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Trust Doctor StR Lower in Haematology

University Hospitals Plymouth NHS Trust
£40,257 per annum
Closing date
14 Dec 2023
Trust Doctor (StR Lower) Clinical Haematology

Grade Trust Doctor (StR Lower)

Contract Fixed term for 12 months

Employer University HospitalsPlymouth NHS Trust

The Department of Haematology is looking to appoint a fixed term Trust Doctor (SHO grade) to provide Junior Doctor ward cover on Bracken. The post holder will work as part of the junior tier (IMT1 / IMT2 level). The pattern of work is compliant with the European Working Time Directive.

Main duties of the job

This post holder is required to provide CMT/IMT equivalent ward cover in Clinical Haematology and will be based on Bracken Ward working alongside our Physician Associate, rotational Junior Doctors and other medical and nursing staff. The post holder will be expected to work as an integral part of a multidisciplinary team providing direct clinical care. There is a middle grade doctor and a consultant on call throughout the 24 hour period.

The exact level of responsibility will depend on the previous experience of the doctor. Typical duties may include:
  • Attendance at consultant ward rounds and MDT meetings
  • Daily ward round and ward jobs
  • Direct admission of patients to the ward for assessment and ongoing management
  • Referral when necessary to other departments
  • Organisation of TTAs and discharge summaries
  • Review of haematology outliers on other wards with the support of a senior haematologist

There is no on-call commitment with this post.

The post-holder will be assigned a clinical/educational supervisor and the experience gained can be geared towards supporting individual development needs and aspirations.

The successful candidate will benefit from the excellent career development opportunities that a specialist Haematology Department such as ours can offer whilst enjoying the lifestyle available in vibrant Plymouth and the wider South West Peninsula.

About us

We are a people business - where every member of staff matters and can make a difference. Patients are at the heart of everything we do. Joining University Hospitals Plymouth NHS Trust means becoming part of a team of dedicated staff, who are committed to leading the way through innovation, clinical excellence and great customer care. The Trust has great opportunities for career development in a highly progressive working environment. PLEASE NOTE THAT ALL COMMUNICATION WILL BE ELECTRONIC, PLEASE CHECK YOUR EMAIL ACCOUNT REGULARLY. If you have any issues with applying online and need additional support including reasonable adjustments with the application process please contact the recruitment team on 01752 432100. We recognise that work life balance is important for our colleagues and so we invite requests from applicants around less than full time/flexible working for our advertised roles. Please contact the recruiting manager to discuss this prior to your application submission. We commit to giving this full consideration in each case. We encourage people from diverse backgrounds to apply for our roles, as diversity strengthens our teams. It is sometimes necessary to close vacancies before the closing date. If you have not heard from us within 4 weeks of the closing date, please assume that you have not been shortlisted.

Job description
Job responsibilities




The Department of Haematology is looking to appoint a fixed term Trust Doctor (SHO grade) to provide Junior Doctor ward cover on Bracken. The post holder will work as part of the junior tier (IMT1 / IMT2 level). The pattern of work is compliant with the European Working Time Directive.

The Department

The Plymouth Haematology Centre is the lead tertiary centre in the Southwest Peninsula with a catchment area of 1.8 million people.

The Consultant team is proud to lead the most research active Haematology Department in the Southwest Peninsula with an impressive national and international reputation in the Research arena.

The Department of Haematology sits within the Haematology & Immunology Service Line. The Haematology Consultant Team is currently comprised of 9 Consultant Haematologists and is supported by 5 Specialist Registrar posts. There are in addition 2 junior doctors rotating on a 4-monthly basis through the Ward clinical area, these are made up by 1 F2 post and 1 CT1/2 post. The ward is also supported by a Physician Associate with whom the candidate would be expected to work closely.

All Consultants contribute towards management of inpatient and outpatient general Haematology.

Patients are formally under the shared care of all Consultants as a combined department with responsibility for in patients managed on a rolling weekly attending rota. All Consultants contribute towards the Monday morning Ward round. The weekly attending Consultant leads a further ward round on Thursday afternoon with the Consultant for the following week. The weekly attending Consultant is responsible for all inpatients under the care of Haematology including SCT patients. Further advice regarding SCT patients can be sought from the three Consultants with specific SCT expertise.

Clinics are Disease-specific rather than named consultants, however specialist interests are covered as illustrated in the table below:

Consultant Team



Dr Hannah Hunter

Consultant Clinical Haematologist

Service Line Lead, Haematology and Immunology.

Specialist interests: SCT, Leukaemia, and Myeloma

Dr D. Wayne Thomas

Consultant Clinical Haematologist

Service Line Lead, Pathology.

Specialist interests: Haemostasis & Thrombosis, Blood Transfusion and Laboratory Haematology

Dr Patrick Medd

Consultant Clinical Haematologist

Programme Director, South West Peninsula Transplant Service.

Specialist interests: Acute Leukaemia, Lymphoma and SCT

Dr David Lewis

Consultant Clinical Haematologist

Haematology Research Lead Consultant

Clinical Governance Lead

Specialist interests: Lymphoma and SCT

Dr Claire Hutchinson

Consultant Clinical Haematologist

Specialist interests: CLL, Lymphoma and Research

Dr Yin Thi

Consultant Clinical Haematologist

Specialist interests: Myeloma, Obstetric Haematology

Dr S Burrows

Consultant Clinical Haematologist

Haematology Training Program Director, South West Peninsula

Specialist interests: Haemostasis & Thrombosis, Myeloma, CLL, and Laboratory Diagnostics

Dr Claire Lentaigne

Consultant Clinical Haematologist

Specialist interests: Haemostasis & Thrombosis and Myeloma

Dr Tom Scorer

Consultant Clinical Haematologist

Specialist interests: Transfusion, Myeloma, Lymphoma


Bracken HDU is a state of the art Clinical Haematology Unit with 10 isolation beds (all Laminar flow rooms, 8 with positive pressure and 2 with both positive and negative pressure capability) and treats patients at BSH level IV care, with a further 12 beds for lower level inpatient provision. Birch Day Case, a state of the art specialist Haematology Day-case Unit, is also adjacent and provides daily reviews and treatments including provision of blood transfusions, chemotherapy and apheresis services. There is also an Allergy & Immunology and Thrombosis & Bleeding Disorders Day-case Unit (Eden Unit) for outpatient reviews of Haemophiliacs and patients with Von Willebrands disease and other non-malignant disorders.

