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					              JOB DESCRIPTION & PERSON SPECIFICATION
(Incorporating general information about UCL Hospitals NHS Foundation Trust)

                                       for

                 Clinical Fellow in Gynaecological Oncology



                                 Full Time

                                       at


              UNIVERSITY COLLEGE LONDON HOSPITALS
                      NHS FOUNDATION TRUST




                                                   August 2010




                                   1
                                     Contents


                                                                   Page No.




Section 1: A summary of the training post                    .. .. .. .. .. .. 3

Section 2: UCLH NHS Foundation Trust Information             .. .. .. .. .. .. 7

Section 3: Clinical Board and Division Information          .. .. .. .. .. .. 9

Section 4: The Role & Responsibilities of the Post-Holder .. .. .. .. .. .. 22

Section 5: General Information Relating to UCLH Terms & Conditions.. .. 24

Section 6: The Person Specification for this Appointment    .. .. .. .. .. .. 28




                                       2
UNIVERSITY COLLEGE LONDON HOSPITALS NHS FOUNDATION TRUST

1. The Appointment

The post holder will receive training in the clinical and surgical management of
women with gynaecological malignancies.

Training program
This year-long program is designed to give the post-holder exposure to the
management of women with gynaecological malignancies. It is not intended to lead to
sub-specialty certification in gynaecological oncology but will allow gynaecologists to
improve their surgical skills and gain understanding of clinical decision-making in
the management of gynaecological malignancies.

Gynaecologists who undertake this training will be eligible to apply for a sub-specialty
fellowship. The post is also appropriate for trainees already undertaking a
subspecialty fellowship and can contribute to a year of their training .The level of
competency achieved at the end of the fellowship will depend, to some extent, on the
prior experience of the successful candidate.

The centre already supports a full-time fellow in gynaecological oncology and the
clinical fellow would be expected to work alongside this individual and share duties
with him/her.

The timetable is as follows:
Gynaecological Oncology
                                         Am                   pm
                    Monday               Ward Round           Admin/Research
                    Tuesday              Combined clinic      MDM
                    Wednesday            Theatre              Theatre
                    Thursday             *Theatre             *Theatre
                    Friday               Admin/Research       Postgraduate education

   *The Thursday theatre slot is only available when the sub-specialty fellow has
   rotated to other modules or is absent for other reasons. The Clinical fellow may
   attend radiotherapy planning or pursue research interests when this list is not
   available.

Teaching and administration
The trainee will take part in undergraduate and post graduate teaching. He / she will
be involved in the administration of the gynaecological oncology department and the
department of O&G.

Ethical and legal aspects
These will be covered throughout the training program and in the multi-disciplinary
clinic and meeting. There are also specific training sessions in ethics in the O&G
post-graduation training program at UCLH.




                                         3
Visits to the Hospitals
Short-listed candidates are encouraged to visit the hospitals before being interviewed
by the Advisory Appointments Committee. Earlier visits (at the candidate‟s own
expense if prior to short-listing) would be welcomed by Miss Adeola Olaitan, lead
consultant for Gynaecological Oncology, Mr. Tim Mould training programme director
and Prof Martin Widschwendter.




                                        4
2.      About the Trust
UCLH is one of the largest and most complex public sector organisations in the UK.
It has played a leading role in the reform of the NHS, by becoming one of the first
NHS Foundation Trusts as of 1st July 2004. The Trust has recently completed the
first phase of the most ambitious £422m PFI project in the NHS and is leading in
research and development role in biomedicine, jointly with University College London.

The Trust is a group of central London hospitals, which include:

            The Eastman Dental Hospital
            The Elizabeth Garrett Anderson and Obstetric Wing [EGA]
            The Heart Hospital
            The Hospital for Tropical Diseases [HTD]
            The National Hospital for Neurology & Neurosurgery [NHNN]
            The Royal London Homeopathic Hospital
            University College Hospital [UCH]

At UCLH we have around 1000 beds. The new University College Hospital and The
Elizabeth Garrett Anderson and Obstetrics Hospital have approximately 700 beds;
The Heart Hospital has 88 and the National Hospital for Neurology & Neurosurgery
has 207.

The Trust is closely associated with University College London (UCL), a multi-faculty
university. The Royal Free & University College Medical School (RFUCMS), which is
one of the highest rated medical schools in the country, forms the largest element of
the Faculty of Biomedical Sciences (FBS), which was formed on 1st August 2006.

FBS comprises the former Faculty of Clinical Sciences, four postgraduate Institutes
(Ophthalmology, Neurology, Child Health, Eastman Dental) and the Wolfson Institute
for Biomedical Research. This structural change further enhances the exceptionally
strong base of research and teaching in Biomedicine at UCL.

The clinical activity of FBS is delivered by 14 Divisions and Institutes: Division of
Medicine, Cancer Institute, Division of Surgical and Interventional Sciences, Division
of Population Health, Division of Infection and Immunity, Institute of Women‟s Health,
Ear Institute, Centre for Health Informatics and Multiprofessional Education (CHIME),
Division of Medical Education and the five Institutes listed above. The departments
are situated on three main sites - the Bloomsbury Campus, the Hampstead Campus,
and the Archway Campus - and operate mainly in conjunction with four central
London National Health Service Trusts and primary health care practices. There are
also strong academic links with NHS Trusts in Greater London and the South East.

