Norfolk Community Health and Care
Specialist Palliative Care Services
Consultants in Palliative Medicine –
two full time posts
January 2017
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JOB DESCRIPTION
Post title -
Consultant in Palliative Medicine
Responsible to -
Dr Penny Newman – Medical Director, NCHC
Hours of work -
Both full time posts (10 PA) with a 1 in 6 second
on-call commitment (5% OCAS: Category A;
medium frequency). Applicants who, for personal
reasons, wish to work less than full time are also
encouraged to apply. The Trust is also able to
support other sub-specialty and professional
interests by a flexible approach to job planning.
Responsible for -
Provision of Palliative Medicine to patients referred
to the Specialist Integrated Palliative Care Service
in West Norfolk. Sessions within the job plan will
also enable you to work with colleagues in Norwich
providing specialist services to patients living in the
central Norfolk area.
Overview -
The post-holders will work with Norfolk Community
Health and Care staff and partner providers to
support the development of Integrated Palliative
Care Services in the area served by West Norfolk
CCG. They will work across settings to provide
Palliative Medicine input to patients within both
primary and secondary care. Ideally, one post will
primarily focus on meeting the needs of the
community setting whilst the other will lead on
developing the Specialist Palliative Care service at
The Queen Elizabeth Hospital in King’s Lynn.
Both posts will have close links, office space and
administrative support at the Norfolk Hospice
Tapping House. The Hospice has an active day
therapy service and a Hospice at Home team.
Once Consultants are recruited, the plan is to open
inpatient Specialist Palliative Care beds at the
Hospice within the next few years. At this point,
job plans will be reviewed and the Consultants will
both have inpatient beds within the unit.
These new Consultant posts will work closely with
an established team of four Palliative Medicine
Consultants in Norwich. Both job plans include
sessions in Norwich to allow for peer support and
the opportunity for pursuing professional
development (such as research or teaching).
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Introduction
Norfolk has a growing elderly population, outstripping national averages, and
hence requires cutting edge and innovative palliative care services. It is the
aspiration of local Trusts and CCGs to provide the best palliative care for
patients and support for their families that is equitable across the County and
provides value for commissioners.
The national End of Life Care strategy states that most people would prefer to
be cared for and spend their last weeks and days at home although about
60% of palliative patients currently die in hospital. All local providers in Norfolk
are working towards supporting patients to die in their preferred place of care.
Palliative care services across Norfolk are rapidly evolving and seek to meet
the challenge of a rural geography. Providers are working closely together to
develop flexible and community-focused care. Norfolk Community Health and
Care NHS Trust, through a recent tender process, now has the opportunity to
provide an integrated community palliative care service across West Norfolk,
with in-reach to The Queen Elizabeth Hospital in King’s Lynn. NCHC already
provide both specialist and generalist palliative care services for central
Norfolk. This provides significant opportunity to fully exploit and grow the
service across the County making end of life and palliative care provision
equitable, seamless and high quality, and enabling more local people to die in
the community, consistent with their wishes.
Specialist Palliative Care services within central and west Norfolk
Specialist Palliative Care services are based around two hubs, Norwich and
King’s Lynn, with close and developing links across the county.
There are four Consultants in Palliative Medicine in Norwich – Dr Nicola
Holtom, Dr Katie Soden, Dr Phil Wilkins and Dr Sarah Gough. The
Consultants work between Priscilla Bacon Lodge and the Norfolk and Norwich
University Hospital Foundation Trust. There are 16 inpatient specialist
palliative care beds at Priscilla Bacon Lodge which also has a Day Unit
facility. These services are provided by Norfolk Community Health and Care
NHS Trust; discussions are underway to redevelop Priscilla Bacon Lodge into
a larger community resource with local charitable funds. The Norfolk and
Norwich University Hospital Foundation Trust has it’s own specialist palliative
care team and offers outpatient services as well as hospital based support.
In West Norfolk, the new Integrated Palliative Care Service (IPCS) has been
developed to provide:
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Effective and integrated co-ordination of palliative and end of life
services across community, acute, and third sector ensuring the right
care and support as timely, seamlessly and as person-centred as
possible, as a result of a clear and effective needs assessment
A change from an acute-led model to a community-focused service
Continuous service review with patients and stakeholder groups
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Early referral to specialist palliative care services as appropriate
Provision of effective and seamless links to other generalist services
e.g frail and elderly, long term conditions
These two new Consultant posts will have the opportunity to shape and
enhance the service. The Norfolk Hospice Tapping House hope to open
specialist palliative care inpatient beds within 12-18 months (once appropriate
staffing recruited). The Norfolk Hospice already provides day therapies,
bereavement and volunteer services, family support and complementary
therapies. There is also a Hospice at Home service provided in collaboration
with Norfolk Community Health and Care NHS Trust. There are established
close links and working relationships with The Queen Elizabeth Hospital
King’s Lynn and the new service will in-reach to the hospital.
