NHS GREATER GLASGOW & CLYDE
JOB DESCRIPTION
1. JOB IDENTIFICATIONJob Title: / Clinical Scientist, Band 7
Responsible to: / Head of Laboratory
Department: / Laboratory Genetics
Directorate: / Acute Diagnostics
2. JOB PURPOSE
· State registered scientist responsible for authorisation of reports, for a set of genetic disorders.
· Performs complex and highly complex data analysis, interpreting and reporting genetic results.
· Provides highly specialist advice to colleagues, clinicians and other healthcare professionals on the appropriateness of testing and the interpretation of authorised results and reports.
· Perform service development, as directed by the head of laboratory.
3. ROLE OF DEPARTMENT
The Laboratory Genetics department, which forms part of the West of Scotland Genetic Services provides a comprehensive diagnostic genetic service for the patients of the West of Scotland (population >2.7 million) and as part of the Scottish Genetics Laboratories Consortium and the Scottish Molecular Pathology Consortium, and specialised testing for particular disorders to the whole of Scotland, the UK and overseas. Based at the state of the art Laboratory Medicine building at the Southern General Hospital in Glasgow, the Laboratory Genetics department is responsible for the specialist diagnosis and/ or monitoring of patients with constitutional (prenatal and postnatal) and acquired (malignancy) genetic abnormalities in hereditary genetic disease, solid tumours as well as adult and childhood leukaemia. The service is funded by National Services Division, NHS Scotland.
The laboratories are the largest of their type in Scotland and they process in excess of 25,000 specimens a year. They collaborate closely with other laboratories in the new Laboratory Medicine building including pathology, and with various research groups at the University of Glasgow. The genetic laboratories provide a specialist education and training programme for our healthcare scientists and other healthcare professionals, including continuous professional development, ensuring our workforce is appropriately trained and developed to deliver a high quality diagnostic genetics service. In addition, the genetic laboratories deliver a component of the MSc in Medical Genetics in collaboration with the University of Glasgow
4. ORGANISATIONAL POSITION5. SCOPE and RANGE
The post holder is a state register Clinical Scientist who has day to day responsibility for a subset of the laboratories scientific workload, and will report to the Head of Laboratory. There are >90 members of staff in the Laboratory Genetics department section including Consultant Clinical Scientists (Head of Laboratory and Deputy Head), Principal Clinical Scientists, Principal Healthcare Scientists, Clinical Scientists/ Healthcare Scientists Advanced, Healthcare Scientists, Biomedical Scientists, Genetic Technologists, Healthcare Scientist Practitioners, Healthcare Scientist Assistants, Healthcare Science Support Workers and admin and clerical staff.
The Laboratory Genetics department receives specimens from hospitals, health centres and general practitioners from the west coast of Scotland and offers a comprehensive genetic service to these users. It works cooperatively with the genetics, molecular pathology and molecular haematology laboratories in Aberdeen, Dundee and Edinburgh as part of the Scottish Genetics Laboratories Consortium and the Scottish Molecular Pathology Consortium. It delivers a national service for some genetic disorders, through the UK Genetic Testing Network. The post holder will work as part of a team to deliver a molecular diagnostic genetic service for a subset of disorders, and will supervise and direct the work of junior staff in doing so.
6. MAIN TASKS, DUTIES AND RESPONSIBILITIES
The post holder is a state registered scientist who has day to day responsibility for a subset of the laboratories scientific workload, which includes the analysis and interpretation of complex and highly complex test results which may involve complex genetic risk calculations. They will supervise and direct the work of junior staff in doing so. The duties of the post holder are:
Clinical, scientific and technical
· To adhere strictly to the departmental policies and Standard Operating Procedures.
· To follow Health and Safety regulations, as outlined in the laboratories protocols and policies.
· To perform and organise their own work in the laboratory.
· To be responsible for the time management of multiple tasks and to respond to the changing requirements of the laboratory by taking on additional tasks and responsibilities as required.
