This post is for 8.5 Programmed Activities (PAs) per week to work within the Breast Disease Group at The Christie@ Macclesfield and to provide Acute Oncology (AO) leadership and clinical sessions at East Cheshire Foundation trust (Macclesfield) Role Purpose Breast Oncology: The Medical Oncologist appointed will work with the Breast team to provide a comprehensive clinical service for breast patients. This includes patients in the outpatient, inpatient and ambulatory settings, delivering Systemic Anti-Cancer Therapy (SACT) and providing Medical Oncology input to the breast MDT.The Breast Disease Group, Chaired by Dr Anne Armstrong and Dr Vivek Misra currently consists of 11 Clinical and 9 Medical Oncologists. These oncologists manage all of the breast cancers diagnosed within the Greater Manchester and Cheshire Cancer Network, with many oncologists delivering a peripheral service through MDTs and clinics. Systemic therapy is delivered centrally or given to patients at peripheral or outreach clinics according to agreed protocols. Radiotherapy is delivered at The Christie or at satellite units in Salford and Oldham. The medical Oncology department consists of the following consultants: Dr Anne Armstrong (group lead)Dr Vanessa ClayDr Hassan HameedDr Laura HorsleyProf Sacha HowellDr Alexandra LewisDr Ciara OBrienDr Elena TakeuchiDr Gregory Wilson This year the whole Medical Oncology team will see around 940 New patients and around 14,000 Follow up patients through the Breast team clinics. All Disease Group consultants work as part of a multi-disciplinary team supporting the delivery of this work including Nurse Clinicians, Clinical Nurse Specialists, Clinical Fellows, Specialist Trainees, Pharmacists and Research Nurses The Disease Group has a strong emphasis on research with an active systemic therapy and radiotherapy trial portfolio supported by 7 Research Nurses and 5 Clinical Trial Administrators. The Breast Disease Research Sub-group has a 6-weekly business meeting to which all members of the Disease Group are invited. Acute Oncology: The Trust provides an inpatient service for selected non-elective admissions where the reason foradmission is primarily related to the patients underlying malignant diagnosis or its treatment. Alladmissions are already in receipt of oncology care at the Trust. The normal route of admission is via our 24hr hotline which triages patients and diverts patients to their Acute Trust A&E if appropriate (e.g. chest pain and acute abdominal pain). This is, therefore, not an unselected intake. Those who are admitted usually spend the first 24 72 hours on an acute assessment ward (staffed during the day by a consultant in Acute Medicine or General Medicine) and are then transferred to one of the base wards if their admission requires a longer stay. In addition, patients are admitted electively for treatment or procedures.The current bed base for this service is 80 beds across several wards. Senior cover for the inpatientsis provided jointly between the patients Oncology Team (Consultant and Registrar), supplemented bythe Hospitalist Team. The Hospitalist team is a group of colleagues with general medical, acute medicine and oncologybackgrounds providing senior input to the non-surgical oncology patients admitted to the Trust asabove, in liaison with the patients Oncology Team. DUTIES AND RESPONSIBILITIESThe medical establishment provides The Breast Disease Group, Chaired by Dr Anne Armstrong and Dr Vivek Misra consists of 9 Clinical and 8 Medical Oncologists. The appointee will be based at The Christie @Macclesfield service and will provide senior input to Outpatient clinics, Chemotherapy Services and Multi-Disciplinary Team meetings and acute oncology at Macclesfield with breast clinics for central Manchester breast patients being carried out remotely from Macclesfield. The role will be responsible for: Acute Oncology (4.5PAs): The Appointee with provide consultant level support to the acute oncology service provided at Macclesfield, East Cheshire Foundation Trust. This post aims to provide increased dedicated consultant acute oncology clinical time with strategic development and leadership of the service. Leading the AO service and Management of Acute Oncology patients admitted to East Cheshire NHS Foundation Trust Attendance at East Cheshire key operational management meetings, such as Directorate/Divisional /Business Unit meetings to ensure effective coordination of AOS. Supporting education and training of the AO and other healthcare teams and ensuring that the MDT works to the most recently published national and network guidelines and protocols in AO. Leading on Quality Surveillance processes and provide assurance to East Cheshire Executive Team that standards of care are being consistently maintained and ensure an ongoing awareness and understanding of the Trusts overarching responsibilities for delivery of cancer services. Work collaboratively to support the development of business cases related to AO with local operational teams, including provision for cancer ambulatory care. Attendance at AO Pathway Board (Quarterly). Breast Oncology (4PAs): Management of Breast patients receiving standard and clinical trials including treatment decisions and ongoing care. Participating in all relevant aspects of clinical governance, including maintaining up to date protocols, guidelines and clinical audit, under the supervision of the other consultants in in the unit. Contribute to current research projects and establish new opportunities to expand and develop research within the team. Revision and development of evidence-based protocols for patients and undertaking the administrative duties associated with the care of their patients. Maintaining a level of continuing professional development consistent the recommendations of the Royal College and Physicians. Contributing to the undergraduate teaching of medical students on oncology topics. Providing lectures for the busy postgraduate teaching programme. Actively contributing to the training of juniors doctors and other multi-disciplinary team members in both in-patient and outpatient departments. Undertake clinical audit as a member of The Christie Medical Staff Committee.