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Haematology Sub-Speciality Training at ST3+ |
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UNIVERSITY HOSPITALS OF
LEICESTER ROYAL INFIRMARY
This whole-time Specialty Registrar post forms the basis of a training
programme in Haematology, leading to CCT.
The post will rotate between the University Hospitals of Leicester NHS
Trust,
The Specialist Training (ST3) programme is normally for a term of 5
years, during which time the Trainee’s work is monitored for evidence of
satisfactory progress. Progress will be reviewed after the first six months and
once a year thereafter. The Specialty
Registrar will also have a Personal and Professional Development Plan or Learning
Contract with regular Appraisals.
The rotation is expected to include the following:-
3-month Induction course at the
Leicester Royal Infirmary
12-18 months Experience
in a
3 months Regional Blood Transfusion
Centre
36-42 months University Hospitals of Leicester NHS
Trust
Applicants considering applying for the post on a flexible basis should
initially contact the Leicestershire, Northamptonshire and Rutland Deanery for
a confidential discussion.
The Postgraduate Dean has confirmed that this post has the required
educational approval.
In accordance with Department of Health guidance, applications will not
be accepted from visiting doctors with less than 12 months permit free stay
remaining, and where a visiting doctor is appointed, a contract will not be
issued for longer than the duration of his/her permit free period.
This Post attracts a National
Training Number and provides training towards a Certificate of Completion of
Training in Haematology. The laboratories in
QUALIFICATIONS/EXPERIENCE REQUIRED
Candidates
should possess MRCP Part 1 (UK) or equivalent.
Applicants without MRCP Part 1 must provide evidence of appropriate
knowledge, training and experience, including two years as an SHO with at least
18 months experience in Acute Medicine including 6 months unselected take.
CONTRACTED HOURS
Leicester
Basic Hours: 40 40 40
LEICESTERSHIRE HEALTH
Leicester has three acute teaching hospitals: Leicester
Royal Infirmary,
The Trust is currently planning a major reconfiguration of
its services. This involves proposals
for a Centre for Planned Care on the site of the
The population served is approximately 900,000.
This is a large busy teaching Hospital with 1162 beds. The
Hospital houses both Medical and Surgical Specialties along with Obstetrics,
the Children’s Hospital and Haematology and Clinical Oncology. It is also the site of the A&E
Department. The Hospital is housed in several purpose built facilities which
include the Sandringham and
The Osborne building houses the Directorate of Cancer
Services and Clinical Haematology. This includes in-patient, daycase and
out-patient facilities. The Bone Marrow Transplant Unit is in a separate
dedicated area in the adjacent
The haematology laboratories are located in the
These two large Hospitals provide
comprehensive facilities for a wide range of Specialties. For example the Renal Unit at the
THE WORK OF THE HAEMATOLOGY DEPARTMENT IN
The Department of Haematology is
part of the Directorates of Pathology and Cancer Services and Clinical Haematology
within The University Hospitals of Leicester NHS Trust.
The Department is based for its
laboratory and clinical work in the Leicester Royal Infirmary. The laboratory space is located in the
Thirteen hundred blood count
samples are processed on an average day and 54,000 units of blood used per
annum.
The clinical service is located in
a new purpose built facility, the Osborne building and is adjacent to the
laboratories. The clinical service is
divided into Haemostasis and Thrombosis, stem cell transplantation, in-patient,
daycare and out-patient areas.
The Haemostasis and Thrombosis
service covers both the community and hospital based care of patients with
coagulation defects and anti-coagulant monitoring. Each hospital site has
anti-coagulant clinics run by nurse practitioners and clinical assistants and
there is a community based service run in partnership with the PCT’s. The Leicester
Comprehensive Care Centre for Haemophilia is sited in the
The Clinical Haematology Service
provides in-patient, daycase and out-patient care for patients with both
malignant and benign haematological disorders. Clinics are held every day. Many
clinics are orientated to specific disease states such as haemoglobin
disorders, immunohaematology, stem cell transplantation, myeloma and lymphoma.
There is a busy daycase unit with 5,000 attendances per annum; for patients
leading transfusion lives, out-patient chemotherapy, therapeutic phlebotomy,
bone marrow examinations etc. The in-patient facilities include 22 beds on the
haematology ward and 4 Transplant beds. There is, therefore, extensive
opportunity to gain clinical experience.
