CLINICAL DIRECTOR
SPECIALIST ONCOLOGY
SERVICES
BEATSON WEST OF
SCOTLAND CANCER
CENTRE
INFORMATION PACK
REF: 34652D
CLOSING DATE: NOON ON 12TH SEPTEMBER 2014
www.nhsggc.org.uk/medicaljobs
Jenkins: Clinical Director SOS Job Description Final, July 2014
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SUMMARY INFORMATION
POST: CLINICAL DIRECTOR SPECIALIST ONCOLOGY SERVICES
BASE: WEST OF SCOTLAND CANCER CENTRE
Applications of interest are sought for the role of Clinical Director, Specialist Oncology Services.
The successful candidate will lead on clinical management, clinical service redesign, research, development and
training. As a member of the Regional Services Directorate Senior Management Team, the role is wide ranging and
challenging. The Clinical Director will demonstrate comprehensive leadership skills, and have the ability to operate
and contribute to the organisations strategic agenda.
The post is for three years. The successful applicant will have 5 dedicated Clinical Director sessions. There is the
facility to return to a full time clinical career after a period of three years. The post holder must be GMC registered
and must be on the specialist register.
Remuneration: £12800
For further information about the role, please contact either:
Dr Stuart Rodger, Associate Medical Director, Regional Services Directorate, on 0141 301 7081, or email
stuart.rodger@ggc.scot.nhs.uk
Mr Gary Jenkins, General Manager, Specialist Oncology and Clinical Haematology Services on 0141 301 7077, or
email gary.jenkins@ggc.scot.nhs.uk
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1.
JOB IDENTIFICATION
Job Title:
Clinical Director, Specialist Oncology Services
Responsible to:
General Manager, Specialist Oncology & Clinical Haematology Services
Professional Accountable to:
Associate Medical Director, Regional Services
Main Location:
Beatson, West of Scotland Cancer Centre
Directorate:
Regional Services Directorate, Acute Operating Division
No of Post Holders:
One
Effective From:
August 2014
2.
JOB PURPOSE (SUMMARY)
The Clinical Director will work half time as Director and half time as Consultant.
The Clinical Director will provide leadership to medical staff within Specialist Oncology Services and will have a
key role in the strategic development of the Beatson West of Scotland Cancer Centre (BWOSCC) as one of the
major non-surgical cancer centres in the United Kingdom, offering equitable access to high quality specialist
oncology services to the population of the West of Scotland.
The Clinical Director will support the General Manager in ensuring a balanced approach to the provision of
integrated clinical services, research, development and training programmes appropriate to a centre of such
standing and will work with clinicians and managers in NHS Boards across the West of Scotland to ensure that
non-surgical cancer services are appropriate, multi-disciplinary, integrated, of high quality and are provided on an
equitable basis. The Clinical Director will be a member of the Directorate Management Team which is charged
with the effective and efficient use of resources.
The Clinical Director will represent the BWOSCC on regional and national committees, as appropriate.
The Clinical Director will be supported by a number of Lead clinician posts.
The post will be for a maximum of 3 years with the facility to return to a full time clinical career after this time.
3.
DIMENSIONS
NHS Greater Glasgow & Clyde is the largest NHS provider in Scotland with an annual operating budget of circa
£2.1 billion. Specialist Oncology & Clinical Haematology Services, with a revenue budget of circa £90million, is
part of the Regional Services Directorate of the Acute Operating Division.
The Clinical Director is the senior professional post-holder within the BWOSCC; this post carries local, regional
and national responsibilities.
The BWOSCC provides specialist oncology services to 50% of the Scottish population. The centre sees over
around 8,000 new patients a year and over 101,000 return patients. Over 100,000 fractions of radiotherapy and
32,000 cycles of chemotherapy were delivered in 2013/14, making the Beatson one of the busiest Cancer Centres
in the United Kingdom.
The centre has 151 beds in 8 Wards (3 Wards and 40 beds are for haemato-oncology). One of these Wards runs
as an 8 bedded Brachytherapy. There is also an Acute Oncology Assessment Unit which comprised of 8
assessment bays. There are day case chemotherapy service (comprising of 47 bays) which delivers
chemotherapy and other supportive therapies. The centre has its own out-patient department and dispensing and
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aseptic pharmacy units where cytotoxic drugs are reconstituted. There are currently 12 linear accelerators in
operation at the Centre, and a Satellite Radiotherapy Unit under construction at the Monklands General Hospital
site.
