Gynaecological Oncology

Sub-Specialty Training Posts ST6/7 1

Recruitment Timetable

Apply from 14 January 2019
Closing date 30 January 2019
Interview dates 7 March 2019.

Applications are invited for the post of Subspecialty Training Fellow in Gynaecological Oncology, based at St. Michael's Hospital, University Hospitals Bristol NHS Foundation Trust. The start date is 1 June 2019.

This is a well-established and successful training programme, which offers a modular approach to comprehensive training in the surgical management of gynaecological malignancy, including gynaecological oncology, colorectal surgery, urology, and plastics together with non-surgical management including medical oncology, radiotherapy and palliative care.

The post is recognised for Subspecialty training in Gynaecological Oncology by the Royal College of Obstetricians and Gynaecologists.

This post is open to holders of a UK NTN or equivalent.  Applicants will be existing Specialty Trainees, who hold MRCOG and have completed a minimum of 5 years specialist training in Obstetrics and Gynaecology (ie. are ST6 or above at entry). It is necessary for the applicant to have completed their advanced logbook core competences prior to commencing subspecialty training.

Trainees will be appointed to a subspecialty training programme only when they have achieved a satisfactory ARCP outcome. Trainees need to seek support from their Head of School before applying to subspecialty training.

Applicants invited for interview will be requested to give a five-minute presentation to the Appointments Committee covering their career progress to date and their aspirations.

The appointment(s) will be subject to yearly RCOG SST assessment and LETB ARCP.

The Postgraduate Dean confirms that this placement and/or programme has the required educational and dean’s approval.

Please refer to the person specification, to check the eligibility criteria, prior to submitting an application.

Applications for this post must be made via the "APPLY NOW" button.  Full information to assist with your application is available under the Resources tab.

The interviews will be held at the Severn Deanery in Bristol on 7 March 2019.

To contact us please email SEVRecruitment.SW@hee.nhs.uk  or telephone the support line on 01454 252610 (between 8:30am and 4:00pm).

ST MICHAEL’S HOSPITAL, BRISTOL

JOB DESCRIPTION

SUBSPECIALTY TRAINEE IN GYNAECOLOGICAL ONCOLOGY

 

 

UNIVERSITY HOSPITALS BRISTOL NHS FOUNDATION TRUST (UH Bristol):

University Hospitals Bristol NHS Foundation Trust is a dynamic and thriving group of hospitals in the heart of Bristol, a vibrant and culturally diverse city. 

Our 9,000 staff offer over 100 different clinical services across nine different sites.  We provide general medical and emergency services to the local population of Central and South Bristol, and a broad range of specialist services across a region that extends from Cornwall to Gloucestershire, into South Wales and beyond.  We are one of the country's largest acute NHS Trusts with a 2016/2017 budget of £630 million. 

Our staff have developed leading edge services such as cardiac surgery and bone marrow transplantation that have built an international reputation and are in demand by patients from across the country.

With strong links to the University of Bristol and University of West of England we are the major medical research centre in the region. The findings allow us to continually improve our patient care.   Our academic links also make us the largest centre for medical training in the South West, attracting the highest calibre clinical staff from across the UK.  

We aim to provide healthcare, research and teaching of the very highest quality and are recognised as one of the highest-performing Acute trusts in the country. UH Bristol was rated Outstanding by the Care Quality Commission (CQC) following an inspection in November 2016.

As a Foundation Trust, UH Bristol is accountable to the local community and patients.  The community and patients are invited to become members of the Trust and currently the Trust has 8,500 members.  The membership, which includes staff members, voted in a formal election for governors to represent them on the Membership Council which sits alongside the Trust Board.  The Council advises the Board on strategic direction and members and governors are active in improving the services at the Trust.

The Trust structure is based on five autonomous Clinical Divisions:

  • Medicine and Emergency Care           
  • Surgical Division
  • Women’s and Children’s Services
  • Specialised Services
  • Diagnostic and Therapy Services

A clinical chair supported by a Divisional Director leads each Division.

The Divisions are supported by a sixth Division - Trust Services which comprises of a number of corporate functions including Finance, IM&T, and Human Resources.  .

 

UNIVERSITY OF BRISTOL LINKS:

The University of Bristol offers an exciting academic environment with centres of excellence in all of its faculties.  It also has an ambitious programme for expansion and a well-established major “campaign for resources” to facilitate future developments.  The University is in the city centre and the Medical School and basic science departments are within walking distance of UHBristol.

