Clinical Lecturer in Respiratory Medicine Job description

University of Southampton / University Hospital Southampton NHS Foundation Trust Academic Clinical Lecturer in Respiratory Medicine Job Description Department: Medicine Respiratory Post:

University of Southampton / University Hospital Southampton NHS Foundation Trust

Academic Clinical Lecturer in Respiratory Medicine

Job Description

Department: Medicine (Respiratory)

Post: Lecturer in Respiratory Medicine

Grade: Academic Clinical Lecturer, Honorary Specialist Registrar Responsible to: Dr Tom Wilkinson Reader in Respiratory Medicine

Introduction

The University of Southampton, together with the University Hospital Southampton NHS

Foundation Trust, wishes to appoint an Academic Clinical Lecturer (ACL) in Respiratory

Medicine The post-holder will be pursuing his/her development of research and

teaching within the Respiratory Research Group of the Academic Unit of Clinical and Experimental Medicine Sciences of the University of Southampton Faculty of Medicine and the Southampton NIHR Respiratory Biomedical Research Unit (BRU) The ACL will also have clinical commitments at University Hospital Southampton NHS Foundation Trust with training in clinical skills required for specialist accreditation and to full

registration within the respiratory specialty

The post is subject to terms and conditions of service determined by the University of Southampton and in its honorary clinical capacity by the UHS NHS FT board

Details of the Post

Academic training and development of the ACL

This is an academic post sponsored by the University of Southampton and University Hospital Southampton NHS Foundation Trust It provides a career pathway for able and ambitious trainees in respiratory medicine who have already shown excellence in

respiratory research by successfully completing a PhD The post supports national efforts to strengthen respiratory academia The development and strengthening of the successful candidate’s respiratory research will take place in the respiratory academic group within the CES Unit, a multi-disciplinary division consisting of clinical and basic scientists focusing on mechanisms of inflammation and tissue repair in the context of a range of diseases caused by environmental agents, including allergens and microbes The Division aims to develop improved methods of diagnosis and interventions which will prevent, ameliorate and/or cure infections and chronic inflammatory and fibrosing disorders The strengths of this Unit result from the combination of an excellent scientific

community focused on elucidation of fundamental mechanisms underlying human diseases

The University of Southampton (http://www.southampton.ac.uk/), member of the Russell Group of highly research active universities, and UHS NHS FT have developed a

combined research strategy since 1992 Most recently this has been translated within the “2020 vision” of the Trust

The ACL will join the Respiratory Research Group, which is directed by Professor Donna Davies, Head of the Clinical and Experimental Academic Unit, and the NIHR Respiratory Biomedical Research Unit, directed by Professor Ratko Djukanovic The Group has within its ranks eminent and internationally recognised experts in both adult and

paediatric lung diseases and allergy:

Professor Hasan Arshad, Professor in Allergy

Professor Howard Clark, Professor of Child Health

Professor Donna Davies, Professor of Respiratory Cell and Molecular Biology

Professor Ratko Djukanovic, Professor of Respiratory Medicine

Professor Stephan Gadola, Professor of Immunology

Professor Stephen T Holgate, MRC Professor of Immunopharmacology

Professor John Holloway, Professor in Allergy and Respiratory Genetics

Professor Peter Howarth, Professor of Respiratory Medicine

Professor Anthony Postle, Professor in Developmental Biochemistry

Professor Graham Roberts, Professor in Paediatric Allergy and Respiratory Medicine

Dr Paul Elkington, Senior Lecturer in TB Research

Dr Saul Faust, Reader in Child Health

Dr Chris Grainge, Honorary Senior Clinical Lecturer in Respiratory Medicine

Dr Anthony Sampson, Reader in Allergy & Inflammation Research

Dr Andrew Walls, Reader in Immunopharmacology

Dr Tom Wilkinson, Reader in Respiratory Medicine

The Group is recognised for its excellence and breadth of expertise, ranging from

epidemiology of respiratory and allergic disorders, genetics, and basic cellular and molecular mechanisms to clinical research, including clinical trials with novel drugs such

as anti-IgE, anti-TNFα and interferon ß The respiratory research programme is

translational and has the following broad objectives: (1) identification of key genetic and epigenetic mechanisms predisposing to the development of lung and allergic diseases, (2) elucidation of the cellular and molecular mechanisms which drive the process of airways (upper and lower) inflammation, tissue injury and repair and the interaction of these with such environmental factors as allergens, viruses, pollutants and cigarette smoke, (3) identification of targets for novel therapies of allergic and respiratory

diseases, and (4) improved understanding of the mechanisms which underlie the clinical effectiveness of recently developed as well as established drugs

