Job summary The States of Guernsey are looking for a Consultant Cellular Pathologist to join the team within Pathology Services. This is a new post which has been created due to increase in the histopathology workloads and cancer multidisciplinary team (MDT) meetings workloads. The suitable candidate will have a special interest in two or three disciplines. Based on the cancer workloads candidates with special interest in urology and skin pathology or GIT and breast pathology are encouraged to apply. However, any other combination of different specialties is also welcome. The successful candidate will work alongside the current Pathologist who reports in a general capacity. There is sufficient cancer and benign workloads in whichever disciplines the candidate has special interest for a full-time post. Main duties of the job You will work with Health and Social Care (HSC) managers and professional colleagues toensure the efficient delivery of clinical services. You are expected to observe the agreedpolicies and procedures, which are drawn up in consultation with the profession on clinicalmatters, and to follow the policies, standing orders and financial instructions of HSC and theStates of Guernsey, and relevant personnel policies and procedures including those relatingto health and safely. About us The Island of Guernsey is in the English Channel in the Bay of St Malo, 50km off the north-west coast of France and 120km from the English coast. Guernsey has a population of around 63,000 and in Alderney just under 2,000. Working in a relatively small Health and Social Care Service like ours means you can effectively work with colleagues across the services, health and social care professionals can collaborate not only with each other but also other agencies, the third sector and the community. We offer an attractive relocation policy and competitive salaries with great career opportunities, modern facilities, excellent training, revalidation and registration support and a healthy work-life balance. As a health or social care professional who chooses to join our team, you can look forward to working in an environment that gives you the time to care that you hoped for when choosing this career. Date posted 10 January 2025 Pay scheme Hospital medical and dental staff Grade Consultant Salary £100,714 to £135,408 a year Contract Permanent Working pattern Full-time Reference number K0005-25-0000 Job locations Princess Elizabeth Hospital Le Vauquiedor St. Martin Guernsey GY4 6UU Job description Job responsibilities General Cellular Pathology: The department processes approximately 5,000 requests a year. Skin specimens are the largest group type followed by gastrointestinal, gynaecology, urological and breast specimens. Large specimens are from the following surgical procedures: laparoscopic radical prostatectomy, breast surgery, upper and lower GI surgery (oesophagectomy, gastrectomy and colectomy), hysterectomy, orchidectomy, nephrectomy, thyroidectomy, laryngectomy and cervical lymph node dissection for head and neck cancers. The appointee will deliver a quality focused area of service or services depending on specialties sharing day to day duties with colleagues. The Biomedical Scientists participate in uncomplicated benign tissue dissection. The department intends to train its Biomedical Scientists to acquire IBMS Diploma in Expert Practice in Histological Dissection and the appointee will be expected to be supportive in this training. Multidisciplinary Team (MDT) Meetings: There are currently seven MDT meetings (see table below) supported by an MDT Co-ordinator. Histological and radiological images are projected digitally. Digital clinical and macroscopic images are also projected during the meetings. The successful candidate will be expected to share the meetings with the current post holder depending on specialty. Gynaecological Cytology: Although cervical screening is reported in Bristol under contract with North Bristol Trust, the department carries out annual histological and cytological correlations for audit purposes. Non-Gynaecological Cytology: The Department processes about 50-100 non-gynaecological specimens per year. The specimens are reported under contract North Bristol Trust. Semen analysis is reported by Biomedical Scientists locally. Clots from serous fluids are reported as histological specimens. Autopsies: The hospital performs approximately 50 autopsies a year, predominantly by CTPM which may enable candidates to opt out of the invasive autopsy rota although PM experience would be advantageous. Approximately 90% of autopsies are carried out on behalf of H.M. Procureur for which a fee is paid. Paediatric and Forensic autopsies are carried out by visiting consultants. All physical autopsies are supported by an anatomical pathology assistant. On Call Duties: The successful candidate will only be expected to be on call for the police and very rarely histopathology frozen sections. The on-call duties for the police involve attending scenes of suspicious deaths to advise the police as to whether the Home Office Forensic Pathologist should attend or not. The appointee will be expected to participate in the on-call service for the police with the current post-holder on a weekly rota. A BMA fee is paid for attending a scene of death. Study Leave and Annual Leave: The appointee is entitled to 10 days study leave and between 30 and 32 days annual leave. Currently, Locum Cellular Pathologists from UK cover for annual leave and study leave for the post holder. It is expected that the two Consultants will cover for each other. HSC provides a generous study leave budget. External Quality Assurance Schemes: The appointee will be expected to participate in the general cellular pathology (Wessex) external assurance scheme (EQA) and any other EQA schemes of their choice depending on their special interest. Managerial Structure: The incumbent Cellular Pathologist, was appointed to the post as the overall Clinical Head of Pathology Services reporting to the Medical Director. This role was also the Lead Cancer Clinician. The Laboratory Services Manager is responsible for all financial and administrative day-to-day running of the department. The appointee will be expected to actively participate in both departmental and wider Pathology matters concerning clinical governance and strategic development. The Pathology Services: The Pathology Department at the Princess Elizabeth Hospital provides a comprehensive service to the Bailiwick of