Locum Consultant in General Medicine | Chelsea and Westminster Hospital NHS Foundation Trust in Isleworth

An opportunity has arisen for one candidate to join a growing, dynamic and forward-thinking Gastroenterology and Hepatology Department at Chelsea & Westminster Foundation Trust. The candidate will join a faculty of 22 consultants working across our 2 Hospitals; Chelsea & Westminster Hospital and West Middlesex University Hospital. The post would be based predominantly at West Middlesex Hospital, with the potential to collaborate closely with colleagues at Chelsea in line with the visions of the department.

The appointed individuals are expected to uphold the Trust values to ensure the delivery of the highest quality care to patients with liver disease. The appointee must be a member of the Royal College of Physicians (MRCP) or equivalent and would be expected to have completed higher specialist training or equivalent in Gastroenterology. It is highly desirable that the appointee holds a higher medical degree (i.e. MD or PhD). Applicants must be on the Specialist Register (for Gastroenterology) or within six months of being admitted to the Register for trainees if currently in a training programme within the UK.

The appointee will work under the terms and conditions of the new consultant contract. He/she together with Consultant colleagues will be responsible for the management of patients with gastroenterological diseases in C&W Foundation Trust. The post holder should have a wide experience of Gastroenterology, and the management of GI bleeding. The post holder will be encouraged and supported to continue to develop specialist interests that synchronise with the departmental service. The post holder will cover both nutrition and general gastroenterology clinics at West Middlesex Hospital. They will have 3 endoscopy lists a week when on their non-ward weeks, and an additional list on a Saturday when on call on the GI bleed rota (1 in 8).

Chelsea and Westminster Hospital NHS Foundation Trust provide services from two main hospitals, Chelsea and Westminster Hospital and West Middlesex University Hospital, and a number of clinics across London and the South‑East. We have nearly 6,000 members of staff that care for nearly one million people locally, regionally, nationally and internationally. Both hospitals provide full clinical services, including full maternity, emergency and children’s, in addition to a range of community-based services across London, such as award‑winning sexual health and HIV clinics. We are one of the best performing FTs in London for A&E waiting times, and mortality rates are better than average.

Since the Care Quality Commission last inspected our hospitals we have taken on responsibility for a range of new services. Our new services include:

• Cardiac catheter service and a paediatric assessment unit on the West Middlesex site
• Surgical assessment unit on the Chelsea site
• New sexual health clinic at 10 Hammersmith Broadway

Plans are in place for a £20 million expansion to critical care facilities and refurbishment of the children’s unit at West Middlesex, both in partnership with the Trust’s dedicated charity CW+.

The main duties of the appointees will be:

• Organisation and supervision of medical management of patients with gastrointestinal gastroenterological diseases admitted to the WMUH site.
• Regular consultant-led ward rounds. There is a dedicated team of junior doctors including 3 SpRs and 1 IMT3 at WMH, and 4 SpRs at C+W.
• Referrals: Seeing patients with Gastroenterology related problems on other wards by request; in particular, patients on the surgical wards, acute assessment and critical care units.
• Attendance at the various MDTs and X‑ray meeting will be incorporated depending on the job plan.

1. Outpatient and endoscopy activity

Three outpatient clinics per week (General Gastroenterology) and three endoscopy lists per week. The combination of outpatient clinics and endoscopy lists may be varied according to the requirements of the department and are subject to change. Specialist GI and Hepatology clinics already exist: Inflammatory bowel disease (IBD), IBD transition/ young adult; Hepato‑pancreatobiliary; Food allergy; Cystic fibrosis clinic, Eosinophilic esophagitis and viral Hepatitis), Colorectal Cancer Genetics.

There are weekly departmental meetings: Consultant clinical meeting, IBD radiology/biologics (alternate weeks Mon lunchtime/Wed AM WMUH), Upper GI MDT (C&W Monday am; WMUH Wednesday AM), Lower GI MDT (C&W and WMUH Tuesday am), Viral Hepatitis MDT (Wednesday lunchtime C&W), Gastro teaching & Journal club (Wednesday morning WMUH); Gastro unit meeting (C&W Wednesday lunchtime); Combined Gastro and Hepatology X‑ray meeting (C&W Thursday morning; WMUH Thursday mornings)

2. On call activity

The appointed candidate will join the GI bleed rota at the WMUH site covering OOH endoscopy. The Gastroenterology team, across both sites, are in the process of developing job plans to support a 7 day GI service with provision of endoscopy and inpatient review at weekends. The post holder will be expected to participate in this 7 day service. Currently the WMUH bleed rota includes a mixed elective/emergency list on Saturday. It is intended that this will remain within a 10 PA job plan with the current 8 DCC and 2 SPA split of PAs.

Please refer to our detailed job description for more information.