Paediatric Haematology is run
within the Children’s Hospital at the Leicester Royal Infirmary. There are
purpose built facilities for the care of children with leukaemia and other
malignancies requiring chemotherapy.
MEDICAL STAFFING
Consultants
Dr A. Rejman, MD (Lond), FRCP,
FRCPath Head of Service
Dr. C. S. Chapman, FRCP, FRCPath
Dr. A. Hunter, FRCP, FRCPath
Director of Transplantation
Dr M Garg, MD, MRCP, MRCPath
Dr. E. Psiachou-Leonard, FGHA,
MRCPCH, MRCPI, FGPA, Paediatric Haematology
Dr. B. Kennedy MRCP, MRCPath –
Head of Lab Haematology
Dr. F. Miall, MRCP, MRCPath
Dr. H. Qureshi,
MRCP, MRCPath (
Dr. S. Pavord, MBChB, FRCP (
Dr J van Veen, MRCPath
Academic Staff
Prof. M.J.S. Dyer, PhD, FRCP,
FRCPath
Associate Specialists
Dr P. Mensah, MRCP(
Dr G Asagba, MRCP(
Junior Staff
This post is 1 of 9 full-time
Higher Specialist Trainees
2 Part-time flexible specialist
trainees
2 Haematology CMT posts – part of
the General Medicine rotation.
2 FY2 Doctors
2FY1 Doctors
Laboratory scientific staff
4 Process Managers
(Transfusion and special haematology, Fast track Laboratory,
3 Specialty managers
(Haemostasis and special haematology, haematology Fast Track and Blood
Transfusion)
15 Senior
Medical Laboratory Scientific Officers - MLSO 2
25 Basic
Grade Laboratory Scientific Officers - MLSO 1
3 Trainees
9.5 MLA
3.5 WTE Secretaries
Most of the hospital is of relatively recent
construction and there are excellent laboratory and radiology facilities on
site.
As part of the Leicestershire, Northamptonshire and
Rutland Strategic Health Authority,
Kettering General
Hospital Department of Haematology
Consultant Staff
Dr H Kelsey FRCP FRCPath
Dr M Lyttelton FRCP FRCPath
Dr I Wilson-Morkeh FRCPath
Dr M Kwan MRCPath
Junior Staff
1 SpR
1 SHO
Nursing Staff
4 chemotherapy nurses (shared with
oncology)
3 anticoagulant nurses
1 transfusion specialist nurse
Technical Staff
Senior Chief BMS4
2 Chief BMS3
3 Senior MLSO2
7.5 BMS1
5 MLA’S
Laboratory Services
The laboratory is a fully
integrated clinical laboratory housed in a single area, supporting
Clinical Services
Clinical Haematology is managed as
a free standing minidirectorate with a 9 bed in-patient unit on Lilford ward
with dedicated haematology nursing staff and 4 side rooms and a recently
constructed dedicated Day Case Unit (Centenary Wing) for out-patient
chemotherapy, clinics and day case procedures.
The Department meets category II BCSH standards for inpatient care. A full clinical Haematological service is
provided except for Transplantation procedures and treatment of young leukaemic
patients, both of which are referred to the Leicester Royal Infirmary. The Department supports six haematology
clinics and additional daycase sessions.
The Haemostasis and thrombosis
service supports all in-patient anticoagulation, and hospital and peripheral
anticoagulant clinics. The Service is
fully computerised with Dawn software and supported by 3 WTE anticoagulant
nurses. The Service also supports a
District wide domiciliary service, and a policy of selective immediate
outpatient treatment of deep vein thrombosis.
There is a weekly thrombophilia clinic. The Department is a recognised
Haemophilia Centre and the treatment of patients with haemophilia and other
bleeding disorders is shared with the Churchill haemophilia Comprehensive Care
Centre in
Northampton
General hospital NHS Trust
The Hospital
There is a well equipped
Post-Graduate medical Centre and Library, with an active Post-Graduate teaching
programme. Plans are afoot to make Northampton General a DGH Teaching Hospital.
There is a comprehensive
laboratory (CPA accredited) and clinical haematology service (Level 3).
Laboratory services fall within the Directorate of Pathology. Clinical services
are provided in conjunction with the Department of Oncology. The Haematology
ward is shared with Oncology.
Laboratory
The laboratory is CPA accredited
and is situated in the main hospital block next to the clinical haematology
areas. The department handles approximately 250 000 requests a year ad issues
around 12000 units of blood. Workload comes from within the hospital, local
GP’s and nearby Princess Marina, St Andrew’s and the
The Department is well equipped.