Bristol is one of the few universities with schools of medicine, dentistry and veterinary science, all in close proximity. The Medical School has an intake of 250 students each year to its undergraduate medical course following recent expansion. The Dental School has also recently expanded and now has an intake of 75 undergraduate students per year.

 The Faculty’s research philosophy is to undertake internationally recognised basic and applied medical and health services within a setting which patients are cared for in association with undergraduate teaching and postgraduate training.

 

DIVISION OF WOMEN’S AND CHILDREN

The department of Obstetrics and Gynaecology is part of the Division of Women’s & Children’s Services.  The Divisional Structure includes a Chairman of Division, (Dr Bryony Strachan) and Divisional Director (Mr Ian Barrington) supported by medical and managerial teams arranged on the basis of 4 clinical areas: Obstetrics & Gynaecology & Clinical Genetics, Paediatric Surgical Specialties, Paediatric Medicine (including Emergency Medicine), and Paediatric Critical Care.

 

THE WORK OF THE DEPARTMENT:

The Bristol Gynaecological Cancer Centre serves a population of 1.5 million and treats more than 400 new cancers per annum. All specialist cases from Bristol and Weston-Super-Mare are managed at St Michael’s.

The multidisciplinary team consists of 4 surgeons, 2 clinical oncologists, a medical oncologist (research lead for Bristol Haematology and Oncology Centre), 2 specialist gynaecology histopathologists, and 2 radiologists. There are close links and multidisciplinary operating lists with the colorectal, hepatobiliary teams and plastic surgery teams  for radical surgery. There is an emphasis on holistic care and in addition to our 4 clinical nurse specialists we have a clinical psychologist as part of our MDT. Our service received the top rating in the Trust in the latest National Cancer Patient Survey.  We are developing new techniques in the treatment of gynaecological cancers including fertility sparing surgery. We have purchased a PINPOINT system and use sentinel lymph node surgery in endometrial and cervical cancers and are developing research projects using this with our national partners. We actively recruit to NIHR badged multicentre international trials. Our previous research fellow is completing a PhD and our most recent fellow is completing an MD project.

 

Subspecialty Trainee In Gynaecological Oncology

This post is an RCOG approved subspecialty training post in gynaecological oncology based in the Bristol Gynaecological Cancer Centre.  The post is for 2 or 3 years depending on the research experience of the successful applicant, although research experience is preferred. The appointee will join a team of 4 surgeons who are part of a well-regarded and successful multidisciplinary team providing holistic care for patients.  The MDT covers patients managed in Bristol and Weston-super Mare with telelinking for a joint MDT with the RUH in Bath.  There is exposure to the full range of surgery in the subspecialty including advanced laparoscopic surgery and radical surgery in ovarian cancer. The Bristol training programme has a good track record for producing subspecialists, all of whom have been appointed to subspecialist consultant posts. Experience and training in all aspects of the RCOG curriculum is provided with appropriate modules, including a comprehensive placement with our colorectal colleagues. This post is Trust funded and therefore there is no commitment to obstetrics or to on call but it is expected that the trainee will make full use of all training opportunities in oncology. All modules are provided within the University Hospitals Bristol precinct except urology and plastics which are provided at North Bristol Trust, less than 5 miles away. The weekly  timetable will include at least 2 theatre lists, joint oncology clinics, regional MDT, colposcopy and two week wait clinics. There are opportunities to take an active part in undergraduate and postgraduate education, quality improvement projects and audit. St Michael’s Hospital is part of the University Hospitals Bristol NHS Foundation Trust, a major teaching hospital within the Severn Deanery. All major medical and surgical specialties are housed within the city.

St Michael’s Hospital is a fully integrated obstetrics and gynaecology single site facility and the regional neonatal intensive and special care baby unit is located in the hospital taking referrals for cardiac and surgical neonatal care from the South West and South Wales. There are over 5500 deliveries, 6700 gynaecology referrals and 3400 gynaecology inpatients per annum.

The building also houses the Clinical Genetics department. As part of a teaching hospital complex, it also houses a lecture theatre, seminar rooms, demonstration rooms and clinical outposts of the radiology and ultrasound departments.

St Michael’s Hospital is a regional referral centre for maternal and fetal medicine providing multi-disciplinary specialist clinics and tertiary and quaternary expertise, and interventional procedures including in-utero transfusion and laser ablation. The hospital serves a widely diverse community and there are multi professional clinics supporting drug- using mothers and pregnant teenagers. There are also specialist obstetric clinics promoting normal birth and assessment of women at risk of preterm labour.