Norfolk Community Health and Care
Norfolk Community Health & Care NHS Trust is a forward thinking and
progressive organisation, working to achieve Foundation Trust status. The
Trust provide community based care in and around Norfolk, offering a wide
range of NHS healthcare services such as district nursing and speech and
language therapy, as well as almost 300 community hospital beds. We serve
a population of around 870,000 people, making us one of the largest
providers of community health and care services in the NHS.
Our mission statement is “looking after you locally” and we believe that
patients should be at the heart of every decision we make. Our core values
focus on Home and Community, Personalised Care, Enabling our People and
Pioneering. We have high ambitions to increase the amount of care delivered
outside of hospitals.
The Trust has around 3,300 members of staff, 80% of which are clinicians;
healthcare professions such as doctors, dentists, nurses and
physiotherapists.
Norfolk Community Health & Care NHS Trust has solid working relationships
with our local Clinical Commissioning Groups, voluntary organisations, local
authorities and other health providers in the area. We believe in integrated
ways of working to maximise the benefits of health and social care to our
population.
For further information about our Trust and the surrounding area please
download the associated file with the job description and visit the following
websites:
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http://www.norfolkcommunityhealthandcare.nhs.uk
http://www.visitnorwich.co.uk
www.norwich.gov.uk/Pages/Welcome
http://www.uea.ac.uk/
http://www.visitnorfolk.co.uk/
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The Priscilla Bacon Centre for Specialist Palliative Care Services
Managed by Norfolk Community Health and Care NHS Trust, specialist
palliative care services are provided across the range of settings (inpatient,
day unit and community) and an active education programme is in place.
Specialist Palliative Care Inpatient Unit - Priscilla Bacon Lodge (PBL) is a 16
bed NHS specialist palliative care unit which opened in 1979. The unit, which
has recently been refurbished to a high standard, shares the Colman Hospital
site with the Specialist Neurological Rehabilitation Service. The PBL Support
Group is a very active charity that supports the unit in a wide variety of ways.
The inpatient team consists of medical and nursing staff, therapists, social
workers, chaplain and volunteers. In recent years, there has been a move to
a greater emphasis on symptom control and rehabilitation. Approximately 5 10% of the workload is in the care of patients with non-malignant conditions.
Doctors from the Norwich GP and core medical training schemes spend
three-four months at a time at PBL. In addition to this, we train doctors on the
Eastern Region Palliative Medicine Specialist Registrar Training Scheme as
well as Specialist Registrars on secondment from other specialties. The
consultants share the role of educational supervisor.
The on call rota for the unit is two tier with the first on call being provided by
our Specialty Registrars and Trust Specialty doctors and the Consultants
providing second on call support.
Specialist Palliative Care Day Unit - The Rowan Centre is a four-day specialist
multidisciplinary day unit offering 50 places a week and a breathlessness
service. Patients attend for a variety of therapies and day-case procedures
including blood transfusions and bisphosphonate infusions, rehabilitation,
relaxation and anxiety management. Day unit patients are discussed at the
weekly community multidisciplinary team meeting.
Community Specialist Palliative Care Team - The community specialist
palliative care team is made up of twelve community specialist palliative care
nurses and has input from a range of other disciplines (including therapists
and chaplain) at their weekly multidisciplinary meeting.
Two of the
Consultants have dedicated sessions to support the team and the medical
team provide rapid access to specialist palliative care assessment (either as
an Outpatient or Domiciliary Visit) to support colleagues in primary care.
Consultant Outpatient Clinics run throughout the week.
Other services - Family support and bereavement services form an important
part of the specialist palliative care service. These services are continuing to
develop with the aim of providing comprehensive bereavement services for
those affected by deaths from all causes who are at risk of, or showing signs
of, abnormal grief.
