FACULTY OF MEDICINE, IMPERIAL COLLEGE, LONDON The ROYAL MARSDEN HOSPITAL Clinical Senior Lecturer in Colorectal Surgery 1. THE POST: Title of Post: Department: Main site of activity: Honorary Contract with: Associated with: Responsible to: Accountable to: 1.1 Clinical Senior Lecturer in Colorectal Surgery (SM00214) Surgery and Cancer The Royal Marsden Hospital The Royal Marsden Hospital Surgery and Cancer Clinical Programme Group Professor Paris Tekkis Professor Ara Darzi Background to the Post The post will be full-time and fixed term for 5 years in the first instance. The appointee will have appropriate office and laboratory facilities at The Royal Marsden Hospital and Chelsea and Westminster Hospital. Honorary Consultant status with The Royal Marsden Hospital and Chelsea and Westminster Hospital has been sought. Details of Imperial College London are attached at Appendix 1. The post will be supported by the appropriate clinical, non-clinical and support staff relevant for the development of the clinical and research programme. Appropriate secretarial support will be provided. The appointee will be a member of the Department of Colorectal Surgery (led by Professor Ara Darzi) within the Division of Surgery and the Section of Surgery at the Royal Marsden Hospital campus. All members of clinical academic staff are expected to be active and highly respected in clinical practice, in research, publish papers in leading journals, attend conferences, supervise research students and obtain funding to support their students and research activities. The appointee will be expected to have a proven track record in such activities. This appointment is a central element of the strategic academic development of colorectal surgery and minimally invasive surgery within the Department of Colorectal Surgery and will undertake research underpinning the development of emerging technologies, surgical techniques, clinical and basic scientific research. Teaching and research are considered to be an integral part of the post. The post will involve the usual administrative duties associated with a busy academic and research-active environment and the appointee will be expected to enhance the academic standing of the Department of Colorectal Surgery. This appointment is a central element of the academic development of Colorectal Surgery and Minimal Invasive Surgery within the Department of Surgery and Cancer. 1 The appointee will contribute to the academic aims of the Department by: Planning and directing relevant basic science research programmes Planning and leading innovative, interdisciplinary research Successfully attracting funds for major research initiatives Extending and interlinking the research strengths already existing within Imperial College across the Faculties in his/her field of research Participating in the planning, design and execution of teaching including postgraduate teaching and research supervision and undergraduate teaching Participating in postgraduate training and courses for junior and senior doctors in training Responsibility for patient care and the running of the colorectal clinical service at The Royal Marsden Hospital Contributing to the aims and objectives of the Imperial College Institute of Global Health Innovation 2. Department of Surgery and Cancer 2.1 An Overview The Department of Surgery and Cancer is led by Professor Jeremy Nicholson. The Division of Surgery (Head, Professor George Hanna) comprises sections of Surgery, Anaesthetics, Pain Medicine and Intensive Care, Division of Computational and Systems Medicine and The Division of Cancer & Reproductive Medicine (Head – Professor Bob Brown) comprises sections of Oncology and Obstetrics, Reproductive Biology and Gynaecology. 2.2 The Work of the Department The Department is highly multi-disciplinary and includes multiple internationally renowned academic and clinical foci including surgical technology development, discovery biochemistry, cancer biology and medicine, reproductive medicine, critical care and pain management. Its overarching mission is to innovate, develop and apply new translational technologies, approaches and models to enhance medical and surgical diagnostics, clinical decision-making and patient stratification and to understand the basis of gene-environment diet interactions in relation to population disease risks and so to better inform health policy decisions and government policy. It aims to harmonise and develop existing research themes across the Department, and also to capitalise on world leading molecular phenotyping and metabolic profiling research capabilities to create a new healthcare paradigm based on a molecules to medicine approach. In particular we will channel exciting new technology developments into clinical practice with particular emphasis on development of personalised healthcare and patient stratification strategies across all our clinical delivery programmes. There are plans to create new world leading centres of excellence in Surgical Metabonomics, Gut Health and Peri-operative and Trauma care utilising “Top-Down Systems Biology” principles which will uniquely brand the Department’s research strategy and aspirations. The Imperial NIHR Clinical Phenome Centre has just been created on the St Mary’s campus in a prime location immediately adjacent to the Operating Theatres and will provide a wealth of opportunity for new areas of research. The Department is responsible for teaching a significant part of the undergraduate and clinical curriculum to Imperial College medical students across six years of the curriculum. It is responsible for two BSc pathways – in Surgery and Anaesthesia and in Obstetrics and 2 Gynaecology. The Department also has an extensive programme of postgraduate teaching, comprising taught courses, short courses and supervised higher degree students. 2.3 Staffing Head of Department Professor Jeremy Nicholson Director of Education Strategy and Quality Professor Alison McGregor Director of Academic Opportunities Professor Lesley Regan Director of Health, Safety and Compliance Professor Gerry Thomas Head of Division of Surgery Professor George Hanna Head of Section of Anaesthetics Pain Medicine and Intensive Care Professor Masao Takata Head of Division of Computational & Systems Medicine Professor Elaine Holmes Head of Division of Cancer & Reproductive Biology Professor Bob Brown Head of Section of Obstetrics Reproductive Biology and Gynaecology Professor Phil Bennett Director of Postgraduate Studies Professor Michael Seckl Director of Undergraduate Studies Mr Barry Paraskeva 2.4 Research Activities The Department has established 4 research themes with the objective of integrating new technologies into personalised healthcare at the point-of-care to improve patient outcomes: Molecular Phenotyping Directed Personalised Healthcare Population, Behaviour and Health Services Research Molecular Cell Biology and Immunology Surgical and Robotic Technologies These themes are cross-departmental, providing a research framework for research groups within the Department of Surgery and Cancer that have not been previously connected to work together for common healthcare goals. The themes also have cross-Faculty connections, e.g. with Bioinformatics, Systems Biology and Bioengineering groups, and are closely aligned with the AHSC research strategy and CPG needs. 