Consultant in Haematology

7 months ago

Manchester, United Kingdom The Christie NHS FT Full time

These posts are part of a collaborative venture between the Christie NHS Foundation Trust (CFT) and Tameside and Glossop Integrated Care NHS Foundation Trust (TGH) to support the development of haematology services across the southern sector of the Greater Manchester and Cheshire Cancer Network (GMCCN) and the delivery of clinical and laboratory haematology on the TGH site. The post will be established at the Christie although the majority of the clinical sessions will be undertaken at TGH. The post holder will be a core member of the Christie leukaemia/myeloma and lymphoma multidisciplinary teams and the post also offers the opportunity to develop a special interest in an area of malignant haematology at the Christie if required to suit the interests of the successful applicant. The Haematology department based at TGH is run by a highly motivated team providing outpatient, day care and inpatient service to BCSH level 1.

At the Christie, the appointment will join the existing team of 14 Consultants and at TGH will complement the current single-handed Haematologist, a Clinical Nurse Specialist/Service Manager and Clinical Nurse Specialist. The appointee will be expected to participate a shared on-call rota (currently with Stepping Hill Hospital) for out of hours work. There will be no on-call commitment on the Christie Site. DUTIES AND RESPONSIBILITIES The medical establishment provides 14 consultants within the department.

The appointees will be based at Tameside and will report to the Clinical Director of Haematology & Teenage and Young Adult Cancer at The Christie NHS Trust with accountability to the Medical Director at The Christie NHS Foundation Trust. To develop and implement best practice in Haematology To support the existing staff at Tameside in delivery of a high quality service To be a core member of the GMCCN Southern Sector Multidisciplinary Team (MDT) Diagnostic support Radiology (X ray, MRI and CT scan) and Pharmacy services are available at Tameside. The Pathology Collaborative Pathology is provided via Tameside. Diagnostic samples from haematology patients are handled and reported by the Greater Manchester Haematological Cancer Diagnostic Partnership (HODS).

The Haematology Laboratory Department The haematology laboratory holds full UKAS accreditation status to ISO 15189:2012. The department is registered in the United Kingdom External Quality Assessments scheme for its full repertoire of tests including coagulation, blood transfusion, full blood counts and other general haematology tests. Haematology, Biochemistry and Blood Transfusion have been merged to provide a combined blood science service. The laboratory is fully CPA accredited and takes part in all relevant NEQAS schemes.

**The services consist of**: Biochemistry Haematology Blood Transfusion Mortuary and Bereavement Services Virology (Screening only for Hepatitis otherwise MMMP) Microbiology Cellular Pathology (Located at UHSM) Blood Transfusion There is a well-established hospital blood transfusion committee and team. The committee meets quarterly and deals with current issues and determines long term strategy. It consists of laboratory, A&E, theatre and ward representatives, plus the Hospital Transfusion Practitioner. The Consultant +/- CNS will be invited to the HTC which is held 3 months per year.

The Hospital Transfusion Team meets monthly, performs regular audits and implements improvement and educational strategies. This has ensured the Trust has successfully maximised the use of blood and blood products. Clinical Haematology There is both inpatient and outpatient management of a wide variety of benign and malignant haematological disorders as would be typical of a District General Hospital haematology practise. Haematology has no dedicated inpatient beds, however, they provide a service to the Medical and Surgical Directorates to give haematological assessments when required.

This is currently provided by ad-hoc visits as required. Haematology patients receiving out-patient care, including those attending the Tameside Macmillan Unit, that require in-patient treatment remain under the care of the admitting General Physician with the haematologist providing relevant advice. General Physicians also manage patients with venous thromboembolic problems and liaise closely with the anticoagulant service. There is considerable liaison with local General Practitioners for haematological advice, both written and by telephone along with clinical advice and guidance via the NHS Electronic Referral Service Pre-COVID pandemic the clinical haematology department reviewed approximately 46 new haematology outpatients and 220 review patients per month.

Day case attendances numbered approximately 85 per month (Monday and Thursday) The current haematology inpatient and outpatient case mix consists of general haematology, low grade haematological malignancy which includes chronic myeloid and chronic lymphocytic leukaemia, myeloma plus mye

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