Workforce and job planning

Physician workforce

The number of medical oncologists recorded in the 2016–17 census of consultants and higher specialty trainees in the UK is: 

Role

Total

Proportion working less than full time (LTFT)

Consultant

554

33%

Higher specialty trainee

271

11%*

*HST LTFT percentages are calculated from JRCPTB data to give overall figures which may differ from those in the census

These figures relate to physicians who work substantively for the NHS. 


Job planning

The job plans in table 1 and table 2 below are examples included as guidance and not intended to be prescriptive. Activities will vary according to population served, demographics and location. For further information, see the BMA/NHS Employers guidance from 2011.

Table 1: Sample job plan for consultant medical oncologist

Activity

Workload

Programmed activities (PAs)

Direct clinical care

Outpatient clinic

3–4 new patient consultations per week: approximately 1 hour each. Routine follow-up of well patients: 10–15 minutes’ consultation. Management of patients with relapsed or metastatic disease: approximately 30 minutes

2–4

Day-care ward work

May form part of a mixed outpatient clinic. Patient assessment and chemotherapy prescribing: approximately 30 minutes

1–2

Acute oncology

1 or more PAs may be appropriate in some job plans

< 2

Clinical administration

Will relate to numbers of OPD sessions; half session per  OPD session

1–2

Clinical trial administration

and participation

Should be expected in all consultant job plans

0.5–1

Inpatient ward rounds

Number of patients will vary depending on nature of practice; 5–20 would be typical

1–2

MDT meetings

Frequency and duration will vary according to size of  MDT sessions; up to 4 hours is not uncommon

1–2

Total number of direct clinical care PAs

 

7.5 on average

Supporting professional activities (SPAs)

Work to maintain and

improve the quality of healthcare

Education and training, development of clinical trials and research (unrelated to participation in trials), appraisal, department management and service development, audit and clinical governance, CPD and revalidation

2.5 on average

Other NHS responsibilities

eg medical director / clinical director / lead consultant  in specialty/clinical tutor

Local agreement with trust

External duties

eg work for deaneries / royal colleges / specialist societies / DH or other government bodies etc

Local agreement with trust

CPD = continuing professional development; MDT = multidisciplinary team; OPD = outpatient department

 

Table 2:  Sample job plan for academic medical oncologist with a major laboratory interest

Activity

Programmed activities (PAs)

Direct clinical care

Inpatient care (ward rounds and ward consultations)

1.0

MDTs/MDT  meetings

0.75

Outpatient clinics

1.5

Patient administration and clinical follow-up (letters, referrals, telephone calls)

1.75

On call (supporting junior doctor on-call  arrangements)

0.5

Total number of direct clinical care PAs

5.5

Supporting professional activities (SPAs)

Medical education

0.25

CPD

0.25

Research (clinical trials, translational research in drug development, supervision of MD and PhD students)

3.25

Other NHS duties (local trust committees, eg research and development, clinical governance and audit)

0.25

External duties (international boards, lectures on behalf of employing institution)

0.5

Total number of supporting professional activities

4.5

Total programmed activities

10

Note: medical oncologists, particularly in academic centres, may work with other consultant medical oncologists as part of a team sharing the outpatient and inpatient care of a group of patients. In this case, responsibilities may vary weekly or monthly, for which an annualised job plan is required.

30/06/2017