Automated blood analysis is performed using 2 ABX Pentra 120 analysers, and
coagulation/haemostasis work on 2 Sysmex CA1500 analysers. ESR’s are automated
using the Starrsed Compact. Haemoglobinopathy investigation is carried out
using the Variant 2 HPLC (also HbA1c’s). Ferritin, B12 and folate assays are
carried out in the biochemistry laboratory. In addition, we have a Coulter
EPICS FACS machine for immunophenotyping. Blood grouping and screening is
performed using an Autovue analyser with immediate-spin cross-match. Anticoagulant
clinics use near patient testing technology.
This year a combined
biochemistry/haematology reception and laboratory has been completed, with
plans to combine automated routine analysis. Technical staff include:
1
BMS 4
3
BMS 3
4BMS
2
10
BMS 1
7
MLA’s
12
(WTE) phlebotomists
Clinical haematology
Consultant Medical Staff at NGH
Dr.
Hamish Ross
Dr.
Archie Haines
Dr.
Sonia Swart
Dr.
Angela Bowen
The department of haematology has
its own outpatient area for 8 adult clinics a week. There is a weekly joint
Paediatric haematology clinic which takes place in children’s outpatients.
There are 2 anti-coagulant clinics
and an outpatient DVT service run by nursing staff (5WTE).
We have a treatment area for
examining patients and performing procedures. The clinic nurses (4WTE) carry
out venesections and give outpatient chemotherapy and transfusions in this
area.
Haematology inpatients are cared
for on Talbot-Butler ward, a joint haematology and oncology ward adjacent to
the outpatient clinic. It has 24 beds, with 16 single rooms. 4 SHO’s (2
haematology and 2 oncology) cover the ward during the day and out of hours. A
staff grade in Oncology participates in the SHO on call rota. SHO’s currently
see new patients/admissions in the clinic.
The Department provides a
comprehensive clinical service to the hospital and general practitioners. The
full range of haematological conditions is catered for, at service level 3.
Approximately 10 peripheral blood
stem cell transplants are performed per annum.
The leucopheresis service is provided by
DUTIES OF THE POST
The
Induction
All newly appointed ST3
postholders will undergo a period of induction training at the Leicester Royal
Infirmary in line with the curriculum set out by the SAC in Haematology and
JCHMT. This will introduce the SpR to
safe laboratory practice and basic diagnostic skills relating to laboratory
work such as morphology and interpretation of coagulation tests.
Clinical and Laboratory
The Specialist Registrars rotate
through each of the specialist areas within the Department. This includes laboratory, haemostasis and
thrombosis, paediatric and clinical haematology. The adult unit is divided into
myeloma, lymphoma and stem cell transplant teams. For examples of the working
week within each area please refer to the appendix.
During each attachment the
Specialist Registrar is expected to take a full role in the work of the
Department and to achieve specific targets as set out in the JCHMT curriculum
in Haematology.
The laboratory work includes the
development of skills to enable the reporting of abnormal blood films, bone
marrow aspirates and trephines, the interpretation of cytogenetic and
immunological features of haematological disease. The post holder will be
expected to develop an understanding of laboratory procedures and practices,
including the investigation of abnormal haemoglobins, coagulation, and
transfusion problems and to advice to laboratory and other staff on the
interpretation of laboratory results.
The clinical department has
out-patient, in-patient and daycase facilities.
The Specialist Registrar will be responsible for the assessment and
management of patients within all 3 areas under the supervision of the
appropriate consultants. They will also be responsible for teaching and
supervising both SHO’s and PRHO’s working within the team.
The Specialist Registrar will be
involved in undergraduate teaching and case presentations. The Specialist Registrar will be expected to
take an active part in the audit programme of the Department and to attend the
Audit meetings held each month. The
Specialistic Registrar will also be expected to keep their log book up-to date
for regular review to ensure satisfactory progress is being achieved and
targets met.
Research
Opportunities are available for research
in either laboratory, molecular or clinical Haematology. There are current studies on thrombosis and
hypercoagulability; haemoglobinopathies - incidence and molecular structure;
erythropoietin and bone marrow culture; myeloma stem cells; apoptosis in CLL;
genetic manipulation of leukaemia blast cells and lymphoma molecular biology.
