JOB DESCRIPTION

JOB TITLE: Junior Clinical Fellow in ONCOLOGY and

HAEMATOLOGY (12m)

DIVISION: Transplant & Immunology

RESPONSIBLE TO: Clinical Director
LOCATION: RFH
Directly: N/A
MANAGES:
Indirectly: N/A

JOB SUMMARY:
Junior Clinical Fellow in ONCOLOGY and HAEMATOLOGY
(12m: 2x 6m rotation)

This post is based full-time at the Royal Free Hospital in Hampstead and provides an
excellent introduction to Oncology and Haematology. The post rotates through 6
months of Oncology and 6 months of Haematology and participate in the 1 in 9 on call
rota with CMT colleagues. This exciting opportunity provides experience in
haematology, medical and clinical oncology and would be ideally suited to post-
foundation doctors (either prior to or after core medical training) considering a career in
Oncology or Haematology. This post is available from August 2019 for a period of 12
months.

The Post holder has the same wide range of educational and training opportunities as
colleagues on the training rotation, including protected time for outpatient clinics. Post
holder is provided with educational supervision, e-portfolio and study leave equivalent
to those on training rotations (including a study leave budget for educationally
approved training courses).

ONCOLOGY (6m):
Oncology clinical fellows work closely with tumour specific SpRs, Core Medical Trainee
and FY colleagues to cover the inpatients and admission. We admit oncology patients
directly from ED with the support of an Acute Oncology CNS and daily Consultant ward
round of new admissions.

There is exposure to a wide variety of cancers working with an enthusiastic and

friendly team of medical and clinical oncologists. This post gives an excellent
grounding in all aspects of cancer patient care including chemotherapy,
immunotherapy, radiotherapy and palliative care. Clinical fellows are encouraged to
participate in research projects and present their projects at conferences.

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HAEMATOLOGY (6m):
This post provides an excellent introductory training in Haematology. Clinical fellows
work closely with ST3 colleagues and are responsible for day care of non-elective
acute admission patients with malignant diagnosis as well as elective admissions for
immunotherapy. They also support the laboratory teams in the diagnosis and review of
patients with thrombosis and bleeding problems. There are a wide range of research,
audit and quality improvement projects ongoing in the department which fellows are
encouraged to be involved in.

A detailed orientation to the department and the various components of the position is
given on the first day of service. In summary the job includes:

a) Inpatient Haematology: With ST3 colleagues responsible for day care of non-
elective acute admission patients with malignant diagnosis as well as elective
admissions for immunotherapy.

b) Day unit: Supporting the day unit team with reviews and acute admissions.

c) Lab and Haemophilia: Support the lab teams in diagnosis and review of patients
with thrombosis and bleeding problems.

Appendix 1
Oncology weekly educational activities

Appendix 2
Department of Haematology RFH – Weekly Activities

Appendix 3
Background to the Royal Free NHS Foundation Trust, and to the Haematology and
Oncology Departments

Date of the JD review: Jan 2019

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MAIN DUTIES AND RESPONSIBILITIES

Royal Free World Class Values

The post holder will offer World Class Care to service users, staff, colleagues, clients
and patients alike so that everyone at the Royal Free can feel:

that they are always in safe hands

1. CLINICAL RESPONSIBILITIES
 Responsible for the day- to-day clinical management of patients under the care
of the haematology/oncology team.
 Review of haematology/oncology patients attending ED
 Carry out minor procedures under appropriate supervision including bone
marrow aspirates and trephines, insertion of central venous catheters and
lumbar punctures.

 Responsibility for clinical management of Haematology/Oncology In-patients

 Competent to work with SpR being non-resident (although they are contactable)
 Present at ward-rounds

2. RESPONSIBILITY FOR PATIENTS

 Variable period of time spent on the ward looking after haematology/oncology

inpatients.

 Attending the weekly Haematology/Oncology MDT and ward rounds.

 Request investigations reliably, efficiently and appropriately.

3. RESPONSIBILITY FOR POLICY AND SERVICE DEVELOPMENT

 To attend the Departmental lecture/seminar programme. There is also a full
programme of postgraduate lectures, research seminars, audit meetings and
clinical case presentations. Study leave for short approved courses is
available. The consultant and scientific staff are committed to providing
structured training in accordance with the published curriculum.

