LEEDS TEACHING HOSPITAL NHS TRUST
JOB DESCRIPTION
Applications are invited for the post of Laser and Skin Cancer Fellow at the
Leeds Teaching Hospitals NHS Trust. This is a 12 month post within the Leeds
Centre for Dermatology, based at Chapel Allerton Hospital. The start date for the
post will be 1st June 2015.
The post will offer the successful candidate the opportunity to develop an in
depth understanding and experience in assessment and management of laser
responsive disorders as they present to an NHS laser service.
There will also be an additional opportunity to acquire more specialist skills in
skin cancer diagnosis and management.
Opportunities for participation in research projects relating to laser and skin
cancer will be available.
Applicants must hold the Membership of the Royal Colleges of Physicians (or
equivalent) and must be able to demonstrate a high level of clinical experience
and competence in Dermatology, and will ideally have completed higher
specialist training (or equivalent).
For enquiries, please contact Dr Rob Sheehan-Dare (Laser Service Lead), Dr
Victoria Goulden (Dermatology Clinical Lead) or Rob Guest (Business Manager).
Please see page 10 for contact details.
JOB DETAILS
Job Title: Laser/Skin Cancer Fellow in Dermatology
Specialty/Department: Dermatology
Location: Chapel Allerton Hospital
Salary Scale: £30002.00 - £47175.00
INFORMATION ABOUT THE DEPARTMENT
This post within the Leeds Centre for Dermatology, based at Chapel Allerton
Hospital, offers the successful candidate the opportunity to acquire specialist skills
in the assessment and treatment of laser responsive disorders. There will also be
an additional opportunity to acquire more specialist skills in skin cancer diagnosis
and management. The post holder will deliver the Dermatology service in
conjunction with consultant and senior nursing colleagues.
DEPARTMENT OF DERMATOLOGY
Lead Clinician
General Manager
Business manager
Dr Victoria Goulden
Mrs Claire Goodman
Mr Robert Guest
1
Matron
Senior nurse
Mrs Amanda Dean
Mrs Beverly Mousa
The Leeds Centre for Dermatology is based at Chapel Allerton Hospital. There are
additional clinics at the Leeds General Infirmary, St James’s University Hospital and
Wharfedale General Hospital. Inpatient services are delivered within the
Dermatology ward, which has 10 adult beds and runs a day care infusion service.
The centre also has access to 4 children’s beds based within the Children’s centre
at Leeds General Infirmary.
The outpatient suite at Chapel Allerton Hospital is self-contained with in excess of
50,000 patient contacts per annum; it is adjacent to the Dermatology ward and,
Dermatology clinics are predominantly held in this area. There is also a dedicated
photobiology unit as well as a laser and surgical suite with 8 theatres meeting day
case standards.
The cutaneous allergy service currently investigates around 650 patients annually
by patch testing with additional prick testing where indicated. The service meets the
minimum standards for service provision outlined by the BSCA and BAD.
The Dermatology Department is internationally renowned for its clinical and
academic excellence. In addition to General Dermatology, there is specific
expertise in connective tissue disease, hair & nail disorders, genital disorders, laser
therapy, photobiology, contact allergy, dermatological surgery including Mohs
surgery, skin cancer, paediatric dermatology and clinical trials.
The staffing of the Dermatology Department has support from nursing, reception
and secretarial staff.
Nursing roles are well developed within the department with specialist roles in
paediatric dermatology, phototherapy, skin cancer, surgery and drug monitoring
Band 7 sister 1
Band 6 sister 2
Nurse practitioner surgery/skin cancer 3
Nurse practitioner phototherapy 2
Paediatric Specialist Nurse 2
Skin Cancer Nurse Specialist 1
There are excellent links with the departments of Plastic surgery, Ophthalmology,
Radiotherapy and Oncology, Paediatrics, GU Medicine, immunology and
Rheumatology. There is a good medical photography department on site
The department is active in teaching and research and has an international
reputation. The department is part of the University’s Skin Research Centre and
has close links with Melanoma Research Group within the Section of
Epidemiology and Biostatistics in the Institute of Cancer Studies and Pathology
2
at St James Hospital as well the NIHR Leeds Musculoskeletal Biomedical
Research Unit (LMBRU) based at Chapel Allerton Hospital. Current research
interests include psoriasis, collagen vascular disorders, laser therapy, photobiology,
cutaneous allergy and cutaneous oncology. Over the years, the department’s
research charitable foundation, the Leeds Foundation for Dermatological Research,
has raised significant monies for research purposes.
