clinical director
SPECIALIST ONCOLOGY
SERVICES
BEATSON WEST OF SCOTLAND CANCER CENTRE
INFORMATION PACK
reF: 34652D
Closing Date: noon On 12TH september 2014
www.nhsggc.org.uk/medicaljobs
SUMMARY INFORMATION
Post: clinical director specialist oncology services
Base: WEST OF SCOTLAND CANCER CENTRE
Applications of interest are sought for the role of Clinical Director, Specialist Oncology Services.
The successful candidate will lead on clinical management, clinical service redesign, research, development and training. As a member of the Regional Services Directorate Senior Management Team, the role is wide ranging and challenging. The Clinical Director will demonstrate comprehensive leadership skills, and have the ability to operate and contribute to the organisations strategic agenda.
The post is for three years. The successful applicant will have 5 dedicated Clinical Director sessions. There is the facility to return to a full time clinical career after a period of three years. The post holder must be GMC registered and must be on the specialist register.
Remuneration: £12800
For further information about the role, please contact either:
Dr Stuart Rodger, Associate Medical Director, Regional Services Directorate, on 0141 301 7081, or email
Mr Gary Jenkins, General Manager, Specialist Oncology and Clinical Haematology Services on 0141 301 7077, or email
Job Title: Clinical Director, Specialist Oncology Services
Responsible to: General Manager, Specialist Oncology & Clinical Haematology Services
Professional Accountable to: Associate Medical Director, Regional Services
Main Location: Beatson, West of Scotland Cancer Centre
Directorate: Regional Services Directorate, Acute Operating Division
No of Post Holders: One
Effective From: August 2014
2. / Job Purpose (Summary)
The Clinical Director will work half time as Director and half time as Consultant.
The Clinical Director will provide leadership to medical staff within Specialist Oncology Services and will have a key role in the strategic development of the Beatson West of Scotland Cancer Centre (BWOSCC) as one of the major non-surgical cancer centres in the United Kingdom, offering equitable access to high quality specialist oncology services to the population of the West of Scotland.
The Clinical Director will support the General Manager in ensuring a balanced approach to the provision of integrated clinical services, research, development and training programmes appropriate to a centre of such standing and will work with clinicians and managers in NHS Boards across the West of Scotland to ensure that non-surgical cancer services are appropriate, multi-disciplinary, integrated, of high quality and are provided on an equitable basis. The Clinical Director will be a member of the Directorate Management Team which is charged with the effective and efficient use of resources.
The Clinical Director will represent the BWOSCC on regional and national committees, as appropriate.
The Clinical Director will be supported by a number of Lead clinician posts.
The post will be for a maximum of 3 years with the facility to return to a full time clinical career after this time.
3. / Dimensions
NHS Greater Glasgow & Clyde is the largest NHS provider in Scotland with an annual operating budget of circa £2.1 billion. Specialist Oncology & Clinical Haematology Services, with a revenue budget of circa £90million, is part of the Regional Services Directorate of the Acute Operating Division.
The Clinical Director is the senior professional post-holder within the BWOSCC; this post carries local, regional and national responsibilities.
The BWOSCC provides specialist oncology services to 50% of the Scottish population. The centre sees over around 8,000 new patients a year and over 101,000 return patients. Over 100,000 fractions of radiotherapy and 32,000 cycles of chemotherapy were delivered in 2013/14, making the Beatson one of the busiest Cancer Centres in the United Kingdom.
The centre has 151 beds in 8 Wards (3 Wards and 40 beds are for haemato-oncology). One of these Wards runs as an 8 bedded Brachytherapy. There is also an Acute Oncology Assessment Unit which comprised of 8 assessment bays. There are day case chemotherapy service (comprising of 47 bays) which delivers chemotherapy and other supportive therapies. The centre has its own out-patient department and dispensing and aseptic pharmacy units where cytotoxic drugs are reconstituted. There are currently 12 linear accelerators in operation at the Centre, and a Satellite Radiotherapy Unit under construction at the Monklands General Hospital site.
The Centre is fully equipped to deliver optimal radiotherapeutic care, including IMRT with IGRT and SABR.