The Centre is fully equipped to deliver optimal radiotherapeutic care, including IMRT with IGRT and SABR.
There is good access to CT scanning facilities for radiation planning, both in the West Glasgow Hospitals and in
many of the District General Hospitals throughout the Region where digital communication links can transmit CT
scan images to the centre. There is a good MRI service within the centre and Gartnavel General. There are
excellent working links with the Regional Department of Clinical Physics and Bio-Engineering.
National services at the cancer centre include sarcoma, prostate brachytherapy and ophthalmic oncology. The
Centre offers the full range of evidence-based regional oncology services.
The cancer centre is an internationally renowned academic centre, with Professors of Medical Oncology, Clinical
Oncology and Translational Research and in post. Professor Karen Vousden heads the laboratories at the
internationally renowned Beatson Institute. This initiative, developed in collaboration with Cancer Research UK,
offers unrivalled opportunity for collaboration in basic cancer research.
For the Centre as a whole, there are particularly close links with the academic departments in Glasgow University.
These involve several joint clinics as well as clinical research projects. Close links also exist with Caledonian
University (therapy radiography), Strathclyde University and Paisley University (radiation physics).
In addition, the Clinical Research Unit at the BWOSCC is one of the largest of its kind to be funded by Cancer
Research UK. The unit offers support to all clinicians with the BWOSCC to initiate and conduct clinical trials. The
unit has a large portfolio of Phase I - III studies across the range of cancer sub-specialties and has a particular
interest in the development of new anti-cancer drugs. It is supported by designated staff and facilities for Phase
I/early Phase II clinical trials.
Departmental Organisation
In order to facilitate medical management the BWOSCC is divided into 6 teams for specialist oncology services
based on the following tumour sites:
Breast
Lung
Urology
GI
Head & Neck (& neuro-oncology)
Gynaecology (including neuro endocrine and sarcoma)
There is also a palliative care and a Clinical Haematology team.
(There will be a separate Clinical Director for Clinical Haematology from August 2014)
All oncology wards within the BWOSCC (with the exception of brachytherapy) are allocated to the teams and have
integrated medical and clinical oncology. There are 3 Consultant on-call rotas, one for Medical Oncology, one for
Clinical Oncology and one for Palliative Care. The BWOSCC is committed to multi-disciplinary team working and
Cancer Managed Clinical Networks for the West of Scotland.
Each team has a trainer who supervises the trainees. The teams are headed by a team leader who is responsible
for the development of departmental medical protocols. There is a multidisciplinary Chemotherapy Team
consisting of Staff Grade Doctors, Clinical Nurse Specialists, IV Nurses and Phlebotomists who administer most of
the IV chemotherapy given in the Department.
All beds are shared and managed through the Clinical Bed Co-ordinator.
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4.
ORGANISATIONAL CHART
The organisation chart is attached as appendix 1.
5.
KEY RESULTS AREAS
Clinical Leadership
The Clinical Director will,
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provide professional leadership to the organisation and in the delivery of oncology services
manage the medical functions of the cancer centre in organisational terms
ensure that a robust communication structure is in place
coordinate the development of effective multi-disciplinary tumour site-specific team working
provide guidance and assist with planning for the provision and development of oncology services for
the population served as an integral element of comprehensive cancer care; locally, regionally and
nationally
provide advice and support in the operational and strategic planning and implementation of change as
indicated by national and regional policy and strategic direction.
