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Clinical Service


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  • 1. Senior Clinical Fellow in Radiology Person Specification Job Description Terms and Conditions ****
  • 2. PERSON SPECIFICATION POST: Senior Clinical Fellow in Radiology BASE: The Christie, Withington, South Manchester _____________________________________________________________________ REQUIREMENTS ESSENTIAL DESIRABLE _____________________________________________________________________ QUALIFICATIONS MBBS or equivalent HIGHER FRCR TRAINING & Holding or within 12 EXPERIENCE months of obtaining CCT in radiology Experience in general radiology, cross sectional imaging and basic interventional radiology Experience in teaching under- and postgraduates ACADEMIC Recordof Recent publications ACHIEVEMENTS research relevant to in peer-reviewed radiology journals PERSONAL SKILLS Flexibility, commitment and compatibility with colleagues and staff in the department. PERSONAL Reliable work record CIRCUMSTANCES In good health
  • 3. _______________________________________________________________
  • 4. The Post This is a Senior Clinical Fellow post, 40 hours per week, funded by the Trust. It is based at the The Christie NHS Foundation Trust. Clinical Service The Radiology Directorate has a departmental budget of £5 million (2008/09). The Department is spread across four areas: In the Pat Seed Department are the MR and CT scanners (two MD-CT, one radiotherapy planning CT, two 1.5 T MRs). Interventional Radiology, Fluoroscopy and Ultrasound are based in Radiology II, General Radiography (including digital radiography) is in Radiology I. The Nuclear Medicine department is in Palatine House offering Clinical and Research PET- CT and conventional Nuclear Medicine Imaging. There is an Office Suite housing secretaries, Consultant Radiologists, Superintendent Radiographers and a Staff Room. The new RIS went live in February 2007. PACS went live in March 2007. Radiology Examination Totals 2007-08 Activity –Totals by patient attendance Radiology Specialty CT MR PET Plain Film US Nuclear Medicine Fluoroscopy Fluoroscopy Interventional Angiography 2007-08 9595 3694 1562 17315 2449 1656 220 261 50 In addition the Radiology Department incorporates the nurse-led Day case Procedure Team, which sites around 1400 central lines per year and is in the process of developing an open access paracentesis service.
  • 5. Staff and Management Structure The Department management structure is as follows: Clinical Director (appointed by the trust board, 3 year tenure) with overall departmental responsibility, lead consultants in CT, MR, US, Interventional Radiology, Nuclear Medicine, General Radiology, Clinical Audit and Information Technology. The clinical tutor has responsibilities for registrar training and assessment. Day-to-day operational issues are dealt with by the section leads, if required. A new managerial structure has just been implemented leading 4 Clinical Specialist Radiographers for the main areas. Consultant Staff Dr C Barker, 6 PA Dr S Bonington, Ultrasound lead, 8 PA Dr R Bramley, Clinical Director and IT lead, 12 PA Dr B Carrington, MRI lead, 11 PA Dr P Hulse, Nuclear Medicine lead, 10 PA Dr H-U Laasch, Interventional lead, 11 PA Dr J Lawrance, Divisional Director for Clinical Support Services, 12 PA Dr S Mak, 10 PA Dr M B Taylor, CT lead, Clinical Tutor, 12 PA Dr F Wong, 6 PA Dr P Manoharan, 11 PA All consultants hold FRCR qualification. All consultants are oncological radiologists with cross-sectional imaging skills and a variety of special interests. Junior medical Staff 1 Clinical Fellow in Oncology Imaging / PET-CT 3 senior SpRs and 1 junior SpR. Radiographic and Nursing Staff 1 Clinical Support Services manager 1 Radiographic team leader
