Model job description for a consultant in transfusion medicine by ltq40826

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									                                 Model job description for a
                           consultant in transfusion medicine


Title of employing organisation


Title of post

Posts may vary considerably. In some, responsibilities are confined to National Blood Transfusion
Services (NBS, WBS, NIBTS and SNBTS), others are joint appointments created between Blood
Transfusion Services and a neighbouring Trust, whilst in some cases Trusts may create posts with
a specific remit for blood transfusion medicine. In the first two instances, it may be appropriate that
the post-holder has an honorary appointment with a teaching hospital. In some cases, honorary
academic contracts may be awarded. Purely hospital-based posts are primarily those of consultant
haematologists and are dealt with elsewhere.


Introduction

State whether the post is a new or a replacement post.

State that if the person appointed elects to undertake a maximum part-time contract, they will be
required to devote substantially the whole of their professional time to the duties of the post.

State that any candidate who is unable to work full-time for personal reasons will be eligible to be
considered for the post. If such a person is appointed, modification of the job content will be
discussed on a personal basis with the Trust in consultation with consultant colleagues.

General information about the district and hospital.

The job title, including specialty and hospital(s), together with a description of the hospital and its
work, including an outline description of the clinical departments.

Any planned major developments should be indicated.

The details should include the population served, whether it includes an A&E unit, the presence of
any specialist services.

In the case of a split-site organisation, the facilities at each site should be described.




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Pathology

This should state whether pathology is a directorate or a sub-directorate and should identify the
Clinical Director or Head of Pathology if a sub-directorate. This should include any mechanisms for
change, e.g. rotation or fixed-term appointments.

The component departments and consultant pathologists should be listed. Links to universities,
medical schools and research units should be included.

The management structure should be described, with a statement that they are in accordance with
the Strategic Review of Pathology Services, notably paragraphs 4.22–4.26 (see
www.rcpath.org/filecollection.asp?file=jdpDoHStraRevPathServ1995May05.pdf – log in needed).

The accreditation status of the departments should be described.


Medical directorate

The description should usually include all consultant physicians and their interests, although in a
teaching hospital an indication of departments will usually be sufficient. It must state that the
appointee will be a member of the medical directorate with admitting rights and appropriate
designated junior staff.

Availability of beds and numbers should be stated.

The junior medical staff and lines of clinical and managerial accountability should be described.

The arrangements for the emergency admission of patients and on-call arrangements should be
specified.


National Blood Transfusion Services

Administrative arrangements.

Blood services are increasingly organised on functional rather than centre-based lines and the job
description should reflect divisional and directorate structures.

National integration of consultant workforce.

Arrangements for research and development.

Links with other establishments.

Library facilities and access to relevant journals.


Blood Transfusion Centres

Their relationships with other centres, bearing in mind clinical and other directorate structures.

The population and hospitals served.

Satellite facilities.




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Range of diagnostic reference services.

Links with neighbouring hospitals and academic institutions.

Local facilities for research and development.

The local medical workforce.


The department and national team to which consultant is attached

Workload.

Staffing.

Equipment.

Responsibilities for management and the role within the team.


Accreditation status

Give details of the accreditation status of the laboratory.


Duties of the post (variable, dependent upon role)

Responsibility should be focused within a limited number of pre-determined areas of the service,
e.g. transfusion microbiology, apheresis or red cell immunohaematology. Common features should
include:
•   strategic role
•   involvement in the development of policies and standards
•   national professional responsibilities, such as work for the Joint Professional Advisory
    Committee (JPAC) or British Committee for Standards in Haematology (BCSH) Transfusion
    Task Force
•   ability to influence quality
•   role in service enhancements
•   teaching/research with an honorary appointment to a teaching hospital, if the blood service is
    the primary employer
•   expectations for liaison or expert advice with hospitals served
•   arrangements for cross-cover and on-call work
•   clinical responsibilities
•   specified management arrangements for the particular service, with respect to the
    responsibility for supporting staff and quality assurance.


Joint appointments with an employing body

There should be a clear statement of the sessions allocated to the hospital and the transfusion
service, and the specific responsibilities within the hospital.


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General information about the hospital/Trust should be provided, including any specialist units
relevant to the post.

The workload statistics and the management arrangements for the transfusion laboratory should
be detailed.

Details of further clinical commitments, including on-call work, should be provided.

Facilities provided at the hospital, i.e. office and PA support, should be described.


Donor care

Setting standards for and ensuring a high level of donor care.

Monitoring of effectiveness and compliance with standards.

May or may not involve responsibilities for apheresis including therapeutic apheresis.

Workload statistics should be given.


Transfusion microbiology

Input into policies/procedures for the appropriate investigation of transfusion-transmitted infections.

Monitoring and reporting of TTIs.

Ensuring that standards for counselling blood donors with positive virology markers are met.