The research of the Group is embedded into the excellent infra-structure of the CES Unit, refurbished through a joint Wellcome Trust SRIF (Science Research Investment Fund) and UoS grant, totalling £10.1M, and Wellcome Trust Clinical Research Facility In July 2008, the group was awarded an NIHR Respiratory BRU with funding (total £6.25M)

to conduct a series of translational research projects and establish an excellent infra-structure in staff (research fellows, nurses, statistician, data management, technical and administrative support) Completion of the new BRU building in November 2010 and further funding success in 2012 for 5 years continued BRU support provides an

unrivalled platform for the ACL position to succeed

The Respiratory Research Group has extensive national and international collaborations including the UBIOPRED consortium programme (a €21M project aimed at removing bottlenecks to drug discovery for severe asthma) in which Southampton is leading the

“omics” platform and the application of ex vivo human models of asthma Vaccine development with GSK and other industrial collaborators

The Respiratory group is funded by grants from the NIHR, Medical Research Council, the (US) National Institutes of Health, EU Framework Programme 5 (including a Marie Curie Host Fellowships for Early Stage Researchers), the Innovative Medicines Initiative (IMI), Wellcome Trust, Asthma UK, British Lung Foundation, Action Research, The Rayne

Foundation, Sir Jules Thorn Trust and collaborative grants from the pharmaceutical industry

Research Duties of the ACL

The ACL will have 50% of his/her post protected for further research, benefiting from all the facilities of the Respiratory Group and CES, as well as any other facilities from within the Faculty of Medicine, as appropriate If required, additional arrangements can be made with other faculties of the University of Southampton

The ACL is expected to continue the research he/she started during his/her PhD studies, moving from a position of an accomplished student towards that of an independent researcher who would be competitive for a Senior Lecturer position

It is expected that the research will be supported by a Clinician Scientist Award for which the lecturer will be expected to apply.

The ACL will be responsible to a chosen supervisor/mentor (from the Unit) based on a common research interest and to Dr Tom Wilkinson, Director of Academic Respiratory Training for the Wessex Deanery In respect of personal and administrative matters- jurisdiction of CES

Clinical training of the ACL

The clinical training of the ACL will be provided and supervised by the Specialist Training Committee (STC), allocating 50% of the ACL’s training time to clinical work that would lead to completion of specialist training This would take place within the Wessex

Deanery’s region, with the Deanery being in Otterbourne and the programme covering an area from Portsmouth in the east, Basingstoke in the north, Dorchester to the west and Southampton in the south The ACL will be placed in one of the accredited NHS Trusts in agreement between the ACL, the STC Chair/Programme Director, Dr Kevin McKinley, and the Academic Programme lead, Dr Tom Wilkinson Every attempt will be made to place the ACL in Southampton or in a nearby Trust to facilitate continuing contact between the ACL and his academic mentors

Full details of the Southampton University Hospitals Trust are provided below, while details of the whole programme in the region can be obtained on request

University Hospitals Southampton NHS Foundation Trust

UHS) is the 8th largest in the country and is recognised as a centre of clinical, education and research excellence It provides a service for acute medicine and all aspects of secondary care for the Southampton population and serves as a tertiary referral centre for a wide region in south England and, for many specialties, beyond the region

Respiratory Service, Southampton General Hospital

New out-patient attendances approx 2500/year

Follow-up out-patients attendances approx 5000/year

Admissions: Day cases (in the respiratory centre)approx 6000/year

Staffing of the Department

19 Consultants (13 NHS, 6 University)

6 Specialist Registrars,

5 FT 2 Doctors

5 Foundation 1 Doctors

Respiratory Consultants and their Lead duties

Academic Medicine

Professor Ratko Djukanovic, Director BRU and SCBR

Professor Peter Howarth, Professor in Respiratory Medicine, Head of Clinical Trials Unit Professor Hasan Arshad, Professor in Allergy

