STR LOCUM APPOINTMENT FOR TRAINING (LAT)/CLINICAL FELLOW IN HAEMATOLOGY

NHS GREATER GLASGOW & CLYDE

INFORMATION PACK

REF: 54668D

CLOSING DATE: 8TH FEBRUARY 2019 www.nhsggc.org.uk/medicaljobs

SUMMARY INFORMATION

POST: STR LOCUM APPOINTMENT FOR TRAINING (LAT)/CLINICAL FELLOW IN HAEMATOLOGY

BASE: QUEEN ELIZABETH UNIVERSITY HOSPITAL

Applications are invited for Locum Appointments for Training (LAT Specialty registrar ST3) in Haematology. Posts are available from as soon as possible until 6 th August 2019. This programme provides training in Haematology and integrates fully with the specialty training programme at an appropriate level. The successful candidates will receive an excellent introduction to the specialist care of patients with Haematological disorders and malignant diseases along with the appropriate laboratory training.

For appointment to a LAT post you must possess full MRCP (UK), or equivalent, and all candidates must have core medical training competencies, or equivalent. Previous experience in Haematology is desirable though not essential.

This post has educational approval from the Postgraduate Dean. Applicants who do not meet the above LAT essential criteria may be considered for appointment to a similar post as a Clinical Fellow (a post which would not be recognised for training).

NHS EDUCATION FOR SCOTLAND, WEST REGION

LOCUM APPOINTMENT for TRAINING

IN HAEMATOLOGY

JOB DESCRIPTIONREF: 54668D

1. INTRODUCTION

These posts post provide training in Haematology and integrates fully with the Regional Specialty Training Programme at the appropriate level. The successful candidate will receive an excellent introduction to the specialist care of patients with Haematological disorders of a malignant and non-malignant nature along with training in the appropriate diagnostic and laboratory investigations. The West of Scotland region covers a wide geographical area and a total population of 2.55 million in 5 major health boards. The rotation involves periods in specialist areas such as paediatrics, blood transfusion, bone marrow transplant and coagulation with time spent in both North and South Glasgow, or surrounding Health Boards for generalist haematology training. Applicants to be appointed to a LAT post must possess MRCP UK, all candidates must have core medical training competencies or equivalent. Previous experience in Haematology is desirable, but not essential. Glasgow offers a wide range of culture and sporting opportunities. The West of Scotland Postgraduate Deanery confirms that these placements and/or programme have the required educational and Postgraduate dean’s approval. If appointed as a Clinical Fellow these posts will not be recognised for training.

After entering the programme, an Educational Supervisor from the allotted rotational attachment and hospital will meet with the trainee and set training targets; draw up a learning agreement; arrange three monthly assessments; and provide feedback to trainee as required. Performance assessment is on a regular basis throughout training.

The training programme is supervised by the Haematology Sub-committee of the West Region NHS Education for Scotland (NES) with a dedicated Training Programme Director- Dr Mark McColl (Crosshouse Hospital). Each segment of the rotation is overseen by a named Educational Supervisor.

2 ENTRY REQUIREMENTS

The Trainee will be appointed by a Committee comprising representatives of the Postgraduate Dean, Speciality Training Committee, and involved hospitals. Candidates must have had satisfactory completion of Core Medical Training / General Professional Training, including at least 2 years of experience in acute medical specialties. Experience in haematology or oncology specialties is desirable. Possession of the full MRCP is essential for appointment to a LAT post.

3 COUNTING PERIOD TOWARDS A CCT-CERTIFICATE OF COMPLETION OF TRAINING

Appointees to a LAT Post who envisage the possibility of later entry to a Type I Higher Training Programme in a medical specialty, and wish this period to be counted, must enrol with JRCPTB. Unless approval by JRCPTB is obtained prospectively, training undertaken during tenure of a LAT cannot count towards a CCT. Trainees who enroll must

meet the entry requirements for Higher Training in their specialty occupy posts which have been approved for inclusion in a Higher Training

programme in their specialty have been appointed for a minimum of three months and maximum 1

year. Appointments of shorter duration will not be countable for CCT purposes.

declare to the Postgraduate Dean (or Deputy) at the time of appointment the intention to seek educational recognition of time in post for CCT purposes

obtain the Postgraduate Dean's signature on the enrolment form undergo such assessments and appraisals as may be required by the

Postgraduate Dean and Educational Supervisors during tenure of the post

4 DUTIES OF THE POST

(i) Training

The Trainee must make full use of the training opportunities provided in each placement.

LAT posts have educational approval from the Postgraduate Dean. If appointed as a Clinical Fellow these posts will not be recognised for training.

(ii) Clinical

Under the supervision of the Haematology Consultants, the Locum Appointment for Training (LAT) will be expected to participate in all clinical duties as the St3s as detailed in Appendix2 - commensurate with their experience. The successful appointee will be expected to join in the provision of the on call service once deemed competent.

(iii) Administration

The Trainee will be expected, when appropriate, to participate in the day to day running of the department in administrative activities such as organisation of undergraduate training, patient reports and letters. The Trainee will have the opportunity to develop management skills as required.

(iv) Communication

This will include:Discussion with Haematology Consultants regarding clinical problems.Communication with General Practitioners - this will include telephone

discussion of problems and writing of letters about cases seen in the Department.

Liaison with Specialists in other disciplines and hospitalsLiaison with external agencies, such as district nurses, ambulance, police etc.

5 EDUCATION

(i) Continuing Education

In each department, each trainee will have dedicated periods of training with the trainer consultant and a minimum of a half day per week for self learning. Attendance at relevant departmental and hospital meetings is expected. In addition, there is a rolling programme of selected topics of teaching/CME provided over a two year cycle on Wednesday afternoons during term time covering specialist areas in haematology, management, medical audit and quality assurance. Participation is also expected at regular local and Regional Educational meetings. During the second phase of the programme, registrars will attend a formal management course.

(ii) Teaching

At the appropriate stage of training, the Trainee will be expected to participate in both undergraduate and postgraduate teaching.

6 RESEARCH AND AUDIT

(i) Research

There is a strong tradition of research in the West of Scotland. Facilities and support for research activities are available through the University academic department and within hospital departments. The trainee will be encouraged to participate in clinical research and time will be allocated consistent with current Terms & Conditions.