3 2.5 Teaching Activities The Department is responsible for teaching a significant part of the undergraduate and clinical curriculum to Imperial College medical students across six years of the curriculum. It is responsible for two BSc pathways – in Surgery and Anaesthesia and in Obstetrics and Gynaecology. The Department also has an extensive programme of postgraduate teaching, comprising taught courses, short courses and supervised higher degree students. The Head of the Division is Professor George Hanna and there are Heads of the Section at Hammersmith (HPB) - Professor Nagy Habib and at Charing Cross (Musculoskeletal) – Professor Justin Cobb. The Division has major strengths in new technology, imaging and computing, ergonomics, patient safety and clinical effectiveness. The research carried out is driven by interdisciplinary working and the themes of best surgical practice, clinical safety and education by applying science and technology to issues directly affecting patient care. Translational research is integral to the Division’s success, developed by cross-faculty collaborations with the Department of Computing, Department of Mechanical Engineering, the Business School as well as with Schools, Institutes and Departments within the Faculty of Medicine. The Division has built strong relationships with industry, government, healthcare providers, and educational institutions for the translation of its research into practical applications. In conjunction with Computing, the Division has concentrated its research activities around new technology – robotics, image-guided surgery, biological sensors, ergonomics and human performance to create The Hamlyn Centre. There are strong links with the Royal Marsden Hospital NHS Foundation Trust following the endowment of the Paul Hamlyn Chair of Surgery in 2005 held by Professor Ara Darzi, and the creation of a single Academic Department of Surgical Oncology with the Institute of Cancer Research. Professor Paris Tekkis holds a joint appointment and is based at the Royal Marsden and Chelsea and Westminster Hospital NHS Foundation Trust. It also forms part of an important cross-College consortium exploring musculoskeletal disease mechanisms in order to understand mechanical, motor control, muscular, hereditary, lifestyle and other parameters that lead to the development of chronic disease and to use this understanding to delay onset and progression. The Division houses one of two NIHR Centres for Patient Safety and Service Quality, led by Professor Ara Darzi and Professor Charles Vincent. It comprises a highly specialised set of academic and clinical research groups, which collectively aim to trial new approaches and technologies to reduce human error and improve patient care. Furthermore, Imperial College has a strong reputation in the field of educational research. Its pioneering work in surgical education was first recognized by the Queen’s Anniversary Prize for Higher and Further Education in 2001. The Surgical Skills and Education Research agenda drives competency assessment and development of training to support dissemination of new technologies. The Division also hosts the Surgery and Technology BRC theme led by Professor Ara Darzi as the theme leader, which was recently renewed for five years. The Surgery and Technology theme combines the research excellence in science and technology at Imperial College London and the pioneering surgery and translation. It embraces the innovation pathway in surgical practice from invention to adoption and diffusion via: Translational research in areas of novel and smart surgical instruments and devices including Robotic Surgery, Surgical Imaging and Sensing, and original surgical technology platforms such as Single Incision Laparoscopy (SILS) and Natural Orifice Translumenal Endoscopic Surgery (NOTES). 4 Effective and safe introduction of new innovations into clinical practice. This is achieved through the design and validation of novel training tools such as surgical simulators and building safety resilience in complex environment and health systems. Addressing the main challenges in technology adoption and diffusion through evidence base synthesis, policy translation and entrepreneurial commercialisation of technology. The research theme is led by the Division of Surgery and its constituent research centres, in the form of NIHR Centre for Patient Safety and Service Quality (CPSSQ), the Centre for Health Policy, Institute of Global Health Innovation (IGHI), and The Hamlyn Centre, in which both the Faculty of Medicine and the Faculty of Engineering are stakeholders. There is a strong programme for both undergraduate and postgraduate teaching including participation in the Surgery and Anaesthetics pathway of the BSc programme. It has a portfolio of postgraduate taught courses including the Masters in Surgical Education, MSc programmes in Surgical Sciences, Surgery Technology, Safety and Quality and Surgical Technology. The inclusion of Anatomy and Communications enhances the opportunities available for development of new and innovative methods of education and training at both undergraduate and postgraduate levels. The Division of Surgery Section at Hammersmith Hospital comprises HPB surgery (Professor Nagy Habib, Professor of Hepatobiliary Surgery, Professor Andrea Frilling, Mr Long Jiao, Reader in Surgery, Mr Duncan Spalding, Clinical Senior Lecturer, Dr Paul Mintz, Non Clinical Senior Lecturer, Joanna Nicholls, Research Manager, Mrs Benita White, Academic Secretary), Professor Paul Abel, Academic Urology, and Professor Nigel Standfield, Vascular Surgery. HPB and Endocrine research is focused on Team B6 with early detection and monitoring of cancer therapy and Team C3 with stem cell development. 3. The Royal Marsden Hospital NHS Foundation Trust 3.1 An Overview The Royal Marsden Hospital is recognised world-wide for the quality of its cancer services. The Trust’s strategic aim is to achieve excellence in cancer treatment and diagnosis, through partnership and collaboration. The Royal Marsden, with its associated Institute of Cancer Research, constitutes a centre of excellence for research and development, education, treatment and care in cancer. It is acknowledged to be one of the largest comprehensive Cancer Centres in the world. The prime purpose of the Trust is the provision of state of the art cancer services as well as enabling research into the development of improved methods of prevention, diagnosis and treatment of cancer. Its other main purpose is teaching and the dissemination of knowledge both nationally and internationally. In 1991, it became the first NHS hospital to be awarded the Queen’s Award for Technology for its work on drug development. The hospital gained National Charter Mark Awards in 1995, 1998 and again in 2001 for the excellence of its service and in 1996 achieved the international quality standard ISO 9001 for radiotherapy and for chemotherapy in 2003. It was recognised as one of six centres of excellence in the Government’s NHS Plan and has achieved four national Charter Marks for all services, the most recent awarded in 2005. The Royal Marsden has consistently been awarded three stars and more recently double Excellent rating in the last two years in the NHS performance indicators, rating it among the best in the country in terms of clinical quality and patient care. 5 The Royal Marsden and The Institute of Cancer Research form the United Kingdom’s only designated Biomedical Research Centre for Cancer – awarded in December 2006 by The National Institute for Health Research (NIHR). As a leading Cancer Centre, the Trust has close working relationships with many Cancer Units and other Cancer Centres. Predominantly, the Trust’s workload is from within the South West and West London Cancer Networks but the Trust is unique in having a high out-of-area referral rate for rare cancers, recurrent disease and treatment-related problems. The Royal Marsden NHS Foundation Trust comprises two units (169 beds at Chelsea, and 184 beds at Sutton). Over 30,000 patients attend the