Senior Clinical Fellow in Thrombosis, & Haemostasis

Detailed job description and main responsibilities

JOB DESCRIPTION FOR

CLINICAL FELLOW IN THROMBOSIS & HAEMOSTASIS

The Job

Title of Post:                                     Clinical Fellow in Thrombosis, & Haemostasis

Nature of Appointment:                 Fixed term for 12 months

Responsible To:                              Dr. Pu-Lin Luo

Accountable To:                              Dr Pu-Lin Luo, Clinical Lead for Haemostasis & Thrombosis

Employing Authority:                      Guy’s & St Thomas’ NHS Foundation Trust

Organisational Values:

The post holder will:

Department Information

The Thrombosis and Thrombophilia team

Due to an escalating referral rate this team is rapidly expanding to accommodate increasing patient numbers.  A significant proportion of the workload results from tertiary referral of patients with thrombotic disorders from South-East England and elsewhere, as befits the function of an internationally recognised Centre for Thrombosis and Haemostasis.  The Centre also provides advisory and consultative services for the Trust and other teaching and district general hospitals, including Anticoagulant control, advice on the management of high-risk cases prone to thrombosis (e.g. during pregnancy), and the management of acquired bleeding disorders. The Centre staffs and organise the Thrombosis/Thrombophilia clinics on both the Guy’s and St. Thomas’s sites.

Currently there is a registry of patients with complex thrombotic disease from all over the UK. These patients have access to the team by a hot line, clinics and walk-in facility. They often phone or e mail and as their care is often delivered locally, conversations with their local surgeons, obstetricians and General Practitioners are common. Clinics are held on four days a week, Dr Susan Robinson cares for those with inherited thrombophilias during pregnancy, and those with antiphospholipid antibodies are cared for in an antiphospholipid pregnancy clinic. The clinics are being separated into a “young persons/teenage clinic, antiphospholipid clinics, inherited thrombophilia clinics and a general thrombosis clinic. The current team includes Prof Beverley Hunt, Dr Karen Breen, Dr Pu Lin Luo, Dr Uzma Faruqi, Dr Anicee Danaee, and Dr Gerry Dolan. Dr Anders Cohen and a Clinical Research Fellow (this post) and a rotating Haematology SpR. There are also two Thrombosis Clinical Nurse Specialists and a Research Clinical Nurse Specialist. We also utilise the nursing staff within the Haemophilia and Thrombosis Unit at St Thomas’ and nursing staff on the Haematology Day Ward at Guys’. They are supported by secretarial and clerical time and data manager. We also have additional Research Fellows from Overseas present.

Currently clinics occur in the Haemophilia and Thrombosis centre. Many patients are referred in for surgery and the team has close links with the GSTT Vascular Surgery team, gynaecologists and general surgeons, many of whom have become adept at operating on patients with complex thrombotic problems. The Thrombosis and Thrombophilia team are also responsible for delivery of the targets related to prevention of hospital-acquired VTE and to take on the managerial responsibility of the management of acute VTE.

Main place of employment:

The post will be based at the Guy’s & St Thomas’ sites and the post holder will be who has an interest in gaining further knowledge and experience in management of patients with thrombosis and acquired bleeding disorders.  This post would suit someone who is interested in doing research in this area.

Job Summary:

·        To provide clinical input into the management of patients with thrombosis and acquired bleeding disorders

·        To be involved in research to improve the management of patients with thrombotic disorders and/or acquired bleeding disorders

·        To participate in clinical and other service activities with the object of ensuring a high standard of patient care 

·        To participate in undergraduate and postgraduate teaching and training

Duties and responsibilities:

Clinical:

The post holder will, together with colleagues, be responsible for the provision of thrombosis and acquired bleeding services to the Guy’s & St Thomas’ NHS Foundation Trust to include:

(a)       Diagnosis and treatment of patients of the trust in such hospitals, health centres or clinics or other premises as required.

(b)       Continuing clinical responsibility for the patients, allowing for all proper delegation to, and training of, your staff.

Training of junior staff:

The post holder will take responsibility for the training and direction of junior staff allocated to him/her under aegis of the training plan that that post holder has agreed with their supervising consultant.

Teaching:

The post holder will be expected to contribute as appropriate in the teaching of undergraduate and postgraduate students.

Clinical Governance:

All medical and dental staff are expected to take part in clinical governance activity, including clinical audit, clinical guideline and protocol development and clinical risk management.  They will be expected to produce evidence of their contribution in these areas and their audit of their own clinical work as part of their appraisal. 

Mutual Obligation to Monitor Hours:

There is a contractual obligation on employers to monitor working hours through robust local monitoring arrangements supported by national guidance, and on individual doctors to co-operate with those monitoring arrangements.

European Working Time Directive (EWTD):

All posts and working patterns are under constant review in line with EWTD guidelines

Educational Programme:

Neither the London Deanery not the Royal College of Physicians accredits this post for postgraduate training. However the post holder will be expected to attend and contribute to educational activities e.g. departmental meetings, x-ray meetings, pathology meetings, multidisciplinary meetings, journal clubs etc.

Appraisal:

All medical and dental staff are required to undertake appraisal. 

Confidentiality / Data Protection / Freedom of Information:

Post holders must maintain the confidentiality of information about patients, staff and other health service business in accordance with the Data Protection Act of 1998. Post holders must not, without prior permission, disclose any information regarding patients or staff.   If any member of staff has communicated any such information to an unauthorised person those staff will be liable to dismissal.   Moreover, the Data Protection Act 1998 also renders an individual liable for prosecution in the event of unauthorised disclosure of information.

Following the Freedom of Information Act (FOI) 2005, post holders must apply the Trust’s FOI procedure if they receive a written request for information. 

Equal Opportunities:

Post holders must at all times fulfil their responsibilities with regard to the Trust’s Equal Opportunities Policy and equality laws.

Health and Safety:

All post holders have a responsibility, under the Health and Safety at Work Act (1974) and subsequently published regulations, to ensure that the Trust’s health and safety policies and procedures are complied with to maintain a safe working environment for patients, visitors and employees.

Infection Control:

All post holders have a personal obligation to act to reduce healthcare-associated infections (HCAIs). They must attend mandatory training in Infection Control and be compliant with all measures required by the Trust to reduce HCAIs.  All post holders must comply with Trust infection screening and immunisation policies as well as be familiar with the Trust’s Infection Control Policies, including those that apply to their duties, such as Hand Decontamination Policy, Personal Protective Equipment Policy, safe procedures for using aseptic techniques and safe disposal of sharps. 

Risk Management:

All post holders have a responsibility to report risks such as clinical and non-clinical accidents or incidents promptly. They are expected to be familiar with the Trust’s use of risk assessments to predict and control risk, as well as the incident reporting system for learning from mistakes and near misses in order to improve services. Post holders must also attend training identified by their manager, or stated by the Trust to be mandatory.

Safeguarding children and vulnerable adults:

Post holders have a general responsibility for safeguarding children and vulnerable adults in the course of their daily duties and for ensuring that they are aware of the specific duties relating to their role.

Sustainability:

It is the responsibility of all staff to minimise the Trust’s environmental impact by recycling wherever possible, switching off lights, computers monitors and equipment when not in use, minimising water usage and reporting faults promptly.

Information Governance

All staff must comply with information governance requirements. These includes statutory responsibilities (such as compliance with the Data Protection Act), following national guidance (such as the NHS Confidentiality Code of Practice) and compliance with local policies and procedures (such as the Trust's Confidentiality policy). Staff are responsible for any personal information (belonging to staff or patients) that they access and must ensure it is stored, processed and forwarded in a secure and appropriate manner.