Dr Tom Wilkinson, Reader in Respiratory Medicine

Dr Paul Elkington, Senior Lecturer Tuberculosis Research

Dr Chris Grainge Senior Lecturer Asthma research

UHS Hospital Trust Consultants

Dr Ben Marshall, Lead for Tuberculosis and the Immunocompromised Host

Dr Jane Wilkinson, Lead for Sleep medicine, Domiciliary NIV

Dr Mary Carroll, Director of Cystic Fibrosis Centre

Dr Ramesh Kurukulaaratchy, Lead for Asthma, Allergy and the Respiratory Centre

Dr Simon Bourne, Military Medicine, COPD

Dr Julia Nightingale, Cystic Fibrosis Clinical

Dr Anastasios Lekkas, Lead for Bronchiectasis

Dr Anindo Banerjee, Lead for Lung cancer, bronchoscopy and Pulmonary function

Dr Rachel Limbrey, Lead for Pulmonary vascular disease & Respiratory Ward

Administrator

Dr Thomas Daniels, Cystic Fibrosis Lead

Dr Zoe Pond, COPD Integrated Care

Dr David Land HDU Lead

Dr Sophie Fletcher Locum HDU

Respiratory Clinical Service

The respiratory clinical service in UHS covers all aspects of respiratory and allergic diseases Specialist clinics are held for respiratory and other allergic diseases, difficult airways diseases (asthma, COPD, chronic cough), lung cancer, interstitial lung diseases, sleep-related breathing disorders and chronic non-invasive ventilation, cystic fibrosis, bronchiectasis and tuberculosis The service also has a specialised Respiratory

Assessment Centre established to provide quick access to COPD patients during

exacerbations and now providing additional diagnostic and therapeutic services for respiratory diseases Many of the services provided by these specialist clinics is

supported by multi-disciplinary teams Furthermore, there is a specialist asthma service which also provides anti-IgE monoclonal antibody treatment for selected patients with severe asthma

Clinical training of specialist registrars in respiratory medicine

It is anticipated that the post will comprise 6 months of academic work and 6 months of

clinical work per year, each taken en bloc Clinical training will be the equivalent of

usual clinical training to CCT standard in Respiratory Medicine, but will be undertaken at

0.5 rate During the clinical slot (50% of the post), the ACL will perform a weekly

respiratory outpatient session at Southampton General Hospital, and will perform all other duties expected of a clinical trainee at this stage of training, including one of the following: 1) participate as a member of a ward based respiratory team based on one of the two respiratory wards, with 4 weekly consultant led ward rounds and on-call/take general medical take responsibilities according to a standard roster, 2) a member of a respiratory outreach team, 3) a member of the high dependency unit, 4) a member of the CF team All SpRs attend 2 clinics per week and a bronchoscopy session 1 in 3-4 weeks

We have designed seven placements and timetables (see table below) to enable

individual SpRs/ STs to gain experience in a variety of special interest respiratory

disciplines, as well as improving training in both general respiratory and general

medical conditions We currently have three respiratory firms to manage the inpatient workload, as well as to provide a daily ‘in reach’ service to our acute medical unit We have a six-bedded Medical High Dependency Unit adjacent to our ward, which we run seven days a week with respiratory consultant cover at night We also offer a daily outreach service to review and advise on management of in-patients with respiratory problems, under other medical and surgical teams Each consultant holds special

interest respiratory clinics each week, the majority of which have pairs of consultants working together to support subspecialist services, as well as a multidisciplinary x-ray meeting A weekly combined pathology and x-ray meeting is held on a Thursday

evening, and we now have a monthly interstitial lung disease MDT meeting SpRs are encouraged to participate in the weekly bronchoscopy list and opportunities exist for training in lung function testing We can offer special interest training in the following areas:- cystic fibrosis, sleep medicine, non-invasive ventilation (acute and domiciliary), tuberculosis, allergy, difficult airways (including difficult chronic cough), COPD,

interstitial lung diseases, HDU and the immunocompromised patient Three firms

currently exist to provide leads on in-patient care

Weekly timetable of respiratory trainees

Medical HDU StR

Monday Tuesday Wednesday Thursday Friday

PM Difficult Airways

RJK/TW

Alt weeks HDU OPD

(supranumerary )

