09 Oct
Walsall Healthcare NHS Trust
Walsall
Job description
Job summary
Job overview
We are looking to appoint an enthusiastic and dynamic Consultant Gastroenterologist as part of departmental expansion and continued development of specialised services.
The successful candidate will join a friendly and progressive team of Gastroenterologists and will be encouraged to develop a sub-speciality interest to complement the existing team and to support further development of the service.
We currently have 8 substantive consultants and 1 locum consultant and aresupported by :
o 2 Gastroenterology specialist trainees, 1 Trust grade and 2 senior clinical fellows.
There are 8 doctors at FY1 / FY2 / CF and GPVTS level.
o A team of Specialist Nurses; 3 IBD nurses, 3 liver nurses,
3 alcohol nurses, 2 upper GI / HPB cancer nurses and 1 nutrition nurse.
o There are 4 Clinical Endoscopists - as well as OGD, Flexi sig and colonoscopy activity they also provide a trans nasal endoscopy service and have attended train the trainer courses and support endoscopy training of our Registrars.
1 Gastroenterology dietitian.
Walsall Healthcare NHS Trust collaborates closely with The Royal Wolverhampton NHS
Trust, is a member of the Black country ICS and has close links with the Queen Elizabeth Hospital Birmingham.
Walsall forms part of the Birmingham hepatitis C ODN and most patients are treated locally either from out-patients or in the community clinic.
Main duties of the job
Main duties of the job
Key responsibilities of the post :
o Take responsibility for patients under your care.
o Provide a consultation service and advisory service to other clinical colleagues in other specialities within the Trust and Primary Care.
o Participate in the development of the gastroenterology service, treatment protocols and guidelines and the greater knowledge in the management of gastroenterology conditions.
o Develop and maintain collaborative relationships with medical colleagues in other specialities and participate in regular clinical meetings and other post graduate activities.
o Take responsibility for the professional supervision and development of trainee doctors within the speciality.
o Demonstrate a firm involvement in Clinical Governance, Risk Management and Clinical Audit - including the development and maintenance of appropriate systems and practices to ensure continued safe clinical practice.
o Ensure own practice is up to date; this includes responsibility for own Clinical Professional Development and Appraisal.
o Participate in the GI bleed OOH rota.
o Comply with all relevant Trust Policies and Procedures.
There is no General Medicine on call component to this job.
About us
Walsall Healthcare NHS Trust is an integrated Trust and the only provider of NHS acute care in Walsall, serving a population of 286,700, providing inpatient and outpatient services at the Manor Hospital as well as a wide range of services in the community.
Walsall Manor Hospital houses the full range of district general hospital services under one roof.
Job description
Job responsibilities
We are looking to appoint an enthusiastic and dynamic Consultant Gastroenterologist as part of departmental expansion and continued development of specialised services.
The successful candidate will join a friendly and progressive team of gastroenterologists and will be encouraged to develop a sub-speciality interest to complement the existing team and to support further development of the service.
We currently have 8 substantive consultants and 1 locum consultant and are looking to appoint one more. We are supported by : 2 Gastroenterology specialist trainees, 1 Trust grade and 2 senior clinical fellows.
There are 8 doctors at Fy1 / FY2 / CF and GPVTS level. A team of Specialist Nurses; 3 IBD nurses, 3 liver nurses, 3 alcohol nurses, 2 upper GI / HPB cancer nurses and 1 nutrition nurse.
There are 4 Clinical Endoscopists - as well as OGD,
Flexi sig and colonoscopy activity they also provide a trans nasal endoscopy service and have attended train the trainer courses and support endoscopy training of our Registrars.
1 Gastroenterology dietitian Consultants : Consultant Additional roles Subspecialist Interests PAs Dr Amanda Hughes Clinical Director Hepatology / Endoscopy 11 Dr Ashish Awasthi Nutrition lead Nutrition / IBD / ERCP 12 Dr Nishant Gautam Upper GI cancer lead Hepatology / EUS and ERCP Dr AmbrinDar IBD Dr Ella Mozdiak Complex polyp lead IBD / therapeutic upper & lower GI endoscopy 10 Dr Nidhi Sagar IBD lead IBD 9 Dr I Al-Talib Mortality Lead IBD / General gastro 10 Dr J ORourke Liver Lead Hepatology 10 Dr Athersham Zafar (locum) General gastroenterology 10 The endoscopy unit is JAG accredited and newly equipped with Olympus Evis X1 systems in each of the endoscopy rooms.
As well as OGDs, lower GI endoscopies and ERCP then TNE, EUS, spyglass ,capsule endoscopies and high resolution oesophageal pH and manometry studies are undertaken.
There are 2 endoscopy GA lists scheduled / month. Outpatient services are provided from a modern outpatient department. The new to follow up ratio is usually 1 : 2, however the new appointees would be encouraged to have their clinic rules depending on their specialist interest with adequate time for patients as stipulated by the Royal College of Physicians.
A typical 4-hour clinic for a single consultant would have 4 new patients and 7 follow up patients. Patients requiring biologics / iron infusions or therapeutic paracentesis are treated in the Medical Day Case Unit.
