Job summary
An exciting opportunity has arisen within the Radiology Directorate for a Consultant Radiologist join our highly functional, accomplished, and friendly team.

The Radiology Directorate offers a full range of diagnostic investigations over a number of sites (2 acute and 5 community).

The Royal Blackburn Teaching Hospital is part of the PFI hospital. Radiology comprises 6 general rooms, 1 fluoroscopy room, 1 multipurpose interventional suite, 4 CT scanners (Canon 640 slice, Siemens 128 slice and 2 x 80 detector row Toshiba systems), 2 MRI scanners (Siemens Sola 1.5T) and a 3 room ultrasound suite. A further 5 ultrasound rooms are situated adjacent to antenatal and include Siemens and Canon machines. The angiography suite is within the theatre complex.

Our Nuclear Medicine Department has 2 Siemens SPECT enabled Gamma Cameras.

Burnley General Teaching Hospital primarily supports out-patients and GP patients. Radiology has a single CT, two MRI systems, five general rooms, a single digital fluoroscopy room, a DEXA scanner and 2 ultrasound rooms. Further ultrasound equipment is located within the Lancashire Women and Newborn Centre.

Both screening and symptomatic breast imaging services are provided for the women of East Lancashire from a dedicated Breast Imaging Unit on the Burnley General Teaching Hospital premises and a mobile screening unit.

The service also has a mobile MRI scanner (Philips Ingenia Evolution 1.5T).

Main duties of the job
We are seeking to appoint a capable and forward-thinking doctor to replace a radiologist who is moving out of the region. This is a consultant post so the applicant must have their name on the GMC specialist register.

The post requires a high level of competency in breast diagnostic imaging, breast ultrasound including percutaneous interventional breast and axillary procedures.

The department provides a full range of diagnostic and interventional breast imaging services inclusive of vacuum assisted biopsy excision techniques and NHSBSP very high-risk screening with MRI plus or minus mammography.

The breast service is fully equipped with state-of-the-art equipment including 4 full field digital mammography sets, 2 with stereotactic, tomosynthesis and contrast enhanced mammography capability. Dedicated breast ultrasound equipment, vacuum biopsy equipment and dedicated breast MRI for very high-risk screening and symptomatic breast imaging.

The Department provides symptomatic services for 5 Oncoplastic Breast Surgeons with 5 double dedicated one stop clinics per week. ELHT also host the East Lancashire Breast Screening Service providing routine screening for an eligible screening population of 75,000 across East Lancashire.

About us
There are currently 32 Consultant Radiologists working at East Lancashire Hospitals NHS Trust (29.8 WTE) with approximately 313 radiographic and support staff. Each modality has a Lead Radiographer overseeing operational management and service development.

Secretarial support is provided within the department however, we have developed an electronic paperless department with digital dictation, voice recognition and electronic distribution of results. We have a single, central booked appointment system across all sites.

Day to day management of the service is supported by the Radiology Directorate Manager and Radiology Operations Manager.

There is an active skill mix programme within the Directorate with Radiographers participating in x-ray reporting (Chest, Abdomen & MSK), CT, MRI, Breast and Nuclear Medicine reporting.

Both hospital sites are training departments for student radiographers. There are close teaching links with the University of Cumbria and the University of Salford.

The Radiology Directorate is headed by the Clinical Director. The Directorate resides within the Division of Diagnostics and Clinical Support which includes Pathology, Pharmacy, Therapies. The Division is supported with dedicated Human Resources, Finance and Governance colleagues.