During training for the Part 1 FRCPath Exam, trainees will be introduced to the discipline of research. Opportunities exist for original work especially in the fields of haemostasis and haematological oncology. Approved “out of programme experience” for research in grant funded posts is often available e.g. LRF Clinical Research Fellowships. Work towards a higher degree is encouraged.

(ii) AuditAudit is an essential component of Haematology practice and the Trainee will be required to participate in local and national audit activities.

7 LOCATION OF DUTIES

The hospitals (detailed in Appendix 1) involved in the training programme are as follows:

Glasgow Royal Infirmary Beatson West of Scotland Cancer Centre

West Glasgow Hospitals Monklands HospitalVictoria Infirmary Regional Transfusion CentreQueen Elizabeth University HospitalCrosshouse HospitalStobhill Hospital Royal Alexandra HospitalRoyal Hospital for Children Forth Valley Royal Hospital

8 ASSESSMENTS For LAT PostHolders

Assessments will be tailored to successful candidate’s requirements and may include:

(i) The Trainee will be continuously assessed by the trainers (Clinical & Educational Supervisors) at their place of work with local appraisal every 6 months

(ii) Throughout training their will be regular assessment of trainees by their Educational Supervisors through:Mini Clinical Evaluation Exercise (Mini-CEX) – assesses core clinical skills (approx 4-6 per year)Case-based Discussions (CbD) - to assess a variety of clinical, problem-solving and laboratory skills and knowledgeDirectly Observed Procedures (DOPs) - assesses technical ability for procedures (approx 2-4 in total) - procedures to be assessed will include BM Aspirate & Trephine, IT-

chemotherapyMulti-Source Feedback Analysis (MSF)

- allows structured feedback about a trainees overall performance in post- undertaken towards end of year 1 and again during year 4

(iii) If in the opinion of the Training and Assessment Committee, the Trainee fails to show adequate commitment or progress, career guidance will be arranged, and exceptionally, in the absence of satisfactory progress, the committee may recommend that the contract be terminated.

(iv) Trainees are required to keep an electronic portfolio following the requirements laid down by the JRCPTB.

9 GENERAL INFORMATION

Hours and SalaryThe standard hours of duty shall be the working week of forty hours for which the salary scale currently applicable is appended under general information.On call is non residential and banded at 2B. (Banding is subject to change).

Further InformationFor further information on these posts, please contact Dr Mark Rafferty, Consultant Haematologist, Beatson WoSCC, Glasgow, Telephone 0141 301 7715/17

For information on the training programme, please contact: Dr M McColl, Chair and TPD, Postgraduate Sub-Committee in Haematology, Crosshouse Hospital, Kilmarnock - Telephone: 01563 577416

APPENDIX 1

Glasgow Royal Infirmary (Approximately 1000 beds)

Glasgow Royal Infirmary is one of the main teaching hospitals in Glasgow and houses most major acute medical and surgical specialties, together with a number of University Departments. The Haematology Department is organised in 4 sections:

General HaematologyHospital Blood BankingHaemostasis (Coagulation and Thrombosis) including the Regional Adult Haemophilia CentreObstetric and Perinatal Haematology

The West of Scotland Comprehensive Care Haemophilia Centre and Thrombophilia Service is one of the largest such services in the UK with more than 1000 patients with inherited bleeding disorders registered and a very busy clinical service for patients with thrombotic disorders. This major subspecialty is supported by the Regional Haemostasis specialist laboratory and research interests include anticoagulation, haemophilia and allied bleeding disorders, thrombophilia, thrombosis prevention, thrombosis risk prediction and management of high risk pregnancies.The department also services a large number of medical and surgical beds and provides a clinical and laboratory service for patients with congenital haemoglobin disorders.

West of Scotland Beatson Cancer (Approximately 946 beds)

The WoSCC provides clinical, laboratory and hospital blood banking services, there is a large acute leukaemia service and lymphoma practice. There is close integration between haematology and the Beatson Oncology services. The laboratory facilities at Gartnavel General Hospital provide regional service for immunophenotyping of haematological malignancies. Research interests include erythroblast and haem iron metabolism and in association with Beatson Institute for Cancer Research: research into stem cell biology, and the regulation of haemopoesis and cord blood haemopoeitic progenitors.

Bone Marrow Transplant Unit /West of Scotland Beatson Cancer CentreThis is the largest in Scotland performing approximately 80 allogeneic or unrelated and 80 autologous transplants per year. The Unit provides a national service for allogeneic donor stem cell transplants for adults in Scotland. There is also on site a busy Apheresis Unit (including photophoresis) run by the Scottish National Blood Transfusion Service.

Royal Hospital for Children(Approximately

300 beds)

Royal Hospital for Children is the largest paediatric teaching hospital in Scotland. The department treats two-thirds of the cases of childhood leukaemia and cancer in Scotland, houses the National Paediatric Bone Marrow Transplant Unit and the Regional Haemophilia Centre, provides diagnostic and counselling service for haemoglobinopathies and cares for children with a wide range of benign haematological problems. The bone marrow transplant programme is heavily weighted towards unrelated transplants, and a haplo-identical programme is being developed. A molecular biology laboratory supports the leukaemia and

bone marrow transplant service, and has a particular interest in the monitoring of minimal residual disease and provides a resource for research activity. A laboratory diagnostic and consultative service is provided to all paediatric specialties including medical and surgical, neonatal intensive care units, cardiothoracic surgery, and the ECMO programme.

Queen Elizabeth University Hospital (Beds 1677)This department provides a comprehensive clinical and laboratory haematology and transfusion medicine service for this single site teaching hospital. Specialties include general medicine, general surgery and the sub-specialties; Renal medicine and surgery, neurology and neurosurgery vascular and orthopaedic surgery, urology, ENT, ophthalmology, psychiatry, dermatology and geriatric medicine.

There is a large obstetric unit serving South & West Glasgow and in addition to the routine haematology and blood bank support, the laboratory provides a comprehensive ante natal haemoglobinopathy screening service. The neonatal medicine service is on site and specialist transfusion support for intrauterine transfusions is provided.

