Consultant in Oncology

Job description

Job responsibilities

Here in Jersey, we have our own Health Care system, separate from the NHS. We are looking to develop and improve our healthcare services towards a modern, fully digitised, and future-proof system, in advance of our new hospital, planned to open in 2029. To do so we need fresh eyes, new ways of working and the next generation of Consultants to make our healthcare system the best it can be. We aim to provide high quality, safe and effective care to the 110,000 people living on the Island and those who visit. The hospital benefits from a fantastic educational centre with a full SIM lab and dedicated time for all to learn.

Aligned to the Wessex Deanery, we support and develop Foundation trainees as well as Clinical Fellows and SAS doctors. We encourage all our Consultants to fully engage with the education and training of our future generation of medical leaders.

Health and Care Jersey are seeking to appoint an enthusiastic and dynamic substantive Consultant in Oncology to join our welcoming consultant body. The successful candidate will be expected to work 10 PAs.

Jersey is easily accessible from most regional airports in the UK and has good links with NHS tertiary centres, particularly with Southampton and London, which affords the successful candidates the ability to maintain links within the NHS. To support your transition to Jersey, we can provide a generous relocation and remuneration package, which is benefitted by lower taxation than within the UK.

The Government of Jersey is committed to safeguarding and promoting the welfare of vulnerable people (to include children) and requires all staff and volunteers to share this commitment. As this position will work with vulnerable people, the selection process will involve safeguarding measures and include an enhanced DBS check.

Management Structure

Health and Care Jersey are a directorate of the Government of Jersey, that is responsible for the delivery of specialist health care and the running of the general hospital. The directorate is led by a Chief Officer, who leads an executive team. Health and Care Jersey (HCJ) is organised as a series of Care Groups, each with a senior leadership team consisting of a triumvirate model. This post is set within the Medical Care Group.

Medical Care Group

The Emergency Department sits within the Medical Care Group which comprises the following range of services: Stroke, Acute Assessment Unit, Cardiology, Clinical Investigations Department, Diabetes, Emergency Department, Frailty, Gastroenterology & Endoscopy, Haematology, Medical Day Unit, Medical Outpatients, Medical Wards, Neurology, Oncology, Palliative Medicine, Pathology, Renal Medicine, Respiratory, Rheumatology, Sexual Health, Stroke.

Medicine in Jersey is fully age and specialty integrated. There are 4 medical wards, Plemont, Rozel, Bartlett and Corbiere. A 5-bedded Enhanced Care Area is located in AAU and there is a separate intensive care unit led by intensivists. There is also an Ambulatory Emergency Care Unit led by the Acute Medicine Department. There is a 25-bed Acute Assessment Unit.

SAS doctors are responsible for the day-to-day management of their patients on the wards with the help of clinical fellows, Residents whom they closely supervise.

On call, the SAS doctor is responsible for seeing patients referred by the Emergency Department and reviewing patients admitted to the AAU by GPs in conjunction with the Acute Medicine team. A core responsibility of the Medicine Care Group is the provision of a safe acute medical service. The Care Group always provides named Consultant supervision for non-Consultants and ensures that prompt review and treatment are provided for acute medical emergencies referred by General Practitioners or the Emergency Department.

Consultants are responsible for producing and updating guidelines for the management of acute medical emergencies in their specialist area.

Care Group Statistics

There are 87 medical beds. 12-20 acute medical admissions on average during each 24-hour period on call within a range of approximately 6-24. There are approximately 4,500 medical admissions annually.

In addition to outpatient clinics and 4 general medical wards containing 83 beds, the Medical Service Care Group is involved in the management of several specialist facilities. These include:

20 bedded Acute Assessment Unit (AAU)

5 bedded Enhanced Care Area (ECA)

A well-equipped Clinical Investigations Department providing echocardiography, exercise ECG, respiratory assessment and GI physiology.

An endoscopy suite providing a full range of endoscopy and bronchoscopy services.

Diabetes Centre providing outpatient care for the diabetic population of Jersey, including retinal photography and specialist nursing support.

Renal/Dialysis unit, providing emergency, acute and longer-term renal support as well as management of transplanted patients and assessment and treatment of renal conditions.

6 bedded isolation area for infected or neutropenic patients.

This job description is intended as a guide to the general scope of duties and is not intended to be definitive or restrictive. It is expected that some of the duties will change over time, and this description will be subject to review in consultation with the post holder.

The Specialty - Oncology Service

The Oncology Service is a busy service serving a population of just over 100,000 which is situated within the Haematology-Oncology Department. The post holder will be expected to work with other departments including pathology, radiology, pharmacy and a broad spectrum of medical and surgical specialties, palliative care and community services.

The post holder will be responsible for the assessment and management of patients diagnosed with upper gastrointestinal; lung and unknown primary and additionally support acute oncology cover in collaboration with colleagues.

The number of minor site referrals comprises less than 25 new patients in total per year. Total annual referrals are expected to be 125-150 patients.

The Haematology & Oncology Department team consists of:

Five consultant medical/clinical oncologists (one part-time)

Two consultant haematologists

One palliative medicine consultant

One palliative medicine associate specialist

Haematology/Oncology nurse manager

One advanced clinical practitioner

Three clinical nurse specialists

Team of chemotherapy nurses

Administrative support booking clerks, receptionists & medical secretaries

The work of the Department is largely outpatient based; however, there are admissions to the general medical wards which require follow up for advice and on occasions chemotherapy administration.