Inpatient Consultant cover is currently on a 1 in 6.5 weekly rota. The Consultant of the week begins the MDT Ward round on Monday at 9am, handing over duty to the next Consultant the following Monday. Since there are 5 WTE Specialist Registrars, most evenings, and weekends, an SpR will be first on-call.

All patients are managed in a team approach and are managed in disease specific rather than named consultant specific clinics. The teamwork in a flexible way, cross covering clinics where necessary to provide support to each other, covering leave etc.

The Southwest Peninsula (Stem Cell) Transplant Service carries out Autologous, Sibling Allogeneic and Matched Unrelated Allogeneic transplants for the geographical area of Devon and Cornwall. We received JACIE accreditation in June 2012, retaining accreditation since. We hold a Human Tissue Authority licence (11093) for tissues for human application for our apheresis activity. Cellular processing is carried out by PHNT staff at a stem cell processing facility located in the nearby science park.

Additional Clinical staff comprise:

1 Modern Matron

1 Ward Manager and 1 Day-case Unit Manager

1 Lymphoma CNS

2 Transplant CNS/ Coordinators

2 Haemostasis and general Haematology CNSs

1 Myeloma CNS

1 Chronic Leukaemia CNS

1 Acute Leukaemia CNS


6 Junior Sisters

26 Specialist Nurses providing care on both Bracken HDU and Birch Day Case Unit


The laboratory has UKAS accreditation to ISO 15189:2015 and works in close association with Clinical Chemistry (2 Consultant Chemical Pathologists, 3 Scientists) and Immunology (3 Consultant Immunologists & 1 SpR) in a combined laboratory (Derriford Combined Laboratory). There is a single specimen reception, computing and reporting systems.

Haematology processes approximately 30,000 samples monthly including 20,000 blood counts, 10,000 coagulation studies and 1000 cross-matches. See below. Advanced tests are done in all sections.

The laboratory handles full stem cell separation and culture. Stem cell processing and storage facilities are off-site within a purpose-built independent facility a short distance from the Hospital (Biovault).

There is a diagnostic molecular biology suite and flow cytometric diagnostic immunology. Dr Richard Cunningham, Consultant Microbiologist is Service Line Director for Pathology, (contact details below). Dr Wayne Thomas is Clinical Lead for DCL.

Laboratory accommodation and equipment

Derriford Hospital has one of the UKs largest combined track analyser systems all integrated to reduce off-analyser specimen time. This is situated on Level 6 within the main hospital building, with some specialised chemistry labs on level 7. We are the first laboratory to utilise Abbot Alinity analysers in Europe. Our coagulation platform is with Stago (2 machines) providing all basic and specialised tests including anticoagulation monitoring. Cross matching is performed on Neo Immuncor ( x 2).

Within Haematology diagnosis we have incorporated euroflow compliant Haematology diagnostic flow cytometry with up to 8 colour available. There is a full molecular diagnostics lab with next generation sequencing shortly to go on line. Cytogenetics and FISH are sent to the regional lab in Bristol.

The laboratory computer LIMS system is Apex, Hospital requesting is through ICM, and GP/Community requesting is through SunQuest ICE.

An integrated Diagnostic report for haematological malignancies is generated at a Timetabled Friday MDT , attended by clinicians and specialist biomedical /clinical scientists. It incorporates, the clinical history, Basic haematology tests, Bone marrow morphology, Histopathology bone marrow and lymph node, Flow cytometry, cytogentic and molecular genetic results. A similar service is in development for the other hospitals in the region who send flow cytometric and molecular diagnostic work to Derriford.


Haematology is one of the largest recruiters to clinical trials within the Hospital and the largest recruiter across Peninsula Haematology departments. The department contributes to many clinical trials from Phase 1 and above. Overall Plymouth Hospitals NHS Trust is a significant recruiter to clinical trials with around 4.700 patients recruited last year.

The Haematology clinical research unit runs over 30 trials and is a leading UK centre for clinical and laboratory studies in Mantle cell lymphoma. There is currently 1 Research Registrar, working towards a higher degree.

Person Specification
  • Has achieved MBBS or equivalent medical qualification
  • Must have Full registration with the General Medical Council
Fitness to Practice
  • Is up to date and fit to practice safely
Knowledge, Skills & Experience
  • Sound knowledge of basic clinical sciences and the ability to applying knowledge to clinical practice
  • Able to prioritise clinical need and manage time effectively
  • Aware of own limitations and know when to consult senior colleagues
  • Understand the importance of working effectively in multi-disciplinary teams Satisfactory completion of F1 year or equivalent
  • Minimum 18 months experience working in NHS
Personal Requirements
  • Able to communicate effectively both verbally and in writing with patients, carers, GP's, Nurses and other agencies
  • Able to cope in stressful situations
Other Requirements
  • Understands the need for and appreciates the role of audit and clinical governance in clinical practice
  • Understands the principles of patient confidentiality and data protection
  • Keeps professional knowledge and skills up to date
  • Understands the basic principles of audit

Employer details
Employer name

University Hospitals Plymouth NHS Trust


Derriford Hospital

Derriford Road



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