Job Overview

Here in Jersey, we have our own Health Care system, separate from the NHS. We are looking to develop and improve our healthcare services towards a modern, fully digitised, and future-proof system, in advance of our new hospital (planned to open in 2029). To do so we need fresh eyes, new ways of working and the next generation of Consultants to make our healthcare system the best it can be. We aim to provide high quality, safe and effective care to the 110,000 people living on the Island and those who visit. The hospital benefits from a fantastic educational centre with a full SIM lab and dedicated time for all to learn.

Aligned to the Wessex Deanery, we support and develop Foundation trainees as well as Clinical Fellows and SAS doctors. We encourage all our Consultants to fully engage with the education and training of our future generation of medical leaders.

Health and Care Jersey are seeking to appoint an enthusiastic and dynamic substantive Consultant in Oncology to join our welcoming consultant body.  The successful candidate will be expected to work 10 PAs.

Jersey is easily accessible from most regional airports in the UK and has good links with NHS tertiary centres , particularly with Southampton and London, which affords the successful candidates the ability to maintain links within the NHS. To support your transition to Jersey, we can provide a generous relocation and remuneration package, which is benefitted by lower taxation than within the UK.

The Government of Jersey is committed to safeguarding and promoting the welfare of vulnerable people (to include children) and requires all staff and volunteers to share this commitment. As this position will work with vulnerable people, the selection process will involve safeguarding measures and include an enhanced DBS check.

For any recruitment related queries, please contact Rebecca Weber, HR Consultant at  r.weber@gov.je, For an informal discussion, please contact Elizabet Gomes Dos Santos at E.GomesDosSantos@health.gov.je.

Interviews for this post are scheduled for 8th January 2027 with a pre-interview engagement day on 7th January 2027.  Attendance in person is required on both days. Please take these dates into consideration when applying.  

Please be advised that we are unable to consider CV's submitted by recruitment agencies. All applicants must apply directly.

The Post

This is a Medical Oncology post, applications from clinical oncologists will be considered. The focus of this Consultant Oncologist post is to provide comprehensive specialist outpatients’ services in Oncology for the management of adults diagnosed with lung, skin and unknown primary. These sites may be subject to negotiation. Oncology referrals are received from consultants within the hospital or a member of their team.

This is an opportunity to join a dynamic, forward looking Consultant team where change and evolution of Emergency Medicine is a priority. This is a replacement post to join the existing complement of three consultants within Jersey General Hospital.

Medical Secretary/Office space

There are medical secretaries to support our clinical services. The consultant will have access to a shared office space with IT facilities.

Duties

Clinical Duties

• The post holder will deliver oncology services for Jersey residents including innovative ways of delivering integrated care across the primary and secondary care sectors.
• The post holder will partake in the provision of non-surgical treatment for patients with skin, lung, unknown primary & sarcoma cancers (the allocation of other tumour sites according to experience/interest could be considered).
• Clinical management of patients within an outpatient ambulatory setting including the chemotherapy day unit.
• Provide oncology support to the medical teams responsible for inpatients with diagnosis of cancer.
• Lead & attend relevant cancer MDTs.
• To liaise with tertiary centres for MDTs and the timely management and referral of relevant cases.
• Identify and repatriate patients and services to Jersey.
• Liaise and provide advice and guidance to primary care including cancer referral pathways.
• Participate in the development of the cancer strategy for the island of Jersey within the framework of the Health and Care Jersey Model.
• The post holder will play an active role in Acute Oncology Service (AOS) development, ensuring an efficient triage system for acutely unwell cancer patients. This includes a weekday consultant-led AOS sessions and supporting the specialist nurse-led AOS out-of-hours. The consultant will contribute to pathway design, governance, and audit of AOS effectiveness.
• Development and promotion of evidence-based practice and guidelines.
• To ensure appropriate documentation and coding is used to provide consistent audit and monitoring of the service.
• To adhere to local prescribing guidelines.
• The post holder is expected to provide cross cover for colleagues during absences, this can include emergency leave cover, clinics or MDTs subject to timetable and capacity.
• The post holder should be adaptable, flexible and innovative in order to meet the ongoing challenges within the service. The responsibilities of the role may change from time to time.
• Maintain good quality up to date medical records including timely discharge letters and summaries.
• Clinical supervision and professional development of clinical nurse specialists.

