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 two 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 individual is expected to uphold the Trust values to ensure the delivery of the highest quality care to patients with liver disease.
Qualified candidates must be a member of the Royal College of Physicians (MRCP) or equivalent, have completed higher specialist training or equivalent in Gastroenterology. A higher medical degree (MD or PhD) is highly desirable. Applicants must be on the Specialist Register (for Gastroenterology) or within six months of being admitted to the Register for trainees currently in a training programme within the UK.
Main duties of the job
The appointee will work under the terms and conditions of the new consultant contract. Together with consultant colleagues will be responsible for the management of patients with gastroenterological diseases in the Trust. The post holder should have a wide experience of Gastroenterology and 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). The position will predominantly be based at the WMUH site but is envisaged that the post holder will collaborate closely with Chelsea colleagues.
Detailed job description and main responsibilities
The main duties of the appointees will be:
- Organisation and supervision of medical management of patients with gastrointestinal 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.
- 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: IBD, IBD transition/young adult; Hepato‑pancreatobiliary; Food allergy; Cystic fibrosis clinic, Eosinophilic esophagitis and viral Hepatitis, Colorectal Cancer Genetics.
- 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)
- 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.
Person specification
Education and Qualifications
- CCT (or within 6 months of CCT) or on the Specialist Register. The candidate should be accredited in both General Medicine and Gastroenterology.
- MRCP or equivalent
- Higher degree e.g. PhD or MD
Experience
- Broad experience in General Internal Medicine and Gastroenterology
- Teaching experience / willingness to teach medical, nursing & other staff
- Experience of audit / clinical research
- Experience and competence in diagnostic & therapeutic upper (including GI bleeds) and lower GI endoscopy
- Experience in Gastrointestinal Physiology
- Understanding of the NHS and its organisation
- Completed publications in appropriate journal(s)
Skills and knowledge
- Strong verbal and written communication skills
- Ability to lead a team
- Commitment to work with other consultants and members of the multi‑disciplinary team
- Commitment to the achievement of Government and Trust targets
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