The post holder is responsible for the review of patients and prescription of chemotherapy in 4-5 clinical sessions per week. These comprise Pre-chemotherapy clinics in which patients are assessed prior to the chemotherapy that will be delivered in that week including patients receiving oral therapies and Review clinics, in which new patients and follow-up patients are seen.

The Chemotherapy Day Unit provides a nurse delivered chemotherapy service within its 10 bedded treatment bay.

Acute oncological problems and complications of chemotherapy are triaged by chemotherapy nursing staff and reviewed on the chemotherapy unit between 9 am and 5 pm Monday to Friday on a rotational basis by the post holder and the other three consultant oncologists. After hours oncological problems are telephone triaged by the chemotherapy nursing staff and directed to the Emergency Department as appropriate.

Jersey General Hospital has a tertiary link to Southampton, Cambridge and the Royal Marsden Hospital and other tertiary centres.

Nursing staff and health care assistants support the medical team with outpatient clinics. There are nurse led clinics for Haematology and Oncology pre-SACT consultations. We have three clinical specialist oncology nurse who are non-medical prescriber (currently two are acquiring prescriber status).

Patients are admitted to hospital under the on-call medical and surgical teams. The oncology service does not have designated oncology beds. However, there are 2 neutropenic side rooms on Sorel ward. Patients admitted with neutropenic sepsis are managed by the on-call medical team with support from the Oncology Department. Additionally, the post holder is expected to provide a consultant service during office hours to patients admitted to the wards with a diagnosis of cancer as well as be responsible for the in-patient review of their own patients. On occasions the oncologist may be asked to review patients belonging to other oncology consultants who are not available to attend on the island.

MDT meetings for a variety of specialties are held weekly. The consultant oncologist is expected to attend local MDTs appropriate to their cancer sites.

There is a significant opportunity for private activity; private outpatients may be seen and treated within the Haematology-Oncology Department. However, any private practice must be undertaken outside of contractual obligations. The post holder has admitting rights to the Private Wing.

Unit Activity

Outpatient clinic templates are structured to comprise on average 8 patients per session.

Outpatient referral numbers average 30-40 new patients per month.

Outpatient attendances average 650 per month.

New Chemotherapy treatments regiments average 600-700 per year.

Total Chemotherapy treatments average 7000 per year.

DNA rate (Oncology) less than 1%.

Ward referrals fluctuate weekly, however, on average the numbers are 3-4 per week.

Proposed Job Plan

The final job plan will be agreed with the Clinical Lead for Oncology, Consultants in the Department and General Manager for Medicine and subsequently the Chief of Service for Medicine, before final approval with the Medical Director. The post holders job plan will be reviewed annually and will be appraised according to the current guidance.

Person Specification

Qualifications

Essential

• Primary Medical Degree
• Higher Specialty qualification: MRCP or equivalent
• Full Registration with the General Medical Council (GMC) with a License to practice (for overseas candidates it is mandatory that a license is obtained prior to appointment)
• Inclusion on the GMC Specialist Register and Certificate of Completion of Training (CCT)
• Clinical Experience in similar NHS environment or equivalent
• Applicants that are non-UK trained, will be required to show evidence of equivalence to the UK CCT
• Broad range of IT skills.

Desirable

• Higher Degree MSc, MD or PhD or equivalent
• ALS

Personal Attributes

Essential

• Able to work flexibly in a changing health service
• Ability to work as part of a team
• Effective communicator

Specialist Experience

Essential

• Clinical management of lung, skin, unknown primary & sarcoma cancer (other cancer sites would be considered)
• Immunotherapy treatments

Desirable

• Development of a specialist interest
• Strategic development of cancer services at a regional level
• Peer review experience including acute oncology & chemotherapy services

Experience

Essential

• Broad experience in General Oncology
• Evidence of successful interface between secondary and primary care
• Enthusiastic Teacher

Desirable

• Clinical management of lung, skin, unknown primary & sarcoma cancer (other cancer sites would be considered)
• Immunotherapy treatments

Leadership and Management Skills

Essential

• Evidence of Clinical Leadership
• Ability to Work Flexibly with Colleagues to provide services
• Ability to Work Effectively with a Multi-Disciplinary Team, motivating and influencing others through their enthusiasm
• Ability to communicate effectively with colleagues, patients, relatives, GPs, nurses, management and other agencies
• Highly motivated
• Able to work within a team
• Experience of Teaching, Training & Supervision of Junior Medical
• Staff and undergraduate students
• An understanding of and ability to demonstrate your ability to
• Empower others
• Lead through change
• Influence strategically
• Collaborative working
• Drive for Improvement
• Integrity

Other

Essential

• Participation in Clinical Audit & Risk Management Activities
• Demonstrates a commitment to safeguarding young people and vulnerable adults
• Evidence of annual appraisal
• Evidence of research and publication in peer reviewed journals
• IT literate

Desirable

• Experience of Service Planning

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

Health and Community Services

Address

Jersey Hospital

The Parade

St. Helier

Jersey

Channel Islands

JE13QS

Jersey

Employer's website

https://www.gov.je (Opens in a new tab)