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The Queen Elizabeth Hospital King’s Lynn NHS Foundation Trust
Securing Foundation Trust status in 2011, The Queen Elizabeth Hospital is an
established 488 bed general hospital which provides healthcare services to
West and North Norfolk in addition to parts of Breckland, Cambridgeshire and
South Lincolnshire. Their primary catchment area covers the towns of King’s
Lynn, Wisbech, Hunstanton, Downham Market and Swaffham, with the
remainder of the population in villages and hamlets across an area of more
than 750 square miles. The population of this area is approximately 331,000
people - the population profile includes a high proportion of older residents,
since this is a popular coastal retirement area. However, new housing
developments in recent years have seen large population growth in towns
such as Downham Market, principally of families with children.
The hospital provides a comprehensive range of specialist, acute, obstetric
and community-based services. Treatment of cancer patients is amongst the
best in the country. They have a 'Charter Mark' award-winning Day Surgery
centre and a nationally recognised Radiology Department that is one of only
18 units to be accredited under the Imaging Services Accreditation Scheme.
They have a renal dialysis unit, an outreach unit of the Nephrology service in
Cambridge. All major specialties maintain close links with colleagues in
Cambridge and Norwich. Specialist services such as Neurosurgery, Clinical
Genetics and Radiotherapy are offered at Addenbrooke’s Hospital, and to
some extent at the Norfolk and Norwich University Hospitals.
Although the main hospital complex is on the outskirts of King's Lynn, the
Trust is committed to providing care closer to patients' homes with some
specialist services and clinics provided in community facilities such as the
North Cambridgeshire Hospital in Wisbech, Fakenham Medical Centre,
Swaffham Community Hospital and St George’s Medical Centre in Littleport.
Major reorganisation of Trust management structure has taken place in recent
years. Palliative Care sits within directorate of Oncology and Non-Acute
Services Group, which also includes Dermatology, Genitourinary Medicine,
Clinical Haematology, Nephrology, Neurology, Oncology, and Rheumatology.
In addition to the Consultant posts, the Specialist Palliative Care team
comprises of eight specialist palliative care nurses (who work in both the
hospital and community settings) and a part-time Specialty Doctor (Dr Biddy
Bassam) who is employed by the hospital. They provide an advisory service
for all patients within the hospital as well as Outpatient clinics. There is
potential for the Consultants to have inpatient beds on Shouldham Ward (12bed ward for Oncology, Haematology and Palliative Medicine) supported by
two ward-based F1 doctors. Adjacent to Shouldham Ward is the Macmillan
Cancer Care and Treatment Unit which is home to outpatient clinics, a
Chemotherapy Suite, the Palliative Day Care Unit and a Macmillan
Information and Support Service. There is also a nearby ‘Log Cabin’ which
provides accommodation for families of acutely ill patients on Shouldham
Ward.
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The palliative care team work closely with the Oncology and Haematology
departments. There are 3 Consultant Clinical Oncologists (Dr Daly, Dr Waite
and Dr Horan) and 2 Consultant Medical Oncologists (Dr Ainsworth and Dr
Gounaris) who work between The Queen Elizabeth Hospital and
Addenbrooke’s Hospital in Cambridge. There is also a full time oncology
specialty doctor post. There are 4 Consultant Haematologists (Dr Cooke, Dr
Volkova, Dr Lewis and Dr Padayatty), and a Specialty Registrar in
Haematology. The team also have close links with the North Cambridgeshire
Hospital - a community hospital with generalist inpatient beds (supported by
local GPs) and the location of the Macmillan & Hudson Palliative Care Centre.
Education and training is delivered to a variety of healthcare professionals,
both undergraduate and postgraduate.
The Norfolk Hospice, Tapping House
The Norfolk Hospice has recently moved into new purpose-built premises
approximately 6 miles away from King’s Lynn and currently provides
multidisciplinary Day Therapy and outpatient services; home respite;
bereavement support; and the Integrated Hospice at Home Service. Norfolk
Hospice will be the base for the new Integrated Palliative Care service – both
new Consultants will have office space and administrative support here.
In line with the local commitment to enhance community-based Palliative Care
services, the new post-holders will run outpatient clinics from the Hospice.
The new Hospice building has capacity for an inpatient facility. It is envisaged
that the post-holders will provide input into the design and development of the
bedded unit – it is expected these will open within 12- 18 months, so this is an
exciting time to take up the posts.
