About this role
Job summary
The University Hospitals Bristol and Weston (UHBW) Endoscopy Department provides a comprehensive range of endoscopic services to the populations of Bristol and the South West. These services include endoscopic mucosal resection (EMR) and endoscopic submucosal dissection (ESD) for advanced benign polyps and early cancers, endoscopic therapy for Barrett's oesophagus and dysplasia, stricture dilatation, ablative therapies, and tertiary biliary endoscopy, including ERCP, cholangioscopy and endoscopic ultrasound (EUS).
The UHBW Hepatology Department delivers specialist care across the full spectrum of liver disease for the local population in central and south Bristol, Weston-super-Mare and surrounding areas. In addition, the service provides regional expertise in the management of complex liver conditions, including hepatocellular carcinoma, hepatitis C, complex portal hypertension and liver transplantation, in collaboration with the Royal Free Hospital, London.
Services are primarily delivered at the Bristol Royal Infirmary and Weston General Hospital, with additional provision at South Bristol Community Hospital and through outreach services. A hepatology service at Weston General Hospital has been in development since 2023.
We are a committed and collaborative team, dedicated to delivering high-quality, patient-centred care.
Main duties of the job
The aim of this post is to enhance experience in advanced HPB endoscopy and hepatology, while supporting the development of independent practice in preparation for a substantive consultant role. Accordingly, the post is intended for individuals who have completed their training and have been awarded a Certificate of Completion of Training (CCT) in General Internal Medicine (GIM) and Gastroenterology, with subspecialty accreditation in hepatology.
UHBW will provide the successful applicant with two dedicated endoscopic ultrasound (EUS) training lists per week, alongside additional exposure to HPB endoscopy. Attendance at the regional HPB multidisciplinary team (MDT) meeting will be incorporated into the job plan.
About us
University Hospitals Bristol and Weston NHS Foundation Trust (UHBW) is one of the largest acute Trusts in the country, bringing together a combined workforce of over 13,000 staff and over 100 different clinical services across 10 different sites, serving a core population of more than 500,000 people across South West England. UHBW has been rated by the CQC as 'Good' overall and our staff are proud to deliver excellent care to the people of Bristol, Weston and beyond. As a forward- thinking multi-award winning Trust and a digital exemplar committed to improving patient care, our world-leading research and innovations are having a positive local and global impact. Our hospitals are spread across Bristol and Weston, join us and you can enjoy the very best of both worlds; city living within a stone's throw of the countryside or beside the seaside, both with easy access to all that the South West has to offer. UHBW is committed to safeguarding and promoting the welfare of children, young people and vulnerable adults. As an equal opportunities employer actively working towards a diverse workforce we aim to recruit and retain a workforce which represents the rich diversity of the local population at all levels and are committed to designing our services around the needs of individual patients and those around them. Anonymous information will be used from your application in order to ensure we're meeting our pledge.
Job description Job responsibilities
The successful candidate must be competent and independent in the management of upper GI bleeding. They will contribute to the scheduled morning bleed list and participate in out-of-hours endoscopy on an ad hoc basis (to remunerated on a locum basis in accordance with agreed trust rates), aligned with gaps in the established GI bleed rota (approximately 1:10 frequency).
There will be a strong expectation for the successful candidate to contribute to the organisation and delivery of endoscopy training locally within UHBW and regionally, primarily through involvement with the Bristol Endoscopy Training Collaborative-run Upper GI Haemostasis course, which is currently delivered three times per year.
In addition, the successful applicant will contribute to service provision in diagnostic upper gastrointestinal endoscopy, including backfilling lists, and will support trainees in achieving JAG certification in diagnostic gastroscopy.
The successful applicant will also be expected to actively participate in quality improvement and service development initiatives within the HPB endoscopy and hepatology service. This will include identifying opportunities to enhance patient pathways, contributing to audit and governance activities, and supporting the implementation of service innovations. In addition, there will be an expectation to contribute to ongoing research within the department, with opportunities to be involved in clinical studies, collaborative projects, and academic outputs where appropriate.