Medical Staffing
Consultants
Dr S Clark (paediatric dermatology)
Dr MJD Goodfield (connective tissue disease)
Dr V Goulden (photobiology)
Dr W Hussain (non-melanoma skin cancer, Mohs surgery)
Dr P Laws (Medical Dermatology)
Dr A Mitra (melanoma)
Prof JA Newton-Bishop (melanoma)
Dr R Rose (cutaneous lymphoma)
Dr R Rahim (non-melanoma skin cancer, Mohs surgery)
Dr RA Sheehan-Dare (laser)
Dr S Sommer (nail disorders, male genital diseases)
Dr G Stables (non-melanoma skin cancer, Mohs surgery)
Dr G Taylor (paediatric dermatology)
Dr C Wilson (vulval diseases)
Dr SM Wilkinson (occupational & contact dermatoses)
Dr S Shanmugam (locum)
Specialist Registrars
CMT trainee
Foundation year 1 trainee
Clinical Assistants
Hospital Practitioner
Specialty Doctor
6
1
1
3
1
3
The specialist registrars have a well organised rotation through the specialist areas,
and also acquire District General Hospital experience in York, Mid-Yorkshire
Hospitals NHS trust, Harrogate and Hull. .
KNOWLEDGE, SKILLS AND EXPERIENCE REQUIRED
Link to essentials in person specification
DUTIES OF THE POST
This is a new post which has arisen to provide an experienced Dermatology doctor
the opportunity to develop an in depth understanding and experience in
3
assessment and management of laser responsive disorders as they present to
an NHS laser service..
The experience will include:






The assessment of new patients referred for possible laser treatment.
Assessment of follow-up patients who are undertaking a course of laser
treatments.
Prescription of laser treatments to be performed by Laser Radiographers.
Delivery of laser test areas and full treatments with a range of lasers.
Issues relating to the training and supervision of Laser Radiographers.
Understanding of Laser safety issues and regulatory processes
required in managing a laser service.
Understanding of Management issues relating to provision of a Laser
Service.
Specific clinical experience:
 Pulsed dye laser
 KTP (532nm) laser (vascular)
 Nd:YAG (1064 nm) laser (vascular, hair removal & miscellaneous lesions)
 Q-switched Ruby laser (pigmented lesions & tattoos)
 Q-switched Nd:YAG & KTP laser (pigmented lesions & tattoos)
 Long pulsed Alexandrite laser (hair removal)
 Erbium:YAG ablative laser treatment (including some fractional
ablative)(miscellaneous lesions)
 Management of patients receiving treatment under general anaesthetic
 Some adjunctive treatments (e.g. sclerotherapy)
 Opportunity for research in laser related projects.
The post will also allow the post holder to gain additional specialist experience in
the diagnosis and management of skin cancer. Experience in skin cancer will
include opportunity to develop diagnostic skills within a skin cancer training clinic
and the opportunity to gain experience in complex closures. There are three
separate skin MDT which are all fully compliant of IOG recommendations. These
consist of a Melanoma MDT a Specialist Skin MDT and a Supraregional Skin
lymphoma MDT. They provide specific treatment and advice for all aspects of
Melanoma and Specialist Skin Cancer and have established pathways of access
into all the other oncology subspecialties including the Sarcoma MDT and Head
and Neck MDT.
Three Consultant Mohs Surgeons provide Mohs Surgery for the Yorkshire and
Hull & Yorkshire Coast Cancer Networks.