Leadership and Management

• Take part in management and audit activities to support the Care Group Leadership team and Public Health in planning for services and ensuring the service meets key performance indicators.
• The post holder will be expected to take part in management and audit activities and represent the service at Hospital meetings, as required.
• The post holder will be expected to be fully involved in Clinical governance, which includes risk management and supporting improvements in quality and safety.
• Provide clinical leadership and support to the department's nurse specialists.

Teaching and Research

• The department is recognised for training of resident doctors from the Wessex deanery and medical students from Southampton. Active teaching is encouraged in this role. It is expected that the post holder will participate in the training of medical staff and ensure that training and learning needs are identified and facilitated. This includes educational support for clinical fellows recruited directly to Health and Care Jersey.
• Opportunities for participating in research are supported where appropriate. Health and Care Jersey has a policy for professional leave and is supportive of external duties for the good of the wider profession.

On Call

There is currently no on-call commitment.

Management structure

Health and Care Jersey are a directorate of the Government of Jersey, that is responsible for the delivery of specialist health care and the running of the general hospital. The directorate is led by a Chief Officer, who leads an executive team. Health and Care Jersey (HCJ) is organised as a series of Care Groups, each with a senior leadership team consisting of a triumvirate model. This post is set within the Medical Care Group. 

Medical Care Group

The Emergency Department sits within the Medical Care Group which comprises the following range of services:

Medicine in Jersey is fully age and specialty integrated. There are 4 medical wards, Plemont, Rozel, Bartlett and Corbiere. A 5-bedded Enhanced Care Area is located in AAU and there is a separate intensive care unit led by intensivists. There is also an Ambulatory Emergency Care Unit led by the Acute Medicine Department. There is a 25-bed Acute Assessment Unit.  

SAS doctors are responsible for the day-to-day management of their patients on the wards with the help of clinical fellows, Residents whom they closely supervise. 

On call, the SAS doctor is responsible for seeing patients referred by the Emergency Department and reviewing patients admitted to the AAU by GPs in conjunction with the Acute Medicine team. A core responsibility of the Medicine Care Group is the provision of a safe acute medical service. The Care Group always provides named Consultant supervision for non-Consultants and ensures that  prompt review and treatment are provided for acute medical emergencies referred by General Practitioners or the Emergency Department.  

Consultants are responsible for producing and updating guidelines for the management of acute medical emergencies in their specialist area.

Care Group Statistics

There are 87 medical beds. 12-20 acute medical admissions on average during each 24-hour period on call within a range of approximately 6-24. There are approximately 4,500 medical admissions annually.  

In addition to outpatient clinics and 4 general medical wards containing 83 beds, the Medical Service Care Group is involved in the management of several specialist facilities. These include:  

20 bedded Acute Assessment Unit (AAU)  

5 bedded Enhanced Care Area (ECA)  

A well-equipped Clinical Investigations Department providing echocardiography, exercise ECG, respiratory assessment and GI physiology.  

An endoscopy suite providing a full range of endoscopy and bronchoscopy services.  

Diabetes Centre providing outpatient care for the diabetic population of Jersey, including retinal photography and specialist nursing support.  

Renal/Dialysis unit, providing emergency, acute and longer-term renal support as well as management of transplanted patients and assessment and treatment of renal conditions.  

6 bedded isolation area for infected or neutropenic patients.  

This job description is intended as a guide to the general scope of duties and is not intended to be definitive or restrictive. It is expected that some of the duties will change over time, and this description will be subject to review in consultation with the post holder. 

The Specialty

Oncology Service

The Oncology Service is a busy service serving a population of just over 100,000 which is situated within the Haematology-Oncology Department. The post holder will be expected to work with other departments including pathology, radiology, pharmacy and a broad spectrum of medical and surgical specialties, palliative care and community services.

The post holder will be responsible for the assessment and management of patients diagnosed with upper gastrointestinal; lung and unknown primary and additionally support acute oncology cover in collaboration with colleagues.

The number of minor site referrals comprises less than 25 new patients in total per year. Total annual referrals are expected to be 125-150 patients.