RFUCMS in its present form was created in 1998 by the merger of two major
institutions - UCL Medical School and the Royal Free Hospital School of Medicine. It
comprises the Faculty of Biomedical Sciences and that part of the Faculty of Life
Sciences which provides the basic science teaching for the medical undergraduates.
It also offers a wide range of graduate programmes and houses many
interdisciplinary research teams. The Medical School has consistently received one



                                        5
of the highest ratings in the UK in the HEFCE research assessments undertaken
during the last twelve years. Professor Ian Jacobs is Executive Dean of the Faculty
of Biomedical Sciences and Head of the Medical School and Professor Jane Dacre is
Vice-Dean for Education. Professor Humphrey Hodgson is Vice-Dean RFUCMS and
Campus Director of the Hampstead Campus and Dr David Patterson is the Archway
Campus Vice-Dean RFUCMS and Campus Director.

The Trust has an arrangement with the Medical School to provide clinical teaching for
the MBBS undergraduate programme, for which purpose it receives NHS funds from
the Workforce Development Confederation. The Trust is recognised by the University
of London for this purpose.

The successful candidate for this training post would be expected to participate in
undergraduate teaching, including acting as an examiner. He/she would be expected
to participate in research activities in the Department and have a good record of
publications.

The services we provide
UCLH provides high quality accident & emergency, general medical and general
surgical services to the people who live, work and visit north central London. In
addition, the hospital group is home to many specialist services, which attract patients
from all over the UK.

Some of our key services are:

         Women‟s health
         Cancer services
         Cardiac services
         Infectious diseases
         Neurosciences
         Oral health


Our Staff
The Foundation Trust has a combined staff of 6, 200. Roughly 20% are doctors and
dentists, 40% nurses or midwives and 40% are allied healthcare professionals,
scientific and technical staff, managers, administrators and support staff; other key
services such as catering, portering and domestic services are provided by our
external partners Interserve.

Our Patients
Every year we treat close to 60,000 patients in hospital, either as inpatients or day
cases. We also see nearly 500,000 outpatients per year. The majority of our patients
are from our closest health authority areas: Camden, Islington, Kensington, Chelsea,
Westminster and Haringey and the north Thames area in general.




New Hospital


                                         6
The Trust‟s new 16-storey, state-of the-art hospital was named University College
Hospital by the Secretary of State for Health in 2004, and opened to provide health
care service in June 2005. The new purpose-built "Elizabeth Garrett Anderson (EGA)
Wing" for Women‟s Services opened in 2008.

Investment in new medical equipment such as IT systems to provide records, test
results and X-rays electronically has been made. A new high-tech pathology building
close to the new hospital on Hampstead Road is to be built. This investment
represents the most significant programme of improvements ever seen in the NHS at
a single site.

As a result the Trust will be able to treat patients in a state of-the-art hospital
environment of which we can be proud. This includes embracing modern technology
and techniques to ensure that the Trust continues to fulfil its part in meeting the health
needs of both local residents and those from further afield requiring specialist care.

Further information about the Trust, its strategic direction and hospitals can be found
on the UCLH Website @ www.uclh.nhs.uk

3.     About the Clinical Board, Women’s Health Division & Gynaecology
       Service

The Women‟s Health Division at University College London Hospitals (UCLH),
together with paediatrics, neurosciences, the Eastman Dental Hospital, the Royal
London Homeopathic Hospital, the Heart Hospital, and cancer services form the
Specialist Hospitals Clinical Board. The medical director of the board is Professor
David Fish.

The divisional management team includes;

Divisional Clinical Director – Mr Tim Mould
Divisional Manager – Kara Gelb
Professional Head of Midwifery – Debby Gould
Clinical lead, obstetrics – Pranav Pandya
Clinical lead, gynaecology – Ertan Saridogan
Clinical lead, neonatology – Janet Rennie
Acting Director, UCL EGA Institute for Women‟s Health – Prof Neil Marlowe
UCLH Comprehensive Biomedical Centre, women‟s health theme lead –Professor
Donald Peebles

The Women's Health Division encompasses gynaecology, breast surgery, maternity
services and neonatology. It provides a service for local patients and is a specialist
referral centre for a much wider area, including tertiary referrals from other centres in
the UK.




                                          7
The UCL Elizabeth Garrett Anderson Institute for Women’s Health
Professor Ian Jacobs and his extensive research team moved to UCLH in August
2004. Under his leadership, a new Institute for Women‟s Health was established at
UCL and UCLH,. The mission statement for the Institute is: “To bring together the
expertise of clinicians and researchers from a diverse range of disciplines, so that
they can deliver excellence and innovation in clinical practice, research, education
and training, in order to make a real and sustainable difference to women‟s health
locally, nationally and worldwide”.
The Institute takes a broad, holistic approach to women‟s health, providing a co-
ordinated strategic approach to clinical care, research and education. Its aims are to
improve the care of women and their children locally, but also to lead in important
areas of women‟s health both nationally and internationally, with a particular focus on
less economically-developed countries. The Institute acts as a focus for fund-raising
to support these aims.
The Institute‟s Executive and Development Teams, involving over 70 academics,
clinicians and managers, have commenced a series of clinical and academic
initiatives across the spectrum of women‟s health. The work of the Institute supported
through a fund raising campaign being coordinated by the UCL Corporate
Development Office.

.Key features of the Institute are:
  The partnership between clinicians and academics building on the strengths of
  both.
  A strong translational focus linking research activity directly in to clinical practice.
  A multidisciplinary approach involving nurses, midwives, and psychologists as well
  as doctors and scientists.
  A broad scope addressing issues of women‟s health beyond the frame of
  conventional obstetrics & gynaecology.

The Institute underwent a successful external review in 2009, 5 years after it‟s
inception. Prof Jacobs has now stood down as the Director to take up the post of
Dean of Biomedical Sciences and Prof Marlowe is acting director.