The Institute of Neurological Sciences provides a tertiary referral service, and the National Spinal Injuries Unit provides a service for all of Scotland.

The nuclear medicine department provides experience in the use of radio-isotopes in haematology.

There is an extensive clinical and laboratory service for patients with thrombotic and haemorrhagic disorders including the management of pregnancy-associated thromboembolic disease. There is the opportunity to gain experience in the management of patients with a wide range of haematological malignancies.

Victoria Ambulatory Care Hospital

The Victoria ACH provides a day case and outpatient facility, with no acute beds and a small number of rehabilitation beds. There is a minor injuries unit on site. There is a busy day unit providing haematology and oncology support. There is a small satellite laboratory on site, with additional laboratory support from the Queen Elizabeth University Hospital. Haematology out patient clinics and day case support is provided by the haematologists in South Glasgow on a rotational basis

Stobhill Ambulatory Care Hospital

Stobhill ACH provides a day case and outpatient facility, with no acute beds and only a small number of rehabilitation beds. All clinical activity at this site is supported by the laboratory services at Glasgow Royal Infirmary. Haematology outpatient clinics and day case activities at Stobhill ACH are supervised by Dr M Leach and Dr L McIlwaine. Any trainees attached to Stobhill will be linked with the parent unit at either Glasgow Royal Infirmary or Gartnavel General Hospital.

District General Hospitals

In addition to rotation within the Glasgow Hospitals, there are training posts recognised in Monklands General Hospital (Airdrie), Wishaw Hospital, Royal Alexandra Hospital (Paisley), Forth Valley Royal Hospital (Larbert) and Crosshouse

Hospital (Kilmarnock). These hospitals offer trainees a wide variety of clinical and laboratory experience in a District General Hospital setting whilst maintaining the academic environment necessary to stimulate training and discussion together with an interest in research.

Regional Blood Transfusion Centre

Rotation of Higher Specialist Trainees is arranged to provide the necessary experience required in transfusion medicine as specified in the PMETB Haematology Curriculum. The RTC also provides a regional Apheresis Service.

HAEMATOLOGY CONSULTANT STAFFING

Glasgow Royal Infirmary WOSCC /West Glasgow HospitalsProf R C Tait Dr E J FitzsimonsDr C Bagot Dr M DrummondDr L McIlwaine Dr R SoutarDr C Ogilvie Dr P McKay

Dr M T J Leach Dr N Heaney

Dr C Ogilvie Dr J Travers

Paul O’Gorman Leukaemia WOSCC/Bone Marrow Transplant UnitResearch Laboratories Dr A Parker Professor M Copland Dr G McQuaker

Dr A Latif Dr Novitsky-BassoDr D Irvine

South GlasgowDr A E Morrison Dr A HartDr I McDonald Dr G LoudonDr R Gottipatti

Regional Transfusion Centre Royal Hospital for ChildrenDr R Green Dr B GibsonDr R Soutar Dr. E.A. ChalmersDr K Douglas Dr N HeaneyDr K Bailey Dr C HalseyDr J Laird

Wishaw Hospital Monklands HospitalDr J Laird Dr JA MurphyDr A Hung Dr I SingerDr C Thomas Dr A Raafat

Dr P Paterson Dr L Mitchell

Dr A Fyfe

Royal Alexandra Hospital Crosshouse HospitalDr F Patrick Dr M McCollDr C Stirling Dr. P EynaudDr A Sefcick Dr W GordonDr A McCaig Dr F CutlerDr A Yasmin Dr P MacLean

Inverclyde Royal Infirmary Vale of Leven Hospital

Dr A Gebreyes Dr J Laird Dr C Sweeney

Forth Valley Royal HospitalDr R NeilsonDr H EdwardsDr C FarrellDr R Boulton-Jones

Appendix 2 Specialty Registrar Duties

The post of Specialty Registrar (StR) in Haematology provides up to 5 years of graduated, but flexible, experience in all aspects of clinical and laboratory haematology, including hospital blood banking and training in transfusion medicine, as indicated in the specialist curriculum published by the Postgraduate Medical Education and Training Board (PMETB) in 2010. It is delivered in a succession of rotational posts of six months’ duration which may be extended to one year to suit the needs of the individual trainee. The programme is divided into two parts - pre- and post-FRCPath Part 1.

Years 1 and 2

The trainee will acquire a broad general experience in haematology under supervision with formal and informal instruction. There is a two months’ formal induction to laboratory aspects of haematology followed by training in all clinical and laboratory aspects of general haematology, hospital blood banking, specialist haematology, and haematology relating to other medical specialties.

The rotation involves a selection of the five adult hospitals in Glasgow and includes six months’ experience in haemostasis and thrombosis at the Regional Haemophilia Unit at Glasgow Royal Infirmary and six months’ experience at the Regional Adult BMT Unit, West of Scotland Beatson Cancer Centre.

In addition to the instruction in hospital blood banking provided in all the hospitals, the trainees will participate in four 1-week formal courses in transfusion medicine at the Regional Transfusion Centre.

Although some experience will have already been acquired in neonatal and obstetric haematology, six months will be spent at Royal Hospital for Children gaining specific experience in all aspects of paediatric haematology (The Regional Paediatric Haemophilia Centre and BMT Unit).

Years 3, 4 and 5

During the second phase of training, Specialty Registrar Trainees StR will acquire clinical independence in a more flexible fashion. They will gain wider experience in the sub-specialties and be encouraged to expand their interest for a period of up to one year in one of the areas of haematological oncology, haemostasis, or transfusion medicine. To meet training requirements, trainees who wish to pursue a career in Paediatric Haematology must completed total of 30 months training in Paediatric Haematology at StR level and in addition have at least 12 months general paediatrics experience. All trainees will rotate to the Regional Transfusion Centre for 3-6 months before completing the MRCPath Part 2 which may be sat towards the end of year 3 or later.

A minimum 6 month experience of District General Hospital Haematology is an essential part of training. This may be obtained during the initial or final stages of training at any of programme-approved District General Hospitals ie: Crosshouse Hospital, Wishaw Hospital, Monklands General Hospital, Forth Valley Royal Hospital and Royal Alexandra Hospital. Rotation outwith Glasgow is encouraged.