chair a clinical board comprising leads of Site Specific teams, appropriate multidisciplinary colleagues,
and managerial colleagues
be responsible for the non-formulary process for prescribing within Specialist Oncology Services and for
non-formulary requests arising from WOSCAN, and take forward the transition and implementation of
the PACS guidance
be responsible for the authorisation of leave of medical staff
be responsible for maintaining and building on the close working relationship with the University and the
Beatson Institute in cancer research and development
Clinical Governance
The Clinical Director will lead a comprehensive programme of clinical governance assurance within Specialist
Oncology services in line with Board priorities including:
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develop a workforce plan for medical staffing
Responding to NHSQiS standards
maintaining a Risk Register in conjunction with the Clinical Service Manager
management IR(ME)R related issues, CEL compliance issues, and the Quality System within Specialist
Oncology Services
implementation of significant critical incident review procedures
supporting Infection Control Teams in reducing HAI
supporting staff participation in national and local clinical audit and risk management arrangements
development and harmonisation of clinical protocols and guidelines
ensuring that there are adequate systems in place to detect and address under performance
health and Safety requirements
Staff Governance
The Clinical Director will,
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develop a workforce plan for medical staffing
ensure job planning is undertaken annually and will ensure participation in appraisal for all medical staff
and any other consultant contract issues are in place
manage junior doctor rotas within Specialist Oncology Services to ensure New Deal and European
Working Time Directive compliance
be involved in grievance and disciplinary processes as required
ensure undergraduate and post-graduate medical education and training is managed within the
BWOSCC
Corporate Governance
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The Clinical Director will,
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support the General Manager and management team in meeting waiting time and other targets in line
with Board priorities (e.g. HEAT targets)
support the management team on the clinical aspects of complaints
provide strategic input into service redesign and organisational change within clinical services within
Specialist Oncology Services and ensure that quality improvement is built into this
undertake media appearances and engage with the public as directed by the General Manager
Clinical Commitments
The post will have major special interest in one major cancer type.
Participation in multi-disciplinary management will be expected. A base clinic will be incorporated in the job plan
and if the job plan includes clinics out with the cancer centre, robust arrangements are in place with all District
General Hospitals to ensure the visiting Oncologists are supported when on site and that their patients are
supported locally when off site as required. On-call will not be part of the post for off-site locations.
Teaching, Research and Audit
The appointee will play a part in the teaching and training activities of the BWOSCC which include both
undergraduate and postgraduate teaching and training. He/she will be expected to participate in the audit and
research activities of the BWOSCC. The BWOSCC has a suite of seminar rooms for lectures and meetings.
The post holder can have teaching and training commitments with tertiary education and the BWOSCC. For
example, the Scottish Academy of Colleges 2 year training programme for Scottish Oncology trainees, MSc in
Oncology Nursing and local BWOSCC initiatives.
Study and Training
The Clinical Director will encourage clinical staff to develop the study and training agenda within the organisation.
Research Opportunities
The BWOSCC has a good track record in clinical research. It is a major contributor to local, national and
international trials. The post holder will be encouraged to maintain and improve this tradition.
Provisional Weekly Timetable
The successful candidate will
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have five sessions dedicated to the Clinical Director role.
have a continuing responsibility for the care of patients in his/her charge, and for the proper functioning
of his/her department
undertake the administrative duties associated with the care of his/her patients, and the running of
his/her clinical department.
In addition to the duties mentioned above, duties at other hospitals administered by the Division may be
necessary.
6.
ASSIGNMENT AND REVIEW OF WORK
The post holder is accountable to the General Manager of Specialist Oncology Services. Review of performance
is through the agreement of Performance Objectives and annual appraisal by the General Manager and Associate
Medical Director, although informal reviews will take place at regular intervals. The Clinical Director will be
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appraised professionally through the Consultant and non-Consultant Career Grade appraisal system.
Professional accountability is to the Associate Medical Director, and Managerial Accountability is to the General
Manager.
7.
COMMUNICATION AND WORKING RELATIONSHIPS
External:
The post holder must establish and maintain effective working relationships with senior colleagues in the Acute
Operating Division, NHS Board, West of Scotland Health Board and the Scottish Government. Links with various
other organisations are also important including national, regional and local cancer planning and advisory bodies,
cancer charities, patient groups, trade unions and universities. Contact is both formal and informal and robust
communication procedures are essential.
Internal:
The following list of internal staff is not exhaustive:
Specialist Oncology Services Senior Management Group
Directorate team members
Lead consultants, and all other medical staff
Acute Service Directors
Associate Medical Directors and Clinical Directors
8.