 Attending the monthly Mortality & Morbidity meetings that are chaired by the
Clinical Director/Service Line Lead

 All medical staff may be required to perform duties outside their normal sphere
in the event of a major incident or disaster in which the Royal Free Hospital is
the designated or supporting hospital, or in any other way involved. All medical
staff should make themselves familiar with the Major Incident Procedure and
any role that they might be called upon to undertake.

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  The junior doctors accept that they will also perform duties in occasional
emergencies and unforeseen circumstances at the request of the appropriate
Consultant, in consultation where practicable with colleagues both senior and
junior. This would only be under exceptional circumstances and juniors should
not be required to undertake such work for prolonged periods on a regular
basis.

4. RESPONSIBILITY FOR RESEARCH AND DEVELOPMENT

 Study leave is granted in accordance with the Terms and Conditions of Service
for Hospital Medical and Dental Staff (England and Wales) for courses for
MRCP and the Part I MRCPath examinations. There are excellent library
facilities within the hospital and within the Department itself. The Department
holds a number of visiting lectures. The Royal College of Physicians approves
the posts for CMT training.

For weekly timetable of activities please refer to Appendix 1 and 2

GENERAL RESPONSIBILITIES
Infection Control
Infection control is everyone’s responsibility. All staff, both clinical and non clinical, are
required to adhere to the Trust’s Infection Prevention and Control policies and
procedures and the Health Act (2006) Code of Practice for the prevention and control
healthcare associated infections and make every effort to maintain high standards of
infection control at all times thereby reducing the risk of Healthcare Associated
infections.

It is the duty of every member of staff to take personal responsibility for the prevention
and control of infection, as laid down in the Trust’s polices and procedures which
reflect the statutory requirements of the Hygiene Code.
 To work in close collaboration with the Infection Control Team.
 To ensure that monitoring of clinical practice is undertaken at the agreed
frequency.
 To ensure that the ward environments are cleaned and maintained to the
highest standards; ensuring that shortfalls are rectified, or escalate as
necessary.
 To ensure that all relevant monitoring data and issues are provided to the
Directorate’s Governance structures.
 To ensure that all staff are released to attend infection control-related
educational sessions and staff with specialist roles, e.g. link practitioners, are
released to undertake their duties.

Health and Safety at Work

The post holder is required to:
 Take reasonable care for the health and safety of him/her and other persons
who may be affected by their actions or omissions at work.
 Co-operate with the employer in ensuring that all statutory and other
requirements are complied with.

Confidentiality & Data Protection

The post holder has a responsibility to comply with the Data Protection Act 1998 and
maintain confidentiality of staff, patients and Trust business.

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If you are required to process information, you should do so in a fair and lawful way,
ensuring accuracy is maintained. You should hold information only for the specific
registered purpose and not use or disclose it in any way incompatible with such a
purpose.
You should disclose information only to authorised persons or organisations as
instructed. Breaches of confidentiality in relation to information will result in disciplinary
action, which may include dismissal. Employees are expected to comply with all Trust
policies and procedures and to work in accordance of the Data Protection Act 1998.
For those posts where there is management or supervision of other staff it is the
responsibility of that employee to ensure that their staff receives appropriate training
(e.g. HISS induction, organising refresher sessions for staff when necessary.)

Conflict of Interest
The Trust is responsible for ensuring that the services for patients in its care meet the
highest standards. Equally, it is responsible for ensuring that staff does not abuse their
official position, to gain or benefit themselves, their family or friends.

Equality and Diversity

The Trust values equality and diversity in employment and in the services we provide.
It is committed to promoting equality and diversity in employment and will keep under
review our policies and procedures to ensure that the job related needs of all staff
working in the Trust are recognised. The Trust aims to ensure that all job applicants,
employees or clients are treated fairly and valued equally regardless of sex, marital
status, domestic circumstances, age, race, colour, disablement, ethnic or national
origin, social background or employment status, sexual orientation, religion, beliefs,
HIV status, gender reassignment, political affiliation or trade union
membership. Selection for training and development and promotion will be on the basis
of the individual’s ability to meet the requirements for the job.
You are responsible for ensuring that the Trust’s policies, procedures and obligation in
respect of promoting equality and diversity are adhered to in relation to both staff and
services.

Vulnerable Groups
 To carry out responsibilities in such a away as to minimise risk of harm to
children, young people and vulnerable adults and to promote their welfare in
accordance with the Children Act 2004, Working Together to Safeguard
Children (2006) and No Secrets guidance (DH 2000).
 To demonstrate an understanding of and adhere to the trust’s child protection
policies.