· To maintain an accurate record of all work undertaken using the Laboratory Information Management System and disease specific databases, to document tests and results.
· To undertake a variety of highly specialised and complex techniques, as required to deliver a diagnostic genetics service.
· To demonstrate and apply a thorough understanding of the scientific principles involved in the delivery of a molecular diagnostics service, including trouble shooting of existing assays, offering advice to other colleagues and junior staff.
· To analyse genetic tests using highly specialised software packages, and to use specialist scientific and clinical skills to interpret the results of these tests.
· To produce laboratory reports for complex results from the Laboratory Information Management System, according to laboratory protocols.
· To check and authorise results and reports for a wide variety of genetic disorders, which may include complex statistical analysis or risk calculations.
· To offer advice to members of staff, referring clinicians and other healthcare professionals on appropriate investigations and interpretation of molecular diagnostic data.
· To take part in the duty scientist rota, ensuring the appropriate testing is carried out in relation to patient referral information and that urgent samples are prioritised appropriately.
· Participate in internal and external quality control procedures and assessments, as directed by the quality manager.
· To perform other duties as deemed appropriate by the head of laboratory.
Managerial
· To direct and supervise the workload of junior members of staff, for a subset of disorders.· Participate in the weekly laboratory meeting, lectures, seminars and courses to facilitate personal training and development.
· Prepare and update documentation including Standard Operating Procedures, as directed by the quality manager, to ensure that the department maintains its Clinical Pathology Accreditation (CPA) UK status.
· To participate in the laboratory internal audit programme as directed by the quality manager.
· To present the results of audit work to colleagues at internal and national meetings.
· To communicate non-compliances to the head of laboratory and quality manager.
· To be aware of and follow the current regional and national policies and legislature, along with UK best practice guidelines for molecular diagnostics, and promote these to others.
· To assist in any other aspects of the laboratory management, including administration, and policy and procedure updating, as directed by the head of laboratory.
Research and development
· To develop and validate service initiatives designed to improve the efficiency of existing services, in consultation with the head of laboratory.
· To develop, validate and implement new services, in consultation with the head of laboratory.
· To validate new equipment, and implement into routine service.
· To take part in research initiatives and investigations at a local and national level, as directed by the head of laboratory.
· To present the results of service development to colleagues at internal and national meetings.
· To participate in the evaluation and validation of changes to standard operating procedures.
Teaching and training
· To train and supervise clinical/ healthcare scientists and other laboratory staff, as directed by the training officer.
· To train and supervise undergraduates, medical staff, MSc and PhD students, and other visiting healthcare professionals in consultation with the head of laboratory or training officer.
· To report any training issues to the head of laboratory or the training officer.
· To take part in Continuing Professional Development activities to acquire new knowledge and skills for service and personal development.
· To represent the laboratory at local, national and international meetings, as deemed appropriate by the head of laboratory, and to disseminating information gathered at these meeting back to laboratory colleagues.
Enabling the employer to meet statutory requirements
· Comply at all times with the departmental and NHS GG&C Health and Safety policies, security policies, departmental operating procedures and disciplinary codes.
· Report/ensure that any defect or occurrence which may affect safety at work is brought to the attention of the Safety Officer.
· Maintain an awareness of the Data protection act, preserving confidential patient information.
7a. EQUIPMENT AND MACHINERY
The post holder will:
· Use basic laboratory equipment including pipettes, balances, a spectrophotometer, centrifuges and micro-centrifuges.
· Use biological safety cabinets and fume hoods for the safe handling of human specimens and chemicals.
· Operate automated laboratory equipment and instrumentation.
· Operate complex, highly complex, and extremely expensive analytical equipment.
· Use a personal computer and other appropriate IT equipment.
7b. SYSTEMS
The post holder will use a personal computer:
· To record and extract patient information, to produce worksheets and to generate patient reports using the Laboratory Information Management System.
