Royal College Post Cct Fellow in Colorectal/rectal
5 months ago
The North Bristol Colorectal Surgery Department delivers emergency, major elective and short stay colorectal surgery, endoscopy and outpatient clinics. Last year the team saw 2049 emergency patients, 1600 outpatients, 190 colorectal cancers, 750 elective procedures and 1900 endoscopy procedures.
The department is recognised by ACPGBI as a Specialist Coloproctology Unit as suitable of training of colorectal SpRs during the latter stages of subspecialist training.
The Colorectal Team compromises of 8 consultants surgeons who have a strong commitment to teaching, audit and research, supported by a team of specialist nurses for cancer, enhanced recovery and stoma care. North Bristol is the regional centre for urology, and we operate on complex pelvic cancers with the urologists including pelvic exenterations. The plastic surgery department is on site if reconstructive flaps are required. The colorectal department manages low rectal cancers and advanced pelvic malignancy. The Trust has three Da Vinci robots and the colorectal team has established robotic colorectal surgery. We participate in bowel screening, offer advanced endoscopy training in EMR, as well as trans-anal resection techniques such as TAMIS. We work closely with the gastroenterologists managing inflammatory bowel disease, including ileo-anal pouches, and a weekly IBD MDT. Intestinal failure patients are managed by a joint Bristol nutritional gastroenterology and surgical team.
**Elective Work**: The Colorectal Fellowship aims to provide post CCT trainees with a stepping stone between being a competent colorectal trainee and an appointable colorectal consultant who is ready for independent practice. The post provides an opportunity to focus on a sub-specialty interest in advanced pelvic malignancy, with a high volume of relevant operative cases and comprehensive experience of investigation and management of this group of patients.
**On-call**: The post holder will participate in the acute general surgical take including major trauma on full shift rota, which involves a ‘post-take’ emergency operating day with consultant supervision.
North Bristol NHS Trust is the largest Trust in the Southwest region and one of the largest trusts in the country. Last year the Trust treated over 100,000 inpatients, over 35,000 outpatients, 90,000 emergency department patients and helped deliver over 6,000 babies. It employs more than 9,500 staff, has approximately 1,050 inpatient beds and has an income of over £540 million.
The Trust provides Medical, Surgical, Neonatal and Maternity Care for its local population of approximately a million people in Bristol, South Gloucestershire and North Somerset. The Trust also provides regional services in Neurosciences, Orthopaedics, Pathology, Plastic Surgery and Burns, Renal Medicine and Transplant and Urology and is the Major Trauma Centre for the West Country.
The health service in Bristol, North Somerset, and South Gloucestershire is being remodelled to concentrate on acute facilities and where appropriate to provide more care close to patient homes through a network of community hospitals and facilities. The Trust recently moved the majority of its acute services to the Brunel Building, regarded as one of the best hospital facilities in Europe, on the Southmead Hospital
site. At Southmead Hospital, we also have our excellent maternity and women’s health services, the Bristol Breast Care Centre and the Trust’s Severn Pathology service.
The team is part of the rota providing 24-hour emergency surgical care at North Bristol NHS Trust. NBT is a major trauma centre and the postholder will manage major trauma cases when on-call for emergency general surgery. It is the regional vascular centre and interventional radiology is available 24 hours a day.
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