No Smoking
The Trust implemented a No Smoking Policy, which applies to all staff. Staff
contravening this policy will be subject to disciplinary procedures.

Standards of dress
All staff are expected to abide by the Trust’s guidance on standards of dress.

This job description outlines the current main responsibilities of the post. However the
duties of the post may change and develop over time and may therefore be amended
in consultation with the post holder,

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Appendix 1
Department of Haematology RFH – Weekly Activities

Monday

12:30-13:30 Junior Haematology

Teaching Seminar Room (HSR)
13:30 General Clinic Outpatients
FBC Non-immune Clinic
Metabolic Haematology
Myeloma/Amyloid

Tuesday

08:30 – 10:30 Ward Round Mtg All dept’ Sheila Sherlock

Centre/HSR
10:00 Radiology review Sheila Sherlock

15:00 Paed Morphology - TBC Diagnostic Lab

Teaching

Wednesday

09:30 – 10:30 Morbidity/ Mortality Nurses Lecture

(1st Wed of month) Theatre
09:00 – 10:00 Academic Nurses Lecture
Seminar Theatre
11:00 – 11:30 MDT Review Diagnostic Lab

11.30-12.30 Haematology MDT Histopathology

Seminar Room

12:30 – 13:30 Medical Grand Rounds Lecture Theatre

13:30 General Clinics Outpatients

Myeloproliferative Disorder
FBC autoimmune

Thursday

08:30 – 9.30 Morphology Diagnostic Lab

Teaching
09:00 – 10:00 Haemostasis Haemophilia
Teaching Seminar Room
9.15 – 12.30 Myeloma/Amyloid Clinic Outpatients

Friday

09.00 – 13:00 HSEP Haematology Clinic Outpatients

Anaemia Clinic
Iron Deficiency Clinic

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Appendix 2 Oncology regular educational meetings

The education programme within the department includes the following regular
meetings:
(compulsory attendance in bold)

MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY

0830 0800 0830 0845 0800

Anal MDM HPB MDM CRC MDM Oncology Urology MDM
Department
0900 Seminar
Handover
Monthly M&M
meeting
0845 0830 09.00 0930
Upper GI MDT Radiotherapy CUP MDM Dermatology
Planning MDM
Teaching

1530 1230 1245

Lung MDM Grand Round Junior doctor
teaching/
journal club

1300 1630
Thyroid MDM handover

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Appendix 3- The Royal Free NHS trust background

The Royal Free London is an NHS Foundation Trust.

As well as services for local people, such as accident and emergency service, and all
branches of surgery and medicine, the trust is renowned for a large number of
specialist services. These include, amongst others, solid organ transplantation,
nephrology and hepatology, HIV and infectious diseases, plastic surgery, immunology,
paediatric gastroenterology, ENT surgery and audiological medicine, amyloidosis and
scleroderma. The Royal Free is a leading cancer centre with a range of specialist
diagnostic and treatment services in oncology, and a major neuroscience base with a
network extending throughout north London, Hertfordshire and Bedfordshire.

The Royal Free’s research priorities in collaboration with the medical school are
translational and clinical research underpinned by a strong basic science. Areas of
particular research excellence include organ failure and transplantation, haematology
and oncology, immunity, inflammation, and neurosciences.

The Royal Free began as a pioneering organisation and continues to play a leading
role among UK hospital trusts. Established in 1828 by William Marsden, a newly
qualified surgeon shocked that he could not find treatment for a penniless young
woman, we were the first to provide care free of charge and the only London hospital
to stay open during the 19th-century cholera epidemics.

In the 21st century, we continue to lead improvements in healthcare, from targeted

cancer therapies to new kinds of surgery. We offer an exceptionally wide range of local
and specialist services, including cancer, plastic and neurosurgery, blood disorders
and infectious diseases and are proud to have some of the best clinical outcomes in
the country. A regional centre for kidney and liver diseases and a major transplantation
centre, we see around 700,000 patients a year from all over the world.

We are a campus of UCL Medical School and conduct important medical research. We
also train doctors, nurses, midwives and many other clinical and non-clinical
professionals. We helped to set up the academic health science centre, UCLPartners.

