CONSULTANT CLINICAL ONCOLOGIST. February 2017

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1 CONSULTANT CLINICAL ONCOLOGIST February 2017

2 WELCOME LETTER Thank you for your interest in Sheffield Teaching Hospitals (STH). I knew as soon as I arrived in Sheffield that I wanted to stay, both because I loved the city and I very much enjoyed working at Weston Park. Sheffield is such a fabulous place to live - all the amenities of a city but with a real sense of community living - plus we have the Peak District right on our doorstep. When I arrived in 1993 we were a small oncology department. We ve grown enormously over the years and yet managed to retain that friendly environment; all of our staff go above and beyond for our patients, making Weston Park a place I m proud to say I work. We have an outstanding reputation both locally and nationally and we are now at a very exciting point in our expansion, having recently developed an ambitious strategy which includes a number of new consultant posts within each of our clinical teams as well as an extensive upgrade of our estate. Our new posts provide an opportunity for dynamic individuals to join our team and to help shape our services - come and join us on our exciting new adventure. We have a range of different opportunities coming available in the department in the near future and are very keen to speak to any interested individuals. I very much look forward to hearing from you soon. Dr Patricia Fisher Clinical Director Specialised Cancer Services 2

3 Our vision is to be recognised as the best provider of healthcare, clinical research and education in the UK and a strong contributor to the aspiration of Sheffield to be a vibrant and healthy city. We have begun this journey with our staff, partners and patients and we will continue to explore every aspect of our business to ensure we are doing our very best to achieve our vision. We strive to recruit and retain the best staff: the dedication and skill of our employees are what make our services successful and we continue to keep the health and wellbeing of our staff as a priority. 3

4 THE DEPARTMENT Weston Park Cancer Centre is the base for all oncological services across South Yorkshire, North Nottinghamshire and North Derbyshire. It is also one of the major Radiotherapy Centres in the country and is sited in the central hospital campus area of the city, within a quarter of a mile from the University, the Children s Hospital, Jessop Hospital for Women and the Royal Hallamshire Hospital. Our purpose-built Cancer Research Centre, partly funded through charitable gifts and donations, is responsible for numerous modern advances within the field of cancer research. This has contributed to our world-leading reputation as a centre of excellence in the fight against cancer. In addition, a Teenage Cancer Trust Unit for adolescents, jointly funded between the Teenage Cancer Trust and Weston Park Hospital Cancer Appeal, was completed in Our most recent development plans include the refurbishment of our wards, one of which is now complete and features the latest technology including circadian lighting. The refurbishment of our second inpatient ward is currently underway. Weston Park Hospital acts as an NSCAG supra-regional referral centre for the diagnosis and treatment of gestational trophoblastic disease and a national and European centre for the treatment of arterio-venous malformations with the stereotactic radiosurgery unit (in conjunction with the neurosurgical team). CHEMOTHERAPY There is a day case chemotherapy suite which offers the opportunity to treat 38 patients at any one time, in addition to 8 on CRU and 1 PICC bed. The inpatient beds at Weston Park are spread over two separate wards and a purpose built assessment unit is situated adjacent to the main ward area. RADIOTHERAPY Sheffield offers a significant range of specialist care, including stereotactic radiotherapy and stereotactic radiosurgery. The radiotherapy equipment is housed in a large treatment hall and includes state of the art equipment: Seven Varian Linear Accelerators OBI is currently available on four Linear Accelerator, all others have portal imaging IMRT software is commissioned for all Linear Accelerators, and VMAT (RapidArc) is available on five One spare bunker One Xstrahl superficial/orthovoltage low energy radiotherapy machine Two PDR Selectron for gynaecological use in a purpose built extension Two Virtual Simulators (spiral CT scanner with specific planning software) Facilities for the use of unsealed isotopes in therapy and diagnosis The radiosurgery department is The National Centre for Stereotactic Radiosurgery and one of only two centres in the country who have been awarded a contract to treat the whole range of clinical indications, including the most complex and rare tumours. The team have access to two matched gamma knives in the city and work closely with colleagues in London and NHSE to further develop the clinical service. 4

5 THE DEPARTMENT OUTPATIENT SERVICES Outpatient facilities within the hospital are based across 6 consulting suites, with approximately 50% of outpatient work carried out at Weston Park Cancer Centre. The remaining 50% are seen as outpatients in the local district general hospitals. There is also an outpatient chemotherapy suite staffed appropriately by trained nurses. We put considerable emphasis on the need for parallel consultation in the treatment of malignant disease, resulting in joint clinic sessions being held with Consultants in other specialties. These include: endocrinology, dermatology, gynaecology, urology, paediatrics, ENT and maxillofacial surgery. SUPPORT SERVICES There is a diagnostic imaging department with x-ray and impression suite facilities provided in close association with the simulator suite and the radiotherapy department. Diagnostic CT and MRI scanning are available on site. Haematology, chemical pathology, bacteriological and histopathology services are currently provided from the Royal Hallamshire Hospital. Other specialised investigations are provided by the appropriate departments in nearby hospitals. 5