Guernsey. With approximately 50 staff across five disciplines, we are a small, friendly department, with a good team working spirit. The Clinical Lead for the Department is a resident Cellular Pathologist who reports directly to the Medical Director. The postholder is also the Lead Cancer Clinician for HSC. There is also a resident Consultant Haematologist but no resident Consultants in Microbiology and Clinical Chemistry. However, the Medical Microbiology service is supported 24/7 by phone from UK based consultants. The Department process approximately 160,000 delivered requests providing a service to primary and secondary care and visiting clinicians. Training: The appointee will be expected to participate in the training of Biomedical Scientists, which may include supervising masters degrees, cut-up & extended cut-up and lecturing to Student Nurses. Continuing Personal Development: The successful candidate will be expected to comply with the Royal College of Pathologists CPD requirements. 1.5 SPAs are included in the indicative job plan to allow for activities related to revalidation, including CPD, mandatory training, appraisal, quality improvement activities, etc. Additional SPA activity may be negotiated depending on the interests of the candidate and the requirements of the department. Appraisals: Revalidation takes place in the normal way with doctors providing evidence in the GMC domains over the appraisal cycle. Medical appraisal for revalidation takes place annually in the normal way. Currently there is a mix of on-island and off-island appraisals during a five-year cycle. Job Plan: A detailed job plan will be agreed with the Clinical Head of Services. The table below shows an indicative outline for a 10PA job plan. Additional PAs will depend on review of the job plan following successful appointment. Link with Southampton: University Hospital Southampton Foundation Trust is the main tertiary referral centre for the Princess Elizabeth Hospital. The department also uses Southampton for second opinions as most cancer patients are referred there for Specialist MDT meetings. Clinical Attachment: Most Heath and Social Care and Medical Specialist Group Consultants have a link with UK hospitals to maintain expertise and reduce professional isolation. This is termed Clinical Attachment. In Cellular Pathology, this may involve travelling to a UK hospital to attend multidisciplinary meetings, slide reviews or teaching. Facilities Available: The appointee will be provided with an office, microscope with camera and computer with online facilities. A digital camera is available in the cut-up room for gross specimens. The department has procured a digital scanner and is in the process of fully integrating the technology into the LIMS. This will facilitate a digital pathology solution for second opinion, remote clinical cover, and options to refer excessive workloads. The department prides itself in rapid turnaround times. There are a range of immunocytochemistry stains which are processed by a fully automated stainer. Molecular diagnostics are provided by a single external private UK provider under SLA. Local clinicians can also access NHS genomics services where required. Job description Job responsibilities General Cellular Pathology: The department processes approximately 5,000 requests a year. Skin specimens are the largest group type followed by gastrointestinal, gynaecology, urological and breast specimens. Large specimens are from the following surgical procedures: laparoscopic radical prostatectomy, breast surgery, upper and lower GI surgery (oesophagectomy, gastrectomy and colectomy), hysterectomy, orchidectomy, nephrectomy, thyroidectomy, laryngectomy and cervical lymph node dissection for head and neck cancers. The appointee will deliver a quality focused area of service or services depending on specialties sharing day to day duties with colleagues. The Biomedical Scientists participate in uncomplicated benign tissue dissection. The department intends to train its Biomedical Scientists to acquire IBMS Diploma in Expert Practice in Histological Dissection and the appointee will be expected to be supportive in this training. Multidisciplinary Team (MDT) Meetings: There are currently seven MDT meetings (see table below) supported by an MDT Co-ordinator. Histological and radiological images are projected digitally. Digital clinical and macroscopic images are also projected during the meetings. The successful candidate will be expected to share the meetings with the current post holder depending on specialty. Gynaecological Cytology: Although cervical screening is reported in Bristol under contract with North Bristol Trust, the department carries out annual histological and cytological correlations for audit purposes. Non-Gynaecological Cytology: The Department processes about 50-100 non-gynaecological specimens per year. The specimens are reported under contract North Bristol Trust. Semen analysis is reported by Biomedical Scientists locally. Clots from serous fluids are reported as histological specimens. Autopsies: The hospital performs approximately 50 autopsies a year, predominantly by CTPM which may enable candidates to opt out of the invasive autopsy rota although PM experience would be advantageous. Approximately 90% of autopsies are carried out on behalf of H.M. Procureur for which a fee is paid. Paediatric and Forensic autopsies are carried out by visiting consultants. All physical autopsies are supported by an anatomical pathology assistant. On Call Duties: The successful candidate will only be expected to be on call for the police and very rarely histopathology frozen sections. The on-call duties for the police involve attending scenes of suspicious deaths to advise the police as to whether the Home Office Forensic Pathologist should attend or not. The appointee will be expected to participate in the on-call service for the police with the current post-holder on a weekly rota. A BMA fee is paid for attending a scene of death. Study Leave and Annual Leave: The appointee is entitled to 10 days study leave and between 30 and 32 days annual leave. Currently, Locum Cellular Pathologists from UK cover for annual leave and study leave for the post holder. It is expected that the two Consultants will cover for each other. HSC provides a generous study leave budget. External Quality Assurance Schemes: The appointee will be expected to participate in the general cellular pathology (Wessex) external assurance scheme (EQA) and any other EQA schemes of their choice depending on their special interest. Managerial Structure: The incumbent Cellular Pathologist, was appointed to the post as the overall Clinical Head of Pathology Services reporting to the Medical Director. This role was also the Lead Cancer Clinician. The Laboratory Services Manager is responsible for all financial and administrative day-to-day running of the department. The appointee will be expected to actively participate in both departmental and wider Pathology matters concerning clinical governance and strategic development. The Pathology Services: The Pathology Department at the Princess Elizabeth Hospital provides a comprehensive service to the Bailiwick of Guernsey. With approximately 50 staff across five disciplines, we are a small, friendly department, with a good team working spirit. The Clinical Lead for the Department is a resident Cellular Pathologist who reports directly to the Medical Director. The postholder is also the Lead Cancer Clinician for HSC. There is also a resident Consultant Haematologist but no resident Consultants in Microbiology and Clinical Chemistry. However, the Medical Microbiology service is supported 24/7 by phone from UK based consultants. The Department process approximately 160,000 delivered requests providing a service to primary and secondary care and visiting clinicians. Training: The appointee will be expected to participate in the training of Biomedical Scientists, which may include supervising masters degrees, cut-up & extended cut-up and lecturing to Student Nurses. Continuing Personal Development: The successful candidate will be expected to comply with the Royal College of Pathologists CPD requirements. 1.5 SPAs are included in the indicative job plan to allow for activities related to revalidation, including CPD, mandatory training, appraisal, quality improvement activities, etc. Additional SPA activity may be negotiated depending on the interests of the candidate and the requirements of the department. Appraisals: Revalidation takes place in the normal way with doctors providing evidence in the GMC domains over the appraisal cycle. Medical appraisal for revalidation takes place annually in the normal way. Currently there is a mix of on-island and off-island appraisals during a five-year cycle. Job Plan: A detailed job plan will be agreed with the Clinical Head of Services. The table below shows an indicative outline for a 10PA job plan. Additional PAs will depend on review of the job plan following successful appointment. Link with Southampton: University Hospital Southampton Foundation Trust is the main tertiary referral centre for the Princess Elizabeth Hospital. The department also uses Southampton for second opinions as most cancer patients are referred there for Specialist MDT meetings. Clinical Attachment: Most Heath and Social Care and Medical Specialist Group Consultants have a link with UK hospitals to maintain expertise and reduce professional isolation. This is termed Clinical Attachment. In Cellular Pathology, this may involve travelling to a UK hospital to attend multidisciplinary meetings, slide reviews or teaching. Facilities Available: The appointee will be provided with an office, microscope with camera and computer with online facilities. A digital camera is available in the cut-up room for gross specimens. The department has procured a digital scanner and is in the process of fully integrating the technology into the LIMS. This will facilitate a digital pathology solution for second opinion, remote clinical cover, and options to refer excessive workloads. The department prides itself in rapid turnaround times. There are a range of immunocytochemistry stains which are processed by a fully automated stainer. Molecular diagnostics are provided by a single external private UK provider under SLA. Local clinicians can also access NHS genomics services where required. Person Specification Experience Essential Experience in processing and reporting specimens from one or more of the following key diagnostic areas: breast pathology, gastrointestinal pathology, urological pathology, skin pathology, ENT pathology, gynaecological and lung pathology. Desirable Experience in autopsy pathology and cytology. Qualifications Essential FRCPath diploma or show evidence of equivalent qualification. Full and specialist registration with a licence to practise with the GMC (or be eligible for registration within six months of interview). For applicants who are newly qualified, and UK trained, as well asthe above, they must ALSO be a holder of Certificate of Completion of Training (CCT), or within six months of award of CCT by date of interview. All other applicants will be required to show evidence of equivalency to the UK CCT/of the UK CCT. Person Specification Experience Essential Experience in processing and reporting specimens from one or more of the following key diagnostic areas: breast pathology, gastrointestinal pathology, urological pathology, skin pathology, ENT pathology, gynaecological and lung pathology. Desirable Experience in autopsy pathology and cytology. Qualifications Essential FRCPath diploma or show evidence of equivalent qualification. Full and specialist registration with a licence to practise with the GMC (or be eligible for registration within six months of interview). For applicants who are newly qualified, and UK trained, as well asthe above, they must ALSO be a holder of Certificate of Completion of Training (CCT), or within six months of award of CCT by date of interview. All other applicants will be required to show evidence of equivalency to the UK CCT/of the UK CCT. Disclosure and Barring Service Check This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions. Certificate of Sponsorship Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab). From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab). UK Registration Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window). Additional information Disclosure and Barring Service Check This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions. Certificate of Sponsorship Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab). From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab). UK Registration Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window). Employer details Employer name States of Guernsey Address Princess Elizabeth Hospital Le Vauquiedor St. Martin Guernsey GY4 6UU Employer's website https://www.gov.gg/ (Opens in a new tab)