We were Dr Foster's 'large trust of the year' for 2010 and were particularly praised for
our patient safety and infection control record. We are ranked among the best English
trusts for mortality rates - our rate is 25 per cent below that expected. Our infections
rates are some of the lowest in London teaching hospitals.
On 1 April 2012 we were authorised as a foundation trust by the regulator Monitor and
are now knows as the Royal Free London NHS Foundation Trust. We plan to use the
greater freedoms this brings us to provide the best possible services for our patients
and local community.

Our mission is to be in the top 10 per cent of English hospitals for clinical quality,
customer satisfaction, staff satisfaction and financial performance. We want to give
patients the best possible care in a safe, clean and welcoming environment.

Our commitment is to offer world class care so everyone at the Royal Free can feel
welcomed all the time, respected and cared for, confident because we are
communicating clearly and reassured that patients are in safe hands.

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Built in 1974, the Royal Free Hospital site is being extensively upgraded to bring its
condition and equipping up to the best contemporary standards. The trust also
manages a number of specialist community facilities in Camden and Barnet. The
catchment area for services for elderly people and emergency services comprises
Hampstead and South Barnet.

A wide range of outpatient, day surgery, inpatient and ambulatory services are provided
elsewhere by the Royal Free London Trust for example at Barnet and Chase Hospital
sites and Finchley Memorial Hospital, and in partnership with other trusts, namely
Edgware Community Hospital, the North Middlesex Hospital, Mount Vernon Hospital,
Watford General Hospital, St Albans City Hospital, Harpenden Memorial Hospital, St
Pancras Hospital, and also at three independent sector sites.

Organisation

Patient services are managed by three clinical divisions, each led by a clinically
qualified divisional director, who is supported by a team of clinical directors, a director
of operations and a nurse director. The divisions are:
 surgery and associated services
 urgent care
 transplantation and specialist services

There is a separate private practice department. Consultants undertaking private

patient work are encouraged to use the trust's facilities.

The University College London Medical School

University College London is the largest of over 50 colleges and institutes which make
up the federal University of London and is consistently rated as one of the U.K.’s
premier academic institutions. The University College Medical School is a general
medical school in the Faculty of Medicine of the University of London, formed on 1
August 1998 by the merger of the Royal Free Hospital School of Medicine and
University College School of Medicine. A joint Department of Medicine, with around
400 staff, has existed between the two Schools since January 1994. The Department
encompasses a broad range of basic and clinical research programmes and
undertakes teaching of undergraduates and postgraduates.

The Royal Free and University College Medical School has an annual intake of 380
students and accepts an additional 55 Oxbridge students for clinical training. The
Hampstead campus provides clinical training for approximately 200 students in Phase
2 and staff also contribute to the Phase 1 (life sciences) course. There are established
clinical academic units of medicine, surgery, clinical neurosciences, obstetrics and
gynaecology, psychiatry, haematology, histopathology, medical microbiology, virology,
chemical pathology, immunology, public health, general practice, travel medicine and
vaccines, oncology, child and family mental health, paediatric gastroenterology and
community child health.

Research and Development

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Research and development is a major component of the Royal Free London NHS
Foundation Trust strategy and reflects the Trust’s desire to maintain its position as one
of the top ten trusts for R&D income in the UK. The research efforts of the Trust and
Medical School are closely integrated and there are extensive facilities for both clinical
and basis science research. Consultant staff are expected to participate in research
according to their skills and speciality. An audit system for quality in R&D was
introduced during 1998 and reflects an individual’s commitment to this area.
Applicants should prepare an outline of the research they would wish to undertake if
appointed.

DEPARTMENT OF HAEMATOLOGY

The current haematology practice includes haemophilia and thrombosis, transfusion,

lysosomal storage disorders, a liaison service to the trust, non-malignant haematology
outpatients and elements of the amyloid service. Both malignant and non-malignant
haematology inpatients are admitted onto 11S which is a 19 bedded single room ward.
From 1st December 2015 the transfer of some malignant haematology services to
UCLH will mean services remaining at RFL will be level 1- 2b, comprising level 1-2b
(excluding iAML) at the Barnet site, level 1-2a at the Chase Farm Site, and level 1 only
at Royal Free Hospital site. The department at the Royal Free Hospital site will further
increase specialist haematology services including haemophilia and thrombosis,
haemoglobinopathies, metabolic haematology, lysosomal storage disorders, immuno-
haematology, myeloma in patients with renal dysfunction, systemic amyloidosis and
specialist transfusion with a view to developing Specialist Centre status in non-
malignant haematological conditions. Some of the targeted haematological disorders
offer synergy with the services offered by the haemophilia and haemostasis unit, such
as immune thrombocytopenia (ITP) and thrombotic thrombocytopenic purpura (TTP).
Others have an immunological component to management such as the
immunodeficiency states that exist in patients with sickle cell disease, and
thalassaemia. The department will work closely with UCL providing co-location of
clinicians and academics with common interests in red cell disorders and generating
an environment for effective collaboration in clinical and basic research.