Royal Marsden each year. The Trust employs 2300 staff, including 244 medical staff. As a specialist cancer centre, the Trust serves local populations within the London Boroughs of Merton, Sutton, Wandsworth, Kensington & Chelsea and Westminster, as well as receiving referrals both nationally and internationally. Organisation The Trust Board comprises an independent chair, Ian Molson, executive directors, (Chief Executive, Chief Nurse, Director of Finance, Medical Director), and five non-executive directors from outside the NHS. At The Royal Marsden NHS Foundation Trust the hospital management structure is organised into two Divisions: Cancer and Clinical Services. Each Division is managed by a Divisional Director and supported by a Divisional Medical Director. The consultants heading up each Clinical Unit or specialty is a member of the Medical Advisory Committee. This is chaired by the Medical Director, Professor Martin Gore, who together with the other directors (i.e. Chief Nurse, Finance, IT, Strategy & Service Development, HR, Private Practice and Estates) and the Divisional Directors form the Management Executive. The Management Executive is chaired by the Chief Executive, Miss Cally Palmer. The Divisions comprise the following services: Paediatric Unit, Head & Neck Unit, Haemato-Oncology Unit, Neuro-oncology Unit, Sarcoma Unit, Thyroid Unit, Skin and Melanoma Unit and Clinical Pharmacology Unit, Anaesthetics and Intensive Care / High Dependency, Pain service, Cancer Genetics, Palliative Care, Pathology, Imaging, Therapeutic Radiotherapy, Theatres and Day Surgery, Nuclear Medicine, Physics, Pharmacy, Medical Records, Patient Transport, Outpatients Department, Breast Unit, GastroIntestinal Unit, Lung Unit, Urological Unit, Gynaecology Unit. Cancer Services Division This comprises of the following units: Paediatric Unit, Head & Neck Unit, Haemato-Oncology Unit, Neuro-oncology Unit, Sarcoma Unit, Thyroid Unit, Skin and Melanoma Unit and Clinical Pharmacology Unit, Breast Unit, Gastro-Intestinal Unit, Lung Unit, Urological Unit, Gynaecology Unit. The Divisional Director is Mrs Liz Bishop and the Divisional Medical Director is Professor Andy Pearson. The Consultant heads of each clinical unit or specialty formally meet as the Divisional Management Team on a bi-monthly basis. Clinical Services Division This comprises of the following units: Anaesthetics and Intensive Care / High Dependency, Pain service, Cancer Genetics, Palliative Care, Pathology, Imaging, Therapeutic Radiotherapy, Theatres and Day Surgery, Nuclear Medicine, Physics, Pharmacy, Medical Records, Patient Transport, Outpatients 6 Department. The Divisional Director for Clinical Services is Mr Ian Haig, and Divisional Medical Director is Dr Tim Wigmore. In addition the Divisions are supported by the following Directorates: Nursing, Rehabilitation and Quality Assurance Directorate comprising: Rehabilitation Department (Physiotherapy, Occupational Therapy, Dietetics, Speech Therapy, Lymphoedema Service, Therapeutic Massage, Pastoral Care, Clinical Psychology, Complementary Therapies, Senior CNS Lymphoedema, Patient Information, Volunteer Services, Community Liaison, Social Services), Quality Assurance Department, Research, Practice and Professional Development Department, Finance Directorate, Human Resources Directorate, Computing and Information Directorate, Facilities Directorate. 4. The Work of The Royal Marsden Hospital Gastrointestinal (GI) Unit 4.1 Workload and Facilities The GI Unit The GI Unit at The Royal Marsden is a multidisciplinary unit which focuses on the management and research of patients with upper GI and colorectal cancers: • Oesophago-gastric • Pancreatic • Liver • Colorectal • Anal A comprehensive oncological GI service is offered which provides patients with a complete range of treatment options on site. Each year, around 750 patients receive treatment under the care of the GI Unit. A total of 274 new cancer and 225 follow-up patients were discussed at the multidisciplinary cancer meeting in 2013 with 110 colorectal resections performed within the last 12 months. An expanding service provides a dedicated clinic at the Chelsea site of the hospital, which is available to see patients referred with symptoms of colorectal cancer. The Unit is also in a position to provide second opinions to patients at any stage of their disease. 4.2 Staffing Present Staffing in the GI Unit Consultants – Surgery (Colorectal) Prof Lord Ara Darzi Prof Paris Tekkis Mr Shahnawaz Rasheed (locum consultant) Consultants – Surgery (Upper GI and HPB) Mr William Allum Mr Jeremy Thompson Mr Satvinder Mudan Mr Aamir Khan 7 Trainee Surgical Staff SpR – 1 colorectal, 2 upper GI/HPB International post-CCT fellow – 1 colorectal SHO – 1 colorectal, 1 upper GI/HPB Consultants – Medical Oncology Prof David Cunningham (Head of GI Unit) Dr Ian Chau Dr Sheela Rao Dr Naureen Starling (locum consultant) Dr Sarah Nagn (locum consultant) Consultants – Clinical Oncology Dr Diana Tait Dr Nick van As Dr Maria Hawkins Consultants – Gastroenterology Dr Jervoise Andreyev Dr Julian Teare Dr Martin Benson CNS Ramani Sitamvaram Toni Cole Adi Coleman Michelle McTaggart Hannah Perry Alison Massey Maria Crisford Katy Hardy MDT Navigators Karen Bottomley-wise (colorectal) Jacky Pach (upper GI) Secretarial and information support are provided by the multi-disciplinary unit system within which the appointee will work. 4.3 Research Activities of the Royal Marsden Hospital Research is a very high priority for The Royal Marsden and there are many active research programmes within the GI Unit which are open to collaboration. There are already programmes of research in surgery, radiotherapy, chemotherapy and genetics. Involvement in some of these established programmes and development of new areas of research, in collaboration with other disciplines, departments in the Trust, the Department of Surgery and Cancer at Imperial College and the Institute of Cancer Research, is actively encouraged. Clinical trials have been highlighted as an indicator for the quality of clinical services and currently, a number of these are being undertaken in the Gastrointestinal Unit of RMH. This post will offer support in the management of these ongoing clinical trials which are being 8 supported by RMH, NCRI and various other funding bodies. There is an established highly successful track record of undertaking high level, productive research at Imperial College and the NIHR Specialist Biomedical Research Centre for Cancer and of generating significant funds to enable further development and sustainability. The postholder will aim to raise funds for future clinical research, clinical trials and basic science research as a PI or co-PI supported by Professor David Cunningham, Professor Ara Darzi and Professor Paris Tekkis. 4.4 Teaching Activities of the Royal Marsden Hospital The Trust is actively involved in surgical training. There is increasing competition from trainees to come to the unit for a period of specialist training. All consultants are expected to be involved in the training of Specialist Registrars, Specialist Trainees, Core Trainees and visiting trainees. In addition, collaboration in training programmes for radiographers, nurses, medical physicists and allied paramedical staff is expected. 