North Bristol NHS Trust Exceptional healthcare, personally delivered Job Description Job Details Job Title: Consultant Paediatric and Perinatal Pathologist Division: Core Clinical Services Department: Cellular Pathology Location/Base: The base for the service will be Southmead Hospital however the post holder will spend part of their time at the Paediatric & Perinatal mortuary in St Michaels Hospital and, to a lesser extent, the Essential Services Laboratory on Level 8 of the Bristol Royal Infirmary. SECTION 2 – THE WORK OF THE DEPARTMENT North Bristol NHS Trust is seeking two full-time (10 PAs) Consultant Paediatric and Perinatal Pathologists within the Department of Cellular Pathology. These replacement posts offer an exceptional opportunity to join the Bristol Paediatric Pathology Service, and to develop specialist diagnostic and research interests with the enthusiastic support of the corresponding clinical teams. The post holders will, with one other full-time colleague, contribute to both the provision of paediatric pathology for Bristol Royal Hospital for Children (BRHC) and the provision of perinatal pathology for St. Michael’s Hospital and the South West Region. It has been agreed that the future model for paediatric pathology is for all the pathologists to practice in both paediatric and perinatal pathology. General Information: 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 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 of 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. From April 2019, the service provided at Weston General Hospital transferred to Southmead Hospital to provide a single Cellular Pathology service for the Bristol, North Somerset and South Gloucestershire (BNSSG) area. The department has accreditation by UKAS to ISO15189:2012. 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 the 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. Please see Appendix B for details on departmental workload. There are 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 specialist pathology. The department 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. 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. A new Laboratory Information and Management System (Clinisys Winpath Enterprise) went live across Pathology in October 2016. Bristol has introduced specialist reporting though the methodology used supports both those who want to maintain a broader range of specialist practice as well as those who wish to work in a smaller number of specialist areas. The consultants are members of one to three specialist teams working to common standards. A number of the 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. Page 2 of 24 There are opportunities to participate in collaboration with several well-established research groups allied to NBT, to UHBristol and/or the University of Bristol. The job plan which is included with this job description 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 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. 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 Rachel Butler LEAD CONSULTANT BIOCHEMISTRY Dr Paul Thomas LEAD CONSULTANT HAEMATOLOGY Dr Alastair Whiteway LEAD CONSULTANT IMMUNOLOGY Dr Sarah Johnston 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 Trust’s policy. This is a substantive appointment. The post holder will be a member of: - Page 3 of 24 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 specialties 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 which will be reviewed on an annual basis by their Divisional 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 Divisional 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 Paediatric and Perinatal pathologists work across different sites in Bristol. The Core Laboratory is based in Southmead Hospital and an Essential Service Laboratory is based in the Bristol Royal Infirmary. The Paediatric & Perinatal mortuary in located in St Michael’s Hospital. The paediatric multidisciplinary meetings are held in Bristol Royal Hospital for Children (BRHC) and the perinatal meetings are held in St. Michael’s Hospital. All posts are regarded as being Trust-wide however the base Hospital will be Southmead Hospital. An essential services laboratory remains at the BRI and staff may need to spend time there. All consultants in cellular pathology in addition to their contract with their employing organisation have an honorary contract in the other Bristol Trust enabling them to work there as required. SECTION 5 – DUTIES OF THE POST (i) Clinical Leadership To participate in the strategic development of Severn Pathology, in line with the business aspirations of NBT.