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