· To update and manage disorder specific laboratory databases, for a subset of genetic disorders.
· To access the laboratories document control system (INVU).
· To access the laboratory’s quality management system (Q-Pulse).
· To analyse results using specialised and highly specialised software packages.
· To participate in departmental audits.
· To search for patient test information and simple/complex audit to produce standard and non-standard reports as required by the head of laboratory.
· To produce electronic data e.g. Word, Access, Excel, PowerPoint.
· To access the intranet and internet including the e-library, for pertinent scientific literature, particularly important for the reporting and interpretation of highly complex genetic test results.
· For Datix incident reporting.
The post holder will use:
· Photocopier for duplicating documentation.
· Fax Machine for sending and receiving documents.
· Scanners for document archiving.
· Telephone for communication both internally and externally.
8. DECISIONS AND JUDGEMENTS
The post holder must take responsibility for their work, prioritising workload when necessary. Decisions often need to be made which require an understanding of the laboratories policies, procedures and methodologies. These include:
· As part of the duty scientist rota, making decisions on appropriate molecular diagnostic tests based on clinical information provided by clinicians, prioritising testing of the most critical and urgent specimens.
· Deciding what specimens need to be sent to other laboratories in the UK or abroad, for specialist genetic tests which are not available in-house.
· Deciding on and prioritising own workload and the workload of others, depending on which type of specimens have been referred for testing e.g. prenatal diagnosis.
· Deciding whether genetic test data meets internal quality control parameters, and where it doesn’t, ensuring tests are repeated before reports are issued.
· Decide whether supplementary tests are required for those cases which produce equivocal or unexpected results, in consultation with the head of laboratory when necessary.
· Making decisions regarding problem assays and technical issues, troubleshooting and offering advice and guidance to junior staff where appropriate, in consultation with head of laboratory when necessary.
· Exercising specialist professional judgements in the interpretation of complex results which could have an impact on the diagnosis and management of patients with inherited and acquired genetic disorders (e.g. prophylactic breast surgery in patients with a family history of hereditary breast cancer or personalised and tailored chemotherapeutic treatment in patients with lung cancer).
· Compiling and authorising complex clinical reports to ensure the information is clear concise and unambiguous.
9. COMMUNICATIONS AND RELATIONSHIPS
The post-holder will:
· Communicate as an effective team member within the molecular diagnostics laboratory, to ensure optimal use of resources and the delivery of an efficient, high quality service.
· Establish and maintain good communication with colleagues within the Laboratory Genetics department (Biochemical Genetics, Clinical Genetics) and in the other laboratory disciplines within NHS Greater Glasgow and Clyde, to provide an integrated high quality service.
· Communicate effectively with other healthcare professionals, responding to all enquiries as appropriate (telephone, email or written).
· Provide easy to understand interpretation of complex laboratory results to service users.
· Provide advice on the appropriate molecular diagnostic tests available to service users.
· Attend the weekly laboratory meeting and discuss laboratory issues with colleagues.
· Participate in internal multi-disciplinary clinical case meetings.
· Present clinical cases, laboratory data and research findings at local, national and international scientific meetings and conferences.
· Explain procedures and demonstrate techniques accurately and concisely, to other staff and colleagues for training purposes.
· Liaise with the training officer when training other members of staff.
· Liaise with the quality manager for issues relating to CPA accreditation and quality management.
· Liaise with senior management, including the head of laboratory, on other issues relating to laboratory management.
· Abide by the NHSGG&C policy on patient confidentiality.
· Attend an annual staff review.
10. PHYSICAL, MENTAL, EMOTIONAL AND ENVIROMENTAL DEMANDS OF THE JOB
Physical demands
· A combination of sitting, standing and walking is required.
· A very high level of manual dexterity with excellent hand to eye co-ordination is required to carry out highly complex analytical procedures. Often highly intricate work using tiny volumes in single and multi-channel micro pipettes is required (less than 10ul).