ILD (SF/BGM/RML) (supranumerary )

Ward Team 1 StR

Monday Tuesday Wednesday Thursday Friday

(WEJ/AKB/

DL/ APL)

RSH TB / General (BGM/AKB)

Personal WR Cons WR

PM Bronchs 1/3 Personal WR Wards / Cons

WR

Months 1&2 ILD

(SF/BGM/RML )

Months)

Ward Team 2 StR

Monday Tuesday Wednesday Thursday Friday

PM Bronchs 1/3

1 / 2 Combined

lung clinic

General Bronchiectasi s

(MPC)

Week 1 TRC (WEJ)

Week 2 SGH sleep / NIV (WEJ)

Ward Team 3 StR

Monday Tuesday Wednesday Thursday Friday

(WEJ/AKB/

DL/ APL)

Cons WR Personal WR Cons WR

PM Bronchoscopy 1/3

weeks

1 / 2 Combined

lung clinic

(SF/BGM/RML )

Allergy (RJK)

CF service StR

Monday Tuesday Wednesday Thursday Friday

PM SGH CF OPD

(alternate wks

1,3,5)

SGH CF OPD SGH CF

discussion SGH CF OPD

StR 6 ITU 4 months

StR 7

Monday Tuesday Wednesday Thursday Friday

AM Respiratory Outreach Lung cancer/

general chest clinic

Respiratory Outreach

PM CF clinic alternate

weeks Respiratory Outreach Difficult asthma clinic Allergy clinic/sleep

reporting

Specialty registrar education

The StR will take part in the Wessex StR training programme in both respiratory

medicine and general internal medicine This is an active programme, which has been well received and currently consists of ten full day sessions run at within the region,

under the supervision of the Respiratory Training Committee in Wessex There is an

active clinical audit and clinical governance committee at Southampton and the StR will

be expected to undertake at least one audit during his/her time at Southampton

A weekly in house educational meeting is held for Junior Doctors specifically on a

Monday lunch time and for all respiratory staff of a Thursday morning

Training and educational duties of the StR

The ACL will join the staff of the Respiratory Service in the provision of undergraduate and postgraduate education in the specialty He/she will be expected to take an active part in teaching junior doctors, medical students and allied health professionals at Southampton in both general and respiratory medicine

Southampton is home to a large medical school with an intake of over 250 medical students Undergraduate education in respiratory medicine is provided through a

modular course (Cardio-pulmonary course) at the University of Southampton Medical School in year 1 and a student selected unit (SSU) in respiratory medicine in year 3 through lectures and ward-based teaching; additionally, students rotate through the respiratory service during the clinical period, either as part of their training in general internal medicine or through elective attachments

Postgraduate respiratory teaching is directed at both hospital staff and general

practitioners The post-holder will contribute to the weekly respiratory meetings held on Thursday mornings

Management duties

Southampton General Hospital established a clinical management system in 1986 which was extended throughout Southampton University Hospitals NHS Trust in 1991 This system is one of the most highly developed Clinical Directorate organisations in the country Its continuation is a matter of paramount importance and it will be carefully developed and enhanced to meet the needs of the trust as a major provider in the reforming NHS

All staff in each Directorate are managerially accountable to the Clinical Director who has overall responsibility for the services within the Directorate The medical directorate has Lead Consultants within each sub-specialty who also act as liaison between

individual consultant teams and the Clinical Director

Administrative duties

The post-holder will be required to:

1 undertake the administrative duties associated with the care of patients

2 travel as necessary between units

General provisions

Subject to the provisions of the Terms and Conditions of Service, the post-holder will be expected to observe the Trust’s agreed policies and procedures, drawn up in

consultation with the profession on clinical matters, and to follow the standing orders and financial instructions of the Trust