The Division of Women’s Health
  The UCLH Gynaecological Cancer Centre
  UCLH is the Gynaecological Cancer Centre for the North London Cancer Network
  (NLCN). The gynaecological cancer centre provides a comprehensive oncology
  service for women. The department of gynaecological oncology is situated in the
  UCH Tower and the Rosenheim Building. More information about the centre is
  available on the website: http://www.uclhwomenscancer.com/.

   The surgical team
   The UCLH Gynaecological Cancer Centre has five gynaecological oncologists-
   Miss Olaitan, Miss MacDonald, Prof. Widschwendter, Mr Mould and Mr
   Silverstone.

   Surgical in-patient beds, theatres, ITU/HDU
   12 surgical ward beds are allocated for the provision of the Gynae-oncology
   Centre. These dedicated Gynae-oncology beds are in addition to the 18 beds that
   are used for general gynaecological work.


                                          8
Gynae-oncology has 6-8 theatre lists per week. Consultant anaesthetists cover all
lists. UCLH Trust has 40 ICU beds. UCLH has a PERT system which meets the
recommendation of the Comprehensive Critical Care Review published in 2000.

Nursing staff
The gynaecological cancer centre has three full time Clinical Nurse Specialists
(CNS) in gynaecological oncology, plus a network of CNS post in the units in the
network. The role of the CNS is to provide expert advice and support for women
with a gynaecological malignancy, and co-ordinate service provision providing
support to patients and carers and liasing with the MDT. Patient information
booklets and fact sheets are provided for all patients attending the Centre.

Medical and Clinical Oncology
Professor Lederman is the designated lead consultant for Medical Oncology. He is
a specialist in chemotherapy for gynaecological malignancies and has been
strongly involved in the development of the gynaecological cancer centre. There is
a separate chemotherapy day centre in the Rosenheim building and an in-patient
ward in the UCH tower. Dr Rebecca Kristelleit joined the centre in 2009 as Senior
Lecturer in Medical Oncology.

Dr McCormack is the lead consultant for Clinical Oncology. The radiotherapy
department at UCH is a large and modern department. The department has a
planning computer and a CT-simulator scanner used for external beam planning.
5 LINAC machines are available. Patients requiring internal brachytherapy are
currently treated on a microselection and are computer planned with a fixed
geometry planning system. The department has recently purchased a specialised
Brachytherapy „3D‟ computer planning system called Plato and this will soon be
used for the planning of treatment. Plato will enable the operator to get a better
picture of the patients‟ treatment by using CT images.

The UCLH brachytherapy unit is already the centre designated by the cancer
network for referral. Brachytherapy takes place on the UCH site to allow a
seamless progression of patient care, to enable surgical input in difficult
placement of brachytherapy sources in women from the centre and those brought
in from the units. The above also enables combined assessment of response and
treatment to occur.

Dr Anita Mitra joined the centre in 2010 as Consultant Clinical Oncologist.


Radiology and Histopathology
Gynaecological ultrasound is led by Mr Jurkovic and provides specialist opinions
for ovarian lesions

Dr Brunell and Dr Hall-Craggs are the designated cross sectional imaging
consultants. There is a full diagnostic imaging service. Interventional radiology is
provided by members of the radiology team. Access to state of the art PET is
available. Emergency CT, ultrasound and interventional radiology procedures are
available out of hours.


                                      9
Dr Arora and Dr Benjamin are the sub specialist gynaecological histopathologists.
They undertake the national gynaecological QA scheme. Dr. Kocjan provides
expert cytology support.

The pathology department provides frozen section, electron microscopy,
molecular pathology, immunohistochemistry, cytopathology, cervical screening,
colposcopy smears, FNA cytology. The department takes part in the following
external schemes:
Laboratory Quality Assurance Scheme
National Gynaecological & Cervical Pathology Schemes
Cervical Screening (NHS CSP Guidelines)
North Thames Cervical Cytology Scheme
UK NEQUAG Scheme
North Thames Histopathology EQA
North Thames Histopathology Technical EQA


MDT, MDM and Combined Oncology Clinic
The MDT listed above has two weekly forums to focus on multi-disciplinary care.
There is a weekly joint oncology clinic. The joint oncology clinic has been the
foundation of all clinical oncology practice within UCLH.
The multi-disciplinary team has a weekly MDM with the pathology team and
radiology team where newly presenting patients are discussed and existing
patients reviewed.

Colo-rectal, urological and plastic surgery
We have built up close working relationships with all major associated surgical
specialities. (See extended MDT)

Multi-disciplinary sarcoma team
UCLH has the regional sarcoma unit. The unit has a multi-disciplinary team with
which we liaise in the treatment of gynaecological sarcomas. Dr Seddon is the
lead sarcoma specialist for gynaecological cancer.

Paediatric oncology
The rare cases of paediatric/adolescent gynae-oncology benefit
from the dedicated UCLH facilities for young people with cancer including the
unique adolescent unit. The gynaecology department at UCLH has a
specialist paediatric gynaecologist for non-oncological conditions, Miss Creighton,
who also works between Great Ormond Street and the EGA. Miss MacDonald is
the lead surgeon for paediatric gynaecological oncology.

Dr Stoneham is the lead paediatric oncologist for gynaecological cancers.

Palliative care
The Palliative Care Provision Team for gynae-oncology cases is involved from the
beginning of patient presentation at the MDM. In the community, palliative care for
individual patients is based as close to the referral unit as possible. The acute



                                    10
Pain Service provides important support to Gynae-oncology patients.
Approximately 10 oncology patients per month are referred to the service.


