Senior Clinical fellow in HPB

Job title:

Senior Clinical fellow in HPB

Company

Guys and St Thomas NHS Foundation Trust

Job description

Guy’s and St Thomas’ is among the UK’s busiest and most successful NHS foundation trusts. We provide a full range of hospital and community services for people in south London and as well as specialist care for patients from further afield including cancer, renal, orthopaedic, respiratory and cardiovascular services.Guy’s is home to the largest dental school in Europe and a £160 million Cancer Centre opened in 2016. As part of our commitment to provide care closer to home, in 2017 we also opened a cancer centre and a kidney treatment centre at Queen Mary’s Hospital in Sidcup. St Thomas’ has one of the largest critical care units in the UK and one of the busiest emergency departments in London. It is also home to Evelina London Children’s Hospital.Evelina London cares for local children in Lambeth and Southwark and provides specialist services across south east England including cardiac, renal and critical care services. We lead a number of specialist service networks aiming to ensure children are treated locally where possible, but have access to specialist expertise when they need it. Our community services include health visiting, school nursing and support for families of children with long-term conditions.Our adult community services teams deliver care at the heart of the local communities we serve, working in partnership with GPs, local authorities and other healthcare and voluntary sector organisations. Working with our partners in Lambeth and Southwark, we are focusing on new ways of working to improve care for local patients.In February 2021 the Royal Brompton and Harefield joined Guy’s and St Thomas’ NHS Foundation Trust, bringing together world-leading expertise in the care and research of heart and lung disease. Our merger provides a once in a generation opportunity to build a lasting, world-renowned heart and lung centre, providing the highest quality care for patients and conducting world-leading research.We have a reputation for clinical excellence and high quality teaching and research. We are part of King’s Health Partners, one of eight accredited UK academic health sciences centres. In partnership with King’s College London we have dedicated clinical research facilities including an MHRA accredited Phase I clinical trials unit.Patients are at the heart of everything we do and we pride ourselves on ensuring the best possible patient experience as well as safe, high quality care. We are proud to have one of the lowest mortality rates in the NHS. Following a comprehensive Care Quality Commission (CQC) inspection in 2019 we maintained our overall rating of ‘good’. Our adult community services achieved a rating of ‘outstanding’.The commitment of our 23,500 staff is key to our success. We are one of the largest local employers and we aim to develop and support all our staff so they are able to deliver high quality, safe and efficient care. The 2019 NHS staff survey results show that we have one of the most engaged and motivated workforces in the NHS. We know this has a positive impact on the care provided to our patients.We have one of the most ambitious capital investment programmes anywhere in the NHS.Job overviewThis is a clinical post based in the Department of Gastroenterology at Guy’s & St Thomas’ Hospital and addresses candidates who have completed or are completing their training in Gastroenterology and wish to gain experience in hepatobiliary endoscopy. The hepatology and HPB unit at Guy’s and St Thomas’ is a IQILs level 2 accredited unit, that provides a tertiary service for the care of patients with advanced liver disease, its complications and complex hepatobiliary conditions.Main duties of the jobThis post offers a unique opportunity for training in ERCP, cholangioscopy, pancreatic endotherapy, electrohydraulic lithotripsy, enteral stenting, cystgastrostomy and general endoscopy. ERCP lists occur three or four times per week (alternating) in a dedicated fluoroscopy/endoscopy room, and general anaesthesia/propofol sedation provided twice per week. EUS is provided separately, and training in this area can be discussed. The role will include hepatology/gastroenterology clinics, a virtual clinic, benign MDT co-ordination and preparation for the weekly malignant MDT. The successful candidate will be expected to support the ward team in assessing acute liver patients, to engage in audit, quality improvement and research projects.Working for our organisationAs an organisation we are committed to developing our services in ways that best suit the needs of our patients. This means that some staff groups will increasingly be asked to work a more flexible shift pattern so that we can offer services in the evenings or at weekends.All our vacancies can be viewed on our website.Our excellent benefits include final salary pension scheme. Please visit our website to find out more.Equality of opportunity is our Policy. The Trust provides health services to a diverse community.Detailed job description and main responsibilitiesThe post holder will, together with colleagues, be responsible for the provision of Gastroenterology services to the Guy’s & St Thomas’ NHS Foundation Trust to include:Attendance at 10 sessions per week across sites at Guy’s & St Thomas’ NHS Foundation Trust. The exact timetable may vary but would normally include 5 endoscopy sessions (on fixed days or flexible, including 3-4 training hepatobiliary lists, one general endoscopy service list), 1 outpatient clinic plus one virtual clinic, participation in multidisciplinary meetings and liaison with other specialist teams. The post holder will support the inpatient activity for the hepatobiliary services.The post holder will also be expected to cover some additional endoscopy lists in rotation with other clinical fellows and to participate in the Saturday’s endoscopy rota, which is currently 1:8 but may change according to service delivery needs. The post holder will participate in a GI bleeder rota. The exact split of oncall contribution and weekend endoscopy will vary according to the skills of the applicant.Involvement in service development and the improvement of quality of care through audit, quality improvement projects and implementation of new services in collaboration with the HPB team at GSTT.Undertaking the administrative duties necessary as part of clinical sessions, including writing of letters and provision of advice to GPs and other specialities.The post holder may, on occasions, be asked to undertake additional duties such as emergency endoscopy or consultations particularly when specialist registrars in the department are away on annual or professional leave.The postholder will be expected to deliver some flexible sessions per week as part of the weekly DCC. These will be either endoscopy lists or general outpatient clinics, depending on the needs of the service.Person specificationQualifications and Training:Essential criteria