In particular, where the post-holder manages employees of the Trust, he/she will be expected to follow the local and national employment and personnel policies and

procedures The post-holder will be expected to make sure that there are adequate arrangements for hospital staff involved in the care of his/her patients and to be able to contact him/her when necessary

Residence within either 10 miles of or thirty minutes by road from Southampton General Hospital is a requirement of this post unless specific approval for alternative

arrangements is given by the Trust

Visiting

The main point of contact is Dr Tom Wilkinson (t.wilkinson@soton.ac.uk), Director of the Academic Respiratory Programme For additional details about the clinical training of the post, candidates should contact Dr Ben Marshall (ben.marshall@uhs.nhs.uk) to arrange

a visit to the clinical service

Review of the Job Description

This job description will be reviewed each year by the post-holder, Dr Tom Wilkinson and

Dr Ben Marshall Local procedures will be followed in the event of any disagreement over proposed changes culminating an appeal to a sub- committee of the University of Southampton Job description changes will be reviewed under the Service Level

Agreement

TERMS OF APPOINTMENT

1 The appointment will be governed by the general conditions applicable to Clinical

Lecturers in the University of Southampton; details of these are available on request and will be sent to candidates called for interview The appointee will be subject to the relevant terms of appointment as determined by the appropriate NHS Trust, in connection with his/her clinical duties, in so far as they may apply to clinical

academic staff holding honorary NHS Trust contracts The appointee will be

responsible to the Head of the Faculty of Medicine through the Divisional

Director/Head of the University Clinical Group for the satisfactory conduct of his/her duties

2 The successful candidate will be expected to take up their appointment

3 The appointment will be made within the Clinical Lecturer’s salary scale, depending

on qualifications and experience

4 The appointment may be terminated by a term’s notice on either side

5 In addition to the substantive contract of employment with the University, the

successful candidate will also hold an honorary NHS contract with an NHS Trust and will be required to be registered with the General Medical Council This

honorary contract and registration is essential for the proper performance of the duties of employment with the University In the event that the honorary contract

is terminated or the registration is revoked or suspended, continued employment with the University under this contract will need to be reviewed and may be

terminated The procedure for considering whether to terminate the substantive contract of employment with the University in such circumstances is set out in the University’s Statutes and Ordinances from time to time in force and in a protocol between the University and the NHS Trust The appointee will be required during their tenure of office to undertake appropriate clinical work on an honorary basis

under the National Health Service No professional contact with National Health Service patients may be undertaken unless a duly authorised honorary contract has been issued and is currently valid

6 The appointee will be subject to full assessment via the RITA process in addition to

appraisal with his/her University line manager

7 The actual cost of removal of personal and household effects and/or incurred legal

costs for the purchase of a house or flat in or near Southampton will be paid by the University subject to a maximum contribution of £4500 The purchase of such a house or flat must be as a consequence of taking up the appointment and the claim must normally be submitted within twelve months of taking up the post

8 The person appointed will be required to observe the Charter, Statutes and

Ordinances of the University and to carry out all orders and regulations of the

Council It should be noted that these regulations include a policy of no smoking at work which, with the exception of certain designated areas, prohibits smoking in most University buildings

9 The person appointed will be expected to work within the spirit and letter of the

University's Equal Opportunities Policy:

"The University of Southampton confirms its commitment to a comprehensive policy

of equal opportunities in employment and for students in which individuals are selected and treated on the basis of their relevant merits and abilities and are given equal opportunities within the University The aim of the policy is to ensure that no job applicant or employee, prospective student or student, should receive less favourable treatment on any grounds which are not relevant to good employment practice for staff or to academic ability and attainment for students The University

is committed to a programme of action to make the policy fully effective."

10 Because of the nature of the work for which you are applying, this post is exempt

from the provisions of Section 4(2) of the Rehabilitation of Offenders Act 1974 by virtue of the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975

Applicants are, therefore, not entitled to withhold information about convictions and,

in the event of employment, any failure to disclose such convictions could result in dismissal or disciplinary action by the University The University will routinely

conduct checks on criminal records for all those appointed to posts that have contact with children or vulnerable adults Any information given will be completely

confidential and will be considered only in relation to an application for positions to which the order is applied