Anticoagulation services are also provided at Royal Free Hospital and Barnet Hospital
sites, collectively providing the largest outpatient service at the Trust, having seen
rapid increase in activity over the past few years. Since the acquisition of Barnet and
Chase Farm Hospitals the service has worked towards aligning service provision.

Blood transfusion is also one of the most common inpatient procedures at RFL (36000
units transfused per year). Significant transformative advances in the science,
technology and practice of transfusion in the last decade have led to important
initiatives in hospital Blood Banking and Transfusion Medicine comprising:
• Electronic processes for testing and supply of blood products
• Greater choice of blood products, improved monitoring of outcomes
• Electronic processes to track blood
• Patient Blood Management
• Improved care-pathways for transfusing patients

The laboratory facilities at RFH are divided into a routine diagnostic section, an
immunophenotyping group, and a special test laboratory, cytogenetic and molecular
diagnostic testing and blood bank. The pathology services are a component of the
Joint Venture with The Doctors Laboratory to form Health Service Laboratories (HSL).

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Cellular pathology services at RFH also now sit within Haematology. Work will soon
begin to expand cellular pathology services.

The department undertakes teaching in Haematology for medical students from

University College London. Postgraduate teaching and lectures are given both by
members of the department and visiting speakers on a regular basis. Research also
plays a large and vital role in the department with diverse research interests including
cellular immunotherapy, signal transduction and haemophilia and thrombosis,
lysosomal storage disorders, amyloid and gene therapy.

Inpatient and outpatient services

The Department has access to a 19 bedded ward (Ward 11S) and one of the Private
Wards (Ward 12EB, 16 beds) is principally used for Clinical Haematology. The Anthony
Nolan laboratories are on the Royal Free site and there is close collaboration between the
two institutions.

The Outpatient services: There are weekly General Haematology, FBC non immune clinic
and FBC autoimmune clinic, Metabolic Haematology clinic, Myeloproliferative Clinics,
Myeloma/Amyloid Clinic, HSEP haematology clinic, Anaemia clinic, Iron deficiency clinic,
and a Lysosomal storage disorders Clinic. There is also a monthly SVT clinic held jointly
with Hepatology. The Day Ward (2NA) sees approximately 300 Consultant episodes per
month. All NHS laboratories participate in the relevant national and local external quality
assessment exercises (general haematology, blood transfusion, coagulation,
immunophenotyping, etc.)

There is also a Stem Cell Processing Laboratory on site with state of the art facilities
including HEPA filtration and compliance with GMP standards. Dr Mark Lowdell is the
Laboratory Director.

Laboratory services exist for Diagnostic Haematology, Blood Transfusion, Special

Investigations, Immunophenotyping and Molecular Diagnostics. There is a Cytogenetics
Unit on site within Academic Haematology.

Inpatient and outpatient services for patients with haemoglobinopathies are delivered in
collaboration with the Whittington Hospital (Dr Shah).

Staffing

Senior medical staff in the Department:

Prof A Mehta Consultant Haematologist, Clinical Director, Lysosomal Storage

Disorders Unit
Dr D Hughes Senior Lecturer in Haematology- Clinical Director for Haematology,
Oncology and Palliative Medicine.
Dr A Wechalekar Senior Lecturer in Haematology/Amyloidosis
Dr F Shah Honorary Consultant, Haemoglobinopathy Services.
Dr W Stewart Consultant Haematologist
Dr M Sekhar Consultant Haematologist
Dr K Gomez Senior Lecturer in Haemostasis and Thrombosis

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Dr P Chowdary Consultant Haematologist - Haemostasis and Thrombosis
Dr R Chakraverty Honorary Senior Lecturer in Haematology
Dr P Kottaridis Honorary Consultant Haematologist

There are also two Clinical Nurse Specialists and a Data Manager.

Junior Medical staff in the Department:

Five Specialist Registrars who rotate on the University College London Hospital rotation.