The Extended team
There are clinical nurse specialists available in stoma therapy, urinary continence,
Mitroffanof therapy, lymphoedema. The gynaecological oncology CNS co-
ordinates these specialists for the needs of the gynaecological oncology patients.
The social work team provide vital support to gynae-oncology patients working
closely with the ward, clinical and psychology teams.

Links with Colposcopy
The Colposcopy Service is integrated within the Gynaecology Oncology Service at
UCL Hospitals. Four of the Consultant Gynaecological oncologists undertake
Colposcopy. With the introduction of high risk Human Papillomavirus typing the
Colposcopy Clinic is increasingly effective at managing pre-invasive and micro-
invasive cervical cancer and identifying any cases that need referral to the
Gynaecological Oncology Service. The Colposcopy Service is managed through
clinical guidelines following a flow-chart describing patient pathways through the
service and has recently undergone a successful QA visit.

Medical Secretary Support and Database
The medical secretarial and database co-ordination functions for the Centre are
managed within one team. All work relating to these functions is routed to one
secretariat that is based in the EGA. A full time secretary supports gynaecological
oncology within the secretariat. In addition, there is a full time secretary dedicated
to supporting the multi-disciplinary team. This secretary co-ordinates the
administration of the MDM and takes minutes. The secretary also attends the
multi-disciplinary clinic, sends GP notification fax sheets, collects case
submissions for the MDM, updates the database and requests pathology from
referring units.

The Gynae-oncology database holds all of the gynae-oncology data for UCLH.
This new database system is on the hospital network and is linked to PAS. This
database is to be extended for the network and will be maintained centrally within
the cancer centre. A database co-ordinator is in the latest service development
plan to support this function. The sub speciality trainee will be expected to meet
weekly with the data base coordinator in order to update the clinical data.

Research
The gynaecological oncology team is supported by a NCRN funded nurse to help
with recruitment into multi centre NCRN approved trials. The team works with the
laboratories of Dr Hartley and Professor Boschoff.

In addition to clinical research, there are large genetic, epigenetic and proteomic
working groups are located within the Department working in the field of
gynaecological and breast cancer,




                                     11
DESCRIPTION OF CLINICAL WORKLOAD
    The base referral population in the NLCN is approximately 1.5 million. The
    annual numbers of cases that will be seen in the centre are detailed below.



            Type of cancer     Annual new cases
                               (2008)
            Ovary                     125
            Endometrium                90
            Cervix                     54
            Vulva                      14
            Other                      90

            Total                       373



   The Gynae-oncology Centre for North London provides services to the area
   shown below.




   The centre also receives referrals (via the contracting process) from geographical
   locations that are outside of the NLCN borders.

   The case mix and caseload offers a wide spectrum of gynaecological oncology
   conditions and offers all aspects of investigation and treatment of primary and
   recurrent disease for the clinical fellowship. The trainee will also have additional
   support from an SHO and registrar working on the gynaecological oncology team.




                                        12
The departments of breast surgery, obstetrics, gynaecology and neonatology
combine both NHS and University elements. The inpatient gynaecology service
moved into the new hospital in 2005 and maternity and neonatal care will moved to
the purpose built EGA Wing of the new hospital in 2008.

Women‟s health clinics on the EGAOH site:

  Antenatal and postnatal                      Colposcopy
  Obstetric medicine                           Gynaecological oncology
  Diabetes and endocrine                       Fibroid clinic
  Day assessment unit                          Outpatient hysteroscopy
  Fetal medicine unit                          Menopause
  Post partum clinic                           Pre-menstrual tension
  TOP                                          Paediatric gynaecology
  Subfertility (male and female)               Urogynaecology
  Gynaecological endocrinology                 Urodynamics
  Psychosexual                                 Recurrent miscarriage
  Endometriosis                                Gynaecology/dermatology clinic
  General gynaecology                          Female genital mutilation clinic


Beds:
Obstetrics – 2 postnatal wards, 1 antenatal ward.
Gynaecology – one ward (in UCH new build)

Operating sessions:
16 gynaecology operating lists
Two dedicated maternity theatres (one in delivery suite, one in the same building) for
elective CS lists and emergencies.


Gynaecology
The Women‟s Health Division at UCLH offers a tertiary referral sub-specialist service
in all areas of gynaecology. Major gynaecological interests include reproductive
medicine, urogynaecology, paediatric gynaecology and endometriosis. A privately
funded IVF unit is situated at the Eastman Dental Hospital site.

The division‟s consultant staff establishment is listed below.

NHS CONSULTANTS
Miss Naaila Aslam (acute and general gynaecology,)
Dr Stephanie Baldewig (maternal diabetes)
Miss Maggie Blott , (obstetrics)
Dr Lyn Chitty (clinical genetics and fetal medicine)
Dr Gerry Conway (reproductive endocrinology)
Miss Sarah Creighton (gynaecology, paediatric gynaecology)
Mr Alfred Cutner (gynaecology, urogynaecology, minimal access surgery)
Ms Anna David (Senior Lecturer Obstetrics and Fetal medicine)