The successful candidate will be expected to work at the level of a senior Specialist
Registrar and undertake independent practice.
JOB PLAN AND WORKING ARRANGEMENTS
4
The job plan review will take place annually, normally with the Clinical Director.
The annual job plan review may result in a revised prospective job plan. There
may be an interim review of the job plan where duties, responsibilities,
accountability arrangements or objectives have changed or need to change
significantly within the area.
5
Proposed Timetable
Day
Time
Location
Monday
9.00-1.00
1.00-5.00
CAH
CAH
9.00-1.00
CAH
1.00 -.00
LGI/CAH
9.00-12.30
CAH
Thursday
12.30-1.30
1.30-5.00
9.00-1.00
1.00-5.00
CAH
CAH
CAH
CAH
Friday
9.00-1.00
1.00-5.00
CAH
CAH
Tuesday
Wednesday
Description of
activity
Categorisation
DCC/SPA/AR/
ED*
Surgery
Patient
administration
Skin cancer
clinic
GA
laser/ablative
laser
DCC
DCC
Laser FU
clinic
CPD
Laser clinic
Ablative laser
Skin Cancer
Clinic
DCC
Surgery
Academic
afternoon
DCC
SPA
DCC
DCC
SPA
DCC
DCC
DCC
This is a proposed job plan, but there may be some requirement for flexible use of
clinical sessions in particular to meet the referral demands of the service.
Clinics are typically booked for 3.5 hours with 0.5 hours at the end for related
additional administration.
The academic afternoon contains a mix of teaching/governance events for the
department together with multidisciplinary meetings at which difficult management
problems are seen with the patient present and/or histopathology review. The
successful applicant would be expected to attend.
The successful applicant will be provided with a shared office, computer and
access to secretarial support.
LEVELS OF RESPONSIBILITY
TEACHING AND RESEARCH/STUDY AND TRAINING
During the course of your employment, you agree to undergo whatever training the
Trust deems necessary. This may include, but is not limited to, induction training,
professional development and safe working practices. Funding of such training will
be in accordance with the Trust’s Staff Development Policy.
6
Continuing Medical Education
The Trust fully supports the requirement for CME by the relevant Royal College and
acknowledges that it is an essential component of professional activities that will be
reviewed during the appraisal process and revalidation. Time and financial support
for these activities will be granted in accordance with the Trust’s Leave Policy.
CONDITIONS OF SERVICE
This post is covered by the Hospital Medical and Dental Staff (England and
Wales) Terms and Conditions of Service. These documents are available on the
Medical Staffing Intranet site.
The post holder is required to be fully registered with the General Medical
Council (GMC) and hold a licence to practice.
REQUIREMENTS OF THE POST
General Training and Qualifications
The appointee must hold the Membership of the Royal Colleges of Physicians, or
equivalent, and will ideally have completed higher specialist training (or
equivalent).
Experience
The appointee must be able to demonstrate a high level of clinical experience and
competence in dermatology.
Personal Attributes
The appointee will have good communication skills and be able to work effectively
as part of a team. He/She will have an understanding of current NHS management
and Trusts.
Clinical Audit
The appointee will be expected to contribute and, where appropriate, take the
lead in audit. Experience will be given to allow an understanding of issues
relating to Audit of a laser service.
There will be time allocated on the job plan for attendance at the relevant
departmental audit meeting(s) and such attendance will be recorded (in
accordance with the Trust’s clinical audit policy).
In the discharge of these responsibilities the candidate will be expected to
maintain and update his/her skills and knowledge through appropriate continuing
medical education.
7
Standards of Conduct and Behaviour
You are required to work to the standards set out by the General Medical Council in
Good Medical Practice. This includes protecting patients when you believe that a
doctor’s or other colleague’s conduct, performance or health is a threat to them. If,
after establishing the facts, it is necessary, you must follow the Trust’s procedures
in this matter and inform your Clinical Director or Medical Director in the first
instance.
Your general conduct at work should comply with the standards set out in the
Trust’s document on Appraisal, in particular the section on Core Behaviours.