Macmillan Specialist Care at Home Service
The West Norfolk CCG area is one of six national ‘innovation centres’ for the
Macmillan Specialist Care at Home project. Running from 2014 to 2016, the
centres hope to test whether positive outcomes from the Midhurst Macmillan
Community Palliative Care Service can be replicated in other healthcare
environments. The project is being evaluated by the University of Nottingham.
In West Norfolk, the project is being led by a Nurse Consultant. The postholders will have dedicated time to provide Palliative Medicine input to the
project, and will work closely with the project team and other stakeholders to
help to deliver the requirements of the project.
West Norfolk End of Life Care Beds
In recent years, West Norfolk CCG has led a project to establish a 4-bedded
unit dedicated to end-of-life care, in Amberley Hall Care Home in King’s Lynn.
Patients in the final weeks of life can be referred to the unit from community or
hospital settings. Local GPs provide medical cover. The specialist palliative
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care nurses input into stakeholder discussions and meetings regarding this
unit.
Responsibilities of the posts
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Provide Specialist Palliative Medical support and supervision for the
the Integrated Palliative Care service (including Hospice at Home) in
west Norfolk.
To work with the other Consultants at Priscilla Bacon Lodge in
providing Specialist Palliative Care support to patients in central
Norfolk.
To participate in referrals meetings and weekly MDTs, both at Tapping
House and The Queen Elizabeth Hospital.
Be the Palliative Medicine leads in development of community-based
Palliative Care services in the geographical area covered by West
Norfolk CCG, working closely with other stakeholders, in the
implementation of the West Norfolk IPCS.
Undertake Inpatient ward rounds in Queen Elizabeth Hospital and
relative consultations.
Liaise with and support other healthcare professionals and service
providers in managing patients with palliative care needs, in the region
covered by the Trust, in both hospital and community settings. This
includes providing specialist advice as appropriate.
Provide domiciliary visits according to patient need.
Participate in and enhance the team’s continuing professional
development programme.
Actively contribute to research, audit and clinical governance work.
Be involved in management, strategy and service development work as
appropriate e.g. support the implementation of tools for Advance Care
Planning and care of patients in the final days of life.
Maintain links with professional organisations, regionally and nationally.
Comply with the NCH&C governance arrangements, policies and
procedures; and attend all mandatory training.
Jointly with the Consultants based at Norwich, to take part in 1 in 6
second on call rota. This provides telephone support for the 24/7
advice line for The Queen Elizabeth Hospital, The Norfolk and Norwich
University Hospital NHS Foundation Trust and the community setting.
The Consultants also provide second on call cover for the inpatient
beds at Priscilla Bacon Lodge (and Tapping House once beds open).
Education & training
We are committed to personal professional development and meet regularly
to hold journal clubs as well as attending and participating in physicians’
grand round and post graduate meetings whenever possible. The team is
actively involved in teaching within the Trust and offer secondments and
electives to nursing and medical staff.
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The post-holders will be able to attend Pan Norfolk Palliative Medicine
education sessions hosted every two months by colleagues in Norwich; and
other network-wide education sessions which are usually held in Cambridge.
As previously mentioned, the Trust will support the development of sub
speciality interests and can arrange for this to be included within the final
agreed job plan.
Mentoring and Specialty Support
An experienced Hospice Medical Director is currently working within the west
Norfolk IPCS and will support colleagues new to the role. Informal guidance
and support in specialty-specific issues can be obtained ongoingly from the
Consultants in Palliative Medicine in Norwich (with whom second on-call
duties are shared). Attendance at their education/governance sessions (as
outlined in previous section) provides opportunity to meet and discuss issues.
Research, audit, clinical governance and appraisal
The Clinical Governance Framework in the Trust is designed to help
individuals and teams to continually monitor and improve standards of care. It
forms a central part of appraisal and service review. Post holders will be
expected to be involved in audit; and there are research opportunities within
the region they can engage with.
The Trust has arrangements in place to ensure that all doctors have an
annual appraisal with a trained appraiser and supports doctors undergoing
revalidation.
Teaching
The post-holders will be expected to work closely with the Specialist Palliative
Care Nurse Consultant in the provision of education for community teams and
other colleagues such as the local Macmillan GP. Teaching will also be
expected within the QEH.
There may also be opportunities to participate in Palliative Medicine teaching
that is delivered more centrally to medical students of the Universities of
Cambridge and East Anglia.
Academic
These posts potentially present an exciting opportunity to take up
honorary academic appointments in the School of Health Sciences at
the University of East Anglia (UEA).