QUALIFICATIONS AND EXPERIENCE SPECIFIED FOR THE POST
The successful candidate should:
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9.
be registered with the General Medical Council and should be on the Specialist Register
have proven organisational and leadership ability
demonstrate ability to think and act strategically and develop an organisational strategy
have media skills and experience of media management
be able to set high standards of performance to achieve change.
show evidence of excellent written and oral communication skills including presentation skills, discretion,
tact and diplomacy
have experience of chairing and facilitating meetings, seminars and training across all levels
demonstrate wide and effective networking capabilities
PHYSICAL DEMANDS OF THE ROLE
Physical Effort
 The post holder will mainly work within a sedentary environment. However, there will be periods of travel
to other sites within the region, and periods of standing to give presentations.
Mental Effort
 The post holder will be required to work under pressure on a regular and frequent basis in order to meet
changing priorities and deadlines
 The post holder must be able present complex and often contentious information to senior staff across
the organisation. Such information may often be challenged and dismissed; therefore strong skills of
negotiation and influencing are required
 Primary information often requires significant analysis, therefore analytical skills and a comprehensive
knowledge of excel are of key importance
 Workload demands will be unpredictable and will require frequent re-prioritisation and excellent diary
management skills
 The post holder will be required to concentrate on complex information and analysis with frequent
interruptions
 Specialist Oncology Services are complex, therefore the post holder must be able to understand the
operations of the service and contextualise the interface with other specialties and the organisation
Emotional Effort
 The post holder will be expected to implement various HR policies, including disciplinary, which can
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10.
involve imparting unwelcome news to staff and challenging accounts of events
As part of the complaints procedure, the post holder will often have to meet with anxious or distressed
patient and relatives who may be very emotional or distressed due to their particular circumstances.
TERMS AND CONDITIONS OF SERVICE
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The post is covered by the terms and conditions of service of the revised Hospital Medical and Dental
Staff and Doctors in Public Health and the Community Health Service – Consultant Grade Staff
[Scotland] (April 2004).
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The appointment is superannuable and is subject to the Scottish National Health Service
Superannuation Scheme unless approval is/has been given to remain subject to the terms and
conditions of another superannuation scheme.
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The Division requires the successful candidate to be a fully subscribed member of a recognised
professional defence organisation or, if there is an objection to such membership on grounds of
conscience or on some grounds approved by the Secretary of State, to take out and produce for the
Division an appropriate insurance policy.
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Private residences shall be maintained by you in contact with the public telephone service.
Reimbursement of certain telephone charges may be payable on application to the Division.
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For all new entrants to the Health Service a medical examination will be required prior to confirmation of
the appointment.
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Salary scale: National Salary Scales per annum. Clinical Director Management Allowance of £12800
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The employment is subject to three months’ notice on either side.
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You are normally covered by the NHS Hospital and Community Health Services indemnity against
claims of medical negligence. However, in certain circumstances (especially in services for which you
receive a separate fee) you may not be covered by the indemnity. The Health Department, therefore,
advises that you maintain membership of a medical defence organisation.
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Dependent upon present place of residence, the Division may require the successful candidate to
undertake to remove home to a distance acceptable to the Division, normally within 10 miles of the base
hospital, in which case removal expenses may be payable in accordance with the Terms and Conditions
of Service of Hospital Medical and Dental Staff (Scotland) (within UK only). In some cases, however, an
existing residence more than 10 miles distant from the base hospital will be acceptable to the Division
and in this case removal expenses will not be met. Either way, the position will be made clear to the
successful candidate, who should contact the Personnel Section immediately after offer of appointment
to discuss domicile requirements.
11.
MOST CHALLENGING AND DIFFICULT PARTS OF THE ROLE
The following are examples of some of the most challenging and difficult aspects of the post:
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The ability to provide on-the-spot advice and direction to a wide range of professionals and other staff
within the organisation
Balancing the desire of staff and clinicians to develop services against the availability of revenue
Implementing performance targets within the Healthcare environment
Performing mentally challenging tasks whilst being constantly interrupted by outside influences
Ability to work under extreme pressure but maintain a calm, professional and balanced façade
Communicating with anxious and distressed relatives, patients and colleagues
Managing competing priorities, whilst still maintaining deadlines and high quality work output
Understanding public and media awareness around Specialist Oncology and the Beatson West of
Scotland Cancer Centre
Understanding and balancing professional differences and perspectives
Managing a broad range of competing task effectively
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12.