4.5 Relationship with other SIDs, Faculties and CPGs This post will link directly with the Department of Surgery and Cancer, Imperial College London. Cross-faculty links will be expected to be made at the: NIHR-BRC at RMH and Imperial College for cancer research and management. Institute for Global Health Innovation to promote the management of cancer globally. Imperial College Clinical Trial Unit to support clinical trials in recurrent and advanced colorectal cancer. The work in the themes outlined will interact with the following centres across the faculty: (i) Imperial College Clinical Trial Unit: A group/ unit with interest in clinical trials will be established in the Division of Surgery. This group will interact strongly with the IC trial unit and follow its governance structure. (Professors Atkins, Ashley and Poulter) (ii) NIHR Specialist Biomedical Research Centre for Cancer at RMH. To be further developed between the potholder in conjunction with Professor David Cunningham. (iii) Institute for Global Health Innovation: To pursue a collaborative partnership between the postholder and the IGHI to promote global health from an International Development, Disaster Response and Cancer perspective (Professor Ara Darzi) 5. The Post - Key Result Areas, Main Duties and Responsibilities The Clinical Senior Lecturer and Honorary Consultant post has been devised to support the team who currently provide diagnostic and oncological colorectal services to patients within and outside South West London. The postholder will work under Professor Ara Darzi and alongside Professor Paris Tekkis and will be expected to take part in the diagnostic service for colorectal cancer, ensuring timely access to review and investigations for all those patients referred to The Royal Marsden Hospital. He/she will be trained in laparoscopic surgery and will be required to support the Head of the GI Unit and Divisional Clinical Director in policy and strategic development as a member of the Cancer Services Division. The postholder will be responsible for his/her own continuing 9 professional development and take part in continuing medical education activities, in line with the requirements of the appropriate Royal College guidelines to maintain and develop standards of performance. The appointee will contribute to the improvement and sustainability of 18 week and cancer access targets. In addition, the postholder will aim to reduce length of hospital stay through innovative delivery of care including minimally invasive surgery and further implementation of the Enhanced Recovery Programme. In addition, the postholder will aim to reduce outpatient follow up appointments through taking part in an improving outcomes initiative by using risk stratified follow-up care for cancer patients. The appointee will play an integral role in the wider GI Unit, provide input to colorectal MDT meetings, help to provide support for GI emergencies, manage a diagnostic and therapeutic endoscopic service, run colorectal surgical outpatient clinics, manage an elective surgical service for primary colorectal cancer patients and support the management of locally advanced and recurrent colorectal cancer with guidance and support from Professor Ara Darzi and Professor Paris Tekkis in conjunction with the wider multidisciplinary team. This appointment is a central element of the academic development of colorectal surgery and minimally invasive surgery within the Department of Colorectal Surgery at RMH. This will further contribute to building on the reputation of the Royal Marsden in collaboration with Imperial College as world leading centres of excellence. The postholder will be expected to take part in an on-call rota with her/his Consultant colleagues and in the cover arrangements and junior supervision during colleagues’ annual and study leave. Currently the on-call commitment is 1:8 weekdays and 1:10 on call. Access to a computer, telephone and Electronic Patient Record and secretarial support will be provided. 5.1 Provide High Quality Care to Patients in the Royal Marsden Hospital To develop and maintain the competencies required to carry out the duties required of the post. To ensure prompt attendance at agreed direct clinical care Programmed Activities. To ensure patients are involved in decisions about their care and to respond to their views. The care of in-patients will be undertaken in conjunction with fellow Consultants in the associated hospitals. 5.2 Research The post-holder will work under the guidance of Professor David Cunningham, Professor Ara Darzi and Professor Paris Tekkis in continuation of current research activities. The research strategy aims to engage in cross-platform deliverables which include translational research, evidence based medicine, surgical quality and epidemiology, surgical technology and teaching. The following Themes will be supported: i. Centre for Systems Oncology and Cancer Innovation: the appointee’s work pattern at RMH and Imperial will be well-placed to work closely with the centre in advanced colorectal cancer field. 10 ii. Imperial College Cancer Research UK centre: the appointee will contribute to medical technology theme in the centre. iii. Surgical Therapeutic Clinical Trial Theme in the Division of Surgery unit with reference to advanced and recurrent cancer. iv. MRC-NIHR National Phenome centre: the appointed clinician will provide the route to impact for the new centre. Much collaboration is needed between scientist and clinicians in order to personalise metabolic profiling and introduce it in clinical practice. (Professors Nicholson and Holmes). v. Surgical technology: a major theme at the Division of Surgery with links to NIHR-BRC and NIHR Diagnostic Evidence Cooperatives. vi.Centre for Health Policy: with cancer being a major cause of death globally and interest in major humanitarian international disaster management. The post holder will work in the following research themes of the Department of Surgery and Cancer / RMH: (i) (ii) Clinical trials: The postholder will support the management of clinical trials relating to lower GI diseases including cancer, and inflammatory disorders. There is opportunity to utilise the existing excellent infrastructure in technology research, phenotyping, cancer and metabolic medicine both at Imperial College and at the NIHR Specialist Biomedical Research Centre for Cancer at RMH. Clinical research: The postholder will support the ongoing clinical research of Professor Ara Darzi and Professor Paris Tekkis including assessment of outcomes in primary, locally advanced and recurrent colorectal cancer (iii) Basic science research: Further work will be undertaken to investigate the role of angiogenic and hypoxic factors in the development and progression of CRC. In addition, further investigation will be conducted into the role of angiogenic factors in prognosis and potential use of novel anti-angiogenic agents in the treatment of CRC. (iv) Transitional cancer research: The interaction between surgeons and medical oncologists and cancer scientists is essential for the two divisions of the department (surgery and cancer). There is a great opportunity to develop minimally invasive interventions for drug delivery that combines both technological interventions, cancer scientific discovery into a clinical context. Surgical Education: the post holder will fill the emerging needs in postgraduate training of registrars and the new masters in surgery. The post-holder will have a unique opportunity to develop innovative methods to deliver postgraduate educational initiatives. (v) (vi) Disaster Response Medicine: to further the understanding of medicine applied to the postdisaster environment. Planned collaboration with national and international bodies to improve on the knowledge and delivery of medical care to patients following international disasters. (vii) Global cancer services: to explore the promotion of the RMH globally to improve on the delivery of cancer services in low and middle income countries (LMICs). This may include advocacy, research, education and training in addition to assistance with the determination and delivery of national strategies, advice on infra-structure development and knowledge transfer support. 