Clinical Fellow in Lung Cancer, Respiratory Medicine

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.

At OUH we have recently established a Respiratory Early Diagnostic Service (REDS) comprising of 2 nurse specialists and an administrative pathway navigator alongside the lung cancer consultants and fellows. This exciting initiative provides us the potential to exceed the National Optimal Lung Cancer pathway

Principle Activities

The post holder’s principal duties are based in Respiratory Medicine at the John Radcliffe hospital where the interventional and diagnostic lists occur, outpatient clinics which are currently located on the Churchill Hospital site and the inpatient ward is based at the John Radcliffe. It is a condition of the appointment that the post-holder will be willing to work in any of the Trust’s locations. The post holder will be part of daytime and night-time respiratory on call provision. The rota operates on a 1 in 8 with residential day time cover until 9.00pm or 10.00pm and then on-call overnight. There will be an infrequent commitment to the hospital at night ward cover rota (approximately 2 weeks in 12 months). The main role of the post holder will be to provide consistent support to the Respiratory Early Diagnostic Service team and Lung cancer and pulmonary nodule services as required under the supervision of the Lung Cancer consultants Dr Alastair Moore (Lung Cancer & Bronchoscopy Lead), Dr John Wrightson (Pleural Lead), Dr. Ambika Talwar and Dr. John Park.

Specifically, such duties may include:
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

Oxford University Hospitals NHS Foundation Trustis one of the largest NHS teaching trusts in the country. It provides a wide range of general and specialist clinical services and is a base for medical education, training and research. Find out more here www.ouh.nhs.uk

The Trust comprises four hospitals - the John Radcliffe Hospital, Churchill Hospital and Nuffield Orthopaedic Centre in Headington and the Horton General Hospital in Banbury.

Our values, standards and behaviours define the quality of clinical care we offer and the professional relationships we make with our patients, colleagues and the wider community. We call this Delivering Compassionate Excellence and its focus is on our values of compassion, respect, learning, delivery, improvement and excellence. These values put patients at the heart of what we do and underpin the quality healthcare we would like for ourselves or a member of our family. Watch how we set out to deliver compassionate excellence via the OUH YouTube channel

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.