                                         13
Miss Melanie Davies (obstetrics, reproductive medicine)
Miss Suzie El-Neil (urogynaecology, gynaecology; uroneurology)
Mr Joseph Iskaros (obstetrics, acute and general gynaecology, post graduate
education)
Mr Davor Jurkovic (Clinical Lead Gynaecology Diagnostic Unit)
Miss Nicola MacDonald (gynae-oncology)
Dr Gail Miflin (haemoglobinopathy)
Miss Jo Modder (obstetrics)
Mr Tim Mould (gynae-oncology and clinical director women‟s health )
Mr Pat O‟Brien (obstetrics and gynaecology)
Miss Adeola Olaitan (gynae-oncology and centre lead for gynae oncology)
Mr George Pandis (endometriosis, minimal access)
Mr Pranav Pandya (obstetrics and fetal medicine, clinical lead)
Miss Elizabeth Peregrine (obstetrics and fetal medicine)
Mr Ertan Saridogan (gynaecology, reproductive medicine, clinical lead)
Mr Anthony Silverstone (obstetrics and gynaecology, gynae-oncology)
Mr Arvind Vasisht (urogynaecology, minimal access)
Dr David Williams (maternal medicine)
Dr Edwina Williams (perinatal mental health)
Dr Sian Harding (neonatology)
Dr Jane Hawdon (neonatology,)
Dr Judith Meek (neonatology)
Dr Janet Rennie (clinical lead neonatology)
Dr Mark Sellwood ( neonatology)
Dr Angela Huertas-Ceballos (neonatology)

UNIVERSITY CONSULTANTS
Professor Ian Jacobs (Dean UCL Faculty of Biomedicine, Director Joint
UCL/UCLH/RF Biomedical Research Centre, Director R+D UCLH)
Professor J Delhanty (human genetics)
Professor Donald Peebles (Head of Department of Obstetrics & Gynaecology, fetal
medicine,)
Professor Judith Stephenson (Margaret Pyke Professor of reproductive medicine)
Professor J Guillebaud (Emeritus professor, Margaret Pyke)
Professor Martin Widschwendter (Gynae Oncology)
Professor Usha Menon (gynae-oncology)
Dr Ratna Chaterjee
Professor John Wyatt (neonatology)
Dr Nikki Robertson (neonatology)

The gynaecological oncology department works closely with the other gynaecological
sub-speciality departments. The existence of these departments facilitates the
comprehensive treatment of women with gynaecological cancers.

Reproductive Medicine
The Reproductive Medicine Unit provides specialist services for fertility investigation
and treatment, and for gynaecological endocrinology. The Unit has a particular
interest in preservation of fertility in patients undergoing chemotherapy or
radiotherapy. Referrals can be seen urgently for counselling and if appropriate, we
offer cryopreservation of embryos, oocytes or ovarian tissue samples. Later, follow-up


                                        14
of oncology patients is often required for specialist advice on hormone replacement
therapy and egg donation. It is recognised by the RCOG for subspecialty training in
Reproductive Medicine (2 programmes).

Laparoscopic surgery
The department has significant expertise in minimal access surgery. Miss
MacDonald, Prof Widschwendter, Mr Mould and Miss Olaitan perform total
laparoscopic hysterectomy, laparoscopic para-aortic and pelvic node dissections, and
laparoscopic radical hysterectomy. Exenterative procedures are also performed
laparoscopically. The general gynaecology, urology and colorectal teams with whom
the gynaecological oncologists work closely are also extensively skilled in
laparoscopic surgery.


Uro-gynaecology
The Uro-gynaecology department offers a consultant led, multi-disciplinary service.
The consultant staff hold joint outpatient clinics and joint operating sessions for
complex cases. The service includes a Uro-dynamics service which takes direct
referrals. Uro-dynamic work is always reported on by a Consultant Gynaecologist.
Gynae-Oncology patients may develop complex prolapse or incontinence problems
following treatment and are referred to the Uro-gynaecology service for further clinical
management. It is recognised by the RCOG for subspecialty training in
Urogynaecology (1 programme).


Maternity and perinatal care
There are over 4,000 deliveries at UCLH per annum, and these are expected to
increase over the next 2 years. The Bloomsbury Birthing Centre provides midwifery-
based care for low-risk deliveries.
All maternity and neonatal services are housed in the new EGA wing. There is
capacity for the annual number of deliveries at UCLH to increase by around 2,000.
The new hospital has been designed with this in mind, and will have increased
capacity throughout the perinatal service.

UCLH is the perinatal centre for the North Central London Perinatal Network. The
labour ward is consultant led with 40 hours per week dedicated consultant presence,
with plans to extend in line with activity. There are major interests in fetal well-being,
pre-term labour and medical problems in obstetrics.

The fetal medicine unit (FMU) at UCLH is internationally recognised as a centre of
clinical and academic excellence. The FMU receives referrals from health
professionals throughout the South East of England and is the tertiary referral unit for
North Central London. It is the regional centre for rhesus disease,
haemoglobinopathies, perinatal problems, genetics and antenatal diagnosis and
treatment. The services are provided by a dedicated team of fetal medicine doctors
and midwives. The unit is committed to providing a service that offers parents holistic
care and this has been achieved by establishing close links with allied disciplines.
These include health professionals from the neonatal unit, Great Ormond Street
Hospital, the Institute of Child Health, the Wolfson Institute of Preventative Medicine,
North East Regional Genetics Service and referring hospitals. The academic


                                         15
department also has strong research groups in fetal and neonatal physiology, pre-
implantation genetics and single cell analysis.

The unit is committed to training and education within fetal medicine. We have three
accredited posts for subspeciality training in Maternal Fetal medicine and UCLH is a
recognised centre for the RCOG/RCR diploma in obstetric ultrasound.

