We are looking for an enthusiastic and motivated individual to fill this vacant post within the busy department of Haematology Department (Adult Haemostasis and Thrombosis subspecialty) at St James University Hospital.
The Leeds Comprehensive Care Haemophilia Centre for adults is based in the department and is part of the NW Yorkshire Haemophilia network. The H&T team is a key contributor to a multidisciplinary VTE service and provides leadership for the Leeds Anticoagulant Service. There is a proactive combined Haematology Obstetric clinic that is a hub centre in a maternal medicine network and combined Haematology Obstetric clinic. Candidates with broad interests in Haemostasis and Thrombosis are welcome and it is expected that the successful candidate will participate in both the bleeding disorders and the Thrombosis service.
Main duties of the job
The post holder will be expected to participate in the out of hours on call rota for the Northwest Yorkshire Haemophilia Network and provide out of hours specialist advisory thrombosis advice for the Trust whilst contributing to the continuing service development in the Leeds Comprehensive Care Haemophilia centre. There will be three outpatient clinics per week, together with MDT, ward rounds and ward attending.
The appointee will be based principally at St James University Hospital with responsibilities as a member of the Leeds Teaching Hospitals NHS Trust Clinical and Laboratory Haematology Consultant team providing an integrated pan-Leeds service.
Applicants should have established skills in Haemostasis and Thrombosis and should have demonstrated a subspecialty interest in the area. A strong commitment to undergraduate and postgraduate teaching is essential and a research interest is desirable.
About us
The Haemostasis and Thrombosis service is a substantial clinical and specialist laboratory practice serving the needs of the local and regional population within one of the UKs largest teaching trusts and providing tertiary services across Yorkshire. It is the hub of the Northwest Yorkshire Haemophilia network and a comprehensive care centre. It is staffed by a dedicated team of consultants, registrars, and specialty doctors along with nurse specialists, physiotherapists, psychologist, pharmacists and laboratory and administrative support.
Job responsibilities
OBJECTIVES OF THE POST
There is one post available within the department due to a consultant leaving for other employment. The post is available to any applicant who is unable for personal reasons, to work full-time and 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.
To become an integral part of the established HMDS and clinical haematology service alongside existing colleagues.
To support the growth of the haematopathology diagnostic service in line with the business strategy of the department.
To provide additional leadership and input into the research and development goals of the department to ensure that the services current standing as a leading provider is maintained.
To link with Consultant colleagues in other relevant site specialist teams within the Oncology CSU and across the organisation.
To work with colleagues in HMDS to deliver acute on call (currently 1 in 6).
To contribute to research, teaching and new developments within HMDS. The post holder will be encouraged to facilitate and contribute to the current clinical research programs ongoing in the department.
Service Delivery
General
The Trust expects consultants to deliver clinical service as agreed with commissioners and other stakeholders. This will include:
meeting the objectives of the post (see above)
continuously improving the quality and efficiency of personal and team practice
working with other staff and teams to ensure that the various criteria for service delivery are met, such as:
* achieving the best clinical outcomes within the resources available
* waiting times
Consultants in LTHT are line managed by their specialty Lead Clinician working in conjunction with a Business Manager. This specialty team is then managed alongside a number of other specialties in a Clinical Service (or Support) Unit (CSU) led by a Clinical Director as the responsible person and supported by a full time General Manager and a full time Head of Nursing.
The Clinical Director and their team report operationally to the Chief Operating Officer (COO). The Clinical Director will work closely with the Chief Operating Officers team which includes two Medical Directors for Operations, Nurse Directors for Operations, Deputy Chief Operating Officer, Assistant Directors of Operations (ADOs) and a Performance Team, with each ADO aligned to specific CSUs.
Professionally, consultants report to the Chief Medical Officer and Deputy Chief Medical Officer /Medical Director (Operations).
Service specific
The role of consultant Haematopathologist will be expected:
* To collaborate with colleagues in providing the haematopathology diagnostics services to Leeds Teaching Hospital and external users. This will involve reporting on specimens submitted to the laboratory and preparing integrated diagnostic reports.
* To participate as a core member in local and external multi-disciplinary teams.
* To provide clinical advice to users of the service.
* To participate in the out of hours on call rota.
* To work with colleagues to ensure that accreditation and other regulatory standards are maintained.
