Grade: Specialist Registrar (ST 6+)
Specialty: Gynaecological Oncology
Reason for Vacancy: Fixed Term Contract
Supervising Consultants: Professor Ahmed Ahmed/ Mr Krishnayan Haldar
Mr Pubudu Pathiraja/ Mr Roberto Tozzi
Subspecialty Programme Lead: Mr Roberto Tozzi
Base Hospital: The John Radcliffe and Churchill Hospitals
Work Pattern: Week days Gynaecological Oncology
General On-call rota for Obstetrics and Gynaecology
Average Number of Hours Per Week: 48
Core Hours: 40
Includes Prospective Cover: Yes
Annual and Study Leave Arrangements:
Duties include cover for colleague’s absence on annual or study leave. Leave must be planned in advance and must be agreed with your supervising consultant. Annual leave entitlement will be 6 weeks.
Accommodation:
This post is compulsorily resident when on call .If accommodation is required a charge will be made.
Accommodation Officer: Elaine Foster (01865 220736)
About Health Education Thames Valley
We are the Local Education and Training Board (LETB) for Thames Valley covering
Berkshire, Buckinghamshire and Oxfordshire. Our vision is to ensure the delivery of effective workforce planning and excellent education and training to develop a highly capable, flexible and motivated workforce that delivers improvements in health for the population of Thames Valley.
Thames Valley LETB is responsible for the training of some 1500 specialty trainees.Health Education Thames Valley is a relatively small organisation with a defined geographical area which serves as a single unit of application.
Duties of the Post
A. PRINCIPAL RESPONSIBILITIES
Contribute fully to patient care within the department.

Assist the consultants within the department to manage patients. Be involved in personal training and development and in the teaching of medical students and junior medical colleagues, as appropriate.
The trainee will be assessed on an annual basis as part of the subspecialty training programme. If they do not hold CCT, they will also be required to attend annual
ARCPs at the Deanery where their number is attached. In addition there are 3 monthly in-house meetings with consultant trainers to review progress. A logbook must be maintained for RCOG sub-specialty oncology training.
B. DAILY COMMITMENT
This subspecialty training focuses on obtaining “hands-on” experience in the relevant multidisciplinary areas in accordance with the RCOG requirements. The duties will be arranged in 6 month ‘blocks’ to accommodate the specific areas of clinical work and research and the obstetrics on-call needs. The timetable may be adjusted to suit training requirements. The post is primarily based at the Churchill Hospital Site.
However, the obstetric on call commitment is at the Women’s Centre on the John
Radcliffe Hospital Site.
C. DESCRIPTION OF WORK PATTERN
The SST will be expected to take part in the general Obstetrics and Gynaecology On-
Call rota. When on call, a named consultant will always be On-Call for advice and back-up. The working pattern includes prospective cover and has been constructed to be EWTD compliant.
D. TEACHING
Participation in Teaching will be encouraged. The undergraduate lecture course in gynaecological oncology and pre-invasive disease occur every 8 weeks and the SST will be occasionally expected to participate in this and in bed-side and clinical teaching for students. The SST will also support and teach Specialist Trainees attached to the
Department.
E. ADMINISTRATION/MANAGEMENT
Completion of reports and records as appropriate. Attendance at appropriate business and departmental management meetings. There will also be opportunities for active participation and management of Multi Disciplinary Team Meetings.
Facilities for Study and Training
Good library facilities are available at the John Radcliffe Hospital and at other libraries in the Central Oxford Hospitals. Computers are available within the department for word processing, image acquisition and preparation of presentations.

Postgraduate Medical Education Courses Available
A large number of postgraduate educational facilities are available at the John
Radcliffe.
Research and Audit
The Centre has a national and international reputation for conducting excellent research using state of the art methodology. Research activities range from leading on national randomized clinical trials to conducting laboratory-based translational research trials. The centre benefits from established collaborations with world-class research institutes at Oxford such as the Old Road Biomedical Research Campus and the Weatherall Institute of Molecular Medicine. The appointment of Prof. Ahmed
Ahmed as Clinical Reader, who leads a programme in translational research in ovarian cancer, has significantly increased the opportunities of the centre. The SST will be expected to have an active role in both audit and research programmes.
Oxford University Hospitals Trust
The Oxford University Hospitals Trust (OUH) is one of the largest teaching trusts in the country, with a national and international reputation for its services and its role in teaching and research. It employs around 10,000 staff, and has an annual turnover of ove r £600 million. It provides a district general hospital service for approximately
700,000 people in Oxfordshire and the neighbouring counties. With in excess of 1200 staffed beds, the Trust’s specialist services serve a population of around 2.5 million in
Oxfordshire, Buckinghamshire, Berkshire, Wiltshire, Gloucestershire and
Northamptonshire. In addition to the normal range of specialist services, the Trust also provides other highly specialised treatment and care for a still wider catchment area.
In 2009/10, there were:

614,056 outpatient appointments

123,592 attendances at the emergency departments

79,802 admissions for emergency assessment and treatment

62,062 admissions for treatment as day cases

19,688 admissions for treated as inpatients

8,077 babies delivered
CHURCHILL HOSPITAL- Oxford Cancer Hospital
The Oxford Gynaecological Cancer Centre was recognized in 2005 as the Regional
Centre for the surgical care of women with gynaecological cancer in the Thames
Valley Region in accordance with Improving Outcome Guidance (IOG) and the
Calman-Hine model for delivery of cancer care. The Centre serves a population of approximately 2 million people. The service moved to the new Oxford Cancer Centre

in April 2009, where the surgical cancer care is provided, along with medical and clinical oncology, palliative medicine and all other allied services. In-patient care for the Centre is provided at the Jane Ashley Ward, a 20bed women’s ward that is shared with the Breast Cancer Team.
During the year April 2009-2010, there were over 2500 outpatient appointments, and nearly 500 major surgical procedures performed. Surgical procedures included laparoscopic pelvic and para-aortic lymphadenectomies, total laparoscopic hysterectomies, laparoscopic radical hysterectomies, multi-organ debulking surgery for ovarian cancer including lower and upper abdominal surgery and exenterative procedures. In addition, plans are underway for introducing sentinel lymph node mapping in vulval cancer.
Education & Training: The Oxford Gynaecological Cancer Centre has been recognized by the RCOG for subspecialty training since 2003 and, has since, been providing excellent opportunities for multi-faceted training in Gynaecological Oncology.
The Centre also provides training for outstanding International Fellows who receive structured Gynaecological Oncology training. In addition, Obstetrics and Gynaecology trainees rotate through the centre to complete their Gynaecological Oncology training module.
The Department of Gynaecological Oncology
A- Weekly Timetable:
AM
GYNAECOLOGICAL ONCOLOGY WEEKLY TIMETABLE
MONDAY
TEAM
MEETING
TUESDAY
TEAM
MEETING
WEDNESDAY
TEAM
MEETING
THURSDAY
TEAM
MEETING
Multidisciplinary
Gynaecological
Oncology Clinic
PM MDT
Theatre
Outpatient
Hysteroscopy
Clinic
Theatre
Colposcopy
Clinic
Theatre
Colposcopy
Clinic
Theatre
Out-patient
Gyn Onc Clinic
Theatre
Theatre
FRIDAY
TEAM
MEETING
Theatre
Vulval clinic
Theatre
TEAM MEETING:
08:00 every morning mid week. Usually led by one of the Consultants but should be led by the SST if a consultant is not available.

On Monday morning the team meeting includes: M&M, Journal Club, and Governance meeting
B- DEPARTMENT MEMBERS:
Lead Clinician and SST Programme Director :
Mr Roberto Tozzi, Consultant Gynaecological Oncologist.
Consultants:
Prof. Ahmed Ahmed, NDOG Professor and Consultant Gynaecological Oncologist
Mr Kryshnayan Haldar, Consultant Gynaecological Oncologist
Mr Pubudu Pathiraja Consultant Gynaecological Oncologist
Trainees:
There are in total four junior Doctors including two Clinical Fellows and two rotating
Trainees. In addition there are 2 honorary clinical fellows and 2 research fellows.
Multidisciplinary team leads

Clinical Nurse Specialist: Margaret Instone.

Pathology: Dr. Sanjiv Manek.

Radiology: Dr. Niall Moore

Medical Oncology: Dr. S Nicum.

