About this role
Job summary
The Gastroenterology department is currently based at WRH for in-patient work and cross site (WRH/Kidderminster/Redditch/Evesham/Malvern) for out patient work. Most gastroenterology services are provided including diagnostic endoscopy (OGD, colonoscopy, flexible sigmoidoscopy, push enteroscopy), therapeutic endoscopy (including EMR in the upper and lower GI tract, dilatation, stenting, PEG placement, varices banding etc), ERCP, EUS and video capsule endoscopy. The IBD service is currently run by 4 specialist nurses and includes a helpline and biologics service (with over 1000 patients). There are 2 surgeons with a special interest in IBD and a monthly IBD MDT. We also have a liver CNS who runs specialist clinics, the fibroscan service and is trained to do paracentesis. The ward is currently supported by a Tier 1 Physicians associate and 2 Tier 2 Physicians associates to help run the service.
We have weekly team meetings, monthly governance meetings, upper and lower GI cancer MDT and GI pathology MDT meetings. There are weekly GIM grand rounds.
Main duties of the job
The post will involve regular endoscopy and clinic sessions at Worcester, Kidderminster and Redditch together with some in-reach to in-patients in Redditch requiring gastroenterology review. It is expected that the post holder will be competent in OGD and flexible sigmoidoscopy or colonoscopy (this will normally mean holding JAG accreditation unless the applicant was fully trained prior to the availability of JAG accreditation). Therapeutic OGD to treat upper GI bleeding is also expected.
In addition to these duties, the appointee will provide cover for consultant colleagues who are on leave
.On call commitments will be 1 in 9 for endoscopy (predominantly GI bleeding) on the Worcestershire Royal Hospital site and the Alexandra Hospital Redditch site. This is covered in 1 week long blocks where 2 consultants do either 2 or 5 on calls during the week. There is also a commitment to provide a gastroenterology ward round on a Saturday morning when on call and in-reach into ED/MAU on a Sunday morning. These frequencies will fall in the future with the appointment of other posts.
There is also a second on consultant who covers Advice and Guidance, in-patient referrals (supported by our registrars), the upper GI MDT, a rapid access clinic. There is an occasional requirement to review a small numbers of patients (typically <5) who are medical outliers at WRH. Where required, this additional work is remunerated at trust agreed hourly rates of payment.
About us
Worcestershire Acute Hospitals NHS Trust is a large acute and specialised hospital trust that provides a range of local acute services to the residents of Worcestershire and more specialised services to a larger population in Herefordshire and beyond.
The Trust operates hospital-based services from three sites in Kidderminster, Redditch and Worcester
Our workforce is more than 7,000 strong, and our caring staff are recognised as providing good and outstanding patient-centred care. You could be one of them.
We are committed to recruiting the best people to work with us. Our values, which we ask all staff to demonstrate, underpin our everyday work and remain firmly at the heart of all we do.
Being open and honest
Ensuring people feel cared for
Showing respect to everyone
We are proud to have achieved Timewise accreditation - this means we are committed to embedding flexible working within our organisation as a flex positive employer.
DBS Checks and Costs
Any applicants who are offered posts requiring a DBS check as part of their employment check will have the cost of this check (at the current rate) deducted from their salary. Please see link in Supporting Information section for more details on DBS checks and costs.
Job description Job responsibilities
A suitably experienced post-holder will be expected to provide a clinical service in the relevant specialty to patients of the Worcestershire Acute Hospitals NHS Trust and to General Practitioners.
The post-holder will be expected to provide a service to patients of the Worcestershire Acute Hospitals NHS Trust, General Practitioners and to attend multi-disciplinary meetings. The successful candidate will be expected to work within multi-disciplinary teams in providing high quality clinical care. It is anticipated work will be undertaken on three sites and closer to the patients home. The Trust is seeking to extend services to GP surgeries/health centres etc and job plans may be revised in due course.
The post-holder will provide support to the A&E department and acute medicine to ensure timely appropriate care and patient flow through the hospital.
The post-holder will provide consultation and advisory service to clinical colleagues in the Trust and Primary Care.
The post-holder will attend cross county and cross site meetings.
The post-holder will collaborate with colleagues to deliver a high quality, timely service and to work towards meeting the Trusts and departmental objectives.
The post-holder will, if relevant, participate in the on call rota to ensure that both emergency and urgent services are provided out of normal hours, to be shared equally with Consultant colleagues in post.
The Trust would expect a consultant whilst undertaking on-call duties to attend the hospital site to review patients when clinically necessary. The consultant on call must be prepared to attend willingly whenever requested to do so by a member of their medical and nursing team.
The post-holder, whilst undertaking weekend on call duties, will attend the hospital to undertake patient reviews.
Person Specification
Management and Administrative Experience Essential
Ability to organise and prioritise workload effectively Ability to advise on efficient and smooth running of specialist service Ability to organise and manage outpatient priorities Ability to manage and lead the specialty firm and multi-disciplinary team Experience of audit management and conducting clinical audit
Desirable
Ability to manage and lead specialist unit and working parties as appropriate Ability to use the evidence based and clinical audit to support decision making
Research Experience Essential
Ability to apply research outcomes to clinical problems An awareness of current specialty specific developments and initiative
Desirable
Publications in relevant peer- reviewed journals in the last 5 years Evidence of having undertaken original research
Teaching Experience Essential
Ability to teach clinical skills to medical, nursing staff and other disciplines Experience of teaching clinical skills to undergraduates and postgraduates
Desirable
Ability to supervise postgraduate research
Experience Essential
Clinical training and experience equivalent to that required for gaining (UK) CCT in Gastroenterology Ability to offer expert clinical opinion on range of problems both emergency and elective within specialty Ability to take full and independent responsibility for clinical care of patients Expertise in sub-specialty Competent in OGD and Colonoscopy
Qualifications Essential
Full GMC Registration with a Licence to practise. Success in Intercollegiate Specialty Examination or overseas equivalent
Desirable
Higher degree Entry on the GMC Specialist Register in Gastroenterology (or expected within 6 months of interview date) via CCT or CESR (CP), CESR or European Community Rights
Personal Attributes Essential
Ability to work in a team Enquiring, critical approach to work Ability to communicate effectively with patients, relatives, GPs, nurses and other agencies Commitment to Continuing Medical Education
Desirable
Willingness to undertake additional professional responsibilities at local regional or national levels
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.
Certificate of Sponsorship Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).
From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).
UK Registration
Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).
Employer details Employer name Worcestershire Acute Hospitals NHS Trust
Address Charles Hastings Way
Worcester
Worcestershire
WR5 1DD
United Kingdom
Employer's website https://www.worcsacute.nhs.uk/ (Opens in a new tab)