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ORGANISATIONAL ARRANGEMENTS
This post is for 10 Programmed Activities (PAs) per week to provide oncology management and treatment within the Gynaecology Disease Group.

Role Purpose

The Locum Medical Oncologist will be based at the Christie and will provide a comprehensive clinical service for patients with gynecological cancer. ÌýThis includes providing outpatient care through the outpatient clinics and day-case units where Systemic Anti-Cancer Treatments are delivered, as well as inpatient care on the main adult oncology wards.Ìý

In 2023 the Gynaecology Medical Oncology team saw c300 New Ovarian Cancer patients and 180 new patients with endometrial cancer. ÌýAround 250 FU appointments are completed each week. ÌýThese numbers are indicative and likely to continue to increase in coming years as the team has growth in patient activity with the introduction of new therapies and lines of treatment.

There are currently 5 consultants working in gynaecology medical oncology: Professor Gordon Jayson, Dr Andrew Clamp, Dr Jurjees Hasan, Dr Claire Mitchell, and Dr Zena Salih. The consultants work with team consisting of clinical research fellows, specialty doctors, advanced nurse practitioners, clinical nurse specialists, palliative care CNS, Non-Medical Prescribing Pharmacists, and Ìýspecialist trainees in medical oncology.

The gynecological medical oncology (GMO) team is very research active with programs ranging from translational biomarker development through to phase III clinical trials, with close links to basic research laboratories in the Oglesby Cancer Research Building and Cancer Research UK Manchester Institute. ÌýÌý

Alongside the Gynecology Medical Oncology service the team have developed a specific service to assist in the management of gynecological patients that develop malignant bowel obstruction - The Complex and Recurrent Gynaecological Oncology Unit (CAReGO) The consultants support this service alongside 2 specialist advanced clinical practitioners that are specifically involved in the support and management of this cohort of patients who develop malignant bowel obstruction.
ÌýThe service has been developed in collaboration with the Salford Royal Foundation Trust (SRFT) Intestinal Failure Team (IFU) to accelerate implementation of home total parenteral nutrition (HPN) within 2 weeks of the decision to start the pathway shortening the in-patient stay for these patients. The service also provides out-patient follow up for these patients focused on management of symptoms related to bowel obstruction and admission avoidance where possible. The appointee alongside the current oncology consultants will help to support both the in-patient and out-patient aspects of the CAReGO service.Ìý

DUTIES AND RESPONSIBILITIES
The appointee will be based at The Christie and will provide senior input to the following areas of delivery:
• Ìý ÌýOutpatient clinicsÌý
• Ìý ÌýChemotherapy Services – Oak Road Treatment Centre, Christie @ Home, Outreach, Young Oncology Unit
• Ìý ÌýInpatient Services, including support of CAReGO service including CAReGO MDT meeting.
• Ìý ÌýNetwork Gynecology Multi-Disciplinary Team meetings

The role will be responsible for:Ìý
• Ìý ÌýManagement of patients with gynaecological cancer receiving standard therapy and in phase I/II/III trials including treatment decisions and ongoing care.Ìý
• Ìý ÌýBoard or face to face ward rounds of gynaecological medical oncology (GMO) patients in the Christie wards.
• Ìý ÌýDevelopment of protocols to optimise in-patient management of GMO patients, with specific reference to malignant bowel obstruction.
• Ìý ÌýSupport the CAReGO service both from an in-patient and out-patient perspective
• Ìý ÌýContribute to current research projects and establish new opportunities to expand and develop research within the team. Ìý
• Ìý ÌýRevision and development of evidence-based protocols for patients and undertaking the administrative duties associated with the care of patients.
• Ìý ÌýMaintaining a level of continuing professional development consistent with the recommendations of the Royal College of Physicians.Ìý
• Ìý ÌýContributing to the undergraduate teaching of medical students on oncology topics.Ìý
• Ìý ÌýProviding lectures for the busy postgraduate teaching programme.
• Ìý ÌýActively contributing to the training of junior doctors and other multi-disciplinary team members in both in-patient and outpatient departments including acting as clinical supervisor.
• Ìý ÌýUndertake clinical audit as a member of The Christie Medical Staff Committee.

The successful candidate will have access to secretarial support and an adequately equipped office including IT facilities. Ìý

Continuing Professional Development (CPD)
The Trust supports the requirements for CPD as laid down by the GMC and royal colleges and is committed to providing time and financial support for these activities.

Job Planning
The job plan outlines the requirements of the post and may be altered by joint agreement with the Divisional Clinical Director and Service Manager and in response to service needs. ÌýJob Plans are also subject to an annual review (May – September) as detailed in the Trust’s Job Planning Policy. ÌýIt is expected that the initial Job Plan discussion will take place within the first six months of employment at the Trust.

The annual review will examine all aspects of the job plan (including any Educational components) and will also include an assessment of professional development with defined goals for the future.

Job Plan Timetable
The timetable below is indicative and will be confirmed on commencement in post. Ìý

It is the requirement of the Trust that all new consultant colleagues must have 0.25 SPAs within their job plan to support Trust appraisal and supervision requirements. ÌýThis can either be as appraiser or a supervisor for medical staff or Advanced clinical Practitioners.