Clinical Oncology: Dr. A Horne.
Deanery representative
Mrs Rebecca Black, Consultant Obstetrician, Head of School of O&G, Health
Education Thames Valley
Main Conditions of Service
Appointments to this programme are subject to the Terms and Conditions of Service
(TCS) for Hospital Medical and Dental Staff (England and Wales). In addition appointments are subject to:

Applicants having the right to work and be a doctor or dentist in training in the
UK

Registration with the General Medical Council

Pre-employment checks carried out by the Trust HR department in line with the
NHS employment check standards, including CRB checks and occupational health clearance.
The emplo ying Trust’s offer of employment is expected to be on the following nationally agreed terms:
Hours – The working hours for junior doctors in training are now 48-hours (or 52hours if working on a derogated rota) averaged over 26 weeks (six months). Doctors in training also have an individual right to opt-out if they choose to do so, but they

cannot opt-out of rest break or leave requirements. However, the contracts for doctors in training make clear that overall hours must not exceed 56 hours in a week (New
Deal Contract requirements) across all their employments and any locum work they do. http://www.nhsemployers.org/PlanningYourWorkforce/MedicalWorkforce/EWTD/
Pages/EWTD.aspx
Pay
– you should be paid monthly at the rates set out in the national terms and conditions of service for hospital medical and dental staff and doctors in public health medicine and the community health service (England and Wales), “the TCS”, as amended from time to time. The payscales are reviewed annually. Current rates of pay may be viewed at http://www.nhsemployers.org/PayAndContracts/Pay%20circulars/Pages/PayCirculars
MedicalandDental.aspx
Part time posts will be paid pro-rata
Pay supplement – depending upon the working pattern and hours of duty you are contracted to undertake by the employer you should be paid a monthly additional pay supplement at the rates set out in paragraph 22 of the TCS. The current payscales may be viewed at http://www.nhsemployers.org/PayAndContracts/Pay%20circulars/Pages/PayCirculars
MedicalandDental.aspx
. The pay supplement is not reckonable for NHS pension purposes. The pay supplement will be determined by the employer and should be made clear in their offer of employment and subject to monitoring.
Pension
– you will be entitled to join or continue as a member of the NHS Pension
Scheme, subject to its terms and rules, which may be amended from time to time. If you leave the programme for out of programme experience you may have a gap in your pension contributions. More information can be found at http://www.nhsbsa.nhs.uk/pensions
Annual Leave
– your entitlement to annual leave will be five or six weeks per annum depending on your previous service/incremental point, as set out in paragraphs 205-
206 of the TCS. The TCS may be viewed at http://www.nhsemployers.org/PayAndContracts/MedicalandDentalContracts/JuniorDo ctorsDentistsGPReg/Pages/DoctorsInTraining-
JuniorDoctorsTermsAndConditions150908.aspx
Sick pay – entitlements are outlined in paragraph 225 of the TCS.
Notice – you will be required to give your employer and entitled to receive from them notice in accordance with paragraphs 195-196 of the TCS.
Study Leave – the employer is expected to offer study leave in accordance with paragraphs 250-254 of the TCS. Local policy and procedure will be explained at induction.

Travel Expenses
– the employer is expected to offer travel expenses in accordance with paragraphs 277-308 of the TCS for journeys incurred in performing your duties.
Local policy and procedure should be explained at induction.
Subsistence expenses
– the employer is expected to offer subsistence expenses in accordance with paragraph 311 of the TCS. Local policy and procedure should be explained at induction.
Relocation expenses – the employer will have a local policy for relocation expenses based on paragraphs 314 – 315 of the TCS and national guidance at http://www.nhsemployers.org/PayAndContracts/MedicalandDentalContracts/JuniorDo ctorsDentistsGPReg/Pages/DoctorsInTraining-
JuniorDoctorsTermsAndConditions150908.aspx
You are advised to check eligibility and confirm any entitlement with the employer before incurring any expenditure.
Pre-employment checks – all NHS employers are required to undertake preemployment checks. The employer will confirm their local arrangements, which are expected to be in line with national guidance at http://www.nhsemployers.org/RecruitmentAndRetention/Employmentchecks/Pages/Employment-checks.aspx
Professional registration – it will be a requirement of employment that you have professional registration with the GMC/GDC for the duration of your employment.
Though the post is covered by NHS Indemnity, you are strongly advised to register with the MPS for professional indemnity.
Health and Safety
– all employers have a duty to protect their workers from harm.
You should be advised by the employer of local policies and procedures intended to protect your health and safety and expected to comply with these.
Disciplinary and grievance procedures
– the employer will have local policies and procedures for dealing with any disciplinary concerns or grievances you may have.
They should advise you how to access these, not later than eight weeks after commencement of employment.
Educational Supervisor – the employer or a nominated deputy (usually the Director of Medical Education) will confirm your supervisor on commencement.
General information on the LETB’s management of Specialty Training programmes, including issues such as taking time out of programme and dealing with concerns or complaints, is available at www.oxforddeanery.nhs.uk
and in the national ‘Gold guide’ to Specialty Training at http://specialtytraining.hee.nhs.uk/ . Please ensure that you inform Health Education Thames Valley of any changes to your contact details.
June 2014