Specialty Doctor in Haematology

NHS Jobs; Jersey Marine; Presencial; GBP 82.000 - 110.000; Tempo integral

Benefícios oferecidos por esta vaga

Relocation package

Study leave

Postgraduate education centre

Resumo da vaga

NHS Jobs in Jersey seeks a Haematology postholder to join the Jersey General Hospital Haematology Department. The role involves 10 basic PAs with no on-call commitment, working weekday daytime sessions (09:00-17:00).

The post provides a generous study leave budget and access to a state-of-the-art postgraduate education centre for ongoing professional development. A generous relocation package is available with full travel expenses covered from the UK port of entry.

Descrição da vaga

This position comprises 10 basic PAs and does not include any on-call commitment. The postholder will work weekday daytime sessions only (09:00-17:00) and will not participate in evening, night, weekend, or out-of-hours rotas.. We are committed to continuous professional development, offering a generous study leave budget. Our state of the art post graduate education centre provides an excellent learning environment equipped to the highest of standards. A generous relocation package is available with full travel expenses covered from the UK port of entry. The post also attracts residential qualifications, and Jersey offers affordable private education for children. Under Jersey Law, applicants must hold full registration with the General Medical Council and a license to practice. The Government of Jersey is dedicated to safeguarding and promoting the welfare of vulnerable people, including children. All staff and volunteers are expected to share this commitment. As this role involves working with vulnerable individuals, the selection process will include safeguarding measures and an enhanced DBS check.

On Call Rota

There are no on-call commitments for this post.

Haematology Department Jersey General Hospital (JGH) currently offers a wide range of clinical and laboratory haematology services.

Adult Haematological Oncology is delivered to BCSH Level 2a as defined by the BCSH Guideline (2010). Patients requiring BCSH Level 2b care and above including the management of acute leukaemia, autologous stem cell transplantation and plasma exchange therapy are transferred electively or as emergencies to Royal Bournemouth Hospital. There are strong links with University Hospitals Southampton (UHS) for clinically aggressive lymphoma, allogeneic stem cell transplant and radiotherapy. A lymphoma consultant from UHS is contributing to the lymphoma service on a fortnightly basis. UHS also hosts the regional Teenage and Young Adult (TYA) Haematology-Oncology service. There are also links with BRH for Leukaemia induction and Kings Partners, London for specialist tertiary referrals. The Haematology Department is undergoing significant restructuring, and the successful appointee will be expected to contribute to shaping developments. There are opportunities for further service expansion with the potential to develop academic activities and strengthen external links.

Multi-Disciplinary Blood Cancer Team Meetings (MDTMs)

A Jersey-Guernsey local Haem-Oncology MDTM is held on site every Tuesday morning. The UHS Lymphoma Network MDTM occurs in Southampton every Tuesday morning. The Dorset Cancer Network Blood Cancers MDTM operates each Friday morning including our Bournemouth referral partners. All MDTs are attended via video link.

Clinical Facilities Outpatient and Day-care

A day care Chemotherapy Unit on Le Quesne Unit is shared with Medical Oncology. Le Quesne Unit also hosts haematological oncology outpatient clinics including lymphoma clinic. A separate general Medical Day Care Unit hosts an infusion/transfusion service. General Haematology with some Haem-Onc Clinics are currently held in the Medical Outpatients area.

Clinical Facilities Inpatients

Inpatients with blood disorders are managed on general medical wards and supervised hour-to-hour by junior medical staff working in teams led by Physicians-with-an-Interest. Shared care local Specialist Haematology input runs in office hours. Out-of-hours Consultant Haematologist cover is by telephone support from colleagues at Royal Bournemouth Hospital (RBH) which is well established and any patient admitted who cannot reasonably be managed at night/weekends by a general medical junior doctor team are transferred to specialist Haematology beds at RBH.

