and in the event of employment, any failure to disclose such convictions could result in disciplinary action or dismissal by the Trust. Any information given will be completely confidential, and will be considered only in relation to an application for a position to which the Order applies.

SAFEGUARDING CHILDREN AND ADULTS The Trust is committed to safeguarding children and vulnerable adults throughout the organisation. As a member of the Trust you have a duty to assist in protecting patients and their families from any form of harm when they are vulnerable. You will be expected to understand and work within policies and local procedures relating to Safeguarding Children and the Protection of Vulnerable Adults.

You will endeavour, at all times, to uphold the rights of children and young people in accordance with the UN Convention Rights of the Child.

PRIVACY AND 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.

You will be required:

Page 20 of 29  to carry out your duties in line with the Trust’s Equality policies and procedures, including relevant legislation,  to deliver and promote equity of access to healthcare and equality of opportunity at work at all times.

UK VISAS AND IMMIGRATION

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

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

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 and preparation for a major incident or civil unrest.

WORKING TIME REGULATIONS Airedale NHS Foundation Trust is committed to the principle that no member of staff should work, on average, more than 48 hours per week. Staff who wish to exceed this limit need to complete an opt-out from working time regulations form. Any consultant who undertakes work outside of their Airedale NHS Foundation Trust contract, regardless of whether they exceed 48 hours or not, must inform their manager of this as part of the job planning process.

MANDATORY TRAINING You will need to be aware of and undertake statutory, mandatory and other training requirements which will be necessary for the successful and safe performance of your job, including undertaking relevant updates.

PLACE OF WORK The post is based at Airedale General Hospital but the post holder may be required to work at other locations within the Trust or as part of the new collaborative arrangements being undertaken with Bradford Teaching Hospitals NHS Foundation Trust. At present all histopathology work is undertaken on the Airedale General Hospital site.

EXPENSES Reasonable travel and subsistence expenses will be reimbursed for one visit to those candidates selected for interview, where receipts are provided.

If a candidate selected for interview withdraws prior to the interview date, travelling expenses will only be paid if the Trust is satisfied as to the reason for withdrawal.

Short listed candidates who visit the Trust on a second occasion, i.e. on the evening prior to the interview, or at the specific request of the Trust Officers, will be granted reasonable travelling and subsistence expenses on that occasion also, where receipts are provided. In the case of

Page 21 of 29 candidates travelling from abroad, travelling expenses would only be payable from the point of entry into the United Kingdom.

ACCOMMODATION Hospital residential accommodation is sited within the Hospital grounds. This accommodation can be rented by staff who work for Airedale NHS Foundation Trust (subject to availability) but is provided and managed by a private company.

F URTHER INFORMATION AND VISITS TO THE HOSPITAL Intending applicants are invited to visit the Department and Hospital. Arrangements may be made with:-

Dr Nick Griffin, Consultant Histopathologist Telephone number: 01535 293470: e-mail: [email protected]

Dr Pauline Carder, Consultant Histopathologist & Clinical Director for IPS Telephone number: 01274 36 4211: e-mail: [email protected]

Page 22 of 29 SECTION 2

PERSON SPECIFICATION POST: CONSULTANT HISTOPATHOLOGIST/CYTOPATHOLOGIST

CRITERION ESSENTIAL DESIRABLE HOW ASSESSED Qualifications and training FRCPath or evidence of equivalent. Application Progression through training programmes and Full and specialist registration (and a licence to achievement of professional qualifications in practice) with the General Medical Council (GMC) (or appropriate timeframe. eligible for registration within six months of interview). Training occurred as part of structured training If an applicant is UK trained, they must also be a programme working with a range of specialists holder of a Certificate of Completion of Training in various settings. (CCT), or be within six months of award of CCT by the date of interview.

If an applicant is either partially or non-UK trained, they will be required to show evidence of equivalence to the UK CCT/Specialist Registration Professional experience a) previous general Experience of a wide range of general diagnostic Experience of independent working at Application experience work in histopathology and non-gynaecological Specialist Registrar or Consultant level. Interview cytopathology (including fine needle aspiration Experience in multiple specialist areas eg. cytology) appropriate to this department’s repertoire breast, colo-rectal, gynaecological, head and b) sub-specialty experience and workload. neck, skin or urological pathology. Application Areas of special interest complementary to Interview Able to take responsibility for delivering service existing Consultants. without direct supervision Training and experience in general autopsy practice. Experience of performing coronial autopsies. Knowledge & Skills Up to date knowledge of histopathology practice, Interview appropriate to this post, including extant evidence- based clinical standards, eg. RCPath reporting

Page 23 of 29 CRITERION ESSENTIAL DESIRABLE HOW ASSESSED guidelines and minimum datasets. Appropriate knowledge and application of current diagnostic techniques, such as immunohistochemistry and molecular techniques. Thorough understanding of the NHS Constitution and its implications. Professional Attributes Understanding of clinical governance and the Experience of implementing changes to clinical a) clinical governance individual responsibilities it implies. practice based on audit or QA results. Interview Conduct of clinical audits and making Professional approach to instances of b) audit of professional recommendations based on results. diagnostic errors or uncertainty, both of self Application practice Appreciation of the limits of histopathological and colleagues. Interview b) self knowledge and diagnosis and application of good clinical practice to Experience of linking CPD to departmental and Interview awareness of personal reduce risks. Trust objectives. limitations Active participation in CPD. Experience of improving the functioning and c) continuing professional effectiveness of the team. Application development Excellent inter-personal communication skills with Interview d) team working evidence that this has led to functional, high quality Ability to present effectively to an audience. Interview collaborative team working within both the histopathology department and the wider hospital Application e) communication and environment. Interview language skills Experience of working in an MDT, with active Use of IT solutions in service improvement. Presentatio contributions to MDTMs. n Ability to communicate effectively with clinical and f) information technology professional colleagues. skills Good knowledge of, and ability to use, spoken and Application written English. Good information technology and data management skills appropriate to departmental needs. Teaching/training/supervis Teaching experience at undergraduate/ postgraduate Experience of supervising junior staff in Application ory experience and skills level. clinical/diagnostic setting. Experience in teaching and training Expert Role and Advanced Practitioners. Research experience and Understanding of the practical contribution of Publications demonstrating research or critical Application