11 The research model marries clinical excellence, innovation and education within an environment that nurtures multidisciplinary collaboration, openness, mutual respect and strong ethical standards. The following research themes are currently being undertaken with the objective of integrating innovation into personalised healthcare at the point-of-care to improve patient outcomes: i. ii. iii. iv. Locally advanced rectal cancer: Continuing clinical research with the ongoing investigation of a prospectively collected database containing all patients with locally advanced abdominal and pelvic malignant disease with outcomes for patients. Factors investigated include radiological assessment, surgical techniques, pathological variables, response to neo-adjuvant and adjuvant therapies. Recurrent colorectal cancer: Ongoing clinical research trials investigating current practice in recurrent colorectal cancer including the assessment of factors which influence outcomes. Early and minimal invasive colorectal cancer: Ongoing investigation into the expanding role of laparoscopic / TEM / endoscopic surgery in the management of colorectal cancer. Clinical trials: Numerous clinical trials are being undertaken by the Gastrointestinal Unit including the use of both chemotherapy and radiotherapy in the neo-adjuvant, adjuvant and palliative setting. The postholder will be expected, in line with the IC Faculty of Medicine’s minimum academic performance criteria to: be successful in the acquisition of grants run a research area with scientists, clinicians, technicians and students at the highest scientifically rigorous level. collaborate with other allied scientists within Imperial College London including the Institute for Global Health Innovation and elsewhere in London and abroad. publish in high quality journals supervise postgraduate research students co-ordinate outcome studies in his/her particular area of interest take part in audit. And will be expected to be involved in: provision of expert advice internally and externally contribution to the development of the Division/Department’s research strategy as it forms part of the research strategy of the Faculty of Medicine and work with the BRC theme leader in fulfilling the deliverables of the BRC award. Participation in national, and where appropriate, international programme formulation, developing research strategies and reviews as appropriate. These themes are cross-departmental, providing a research framework for research groups within the Department of Surgery and Cancer that have not been previously connected to work together for common healthcare goals. The themes also have cross-Faculty connections. This is an essential post that contributes to the NHS surgical capacity plan to meet the 18 week performance demand in general surgery and is key in meeting cancer access targets for the lower GI tumour group. The surgical management of colorectal cancer occurs at the Chelsea site of the 12 Royal Marsden Hospital. This post is one of three lower GI consultant positions, including Professor Ara Darzi and Professor Paris Tekkis. Overview of post RMH & IC Department of Colorectal surgery / Proposed CSL Clinical activity Surgery early and advanced cancer Imaging Endoscopy Radiotherapy and chemotherapy Research General surgery on-call Current Clinical Staff Prof David Cunningham - Head of GI unit Prof Ara Darzi - Head of Department Prof Paris Tekkis - Academic Surgery Dr Gina Brown - Radiology Dr Sue Chua - Nuclear Medicine Dr Daniel Levine – Nuclear Medicine Dr Diana Tait - Clinical Oncology Dr Ian Chau - Medical Oncology Dr Nick van As - Clinical Oncology Mr Shahnawaz Rasheed - (Locum) Surgery Dr Naureen Starling - (Locum) Medical oncology Prof Gordon Stamp - Clinical Pathology Clinical trials Biomedical research RMH Clinical Trails Unit South Kensington campus St Mary’s for clinical trials NIHR Biomedical Research Centre for Cancer Global Health Education & training Epidemiology and surgical outcomes Surgical technology and innovation IC Institute for Global Health Innovation Dr Andrew Weatherspoon - Clinical pathology 5.3 Teaching and Training Teach and examine courses to all levels – undergraduate, masters and higher research degrees, through lectures, seminars, course work, tutorials and clinical training and personal supervision Contribute to the Undergraduate and Graduate Entry programme Plan and review own approach to teaching 13 Develop and review approaches to education which advance techniques and standards locally and contribute to local policy developments Act as a coach and role model through excellent practice and mentoring colleagues Contribute generally to the development of teaching and teaching methods and assessments Supervise and examine MD Res/ PhD students both internally and externally Provide pastoral support for students Contribute to the enhancement of quality in teaching within the field Contribute to curriculum development Train junior medical and nursing staff in the clinical setting External activities 5.4 Act as an external examiner for postgraduate students Work, as appropriate, with national bodies on curriculum development and quality assurance Represent the Division, Faculty and College as appropriate Staff Management To take responsibility for the appointment, management and development of College staff, in line with College policy and procedure. To undertake the Performance Review and Development Plan annually for all College staff managed. To work with colleagues to ensure junior doctors’ hours are compliant in line with EWTD and New Deal. To ensure that adequate systems and procedures are in place to control and monitor leave for junior medical staff and to ensure that there is appropriate cover within the clinical areas, including on-call commitments. To participate in the recruitment of junior medical staff as delegated by the CPG Director/Clinical Director. To participate in team objective setting as part of the annual job planning cycle. To be responsible for the annual appraisal of academic/research staff for whom the post holder is responsible as delegated by the Head of Department, all doctors in training, Trust doctors and non-consultant grades as delegated by the CPG Director/Clinical Director/General Manager. 5.5 Clinical Performance Management To work with medical, nursing and managerial colleagues to ensure high performance in the following areas: Clinical efficiency e.g. LOS reductions, reducing cancelled operations and DNA rates. Quality of outcomes e.g. infection control targets, reducing re-admission rates Financial management e.g. identification, implementation and achievement of cost improvement programmes and participating in efforts to ensure services are provided cost effectively e.g. managing locum agency spend, monitoring and managing the drug budget to target, ensuring accuracy of clinical data for the team Operational efficiency e.g. day-case rates, waiting list activity and demand management. 