There is busy gynaecology outpatient department with a full colposcopy and outpatient hysterosocopy service. A joint vulval clinic is run by a dermatologist and gynaecologist. An expanding regional paediatric and adolescent gynaecology service has joint clinics with paediatric and adult endocrinologists for teenagers and young women with Turners syndrome, disorders of sexual development and late effects. There is a specialist clinic for fibroid embolization/ management and a joint surgical/gynaecology clinic for severe endometriosis cases. In addition there are specialist clinics in reproductive endocrinology, infertility, the menopause, psychosexual medicine, family planning, colposcopy, early pregnancy and recurrent miscarriage.

 

Ward and Theatre Facilities:

There is a 5 theatre operating suite in St Michael’s for Gynaecology, Obstetrics, and Day Case surgery directly opposite the gynaecology ward..  The Day Case Unit is situated next to the gynaecology ward.There is a dedicated 30 bed gynaecology ward with facilities for augmented care and an 8 bedded day unit.  There is a large fully equipped recovery area

 

Out patient Facilities:

There are dedicated gynaecology and colposcopy areas on the floor above the ward with 3 colposcopy rooms (2 with video, one with a DenVu system).  There is an outpatient hysteroscopy room. There are 11 gynaecology consulting rooms (3 with an ultrasound machine) and 1 counselling room.

 

Radiotherapy and Chemotherapy:

Chemotherapy for gynaecological malignancies is supervised by Dr Axel Walther and radiotherapy (including brachytherapy) is supervised by Drs Hoda Booz, Waheeda Owadally and Chrissie vonBrockdorf. Patients are treated in BHOC, the regional cancer centre.  Facilities include a Chemotherapy Day Unit and 5 megavoltage linear accelerators and facilities for IMRT. There is an active Clinical Trials Unit with recruitment to multicentre trials well above the national average. 

 

Palliative Medicine and Holistic Care:

Professor Forbes (Professor of Palliative Medicine), Dr Rachel McCoubrie and their team of dedicated medical and nursing staff provide a first class service from BHOC.  There are 5 Gynaecological Oncology Clinical Nurse Specialists, covering the whole of Bristol and Weston Super Mare who are a valuable source of continuity for patients throughout their care.  St Peters Hospice offers excellent terminal care.  In-patient palliative care is offered at St Michael’s. 

 

Other associated clinical services:

The following are readily available in UH Bristol

  • colorectal, hepatobiliary and vascular surgery
  • nutritional advice
  • pain management team
  • dedicated gynaecological oncology psychologist support from Dr Sam Cole and team
  • psychosexual support
  • intensive care
  • high dependency care

 

Histopathology and Cytopathology:

All histopathology is provided at North Bristol Trust. Dr Pawade provides a diagnostic gynaecological cytology service in St Michael’s and is the lead gynaecological pathologist. Cervical cytology screening and diagnostics is provided by Dr Karin Denton

 

Family Cancer Genetics:

Dr Alan Donaldson is the Consultant Clinical Geneticist with a remit for cancer genetic services.  His particular area of interest is ovarian, breast and colon cancer.

 

Research Opportunities: 

One of the gynaeoncology surgeons (Miss Newton) has responsibility for the research portfolio and we actively recruit to multicenter studies. Dr Walther is the research lead for BHOC. There are close links with the Department of Transplantation Science at Bristol University investigating mRNA levels of cytokines in cervical dysplasia.  There is extensive laboratory space and a new University Department currently being built and close links to the Cochrane database in Bath.  There is an active regional gynaecological cancer audit group linked to the cancer Registry

 

University of Bristol School of Clinical Sciences:

The University of Bristol offers an exciting academic environment with centres of excellence in all of its faculties.  It also has an ambitious programme for expansion and a well-established major “campaign for resources” to facilitate future developments.  The University is in the city centre and the medical school and basic science departments are within walking distance of the hospital.

 

Teaching:

St Michael’s Hospital is fortunate to be a major undergraduate teaching centre. All clinicians in the department have an active role in undergraduate teaching; general O&G trainees are attached to the service and the successful applicant will also have an important role in this area.