Page 24 of 29 CRITERION ESSENTIAL DESIRABLE HOW ASSESSED academic achievements histopathology to the conduct of clinical trials. appraisal skills. Higher degree, prizes or honours. Management experience Experience of acting in a lead or representative role in Experience of acting in a lead role in laboratory Application a clinical or operational setting. or clinical management. Interview Experience of co-ordinating diagnostic services, assessing provision or capacity. Formulating guidelines/protocols. Experience of project management. Understands the management recommendations of the Strategic Review of Pathology Services (especially paragraphs 4.22 to 4.26). Personal skills and Personal organisation and ability to prioritise and work Interview attributes under pressure. Occupation Ability to adapt and respond to changing al health circumstances. assessment Meets professional health requirements for the post.

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Page 26 of 29 Consultant Behavioural Framework This framework defines the required behavioural competencies of a consultant working within Airedale NHS Foundation Trust. It will be used to assess the suitability of prospective candidates for consultant posts and for post appointment development planning.

Number Competency Behavioural exemplars Contra-indicators Heading 1 Empathy and  Takes time to understand  Shows lack of respect for others Sensitivity patient needs  Puts people down  Shows concern for  Lacks empathy (can’t see individuals situations from others’  Recognises the work-life perspective) needs of others  Shows little concern for colleagues  Shows awareness when or patients others are tired/stressed  Makes inappropriate comments  Willing to apologise  Approachable 2 Communication  Gives clear information  Does not keep others informed and influencing  Listens and acts on what  Vague they hear  Cannot summarise  Influences and negotiates  Lacks clarity of communication effectively and thought  Uses power/authority appropriately  Accepts others’ views  Confident without being arrogant  Able to manage individuals who are under- performing in line with Trust policy 3 Personal  Attends to mundane tasks  Lacks forward planning organisation  Plans and prioritises  Is not punctual/poor time keeping  Is punctual  Unable to establish good working  Deals with emails practices effectively and knows how  Poor organisational skills to store and retrieve  Procrastinates information  Fails to complete tasks  Can’t cope with the pace of work 4 Coping with  Calm in a conflict or crisis  Unwilling to seek help pressure  Emotionally stable  Unpredictable/volatile  Willing to face difficult  Becomes agitated or panicky in a issues crisis  Easily upset 5 Team working  Manages boundaries  Undermines team members appropriately (belittles/bullies)  Shows loyalty to the team  Champions own needs  Is inclusive  Blames others for errors  Co-operates with other  Works in isolation teams  Unable to delegate  Helps teams learn from errors  Takes responsibility for team errors

Page 27 of 29  Cares about the team  Develops others 6 Openness,  Shows an interest in how  Unwilling to change learning and self others do things  Is threatened by change awareness  Proactive about change  Is insular in attitudes and  Willing to change opinion behaviour  Seeks and acts on  Is unaware of impact on others feedback  Lacks insight  Willing to try to new  Has a narrow focus on own activities or approaches speciality  Reflects on own behaviour  Shows a desire for personal development  Acknowledges poor behaviour 7 Leading and  Drives up standards  High control or no control over Managing  Will follow as well as lead others  Has realistic expectations  Unable or unwilling to delegate of others  Burnt out through not delegating  Is clear and explicit about  Leads by fear and intimidation standards expected  Paternalistic  Visible  Avoids conflict  Modest/shows humility  Inflexible  Keeps others on board  One leadership style only  Delegates appropriately  Adapts leadership style to the situation  Encourages others to question and challenge  Clear about direction of travel  Deals with performance issues fairly but clearly 8 Organisational  Understands and accepts  Inability to see the wider awareness and organisational priorities organisational picture commitment  Communicates these  Bypasses organisational effectively to colleagues structures and processes  Engages in constructive  Do not regard themselves as debate about employees organisational issues  Does not acknowledge pressures  Willing to interact positively on managers with managers, showing mutual respect and expects a similar level of respect in return  Effectively balances loyalty to the service and organisation  Behaves corporately  Anticipates changes in the political climate  Shows awareness of where his/her team sits in the bigger picture

Page 28 of 29  Shows financial awareness  Understands the financial impact of their own and team decisions  Willing to compromise and share resources  Understands the wider health economy and implications for Trust business  Understands and works with organisational constraints

9 Decision making  Values different  Judgemental professional contributions  Does not involve others in  Supports decisions once decisions that affect them agreed  Indecisive  Involves others in decision making  Makes solution focused decisions  Bases decisions on facts not anecdote  Applies knowledge appropriately 10 Teaching  Gives honest and  Teaches by humiliation constructive feedback  Didactic methods  Creates a supportive  Fails to use current learning learning environment techniques  Teaches by example  Unwilling to learn and develop  Encourages trainees to be curious 11 Clinical capability  Excellent clinical skills  Knows limits of own competence  Is safe  Is knowledgeable  Shows evidence of life long learning

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