Leave Arrangements
All leave should be applied for in accordance with the Trust’s Leave Policy,
normally giving eight weeks’ notice of any leave, other than in exceptional
circumstances.
Training
During the course of your employment, you agree to undergo whatever training the
Trust deems necessary. This may include, but is not limited to, induction training,
professional development and safe working practices. Funding of such training will
be in accordance with the Trust’s Staff Development Policy.
Health & Safety
The Trust has a responsibility to provide a safe working environment for all staff.
As an employee/supervisor/manager you are responsible for your own safety and
that of others. This will require you to comply with the Trust arrangements for
Health & Safety and Risk Management. As a supervisor/manager, you will be
responsible for ensuring your team work in a safe manner and are competent to do
so.
Equality & Diversity
The jobholder must comply with all policies and procedures designed to ensure
equality of employment and that services are delivered in ways that meet the
individual needs of patients and their families. No person whether they are staff,
patient or visitor should receive less favourable treatment because of their
gender, ethnic origin, age, disability, sexual orientation, religion etc.
The Trust's Equality and Diversity Policy ensures that barriers to employment for
disadvantaged groups are identified and removed, and that no person is treated
less favourably on the grounds of their race, ethnic group, religion, impairment,
age, gender, sexual orientation or mental health status. Reasonable adjustments
will be made for disabled applicants and post holders where required.
8
Smoking Policy
The Leeds Teaching Hospitals NHS Trust recognises the serious hazards to
health caused by smoking and has adopted a strict no smoking policy. Under the
terms of our No Smoking Policy, staff, visitors and patients will not be permitted
to smoke at any time or in any part of Trust property, whether inside or outside
the hospital buildings.
Rehabilitation of Offenders Act & DBS Disclosure
This position involves access to patients during the normal course of duties and
is therefore subject to the Rehabilitation of Offenders Act (Exceptions Order)
1975. As such you must reveal any information which you may have concerning
convictions which would otherwise be considered as ‘spent’.
An offer of appointment to this post would be subject to the express condition
that the Leeds Teaching Hospitals Trust receives a satisfactory Disclosure and
Barring Service (DBS, formerly CRB) Disclosure which will check the existence
and the content of any criminal record received.
The Trust has the right to withdraw an offer or employment if not satisfied of a
candidate's suitability for this position by reason of criminal record or
antecedents, especially in cases where no declaration of criminal proceedings
has been made on a candidate’s application form or DBS Form. The Trust
reserves the right to determine this issue at its sole discretion. If you are
successful in being short listed for this position you will be asked to complete a
criminal disclosure form to be handed to a representative at interview.
Furthermore, if appointed to this post you will be asked to complete a 'DBS
Disclosure Application Form' which will be submitted to the DBS.
Leeds Teaching Hospitals NHS Trust has a Policy Statement on the Recruitment
of Ex-offenders which is available on request.
Infection Control
The jobholder must comply at all times with the Leeds Teaching Hospitals NHS
Trust Infection Control policies, in particular by practicing Universal Infection
Control Precautions. Hand hygiene must be performed before and after contact
with patients and their environment.
Patient and Public Involvement
The Trust has a statutory duty to involve patients and public in evaluating and
planning services. All staff have a responsibility to listen to the views of patients
and to contribute to service improvements based on patient feedback.
9
Respect for Patient Confidentiality
The jobholder should respect patient confidentiality at all times and not divulge
patient information unless sanctioned by the requirements of the role.
Prospective applicants are encouraged to visit the Departments and are invited to
contact any of the following persons:
Mrs Claire Goodman - General Manager Chapel Allerton Hospital Clinical Service
Unit - ClaireGoodman@nhs.net or 07786250818
Dr Victoria Goulden - Consultant Dermatologist and Lead Clinician victoria.goulden@nhs.net or 0113 3924362
Dr Rob Sheehan-Dare Consultant Dermatologist and Laser Service Lead
rob.sheehan-dare@nhs.net or 0113 3924354
10