TERMS AND CONDITIONS OF SERVICE

The conditions of service are those laid down and amended from time to time by the Hospital and Medical & Dental Whitley Council.

TYPE OF CONTRACT Fixed Term

GRADE AND SALARY StR LAT/Clinical Fellow

If appointed to a StR LAT the salary scale will be £32,157 to £50,563( pro rata)

If Appointed to a Clinical Fellow the salary scale will be £32,157 - £42,544 (pro rata)

New Entrants to the NHS will normally commence on the minimum point of the salary scale, (dependent on qualifications and experience). Salary is paid monthly by Bank Credit Transfer.

HOURS OF DUTY Full Time 40.00

SUPERANNUATION New entrants to NHS Greater Glasgow and Clyde who are aged sixteen but under seventy five will be enrolled automatically into membership of the NHS Pension Scheme.  Should you choose to "opt out" arrangements can be made to do this via: www.sppa.gov.uk

REMOVAL EXPENSES Assistance with removal and associated expenses may be given and would be discussed and agreed prior to appointment.

EXPENSES OF CANDIDATES FOR APPOINTMENT

Candidates who are requested to attend an interview will be given assistance with appropriate travelling expenses. Re-imbursement shall not normally be made to employees who withdraw their application or refuse an offer of appointment.

TOBACCO POLICY NHS Greater Glasgow and Clyde operate a No Smoking Policy in all premises and grounds.

DISCLOSURE SCOTLANDThis post is considered to be in the category of “Regulated Work” and therefore requires a Disclosure Scotland Protection of Vulnerable Groups Scheme (PVG) Membership.

CONFIRMATION OF ELIGIBILITY TO WORK IN THE UK

NHS Greater Glasgow and Clyde (NHSGGC) has a legal obligation to ensure that it’s employees, both EEA and non EEA nationals, are legally entitled to work in the United Kingdom. Before any person can commence employment within NHS GGC they will need to provide documentation to prove that they are eligible to work in the UK. Non EEA nationals will be required to show evidence that either Entry Clearance or Leave to Remain in the UK has been granted for the work which they are applying to do. Where an individual is subject to immigration control under no circumstances will they be allowed to commence until the right to work in the UK has been verified. ALL applicants regardless of nationality must complete and return the Confirmation of Eligibility to Work in the UK Statement with their completed application form. You will be required provide appropriate documentation prior to any appointment being made.

REHABILITATION OF OFFENDERS ACT 1974

The rehabilitation of Offenders act 1974 allows people who have been convicted of certain criminal offences to regard their convictions as “spent” after the lapse of a period of years. However, due to the nature of work for

which you are applying this post is exempt from the provisions of Section 4 of the Rehabilitation of Offenders Act 1974 by virtue of the Rehabilitation of Offenders Act 1974 (Exceptions Orders 1975 and 1986). Therefore, applicants are required to disclose information about convictions which for other purposes are “spent” under the provision of the act in the event of employment, failure to disclose such convictions could result in dismissal or disciplinary action by NHS Greater Glasgow and Clyde. Any information given will be completely confidential.

DISABLED APPLICANTS A disability or health problems does not preclude full consideration for the job and applications from people with disabilities are welcome. All information will be treated as confidential. NHS Greater Glasgow and Clyde guarantees to interview all applicants with disabilities who meet the minimum criteria for the post. You will note on our application form that we ask for relevant information with regard to your disability. This is simply to ensure that we can assist you, if you are called for interview, to have every opportunity to present your application in full. We may call you to discuss your needs in more detail if you are selected for interview.

GENERAL NHS Greater Glasgow and Clyde operates flexible staffing arrangements whereby all appointments are to a grade within a department. The duties of an officer may be varied from an initial set of duties to any other set, which are commensurate with the grade of the officer. The enhanced experience resulting from this is considered to be in the best interest of both NHS Greater Glasgow and Clyde and the individual.

EQUAL OPPORTUNITIES The postholder will undertake their duties in strict accordance with NHS Greater Glasgow and Clyde’s Equal Opportunities Policy.

NOTICE The employment is subject to one months’ notice on either side, subject to appeal against dismissal.

MEDICAL NEGLIGENCE In terms of NHS Circular 1989 (PCS) 32 dealing with Medical Negligence the Health Board does not require you to subscribe to a Medical Defence Organisation. Health Board indemnity will cover only Health Board responsibilities. It may, however, be in your interest to subscribe to a defence organisation in order to ensure you are covered for any work, which does not fall within the scope of the indemnity scheme.

FURTHER INFORMATION

For further information on NHS Greater Glasgow and Clyde, please visit our website on www.nhsggc.org.uk

View all our vacancies at: www.nhsggc.org.uk/medicaljobs

Register for Job Alerts at: www.medicaljobs.scot.nhs.uk

Applicants wishing further information about the post are invited to contact with whom visiting arrangements can also be made.

HOW TO APPLY

To apply for these posts please include your CV and names and addresses of 3 Referees, along with the following documents; (click on the hyperlinks to open)

Medical and Dental Application and Equal Opportunities Monitoring Form

Declaration Form Regarding Fitness to Practice

Immigration Questionnaire

Alternatively please visit www.nhsggc.org.uk/medicaljobs and click on the “How to Apply” tab to access application for and CV submission information.