  • 6. 4 Superintendent Radiographers/Clinical Specialists 27 Radiographers (23 whole time equivalent) 2 full-time interventional radiology nurses, supported by a nutrition nurse 3 part-time nurses 6 Radiographic Aides A and C staff 1 Radiology business manager 8 Secretaries/P.A.’s (7.5 whole time equivalents) 8 Clerical officers (6.85 whole time equivalent)
  • 7. Diagnostic Radiology Equipment and Replacement Programme Equipment Installation Date Replacement Date Site Kodak Digital Chest Unit April 2007 2017 Radiology I, Rm 4 Phillips ceiling suspended tube and generator, rise and fall table with bucky, Erect bucky 1994 1996 1992 1992 2009 Radiology I, Rm 1 Dedicated skull unit 1990 Not for replacement Radiology I, Rm 1 OPG unit 2006 2016 Radiology I, Rm 1 Kodak general digital room June 2007 2017 Radiology I, Rm 2 Phillips ceiling suspended tube and generator, rise and fall table with bucky, Erect bucky 1997 1997 1997 2007 Radiology II, Rm 2 Phillips digital interventional equipment including floating table with bucky and C-arm, Phillips ceiling suspended tube and generator, erect bucky 2008 2008 2015 Radiology II, Rm 1 2 mobile IGE x-ray machines with AEC 2001 2011 Radiology 1 mobile IGE AMX4 plus machine March 2007 2017 CCU Siemens C-arm mobile image intensifier 2004 2014 Radiology I laser imager Radiology II 2003 Not for replacement Radiology II 1 Siemens Antares ultrasound scanner 2007 2012 Radiology II
  • 8. 1 Siemens / Accuson X300 interventional US scanner 2007 2012 Radiology II/ CCU 1 IGE Lightspeed Plus 4- slice MD-CT scanner 2001 2008 Pat Seed, CT 1 IGE Cti single slice spiral CT scanner 1999 2008 Pat Seed, CT 1 Siemens Sensation 16- slice MD-CT scanner 2005 2012 1 Siemens TIM Avanto MRI scanner 2004 2011 Pat Seed, MRI 1 Siemens TIM Avanto MRI scanner 2005 2012 Pat Seed, MRI 1 Kodak Laser Imager(CT/MRI) 1999 Under review post PACS Pat Seed Department 1 Brachytherapy Theatre X- ray GE Compax MPG 80 1993 1 GE STE-8 CT-PET Scanner 2007 Nuclear Medicine Infinia Hawkeye 4 SPECT- CT Gamma Camera-CT 2006 Nuclear Medicine Siemens Ecam Signature Double Headed Gamma Camera 2005 Nuclear Medicine Table notes: replacement date overdue in italics Recommended life of general x-ray equipment = 10 years Recommended life of CT/MRI scanners = 7 years Recommended life of ultrasound scanners = 5 years Duties of the Post The post is for one year. The post is principally to obtain specific education and training in oncological radiology and intervention in cancer patients. Procedural experience will be gained in biopsy and drainage
  • 9. procedures, nutritional support, percutaneous biliary intervention, GI stenting, SVC stenting, tunnelled central line insertion and symptomatic tumour embolisation. There is a significant proportion of time dedicated to research and audit that should lead to publications in journals, as well as presentations at national and international meetings. The post will provide the opportunity to gain experience in Research Methodology as well as Clinical Governance, administration and management issues important for appointment as a Consultant Radiologist. The post holder’s routine clinical work will initially be closely supervised but he/she will practice increasingly independently as his/her experience develops during the year. In turn, the post holder will be able to supervise Junior Radiologists as time and expertise progress. The post also offers inclusion on the University Hospital of South Manchester NHS Foundation Trust on-call rota. Professional Development: The post holder will undertake CPD in line with the recommendations of the Royal College of Radiologists. He /she will make appropriate arrangements for study leave with colleagues and non-medical staff. Study leave will be limited to 10 days per year. Teaching Commitment: The department is active in teaching at SpR level, with further commitments to national and regional radiology teaching. Medical student, SHO and non-radiology SpR teaching is also supported. The post holder will undertake lectures and tutorials to medical and non-medical staff in collaboration with and independent of colleagues.
