Consultant in Medical Oncology (Breast & HPB) -Substantive Opportunity - West Norfolk

Opportunity An outstanding opportunity has arisen to join the Medical Oncology team at an NHS Foundation Trust serving the community of West Norfolk and the surrounding region. We are seeking a motivated and clinically excellent Consultant in Medical Oncology with subspecialty expertise in Breast and Hepatopancreatobiliary (HPB) oncology. This is a clinically rich and professionally rewarding post. The successful candidate will hold a central role in delivering high-quality, evidence-based systemic anti-cancer therapy (SACT) and will work at the heart of our multidisciplinary oncology service. The post spans both outpatient clnic work and the MDT-led management of patients with breast and HPB malignancies, alongside a commitment to the broader medical oncology service. We are committed to supporting our consultants to deliver excellent care and to thrive professionally. The post includes a generous Supporting Professional Activities (SPA) allocation, flexible job planning, and a structured on-call commitment. Candidates with a strong interest in clinical trials, research, or service development are particularly encouraged to apply. Applications from full-time and less-than-full-time candidates are equally welcome. This post represents a genuine opportunity to make a meaningful impact on cancer outcomes in West Norfolk, within a supportive and forward-thinking department. Key Responsibilities Breast Oncology • Provide consultant-led medical oncology input for patients with early and advanced breast cancer, including the prescribing and oversight of chemotherapy, targeted therapy, immunotherapy, and hormonal treatments. • Lead and participate in breast oncology outpatient clinics, including new patient consultations, treatment review, and survivorship follow-up. • Contribute to the Breast MDT, working collaboratively with breast surgery, clinical oncology, radiology, pathology, and breast care nursing colleagues. • Oversee the management of complex breast cancer presentations, including metastatic disease, endocrine resistance, and HER2-positive and triple-negative subtypes. • Support the development and delivery of clinical trials and research activity within the breast oncology programme. Hepatopancreatobiliary (HPB) Oncology • Provide medical oncology input for patients with HPB malignancies, including hepatocellular carcinoma, cholangiocarcinoma, pancreatic cancer, and gallbladder cancer. • Lead and participate in HPB oncology outpatient clinics, including systemic therapy initiation, toxicity management, and palliative treatment planning. • Contribute to the HPB MDT, working closely with hepatobiliary surgery, gastroenterology, interventional radiology, hepatology, and palliative care colleagues. • Oversee SACT prescribing for HPB tumour types, including gemcitabine-based regimens, targeted agents, and immunotherapy combinations. • Engage with regional HPB cancer networks and tumour-specific pathway groups to ensure access to the most current treatment options for patients. General Medical Oncology & Acute Cover • Contribute to the general medical oncology service, including cross-cover for other tumour sites as required by departmental need. • Participate in the medical oncology on-call rota, providing consultant-level advice and decision-making for acutely unwell oncology patients. • Oversee the safe management of oncological emergencies including neutropenic sepsis, hypercalcaemia, spinal cord compression, and immunotherapy-related toxicity. • Support the SACT unit and nursing team in the safe delivery of systemic treatments in line with Trust prescribing policies and national guidelines. Essential Criteria to Apply Qualifications & Registration • Full registration with the General Medical Council (GMC) with a licenc