The Haematology & Oncology Department team consists of:

• Five consultant medical/clinical oncologists (one part-time)
• Two consultant haematologists
• One palliative medicine consultant
• One palliative medicine associate specialist
• Haematology/Oncology nurse manager
• One advanced clinical practitioner
• Three clinical nurse specialists
• Team of chemotherapy nurses
• Administrative support booking clerks, receptionists & medical secretaries

The work of the Department is largely outpatient based; however, there are admissions to the general medical wards which require follow up for advice and on occasions chemotherapy administration.

The post holder is responsible for the review of patients and prescription of chemotherapy in 4-5 clinical sessions per week. These comprise Pre-chemotherapy clinics in which patients are assessed prior to the chemotherapy that will be delivered in that week including patients receiving oral therapies and Review clinics, in which new patients and follow-up patients are seen.

Most Radiotherapy services are by referral to Southampton Hospital and are delivered in Southampton. There may be future opportunities to develop a radiotherapy service on island.

The Chemotherapy Day Unit provides a nurse delivered chemotherapy service within its 10 bedded treatment bay.

Acute oncological problems and complications of chemotherapy are triaged by chemotherapy nursing staff and reviewed on the chemotherapy unit between 9 am and 5 pm Monday to Friday on a rotational basis by the post holder and the other three consultant oncologists. After hours oncological problems are telephone triaged by the chemotherapy nursing staff and directed to the Emergency Department as appropriate.

Jersey General Hospital has a tertiary link to Southampton, Cambridge and the Royal Marsden Hospital and other tertiary centres.

Nursing staff and health care assistants support the medical team with outpatient clinics. There are nurse led clinics for Haematology and Oncology pre-SACT consultations. We have three clinical specialist oncology nurse who are non-medical prescriber (currently two are acquiring prescriber status).

Unit Activity

Outpatient clinic templates are structured to comprise on average 8 patients per session.

Outpatient referral numbers average 30-40 new patients per month.

Outpatient attendances average 650 per month.

New Chemotherapy treatments regiments average 600-700 per year.

Total Chemotherapy treatments average 7000 per year.

DNA rate (Oncology) – less than 1%.

Ward referrals fluctuate weekly, however, on average the numbers are 3-4 per week.

There is a significant opportunity for private activity; private outpatients may be seen and treated within the Haematology-Oncology Department. However, any private practice must be undertaken outside of contractual obligations. The post holder has admitting rights to the Private Wing.

Proposed Job Plan

All Consultants have a 10 PA contract for public work. The final job plan will be agreed with the Clinical Lead for Oncology, Consultants in the Department and General Manager for Medicine and subsequently the Chief of Service for Medicine, before final approval with the Medical Director. The post holder’s job plan will be reviewed annually and will be appraised according to the current guidance.

The Job Plan can be discussed at the time of employment but will broadly be based on the provisional timetable outlined below until the joint review takes place between the successfully candidate and other consultant pathologists. The Job Plan will be authorised by the Chief of Service and is subject to annual review. However, it should be noted that this service requires a flexible approach.

Qualifications and skills

Essential:

General Experience:

Specialist Experience

Essential:

Clinical management of lung, skin, unknown primary & sarcoma cancer (other cancer sites would be considered)

Immunotherapy treatments

Desirable:

Development of a specialist interest

Strategic development of cancer services at a regional level

Peer review experience including acute oncology & chemotherapy services

Leadership and Management Skills

Essential:

Evidence of Clinical Leadership

Ability to Work Flexibly with Colleagues to provide services

Ability to Work Effectively with a Multi-Disciplinary Team, motivating and influencing others through their enthusiasm

Ability to communicate effectively with colleagues, patients, relatives, GPs, nurses, management and other agencies

Highly motivated

Able to work within a team

Experience of Teaching, Training & Supervision of Junior Medical Staff and undergraduate students

An understanding of and ability to demonstrate your ability to: 
• Empower others 
• Lead through change 
• Influence strategically 
• Collaborative working 
• Drive for Improvement 
• Integrity

Personal Attributes

Essential:

Able to work flexibly in a changing health service

Ability to work as part of a team

Effective communicator

Other

Essential:

Participation in Clinical Audit & Risk Management Activities

Demonstrates a commitment to safeguarding young people and vulnerable adults

Evidence of annual appraisal

Evidence of research and publication in peer reviewed journals

IT literate

Desirable:

 Experience of Service Planning