Gastroenterology Specialist Grade

Overview

The Gastroenterology Service at Wrexham Maelor Hospital is looking for a Specialist Grade doctor to join the Team. The post-holder will be expected to provide a service to patients of Betsi Cadwaladr Health Board. The ideal candidate will be highly motivated, energetic, and committed to delivering high-quality care to patients with Gastroenterology conditions. This is a new post. The appointee would be expected to have appropriate experience in Gastroenterology and be able to demonstrate experience of gastroenterology, IBD and hepatology training. The interested appointee will be supported in obtaining necessary documentation for CESR if required.

Main duties of the job

The post holder will ensure that assessments and interventions are provided in a sensitive, accessible, and culturally appropriate manner. The successful candidate will collaborate closely with Consultants and Senior Managers to provide high quality clinical care and contribute to local service development. The post holder will be responsible for the continuing care and treatment of patients in their charge and personal performance of clinical duties as agreed in their job plan.

The Gastroenterology inpatients are predominantly on one Ward which has 27 beds. The post holder will see referrals from other specialties and take over care as when needed. There is shared care of complex inflammatory bowel disease patients with the surgeons.

There is a dedicated weekly Endoscopy Session timetabled for the successful applicant when they are off the ward. Supervision with discussions of clinic patients and there is weekly teaching for the junior doctors. An Upper GI MDT takes place every Thursday morning and Lower GI MDT every Thursday lunchtime. Monthly IBD MDT and weekly Liver and Nutrition MDTs are also scheduled.

Working for our organisation

If you relish a challenge, have a passion to help others or simply fancy a fresh start, then Betsi Cadwaladr University Health Board (BCUHB) North Wales, has all the right ingredients. The largest health organisation in Wales, providing a full range of primary, community, mental health, acute and elective hospital services for a population of around 700,000, across North Wales. Join our team and get the support you need, in line with our Organisational Values and ‘Proud to Lead’ competence framework.

Enjoy being part of working with engaged leadership at all levels, and be assured we are committed to promoting equality and diversity, and are proud to welcome applicants under the “Disability Confident Employer” scheme.

Please check your email account regularly. Successful applicants will receive all recruitment related correspondence via the email account registered on the application form.

Applications may be submitted in Welsh. Applications submitted in Welsh will not be treated less favourably than an application submitted in English.

Detailed Job Description And Main Responsibilities

The position requires full GMC registration, and we are looking for candidates with at least 6 years\’ experience in gastroenterology. There will be opportunities for audit and quality improvement projects within the role. For further information please see enclosed job description and person specification.

Person specification

Qualifications

• Essential criteria
• Medical Degree from recognised medical school
• MRCP or equivalent

Desirable criteria

• Prizes or Awards Achieved Audit or Case Presentations at a local, regional and national level Higher degree or qualifications such as a Masters

Professional Registration

• Essential Criteria
• Full Registration and a Licence to Practice with the General Medical Council OR be eligible for the same and have this prior to commencement

Meet the entry criteria for the grade

• Essential Criteria
• Shall have completed a minimum of 12 years’ medical work (either continuous period or in aggregate) since obtaining a primary medical qualification of which a minimum of six years should have been in a relevant specialty in the Speciality Doctor and/or closed SAS grades. Equivalent years’ experience in a relevant specialty from other medical grades including from overseas will also be accepted.

Right to work

• Essential Criteria
• Eligibility to work in the UK

Professional values and behaviours, skills and knowledge

• Practises with the professional values and behaviours expected of all doctors as set out in GMC Good Medical Practice and the Generic Professional Capabilities Framework including current licence to practice from the GMC.
• Demonstrates the underpinning subject-specific competences i.e. knowledge, skills and behaviours relevant to the role setting and scope.
• Clinically evaluates and manages a patient, formulating a prioritised differential diagnosis, initiating an appropriate management plan, and reviewing and adjusting this depending on the outcomes of treatment.
• Manages the difficulties of dealing with complexity and uncertainty in the care of patients; employing expertise and clinical decision-making skills of a senior and independent/ autonomous practitioner.
• Critically reflects on own competence, understands own limits, and seeks help when required.
• Communicates effectively and is able to share decision-making with patients, relatives and carers; treats patients as individuals, promoting a person-centred approach to their care, including self-management
• Respects patients’ dignity, ensures confidentiality and appropriate communication where potentially difficult or where barriers exist, e.g. using interpreters and making adjustments for patients with communication difficulties.
• Demonstrates key generic clinical skills around the areas of consent; ensuring humane interventions, prescribing medicines safely and using medical devices safely.
• Adheres to professional requirements, participating in annual appraisal, job planning and reviews of performance and progression.
• Awareness of legal responsibilities relevant to the role, such as around mental capacity and deprivation of liberty; data protection; equality and diversity.
• Applies basic principles of public health; including population health, promoting health and wellbeing, work, nutrition, exercise, vaccination and illness prevention, as relevant to their specialty.