 

Staff:

Gynaeoncology Centre

Consultant Gynaecological Oncologists

Dr Jo Bailey (Lead for Oncology)

Mr Amit Patel

Miss Claire Newton

Dr Sarah Platt

 

Consultant Medical Oncologist

Dr Axel Walther

 

Consultant Clinical Oncologist

Dr Hoda Booz

Dr Waheeda Owadally

Dr Chrissie von Brockdorf

 

Consultant Radiologist

Dr John Hughes

 

Consultant Histopathologists

Dr Joya Pawade

 

Consultant Cancer Geneticist

Dr Alan Donaldson

 

Clinical Nurse Specialists:

Katy Horton-Fawkes

Juliet Duffy

Jayne Alexander

Donna Beckett

Sophie Porter

 

Clinical Psychologist:

Dr Sam Cole

 

MDT Co-ordinator:

Sally Hawkins

 

Colorectal surgeons:

Mike Thomas

David Messenger

 

Urologists:

Tim Whittlestone

Raj Persad

 

Consultants in Palliative Care:

Rachel McCoubrie

Prof Karen Forbes

 

 

PARTICIPATION ON CALL

The trainee will not be expected to participate in the on-call rota. The basic salary will therefore not be enhanced with a banding supplement.

 

SUPPORT FACILITIES

 

a)         Office facilities - This will be provided at St Michael’s Hospital.

b)         Library Facilities - A Medical Library is located in the UBHT Education Centre; the Bristol University     Medical Library is located 2 minutes’ walk from St Michael's. The postholder will have access to these.

 

Other facilities

 

a)         Sporting Facilities

Medical and Dental Staff have access to the University sports facilities ashonorary members of the University (referred to earlier). Access to the Union Swimming Pool and to Woodland House squash courts is by application for associate membership tickets at the General Enquiry Office, Senate House, University of Bristol. When applying for either membership, identification must be produced as to the post he/she holds in the Trust. Certificates for either of these purposes may be obtained on request in the Medical Human Resources Department, Bristol Royal Hospital for Children, Paul O’Gorman Building, Upper Maudlin Street, Bristol.

 

b)         Parking

Since we are in the City Centre parking is very limited. There are set criteria to determine who needs a car parking permit and therefore who receives authorisation to access the car park – there is a daily fee.

 

c)         Shopping

Broadmead Shopping Precinct and The Galleries Shopping Centre are a five-minute walk from the hospital.

 

d)        Transport

Bristol Bus station is less than 5 minutes’ walk from the hospital.  The Trust operate a shuttle bus service from the main UBHT sites to the bus station and Temple Meads train station.

 

Medical advisory machinery

The postholder will be a member of the UHB Division of Women and Children’s Health

 

Main conditions of services

 

a)      The post is covered by the Terms and Conditions of Service of Hospital Medical and Dental Staff.

 

b)     Whole-time appointment

 

c)      A practitioner who is required as a condition of his / her appointment to reside in a hospital or to stay overnight on 1 night in 3 or more often shall be provided with accommodation without charge except where the practitioner elects to occupy a house, flat or apartment for which rental is appropriate. In such cases, an appropriate abatement from that rental will be made. If a practitioner is required as a condition of his/her appointment to stay overnight in the hospital on a regular basis (but less often than 1 in 3) the lodging charge shall be abated by an agreed percentage. All charges are made in accordance with Terms and Conditions of Service to Medical and Dental Staff (paragraph 173-1820).

Single residential accommodation is attached to all hospitals in the district and is available to resident post holders. A limited amount of married accommodation in the form of furnished flats and houses is available.

 

 

Other Conditions of service

 

The passing of a medical examination is a condition of appointment of all practitioners within the scope of the National Health Service Superannuation Scheme.

 

a)      The post holder must be a fully subscribed member of the GMC.

 

b)     The successful candidate will be required to provide documentary evidence of natural or acquired immunity to Hepatitis B. Where this is not possible, the postholder will be required to demonstrate by recent (within the last year) evidence of serology showing absence of Hepatitis B antigen. These provisions are to meet the requirements of the Department of Health's instructions to Trusts (HSG(93)40).

 

 

c)      Protection of Children - Disclosure of Criminal background of those with access to children. The person appointed to this post may have substantial access to children as defined in the Joint Circular No. H(88)9, HOC8/88 AND WHC (88)10. Applicants are therefore advised that shortlisted candidates will be asked to complete a form disclosing any convictions, bind-over orders or cautions, and to give permission in writing for a police check to be carried out. Refusal to do so could prevent further consideration of the application. Attention is drawn to the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 as amended by the Rehabilitation of Offenders Act (Exceptions) (Amendment) Order 1986 which allows convictions that are spent to be disclosed for this purpose by the police and to be taken into account in deciding whether to engage an applicant. Candidates are assured that the completed form will be treated with strict confidentiality and will not be disclosed to the Appointments Committee until the successful applicant has been selected. A police check will only be requested in respect of the candidate recommended for appointment.