6 THE DEPARTMENT RESEARCH The Cancer Clinical Trials Centre at Weston Park Hospital employs a team of research nurses, clinical trials assistants and data managers who manage a wide portfolio of clinical trials, at any one time typically managing more than 150 trials. The centre is funded by a combination of grants from the Yorkshire and Humber NIHR Clinical Research Network, the Weston Park Hospital Cancer Charity, the Experimental Cancer Medicine Centre (ECMC) Network and income from commercial trials. We are particularly proud to have recently been granted renewal of our ECMC centre status, running for a further 5 years from April This will allow us to continue to expand our portfolio of translational research and early phase trials. The research priorities of The University of Sheffield Academic Unit of Clinical Oncology are in bone oncology, tumour microenvironment and nucleic acid and genome biology. The academic department is closely integrated with the NHS department. Both academic and NHS consultants are heavily engaged in supporting research both locally as principal investigators and nationally as chief investigators and members of NCRI clinical studies groups and trial management groups. Yorkshire Cancer Research has recently announced a multi-million pound programme of research that will bring the latest innovation in cancer treatment and care to Sheffield. The charity joined forces with the University of Sheffield and Weston Park Cancer Centre in a ground breaking collaboration that will combine pioneering scientific and technological developments with a clear emphasis on improving cancer outcomes in the region. The 4.5m investment will fund the appointment of 10 of the UK s leading researchers and cancer specialists, whose expertise will establish Sheffield as one of the best centres in the country for patient-focused cancer research. The appointments will be made over the next three years and each project will run for five years The department would welcome applicants who are interested in incorporating academic research into their job plan. 6

7 THE TEAM Working in both our hospitals and community health services are some of the best professionals in the NHS. Many of our specialists are leaders in their field and are supported by a strong team of non clinical staff. We have around 16,000 employees at Sheffield Teaching Hospitals, making us the second biggest employer in the city. We aim to reflect the diversity of local communities and are proud of our new and existing partnerships with local people, patients, neighbouring NHS organisations, local authority and charitable bodies. Our long standing partnerships with the City s universities and colleges helps us to deliver a well trained workforce now and for the future. The Oncology Department has an extremely dynamic, committed and friendly team of staff. Our consultants have regular team meetings to discuss their work and provide support to colleagues with challenging cases to ensure the highest level of care is provided to our patients. A full list of consultant medical staff currently working within the department can be found in Annex 4. 7

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9 ABOUT THE TRUST Sheffield Teaching Hospitals NHS Foundation Trust is one of the UK s busiest and most successful NHS foundation trusts. We provide a full range of local hospital and community services for people in Sheffield, as well as specialist care for patients from further afield, including cancer, spinal cord injuries, renal and cardiothoracic services. Sheffield Teaching Hospitals is home to the largest dental school in the region, a maternity hospital with a specialist neonatal intensive care unit and a world renowned cancer hospital. The Trust is also integrated with the City s adult NHS community services to support our work to provide care closer to home for patients and preventing admissions to hospital wherever possible. We are proud to be a part of The Shelford Group, which recognises England s top 10 leading academic healthcare organisations. In addition to community health services, the Trust comprises five of Yorkshire s best known teaching hospitals. These are: Weston Park Cancer Centre The Northern General Hospital The Royal Hallamshire Hospital Charles Clifford Dental Hospital Jessop Wing Maternity Hospital Through our partnerships with the University of Sheffield, Sheffield Hallam University, other health and social care providers and industry we remain at the forefront of advancements in clinical services, teaching and research. The Northern General Hospital is the home of the City s Accident and Emergency department which is also now one of three adult Major Trauma Centres for the Yorkshire and Humber region. A state-of-the-art laboratories complex provides leading diagnostic services and the hospital also provides a wide range of specialist services such as orthopaedics, renal, heart and lung services, in addition to a purpose built Spinal Injuries Unit. The Royal Hallamshire Hospital has a dedicated neurosciences department including an intensive care unit for patients with head injuries, neurological conditions such as stroke and for patients that have undergone neurosurgery. It has a gastroenterology department, a large tropical medicine and infectious diseases unit as well as a specialist haematology centre and other medical and surgical services. All staff are expected to demonstrate our values in all that they do: Patients first - Ensure that the people we serve are at the heart of all that we do Respectful - Be kind, respectful, fair and value diversity Ownership - Celebrate our successes, learn continuously and ensure we improve Unity - Work in partnership with others Deliver - Be efficient, effective and accountable for our actions 9