Location of Duties in
As will be apparent from the
foregoing, the Specialist Registrars are located primarily in the Department of
Haematology at the Leicester Royal Infirmary but occasional visits to, for
example, the
Blood Transfusion Service
The Regional Blood Transfusion
Service is located in
Training Objectives
To obtain a sound working
knowledge of laboratory and clinical haematology typical of a
Teaching and responsibilities will
be adjusted to match the stage in the rotation of the individual post holder
Formal teaching arrangements
One afternoon a week for self
directed learning/reading/audit work
Weekly topic teaching from
consultant staff
Weekly supervised reporting of
bone marrow reports and selected blood films
Monthly journal club
Attendance at Specialist Registrar
teaching in
Opportunities
Undergraduate teaching
MRCP teaching
Case presentations and clinical
review within the Medical Unit Friday afternoon postgraduate meeting
Audit
Attendance of Directorate and
Laboratory Management meetings as an observer
Duties and Fixed Commitments
The exact timetable will be
adjusted to suit the experience and requirements of the individual and the
stage in their training, but will be based around:
Training
Training will be provided in all
aspects of laboratory and clinical haematology including morphology, laboratory
techniques and management. Specific
training in transfusion and coagulation can be incorporated as required. Access to haematology journals is available
within the department and through the library.
A half-day for private study/research/audit will be included in the
timetable.
Teaching
There is an active Postgraduate
medical education programme, in which the Specialist Registrar would be expected
to take part. The department is
committed to Audit and involvement would be encouraged. Medical students visit in 8 week blocks from
On-Call
The Specialist Registrar would be
expected to join the Consultant’s on-call rota which would then be 1 in 5, with
Consultant cover. A daily ward-round at
weekends is expected.
Timetable (provisional)
|
|
Monday |
Tuesday |
Wednesday |
Thursday |
Friday |
|
AM |
Ward
round |
AB
clinic |
XR
meeting * Ward MDM SS
clinic |
Ward Round AH
clinic |
Laboratory teaching |
|
PM |
Lab work |
Ward
round |
Histopath MDM * |
Protected Time |
Ward
round |
STUDY AND TRAINING
The posts are recognised for
postgraduate training.
Specialist Registrars are expected
to attend a four week Advanced Course in Transfusion Medicine for the Part I
MRCPath and a further 2 months attachment in the fourth year at the Trent
Regional Transfusion Centre. The statutory study leave period may be utilised
for attendance at appropriate courses in consultation with the Consultant
Haematologist and in consultation with the Regional Haematology Education
Committee.
There is a weekly education
programme for the Specialist Registrars on a Monday afternoon. The programme
covers the areas set out in the JCHMT curriculum for training in haematology.
Weekly morphology sessions and seminars are held within the Department of
Haematology.
A half day study is timetabled
every week for Research, audit and private study.
LIBRARY FACILITIES
Current Haematological texts, both
clinical and technical, are kept within the department. The Clinical Sciences Library of the
Other Facilities
The Medical School Library in included in the
There is a Postgraduate Medical Centre situated at
the Leicester Royal Infirmary, which has a large Lecture Theatre, Seminar Room,
Laboratory and a Museum. Lectures on all topics are held regularly.
There is a weekly postgraduate clinical presentation
or lecture on Fridays, in addition to many other postgraduate activities.
The Leicester Royal Infirmary is
situated approximately 400 yards from the main city shopping centre. It has its own staff multi-storey car park.
The
Dean: Professor Ian Lauder, MB BS,
FRCPath, FMedSci
As
part of the
These Departments are able to
bring considerable intellectual resources to bear on a range of vital medical
challenges and reflect the priorities of the National Health Service. They
provide a stimulating environment for research and for study at all levels, and
offer a wide range of opportunities for professional training and development.
In
addition to the departments there are newly formed clinical divisions, which
bring together clinical academics from cognate specialties, and whose role is
to co-ordinate links with NHS colleagues, the Royal Colleges and postgraduate
medical education. There are clinical divisions for Anaesthesia,
Critical Care and Pain Management; Child Health; Epidemiology and Public
Health; General Practice and Primary Health Care; Medical Physics and
Radiology; Medicine; Obstetrics and Gynaecology;
Oncology; Pathology; Psychiatry; and Surgery,
Orthopaedic Surgery and Ophthalmology.
