JOB DESCRIPTION PRO FORMA
1. General Information
JOB TITLE: Clinical fellow in Haematology
GRADE: FY3 /ST1
HOURS: Monday to Friday 0830-1730 + oncalls
RESPONSIBLE TO: Dr Natalia.Curto-Garcia + Dr Nita Prasanan
(Educational Supervisors)
ACCOUNTABLE TO: Head of Service
Guy’s & St Thomas NHS Foundation Trust
Guy’s and St Thomas’ is one of the largest hospital trusts in the country, with a staff
of over 15,000, a turnover of over £1.3 billion and 2 million patient contacts a year.
The Trust comprises two of London’s oldest and best known teaching hospitals. The
hospitals have a long history, dating back almost 900 years, and have been at the
forefront of medical progress and innovation since they were founded. Both hospitals
have built on these traditions and continue to have a reputation for excellence and
innovation.
Organisational Values:
Our values help us to define and develop our culture, what we do and how we do it.
It is important that you understand and reflect these values throughout your
employment with the Trust.
The post holder will:
Put patients first Take pride in what they do Respect others
Strive to be the best Act with integrity
Our values and behaviours framework describes what it means for every one of us in
the Trust to put our values into action. The framework can be found on our Trust
careers pages and GTIntranet.
As an organisation we are committed to developing our services in ways that best
suit the needs of our patients. This means that some staff groups will increasingly be
asked to work a more flexible shift pattern so that we can offer services in the
evenings or at weekends.
2. Job Summary
This post holder will be part of the haematology SpR team based on the Guys and St
Thomas’ site. Working as part of our multidisciplinary team. We have an FY3 post
based at the St Thomas site and work the haematology consultant team, a team of
specialist registrars and one FY1 to manage the inpatients and consultative referrals.
Throughout the rotation, they may cross cover the day unit to support the day unit
FY3 and PA. At the Guy’s site we have an FY3 post based on the day unit, as well as
posts to work within the haematology malignant and sickle consultant team, a team of
specialist registrars, SHOs and one FY1 to manage the inpatients . These posts offer
excellent experience and opportunity to any doctor interested in Haematology or
oncology as a future career and exposes you to a breadth of general medical
diagnoses as well.
3. Key Relationships
• The clinical haematology team, including: doctors, CNS, TYA, psychologists, and
specialist teams involved in the comprehensive care of patients Haematology
• Day Unit staff
• Haematology outpatient clinic staff
• Departmental managerial, clerical and secretarial staff
4. Example of the weekly time table for a haem clinical fellow with the expected
duties and Responsibilities
Day Monday Tuesday Wednesday Thursday Friday
Handover “Case of the
week”
Morning*^ Consultant ward round Ward round Consultant ward round
ward round ward round
SHO Trust’s grand Departmental
teaching round seminar
series
Afternoon* Ward work Ward work Ward work Ward work Ward work
^
*Flexibility in the timing of specific duties and responsibilities will be necessary based
on clinical needs of patients, service demands and schedules; and colleagues’ leave
arrangements.
^Potential for ad hoc outpatient haematology clinic attendance and day unit
attendance
Professional / Clinical responsibilities
Review of patients with senior support.
• Arrange appropriate investigations; ensure all treatments administered as
prescribed and appropriate (using the MedChart and CIS/Mosaic systems or
outpatient prescriptions); accurate and timely documentation (using the eNoting
system); referrals and letters to GP as necessary.
• Work with research nurses as required on relevant commercial and NCRN clinical
trials.
• Discuss cases with the appropriate consultant/team or
specialised/diseasespecific management team.
• Perform practical procedures as necessary and after appropriate training
including: bone marrow aspiration and biopsy and lumbar puncture (+/- insertion
and removal of indwelling central venous catheter access).
• Undertake appropriate work place based assessments as required e.g.
DOPS/mini-CEX/CBDs.
• Attend and contribute to departmental meetings / seminars and MDM sessions as
required.
• Work closely with CMT, FY and specialist trainee colleagues to ensure the duties
of the service are supported and work flexibly and co-operatively.
