Consultant Gastroenterologist

Lewisham and Greenwich NHS Trust require a dynamic and forward-thinking Consultant to join the Gastroenterology team. This post will be based at the University Hospital Lewisham (UHL) site: one of two acute sites operated by the Trust, with the other being Queen Elizabeth Hospital (QEH) in Woolwich. The Trust provides services for the more than 666,000 people living across the London boroughs of Lewisham, Greenwich and Bexley. Each site has an increasingly busy Endoscopy department, performing more than 10,000 procedures each year. UHL also acts as the lead site for Bowel Cancer Screening across South East London.

The post is a 10 PA appointment, with the post-holder expected to undertake 2 endoscopy lists and clinics each week, while participating in in-patient ward work reviewing acute Gastroenterology admissions. The post holder will also participate in the on-call GI Bleed rota.

The Gastroenterology Department at UHL consists of 6 Consultants, 2 Registrars, a Specialist Doctor and three specialist nurses (IBD and viral hepatitis). The establishment at the QEH site includes 6 Consultants, 2 Specialist Registrars, 3 Clinical Fellows and 3 specialist nurses with responsibilities for IBD, viral hepatitis and endoscopy. A number of specialist Gastroenterology services have been established at the Trust including ERCP, oesophageal physiology, capsule endoscopy and fibro scanning.

Main duties of the job

• To undertake high quality diagnostic and therapeutic upper and lower GI endoscopy.
• To participate in the provision of a high quality out-patient Gastroenterology service, including patient administration.
• To manage Gastroenterology in-patients.

Key tasks:

• The post-holder will attend the weekly multidisciplinary meetings and weekly governance meetings.
• Active participation in the management and development of the specialty and the introduction of new services.
• Contribute to the educational programme, including weekly departmental meetings and teaching.
• Act as the joint clinical supervisor for SpRs in Gastroenterology.
• Participation in Pathology and Multidisciplinary Team Meeting.
• Participation in medical audit.
• Participation in the Trust consultant appraisal process.
• Comply with the requirements for Continuing Professional Development and revalidation as laid down by the Royal College of Physicians. The trust is committed to providing the time and financial support for these activities.
• A senior consultant will be nominated to each appointee to act as a mentor during the first 12 months in post.

About us

Our people are our greatest asset. When we feel supported and happy at work, this positivity reaches those very people we are here for, the patients. Engaged employees perform at their best and our Equality, Diversity & Inclusion (EDI) initiatives contribute to cultivate a culture of engagement. We have four staff networks, a corporate EDI Team and a suite of programmes and events which aim to insert the 5 aspirations:

• Improving representation at senior levels of staff with disabilities, from black, Asian, and ethnic minorities background, identify as LGBTQ+ and women, through improved recruitment and leadership development.
• Widening access (anchor institution) and employability.
• Improving the experience of staff with disability.
• Improving the EDI literacy and confidence of trust staff through training and development.
• Making equalities mainstream.

Job responsibilities

a. Clinical Responsibilities.

The successful applicant will undertake two/three gastroenterology clinics with a general profile of 12 slots (5 new and 7 follow ups) and two overbooking slots and two/three endoscopy sessions consisting of 12 points per list. There will also be an involvement in the management of in-patients including a weekly morning round of gastroenterology patients admitted to the acute medical unit (AMU) and daily rounds of the gastroenterology patients when on the wards (shared between consultants). The main duties and responsibilities of the post include:

• To undertake high quality diagnostic and therapeutic upper and lower GI endoscopy.
• To participate in the provision of a high quality out-patient Gastroenterology service, including patient administration.
• The post-holder will attend the weekly multidisciplinary meetings and monthly governance meetings.

b. Medical Education & Teaching

• Contribute to the General Medicine educational programme, including weekly departmental meetings and teaching.
• Act as the joint clinical supervisor for SpRs in Gastroenterology.

c. Clinical Audit and Clinical Governance

• Attend and actively participate in the regular gastroenterology governance meetings.
• Undertake high quality audit projects and participate in the collection of data required to meet national quality standards. Under the supervision of consultants, junior doctors on the gastroenterology firms are expected to actively participate in high quality audit and present their data at national and international meetings. Junior doctors are encouraged to participate in research projects and publish case reports.

d. Continuing Professional Development

• Participate in continuing professional development at local and national level.
• Implement audit and research findings as appropriate in clinical practice.
• Prepare and participate in an annual appraisal in accordance with Trust policy.
• A willingness to undertake additional professional responsibilities at local, regional or national levels.

e. Policy, Planning and Management

• Support the Trust to deliver quality patient care.
• Contribute to the development of clinical and organisational protocols and guidelines.
• Assist in the development of the Annual Service Plan for the Directorate and Division and participate in the strategic planning of the service.
• Comply with all Trust policies.
• Contribute to good communications between the department and the other relevant staff/departments within the Trust, outside agencies including Social Services, General Practitioners, other Gastroenterology Departments in neighbouring Trusts and the Emergency Services.
• To lead or participate in the development of improved workflow through the Gastroenterology Department, ensuring better patient experience and increased efficiency.

All candidates must have an MBBS or equivalent, registered with the GMC, MRCP or equivalent and must have the CCT for Gastroenterology and General Medicine. Applicants with a wide variety of sub-specialties such as nutrition, hepatology and IBD are invited to apply.

Person Specification

Qualifications

• MBBS or equivalent.
• MRCP or equivalent.
• CCT for Gastroenterology and General Medicine.
• Distinctions, scholarships, prizes.
• Other degrees, e.g. BSc MSc, MD.

Registration

• Full Registration with the GMC.
• To be on the Specialist Register for Gastroenterology on the date of commencement in post or to be within 6 months of obtaining CCT on a UK training program at date of interview.

Clinical Experience

• Evidence of leadership.
• Able to take responsibility and cope with stressful situations.
• Able to get on with other members of the multidisciplinary team.
• A sympathetic approach to patients and relatives.
• Ability to establish good professional relationships with others.
• Critical and enquiring approach to knowledge acquisition.
• To have undertaken a postgraduate communication skills course (or ensure that you have undertaken one within one year of appointment).
• An understanding of corporacy in the NHS.

Clinical Audit

• Understand the principles of audit.
• An understanding of general principles, scientific method and interpretation of literature.
• Evidence of participation in audit projects.
• Evidence of personal research projects and their presentation.
• Publications in peer-reviewed journals.

Teaching Experience

• Experience in teaching both undergraduate and postgraduate trainees and basic knowledge of general teaching principles.
• An understanding of general teaching principles.
• Attendance at teaching the teachers course.

Administrative & Management Experience

• An understanding of evidence of organisational ability and experience of NHS management tasks.
• Will have attended a National Health Service Management Course appropriate to consultant duties.

Other Attributes

• Clear, concise and well-presented CV.
• An interest in teaching and education.
• Physically and mentally fit with satisfactory occupational health clearance.
• Clearly formulated career goals.
• Experience in the training or development of trainees in medicine.

Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

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