The current fetal medicine consultant team is:
    Head of Department: Professor Donald Peebles
    Consultant Team;       Dr Lyn Chitty
                           Mr Pranav Pandya
                           Ms Elizabeth Peregrine
                           Ms Anna David
The obstetric medicine antenatal clinic provides a unique setting for multi-disciplinary
care of high-risk women. 60 – 70 women are seen every week. The clinic is currently
staffed by:

-   Dr David Williams (obstetric medicine)
-   Mr Pat O‟Brien (obstetrics and maternal medicine)
-   Mr Donald Peebles (fetal medicine)
-   Dr Maggie Blott(obstetric consultant)
-   Dr Fiona Walker (cardiology)
-   Dr Hannah Cohen (haematology)
-   Fetal medicine sub-specialty trainee(s)
-   Obstetric medicine fellow
-   A specialist team of midwives

There is a separate preconception and antenatal clinic with a full multi-disciplinary
team for women who have pre-existing or gestational diabetes, thyroid and other
endocrine disorders. This clinic is staffed by:

-   Dr Stephanie Baldeweg (diabetologist/endocrinologist)
-   Dr Jo Modder (obstetrician)
-   Endocrinology registrar(s)
-   Fetal medicine sub-specialty trainee(s)
-   Obstetric specialist registrar
-   Specialist nurse
-   Dietician
-   Midwife

In addition, there are regular multi-disciplinary clinics for women with epilepsy and
women with rheumatological problems.

The neonatal unit is the level 3 neonatal unit for North Central London, and in
addition the perinatal service accepts complex pregnancies and neonates from
outside of the network, including babies who will require surgery or cardiac treatment
(surgery is performed at Great Ormond Street Hospital). There is consequently a
high demand for in-utero transfers to the hospital. There is a 12 cot transitional care
unit integrated within one of the maternity wards



                                        16
The North Central London Perinatal Network
In March 2003 the London Regional Specialised Commissioning Group agreed the
configuration of neonatal networks across London. In North Central London there is a
single network to include the perinatal services at Barnet and Chase Farm Hospitals
NHS Trust, Great Ormond Street Hospital NHS Trust, the Royal Free Hampstead
NHS Trust, University College London Hospitals NHS Foundation Trust and the
Whittington Hospitals NHS Trust. UCLH is the designated perinatal centre (level 3
intensive care unit). Neonatal surgery and cardiology is carried out at GOSH.

The underlying aim of the network is to improve standards and achieve capacity so
that women and babies can be cared for within the network and transfers out are
minimised. Perinatal networks will plan and oversee the future development of
perinatal services in London, taking into account the health needs of the local
population, targets set by the London Perinatal Steering Group, and
recommendations that arise from the national review and other relevant national
guidance. The North Central London network is led by a Network Board and its
subgroups.




                                       17
OBSTETRIC AND GYNAECOLOGY JUNIOR STAFF
Senior House Officers
9 comprising:
      4 recognised for MRCOG
      2 UCLH GP VTS
      3 clinical fellows/Trust doctors

Subspecialty training posts, specialist registrars and clinical fellows
Senior Specialist Registrar subspecialty training posts (RCOG recognised):
      3 subspecialty training posts in fetal medicine
      2 subspecialty posts in reproductive medicine
      1 subspecialty training post in urogynaecology
      1 subspecialty training post in gynae-oncology
      1 subspecialty training post in community gynaecology and reproductive health
      (Margaret Pyke Centre for Family Planning)

In addition there are:
      6 specialist registrars
      2 flexible trainees (currently)
      4 Trust funded fellows in specialities including, maternal medicine and high risk
      obstetrics, gynaecological scanning.
      8-10 research fellows, a number of whom participate on the on call rota

Undergraduate Teaching
There is an annual intake of approximately 340 medical students. Students are taught
on 3 sites UCL, Royal Free and Whittington Hospitals. The current undergraduate
teaching programme extends over 14 weeks for Obstetrics and Gynaecology and
Communicable Diseases and there are six intakes of students per year. Most
teaching is in small tutorial groups, in the wards and in the theatre. In addition, final
year students can choose to undertake a special module within an area of obstetrics
and gynaecology as part of the Student Selected Component of the RFUCL course.
All members of staff are expected to participate in the teaching programme and
duties. A midwife lecturer-practitioner has been appointed to oversee the coordinated
teaching of medical students and student midwives.

Postgraduate Education
There is an active postgraduate programme run by Mr Joseph Iskaros, College Tutor
and Director of Postgraduate Education, within the Department of Obstetrics and
Gynaecology. There is a regular weekly postgraduate training programme in addition
to the monthly study and audit half-day meetings and the weekly lunchtime meetings.

Every Friday afternoon there is compulsory teaching as part of structured training.
This includes lectures, presentations, clinical and viva practice. Teaching is geared to
meet the needs of the trainees of different stages. Calman assessment takes place
in line with RCOG guidelines. In addition to weekly in-house teaching, the department
participates in the alternate monthly regional teaching which delivers teaching to ST1-
2 and ST3-7 trainees across the NE/North Central London Training Programme
.



                                         18
Departmental Meetings Include:
Gynaecology pathology
Perinatal mortality and morbidity, and admission planning
Reproductive endocrinology
Urogynaecology
Monthly ½ day audit meeting
Fetal medicine unit meetings with case review
Weekly obstetric and gynaecology case review
Weekly journal clubs
Neonatal unit clinical teaching
Departmental and divisional governance meetings

Audit
The department supports ongoing audit of clinical practice, and holds a monthly audit
meeting. The post holder will play an active role in the annual gynaecological
oncology audit.

4. The Role & Its Responsibilities
The post-holder will be accountable to Miss Adeola Olaitan, Lead for Gynaecological
Oncology at UCLH, and to Mr Tim Mould. The post is within the Women‟s Health
Division of the Specialist Hospitals Clinical Board.

Job Plan
The job is expected to be carried out on UCLH sites.

