Job summary
We are seeking an enthusiastic, motivated, and dedicated colleague to join the Consultant team at the Oxford Centre for Genomic Medicine, Oxford University Hospitals (OUH) NHS Trust.

The OUH is a large teaching hospital with an active teaching and research agenda. We are seeking a colleague who shares the values of the OUH in providing excellent, compassionate care.

The successful candidate will join 13 consultants, 2 honorary consultants, 8 SpRs and ACFs and 16 genetic counsellors; supported by a team of patient pathway administrators, a cancer triage team, a family history team and a growing team of genomic practitioners and associates to support mainstreaming of whole genome sequencing (WGS) across the region.

The role offers an opportunity for an individual keen to provide clinics in general genetics, to participate in and lead MDTs and to develop a special interest which complements those of the existing team.

The appointment is part time but if an interested candidate was wishing a full time post, please do contact the clinical lead for further discussions.

For further details or to discuss the position, candidates are invited to contact Dr Dorothy Halliday, Clinical Lead (Tel: 01865 226024; email: dorothy.halliday@ouh.nhs.uk) Oxford Centre for Genomic Medicine, Oxford University Hospitals NHS Trust, Nuffield Orthopaedic Centre, Windmill Road, Oxford, OX3 7HE.

Main duties of the job
The post-holder will be based at the Oxford Centre for Genomic Medicine (OxGEM) on the site of the Nuffield Orthopaedic Hospital. OxGEM is a busy regional genetics service providing cancer and general genetic services to the population of Oxfordshire, Berkshire, Buckinghamshire and part of Wiltshire. The role will include travel to peripheral clinics at district general hospitals within the region and the post holder will need flexibility and willingness to work in peripheral clinics according to the needs of the department.

The clinical work plan (see model job plan below) is based on 4.75 PA of direct clinical care (DCC) incorporating clinic and patient related activities, and 1.25 PA of supporting professional activity (SPA). The SPA time may be increased as additional responsibilities or roles are undertaken.

OXGEM has a team of Patient pathway administrative support. Pre-clinic support is provided by a family history team. Office space will be provided, with access to a computer/laptop. IT support is available from the Trust IT support team. One of the existing consultant team will support as a mentor the new Consultant joining the team.

About us
Oxford University Hospitals NHS Foundation Trust is one of the largest NHS teaching trusts in the country. It provides a wide range of general and specialist clinical services and is a base for medical education, training and research. Find out more here www.ouh.nhs.uk

The Trust comprises four hospitals - the John Radcliffe Hospital, Churchill Hospital and Nuffield Orthopaedic Centre in Headington and the Horton General Hospital in Banbury

Our values, standards and behaviours define the quality of clinical care we offer and the professional relationships we make with our patients, colleagues and the wider community. We call this Delivering Compassionate Excellence and its focus is on our values of compassion, respect, learning, delivery, improvement and excellence. These values put patients at the heart of what we do and underpin the quality healthcare we would like for ourselves or a member of our family. Watch how we set out to deliver compassionate excellence via theOUH YouTube channel

Job responsibilities
Clinical activities
The core activity of the role is direct clinical care (DCC) related to General ClinicalGenetics, with a possibility to develop a special interest. While the post holder will spend most of their time at the OxGEM base located within the grounds of the Nuffield Orthopaedic Hospital in Headington, clinics in other OUH Hospitals will be undertaken, and the appointee will be given responsibility for providing general clinical genetics services to designated peripheral clinics or regions.

Core aspects of the role include triaging of referrals, seeing cases in clinic (which is currently offered as a blended approach of face to face, video and telephone consultations); offering telephone or letter advice to GPs and other colleagues; and follow up of genetic cases as appropriate by phone, or virtually by notes review and appropriate follow up activity. Other key aspects of the job include participation in multidisciplinary meetings with colleagues outside genetics to support the mainstreaming process, and engaging fully with OxGEM departmental meetings.

Support to resident medical doctors in training: The Oxford Clinical Genetics service provides training for eight Specialist Registrars and ACFs. As one of the consultant team, the postholder will participate fully in clinical supervision and education of the trainees and fellows within the department.

Out-patient clinics: An OxGEM consultant outpatient clinic would typically include separate lists for a consultant, an SpR and a genetic counsellor. Pre and post clinic support to the resident medical staff and genetic counsellor colleagues is provided by the overseeing consultant. Genetic counsellor led clinics are also well established. A 6 PA job plan would typically include 42 clinics per year, with a mix of new patients and follow-up cases.

In-patient cover: Cover for urgent ward referrals and advice is provided on a rota basis with all consultants participating, approximately on a 1 in 7 basis. There is no out of hours on-call.

Liaison with the genetics laboratory: The Oxford genetics laboratory is part of the Central and South Genomic Medical Service. Regular review of genetic test results with laboratory scientists is facilitated through weekly joint MDT meetings.

Clinical Audit:The successful applicant would be expected to participate in medical audit. OxGEM has an active programme of regular departmental audit, and participates in South West of Britain (SWOB) regional audits and national genetic audits.

Support of mainstream clinicians.OxGem is linked with the Central and South Genomic Medical Service along with Wessex and West Midlands. The successful applicant would be expected to participate in mainstreaming activities such as teaching and training mainstream colleagues and supporting return of genomic laboratory results.

Supporting Professional Activity
All consultants are given time within their job plan to participate in the departments clinical audit programme, participate in the trust appraisal process, undertake annual job planning and undertake other clinical professional development activities to support revalidation

Person Specification
Qualifications/Training
Essential

• MRCP(UK) or equivalent
• Entry on the General Medical Council (GMC) Specialist Register in Clinical Genetics via one of the following a) Certificate of Completion of Training (CCT) -the proposed CCT date must be within 6 months of the interview b) Certificate of Eligibility for Specialist Registration (CSER)
• GMC registration

Desirable

• Higher medical degree (MD or PhD) or equivalent

Experience
Essential

• Training in Clinical Genetics to specialist level or equivalent
• High level of competence in management of complex genetic cases
• Evidence of ability to make decisions at consultant level and to manage complex clinical problems

Desirable

• Development of a specialist interest within clinical genetics
• Experience of providing genetics service at consultant level

Skills and Knowledge
Essential

• Excellent leadership skills. Evidence of ability to lead a clinical team at the level of a consultant
• Effective administrative and time management skills. Training in clinical management
• Evidence of significant contribution to successful teamwork
• Good spoken and written English. Highly developed communication and interpersonal skills
• Experience of formal and informal contributions to teaching and training
• Evidence of effective and sustained contribution to clinical governance, clinical risk management and clinical audit activities
• Interest in research

Desirable

• Management qualification
• Education qualification
• Peer reviewed publications

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.