  • 10. Multi-disciplinary team meetings: Numerous MDT meetings take place. The up to date list is published on the Christie Radiology intranet site. The post holder may lead MDTs, initially with guidance and subsequently independently. Clinical Governance: The post-holder will be expected to participate in all relevant aspects of clinical governance, including maintaining and improving protocols, the consent process, discrepancy reporting, guidelines and clinical audit in conjunction with the other staff in the department. In addition opportunities will exist to get involved with national audit programmes of the British Society of Interventional Radiology (BSIR). Office and Secretarial: The Trust will endeavour to provide office accommodation, currently this is shared with the second fellow. Secretarial support is mostly shared. PROVISIONAL ACTIVITY TIMETABLE As agreed with the clinical director and educational supervisors, Dr Jeremy Lawrance and Dr Hans-Ulrich Laasch. The exact timetable depends on the skills and desires of the successful candidate and secondarily upon the needs of the department. The post will be offered as 40 hours per week, divided into 24 hours of Direct Clinical Care and 16 hours of Supporting Activity. Documentary evidence including a diary will be kept for the use of the 16 hours of supporting activity per week. A sample timetable is attached (each session lasting 4 hours); note that the actual clinical sessions will be allocated based on the skill of the successful candidates and requirements of the department. Monday Tuesday Wednesday Thursday Friday AM CT Interventional Radiology Ultrasound Interventional Radiology Admin/CPD PM Research Research Interventional Radiology Interventional Radiology CT
  • 11. TERMS AND CONDITIONS OF SERVICE It is desirable that at the commencement of the post the appointee will have obtained or be within 12 months of obtaining CCT in radiology. PAY Salary will be fixed at £50,000 p.a. (excluding on-call). CONFIDENTIALITY The post-holder must maintain the confidentiality of information about patients, staff and other health service business. HEALTH AND SAFETY Employees must be aware of the responsibilities placed on them under the Health & Safety at Work Act (1974), to ensure that the agreed safety procedures are carried out to maintain a safe environment for employees. RISK MANAGEMENT All staff have a responsibility to report all clinical and non-clinical accidents or incidents promptly and when requested to co-operate with any investigation undertaken. EQUAL OPPORTUNITIES The Trust has adopted an equal opportunities policy and it is the duty of every employee to comply with the detail and spirit of the policy CONFLICT OF INTEREST The Trust is responsible for the service for the patients in its care meets the highest standards. Equally, it is responsible for ensuring that staff do not abuse their official position to gain or to benefit their family or friends. The Trust’s standing orders require any officer to declare any interest, direct or indirect with contracts involving the Trust. Staff are not allowed to further their private interest in the course of their NHS duties.
  • 12. NO SMOKING The Trust operates a no smoking policy. Anyone who wishes to smoke may do so only in one of the designated smoking areas at a time agreed with their line manager. MEDICAL EXAMINATION All appointments with The Christie NHS Foundation Trust are subject to pre- employment health screening. CAR PARKING/TRANSPORT Car parks for staff are on site, depending on availability of permits.
  • 13. INFORMAL VISITS Informal visits are welcome and interested candidates should visit the department by arrangement with: Dr Hans-Ulrich Laasch Consultant Radiologist Department of Radiology The Christie NHS Foundation Trust Wilmslow Road Manchester M20 4BX Tel: 0161 446 3896 Dr Jeremy Lawrance Consultant Radiologist Department of Radiology The Christie NHS Foundation Trust Wilmslow Road Manchester M20 4BX Tel: 0161 446 3053 Dr Ben Taylor Consultant Radiologist & RCR Tutor Department of Radiology The Christie NHS Foundation Trust Wilmslow Road Manchester M20 4BX Tel: 0161 446 8109 Dr Rhidian Bramley Consultant Radiologist & Clinical Director Department of Radiology The Christie NHS Foundation Trust Wilmslow Road Manchester M20 4BX Tel: 0161 446 8109
  • 14. GENERAL INFORMATION Greater Manchester itself is a large consumer and business market in its own right, with a population of 2.5 million, a workforce of 1.2 million and a GDP of £28 billion (US $41 billion). This represents around 38% of the regional GDP of £75 billion. • Over 25% of the UK’s motorway network runs through the Greater Manchester area, placing it within 2 hours´ drive time of 20% of the UK population - some 12 million people. • Over 2 million people live within a ten-mile (16 km) radius of Manchester and more than 5 million people within a radius of 30 miles (48 km). • Manchester’s population is multi-cultural and predominantly young - 65% of the population is under 45 years old. • According to an independent survey of senior executives responsible for location in more than 500 European companies, Manchester places second of the top 10 European cities (after London) for its cost and availability of staff. Ref. Manchester airport is a large international airport and there are good rail links to the south and north. The Christie NHS Foundation Trust One of Europe’s leading cancer centre’s with exciting and ambitious plans for the future. “We care, we discover, we teach” * * * * * An exceptional reputation for patient care and research, excellent record in performance and financial management, high profile and huge public support is behind the Christie’s ambitions to be one of the world’s leading cancer centres.
