Clinical Fellow in Lung Cancer, Respiratory Medicine

at  Oxford University Hospitals NHS Foundation Trust

Overview of post
This post will provide sub-specialty experience in Lung Cancer, advanced diagnostic & interventional bronchoscopy (including EBUS), Pulmonary nodules and Pleural Disease, and would be suited to a Respiratory trainee as out-of-programme experience during specialist training or as post-CCT experience. The post is based in the Oxford Centre for Respiratory Medicine, at the Oxford University Hospitals NHS Trust. The post holder will be one of two posts that provide support for the Multidisciplinary Team (MDT) in the care and diagnosis of patients with Lung Cancer and pulmonary nodules. The post holder will also support the administrative responsibilities associated with regional and mandatory national cancer databases and delivery of the cancer waiting time targets. In addition to this clinical experience, the post-holder will have the opportunity to participate in departmental education meetings and teaching within the Oxford Centre of Respiratory Medicine and to be involved in research projects relevant to lung cancer or pulmonary nodules.
The duties are based in Respiratory Medicine at the John Radcliffe Hospital where the interventional & diagnostic lists occur, outpatient clinics at the Churchill Hospital & Early Diagnostic Services in the Oxford Community Diagnostics Centre. The inpatient ward is based at the John Radcliffe & it is a condition of the appointment that the postholder will be willing to work in any of the Trust’s locations. The post holder will be part of daytime & night-time respiratory on call provision. The rota operates on a 1 in 15 with residential day time cover until 9.00pm or 10.00pm & then on-call overnight. There will be an infrequent commitment to the hospital at night ward cover rota (approximately 1 week in 12 months). The main role of the post holder will be to provide consistent support to the Respiratory Early Diagnostic Service team & Lung Cancer & Pulmonary Nodule services as required.

