Gastroenterology/endoscopy Quality Improvement

2 weeks ago


Hackney, United Kingdom Homerton Healthcare NHS Foundation Trust Full time

Applications are invited for this 12 month post of Clinical Fellow in Endoscopy and Quality Improvement. This is an exciting and unique opportunity designed to provide a wide range of change management experience for a higher trainee who wishes to make a commitment to quality improvement and medical leadership as part of their career.

**The twelve-month post has some degree of flexibility**: typically five sessions per week developing and delivering quality improvement projects. These will be focused on the Endoscopy Department with a particular emphasis on the GI cancer pathways. This will also include time to work towards a postgraduate qualification in Quality Improvement or Medical Leadership.

Homerton Healthcare NHS Foundation Trust is an acute hospital located in the east London Borough of Hackney. We are a merged hospital and community service trust. Homerton Healthcare is attached to the St. Bartholomew’s and the Royal London School of Medicine and Dentistry (part of University of London).

Homerton became one of the first ten NHS foundation trusts in the country in April 2004. This allows the Trust to secure certain freedoms to facilitate innovation in the way services are developed and provided.

The Gastroenterology Department at the Homerton Hospital provides a comprehensive service for patients with gastroenterological problems whilst being fully committed to developing, teaching, training and research at all levels. There are specialist weekly IBD, Nutrition, Pancreatobiliary and Liver & Hepatitis clinics with support from nurse specialists and dieticians. The department includes 7 full time consultants, 1 nurse consultant, 3 specialist nurses, 2 nurse endoscopists, 2 NE Thames Gastroenterology ST3+ registrars, a SIM gastroenterology Fellow, an Acute Medicine ST3+ registrar, a Core medical trainee and 2 foundation doctors.

The post-holder will provide fixed and/or flexible cover for endoscopy lists and outpatient clinics. The post will include three flexible service endoscopy/clinic sessions per week.The work intensity will vary depending on the number of lists cancelled by other endoscopists and will likely include some Saturday or evening working. There may also be a need to cover Gastroenterology outpatient clinics within the service sessions when there is increased demand in the out-patient services. There are no on-call commitments for this post.

The remaining 2 clinical sessions are available to meet the post-holder’s training needs. There will be opportunities to learn specialist endoscopic procedures eg therapeutic colonoscopy, ERCP/EUS or to attend specialist clinics including hepatology, nutrition or IBD.

The post-holder will also be committed to initiating, supervising and conducting a program of rolling audits (JAG/GRS audits) within the department as part of clinical governance requirements and to perform other tasks required to fulfil the criteria set by the global rating scale in endoscopy such as the development of guidelines. This will give the Fellow a unique insight into the overall performance of the department and excellent first-hand experience of meeting the demands of JAG quality standards.

The post would typically be taken as an Out of Program Experience (OOPE) from their specialist training program. Prior agreement must be sought with the relevant Specialty Training Committee (STC) and Shared Services



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