All forms completed and returned by other candidates will be destroyed when the final selection of the candidate to be recommended for the appointment has been made.

 

General Information:

University Hospitals Bristol NHS Foundation Trust is committed to provide patient care, education and research of the highest quality.  In delivering this ambition, we will be guided by the following values:

 

  • Respecting Everyone
  • Embracing Change
  • Recognising Success
  • Working Together

 

The Trust expects all staff to work in ways which reflect these values at all times as follows:

 

Respecting Everyone

  • We treat everyone with respect and as an individual
  • We put patients first and will deliver the best care possible
  • We are always helpful and polite
  • We have a can do attitude in everything we do

 

Embracing Change

  • We will encourage all change that helps us make the best use of our resources
  • We learn from our experiences and research new ideas
  • We look to constantly improve everything we do

 

Recognising Success

  • We say thank you and recognise everyone’s contribution
  • We take pride in delivering the best quality in everything we do
  • We share and learn from each other
  • We encourage new ideas that help us to be the best we can

 

Working Together

  • We work together to achieve what is best for our patients
  • We support each other across the whole Trust
  • We listen to everyone
  • We work in partnership

 

Equal Opportunities

The Trust is committed to eliminating unlawful discrimination and promoting equality of opportunity. All staff have a personal responsibility to contribute towards an inclusive and supportive environment for patients, carers, visitors and other colleagues from all the equality strands (race, gender, age, sexual orientation, religion, disability). 

 

Staff have a personal responsibility to:

  • Ensure their behaviour is not discriminatory
  • Does not cause offence
  • To challenge the inappropriate behaviours of others
  • Adhere to the Trust’s values, including ‘Respecting Everyone’, as well as the Staff Conduct Policy and the Equal Opportunities policy 

 

Health and Safety

Under the provisions contained in the Health and Safety at Work Act 1974, it is the duty of every employee to:

 

  • Take reasonable care of themselves and for others at work
  • To co-operate with the Trust as far as is necessary to enable them to carry out their legal duty
  • Not to intentionally or recklessly interfere with anything provided including personal protective equipment for Health and Safety or welfare at work.

 

Senior Management is responsible for the implementation throughout the Trust of suitable arrangements to ensure the health, safety and welfare of all employees at work and the health and safety of other persons who may be affected by their activities.  Where health and safety matters cannot be resolved at Senior Management level the appropriate Executive Director must be notified.

 

Each Line Manager is responsible for the health and safety management of all activities, areas and staff under their control.  This includes responsibility for ensuring risk assessments are completed and implementation of suitable and sufficient control measures put in place.  Health and safety issues are dealt with at the lowest level of management practicable.  Where health and safety matters cannot be resolved at a particular management level the appropriate Senior Manager must be notified.

 

Child Protection

University Hospitals Bristol is committed to safeguarding and promoting the welfare of all children, young people and vulnerable adults, and as such expects all staff and volunteers to share this commitment.

 

Clinical Governance

Clinical Governance is the framework through which this Trust is accountable for continuously improving the quality of its services and safeguarding the high standards of care.  It does so by creating and maintaining an environment in which excellence in clinical care will flourish.

Every member of staff must work within this framework as specified in his/her individual job description.  If you have concerns on any clinical governance matters these should be raised with your line manager, professional adviser, or a more senior member of management.  Your attention is also drawn to the Trust guidance on Raising Concerns about Provision of Patient Care.

You have a responsibility for contributing to the reduction of infections.

 

Information Governance

Staff responsible for patient information as specified in his/her individual job description have the responsibility to ensure records are promptly and accurately made within agreed timescales.  This includes the recording of information on relevant IT systems as required and within patient notes, making certain all notes can be traced back to the Patient Administration System (PAS).

 

Additional work:

You are required to disclose any additional work you undertake or are planning to undertake for another employer. The Trust will permit you to undertake this additional work providing the Trust is satisfied that this does not conflict with the interests of the organisation, performance of your normal duties or with the requirements of the Working Time Regulations.

 

 

All job descriptions are subject to review.  Post holders are expected to be flexible and be prepared to carry out any similar or related duties which do not fall within the work outlined.  The Line Manager, in consultation with the post holder will undertake any review.

The NHS Knowledge and Skills Framework (the NHS KSF) defines and describes the knowledge and skills which NHS staff need to apply in their work in order to deliver quality services. It provides a consistent, comprehensive and explicit framework on which to base review and development for all staff.  Closely aligned with this job description is a KSF profile supporting the effective learning and development of the post holder in a variety of ways.