NOMINATION OF REFEREES

It is Board policy that no person can act as a member of an Advisory Appointments Committee and be a referee for a candidate for that post. You should therefore check with your proposed referees whether there is likely to be any difficulty in this respect for we may otherwise have to invite you to submit another name or names

RETURN OF APPLICATIONS

Please return your application by email to nhsggcrecruitment@nhs.net or to the recruitment address below;

Medical and Dental Recruitment TeamNHS Greater Glasgow and ClydeWest Glasgow ACH (formerly Yorkhill) 2nd FloorDalnair Street, Yorkhill, G3 8SJ

CLOSING DATE

The closing Date will be 8th February 2019

STR LOCUM APPOINTMENT FOR TRAINING/CLINICAL FELLOW IN HAEMATOLOGY

BEATSON WEST OF SCOTLAND CANCER CENTRE

INFORMATION PACK

REF: 54668D

CLOSING DATE: 8TH FEBRUARY 2019

www.nhsggc.org.uk/medicaljobsSUMMARY INFORMATION

POST: STR LOCUM APPOINTMENT FOR TRAINING (LAT)/CLINICAL FELLOW IN HAEMATOLOGY

BASE: BEATSON WEST OF SCOTLAND CANCER CENTRE

Applications are invited for a StR Locum Appointment for Training (LAT)/ Clinical Fellow at ST3 level in Haematology based at the Beatson West of Scotland Cancer. This post is available from as soon as possible until 6th August 2019. The programme provides training in Haematology and integrates fully with the specialty training programme at an appropriate level. The successful candidates will receive an excellent introduction to the specialist care of patients with Haematological disorders and malignant diseases along with the appropriate laboratory training.

For appointment to a LAT post you must possess full MRCP (UK), or equivalent, and all candidates must have core medical training competencies, or equivalent. Previous experience in Haematology is desirable though not essential.

The post has educational approval from the Postgraduate Dean. Applicants who do not meet the above LAT essential criteria may be considered for appointment to a similar post as a Clinical Fellow (a post which would not be recognised for training).

NHS EDUCATION FOR SCOTLAND, WEST REGION

StR LOCUM APPOINTMENT FOR TRAINING (LAT)/CLINICAL FELLOW IN HAEMATOLOGY

JOB DESCRIPTIONREF: 54668D

1. INTRODUCTION

This post provides training in Haematology and integrates fully with the Regional Specialty Training Programme at the appropriate level. The successful candidate will receive an excellent introduction to the specialist care of patients with Haematological disorders of a malignant and non-malignant nature along with training in the appropriate diagnostic and laboratory investigations. The West of Scotland region covers a wide geographical area and a total population of 2.55 million in 5 major health boards. The rotation involves periods in specialist areas such as paediatrics, blood transfusion, bone marrow transplant and coagulation with time spent in both North and South Glasgow, or surrounding Health Boards for generalist haematology training. Applicants to be appointed to a LAT post must possess MRCP UK, all candidates must have core medical training competencies or equivalent. Previous experience in Haematology is desirable, but not essential. Glasgow offers a wide range of culture and sporting opportunities. The West of Scotland Postgraduate Deanery confirms that these placements and/or programme have the required educational and Postgraduate dean’s approval. If appointed as a Clinical Fellow these posts will not be recognised for training.

After entering the programme, an Educational Supervisor from the allotted rotational attachment and hospital will meet with the trainee and set training targets; draw up a learning agreement; arrange three monthly assessments; and provide feedback to trainee as required. Performance assessment is on a regular basis throughout training.

The training programme is supervised by the Haematology Sub-committee of the West Region NHS Education for Scotland (NES) with a dedicated Training Programme Director- Dr Mark McColl (Crosshouse Hospital). Each segment of the rotation is overseen by a named Educational Supervisor.

2 ENTRY REQUIREMENTS

The Trainee will be appointed by a Committee comprising representatives of the Postgraduate Dean, Speciality Training Committee, and involved hospitals. Candidates must have had satisfactory completion of Core Medical Training / General Professional Training, including at least 2 years of experience in acute medical specialties. Experience in haematology or oncology specialties is desirable. Possession of the full MRCP is essential for appointment to a LAT post.

3 COUNTING PERIOD TOWARDS A CCT-CERTIFICATE OF COMPLETION OF TRAINING

Appointees to a LAT Post who envisage the possibility of later entry to a Type I Higher Training Programme in a medical specialty, and wish this period to be counted, must enrol with JRCPTB. Unless approval by JRCPTB is obtained prospectively, training undertaken during tenure of a LAT cannot count towards a CCT. Trainees who enroll mustmeet the entry requirements for Higher Training in their specialty occupy posts which have been approved for inclusion in a Higher Training programme in their specialty have been appointed for a minimum of three months and maximum 1 year. Appointments of shorter duration will not be countable for CCT purposes. declare to the Postgraduate Dean (or Deputy) at the time of appointment the intention to seek educational recognition of time in post for CCT purposes obtain the Postgraduate Dean's signature on the enrolment form undergo such assessments and appraisals as may be required by the Postgraduate Dean and Educational Supervisors during tenure of the post

4 DUTIES OF THE POST

(i) Training

The Trainee must make full use of the training opportunities provided in each placement.

LAT posts have educational approval from the Postgraduate Dean. If appointed as a Clinical Fellow these posts will not be recognised for training.

(ii) Clinical

Under the supervision of the Haematology Consultants, the Locum Appointment for Training (LAT) will be expected to participate in all clinical duties as the St3s as detailed in Appendix2 - commensurate with their experience. The successful appointee will be expected to join in the provision of the on call service once deemed competent.

(iii) Administration

The Trainee will be expected, when appropriate, to participate in the day to day running of the department in administrative activities such as organisation of undergraduate training, patient reports and letters. The Trainee will have the opportunity to develop management skills as required.

(iv) Communication

This will include:Discussion with Haematology Consultants regarding clinical problems.Communication with General Practitioners - this will include telephone discussion of problems and writing of letters about cases seen in the Department.Liaison with Specialists in other disciplines and hospitalsLiaison with external agencies, such as district nurses, ambulance, police etc.

5 EDUCATION

(i) Continuing Education

In each department, each trainee will have dedicated periods of training with the trainer consultant and a minimum of a half day per week for self learning. Attendance at relevant departmental and hospital meetings is expected. In addition, there is a rolling programme of selected topics of teaching/CME provided over a two year cycle on Wednesday afternoons during term time covering specialist areas in haematology, management, medical audit and quality assurance. Participation is also expected at regular local and Regional Educational meetings. During the second phase of the programme, registrars will attend a formal management course.

Teaching

At the appropriate stage of training, the Trainee will be expected to participate in both undergraduate and postgraduate teaching.

6 RESEARCH AND AUDIT

(i) Research

There is a strong tradition of research in the West of Scotland. Facilities and support for research activities are available through the University academic department and within hospital departments. The trainee will be encouraged to participate in clinical research and time will be allocated consistent with current Terms & Conditions.