Policies/procedures for handling donors with false positive virology markers.

Supervision of look-back exercises at a local level.

Handling potential litigation at a local level, and national level if applicable.

May or may not involve responsibility or involvement in choice of non-mandatory assays and
algorithms for confirmatory testing.

Ensuring appropriate counselling, advice and referral for marker-positive donors.


Diagnostic reference laboratories

Setting standards for laboratory service provided and ensuring these are met.

Clinical reporting and, as required, advising on referred samples.

Development of clinical policies relating to the investigation and support of related clinical
conditions.

Management of phenotyped panels and provision of cells.

Provision of expert advice to referring clinicians.




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Blood components

Responsibility for clinical input into development and implementation of production of new
components.

Involvement in clinical trials.

Appraisal of hospital and government initiatives and their impact on component requirements.

Monitoring the quality of components provided.

Clinical advice relating to quality problems, e.g. product recall.


Clinical transfusion medicine

Development of policies and procedures for the safe and effective use of blood.

Liaison with clinical units to ensure that high standards of transfusion practice are achieved
and maintained.

Collection of outcome data, e.g. adverse reactions to blood component infusion.

Participation in the activities of the hospital’s transfusion committee.


Therapeutic apheresis

Setting standards for therapeutic cytapheresis and plasma exchange, and ensuring that these
are achieved.

Assessment of patients and in some cases donors, e.g. those of peripheral blood stem cells.

Monitoring the outcome of procedures.


Tissue banking

Setting standards for the selection of tissue donors and ensuring that collection of tissues conforms
to the highest standards of practice.

Liaising with clinical users of tissue services to assure the appropriate use of tissues.

Monitoring the outcome of tissue use and assisting in the reporting of adverse reactions to the use
of tissues.


Stem cells and immunotherapy

Involvement in the establishment and implementation of standards for stem cell donor selection
and management.

Setting standards for stem cell collection procedures and monitoring the outcome of these.

Providing clinical advice to SCI laboratories.

Liaison with clinical stem transplant and immunotherapy units.

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Research and development

Acting as a lead or principal investigator within an academic department associated within or
associated with a blood centre or hospital.

Responsible for writing grants to secure staffing and consumables required for a research group.

Participation in research governance

Supervision of post-doctoral scientists and PhD students

Ensuring a satisfactory output of publications in good quality peer-reviewed journals


Continuing professional development (CPD)

Participation is expected in CPD activities.

Library and access to medical databases/relevant journals.

Local arrangements for meetings approved for CPD.

Supported by time, facilities and funding.


Teaching responsibilities

Courses held by the centre for all groups of staff.

Involvement in undergraduate training.


Audit and clinical governance (participation obligatory)

Potential areas of interest may be defined.

Research interests.

Position within team of allied workers.

Facilities provided.


Main conditions of service

Insert the standard wording for all consultant posts in the Trust.


Annual appraisal

State the policy for annual appraisal and review of the job plan. Give the name and position of the
intended appraiser, if known.

Describe the policy for relaying key issues arising from the appraisal process to the Clinical
Director and Medical Director.




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Describe the local procedures to be followed if it is not possible to agree a job plan, either following
appointment or at annual review.


Job plan

Include a provisional job plan.


Disputes with management (or ‘whistle-blowing’)

Should a disagreement with Trust management occur, the appointee has an obligation to
endeavour to resolve any dispute constructively, through the normal channels or by informing the
Clinical Director, Medical Director, Chief Executive or Chair of the Trust. Should the problem not be
resolved, the Trust should have a specific person – normally a non-Executive Director – to hear
complaints. If the problem is still unresolved, the appointee should seek advice from an
authoritative external medical source such as the College or the Regional Advisor, the British
Society for Haematology or a mentor from the Association of Clinical Pathologists.


Support facilities

Secretarial support.

Office facilities.

Personal computer with access to the internet.


Visiting arrangements

Arrangements for visiting the Trust, either prior to shortlisting or prior to interview, should be given.

List the personnel who may be contacted by candidates. This should include the Chief Executive,
Medical Director, Laboratory Medicine Director and Head of Histopathology Service.


Person specification

This should be attached. See the model person specification on the College website.

The Royal College of Pathologists advises that applicants who are specialist registrars not yet on
the General Medical Council (GMC) Specialist Register must have obtained the FRCPath by
examination in order to be able to be shortlisted for a consultant grade post. It also advises that
suitable signed documentary evidence must be provided by such applicants to confirm that they
are within six months (i.e. six months beforehand) of being included on the GMC Specialist
Register at the date of the interview.

The documentary evidence should be:
•   either a RITA Form G (Final Record of Satisfactory Progress) or a letter from the Postgraduate
    Dean (or Regional Advisor) specifying the date for completion of training
AND
•   a letter from The Royal College of Pathologists confirming that the applicant has fully passed
    the FRCPath Part 2 examination.



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