• To cover the duties of colleagues who are unexpectedly absent.
• Ensure leave requests are submitted with sufficient notice and clinical cover to
maintain safe patient care.
Management and Leadership
• Work within the Haematology MDT team.
• Time management of work profile.
• Day-to-day clinical leadership within subspecialty clinical service regarding the
ongoing care of patients.
• Additional experience appropriate to clinical stage.
Information management
• Information technology/presentation skills
• Trial data collection and entry
• GCP training
• eNoting
• BigHand dictation
• MedChart
• EPR (and EDL)
• CIS/Mosaic
• PACS
• Clinical coding
Education & Professional Development.
• Self directed learning
• Formal external courses
• Maintaining a personal portfolio
• Undertaking the Appraisal process
Learning opportunities
• Departmental meetings (including Thursday afternoon seminars and M&M)
• The Trust’s weekly grand round presentation
• Tuesday morning consultant delivered registrar subspecialty teaching
• Wednesday morning morphology teaching
• Friday morning “Case of the week”
• Assessing and evaluating patients in outpatient settings
• Developing and applying patient management plans independently and within the
team
• Experience in the further management of patients with haematological disorders
through a multidisciplinary/speciality approach
• Case reports, abstracts, publications or audits according to availability and
interest
• Course / self directed study relevant to educational research/training*
*to be arranged
Competencies
• Management of Haematology patients appropriate to subspeciality area and their
investigation, treatment, follow-up and onward referral as appropriate
• Management of acutely unwell haematology patients
• Ability to deal with malignant and non-malignant haematological emergencies
• Ad hoc reviews with CNS and/or consultant for elective or urgent patients
• Supportive and palliative care as needed
• Case-load prioritisation
• Communication skills: with patients and relatives
• Communication skills: within multidisciplinary teams
• Communication skills: with colleagues in other specialities
• Good Clinical Practice
• Fire safety and other mandatory training required by the Trust
• Formal training in “Information Management” (as above) Management of
patients on clinical trials Subject to specific training:
Performing bone marrow aspiration and biopsy
Blood film interpretation and reporting
Bone marrow aspirate smear interpretation and reporting
Lumbar puncture
Central Line insertion and Hickman line removal
.
Assessment
• Appraisal and goal setting meeting with clinical supervisor within 1 st 2 weeks of
commencement.
• At least 2 work place based assessments completed satisfactorily (CBD /
miniCEX / DOPS) within a six month period. One should be undertaken with the
clinical supervisor.
• End of post appraisal and sign-off.
Duties and responsibilities:
Clinical: The postholder will, together with colleagues, be responsible for the
provision of services to the Guy’s & St Thomas’ NHS Foundation Trust to include:
(a) Diagnosis and treatment of patients of the trust in such hospitals, health
centres or clinics or other premises as required.
(b) Continuing clinical responsibility for the patients in your charge, allowing for all
proper delegation to, and training of, your staff.
Training of junior staff: The postholder will take responsibility for the training and
direction of junior staff allocated to him/her under aegis of the training plan that that
postholder has agreed with their supervising consultant.
Teaching: The postholder will be expected to contribute, as appropriate in the
teaching of undergraduate and postgraduate students.
Clinical Governance: All medical and dental staff are expected to take part in clinical
governance activity, including clinical audit, clinical guideline and protocol
development and clinical risk management. They will be expected to produce
evidence of their contribution in these areas and their audit of their own clinical work
as part of their appraisal.
Mutual Obligation to Monitor Hours: There is a contractual obligation on employers
to monitor working hours through robust local monitoring arrangements supported by
national guidance, and on individual doctors to co-operate with those monitoring
arrangements.
European Working Time Directive (EWTD): All posts and working patterns are
under constant review in line with EWTD guidelines and the rota being new contract
compliant.
Educational Programme: Neither the London Deanery nor the Royal College
accredits this post for postgraduate training. However the postholder will be expected
to attend and contribute to educational activities e.g. departmental meetings, x-ray
meetings, pathology meetings, multidisciplinary meetings, journal clubs etc.