During training for the Part 1 FRCPath Exam, trainees will be introduced to the discipline of research. Opportunities exist for original work especially in the fields of haemostasis and haematological oncology. Approved “out of programme experience” for research in grant funded posts is often available e.g. LRF Clinical Research Fellowships. Work towards a higher degree is encouraged.

(ii) AuditAudit is an essential component of Haematology practice and the Trainee will be required to participate in local and national audit activities.

7 LOCATION OF DUTIES

The hospitals (detailed in Appendix 1) involved in the training programme are as follows:

Glasgow Royal Infirmary Beatson West of Scotland Cancer CentreWest Glasgow Hospitals Monklands HospitalVictoria Infirmary Regional Transfusion CentreQueen Elizabeth University Hospital Crosshouse HospitalStobhill Hospital Royal Alexandra HospitalRoyal Hospital for Children Forth Valley Royal Hospital

8. ASSESSMENTS for LAT Post Holders

Assessments will be tailored to successful candidate’s requirements and may include:

The Trainee will be continuously assessed by the trainers (Clinical & Educational Supervisors) at their place of work with local appraisal every 6 monthsThroughout training their will be regular assessment of trainees by their Educational Supervisors through:

Mini Clinical Evaluation Exercise (Mini-CEX) – assesses core clinical skills (approx 4-6 per year)

Case-based Discussions (CbD) - to assess a variety of clinical, problem-solving and laboratory skills and

knowledgeDirectly Observed Procedures (DOPs) - assesses technical ability for procedures (approx 2-4 in total) - procedures to be assessed will include BM Aspirate & Trephine, IT-chemotherapy

Multi-Source Feedback Analysis (MSF) - allows structured feedback about a trainees overall performance in post- undertaken towards end of year 1 and again during year 4

(iii) If in the opinion of the Training and Assessment Committee, the Trainee fails to show adequate commitment or progress, career guidance will be arranged, and exceptionally, in the absence of satisfactory progress, the committee may recommend that the contract be terminated.

(iv) Trainees are required to keep an electronic portfolio following the requirements laid down by the JRCPTB

9 GENERAL INFORMATION

Hours and SalaryThe standard hours of duty shall be the working week of forty hours for which the salary scale currently applicable is appended under general information.On call is non residential and banded at 2B. (Banding is subject to change).

Further InformationFor further information on these posts, please contact Dr Mark Rafferty, Consultant Haematologist, Beatson WoSCC, Glasgow, Telephone 0141 301 7715/17 For information on the training programme, please contact: Dr M McColl, Chair and TPD, Postgraduate Sub-Committee in Haematology, Crosshouse Hospital, Kilmarnock - Telephone: 01563 577416

APPENDIX 1

Glasgow Royal Infirmary (Approximately 1000 beds)

Glasgow Royal Infirmary is one of the main teaching hospitals in Glasgow and houses most major acute medical and surgical specialties, together with a number of University Departments. The Haematology Department is organised in 4 sections:

General HaematologyHospital Blood BankingHaemostasis (Coagulation and Thrombosis) including the Regional Adult Haemophilia CentreObstetric and Perinatal Haematology

The West of Scotland Comprehensive Care Haemophilia Centre and Thrombophilia Service is one of the largest such services in the UK with more than 1000 patients with inherited bleeding disorders registered and a very busy clinical service for patients with thrombotic disorders. This major subspecialty is supported by the Regional Haemostasis specialist laboratory and research interests include anticoagulation, haemophilia and allied bleeding disorders, thrombophilia, thrombosis prevention, thrombosis risk prediction and management of high risk pregnancies.The department also services a large number of medical and surgical beds and provides a clinical and laboratory service for patients with congenital haemoglobin disorders.

West of Scotland Beatson Cancer (Approximately 946 beds)

The WoSCC provides clinical, laboratory and hospital blood banking services, there is a large acute leukaemia service and lymphoma practice. There is close integration between haematology and the Beatson Oncology services. The laboratory facilities at Gartnavel General Hospital provide regional service for immunophenotyping of haematological malignancies. Research interests include erythroblast and haem iron metabolism and in association with Beatson Institute for Cancer Research: research into stem cell biology, and the regulation of haemopoesis and cord blood haemopoeitic progenitors.

Bone Marrow Transplant Unit /West of Scotland Beatson Cancer CentreThis is the largest in Scotland performing approximately 80 allogeneic or unrelated and 80 autologous transplants per year. The Unit provides a national service for allogeneic donor stem cell transplants for adults in Scotland. There is also on site a busy Apheresis Unit (including photophoresis) run by the Scottish National Blood Transfusion Service.

Royal Hospital for Children (Approximately 300 beds)

Royal Hospital for Children is the largest paediatric teaching hospital in Scotland. The department treats two-thirds of the cases of childhood leukaemia and cancer in Scotland, houses the National Paediatric Bone Marrow Transplant Unit and the Regional Haemophilia Centre, provides diagnostic and counselling service for haemoglobinopathies and cares for children with a wide range of benign haematological problems. The bone marrow transplant programme is heavily weighted towards unrelated transplants, and a haplo-identical programme is being developed. A molecular biology laboratory supports the leukaemia and bone marrow transplant service, and has a particular interest in the monitoring of minimal residual

disease and provides a resource for research activity. A laboratory diagnostic and consultative service is provided to all paediatric specialties including medical and surgical, neonatal intensive care units, cardiothoracic surgery, and the ECMO programme.

Queen Elizabeth University Hospital (Beds 1677)This department provides a comprehensive clinical and laboratory haematology and transfusion medicine service for this single site teaching hospital. Specialties include general medicine, general surgery and the sub-specialties; Renal medicine and surgery, neurology and neurosurgery vascular and orthopaedic surgery, urology, ENT, ophthalmology, psychiatry, dermatology and geriatric medicine.

There is a large obstetric unit serving South & West Glasgow and in addition to the routine haematology and blood bank support, the laboratory provides a comprehensive ante natal haemoglobinopathy screening service. The neonatal medicine service is on site and specialist transfusion support for intrauterine transfusions is provided.