10 OUR ACHIEVEMENTS Sheffield has obtained 60 million for cancer-related research over the last five years We are proud to be in the top 20% of NHS Trusts for patient satisfaction Our staff have rated us as one of the top 20 NHS Trusts to work for Weston Park Cancer Charity raises funds in excess of 2 millon per year to support patient care and research Recognised SABR centre for primary lung cancer and oligometastases 10

11 THE LOCATION THE CITY Sheffield is England s fourth-largest city, with a population of over half a million. We have a wealth of facilities you would expect to find in a major city, yet maintain a welcoming and accessible feel. We are a friendly city with a prosperous economy and relatively low cost of living, all of which makes for an excellent quality of life. The city of Sheffield contains an abundance of entertainment and cultural activities including award-winning theatres, such as the Crucible and Lyceum which are major regional attractions, museums and galleries, a variety of clubs and live music venues, and a range of spectator and participation sports. With a thriving cultural industries quarter and a range of city-wide events throughout the year, there is something on offer to suit everyone s taste and interests. THE AREA Located on rolling hills and dissected by river valleys, Sheffield is one of the greenest and most wooded cities in Europe. More than a third of the city lies inside the beautiful Peak District National Park, and it is virtually surrounded by open countryside over half the city s population live within 15 minutes of open countryside. It is also the greenest city in England, with 175 woodlands and 75 public parks. There is also a wide range of affordable housing and excellent schools on offer. Sheffield has good rail and road links, with a typical train journey to London St Pancras taking only two hours. Manchester Airport is also just over an hour away with an ever expanding repertoire of routes to national and international destinations. 11

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13 THE POST We are looking to appoint a full or part-time Consultant Clinical Oncologist with an interest in the management of Breast Cancer to support the Specialised Cancer Services Directorate of the Sheffield Teaching Hospitals NHS Foundation Trust This is a new Consultant Clinical Oncology post with up to 10PAs. The role is designed to provide input into the Breast Cancer teams in the Barnsley and Rotherham localities. Example Job Plan: Direct Clinical Care Sessions 8.5 Supporting Professional Activities 1.5 The post holder will be the lead Oncologist in one of these two localities. The post holder will also join the Malignant Melanoma team and may be expected to provide Acute Oncology sessions in Sheffield. The appointee will join established multidisciplinary teams for these cancers and all Cancer Unit oncology input is by teams of visiting sub-specialists from Sheffield. The estimated workload for this post is new patients per annum. Additional posts are available in other clinical areas. Please enquire with a member of our team for more information. Timetables will depend on the posts commitments and will be agreed in discussion with the candidate. The breakdown of duties is as follows: DCC New patient clinic/fu clinic 1.5 Chemotherapy clinic 1.5 Radiotherapy planning/radiotherapy clinic 2.5 Clinical administration 1.0 Acute Oncology Service/Inpatient care 1.0 MDT 0.5 SPA Locum opportunities are available across the department. Please see page 16 for more information about how to get in touch. Travel 0.5 Audit, governance, directorate meetings, CPD, appraisal, trials

14 THE POST The duties of the post include clinics at Weston Park Cancer Centre and outpatient clinics in the Cancer Units. The appointee will have access to inpatient beds at Weston Park Cancer Centre, not in the Cancer Units. The appointee will be expected to take an active part in Undergraduate and Postgraduate teaching and training and in this respect, as long as you remain a Consultant within the Trust, you will be regarded as an Honorary Senior Clinical Lecturer in the University of Sheffield, subject to the regulations of the University. Allocated staff parking Our consultants have their own private office space or share with no more than one other colleague All new consultants are provided with a mentor The post holder will have access to private office space and secretarial support. As part of the Trust s multi-million pound Transformation Through Technology (T3) Programme, all consultants have a personal laptop to offer greater flexibility. The person appointed will take an equal share in providing emergency cover and will be required to cover for colleagues during periods of absence. They will also have continuing responsibility for patients in their care and the proper functioning of the Department. The appointee may share responsibility with their oncology colleagues for the very small number of residual referrals of a general (unspecified) nature. 14