There is good access to CT scanning facilities for radiation planning, both in the West Glasgow Hospitals and in many of the District General Hospitals throughout the Region where digital communication links can transmit CT scan images to the centre. There is a good MRI service within the centre and Gartnavel General. There are excellent working links with the Regional Department of Clinical Physics and Bio-Engineering.
National services at the cancer centre include sarcoma, prostate brachytherapy and ophthalmic oncology. The Centre offers the full range of evidence-based regional oncology services.
The cancer centre is an internationally renowned academic centre, with Professors of Medical Oncology, Clinical Oncology and Translational Research and in post. Professor Karen Vousden heads the laboratories at the internationally renowned Beatson Institute. This initiative, developed in collaboration with Cancer Research UK, offers unrivalled opportunity for collaboration in basic cancer research.
For the Centre as a whole, there are particularly close links with the academic departments in Glasgow University. These involve several joint clinics as well as clinical research projects. Close links also exist with Caledonian University (therapy radiography), Strathclyde University and Paisley University (radiation physics).
In addition, the Clinical Research Unit at the BWOSCC is one of the largest of its kind to be funded by Cancer Research UK. The unit offers support to all clinicians with the BWOSCC to initiate and conduct clinical trials. The unit has a large portfolio of Phase I - III studies across the range of cancer sub-specialties and has a particular interest in the development of new anti-cancer drugs. It is supported by designated staff and facilities for Phase I/early Phase II clinical trials.
Departmental Organisation
In order to facilitate medical management the BWOSCC is divided into 6 teams for specialist oncology services based on the following tumour sites:
Breast
Lung
Urology
GI
Head & Neck (& neuro-oncology)
Gynaecology (including neuro endocrine and sarcoma)
There is also a palliative care and a Clinical Haematology team.
(There will be a separate Clinical Director for Clinical Haematology from August 2014)
All oncology wards within the BWOSCC (with the exception of brachytherapy) are allocated to the teams and have integrated medical and clinical oncology. There are 3 Consultant on-call rotas, one for Medical Oncology, one for Clinical Oncology and one for Palliative Care. The BWOSCC is committed to multi-disciplinary team working and Cancer Managed Clinical Networks for the West of Scotland.
Each team has a trainer who supervises the trainees. The teams are headed by a team leader who is responsible for the development of departmental medical protocols. There is a multidisciplinary Chemotherapy Team consisting of Staff Grade Doctors, Clinical Nurse Specialists, IV Nurses and Phlebotomists who administer most of the IV chemotherapy given in the Department.
All beds are shared and managed through the Clinical Bed Co-ordinator.
4. / Organisational Chart
The organisation chart is attached as appendix 1.
5. / Key Results areas
Clinical Leadership
The Clinical Director will,
§ provide professional leadership to the organisation and in the delivery of oncology services
§ manage the medical functions of the cancer centre in organisational terms
§ ensure that a robust communication structure is in place
§ coordinate the development of effective multi-disciplinary tumour site-specific team working
§ provide guidance and assist with planning for the provision and development of oncology services for the population served as an integral element of comprehensive cancer care; locally, regionally and nationally
§ provide advice and support in the operational and strategic planning and implementation of change as indicated by national and regional policy and strategic direction.