14 5.6 Clinical Governance To review clinical outcomes in designated areas using external benchmarking data where appropriate, to identify and advise variances to the Head of Department. To participate in clinical audit, incident reporting and analysis and to ensure resulting actions are implemented. To work closely with the Directorate, Patient and Public Involvement panels in relation to clinical and service developments as delegated by the Head of Department. To participate in ensuring NICE requirements are reviewed and implemented and monitored in the speciality areas. To ensure clinical guidelines and protocols are adhered to by junior medical staff and updated on a regular basis. To keep fully informed about best practice in the speciality areas and ensure implications for practice changes are discussed with the Head of Department. To role model good practice for infection control to all members of the multidisciplinary team. The postholder will be required to maintain a programme of continuous professional development and revalidation of registration as required by external agencies an also to comply with the NHS Trusts’ clinical governance procedures. The NHS Trusts have clinical governance structures to deal with Clinical Risk Management, Clinical Effectiveness and Clinical Service Development. The postholder will be required to participate in regular clinical audit meetings, both departmental and across the NHS Trust, including mortality meetings and participation in Grand Rounds. 5.7 Strategy and Business Planning To participate in the business planning and objective setting process for the Colorectal Department, RMH, Clinical Programme Group and NHS Trust where appropriate. To make a significant contribution to building and establishing links between the appropriate research sections of the Colorectal Department and colleagues in other parts of the Faculty and wider College. To play an active part in the strategic planning of financial, staff and research resources. To represent the Colorectal Department, RMH, Faculty and College at external meetings, as appropriate. To represent the NHS Trust at appropriate clinical networks/other external clinical meetings, as delegated by the Head of Department/CPG Director/Clinical Director. 5.8 Leadership and Team Working To demonstrate excellent leadership skills with regard to individual performance, academic teams, the Colorectal Department, Faculty, College, clinical teams, the NHS Trust and when participating in national/international initiatives. To work collaboratively with all members of the multi-disciplinary team and Imperial College as required. To chair regular meetings for the specialties. To resolve conflict and difficult situations through negotiation and discussion, involving appropriate parties. 15 To adhere to College/NHS Trust guidelines on leave including reporting absence. 5.9 Management and Administrative duties To play an active part in the management of financial, staff and research resources, in line with College policy and procedure. Administrative responsibilities in the postgraduate section of RMH Administrative responsibilities in the lower GI cancer unit and contribution to the colorectal MDT RMH surgical Lead for the National Emergency Laparotomy Audit (NELA) commissioned and funded by the Healthcare Quality Improvement Partnership (HQIP) Administrative responsibilities associated with general surgical workload General contribution to the running of the surgical directorate; operational and financial performance, efficiency and productivity measures and patient experience To undertake any other appropriate administrative duties, as required. 6. Appraisal and Performance Review Systems Clinical staff A system of joint Academic/NHS Appraisal is in place for all Consultant Clinical Academic staff of Imperial College London with honorary contracts at The Royal Marsden Hospital. This is conducted on an annual basis in conjunction with a review of the postholder’s job plan. The job plan will be a prospective agreement that sets out the duties, responsibilities and objectives for the coming year. It should cover all aspects of a Consultant’s professional practice including clinical work, teaching, research, education and managerial responsibilities. It should provide a clear schedule of commitments, both internal and external. In addition, it should include personal objectives, including details of their link to wider service objectives, and details of the support required by the Consultant to fulfil the job plan and objectives. 7. Job Plan A formal job plan will be agreed annually between the postholder, the Head of the Colorectal Department, RMH and CPG Director, on behalf of the Medical Director and with the Head of the Division of Surgery, FoM. The example given below is not designed to be exhaustive. The postholder, the Head of Colorectal Department and the CPG Director/ Chief of Service and Head of the Division of Surgery, FoM will review the job plan annually in line with the provisions of the Terms and Conditions of employment. Either may propose amendment of the job plan. Academic Activities 5 PA’s per week (including administrative responsibilities) Clinical Activities 5 PA’s per week (including clinical activity, clinically related activity, predictable and unpredictable emergency work) 16 research, teaching and Monday Tuesday Wednesday Thursday Friday am 08.00-09.00 LGI MDT (1:1) 09.00-13.30 Admin / Research (1:1) 08.00-17.00 Research (1:1) 08.00-13.00 Research / Teaching (1:1) 08.00-17.00 * Theatre (1:2) Or 08.00-17.00 Research (1:2) 08.00-13.00 Theatre * (1:2) 08.00-13.00 Research (1:2) pm 14.00-17.00 Endoscopy (1:1) 14.00-17.00 OPD (1:1) 08.00-17.00 * Theatre (1:2) Or 08.00-17.00 Research (1:2) 14.00-17.00 OPD (1:1) * The post-holder will be offered the opportunity to have additional operating lists to cover Prof Darzi and Prof Tekkis when away on academic or annual leave. Regular meetings: Colorectal Department to include monthly committee meetings, monthly operational meetings, monthly Consultant meetings, rolling programme of directorate meetings, ad hoc meetings. On call: 1:8 weekday and 1:11 weekend rota. 8. Administrative/secretarial support: The post holder will be supported by appropriate administrative and secretarial support staff at The Royal Marsden Hospital. 9. Office Facilities The post holder will have office and research facilities with computer access at The Royal Marsden Hospital and Chelsea and Westminster Hospital. 10. Other Responsibilities To observe and comply with all College policies and regulations, including the key policies and procedures on Confidentiality, Conflict of Interest, Data Protection, Equal Opportunities, Financial Regulations, Health and Safety, Imperial Expectations (for new leaders, managers and supervisors), Information Technology, Private Engagements and Register of Interests, and Smoking. To undertake specific safety responsibilities relevant to individual roles, as set out on the College Website Health and Safety Structure and Responsibilities page (http://www3.imperial.ac.uk/safety/policies/organisationandarrangements). 17 Job descriptions cannot be exhaustive and so the post holder may be required to undertake other duties, which are broadly in line with the above key responsibilities. Imperial College is committed to equality of opportunity and to eliminating discrimination. All employees are expected to adhere to the principles set out in all equal opportunities policies and procedures, and all other relevant guidance/practice frameworks. 