15 PROVISIONAL TIMETABLE Please note that the following is a provisional timetable for illustrative purposes only. All timetables are highly flexible and open to discussion with the department. Acute Oncology sessions are optional and adjusted according to the interests of the appointee. Monday Tuesday Wednesday Thursday Friday AM RT Sim Session Breast Meeting Not at work Travel Rotherham Chemo OPD Travel Barnsley Chemo OPD WPH OPD (Melanoma) alternate with Acute Oncology WPH Rotherham Breast MDT Barnsley Breast MDT Admin PM RT Planning Admin SPA Admin Evening AO session Rotherham Breast OPD & associated admin Travel Barnsley Breast OPD & associated admin Travel SPA Cons Committee/ PGME 2 DCC 1.0 DCC 0.5 SPA 2.25 DCC 2.25 DCC 1 DCC 1 SPA 15

16 HOW TO APPLY All application are submitted via to: We are running a rolling recruitment process - there is no closing deadline for applications For all enquiries please contact our recruitment partners - Hunter Healthcare Clinical: Cameron Forster cforster@hunter-healthcare.com For more information visit: 1 Photographs on pages 11, 12 and 16 are courtesy of Sheffield City Council

17 ANNEXE 1 : PERSON SPECIFICATION Essential Desirable Qualifications Registered (or eligible to be registered) with the GMC with a licence to practice MD or PhD or equivalent Name on the specialist register for relevant specialty or eligible within 6 months of the date of interview FRCR (or equivalent) MRCP (or equivalent) Clinical Experience Extensive training and broad experience in Clinical Oncology Previous experience in the management of breast cancer and malignant melanoma Awareness of new developments in the specialty with the ability to assess critically the impact of these on the service Research Ability to critically assess published research and incorporate it into clinical practice where appropriate Publications in peer reviewed journals 2

18 ANNEXE 1 : PERSON SPECIFICATION Essential Desirable Ideas for future research whilst in post Teaching and Training Experience of teaching medical students and junior doctors To have the ability and willingness to teach at all levels and to all groups of staff Continuous Professional Development Evidence of participation in CME/CPD in the last 12 months Maintenance of a CPD diary or portfolio Management and Administration Evidence of ability to work with management and previous experience of management groups Awareness of current issues in the NHS Clinical Governance and Audit Committed to and understands the principles of clinical governance Active involvement in a clinical governance program Experience in performing clinical audit Completion and publication of a substantive audit project or service improvement project Understands the principles outlined in the GMC document Good Medical Practice Understands the requirements of Medical Appraisal and Revalidation 3

19 ANNEXE 1 : PERSON SPECIFICATION Essential Desirable Personal Attributes Demonstrates behaviour consistent with PROUD values Ensures value for money is considered in all that they do Good time management skills Good oral and written communication skills 4

20 ANNEXE 2 : TRUST AIMS & OBJECTIVES DELIVER THE BEST OUTCOMES Treat and care for people in a high quality, safe environment and protect them from avoidable harm. Help people to recover from episodes of ill health or following injury. Maximise the health of those who use our services. Enhance the quality of life for people with long-term conditions. Ensure clinical practice is evidence-based Contribute to the development of locally tailored public health prevention strategies Ensure person centred and coordinated care for our patients near the end of life. PROVIDE PATIENT-CENTRED SERVICES Treat patients and their families with respect, dignity and care. Provide the right care in the right place, first time, working in partnership. Maximise the quality of the patient experience. Provide patients with choice, giving them greater involvement and control over their care. Move care closer to home where appropriate and evidence-based. Communicate effectively and develop a vibrant system of engagement within the local community Learn from the complaints, compliments and other feedback. SPEND PUBLIC MONEY WISELY Ensure financial strength and stability. Reduce inefficiencies and continually identify more efficient ways of working. ensure our services cost less to deliver than we receive in income. Ensure value for money is central to all decision-making processes. Learn from other healthcare providers both in the UK and abroad. EMPLOY CARING AND CARED FOR STAFF Treat staff with dignity and respect, encouraging them to take responsibility for their own actions. Ensure staff seek feedback from patients, visitors and colleagues. Develop a culture that promotes and demonstrates PROUD values. Employ engaged and motivated staff. Engage, support and empower all staff to continually improve the services they deliver. Promote health and well-being for all our staff, their families and communities they live in. Provide an environment where staff can achieve their potential and develop their leadership skills. DELIVER EXCELLENT RESEARCH, EDUCATION AND INNOVATION Become one of the top R&D performers in England. Become a leading centre for innovation spread and adoption, working with industry to create jobs and wealth. Lead the development of top quality education and training for all staff. Develop research in all disease areas. Participate in NIHR, other UK and EU grant funding programmes. To maximise the benefits from the use of technology. 5