§ chair a clinical board comprising leads of Site Specific teams, appropriate multidisciplinary colleagues, and managerial colleagues
§ be responsible for the non-formulary process for prescribing within Specialist Oncology Services and for non-formulary requests arising from WOSCAN, and take forward the transition and implementation of the PACS guidance
§ be responsible for the authorisation of leave of medical staff
§ be responsible for maintaining and building on the close working relationship with the University and the Beatson Institute in cancer research and development
Clinical Governance
The Clinical Director will lead a comprehensive programme of clinical governance assurance within Specialist Oncology services in line with Board priorities including:
§ develop a workforce plan for medical staffing
§ Responding to NHSQiS standards
§ maintaining a Risk Register in conjunction with the Clinical Service Manager
§ management IR(ME)R related issues, CEL compliance issues, and the Quality System within Specialist Oncology Services
§ implementation of significant critical incident review procedures
§ supporting Infection Control Teams in reducing HAI
§ supporting staff participation in national and local clinical audit and risk management arrangements
§ development and harmonisation of clinical protocols and guidelines
§ ensuring that there are adequate systems in place to detect and address under performance
§ health and Safety requirements
Staff Governance
The Clinical Director will,
§ develop a workforce plan for medical staffing
§ ensure job planning is undertaken annually and will ensure participation in appraisal for all medical staff and any other consultant contract issues are in place
§ manage junior doctor rotas within Specialist Oncology Services to ensure New Deal and European Working Time Directive compliance
§ be involved in grievance and disciplinary processes as required
§ ensure undergraduate and post-graduate medical education and training is managed within the BWOSCC
Corporate Governance
The Clinical Director will,
§ support the General Manager and management team in meeting waiting time and other targets in line with Board priorities (e.g. HEAT targets)
§ support the management team on the clinical aspects of complaints
§ provide strategic input into service redesign and organisational change within clinical services within Specialist Oncology Services and ensure that quality improvement is built into this
§ undertake media appearances and engage with the public as directed by the General Manager
Clinical Commitments
The post will have major special interest in one major cancer type.
Participation in multi-disciplinary management will be expected. A base clinic will be incorporated in the job plan and if the job plan includes clinics out with the cancer centre, robust arrangements are in place with all District General Hospitals to ensure the visiting Oncologists are supported when on site and that their patients are supported locally when off site as required. On-call will not be part of the post for off-site locations.
Teaching, Research and Audit
The appointee will play a part in the teaching and training activities of the BWOSCC which include both undergraduate and postgraduate teaching and training. He/she will be expected to participate in the audit and research activities of the BWOSCC. The BWOSCC has a suite of seminar rooms for lectures and meetings.
The post holder can have teaching and training commitments with tertiary education and the BWOSCC. For example, the Scottish Academy of Colleges 2 year training programme for Scottish Oncology trainees, MSc in Oncology Nursing and local BWOSCC initiatives.
Study and Training
The Clinical Director will encourage clinical staff to develop the study and training agenda within the organisation.
Research Opportunities
The BWOSCC has a good track record in clinical research. It is a major contributor to local, national and international trials. The post holder will be encouraged to maintain and improve this tradition.
Provisional Weekly Timetable
The successful candidate will
§ have five sessions dedicated to the Clinical Director role.
§ have a continuing responsibility for the care of patients in his/her charge, and for the proper functioning of his/her department
§ undertake the administrative duties associated with the care of his/her patients, and the running of his/her clinical department.
In addition to the duties mentioned above, duties at other hospitals administered by the Division may be necessary.
6. / Assignment and Review of Work
The post holder is accountable to the General Manager of Specialist Oncology Services. Review of performance is through the agreement of Performance Objectives and annual appraisal by the General Manager and Associate Medical Director, although informal reviews will take place at regular intervals. The Clinical Director will be appraised professionally through the Consultant and non-Consultant Career Grade appraisal system. Professional accountability is to the Associate Medical Director, and Managerial Accountability is to the General Manager.
7. / Communication and Working Relationships
External:
The post holder must establish and maintain effective working relationships with senior colleagues in the Acute Operating Division, NHS Board, West of Scotland Health Board and the Scottish Government. Links with various other organisations are also important including national, regional and local cancer planning and advisory bodies, cancer charities, patient groups, trade unions and universities. Contact is both formal and informal and robust communication procedures are essential.
Internal:
The following list of internal staff is not exhaustive:
Specialist Oncology Services Senior Management Group
Directorate team members
Lead consultants, and all other medical staff
Acute Service Directors
Associate Medical Directors and Clinical Directors
8. / Qualifications and Experience Specified for the Post
The successful candidate should:
§ be registered with the General Medical Council and should be on the Specialist Register
§ have proven organisational and leadership ability
§ demonstrate ability to think and act strategically and develop an organisational strategy
§ have media skills and experience of media management
§ be able to set high standards of performance to achieve change.
§ show evidence of excellent written and oral communication skills including presentation skills, discretion, tact and diplomacy
§ have experience of chairing and facilitating meetings, seminars and training across all levels