The Institute of Neurological Sciences provides a tertiary referral service, and the National Spinal Injuries Unit provides a service for all of Scotland.

The nuclear medicine department provides experience in the use of radio-isotopes in haematology.

There is an extensive clinical and laboratory service for patients with thrombotic and haemorrhagic disorders including the management of pregnancy-associated thromboembolic disease. There is the opportunity to gain experience in the management of patients with a wide range of haematological malignancies.

Victoria Ambulatory Care Hospital

The Victoria ACH provides a day case and outpatient facility, with no acute beds and a small number of rehabilitation beds. There is a minor injuries unit on site. There is a busy day unit providing haematology and oncology support. There is a small satellite laboratory on site, with additional laboratory support from the Queen Elizabeth University Hospital. Haematology out patient clinics and day case support is provided by the haematologists in South Glasgow on a rotational basis

Stobhill Ambulatory Care Hospital

Stobhill ACH provides a day case and outpatient facility, with no acute beds and only a small number of rehabilitation beds. All clinical activity at this site is supported by the laboratory services at Glasgow Royal Infirmary. Haematology outpatient clinics and day case activities at Stobhill ACH are supervised by Dr M Leach and Dr L McIlwaine. Any trainees attached to Stobhill will be linked with the parent unit at either Glasgow Royal Infirmary or Gartnavel General Hospital.

District General Hospitals

In addition to rotation within the Glasgow Hospitals, there are training posts recognised in Monklands General Hospital (Airdrie), Wishaw Hospital, Royal Alexandra Hospital (Paisley), Forth Valley Royal Hospital (Larbert) and Crosshouse Hospital (Kilmarnock). These hospitals offer trainees a wide variety of clinical and laboratory experience in a District General Hospital setting whilst maintaining the academic environment necessary to stimulate training and discussion together with an interest in research.

Regional Blood Transfusion Centre

Rotation of Higher Specialist Trainees is arranged to provide the necessary experience required in transfusion medicine as specified in the PMETB Haematology Curriculum. The RTC also provides a regional Apheresis Service.

HAEMATOLOGY CONSULTANT STAFFING

Glasgow Royal Infirmary WOSCC /West Glasgow HospitalsProf R C Tait Dr E J FitzsimonsDr C Bagot Dr M DrummondDr L McIlwaine Dr R SoutarDr C Ogilvie Dr P McKay

Dr M T J Leach Dr N Heaney

Dr C Ogilvie Dr J Travers

Paul O’Gorman Leukaemia WOSCC/Bone Marrow Transplant UnitResearch Laboratories Dr A Parker Professor M Copland Dr G McQuaker

Dr A Latif Dr Novitsky-BassoDr D Irvine

South GlasgowDr A E Morrison Dr A HartDr I McDonald Dr G LoudonDr R Gottipatti

Regional Transfusion Centre Royal Hospital for ChildrenDr R Green Dr B GibsonDr R Soutar Dr E.A. ChalmersDr K Douglas Dr N HeaneyDr K Bailey Dr C HalseyDr J Laird

Wishaw Hospital Monklands Hospital

Dr J Laird Dr J A MurphyDr A Hung Dr I SingerDr C Thomas Dr A Raafat

Dr P Paterson Dr L Mitchell

Dr A Fyfe

Royal Alexandra Hospital Crosshouse HospitalDr F Patrick Dr M McCollDr C Stirling Dr P EynaudDr A Sefcick Dr W GordonDr A McCaig Dr F CutlerDr A Yasmin Dr P MacLean

Inverclyde Royal Infirmary Vale of Leven Hospital

Dr A Gebreyes Dr J Laird Dr C Sweeney

Forth Valley Royal HospitalDr R NeilsonDr H EdwardsDr C FarrellDr R Boulton-Jones

Appendix 2 Specialty Registrar Duties

The post of Specialty Registrar (StR) in Haematology provides up to 5 years of graduated, but flexible, experience in all aspects of clinical and laboratory haematology, including hospital blood banking and training in transfusion medicine, as indicated in the specialist curriculum published by the Postgraduate Medical Education and Training Board (PMETB) in 2010. It is delivered in a succession of rotational posts of six months’ duration which may be extended to one year to suit the needs of the individual trainee. The programme is divided into two parts - pre- and post-FRCPath Part 1.

Years 1 and 2

The trainee will acquire a broad general experience in haematology under supervision with formal and informal instruction. There is a two months’ formal induction to laboratory aspects of haematology followed by training in all clinical and laboratory aspects of general haematology, hospital blood banking, specialist haematology, and haematology relating to other medical specialties.

The rotation involves a selection of the five adult hospitals in Glasgow and includes six months’ experience in haemostasis and thrombosis at the Regional Haemophilia Unit at Glasgow Royal Infirmary and six months’ experience at the Regional Adult BMT Unit, West of Scotland Beatson Cancer Centre.

In addition to the instruction in hospital blood banking provided in all the hospitals, the trainees will participate in four 1-week formal courses in transfusion medicine at the Regional Transfusion Centre.

Although some experience will have already been acquired in neonatal and obstetric haematology, six months will be spent at Royal Hospital for Children gaining specific experience in all aspects of paediatric haematology (The Regional Paediatric Haemophilia Centre and BMT Unit).

Years 3, 4 and 5

During the second phase of training, Specialty Registrar Trainees StR will acquire clinical independence in a more flexible fashion. They will gain wider experience in the sub-specialties and be encouraged to expand their interest for a period of up to one year in one of the areas of haematological oncology, haemostasis, or transfusion medicine. To meet training requirements, trainees who wish to pursue a career in Paediatric Haematology must completed total of 30 months training in Paediatric Haematology at StR level and in addition have at least 12 months general paediatrics experience. All trainees will rotate to the Regional Transfusion Centre for 3-6 months before completing the MRCPath Part 2 which may be sat towards the end of year 3 or later.

A minimum 6 month experience of District General Hospital Haematology is an essential part of training. This may be obtained during the initial or final stages of training at any of programme-approved District General Hospitals ie: Crosshouse Hospital, Wishaw Hospital, Monklands General Hospital, Forth Valley Royal Hospital and Royal Alexandra Hospital. Rotation out with Glasgow is encouraged.