Person Specification
Qualifications & Eligability Essential
o MBBS or equivalent medical qualification o MRCP (UK) full diploma or equivalent o Eligible for full registration with the GMC at time of appointment and hold a current licence to practice. o Evidence of being awarded a Certificate of Completion of Training (CCT) in General Internal Medicine (GIM) and Gastroenterology, with subspecialty accreditation in hepatology o Eligibility to work in the UK . Is up to date and fit to practise safely Meets professional health requirements (in line with GMC standards/ Good Medical Practice
Desirable
o Higher degrees including MSc, PhD or MD (where research thesis not part of first medical degree) o Intercalated BSc or equivalent
Clinical Skills & Experience Essential
JAG certification in Gastroscopy Appropriate knowledge base and ability to apply sound clinical judgement to problems Awareness of the basics of managing patients with gastroenterology disease Able to demonstrate proficiency in a range of medical procedures as an indication of manual dexterity and hand-eye coordination Evidence of competence in management of medical emergencies and in-patients through continuous work -based assessments, portfolio evidence, including log book documentation if applicable Evidence of competence to work without direct supervision where appropriate Demonstrate current ALS certification or equivalent
Desirable
JAG certification in ERCP/EUS Experience in teaching or training
Probity Essential
Demonstrates probity (displays honesty, integrity, aware of ethical dilemmas, respects confidentiality) Capacity to take responsibility for own actions
Commitment To Specialty Essential
o Shows initiative/ drive/enthusiasm (self-starter, motivated, shows curiosity, initiative) o Demonstrable interest in and understanding of the specialty o Commitment to personal and professional development o Evidence of attendance at organised teaching and training programme o Evidence of self-reflective practice
Desirable
o Extracurricular activities / achievements relevant to the specialty o Evidence of participation at meetings and activities relevant to the specialty
Academic skills (research, audit, teaching etc) Essential
o Demonstrates understanding of research, including awareness of ethical issues o Demonstrates understanding of the basic principles of audit, clinical risk management, evidence based practice, patient safety and clinical improvement initiatives o Demonstrates knowledge of evidence-informed practice
Desirable
o Demonstrates an understanding of research methodology o Evidence of relevant academic publications o Evidence of involvement in an audit project, formal research project or other activity o Focussing on patient safety and clinical improvement o That in addition to the mandatory curriculum demonstrates an interest in and commitment to the specialty o Evidence of a portfolio of audit projects including where the audit loop has been closed and there is evidence of learning of the principles of change management o Demonstrates an understanding of clinical governance o Evidence of exceptional achievemo Evidence of involvement in teaching students, postgraduates and other professionals ent in medicine o Evidence of participation in a teaching course
Personal Skill & Management Skills Essential
o Demonstrates clarity in written/spoken communication & capacity to adapt language as appropriate to the situation o Able to build rapport, listen, persuade & negotiate o Capacity to use logical/lateral thinking to solve problems/make decisions, indicating an analytical/scientific approach o Capacity to take in others' perspectives and treat others with understanding; sees patients as people o Demonstrates respect for all o Able to work in multi-professional teams & supervise junior medical staff o Ability to show leadership, make decisions, organise and motivate other team members for the benefit of patients through, for example, audit and improvement projects o Capacity to work effectively with others o Capacity to manage/prioritise time and information effectively o Capacity to prioritise own workload & organise ward rounds o Evidence of thoroughness (is well prepared, shows self-discipline/ commitment, is punctual and meet deadlines) o Capacity to monitor developing situations and anticipate issues o Capacity to operate under pressure o Demonstrates initiative & resilience to cope with changing circumstances Applicants whose primary qualification(s) were not taken in English, and those Applicants whose primary professional qualification(s) were not taken in English and who have spent less than 6 months in a substantive NHS post, will need to provide evidence to demonstrate their language competence by showing that they have achieved a score in a recognised language test which is acceptable to the Trust such as the International English Language testing System (ILETS) or equivalent.
Desirable
o Evidence of involvement in management commensurate with experience o Demonstrates an understanding of NHS management and resources. o Evidence of effective multidisciplinary team working and leadership supported by multi-source feedback or other workplace-based assessments o Demonstrates information technology skills o Evidence of achievement outside medicine
Career Progression Essential
o Evidence that present achievement and performance is commensurate with totality of period of training o Evidence that career progression is consistent with personal circumstances o Ability to provide complete details of employment history
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 University Hospitals Bristol and Weston NHS Foundation Trust (UHBW)
Address Bristol Royal Infirmary
Upper Maudlin Street
Bristol
BS2 8HW
United Kingdom
Employer's website https://www.uhbw.nhs.uk/ (Opens in a new tab)