  • 15. Foundation Trust status has allowed us to embark on a highly ambitious plan to expand and develop our patient services, research and education. * * * * * The Christie in Manchester is a specialist NHS cancer hospital offering:  high-quality diagnosis, treatment and care for cancer patients  world-class research  education in all aspects of cancer We are one of the leading cancer centres in Europe - registering around 12,500 new patients and treating about 40,000 patients every year. We are the lead cancer centre for the Greater Manchester and Cheshire Cancer Network, covering a population of 3.2 million. Our medical staff also share their expertise with colleagues across the region, with our doctors running clinics at 16 other general hospitals. Because of the specialist services we provide around 15% of our patients are referred from outside Greater Manchester and Cheshire, and our private patients unit provides care for people from across the world. Our patients are referred from district general hospitals, having already had their cancer diagnosed, and often with complex or rare cancer. Many will also have had their first treatment, usually surgical, before referral. Wide range of cancer services We offer a wide range of services including specialist surgery, chemotherapy, radiotherapy, palliative and supportive care and endocrinology. As one of the largest radiotherapy departments in the world we deliver over 80,000 radiotherapy treatments a year. We also annually deliver over 30,000 chemotherapy treatments and undertake around 3,700 operations every year. We are one of only two hospitals in the country offering surgical treatment for patients with
  • 16. pseudomyxoma - a very rare type of cancer. Our young oncology unit is one of only eight dedicated teenage cancer units in the country. We have 257 inpatient beds, which are intensively used, with an average length of stay of seven days. Key player in Europe We are a member of the Organisation of European Cancer Centres (OECI) which provides a forum for discussion and agreement amongst the leading cancer centres in Europe as well as coordinating a number of specific projects. The OECI is an important vehicle for taking forward the concept of comprehensive cancer centres in Europe. We are the only centre in the UK to be voted onto the OEIC as a member. Leading clinical trials unit We also run one of the largest clinical trials units in the country for phase I/II cancer trials, with around 1,200 patients going on new trials. This is set to double over the next few years making us one of the largest clinical trials units in the world. Clinical trials at the Christie are funded by charities such as Cancer Research UK, drug companies and the national clinical trials network which is made up of the Department of Health and other key groups. They are the vital step in developing better treatments for cancer patients and ultimately improving the quality of cancer care. Partner in the Manchester Cancer Research Centre We are a partner in the Manchester Cancer Research Centre with The University of Manchester, Paterson Institute for Cancer Research and Cancer Research UK. The Manchester Cancer Research Centre brings together the expertise, ambition and resources of our organisations and will be one of the world’s leading cancer research institutes by 2015. Education We have a dedicated education unit and provide training for a wide range of pre and post qualification staff.
  • 17. Cancer Registry We manage the North West Cancer Information Service (cancer registry) for the whole of the North West region. Manchester Versus Cancer alliance In partnership with the NHS, local authorities and supporters we have established the Manchester Versus Cancer alliance to help improve the early detection of cancer. Research shows that around 500 lives across Greater Manchester could be saved each year if local people went to their GP early with suspected symptoms. History We have achieved world firsts since the Christie was established in 1901. It was named the Christie Hospital in recognition of the pioneering work of both Richard Copley Christie and his wife Helen Christie. At this time there were 30 beds and 463 patients a year. Foundation Trust We became a foundation trust on 1 st April 2007. Foundation trust status brings us new freedoms to further develop our services and greater public accountability. Funding We have a total annual turnover of around £151 million. Most of this is from the NHS, together with income from private patients (around 8%), and from charitable and research organisations. Staff Around 2000 staff and over 300 volunteers work at the Christie. Awards Staff teams and individuals have won numerous awards for services and research over the years, and we were shortlisted for the Health Service Journal’s ‘Acute Healthcare Organisation of the Year Award 2005’. Charity
  • 18. We run the country’s second largest hospital charity in terms of fundraising, with more than 2000 fundraisers and 20,000 supporters. Our charity contributes about £12 million a year from fundraising, donations and legacies.