The post-holder will work together with the consultants and the sub-specialty fellow to
provide multi-disciplinary care to women with gynaecological cancers in the unit, and
to care for women admitted as emergency gynaecological cancers when the
gynaecological oncology consultants have been on call.

The post holder, working in close liaison with the sub-specialty fellow, will have the
following responsibilities:
    daily 7.30 ward rounds
    monitoring and organisation of the junior staff on the gynaecological oncology
    team
    attend gynaecological emergencies, including any presenting to A and E
    perform elective and emergency surgery,
    review the previous night's emergency admissions,
    provide advice, on request, to other teams within the hospital,
    teach junior doctors, medical students.
    Co-ordinate out-patient and in-patient care for all gynaecological oncology
    patients, including organisation of investigations, review of results and
    management of theatre lists/MDM lists in discussion with the consultant team,
    CNS‟s and MDM coordinator




                                        19
On Call Rota

The post-holder is not required to participate in an on-call rota.

Other Duties
The appointee will be expected to contribute fully to the administrative, teaching and
research activities within the department.




                                          20
5.             General Information Relating to Terms & Conditions of Service
This is an unfunded post and the candidate would be expected to arrange their own
funding.

Any offer of appointment to the post will be subject to the receipt of two references
which are satisfactory to the Trust, confirmation by the Occupational Health
Department that the pre-employment health screening is acceptable and
immunisation against infectious diseases as may be required.

Clinical Governance

The post-holder will comply with the Trust‟s clinical governance requirements and
participate in related initiatives where appropriate. This will include participating in
clinical audit and review of outcomes, working towards achievement of national and
local performance management targets, complying with risk management policies,
and participating in the consultant appraisal process.

The post-holder will also be responsible for maintaining satisfactory patient notes and,
when relevant, for entering data on to a computer database in accordance with the
rules and regulations of the Data Protection Act.

Confidentiality

All employees and honorary appointees are required to exercise discretion and
maintain confidentiality at all times.

Conflict of Interest

All applicants to any post within the Trust are required to declare any involvement
directly with any firm, company or organisation, which has a contract with the Trust.
Failure to do so may result in an application being rejected or, if discovered
after appointment that such information has been withheld, this may lead to
dismissal.


Criminal Record

 In view of the nature of the work this post is exempt from the provision of Section 4
(2) of the Rehabilitation of Offenders Act 1974 by virtue of the Rehabilitation of
Offenders Act 1974 (Exemption order 1975). Applicants are, therefore, not entitled to
withhold information about convictions including those which for other purposes are
“spent” under the provisions of the Act. You are, therefore, required to declare any
pending prosecutions or convictions you may have, even if they would otherwise be
regarded as “spent” under this Action and any cautions. In the event of employment,
failure to disclose such convictions could result in dismissal or disciplinary action by
the Authority. Any information given will be completely confidential and will be
considered only in relation to an application for positions to which the order applies.


                                        21
It is mandatory for the Trust to check with the police for the existence and content of
any criminal record of the successful applicant. Information received from the police
will be kept in strict confidence.

The disclosure of a criminal record, or other information, will not debar you from
appointment unless the selection panel considers that the conviction renders you
unsuitable for appointment. In making the decision the Trust will consider the nature
of the offence, how long ago and what age you were when it was committed and any
other factors which may be relevant, including appropriate considerations in relation
to the Trust‟s published Equal Opportunities Policy.

Failure to declare a conviction, caution or bind-over may, however, disqualify you
from appointment, or result in summary dismissal/disciplinary action if the
discrepancy comes to light. If you would like to discuss what effect any conviction
you have might have on your application, in confidence, for advice, please contact a
Senior Officer in the Personnel Department.

Data Protection

In accordance with the Data Protection Act (1998), the Trust is authorised, if required
to do so, to obtain, process and/or use information held on a computer in a fair and
lawful way. The Trust is authorised to hold data only for the specific registered
purpose and not to use or disclose it in anyway incompatible with such purpose. It is
further authorised to disclose data only to authorised organisations as instructed.

Equality and Diversity

It is the aim of the Trust to ensure that no applicant or employee receives less
favourable treatment on grounds of sex, race, colour, nationality, disability or sexuality
and is not disadvantaged by conditions or requirements which cannot be shown to be
justifiable. To this end, the Trust values and promotes diversity and equality in the
work place. The Trust has an Equal Opportunities Policy and it is for each employee
to contribute to its success.

Health and Safety

Employees must be aware of the responsibilities placed on them under the Health
and Safety at Work Act (1974), to ensure that agreed safety procedures are carried
out to maintain a safe environment for employees, patients and visitors. The Trust
also operates a No Smoking Policy, which does not allow smoking at work other than
in a designated area.

Hepatitis B

All employees who perform “exposure prone procedures” should be immunised
against Hepatitis B. Antibody response should be checked on a regular basis. If
successful in being appointed to a post, all employees MUST report to the
Occupational Health Department within two weeks of starting in post. Failure to
comply with this, or the new regulations pertaining to Hepatitis B, may result in an


                                         22
employee being suspended from duty. For further information, either contact the HR
Department or the Occupational Health Department. All matters discussed will
remain confidential.

Insurance Policy

The Authority accepts no responsibility for damage to or loss of personal property
with the exception of small valuables handed to their officials for safe custody. Staff
are therefore recommended to take out an insurance policy to cover personal
property.

Ionising Radiation Use

Under the Ionising Radiation (Medical Exposure) Regulations 2000 the Trust is
obliged to maintain a register of all persons entitled to act as “Practitioners” or
“Operators” (i.e. to justify or to carry out a medical exposure) and to keep records of
their training.