18 11. Person Specification Attributes/skills Essential Desirable Qualifications GMC registered Medical Practitioner GMC specialist registration or within 6 months of being admitted to the GMC’s specialist register Higher qualifications Appropriate Royal College Membership Further Higher Degree (PhD or equivalent) Completion of a Laparoscopic Colorectal Fellowship Measurement Application form Surgical Fellowship in speciality Documented experience in exenterative, multi-visceral surgery for rectal cancer JAG accreditation for colonoscopy Research Experience Have a recognised reputation in their field of research Track record of publishing in national peer-reviewed journals Have a sustained track record in attracting high levels of research funding Have extensive experience in leading the design of research programmes Have experience and capability to act as a role model in areas of research, teaching and management as appropriate Knowledge/Skills Clinical training and 19 Application/interview Clinical expertise in Specialty/sub specialty experience in General Surgery equivalent to that required for a UK CCT Statement regarding appropriate training and experience including that relating to a special interest Leadership/ Management skills Able to take responsibility, show leadership, make decisions, exert appropriate authority Application/interview Have proven skills in leading, motivating, developing and managing the performance of colleagues Show evidence of contribution to the development and performance of colleagues through training, coaching and mentoring Knowledge of finance/budgets Teaching /Training Audit Academic achievements including research/publications Interpersonal Skills Management of staff Experience of teaching and training undergraduates /postgraduates and junior medical staff Understanding of principles of clinical audit Evidence of achievement appropriate to appointment at consultant level Excellent written and spoken communication skills, ability to build rapport, work with others. Persuade, negotiate 20 Application/interview Application/interview Application/interview Interview Empathy, understanding, listening skills, patience, social skills appropriate to different types of patient. Able to change and adapt, respond to changing circumstances and to cope with setbacks or pressure Able to work as part of a team As this post is exempt from the Rehabilitation of Offenders Act 1974, a satisfactory enhanced Disclosure and Barring Service check will be required for the successful candidate. Further information about the DBS disclosure process can be found at http://www.homeoffice.gov.uk/agencies-public-bodies/dbs/ or by telephoning 0870 90 90 811. You may also wish to view the College’s policy statements on the Recruitment and Employment of ExOffenders and the Secure Storage, Use, Retention & Disposal of Disclosures and Disclosure Information. Imperial Expectations These are the 7 principles that Imperial leaders, managers and supervisors are expected to follow: 1) Champion a positive approach to change and opportunity 2) Communicate regularly and effectively within, and across, teams 3) Consider the thoughts and expectations of others 4) Deliver positive outcomes 5) Encourage inclusive participation and eliminate discrimination 6) Support and develop staff to optimise talent 7) Work in a planned and managed way 21 APPLICATION Our preferred method of application is online via our website http://www3.imperial.ac.uk/employment. Please complete and upload an application form as directed. A full curriculum vitae should be included with your application including the following information: Applicant’s full name, private address and private telephone number A confidential fax number and e-mail address, where possible Degrees (including University and dates) Past and present posts List of publications Brief description of future research plans Names, addresses and, email, fax numbers, of three referees. Information on research grants and contracts which have been obtained, student supervision, etc. Job Reference: SM002-14 Closing Date: 27 April 2014 22 APPENDIX 1 IMPERIAL COLLEGE LONDON Imperial College London consistently achieves one of the highest rankings nationally and internationally, as listed in the Times Higher QS World University Rankings 2012-2013. The President and Rector, Sir Keith O’Nions FRS, is the College’s academic head and chief executive officer. The Chairman of the Court and Council is Baroness Eliza Manningham-Buller. The Mission Imperial College embodies and delivers world class scholarship, education and research in science, engineering and medicine, with particular regard to their application in industry, commerce and healthcare. We foster interdisciplinary working within the College, and collaborate widely externally. Strategic Intent The College’s vision and intent is to: Continue to be a world-leading institution for scientific research and education, To harness the quality, breadth and depth of our research capabilities to address the difficult challenges of today and the future, To develop the next generation of researchers, scientists and academics, To provide an education for students from around the world that equips them with the knowledge and skills they require to pursue their ambitions, To make a demonstrable economic and social impact through the translation of our work into practice worldwide, To engage with the world and communicate the importance and benefits of science to society. Formation and History Imperial College was established in 1907 in London’s scientific and cultural heartland in South Kensington, as a merger of the Royal College of Science, the City and Guilds College and the Royal School of Mines. St Mary’s Hospital Medical School and the National Heart and Lung Institute merged with the College in 1988 and 1995 respectively. Charing Cross and Westminster Medical School and the Royal Postgraduate Medical School merged with the College on 1 August 1997 to form, with the existing departments on the St Mary’s and Royal Brompton campuses, the Faculty of Medicine. The Kennedy Institute of Rheumatology joined the Faculty of Medicine in 2000 and for over a decade was unique in Europe for its integration of basic science research and clinical facilities in 23 rheumatology. On 1 August 2011, the Institute moved to Oxford University to build a new centre for research into rheumatology and inflammatory and autoimmune disease. In 2007, the Imperial College Healthcare NHS Trust, was formed by merging Hammersmith and St Mary’s Hospitals’ NHS Trusts with the College, forming the country’s largest NHS Trust. This also established the UK’s first Academic Health Science Centre (AHSC) bringing together healthcare services, teaching and research for maximum synergistic benefits. Imperial College was an independent constituent part of the University of London until July 2007, when it was granted a new royal charter declaring it an independent university in its own right. The academic structure of Imperial College is divided into three faculties, the Faculties of Engineering, Natural Sciences and Medicine. The College’s other major academic unit is the Business School. Staff and Students The academic and research staff of 3,397 includes 72 Fellows of the Royal Society, 77 Fellows of the Royal Academy of Engineering, 81 Fellows of the Academy of Medical Sciences, one Fellow of the British Academy, four Crafoord Prize winners and two Fields Medalists. Fourteen Nobel Laureates have been members of the College either as staff or students. The College has 14,342 students, of whom 37 percent are postgraduate. Thirty per cent of students come from outside the European Union. External assessment of the College’s teaching quality in many different subject areas has been judged to be of high standard. The proportion of women students is 36 percent of the total. Research The quality of the College’s research has been judged consistently to be of the highest international standard and the proportion of income from research grants and contracts is one of the highest of any UK university. The concentration and strength of research in science, engineering and medicine gives the College a unique and internationally distinctive research presence. Generous support for the College’s work comes from a wide variety of sources. From industry there are donations towards certain senior academic posts, advanced courses, bursaries and scholarships. The single largest contribution to the College from industrial concerns is in the form of contracts to carry out research. The College also gains considerable support from research councils and charities to undertake research. Teaching and Learning The College’s overall educational aim is to ensure a stretching and exhilarating learning experience and, while maintaining its traditional emphasis on single honours degree courses, it also aims to give students the opportunity to broaden their experience through courses relevant to student and employer needs. 