21 ANNEXE 3 : TERMS AND CONDITIONS OF SERVICE The appointment will be in accordance with the Terms and Conditions of Service of Hospital Medical and Dental Staff (England) as amended from time to time. The arrangement of duties will be such as may be agreed from time to time between the employing Trust and the person appointed. Whether the successful candidate chooses to accept a whole-time or part-time contract, it is agreed that any private practice undertaken, whether limited or not by the Terms and Conditions of Service, will in no way diminish the level of service that may be expected from him/ her in carrying out the duties specified above (Schedule 9 Terms and Conditions of Service). This Trust supports the concept of Continuing Medical Education and in line with Clinical Governance Senior Clinicians are expected to participate in continuing professional development (CPD) in line with the requirements of revalidation. The Trust, through the Medical Director s office, has systems in place to support clinicians through appraisal and revalidation. HEALTH CLEARANCE & MEDICAL EXAMINATION This appointment is subject to medical fitness and the appointee may be required to undergo a medical examination and chest X-ray. Potential applicants should be aware of the Department of Health and GMC/GDC requirements with regard to HIV/AIDS, Tuberculosis, Hepatitis B and Hepatitis C viruses. The successful candidate must be immune to Hepatitis B and Tuberculosis. They will be required to provide, in advance of appointment, evidence of immunity or have a local blood test (as deemed appropriate by the Occupational Health Department). DBS CLEARANCE This appointment is subject to an enhanced Disclosure & Barring Service (DBS) clearance. Please note that all charges associated with this check will be passed on to the applicant. RESIDENCES AND REMOVAL EXPENSES The successful candidate will be required to maintain his/her place of residence in contact with public telephone services and within a distance of 30 minutes or not more than 10 miles by road from the principal place of work, unless prior specific approval to a greater distance is given by the Trust. Removal expenses on appointment will be paid in accordance with the Sheffield Teaching Hospitals NHS Foundation Trust Terms and Conditions of Service. These documents can be seen at the offices of the Medical Personnel Department. It should be noted that it is not Trust policy to reimburse interest payment on bridging loans. 6

22 ANNEXE 4 : DEPARTMENT STAFF Name Special Interest Clinical Director, Specialised Cancer Services Dr P M Fisher Lung Cancer, Mesothelioma NHS Consultants in Clinical Oncology Dr M Alzouebi Dr E Bates Dr C Bridgewater Dr S Clenton Dr R Crossley Dr T Das Dr A Dewdney Dr O Din Dr K S Dunn Dr C Ferguson Dr P M Fisher Dr B Foran Professor M Q Hatton Dr C Lee Dr J Lester Dr J E Martin Dr S D Pledge Dr O P Purohit Dr S Ramakrishnan Dr J Wadsley Urology, Paediatric Radiotherapy Lung Cancer Neuro-oncology, Lymphoma Colorectal Cancer, Neuro-oncology GI, Head & Neck Cancer Lung Cancer Colorectal Cancer Urology, Breast Cancer Breast Cancer Urological Oncology Lung Cancer Skull base, Pituitary Lung, Sarcoma Lung, Breast Cancer Head & Neck Cancer, Melanoma Gynaecological Oncology GI, Gynaecological Oncology, Paediatric Radiotherapy Breast Cancer, Lymphoma & Metastatic Bone Disease Breast Cancer GI, Thyroid Cancer 7

23 ANNEXE 4 : DEPARTMENT STAFF Name Special Interest NHS Consultants in Medical Oncology Dr S Darby Dr L Evans Dr J Hornbuckle Dr M Winter Dr L Walkington Dr C Wilson Dr R Young Upper GI Urology including testicular tumors GI Cancers Breast Cancer, Gestational trophoblastic disease Breast Cancer, CUP Breast Cancer Lung Cancer & Sarcoma Consultants in the Academic Department of Clinical Oncology Professor J Brown Professor S Danson Prostate Cancer, Breast Cancer, Metastatic Bone Disease Malignant Melanoma and Lung Cancer Junior Medical Staff Twelve Specialist Registrars in Clinical Oncology Five Specialist Registrars in Medical Oncology Six Core medical trainees One F1 and one F2 doctors One Senior House Officer (VTS for general practice) Four Specialist Registrars in Palliative Medicine (rotation through WPH) Other Medical Staff Two Consultant Radiologists (sessional attachment) Two Consultant Anaesthetists (sessional attachment) Two Specialty Doctors in Oncology A full establishment of nursing staff, radiographers, physicists and physics technicians (including an impression suite) 8