Time management
ARRANGEMENT TO VISIT THE DIRECTORATE
For more information about the BWOSCC and its plans for the future, call the General Manager, Mr Gary Jenkins,
on 0141 301 7077, or e-mail gary.jenkins@ggc.scot.nhs.uk
13.
APPLICATION FOR THE POST
Please submit 5 up to date copies of your CV with a covering letter and return to the following:
Audrey Slater
HR Manager
1st Floor
McQuaker Building
Victoria Infirmary
Langside Road
Glasgow
G42 9TY
Please include the details of 2 referees.
Shortlisted candidates will be required to attend a panel interview. A presentation will be required and
candidates will be informed of the topic at the time of being invited for interview.
Psychometric testing will form part of the interview process.
14.
JOB DESCRIPTION AGREEMENT
Job Holders Signature:
Date:
General Managers Signature:
Date:
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Appendix One
DIRECTORATE OF SPECIALIST ONCOLOGY & CLINICAL HAEMATOLOGY SERVICES (MANAGERIAL HIERARCHY)
Clinical Haematology Sub Directorate
Specialist Oncology Sub Directorate
Gary Jenkins
General Manager S.O. & C.H.
(Includes all services Provided from: BWoSCC B7 / B8 / B9 / Clinic
P Vic ACH / Day Unit RAH / Onc & Haem Unit VoL / Day Unit IRH /
Ward 24 SGH / GRI I.P. Haem / OP Services – All sites /
Haemophilia Unit GRI / GCAS*/ Clinical Governance Shared Brief
Stobhill Day Unit & Ward 1 RAH)
(All BWoSCC services, and West of Scotland Oncology outreach
Provision
BUT excludes B7 / B8 / B9)
Staff wte circa: 680 w.t.e.
Budget: circa: £60 million p.a.
Staff wte circa: 200w.t.e
Budget: circa: £30 million p.a.
Clinical Director
Clinical Haematology
Ted
Fitzsimons
HoS
Laboratory
Haematology
Lead
Clinician
(Malignant)
Anne
Parker
Consultant Team
Leads: (For
discussion)
-South
-Clyde
-North East:
-North West:
Lead
Clinician
(Non Malignant)
Campbell
Tait
Clinical Director
Specialist Oncology
Myra Campbell
Clinical Service Manager
Laura
Meehan
Lead
Nurse
Anne Marie
Etherington
Lead
Nurse:
GCAS*
All SCNs
Nurse Practitioners
Clinical Nurse
Specialists
GCAS*
Nursing
Team
Nancy
Brodie
Haemophilia
Operational
Mgr
David Dodds
Lead Clinical
Oncologist
Suzanne
Ginley
Health
Records
Manager
Anne
Lawless
Deputy
Manager
Andrew McRae
Administration
Manager
*GCAS – Glasgow & Clyde Anti-Coagulant Services
Reports to CD & GM Laboratory Medicine
Jenkins: Clinical Director SOS Job Description Final, July 2014
Consultant Team Leads:
Breast:: Dr Barrett
GI: Dr Henssey
Head & Neck: Dr Grose
Lung: Dr Hicks
Gyn: Dr Harrand
Urology: Dr Jones
Craig Braodfoot
Clinical Service Manager
Jane Edgecombe
Lead Palliative Care Cons
Cathy Hutchison
Consultant Nurse /
Acute Onc Project Lead
Ewan McDonald
Out Patient Manager
Valerie Miller
Lead Nurse
Suzanne Ginley
Health Records
Manager
Lesley Cairns
Head of Therapy
Radiography
Andrea Harkin
Head of Trials
Coordination
Janice Kemp
Senior Nurse
Anne Lawless
Deputy Health
Records Manager
Helen Stewart Senior: Treatment
Radiography
Sophia
Campbell
CRU
All SCNs
Nurse Practitioners
CNS
Lorna Archibald
Administration
Manager
Ethnie McPherson:
Senior Pre Treatment
Head of Radiotherapy Physics: Garry Currie - Clinical Accountability to Clinical Director / Management Accountability to Diagnostics Directorate
Lead Cancer Pharmacist: Carla Forte – Clinical Accountability to David Dunlop / Management Accountability to PPSU Directorate
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