Desirable criteria

• Has personal insight into own strengths and weaknesses.
• Evidence of multidisciplinary team working Understanding and personal fit with Trust Values and Behaviours
• Demonstrates awareness of the current UK Healthcare system and the need to develop services in line with current policy

Leadership and teamworking

• Essential Criteria
• Awareness of their leadership responsibilities as a clinician and demonstrates appropriate leadership behaviour; managing situations that are unfamiliar, complex or unpredictable and seeking to build collaboration with, and confidence in, others.
• Demonstrates understanding of a range of leadership principles, approaches and techniques so can adapt leadership behaviours to improve engagement and outcomes – appreciates own leadership style and its impact on others.
• Develops effective relationships across teams and contributes to work and success of these teams – promotes and participates in both multidisciplinary and interprofessional team working.
• Critically reflects on decision-making processes and explains those decisions to others in an honest and transparent way
• Critically appraises performance of self, colleagues or peers and systems to enhance performance and support development
• Demonstrates ability to challenge others, escalating concerns when necessary
• Develops practice in response to changing population health need, engaging in horizon scanning for future developments.

Desirable criteria

• Computer literate
• Specific educational interests and evidence of educational ideas or project work.

Patient safety and quality improvement

• Takes prompt action where there is an issue with the safety or quality of patient care, raises and escalates concerns, through clinical governance systems, where necessary.
• Applies basic human factors principles and practice at individual, team, organisation and system levels.
• Collaborates with multidisciplinary and interprofessional teams to manage risk and issues across organisations and settings, with respect for and recognition of the roles of other health professionals
• Advocates for, and contributes to, organisational learning.
• Seeks feedback and involvement from individuals, families, carers, communities and colleagues in safety and quality service improvements reviews.
• Leads new practice and service redesign in response to feedback, evaluation and need, promoting best practice.
• Evaluates and audits own and others’ clinical practice and acts on the findings.
• Reflects on personal behaviour and practice, responding to learning opportunities.
• Implements quality improvement methods and repeats quality improvement cycles to refine practice; designing projects and evaluating their impact.
• Critically appraises and synthesises the outcomes of audit, inquiries, critical incidents or complaints and implements appropriate changes.
• Engages with relevant stakeholders to develop and implement robust governance systems and systematic documentation processes

Education and training

• Essential Criteria
• Critically assesses own learning needs and ensures a personal development plan reflects both clinical practice and the relevant generic capabilities to lead and develop services.
• Promotes and participates in individual and team learning; supporting the educational needs of individuals and teams for uni-professional, multidisciplinary and interprofessional learning.
• Identifies and creates safe and supportive working and learning environments.
• Can act as a role model, educator, supervisor, coach or mentor for medical and non-medical practitioners.
• Creates effective learning opportunities and provides developmental feedback, both verbally and in writing, to learners and doctors/dentists in training, as required by the role
• Plans and provides effective teaching and training activities as required by the role
• Understands how to raise concerns about the behaviour or performance of any learner who is under their clinical supervision (leadership
• Takes part in patient education

Research and scholarship

• Up-to-date with current research and best practice in the individual’s specific area of practice, through appropriate continuing professional development activities and their own independent study and reflection.
• Critically appraises and understands the relevance of the literature, conducting literature searches and reviews; disseminates best practice including from quality improvement projects.
• Locates and uses clinical guidelines appropriately.
• Communicates and interprets research evidence in a meaningful way for patients to support shared decision-making.
• Works towards identifying the need for further research to strengthen the evidence base or where there are gaps in knowledge, networking with teams within and outside the organisation.