· Frequent requirement for sitting in a restricted position for extended periods whilst using a computer workstation and specialist software to analyse complex data and results, or to write and authorise patient reports with little opportunity to exercise during this time.
· Requires highly developed physical skills in the use of specialist molecular diagnostic equipment of high monetary value.
Mental demands
· Ensuring accurate diagnosis of inherited conditions for which there is generally limited therapy and the unambiguous interpretation of results for the referring clinician.
· There is a frequent requirement for prolonged, intense concentration when analysing and interpreting highly complex molecular diagnostics data and results. Often processing very large and complex data sets to issue final reports from a range of different procedures.
· Work pattern can be unpredictable due to demands of the service, especially when an urgent specimen from a high risk pregnancy or new born baby must be processed immediately.
· Organisational skills, especially time management, and the ability to multi-task are very important.
· There is a requirement to prioritise workload to meet deadlines.
· A laboratory is a busy environment, which makes demands on the concentration.
· Regular use of extremely expensive and very fragile equipment.
Emotional demands
· The handling of patient records maintaining patient confidentiality whilst liaising with multiple healthcare professionals is particularly demanding in molecular genetics cases as results from one patient often influence risks to other family members.
· Emotional stress of ensuring the accurate diagnosis of inherited and acquired genetic conditions, and the unambiguous and accurate interpretation of results to the referring clinician.
· Emotional stress of communicating adverse clinical outcomes which can result in termination of pregnancy or cancer diagnosis in affected individuals including children.
· The specimens can be from various sources some of which can be distressing (for example recognisable fetal parts).
Environmental demands
· Frequent exposure to unpleasant working conditions, hazardous chemicals and potentially infectious body fluids and specimens.
11. MOST CHALLENGING/DIFFICULT PARTS OF THE JOB
· Working to very demanding Professional Standard Guidelines. These cover both the necessary quality of the work undertaken and also the acceptable turn-around times.
· Must have the ability to concentrate for long periods of time whilst analysing and interpreting complex molecular diagnostic data and results, and whilst writing and authorising complex molecular diagnostic reports.
· Must be able to multi-task and deal with the unpredictable and often stressful nature of the work carried out by the molecular diagnostics section including urgent prenatal diagnosis referrals.
· The knowledge that errors in analysis or reporting for which the post holder has responsibility will have life changing effects to the patients involved, places great stress on that individual.
· The acquisition and maintenance of knowledge with regards to laboratory procedures, and the interpretation and the reporting of results, which must be constantly refreshed as practice and guidelines change.
· Participation in continuous personal development where there are time constraints due to service commitments.
12. KNOWLEDGE, TRAINING AND EXPERIENCE REQUIRED TO DO THE JOB
· First or Second Class Honours degree or equivalent in a biological science.
· A post graduate professional qualification in Clinical Molecular Genetics or Genetic Science (CMGS/ GETB Certificate of Competence or STP), or MSc or PhD along with appropriate equivalent experience.
· State registration with the Health and Care Professions Council (HCPC) as a clinical scientist (molecular genetics or clinical genetics).
· Previous experience in a molecular genetics/ molecular diagnostics laboratory.
· Specialist scientific and clinical knowledge in molecular genetics.
· Considerable experience (> 3 years) in specialised molecular genetic techniques, including PCR and sequencing.
· Specialist knowledge of molecular diagnostics equipment and software packages.
· Considerable experience in complex molecular diagnostics data analysis and reporting of results.
· Careful and meticulous, adhering to good laboratory practice.
· Ability to work as a team member.
· Enthusiastic, motivated and capable of prolonged concentration and attention to detail.
· Computer literate.
· Demonstrate continuous professional development
12. JOB DESCRIPTION AGREEMENT
Job Holder’s Signature:
Head of Laboratory Signature: / Date:
Date:
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