* To participate actively in the development of the service. This will involve participation and leadership of research and development programmes within the department and with external collaborators, where appropriate.
* To develop areas of sub-speciality expertise complementary to existing colleagues.
* To participate, where possible, in national groups relevant to the specialty e.g. clinical trials organisations.
Management arrangements are consistent with paragraphs 4.22 to 4.26 of the Strategic Review of Pathology Services.
Quality
The Trust has a programme of activities that are designed to help consultants improve the quality of the service they offer. This includes a range of activities shown below as examples not all activities can be undertaken every year! Consultants are expected to routinely engage in relevant activities in their specialty that are focussed on quality improvement. This participation should be reflected at annual appraisal and job planning and will be discussed in specialties as part of clinical governance programmes and meetings.
* Clinical Audit and standard setting
* Clinical audit projects
* Development and application of agreed clinical guidelines
* Ensuring compliance against relevant national specifications, e.g. NICE guidelines
* External Peer review and relevant national audits
* Implement improvements identified in GIRFT reviews
* Clinical outcome review
* Mortality and morbidity reviews
* Structured Judgement Reviews
* Monitoring of outcomes reflected in routinely collected data
* Participation in clinical coding review and improvement
* Participation in Trust-wide programmes, including mandatory learning
* Respond to national patient safety alerts
* Implementation of local improvements, including actions from serious incident investigation reports, following clinical review
* Promptly record patient safety incidents on Datix and immediately escalate potential serious incidents to the CSU management team
* Ensure Duty of Candour requirements are met
* Improving service effectiveness and efficiency
* Service or system improvement projects, including small scale change, lean or other recognised improvement methods
* Conducting or considering reviews of the evidence to plan better service delivery
* Where agreed, working with commissioners to match service delivery with requirements of relevant populations
* Improving the patient experience
* Implementing service improvements based on individual or service feedback from patients or carers
* Raising the profile and impact of patient participation in decisions about their own care
* Involvement in understanding and improving the ethical basis of care provided, utilising where necessary the Trusts clinical ethics committee
* Respond to complaints in a timely and open manner and ensure lessons are learned for future patient care
Research
The Trust's Research Strategy encourages all clinicians to participate in high quality, nationally recognised clinical research trials and other well-designed studies, with a particular emphasis on work supported by the National Institute for Health Research. The Trust has several major programmes in experimental medicine and applied health research, developed in partnership with the University of Leeds, which reflect strengths described in the Strategy and clinicians are encouraged to participate in these programmes.
The Trust also supports bespoke academic development and participation programmes linked to the Research Strategy, including academic mentoring, and embedding of clinicians within the major research programmes.
Sessional time required for any participation in research activity will be agreed on commencement and kept under review, but not all consultants will require such sessional time.
Teaching
The Trust is a Teaching Hospital and therefore considers the active participation of consultant and other medical staff in teaching and training to be part of our core activities. Not all consultants will have regular and substantial teaching commitments, but all will be involved in related activities from time to time, if only through informal opportunities, for example as part of service quality improvement (see above). It is therefore expected that all consultants will be familiar with the principles of effective teaching and will enable the service and colleagues to fulfil their obligations to learn and teach about effective care.
The remainder of this section concentrates on teaching and training for medical colleagues, but the Trust actively supports and encourages consultant medical staff to participate in and deliver teaching and training to any colleagues, within and outside of the Trust, where this is agreed as an appropriate time commitment.
Person Specification
Qualifications
* MB BS or equivalent.
* FRCPath or equivalent.
* Holder of Certificate of Completion of Training (CCT), or within six months of award of CCT or equivalent by date of interview.
* Hold full and specialist GMC Registration with a license to practice.
* Eligibility to work in the UK.
Experience
* Must be able to demonstrate a high level of clinical experience and competence in Clinical and Laboratory Haematology.
* Specifically, must demonstrate higher experience and training in Haemostasis and Thrombosis.
* Evidence of continuous career progression consistent with personal circumstances.
Eligibility, Fitness to practice, and Language Skills
* Is up to date and fit to practise safely.
* All applicants to have demonstrable skills in written and spoken English.
Clinical, Academic, and Personal Skills
* Well organised and skilled in good time management.
* Effective interpersonal skills.
* Demonstrate ability to relate to and work within a team.
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.
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