Haematology and Transfusion Laboratory Service

The Haematology and Transfusion Laboratory function is currently embedded in a Blood Sciences Department and provides a routine service to our users from 0800 hours to 1800 hours with a structured out of hours service at other times, provided by a multidisciplinary out-of-hours team. The service provides a maximum 12-hour turnaround time for all routine work undertaken on-Island and a one hour turnaround for all emergency work. UK reference centres are used for analyses that are not provided currently in Jersey including Flow-cytometry, Cytogenetics, Molecular Genetic studies and the assessment of abnormal haemoglobins. The Laboratory Service hosts and supports and independent Blood Donor Service that routinely allows Jersey to be 95-96% self-sufficient in red cell provision. The Island also benefits from an unusually high repeat donation rate. There is no formal service agreement with a Specialist Integrated Haematological Diagnostic Services (SIHMDS) centre for integrated reporting although there is scope for this to be developed. Currently, the bone marrow samples are split and sent to 3 different centres for diagnostic input. There is also no related histopathological MDT input for local MDT.

Therapeutic Venesection Service

There are a substantial number of Haemochromatosis patients in Jersey because of active case finding, together with a significant number of Myeloproliferative Neoplasm (MPN) patients requiring therapeutic venesection. Of the overall 1.66 FTE Donor Nurse, 0.4FTE is currently committed to therapeutic venesection of patients with Haemochromatosis and Myeloproliferative Neoplasms.

Nurse-led Anticoagulant Dosing Service

The advent of the new generation of Directly Acting Oral Anticoagulants (DOACs) has resulted in a significant decline in Warfarin use and need for INR dose monitoring. There are many complex patients managed by a part time anticoagulant nurse.

Medical Services Care Group

The Haematology Department sits within the Medical Care Group which comprises the following range of services:Stroke, Acute Assessment Unit, Cardiology, Clinical Investigations Department, Diabetes, Emergency Department, Frailty, Gastroenterology & Endoscopy, Haematology, Medical Day Unit, Medical Outpatients, Medical Wards, Neurology, Oncology, Palliative Medicine, Pathology, Renal Medicine, Respiratory, Rheumatology, Sexual Health, Stroke. Medicine in Jersey is fully age and specialty integrated. There are 4 medical wards, Plemont, Rozel, Bartlett and Corbiere. A 5-bedded Enhanced Care Area is located in AAU and there is a separate intensive care unit led by intensivists. There is also an Ambulatory Emergency Care Unit led by the Acute Medicine Department. There is a 25-bed Acute Assessment Unit. SAS doctors are responsible for the day-to-day management of their patients on the wards with the help of clinical fellows, FY1 or FY2 doctor whom they closely supervise. On call, the SAS doctor is responsible for seeing patients referred by the Emergency Department and reviewing patients admitted to the AAU by GPs in conjunction with the Acute Medicine team. A core responsibility of the Medicine Care Group is the provision of a safe acute medical service. The Care Group always provides named Consultant supervision for non-Consultants and ensures that prompt review and treatment is provided for acute medical emergencies referred by General Practitioners or the Emergency Department. Consultants are responsible for producing and updating guidelines for the management of acute medical emergencies in their specialist area.

Care Group Statistics

There are 87 medical beds. 12-20 acute medical admissions on average during each 24-hour period on call within a range of approximately 6-24. There are approximately 4,500 medical admissions annually. In addition to outpatient clinics and 4 general medical wards containing 83 beds, the Medical Service Care Group is involved in the management of several specialist facilities. These include: 20 bedded Acute Assessment Unit (AAU) 5-bedded Enhanced Care Area (ECA) A well-equipped Clinical Investigations Department providing echocardiography, exercise ECG, respiratory assessment and GI physiology. An endoscopy suite providing a full range of endoscopy and bronchoscopy services. Diabetes Centre providing outpatient care for the diabetic population of Jersey, including retinal photography and specialist nursing support. Renal/Dialysis unit, providing emergency, acute and longer-term renal support as well as management of transplanted patients and assessment and treatment of renal conditions. 6 bedded isolation area for infected or neutropenic patients.

This job description is intended as a guide to the general scope of duties and is not intended to be definitive or restrictive. It is expected that some of the duties will change over time, and this description will be subject to review in consultation with the post holder.