The Leicester Warwick Medical
Schools were established formally on 1 March 2000, in order to create the
additional capacity needed to support the Government programme for increasing
nationally the numbers of medical graduates. For the past 25 years, the
The total annual intake of medical
students was 303 in 2001and this has risen to 403 in September
2003 resulting in an MB ChB student
population of 1,800. Sixty-four graduate
entry students enrolled on the
The Leicester Warwick Medical
Schools comprise the
There has never been a more
exciting time to be involved in the delivery of healthcare in Leicestershire
& Rutland.
Healthcare in the two counties
that the University Hospitals of Leicester NHS Trust serves will be transformed
and modernised over the next 10 years.
Already a Strategic Outline Case for the reconfiguration of acute
services has been approved by the Regional Office and work is fast progressing
towards the completion of the Outline Business Case for a £286m project which
will increase bed stock from the current 2,400 to well in excess of 2,700.
This capital project, which will
be one of the biggest in the country, will see significant positive changes at
the Trust’s three prestigious teaching hospitals including the creation of a
centre of excellence in the delivery of planned care and rehabilitation at the
Leicester General Hospital and the concentration of acute services on the
Leicester Royal Infirmary and Glenfield Hospital sites.
These exciting developments will
be supported by the substantial linkage with the Leicester Warwick Medical
Schools, and with De Montfort University in respect of nursing and midwifery
training.
The Strategic Health Authority
(commenced 1 April 2002) covers Leicestershire, Northamptonshire and
The counties of Leicestershire
& Rutland are served by six Primary Care Trusts/Groups with each having a
defined group of services for which it acts as host and this includes
responsibilities for the community hospitals within the county boundaries.
The Leicestershire Partnership NHS
Trust (commenced 1 April 2002), established from the former mental health and
learning disabilities service, completes the health services picture for the
two counties.
Trent Region is committed to
developing postgraduate training programmes for both general and higher
professional training as laid down by Colleges and Faculties, and by the
Postgraduate Deans’ network. At local
level, college/specialty tutors work with Unit Postgraduate Clinical Tutors in
supervising these programmes. Trainees
will be expected to take part in these programmes (including audit) and to
attend appraisal, feedback and counselling sessions/professional review. Study leave will form part of these
educational programmes and will be arranged in conjunction with the appropriate
tutor.
CONDITIONS OF SERVICE
The appointment is subject to the
Terms and Conditions of Service of Hospital Medical and Dental Staff (
The successful candidate, although
contracted to The University Hospitals of Leicester NHS Trust, will work in
Leicestershire and Lincoln. As a
consequence he/she is expected to be aware of local policies and procedures and
take note of the standing orders and financial instructions of these hospitals.
Salary
The nationally
agreed pay scale for this grade is payable.
Medical Examination
This
appointment is subject to medical fitness and the appointee may be required to
undergo a medical examination and chest x-ray and will be expected to produce a
certificate of Hepatitis-B Immunisation or be prepared to be screened.
HEALTH & SAFETY
The University Hospitals of Leicester NHS Trust recognises its duties
under the Health and Safety at Work Act 1974 to ensure, as far as is reasonably
practicable, the health, safety and welfare at work of all its employees and,
in addition, the business of the Trust shall be conducted so as to ensure that
patients, their relatives, contractors, voluntary workers, visitors and members
of the public having access to hospital premises and facilities are not exposed
to risk to their health and safety.
The duties of this post may require the postholder to carry out
exposure prone invasive procedures on patients of The University Hospitals of
Leicester NHS Trust. In order to protect
its patients from acquiring blood borne viral infections from staff it is required that the following conditions be
met before appointment to the post is made:
1.
The candidate must provide documentary
evidence to the Occupational Health Service as part of pre-employment screening
of immunity to Hepatitis B infection, either by immunisation or natural
immunity. If the candidate is non-immune
The University Hospitals of Leicester NHS Trust will require a blood test to be
carried out for Hepatitis B antigen before appointment. The duties of this post are such that no
Hepatitis B antigen positive candidate could be appointed.
2. Any appointee who is not immune to
Hepatitis B, but is currently carrying out exposure prone invasive procedures,
accepts that regular checks on Hepatitis B markers may need to be carried out
by the Occupational Health Service appointed by The University Hospitals of
Leicester NHS Trust.
The tests
can be arranged, if the candidate agrees, in confidence through a local
consultant microbiologist or the Occupational Health physician. All costs for testing will be borne by The
University Hospitals of Leicester NHS Trust.
This is a non-resident post. Irrespective of his/her place of residence it
is the responsibility of the appointee to ensure that when on-call he/she will
be available by telephone and able to reach the hospital in time to meet
his/her clinical commitments.