Three Junior Clinical Fellows, ST2 equivalent

Two ST2s
1.5 FY1s

The main Department of Haematology (excluding Haemophilia Centre) has 29 WTE

MLSO staff, with 9 WTE MLSO in blood transfusion.

DEPARTMENT OF ONCOLOGY
London Cancer Integrated Cancer System

The North London Cancer Network was established in 1997 in response to the
Calman-Hine report. The Network comprised a resident population of over a million
and a catchment population of around 2 million, covering an area coterminous with the
North Central London Health Authority and serving six acute trusts and five Primary
Care Trusts. The Royal Free Hospital and University College London Hospitals
comprised a joint cancer centre within the Network.

In 2011/12, the North Central and North-east London Cancer Networks have come
together to form London Cancer ICS and Clinical Pathway Boards have replaced the
previous Network Tumour Boards, with responsibility for providing seamless clinical
pathways for patients to be treated in concordance with the Model of Care documents
from the Department of Health.

STAFFING IN ONCOLOGY – ROYAL FREE HOSPITAL

The Department of Oncology within the Royal Free London NHS Foundation Trust
comprises of ten consultants in Medical Oncology, four consultants in Clinical
Oncology and two Palliative Care physicians (see following table).

Clinical Oncologists
Dr Sarah Needleman (Breast and Urology.)
Dr Maria Vilarino-Varela (Urology and Lymphoma)
Dr Patricia Porcu (GI, Lung, Skin, Thyroid)
Dr Hemal Ariyaratbe (GI, Lung)
Dr Nicola Rosenfelder (Urology and Acute Oncology Lead)

Medical Oncologists
Dr Astrid Mayer (GI (Upper and Lower) + Service Line Lead)
Prof Tim Meyer (GI (HCC and NET))
Dr Roopinder Gillmore (GI (PancBil))
Dr Dan Krell (GI)
Dr Jackie Newby (Breast)
Dr Judy King (Breast and Acute Oncology; Trust Specialty Training Director)

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Dr Amna Sheri (Breast and AOS)
Dr Katia Boleti (Lung/Renal)
Dr David Chao (Melanoma)
Prof Tom Powles (Renal)

Palliative Care
Dr Philip Lodge
Dr Rachel Craig

There are 6 specialist registrars (3 clinical oncology/3 medical oncology). Junior

support is provided as part of a partial shift system. During standard working hours,
this comprises 2 ST2s or equivalent with the support of up to 2 FY1 doctors. Night–
time junior cover is provided by a shared haematology/oncology ST1+ equivalent with
the support of the Hospital at Night team. The SpRs do not work over-night, having an
on-call rota providing a twilight shift (to 7pm) during the week, and 9am-7pm cover at
weekends. The Consultant On-call rota supports this team with mainly telephone
advice (Category B).

In-patients are managed by their tumour site specific team and the acute oncology
service led by a Consultant and a CNS. Clinical Nurse Specialists cover the majority of
tumour types. A Nurse Consultant in Palliative Care and a Radiotherapy Services
Manager further supports the division. The department is supported by a large
research team comprising research nurses, research practitioners and data managers.

Inpatients are managed on a dedicated oncology ward (11East), which is staffed by a

Matron and supported by Senior Staff Nurses and oncology trained staff. There is a
dedicated Oncology Outpatient Department staffed by trained oncology nurses. The
Ambulatory Care Suite (2 North A) provides day case chemotherapy administration,
practical procedures, and complementary therapies staffed by oncology/haematology
specialist nurses and other specialist professionals. A dedicated acute assessment
and triage area for haematology/oncology patients is in development, to be co-located
with the day care facilities/chemotherapy suite. There is a Band 8B Oncology
Pharmacist and a Sterile Unit for reconstitution of cytotoxic drugs. There is also a
satellite cytotoxic unit open on 2 North A. In addition, the hospital has a dedicated
Trials Pharmacist.

The department employs two counsellors. Further support is provided by a dedicated

patient Information Officer funded through a Macmillan grant. The Trust hosts a large
complimentary therapy service, which is primarily run by volunteer therapists.

In addition to the Medical Grand Round every Wednesday lunchtime, the Surgical
Ground Round is held every Friday lunchtime during academic terms. Generic skills
training programmes are organised by the Department of Postgraduate Education on a
regular basis. There are revision courses for the MRCP Part II Clinical examination
three times per year. The Postgraduate Department publishes a monthly newsletter
giving details of educational events across departments within the Trust. The
newsletter is distributed to all medical staff within the Trust

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