Job responsibilities
Required Competencies
Independent clinical breast examination
Independent breast symptomatic mammographic interpretation including formulation of a radiology report
Independent breast symptomatic breast ultrasound examination including image interpretation and formulation of a radiology report
Independent percutaneous breast procedures under ultrasound guidance to include cyst aspiration, abscess or seroma drainage, FNA, core biopsy, vacuum assisted core biopsy and localisation wire insertion
Independent decision making as to whether a percutaneous biopsy is needed in evaluating a potential breast abnormality
Independent ultrasound examination and image interpretation of the axilla as part of breast cancer staging including formulation of a radiology report
Independent percutaneous procedures of the axilla under ultrasound guidance to include cyst aspiration, seroma drainage, lymph node FNA or core biopsy
Manage effectively a complex clinical workload including breast localisation procedures, one stop symptomatic breast clinics, symptomatic ultrasound lists and symptomatic mammogram reporting
Deliver bad news to patients and their relatives, when required, in a kind, caring and professional manner
Deal with highly complex and sensitive information which requires the highest level of communication skills
Use of excellent decision-making skills to ensure patient outcomes are optimised
Ensure patient confidentiality is maintained and that the Data Protection Act is always observed
Independently report a wide range of general and oncological CTs and MRIs
Be able to run a busy on call independently on weekends and evenings
Have extensive experience running an acute CT and MRI list
Independently perform a general ultrasound list

A sample 10 PA job plan subject to discussion with the clinical director would include: 5 sessions in the breast unit 2 session acute CT/MRI reporting 1 general ultrasound session 1.25 core SPA session for continuous professional development, governance quality improvement, service development and departmental activities 0.75 session free in lieu for on-call. 0.25 core SPA session for ad hoc departmental meetings **replaces other activity**

A job plan will be agreed between the appointee and the Clinical Director. and will be reviewed through discussion with the clinical director within the first 3 months and annually thereafter.

As a senior employee of the Trust the candidate will work in close co-operation with clinical staff and other medical professionals and managerialcolleagues in providing high quality health care to the Trust's patients. Integral to these responsibilities is:

• The provision of a first-class service
• Effective leadership to all staff engaged in the specialty
• Sustaining and developing teaching and research
• Undertaking all work in accordance with Trust procedures and operating policies
• Conducting clinical practice in accordance with Trust procedures and operating policies

Person Specification
ATTAINMENTS
Essential

• Valid Full Registration with the General Medical Council with name on the Specialist Register with radiology as the named specialty.
• Name of the GMC Specialist register for radiology

Desirable

• Other relevant medical and non-medical training/degree.
• Other relevant postgraduate qualification.

TRAINING
Essential

• Satisfactory completion of previous posts providing professional training in core radiology.
• Ability to run breast clinics independently
• Able to independently report a wide variety of CT and MRI examinations and to independently carry out a general ultrasound list

Desirable

• Commitment to further development reporting breast screening images and running breast screening assessment clinics independently, with departmental training and support
• Interest in gynae radiology

PERSONAL SKILLS
Essential

• Experience of supervision of junior staff.
• Ability to communicate and liaise effectively with patients, their relatives and with colleagues and staff in all disciplines.
• Ability to lead the development of services and provoke best practice amongst the colleagues in a changing environment.
• Ability to work as part of a multidisciplinary team with professional colleagues, management and AHP.

Desirable

• Evidence of development of leadership within the work environment.
• Willingness to undertake additional professional responsibilities.

EXPERIENCE
Essential

• High level of clinical experience in breast radiology in the NHS
• High level of experience in general radiology. Able to report most scans although supervision and checking may still be needed

Desirable

• Attendance at courses in teaching, appraisal and mentorship
• Evidence of undergraduate and postgraduate teaching. Ability to mentor others
• Understanding of, and experience of, performing and participating in QI projects during general professional and higher specialist training
• Willingness to undertake departmental QI projects as requested/required
• Publications in peer reviewed journals

PROFESSIONAL DEVELOPMENT
Essential

• Clear commitment to lifelong learning
• Ability to keep up to date in the speciality

Desirable

• Membership of Radiological societies.
• IT skills

MANAGEMENT
Essential

• Understanding of current NHS management systems including clinical governance and risk management.

Desirable

• Attendance at appropriate management courses.

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website.

From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants.

Applicants must have current UK professional registration. For further information please see NHS Careers website.