Clinical Fellow

NHS; Torquay; On-site; GBP 50,000 - 70,000; Full time

Job summary

Torbay and South Devon NHS Foundation Trust invites applications for a Clinical Fellow in Oncology and General Internal Medicine on a 12-month fixed-term basis. The post focuses on providing internal medicine expertise on the oncology ward and leading development of an oncology day case emergency service (ODEC) within the trust.

Candidates should be enthusiastic about innovating care pathways and participating in teaching and research, with opportunities to contribute to the broader oncology

Qualifications

• Medically qualified with MRCP and working at ST3+ level.
• Ability to involve patients in decisions about their care.
• Experience supporting resident doctors and junior medical staff.
• Experience in clinical audit, incident reporting and implementation of new processes.
• Experience using clinical guidelines and protocols and training junior staff.
• Experience delivering service improvements to improve efficiency and patient outcomes.

Responsibilities

• Develop, implement and evaluate new Same Day daycare pathways for active cancer patients.
• Provide general medicine expertise on the oncology ward.
• Support shared decision making, advance care planning and discharge planning for in-ppatients.
• Provide education and training on general medicine, multimorbidity and geriatric syndromes for the cancer teams.

Skills

MRCP/ST3+

Patient involvement

Junior doctor support

Clinical audit

Guidelines adherence

Recruitment & inductions

Team collaboration

Education

MRCP

Job description

Torbay and South Devon Foundation Trust is offering the opportunity to combine a rewarding job in oncology with an unrivalled lifestyle in the heart of one of the most beautiful areas of the country.

We are looking to recruit a clinical fellow, initially on a 12month fixed term contract with the possibility of the posts becoming substantive. The post holder will be responsible for delivering general internal medicine expertise on the oncology ward, and support the delivery of the acute oncology service across the trust through leading the development on an oncology day case emergency service (ODEC).

Candidates are not expected to have received specialist training in oncology but should demonstrate enthusiasm to deliver new ways of working to improve the quality of care offered to patients receiving cancer care at Torbay.

The post-holder will work closely with the wider oncology team, comprising of consultant oncologists, specialist registrars, speciality doctors and the existing nurse led acute oncology service. We encourage post holders to take an active role in research and development and to participate in the teaching programs of the department.

Main duties of the job

The post holder will work primarily in the in-patient setting however there will be opportunities for developing an interest in the Non-Site Specific/Malignancy of Unknown Origin clinics. The main duties of the post will be to:

• Work with the senior management team to develop, implement, and evaluate new pathways of same daycare for patients on active cancer treatments
• Provide general medicine expertise on the oncology ward
• Support shared decision making, advance care planning and discharge planning for in-patients on the oncology ward
• Provide education and training on issues related to general medicine, multimorbidity and geriatric syndromes for the wider multidisciplinary cancer teams

Nationally, there is increasing focus on Same Day Emergency Care (SDEC). In many acute hospitals there are now dedicated oncology SDEC models which can potentially avoid unnecessary overnight admission with early input from acute oncology team. This new post is dedicated to developing this service for the local population of Torbay. Referrals are anticipated to be primarily from the dedicated telephone triage service supporting known patients having active treatment but will also aim to stream patients from ED and AMU.

Torbay and South Devon NHS Foundation Trust is an Integrated Care Organisation providing acute health care services from Torbay Hospital, community health services and adult social care. The Trust runs Torbay Hospital as well as five community hospitals, stretching from Dawlish to Brixham.

Torbay Hospital is a medium‑size, progressive and innovative District General Hospital providing acute services to South Devon with a 10‑beded Critical Care Unit, six general theatres, three orthopaedic theatres and a day surgery unit. We provide services in most specialties within Torbay but have close working relationships with Royal Devon University Healthcare (Exeter and North Devon) and University Hospitals Plymouth.

We have around 500,000 face‑to‑face contacts with patients in their homes and communities each year and see over 78,000 people in our A&E department annually. We serve a resident population of approximately 375,000 people, plus about 100,000 visitors at any one time during the summer holiday season.

Detailed job description and main responsibilities

Please refer to the attached full job description and person specification

Person specification

Qualifications and training

• Medically qualified with the MRCP and working at ST3+ level
• Or equivalent competencies or experience

Specific skills

• Experience of involving patients in decisions about their care
• Experience of supporting resident doctors and junior medical staff
• Prior experience in clinical audit, incident reporting and analysis and implementation of any new processes
• Demonstrative experience of clinical guidelines and protocols being adhered to and supporting junior medical staff to ensure they are also adhering to any guidelines/protocols
• Experience working with medical, nursing and managerial colleagues to ensure high performance in the following areas; - Clinical efficiency ie; length of stay reductions - Quality of outcomes ie; reducing re‑admission rates - Financial management ie; supporting in the identification, implementation and achievement of cost improvement programmes
• Experience in providing support to the management team with junior doctor recruitment and inductions

Teaching/Research Experience

• Experience of providing high quality teaching to medical undergraduates and members of other health care professions as required by the clinical director.

Personal Attributes

• Honesty and reliability
• To work collaboratively with all members of the multi-disciplinary team
• Willingness to work flexibly according to the needs of the service, observing National Trust, and departmental guidelines
• Ability to work in a team
• Enquiring, critical, approach to work
• Commitment to continuing medical education
• Caring attitude to patients

You will be joining the organisation at an exciting time. As the first fully integrated care organisation in England, we are working to improve the way we deliver safe, high-quality health and social care. We have a positive and vibrant working atmosphere, we are proud of our investment in our staff both in terms of developing potential career skills and valuing people.

If you provide support to a family member or friend with health or care needs, we aim to be a Carer-friendly employer. We have a ‘Staff Carers’ policy which includes flexible working where possible and a Carer’s Passport scheme that links you into support and discounts.

IMPORTANT INFORMATION

• Please read the job description carefully and tailor your application to reflect the requirements of the role.
• Applicants who identify in their application form they are a part of the Armed Forces community will be guaranteed an interview, provided they meet the minimum essential criteria outlined in the job description and person specification for the role. Step into Health guidance can be found on our NHS Employers website.
• Correspondence will be sent via Trac, text, and email. Please ensure you check your email and Trac account regularly.
• Applicants with no previous NHS experience will ordinarily be appointed to the minimum of the band.
• If you have not received an invitation to interview within 28 days of the closing date, please assume that your application has been unsuccessful on this occasion.
• It is your responsibility to ensure the timely receipt of appropriate references.

The Trust is committed to preventing discrimination, valuing diversity and achieving equality of opportunity. No person (staff, patient or public) will receive less favourable treatment on the grounds of the nine protected characteristics as governed by the Equality Act 2010. If you require support you can obtain this from our Equality Business Forum which has representatives from all protected groups.

Employer certification / accreditation badges

You must have appropriate UK professional registration.

This post is subject to the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (Amendment) (England and Wales) Order 2020 and it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service.