  • 19. Background The Christie was formed in 1932 and has grown to be one of the largest cancer hospitals in Europe. It is the base hospital for the North Western Regional Department of Clinical Oncology. Along with the North Western Regional Medical Physics Department, it forms The Christie NHS Foundation Trust. The Paterson Institute for Cancer Research is adjoins the Trust and has recently been incorporated into Manchester University. In partnership with Cancer Research UK and Manchester University the Trust has formed the Manchester Cancer Research Centre (MCRC). The Trust serves a network population of 3.2 million people (Greater Manchester and Cheshire), the largest network in the country. The health economy of the Greater Manchester and Cheshire Cancer Network includes 15 acute and mental health Trusts. Approximately 20% of patients are referred from outside this network. In 2007-08 there were 12,500 new patients with cancer referred to the hospital and around 180,000 treatments were administered. The Trust has 1,900 staff, 257 beds and three surgical theatres. A new critical care facility (6 beds with room to expand to 8 beds) opened in December 2006. The Trust introduced a new management structure in 2006 in which three Divisional Directors were appointed, each supported by a Divisional General Manager, in preparation for Foundation Trust status. The Trust has been designated as the cancer centre for the Greater Manchester and Cheshire Network by Dr C Harrison in a report commissioned by the Strategic Health Authority (the ‘Harrison report’). Financially the Trust has achieved a surplus for the past 2 years and a break even position at financial year for the previous 3 years. The largest clinical department is the Regional Department of Clinical Oncology with 31 consultants which provides a service to The Christie and other hospitals in Greater Manchester and some in the surrounding region through regular clinics staffed by consultants. There is a University Department of Medical Oncology with 21 consultants, The clinical staff of the hospital also includes two physicians with an interest in Endocrinology and visiting specialist surgeons with interest in plastic, breast, head and neck, urological, gastro-enterological, ENT and gynaecological surgery, all of whom have access to beds.
  • 20. The hospital also has dedicated departments of Radiology, Haematology/Oncology, Epidemiology, Psychological Medicine, Anaesthesiology, Occupational Health and a Statistics Department, which, in addition to the collection of basic statistics, offers support to clinicians involved in clinical studies and trials. Specific disease groups (DGs) comprised of multidisciplinary teams have been active for 9 years. Their function is to facilitate investigation, treatment and research on cancers of site specific areas. The DGs are also linked to the Cancer Network Clinical Subgroups, responsible for ensuring that NICE directives and Improving Outcomes Guidance are implemented Fourteen such DGs exist in the Trust and pathologists are members of those groups. The North Western Regional Department of Medical Physics and Bioengineering is situated at the Christie. The hospital has a Medical Library staffed by professional librarians. The range of services include a modern journal collection, extensive book library and on line search facilities. The library is also connected with the Internet. A new postgraduate centre has recently been constructed at The Christie and is now fully operational. Attached to the hospital is the Paterson Institute of Cancer Research, now part of Manchester University and extensive complex of laboratories supported by the Cancer Research UK. The Institute is dedicated to fundamental and clinically orientated cancer research in many fields, including radiation chemistry, radiobiology, cell population kinetics, molecular biology, tumour chemotherapy and cytogenetics. Some of these laboratories are involved in joint collaborative research projects and Clinical Research Fellows have been appointed between the Institute and the hospital. The Trust Directors are: Ms C Shaw Chief Executive Mr R Spencer Chief Operating Officer Mr I Moston Director of Finance and Business Planning
  • 21. Dr C Harrison Medical Director Ms A Norman Director of Nursing and Governance