An honorary appointment with the School of Health Sciences would
enable applicants to engage with the academic environment and
community of the School of Health Sciences. This would be through
contribution to curriculum delivery and enhancement, the provision of
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expert input into strategic enterprise, engagement and research
initiatives and by acting as an ambassador for the School and the UEA.
The post holders have the opportunity to play an important role in
strengthening the existing partnership between Palliative Care services
in Norfolk and the UEA.
Precise details of the honorary appointment offered will be dependent upon
an individual’s expertise and experience and will be subject to the criteria met
at appointment.
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Provisional Timetable Hospital Post
Day
Monday
Tuesday
Wednesday
Thursday
Time
Location
Work
09.00-13.00
13.00-16.00
PBL, Norwich
PBL, Norwich
16.00-17.00
09.00-13.00
PBL, Norwich
Tapping
House
13.0017.00
QEH
9.00-13.00
QEH
13.0017.00
09.00-11.00
11.00-13.00
QEH
Outpatient Clinic
Telephone advice and
patient administration
SPA
Community/Day
Therapy MDT
meeting, Telephone
advice and patient
administration, team
meeting and teaching
Hospital Ward Round,
relative consultations,
Telephone advice and
patient administration
Hospital Ward Round,
relative consultations,
Telephone advice and
patient administration
Outpatient Clinic
Categorisation
NHS Activity Code
C2
C6 and C11
1
0.75
S1-8
C6, C7 and C11
0.25
1
C4, C5, C6 and C11
1
C4, C5, C6 and C11
1
C2
1
Hospital MDT meeting C7
0.5
Hospital Ward Round, C4, C5, C6 and C11 0.5
relative consultations,
Telephone advice and
patient administration
13.00-17.00 QEH
Hospital Ward Round, C4, C5, C6 and C11 1
relative consultations,
Telephone advice and
patient administration
Quarterly Eastern Region Palliative Medicine Development Group Meeting, Cambridge S2 (24pm)
Bimonthly Doctors Educational meeting, PBL S2 and S7 (2-4pm)
Friday
09.00-12.00
QEH
Hospital Ward Round, C4, C5, C6 and C11 0.75
relative consultations,
Telephone advice and
patient administration
12.00-13.00
QEH Grand CPD
S2
0.25
Round
13.00-17.00
Variable
SPA
S1-8
1
TOTAL PAS
QEH
QEH
PAs
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Note – These job plans are draft and will be finalised on negotiation with the
successful applicants and reviewed regularly. We are committed to supporting
individual and sub specialty interests and believe flexibility is key to job planning.
There is the potential for additional SPA time to be negotiated for leadership in one of
the posts following review and discussion. In the future, when the inpatient beds at
Tapping House open, it is envisaged that the Job Plans will change to allow the
Consultants to undertake Ward Rounds there twice a week and attend the inpatient
MDT meeting with the other Consultant.
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Provisional Timetable Community Post
Day
Time
Location
Monday
09.00-13.00
Tapping
House
Tuesday
13.00-16.00
16.00-17.00
09.00-13.00
Community
Variable
Tapping
House
13.00-17.00
Variable
9.00-13.00
PBL,
Norwich
PBL,
Norwich
Wednesday
13.0016.00
16.00-17.00
Thursday
09.00-13.00
13.00-17.00
PBL,
Norwich
Tapping
House
Work
Categorisation
NHS Activity Code
C5, C6 and C11
Number of
PAs
1
C2
S1-8
C7, S3 and S7
0.75
0.25
1
S1-8
1
Outpatient Clinic
C2
1
Telephone advice
and patient
administration
SPA
C6 and C11
0.75
S1-8
0.25
Telephone advice
and patient
administration
Outpatient Clinic
C6 and C11
0.5
Referrals meeting,
Day Unit /
Outpatient
assessments,
Telephone advice
and patient
administration
Domiciliary visits
SPA
Community/Day
Therapy MDT
meeting, team
meeting and
teaching
SPA
Tapping
C2
1
House
Quarterly Eastern Region Palliative Medicine Development Group Meeting, Cambridge S2 (2-4pm)
Bimonthly Doctors Educational meeting, PBL S2 and S7 (2-4pm)
Friday
09.00-13.00 Tapping
Referrals meeting,
C5, C6 and C11
1
House
Telephone advice,
Day Unit /
Outpatient
assessments and
patient
administration
13.00-17.00 Community Domiciliary Visits
C11
1
TOTAL PAS
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Note – These job plans are draft and will be finalised on negotiation with the
successful applicants and reviewed regularly. We are committed to supporting
individual and sub specialty interests and believe flexibility is key to job planning.