• Full GMC Registration MBBS of equivalent MRCP or equivalent

Desirable criteria

• Completed specialist training in Gastroenterology Higher Degree (MD or PhD)

Clinical Experience:Essential criteria

• At least 2 years comprehensive clinical experience in Gastroenterology at Specialist Registrar Grade. Experience in the management of hepatobiliary disease

Desirable criteria

• Training in the management of complex liver disease in tertiary/transplant centre Training in ERCP or EUS

Knowledge and Skills:Essential criteria

• Ability to work as an effective member of a multidisciplinary team Competent/independent (JAG criteria) in diagnostic OGD and Colonoscopy with key performance indicators

Desirable criteria

• Higher training in advanced/ interventional endoscopy

Research:Essential criteria

• Understanding of the principles and applications of clinical research.

Desirable criteria

• Further research degree Research portfolio in Gastroenterology

Teaching:Essential criteria

• Experience of undergraduate teaching and post graduate training

Desirable criteria

• Teaching qualification Endoscopy trainer

Management:Essential criteria

• Evidence of understanding of the role of clinical management

Desirable criteria

• Management training or qualification Evidence of leadership in the development of clinical services

Other:Essential criteria

• Evidence of understanding of and adherence to the principles of Good Medical Practice set out by the General Medical Council Evidence of contribution to effective clinical audit and clinical risk management

Desirable criteria

• Experience in clinical guideline development

Guy’s and St Thomas’ celebrates, respects and values the diversity of its staff and patients. We review our policies, procedures and practices to ensure that all employees, patients and carers are treated equitable according to their needs. We are actively committed to ensuring that no one who applies for a job, works or study’s at the Trust, or accesses our services is discriminated against on the grounds of race, ethnicity, nationality, disability, religion or belief, age, gender identity , gender reassignment, sexual orientation, pregnancy and maternity/paternity, or marital/civil partnership.Applications are welcomed from applicants with a disability. We can make reasonable adjustments and offer support and advice in a variety of ways throughout the application process. Equality of opportunity is our policy.As an organisation we are committed to developing our services in ways that best suit the needs of our patients. This means that some staff groups will increasingly be asked to work a more flexible shift pattern so that we can offer services in the evenings or at weekends.Flexible workingWe are committed to supporting all employees to achieve a healthy work life balance and to work in a way that is best for them and our patients. We will consider all requests to work flexibly, taking in to account the individual’s personal circumstances as well the needs of the service. We encourage all prospective applicants to discuss their individual circumstances with the recruiting manager as part of the on-boarding process.Your e-mail address is important to us – We communicate to all job applicants via the e-mail address which has been provided on the application form. Please ensure that you check your e-mail on a regular basis.Please apply for this post by clicking “Apply Online Now.”Employer certification / accreditation badgesApplicant requirementsThis post is subject to the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (Amendment) (England and Wales) Order 2020 and it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service.Documents to download

• Job Description & Person Specification (PDF, 184.4KB)
• FR (PDF, 513.9KB)

Expected salary

Location

London

Job date

Sun, 19 Jan 2025 23:02:36 GMT

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