Removal Expenses
Removal expenses on appointment
may be paid in accordance with the provisions of the Terms and Conditions of
Service of Hospital Medical and Dental Staff (
Accommodation
The three
The three
For details regarding hospital
accommodation or married accommodation, enquiries should be made to the
appropriate Medical Staffing Officer.
Study Leave
This is granted in accordance with
the recommended allowance (A Guide to Specialist Registrar training MD 2/96)
This can either be day release with pay and expenses for the equivalent of one
day a week during university terms; or leave with pay and expenses within a
maximum calculated at a rate of thirty days in a year, subject to the
maintenance of the service and to prior formal approval by the Clinical Tutor.
This post requires a enhanced
disclosure by enhanced criminal records certificates as this post is regulated
by the Protection of Children Act 1999, The Criminal Justice Courts Act 2000
and / or the Care Standards Act 2000 and such other authority committed by
statute.
Failure to disclose details if you
are currently / or in the future are the subject of police investigation /
proceedings which could result in a conviction, caution or bind over order is a
disciplinary matter, and may result in dismissal.
Notification of Termination of Employment
Specialist
Registrars are required to give The University Hospitals of Leicester NHS Trust
a minimum of three months’ notice of termination of their employment. Only in exceptional circumstances will less
than three months’ be allowed.
Contact
Further information about the
training programme can be obtained by contacting:-
Dr. A. Hunter
Consultant Haematologist
Department of Haematology
The
University Hospitals of
LE1 5WW
Tel: (0116) 258 6602
Appendix
1
Higher Specialist Training Programme For Haematology
The Leicester
This programme will include both
clinical and laboratory aspects of haematology, in keeping with the JCHMT's
core training programme for Haematology.
The Trainee will keep a training
record, with regular assessments throughout the rotation, carried out by the
trainer, Chief MLSOs and representatives of the JCHMT, Royal College of
Pathologists and PostGraduate Dean.
Appraisals will be carried out at six-monthly intervals. The final assessment will be the MRCPath Part
II examination. The Trainee will be
based at the Leicester Royal Infirmary. At least one year will be spent in a
Induction Programme - 3 months
This period will include 4 weeks
training in general haematology and morphology, 2 weeks blood transfusion, 2
weeks coagulation.
District General Hospital Experience
The Specialist Registrar will
rotate to either Northampton General or
Blood Transfusion Training
The post holder will be expected
to attend a one month training course in Blood Transfusion prior to the MRCPath
Part 1 examination and a further 2 months in Year 4. This experience is usually completed in
Teaching Hospital Experience
In
|
|
Lymphoma
|
myeloma
|
Laboratory/
Liaison
2 posts
|
Haem/Thromb
|
BMT/AL
|
Paeds
|
Monday
AM |
Ward
|
Ward |
Immunohaem
clinic |
Centre
|
BMTU
|
Paed
ward round/ Adult New patient clinic (Alternate weeks) |
|
PM 4-5pm |
Teaching Ward |
Teaching Ward
|
Teaching Lab |
Teaching Centre
- meeting |
Teaching Lab |
Teaching Lab |
Tuesday
AM |
CLL
Clinic |
Ward
Round |
Lab
|
SP
Clinic |
BMTU Lab |
Marrow
List/ Lab |
|
PM 4pm |
Ward
Round Lymphoma
MDT |
Study
|
Lab |
Centre/Lab |
|
Paed
MDT/Lab |
Wednesday
AM |
Lymphoma
Clinic |
Ward
|
Study
|
Haem/Obs
or Haemostasis clinic |
BMTU
MDT/ Clinic |
Leukaemia
Clinic/ Lab |
|
PM |
Ward
|
Myeloma
MDT/ Gen Haem Clinic |
Lab
|
Study
|
Study
|
Lab |
Thursday
AM |
Ward
|
Myeloma
Clinic |
Lab/LP/Harvest
|
Clinic
|
BMTU |
Lab
|
|
PM |
Study
|
Ward
|
Lab
|
Clinic
|
AEH
clinic |
Paed
Clinic |
Friday
AM |
Ward
Round |
Ward
Round |
MPD
Clinic |
Centre/Lab |
BMTU
Ward Round |
Haemoglobinopathy
Clinic/Lab |
|
PM |
Ward/
Chemo prescribing |
Ward/
Chemo prescribing |
Lab
|
Centre/Lab |
management
|
Study
|