Appraisal: All medical and dental staff are required to undertake appraisal.
Additional Information: The post holder is required to follow Trust policies and
procedures which are regularly updated including:
Confidentiality / Data Protection / Freedom of Information
Post holders must maintain the confidentiality of information about patients, staff and
other health service business in accordance with the Data Protection Act of 1998.
Post holders must not, without prior permission, disclose any information regarding
patients or staff. If any member of staff has communicated any such information to an
unauthorised person those staff will be liable to dismissal. Moreover, the Data
Protection Act 1998 also renders an individual liable for prosecution in the event of
unauthorised disclosure of information.
Following the Freedom of Information Act (FOI) 2005, post holders must apply the
Trust’s FOI procedure if they receive a written request for information.
Information Governance
All staff must comply with information governance requirements. These includes
statutory responsibilities (such as compliance with the Data Protection Act), following
national guidance (such as the NHS Confidentiality Code of Practice) and compliance
with local policies and procedures (such as the Trust's Confidentiality policy). Staff
are responsible for any personal information (belonging to staff or patients) that they
access and must ensure it is stored, processed and forwarded in a secure and
appropriate manner.
Equal Opportunities
Post holders must at all times fulfil their responsibilities with regard to the Trust’s
Equal Opportunities Policy and equality laws.
Health and Safety
All post holders have a responsibility, under the Health and Safety at Work Act (1974)
and subsequently published regulations, to ensure that the Trust’s health and safety
policies and procedures are complied with to maintain a safe working environment for
patients, visitors and employees.
Infection Control
All post holders have a personal obligation to act to reduce healthcare-associated
infections (HCAIs). They must attend mandatory training in Infection Control and be
compliant with all measures required by the Trust to reduce HCAIs. All post holders
must comply with Trust infection screening and immunisation policies as well
as be familiar with the Trust’s Infection Control Policies, including those that apply to
their duties, such as Hand Decontamination Policy, Personal Protective Equipment
Policy, safe procedures for using aseptic techniques and safe disposal of sharps.
Risk Management
All post holders have a responsibility to report risks such as clinical and non-clinical
accidents or incidents promptly. They are expected to be familiar with the Trust’s use
of risk assessments to predict and control risk, as well as the incident reporting
system for learning from mistakes and near misses in order to improve services. Post
holders must also attend training identified by their manager, or stated by the Trust to
be mandatory.
Flexible Working
As an organisation we are committed to developing our services in ways that best
suit the needs of our patients. This means that some staff groups will increasingly be
asked to work a more flexible shift pattern so that we can offer services in the
evenings or at weekends.
Safeguarding children and vulnerable adults
Post holders have a general responsibility for safeguarding children and vulnerable
adults in the course of their daily duties and for ensuring that they are aware of the
specific duties relating to their role.
Sustainability
It is the responsibility of all staff to minimise the Trust’s environmental impact by
recycling wherever possible, switching off lights, computers monitors and equipment
when not in use, minimising water usage and reporting faults promptly.
Smoking Policy
The Trust is committed to providing a healthy and safe environment for staff, patients
and visitors. Staff are therefore not permitted to smoke on Trust property or in Trust
vehicles
Review of this Job Description
This job description is intended as an outline of the general areas of activity and will
be amended in the light of the changing needs of the organisation. To be reviewed
in conjunction with the post holder.
Other: The list of duties and responsibilities given above is not an exhaustive list and
you may be asked to undertake other duties in line with the overall purpose and
nature of the post as may be required from time to time.
This job description reflects core activities of a post at a particular time. The trust
expects that all staff will recognise this and adopt a flexible approach to work.
All staff are expected to contribute to the smooth running of their clinical service as
required; in particular, to comply with the policies and procedures, Standing Orders
and Financial Regulations of the trust.
Study Leave:
Study Leave will be granted at the discretion of the Clinical Lead.
Funding for CPD will be equivalent to that of the appropriate Training post.
Terms and Conditions of Employment:
This post is exempt from the Rehabilitation of Offenders Act 1974 and this means
that any criminal conviction must be made known at the time of application.