There is the potential for additional SPA time to be negotiated for leadership in one of
the posts following review and discussion. In the future, when the inpatient beds at
Tapping House open, it is envisaged that the Job Plans will change to allow the
Consultants to undertake Ward Rounds there twice a week and attend the inpatient
MDT meeting with the other Consultant.
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Person Specification
Education/
Qualifications
Essential Criteria
Desirable Criteria
Basic medical qualification,
e.g. MBBS
Postgraduate Diploma (or
higher degree) in Palliative
Medicine.
MRCP, MRCGP, FRCA, or
other postgraduate
qualification recognised for
specialty training in Palliative
Medicine.
Diploma (or higher
degree) in other relevant
subjects, e.g. medical
ethics, medical education.
Full registration with GMC with
a licence to practise.
Entry on GMC Specialist
Register for Palliative
Medicine, or eligible for entry
on Register, or within 6
months of receipt of Certificate
of Completion of Training
(CCT) at time of interview.
Experience
Broad experience of medicine
in a variety of healthcare
settings, including knowledge
of primary care.
Experience of specialist
palliative care in a wide range
of settings, including
management of complex
cases, and active participation
in MDT meetings.
Experience of providing
palliative care to patients with
both malignant and nonmalignant conditions.
Experience of clinical audit.
Knowledge/
Understanding
Thorough knowledge of
principles and practice of
Palliative Care.
Good understanding of
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principles of Gold Standards
Framework and advance care
planning in community
settings.
Skills/Abilities
Sound understanding and
knowledge of Clinical
Governance, and evidence of
contributions to Clinical
Governance practice.
Significant leadership role
in Clinical Governance
processes.
Ability to empathise with
patients and relatives, and to
provide compassionate care.
Ability to develop
collaborative working
relationships.
Excellent written and verbal
communication skills,
including evidence of
Advanced Communication
Skills Training.
Ability to work autonomously
at the level of a Consultant
including complex problemsolving.
Ability to work effectively
within a multidisciplinary team,
support colleagues, and
provide medical leadership to
such teams.
Ability to work in partnership
with other organisations and
agencies.
Ability to manage competing
priorities, and cope under
pressure.
Competent in the use of
information technology.
Teaching
Experience of planning and
delivering Palliative Care
teaching/training to a variety of
healthcare professionals.
Experience of teaching
Palliative Care topics to
professionals working in
primary care.
Evidence of training in
teaching skills.
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Management
and
Leadership
Evidence of training in clinical
leadership and/or NHS
management.
Experience of participation in
management and leadership
activities.
Experience of managing
budgets and staff.
Experience of change
management.
Ability to inspire and motivate
others.
Research
Other
Requirements
Understanding of research
methodology, and ability to
critically appraise literature.
Attendance at a course or
formal training in research
methodology.
Interest in research, and
willingness to develop team’s
participation in Palliative Care
research.
Experience of participation
in research, particularly in
collaboration with other
clinicians.
Must hold full and valid driving
licence and have access to a
vehicle.
Evidence of appraisal in each
of the last 3 years, including
achievement of CPD
requirements (where
applicable).
Flexibility, to meet the needs
of local specialist palliative
care services and the Trust.
Enthusiasm.
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Contacts for further information
Candidates requiring further information are invited to contact the following:
1) Dr Katie Soden
Lead Consultant in Palliative Medicine
The Priscilla Bacon Centre for Specialist Palliative Care Services
Norwich
Tel :
Email:
01603 255729
[email protected]
2) Dr Penny Newman
Medical Director
Norfolk Community Health and Care NHS Trust
Tel :
Email :
01603 697385
[email protected]
3) Becky Cooper
Assistant Director Palliative Care
Norfolk Community Health and Care NHS Trust
Tel :
Email :
01603 255729
[email protected]
4) Dr Tim Petterson
Interim Medical Director
The Queen Elizabeth Hospital
Tel :
Email :
01553 613885
[email protected]
5) Dr Margaret Daly
Clinical Oncologist
The Queen Elizabeth Hospital
Tel :
Email :
01553 613784/994
[email protected]
6) Kerry Jones
West Locality Operations Manager
Norfolk Community Health and Care NHS Trust
Tel :
Email :
01553 668724
[email protected]
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