TERMS AND CONDITIONS OF SERVICE

The conditions of service are those laid down and amended from time to time by the Hospital and Medical & Dental Whitley Council.

TYPE OF CONTRACT Fixed Term

GRADE AND SALARY StR LAT/Clinical Fellow

£ 32,157 - £ 50,563 per annum (pro rata)

- If appointed as an StR (Locum Appointment for Training) the salary range will be: £32,157 to £ 50,563 per annum (pro rata)

- If appointed as a Clinical Fellow the salary range will be: £32,157 to £42,544 per annum (pro rata)

New Entrants to the NHS will normally commence on the minimum point of the salary scale, (dependent on qualifications and experience). Salary is paid monthly by Bank Credit Transfer.

HOURS OF DUTY Full Time 40.00

SUPERANNUATION New entrants to NHS Greater Glasgow and Clyde who are aged sixteen but under seventy five will be enrolled automatically into membership of the NHS Pension Scheme.  Should you choose to "opt out" arrangements can be made to do this via: www.sppa.gov.uk

REMOVAL EXPENSES Assistance with removal and associated expenses may be given and would be discussed and agreed prior to appointment.

EXPENSES OF CANDIDATES FOR APPOINTMENT

Candidates who are requested to attend an interview will be given assistance with appropriate travelling expenses. Re-imbursement shall not normally be made to employees who withdraw their application or refuse an offer of appointment.

TOBACCO POLICY NHS Greater Glasgow and Clyde operate a No Smoking Policy in all premises and grounds.

DISCLOSURE SCOTLANDThis post is considered to be in the category of “Regulated Work” and therefore requires a Disclosure Scotland Protection of Vulnerable Groups Scheme (PVG) Membership.

CONFIRMATION OF ELIGIBILITY TO WORK IN THE UK

NHS Greater Glasgow and Clyde (NHSGGC) has a legal obligation to ensure that it’s employees, both EEA and non EEA nationals, are legally entitled to work in the United Kingdom. Before any person can commence employment within NHS GGC they will need to provide documentation to

prove that they are eligible to work in the UK. Non EEA nationals will be required to show evidence that either Entry Clearance or Leave to Remain in the UK has been granted for the work which they are applying to do. Where an individual is subject to immigration control under no circumstances will they be allowed to commence until the right to work in the UK has been verified. ALL applicants regardless of nationality must complete and return the Confirmation of Eligibility to Work in the UK Statement with their completed application form. You will be required provide appropriate documentation prior to any appointment being made.

REHABILITATION OF OFFENDERS ACT 1974

The rehabilitation of Offenders act 1974 allows people who have been convicted of certain criminal offences to regard their convictions as “spent” after the lapse of a period of years. However, due to the nature of work for which you are applying this post is exempt from the provisions of Section 4 of the Rehabilitation of Offenders Act 1974 by virtue of the Rehabilitation of Offenders Act 1974 (Exceptions Orders 1975 and 1986). Therefore, applicants are required to disclose information about convictions which for other purposes are “spent” under the provision of the act in the event of employment, failure to disclose such convictions could result in dismissal or disciplinary action by NHS Greater Glasgow and Clyde. Any information given will be completely confidential.

DISABLED APPLICANTS A disability or health problems does not preclude full consideration for the job and applications from people with disabilities are welcome. All information will be treated as confidential. NHS Greater Glasgow and Clyde guarantees to interview all applicants with disabilities who meet the minimum criteria for the post. You will note on our application form that we ask for relevant information with regard to your disability. This is simply to ensure that we can assist you, if you are called for interview, to have every opportunity to present your application in full. We may call you to discuss your needs in more detail if you are selected for interview.

GENERAL NHS Greater Glasgow and Clyde operates flexible staffing arrangements whereby all appointments are to a grade within a department. The duties of an officer may be varied from an initial set of duties to any other set, which are commensurate with the grade of the officer. The enhanced experience resulting from this is considered to be in the best interest of both NHS Greater Glasgow and Clyde and the individual.

EQUAL OPPORTUNITIES The postholder will undertake their duties in strict accordance with NHS Greater Glasgow and Clyde’s Equal Opportunities Policy.

NOTICE The employment is subject to one months’ notice on either side, subject to appeal against dismissal.

MEDICAL NEGLIGENCE In terms of NHS Circular 1989 (PCS) 32 dealing with Medical Negligence the Health Board does not require you to subscribe to a Medical Defence Organisation. Health Board indemnity will cover only Health Board responsibilities. It may, however, be in your interest to subscribe to a defence organisation in order to ensure you are covered for any work, which does not fall within the scope of the indemnity scheme.

FURTHER INFORMATION

For further information on NHS Greater Glasgow and Clyde, please visit our website on www.nhsggc.org.uk

View all our vacancies at: www.nhsggc.org.uk/medicaljobs

Register for Job Alerts at: www.medicaljobs.scot.nhs.uk

Applicants wishing further information about the post are invited to contact Dr. Mark McColl on 01563 577 416 or Dr. Mark Rafferty on 0141 301 7715/17with whom visiting arrangements can also be made.

HOW TO APPLY

To apply for these posts please include your CV and names and addresses of 3 Referees, along with the following documents; (click on the hyperlinks to open)

Medical and Dental Application and Equal Opportunities Monitoring Form

Declaration Form Regarding Fitness to Practice

Immigration Questionnaire

Alternatively please visit www.nhsggc.org.uk/medicaljobs and click on the “How to Apply” tab to access application for and CV submission information.

NOMINATION OF REFEREES

It is Board policy that no person can act as a member of an Advisory Appointments Committee and be a referee for a candidate for that post. You should therefore check with your proposed referees whether there is likely to be any difficulty in this respect for we may otherwise have to invite you to submit another name or names

RETURN OF APPLICATIONS

Please return your application by email to nhsggcrecruitment@nhs.net or to the recruitment address below;

Medical and Dental Recruitment TeamNHS Greater Glasgow and ClydeWest Glasgow ACH (formerly Yorkhill) 2nd FloorDalnair Street, Yorkhill, G3 8SJ

CLOSING DATE

The closing Date will be 8th February 2019