24 In its MSc. course provision, the College seeks to provide a wide range of specialist courses in areas in which it has particular expertise. Many of those offered by non-medical departments emphasise the valuable interaction between scientific/technological training and industrial experience, whilst those offered by the medical departments focus on subjects at the interface between basic science and medicine and on specialist education for doctors and other health professionals in training. In addition, the College’s wide range of PhD programmes reflect its aim of pursuing research at the frontiers of scientific, engineering, management and medical knowledge and the increasingly interdisciplinary nature of this research. The Centre for Educational Development raises and consolidates the profile of learning, teaching and educational development throughout the College. Newly-appointed non-clinical lecturers will be expected to develop and expand their teaching skills, and there are many learning and teaching activities for more experienced staff. On 1 October 2011, the Graduate School of Life Sciences and Medicine merged with the Graduate School of Engineering and Physical Sciences, to form a single entity. The merged Graduate School is the focus of postgraduate education and research and maintains, enhances and monitors quality, disseminates best practice, while initiating and developing new programmes, particularly those with an interdisciplinary slant. It also has quality assurance responsibilities for the two non-faculty departments of Humanities and the Business School. The College’s teaching quality is audited regularly, both internally and externally. Recent external audit found teaching quality to be of a high standard. Location The College now has one of the largest operational estates of any UK University. It includes six central London campuses, the main South Kensington campus, the Charring Cross campus, the Chelsea and Westminster campus, the Hammersmith campus, the Royal Brompton campus and St Mary’s campus. Silwood Park, a postgraduate campus at Ascot in Berkshire, houses the Ecology and Evolution Section of the Biology Division, in the Department of Life Sciences. The successful Master’s courses in Crop Protection, Forest Protection and Ecology, Evolution and Conservation are run at Silwood together with the newly created Master’s course in Conservation Science, and there is a thriving postgraduate community. The campus houses excellent research facilities and a wide range of natural environments. The NERC funded Centre for Population Biology is also based at Silwood, together with a Business Centre. THE FACULTY OF MEDICINE The Faculty of Medicine is one of Europe’s largest medical institutions – in terms of its staff and student population and its research income. It was established in 1997, bringing together all the major West London medical schools into one world-class institution. It maintains close links with a number of NHS Trusts with whom it collaborates in teaching and research activities. Although on several sites, its academic Schools, Institutes and Departments function as one Faculty, fully integrated within the College. The current Dean, Professor Dermot Kelleher, took up his appointment in October 2012. 25 There are five academic Schools, Institutes and Departments: Schools, Institutes and Departments Head of School/Institute/Department Department of Medicine Department of Surgery and Cancer Institute for Clinical Sciences National Heart and Lung Institute School of Public Health Professor Gavin Screaton Professor Jeremy Nicholson Professor Amanda Fisher Professor Kim Fox Professor Elio Riboli Faculty of Medicine Executive Team Dean of the Faculty of Medicine Vice-Dean for Education and Institutional Affairs Vice-Dean for Research Vice-Dean for Health Policy and Engagement Vice-Dean for Academic Development Professor Dermot Kelleher Professor Jenny Higham Professor Jonathan Weber Professor Lord Ara Darzi Professor Gavin Screaton 26 APPENDIX 2 SALARY AND CONDITIONS OF SERVICE A full set of terms and conditions will be given to the successful candidate, together with the College’s most important policies which affect staff. The principal terms and conditions are as follows: For staff who will hold an honorary consultant contract, appointment will be made at an appropriate point on the new Consultant Clinical Academic pay scale according to seniority plus the London Allowance. Calculation of basic salary and pay thresholds are based on the level of seniority of the applicant's service. All appointments at Clinical Senior Lecturer level have a Training and Development Review period, which lasts 5 years. Annual cost of living increases will be determined in line with the recommendations of the Universities and Colleges Employers’ Association’s Clinical Academic Staff Salaries Committee (CASSC). As this post is exempt from the Rehabilitation of Offenders Act 1974, a satisfactory enhanced Disclosure and Barring Service check will be required for the successful candidate. Further information about the DBS disclosure process can be found at http://www.homeoffice.gov.uk/agencies-public-bodies/dbs/ or by telephoning 0870 90 90 811. You may also wish to view the College’s policy statements on the Recruitment and Employment of ExOffenders and the Secure Storage, Use, Retention & Disposal of Disclosures and Disclosure Information. Clinical academic members of staff are entitled to paid annual leave and are encouraged to take it. Additional leave may also be taken for conferences, networking and to pursue research and collaborative interests. Academic members of staff normally take leave during College vacations. All leave is taken by arrangement with the Head of Department in the light of academic and departmental requirements. Personal annual leave entitlement is 30 days (pro rata for part-time staff). Staff are also entitled to 10 days public holidays per annum (including two statutory days). College closure days are allocated in addition to public holidays at Christmas and Easter. There is no obligation for staff to take days during college closure dates but if you do, this must be taken as part of your annual leave entitlement. Salaries are payable on the 24th day of each month (the exception being December) by transfer to a bank or building society account. Deductions in respect of income tax and National Insurance contributions will be made from salaries at the statutory rates. The occupational pension scheme is the Universities Superannuation Scheme (USS). Staff who are already members of the Federated Superannuation System for Universities (FSSU) or the National Health Service Superannuation Scheme (NHSPS) may, if they are still eligible, retain their membership in these schemes. 27 Unless stated otherwise in the offer of employment, or agreed by the head of department, the appointment may be terminated by either side by giving a minimum of three months’ notice in writing. The last day of service should fall on one of the following dates: 31 December; 31 March; 30 June or 30 September or at the end of a term by agreement with the Head of Department. 28