Overview
A Vacancy at West Hertfordshire Teaching Hospitals NHS Trust. This post is ideal for someone who wishes to pursue a career in Haematology. There will be support and supervision by the consultants to ensure competencies are achieved in diagnosis and management of both malignant and non-malignant Haematology.
You will join a team of two other ST3/4 level Haematology trainees, with cross coverage for absence. Outpatient and Ward patients should have dedicated cover at all times. No two ST3/4 should be absent at once, but if this occurs, ward cover also holds the referrals duties.
All ST3/4 trainees should attempt to attend and present patients at the weekly multidisciplinary team meeting on Tuesday afternoon, and the weekly morphology session.
The successful candidate will be expected to work 09:00–17:00, Monday to Friday on their allocated ward. There is on-call cover involved with the role; you are expected to be first on call one weekend per month, supported by a consultant.
About the Haematology Service
The haematology service is delivered at WHHT by an innovative, forward-thinking team of 7 Consultant Haematologists (5 full-time/2 part-time), supported by 6 Clinical Nurse Specialists and 2 registrars from the East of England Deanery. The team treats a wide range of malignant and benign conditions, including level 2A malignant haematology patients. Most treatment of malignant haematology patients takes place at the Helen Donal haematology day unit, with some patients requiring in-patient chemotherapy administration. The day unit also offers transfusion service, including for patients with chronic anaemia, nurse-led clinics, as well as immunoglobulin infusions.
With a new hospital planned for Watford and work underway to update theatres at St Albans City Hospital, this is an exciting time to join us. We are building on the success of our award-winning virtual hospital and re-imagining models of care, working ever more closely with partners and making the most of advances in digital healthcare. Staff wellbeing and development are a priority at our Trust, as is the role of innovation in improving clinical care, outcomes and patient experience. Our vision is “Excellent patient care, together” and our values are to be empowered, compassionate, professional and inclusive.
At West Herts we offer a variety of flexible working options as we recognise the importance of a good work life balance and the ability to work flexibly.
www.westhertshospitals.nhs.uk/flexibleworking
We kindly invite you to consider submitting an application. If you have a disability or long-term health condition and require support or guidance please contact westherts.recruitment@nhs.net. If you are a Service Leaver, Veteran, Military Reserve, Cadet Force Adult Volunteer, or partner/spouse of those serving please tick "Member of the Armed Forces Community" on the application form. If you do not hear back within 3 weeks of your application, please assume you have been unsuccessful on this occasion.
Responsibilities
Referrals, day unit and Laboratory Duty:
* Carry the Referrals Bleep
* Ensure referrals are seen promptly, discussed with the consultant, and shared between you and the relevant consultants if you get too busy
* Ensure the online referrals system is checked at least twice daily or delegated to a colleague
* If needed, see the outlying medical patients with haematological issues who are not eligible to come under primary haematology care
* Support the nursing staff at the day unit with medical reviews of patients and chemotherapy prescribing, if required
* Report blood films; supervised by the consultants, to ensure that all blood films are reported within 72 hours (unless flagged as urgent by laboratory, in which case within 4 hours)
* Attend clinics
* Perform bone marrow biopsy on the planned list on Thursdays
* Administer intrathecal chemotherapy once competency is achieved
*LAS applicants with no prior experience in reporting blood films or performing bone marrow biopsy will be trained by the consultant and will only be expected to carry them independently once signed off as competent.
Ward Duty:
* You will generally be responsible for 8–11 inpatients: mainly patients with post-chemotherapy complications and occasionally patients needing to start chemotherapy. There may also be patients admitted with sickle cell disease crisis and benign haematological disorders such as unexplained lymphadenopathy and autoimmune haemolytic anaemia.
* There are three consultant ward rounds a week, generally on Mondays, Wednesdays and Friday morning, depending on the attending consultant’s commitments.
* There is also a haematology FY1 or SHO who are based with the haematology team but also have on-call commitments with the acute medical take.
* Carry the Ward Cover Bleep
* Assist and manage the FY1/SHO team on the wards
* Ensure the standard hospital discharge summaries are done by the FY1/SHO
* Ensure patients leave with adequate and properly booked follow up plans (next outpatients, next chemotherapy cycle, next day unit review)
On-call Duty:
* Once the right competencies have been achieved, you will share the on-call rota with the two other ST3+. The usual rota has 3 out of the 5 weekday nights with the ST3+/LAS as first on call (on rotation bases) with the consultant second on call. You are expected to be first on call one weekend per month, supported by a consultant.
This advert closes on Wednesday 4 Feb 2026
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