Walsall Healthcare NHS Trust collaborates closely with The Royal Wolverhampton NHS Trust, is a member of the Black country ICS and has close links with the Queen Elizabeth Hospital Birmingham .
Walsall forms part of the Birmingham hepatitis C ODN and most patients are treated locally either from out-patients or in the community clinic.
Key Duties of the Post Take responsibility for patients under your care. Provide a consultation service and advisory service to other clinical colleagues in other specialities within the Trust and Primary Care.
Participate in the development of the gastroenterology service, treatment protocols and guidelines and the greater knowledge in the management of gastroenterology conditions.
Develop and maintain collaborative relationships with medical colleagues in other specialities and participate in regular clinical meetings and other post graduate activities.
Take responsibility for the professional supervision and development of trainee doctors within the speciality. Demonstrate a firm involvement in Clinical Governance, Risk Management and Clinical Audit - including the development and maintenance of appropriate systems and practices to ensure continued safe clinical practice.
Ensure own practice is up to date; this includes responsibility for own Clinical Professional Development and Appraisal.
Participate in the GI bleed OOH rota. Comply with all relevant Trust Policies and Procedures. There is no General Medicine on call component to this job.
Proposed Job Plan The proposed job plan splits the workload into a hot week and elective weeks. A final job plan will be agreed following discussion with the successful candidate and the Clinical Director but examples of what the elective week & hot week will look like are : - Hot week : 1 in 7 weeks During this week the consultant will be responsible for in-patients on the GI ward, doing daily ward rounds and in-reach Monday - Friday.
A consultant ward round will also be done on a Saturday morning. The consultant will also provide clinical supervision for trainees and be on call for GI bleeds.
Example Proposed Job Plan - Hot Weeks MondaySaturday Hot Week - occurs 1 in 7 Monday Friday 1630 Each day will start with a board round followed by a ward round on the base ward.
The ward round will typically finish by lunchtime and then the consultant will provide in-reach into wards and complete patient related admin.
Saturday 0900-1200 there will be a ward round on the base ward. Total PAs attributable to predictable component of ward work equates to 11 PAs.
An additional 2 PAs are attributed to the on call component of the hot week (1 PA predictable and 1 PA unpredictable) Elective work 6 in 7 weeks (Annual & study leave taken over these weeks) 2 PAs Endoscopy 3 PAs Clinic PA MDT according to specialist interest PA Direct clinical care admin SPA Personal - revalidation SPA Negotiable to fulfil Trust requirements Educational supervision of junior doctors / departmental lead roles Example Job Plan Elective Weeks MondayFriday Elective Weeks Day Time Activity Categ ory PAs MONDAY 0900-1300 CLINIC DCC 1 1300-1700 Negotiable / SPA to fulfil trust requirements SPA 1 TUESDAY 0900-1300 CLINIC DCC 1 1300-1400 MDT DCC 1400-1700 Revalidation / audit / governance SPA WEDNESDAY 0900-1300 ENDOSCOPY DCC 1 1300-1400 Negotiable SPA to fulfil Trust requirement SPA THURSDAY 0900-1300 Admin DCC 1 1300-1700 Personal SPA SPA 1 FRIDAY 0900 - 1300 CLINIC DCC 1 1300-1400 ADMIN DCC 1400-1800 ENDOSCOPY DCC 1 SATURDAY SUNDAY The job averages out to 10 PAs per week with increased SPA during the elective weeks compared with hot week.
Overall job plan is DCC & SPA There will be consideration of time off in lieu. Education In conjunction with Consultant and Senior colleagues, to play a full part in the professional supervision and management of junior medical staff.
Person Specification
Personal Circumstances
Essential
- Full GMC Registration and Licensable to Practice
- Ability to work collaboratively with colleagues and within a multi-disciplinary team
- Able to travel throughout the borough during the working day.
- Appropiate Immigration Status
Clinical Experience
Essential
- Evidence of Higher Specialist Training in Gastroenterology (or be within 6 months of confirmed entry from date of interview)
- Must possess a wide experience in Gastroenterology and General Internal Medicine at senior level
- Independent in therapeutic upper and lower GI endoscopy
Clinical Effectiveness
Essential
- Experience of conducting clinical audit / QI project
- Ability to use the evidence base and clinical audit to support decision-making, prompt decision making and handling of complaints
Research, Innovation and Service Improvement Experience
Essential
- Ability to teach clinical skills to medical staff / students and other disciplines
- An understanding of the current NHS environment, particularly in relation to reforms, initiatives and issues
- Evidence of research experience & published work
Desirable
Previous teaching experience
Essential
Essential
- Basic Medical Degree
- Full MRCP or equivalent
- Entry on the GMC Specialist Register for Gastroenterology
- JAG accreditation for diagnostic and therapeutic upper GI endoscopy and for independent colonoscopy
- Current ALS qualification, within the last 3 years or requirement to obtain within 3 months of appointment
Desirable
- Higher Medical Degree