Bronchoscopy and EBUS lists (including GA and interventional lists)
Lung Cancer Clinics
‘Virtual’ nodule follow-up clinics
Weekly Lung Cancer MDT
Attendance at nodule MDTs
Contribution to national and regional databases
Review/action test results
Involvement in audit, including National Lung Cancer Audit
Pleural Clinics
Pleural Intervention lists
OUH has an established Respiratory Early Diagnostic Service (REDS) comprising of nurse specialists and administrative pathway navigators alongside the lung cancer consultants and fellows. This initiative provides the potential to exceed the National Optimal Lung Cancer pathway. The successful applicant will be an integral part of this team working to put the patient at the centre of this rapid diagnostic pathway. They will also be involved with the implementation of the Oxfordshire Lung Cancer Screening pathway as part of the National Targeted Lung Health Check programme.
To gain further information and organise an informal meeting please contact Dr Alastair Moore (alastair.moore@ouh.nhs.uk), Dr John Park (john.park@ouh.nhs.uk) or Dr Ambika Talwar (ambika.talwar@ouh.nhs.uk) on 01865 225252.
Supervised training will be provided to the post holder as required. Training requirements will be reviewed at start and mid-way though post. It is envisaged that the post-holder will gain significant clinical experience in all aspects of Lung Cancer and pulmonary nodule management. It will be necessary for the post holder to work closely with the rotational specialist registrar (or equivalent) flexibly to ensure adequate middle grade cover.
Teaching/Research
Oxford University Hospitals NHS Foundation Trust is a teaching hospital Trust, and the post-holder will be required to participate in programmes for teaching clinical students, training junior doctors and in clinical examinations. It is expected that this will be an integral part of every day clinical activity. The interventional team have recently purchased a state-of-the-art bronchoscopy and EBUS simulator and the post holder will be integral in developing a learning suite and simulation courses with this.
Clinical Governance
The post-holder will participate in all clinical governance activities, including clinical audit, clinical effectiveness, risk management, quality improvement activities as required by the Trusts, and external accrediting bodies.
Personal and Professional Development
The post-holder will be required to keep himself/herself fully up to date with their relevant area of practice and to be able to demonstrate this to the satisfaction of the Trusts. Professional or study leave will be granted at the discretion of the Trusts, in line with the prevailing Terms and Conditions of Service, to support appropriate study, postgraduate training activities, relevant CME courses and other appropriate personal development needs.
Management
The post-holder will be required to work within the Trusts’ management policies and procedures, both statutory and internal, accepting that the resources available to the Trusts are finite and that all changes in clinical practice or workload, or developments requiring additional resources must have prior agreement with the Trusts. He/she will undertake the administrative duties associated with the care of his /her patients and the running of his/her clinical department under the direction of the lead clinician and/or directorate chair.
Risk Management
The management of risk is the responsibility of everyone and will be achieved within a progressive, honest and open environment.
Staff will be provided with the necessary education, training and support to enable them to meet this responsibility.
Staff should be familiar with the
Major Incident Policy
Fire Policy
and should make themselves familiar with the ‘local response’ plan and their role within that response.
Responsibilities for Health & Safety
The post holder is responsible for ensuring that all duties and responsibilities of this post are carried out in compliance with the Health & Safety at Work Act 1974, Statutory Regulations and Trust Policies and Procedures. This will be supported by the provision of training and specialist advice where required.
Infection Control
Infection Control is everyone’s responsibility. All staff, both clinical and nonclinical, are required to adhere to the Trusts’ Infection Prevention and Control Policies and make every effort to maintain high standards of infection control at all times thereby reducing the burden of Healthcare Associated Infections including MRSA.
All staff employed by the OUH have the following key responsibilities:
Staff must decontaminate their hands prior to and after direct patient contact or contact with the patient’s surroundings.
Staff members have a duty to attend mandatory infection control training provided for them by the Trust.
Staff members who develop an infection (other than common colds and illness) that may be transmittable to patients have a duty to contact Occupational Health.
Equality and Diversity
OUH value equality and diversity in employment and in the services we provide. We are committed to promoting equality and diversity in employment and will keep under review our policies and procedures to ensure that the job-related needs of all staff working in the Trust are recognised.
The Trusts will aim to ensure that all job applicants, employees, or clients are treated fairly and valued equally regardless of sex, marital status, domestic circumstances, age, race, colour, disablement, ethnic or national origin, social background or employment status, sexual orientation, religion, beliefs, HIV status, gender reassignment, political affiliation or trade union membership. Selection for training and development and promotion will be based on the individual’s ability to meet the requirements of the job.
Freedom of Information
The post holder should be aware of the responsibility placed on employees under the Freedom of Information Act 2000 and is responsible for helping to ensure that the Trusts comply with the Act when handling or dealing with any information relating to Trust activity.
Patient and Public Involvement
Both Trusts are committed to, and have a statutory duty to, involving service users, carers, and the public in the work of the organisations. We consider that patient and public involvement is the responsibility of every individual working for our Trusts. All staff have a responsibility to listen to the views of patients and to contribute to service improvements based on patient feedback. You will be expected to support the Trusts in this aim through your working practice.
Serious Untoward Incidents
All staff must report incidents and near misses so that the Trusts can reduce the risk of harm by investigating and incorporating risk reducing measures to safeguard patients, visitors and staff, in accordance with the Trusts’ Incident Reporting Policies.
Children’s Rights
The post holder will always endeavour to uphold the rights of children and young people in accordance with the UN Convention Rights of the Child.
Safeguarding Children and Vulnerable Adults
The Trusts are committed to safeguarding children and vulnerable adults throughout the organisation. As a member of the trust there is a duty to assist in protecting patients and their families from any from of harm when they are vulnerable.
Information Governance
You must maintain a Trust email account. All staff must complete annual information governance training which can be completed on-line. For further details, go to the Information Governance intranet site: http://OUH.oxnet.nhs.uk/InformationGovernance/Pages/Default.aspx
General
The post-holder will assume a continuing responsibility for the care of patients in his/her charge and the proper functioning of his/her department