If your post includes the responsibilities of either “Practitioner” or “Operator” as
defined by these regulations you must provide the Trust with evidence of training.
This should include evidence of completion of an approved training course plus
details of practical experience.

Please note that if, during the course of your duties, you refer a person for a medical
exposure you are obliged to provide sufficient relevant clinical information to the
Practitioner to justify the use of Ionising radiation. You are expected to follow any
guidelines for such referrals, which the Trust provides.

Job Sharing

UCLH has a job sharing policy under which all posts are open to job sharing, with or
without a partner.


No Smoking

In light of overwhelming evidence that smoking can seriously damage health UCLH
operates a “No Smoking Policy” which does not allow smoking at work other than in a
designated area. Smoking is a Health and Safety issue, and all staff has a
responsibility to ensure that smoking does not occur in public areas and to be aware
of, not only health risks, but also the risks of unnecessary fire alarm activation. The
Occupational Health Department will provide advice on smoking facilities and
resources available to assist those staff who wish to give up smoking.


Public Transport and Car Parking

Car Parking facilities at the Trust are limited. The current car parking policy and
permit allocation policy has recently been revised and permit applications should be
directed to the Facilities department [Karin Roberts].


                                        23
Recruitment & Selection

All employees who are responsible for recruiting new staff are required to have
completed recruitment and selection training before they can be involved in any
recruitment process.


Residential Criteria

It is considered acceptable for new employees to commute a distance of
approximately 25 miles to the hospital unless there are exceptional circumstances or
job requirements that prevent this.

Service Commitment

UCLH expects its employees to communicate to colleagues, patients and visitors in a
polite and courteous manner at all times, to adhere to the UCLH Service Commitment
"Putting Patients First" and adopt a professional approach to customer care at all
times.

Staff Involvement

The Trust is committed to involving staff at all levels to improve patient services and
working lives. The Trust continually strives to improve internal communication
systems and encourage staff involvement in organisational and service developments
– including business planning – to enable its staff to influence discussions which
affect them and their working conditions.


Staff Nursery/Crèche

UCLH has childcare provision at three nurseries for employees. The nurseries are
based in the following areas:
 The Mousehole nursery (23 Devonshire St.)
 The Fig Tree (4 St. Pancras Way)

Places at these nurseries are available for babies and children aged 4 months – 5
years. If a place is not immediately available, names will be placed on a central
waiting list.

Superannuation Scheme

The post-holder will be entitled to join or remain in the NHS Superannuation Scheme,
which provides:

   A pension and a tax free lump sum on retirement
   Life assurance cover
   Voluntary early retirement benefits
   Ill-health retirement benefits


                                        24
   Redundancy benefits
   Family benefits
   Options to increase benefits

All pension benefits are based on salary and length of membership of the Scheme.
Contribution rates for most members is 6% of pay, but the real cost is normally
around 3.5% because of the tax relief on contributions and the lower rate of National
Insurance contributions paid as members opt out of the State Earnings Related
Pension Scheme. Legislative changes affecting the NHS pension scheme from 6th
April 2006 include the Gender Recognition and Civil Partnerships Acts and the
Finance Act 2004, introduces new upper limits on tax free pension benefits and
certain Child allowances. Medical, dental and ophthalmic practitioners and high
earners can find out more via www.nhspa.gov.uk/schemebooklets.cfm.
No contribution will be made by the Trust to personal pension plans for those who opt
out of the above scheme.




                                       25
6.     Person Specification
Post Title: Clinical Fellow in Gynaecological Oncology
Division/ Clinical Board: Women‟s Health, Specialist Hospitals Board
Programmed Activities: 10
                   Essential Criteria               Desirable Criteria       Where
                                                                            evaluated
Professional   Full GMC registration.           Higher academic degree
Qualifications MRCOG or appropriate             MD, PhD or equivalent      App Form
               specialist qualification                                    GMC
                                                                           GDC
Clinical        General Obstetrics &            Additional clinical        App Form
Experience      Gynaecology Training to         experience/training that   Ref/Int
                completion of Calman year       may be required.
                3 or equivalent
                Wide experience of
                gynaecological surgery
Clinical Skills Competent Surgeon                                          App Form
                Good Time Management                                       Ref/ Int
                Communication
                Organisation
                Counselling
                Teaching
Clinical        A good understanding of                                    App Form
Knowledge       gynaecological oncology                                    Ref/ Int
Audit           Good organisational and                                    App Form
Management management skills                                               References/
& IT            Ability to act within the                                  Interview
                clinical Governance
                framework of the NHS
                Computing and IT skills
Research.       Completed research              MD, PhD                    App Form
Teaching skill Evidence of involvement in                                  MD or peer
& experience undergraduate or post-                                        reviewed
                graduate teaching                                          publications
                                                                           in
                                                                           gynaecologi
                                                                           cal
                                                                           oncologyRef
                                                                           / Int
Personal         Good leadership skills         .                          Ref/Int
Qualities        Ability to communicate with
                 clarity and intelligently in   Outside interests
                 written and spoken English;
                 ability to build rapport,
                 listen, persuade/ negotiate
                 with colleagues, patients,
                 relatives, GPs, nurses and
                 other agencies.
                 Ability to work with other


                                       26
               teams within the Trust and
               the North London Cancer
               network
               Ability to work under
               pressure.
               Ability to be flexible and
               considerate, take
               responsibility, lead, make
               decisions and exert
               appropriate authority
               Ability to see patients as
               people, ability to
               emphathise and work co-
               operatively with others
Evaluation Key: App Form [Application Form] Ref [References] Int [Interview]




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