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Consultant in Gastroenterology in Intestinal Failure and Nutrition

3 months ago

Westminster, United Kingdom Guy's and St Thomas' NHS Foundation Trust Full time

Job summary

The Department of Gastroenterology is seeking a full-time (10 PA) Consultant Gastroenterologist with interest in artificial nutrition who will help us to meet the challenges of our expanding clinical, academic and training portfolio and to keep the service in the forefront of clinical and academic excellence. Experience in an intestinal failure unit would be an advantage.

The Department, as part of Kings Health Partners, offers a wide range of services to patients with gastroenterological and liver disorders, including endoscopic ultrasound, tertiary interventional endoscopy, pancreato-biliary procedures, oesophageal pathophysiology, enteral/parenteral nutrition, inflammatory bowel disease and hepatology services.

The demand for the artificial nutrition service at Guy's and St Thomas' hospital is fast growing. The consultant currently leading the nutrition team is supported by three nutrition nurse specialists, two dietitians and a specialist pharmacist. Two dedicated colorectal/intestinal failure surgeons complete the multi-disciplinary team. The post holder will contribute to the delivery of high quality clinical and academic service for outpatients and inpatients as well as other departments looking after patients in need of artificial nutrition. We additionally function as part of the Central London Intestinal Partnership alongside UCLH and Royal London as an accredited Intestinal Failure Unit.

Main duties of the job

Key roles include

Participating in both out-patient and in-patient gastroenterology and endoscopy service activity.

To work within, and help develop, a large, expert and effective multidisciplinary team at GSTT and within CLIP.

To design and implement novel pathways for the management of emergency patients with nutrition problems, in order to avoid unnecessary admissions and minimise inpatient stay

To play a significant role in the continuous improvement of the service and offer excellent care to the growing number of parenteral nutrition patients.

To collaborate with other members of Kings Health Partners

To contribute to a culture of research and development.

Provide High Quality Care to Patients

The post holder must be medically qualified and maintain GMC specialist registration and hold a licence to practise

To develop and maintain the competencies required to carry out the duties required of the post.

To ensure prompt attendance at agreed direct clinical care Programmed Activities.

To ensure patients are involved in decisions about their care and to respond to their views.

About us

As an organisation, we are committed to developing our services in ways that best suit the needs of our patients. This includes asking certain groups of staff to work more flexibly so that we can offer services to patients in the evenings and at weekends. We regard this flexibility as essential if we are to continue to provide first class patient care in the future. As a result, any offer of employment to a consultant post will be subject to you agreeing to work a new more flexible pattern of working in the future if required and in accordance with the provisions of the new Guy's and St Thomas' NHS Foundation Trust consultant contract.

Job description

Job responsibilities

**Please note that the job description is currently being approved by the Royal College of Physicians**

Your job plan is anticipated to contain 10 Programmed Activities per week on average, to be carried out at Guys & St Thomas sites. Of these PAs, will be Direct and Supporting. The post holder is also expected to participate in the routine Saturday endoscopy rota (currently six- eight Saturdays per year) and the on-call rota.

This is an outline programme and you will be expected to discuss and agree a detailed job plan including your personal and professional objectives with your Clinical Director within 3 months of your start date

Person Specification

Professional Qualifications

Essential

oMBBS (or equivalent) oRegistered with GMC oMRCP or equivalent oOn GMC Specialist Register for gastroenterology (or within 6 months of CCT date)

Desirable

Higher degree ( MD/PhD relevant to artificial nutrition).

Clinical Experience

Essential

Comprehensive clinical experience in all aspects of Gastroenterology Documented experience in artificial nutrition

Desirable

At least six months experience in an intestinal failure unit

Clinical Skills

Essential

Fully competent in upper GI, lower GI endoscopy with documentation of KPIs Fully competent in managing patients on artificial nutrition Ability to work as an effective member of a multidisciplinary team.

Desirable

Competent in endoscopic insertion of NJ, PEG and PEG-J tubes Competent in Capsule endoscopy reporting Competent in advanced lower GI polypectomy

Audit, Management & IT

Essential

Documented experience in leading quality improvement Evidence of contribution to effective clinical audit and clinical risk management Evidence of understanding of and adherence to the principles of Good Medical Practice set out by the General Medical Council.

Desirable

Development of national or international clinical guidelines Experience of management and quality improvement in nutrition Attendance at leadership and management course

Research, Teaching & experience

Essential

Understanding of the principles and applications of clinical research. Record of publications or research relevant to nutrition

Desirable

Teaching course or qualification Experience of teaching and training undergraduates, postgraduates and junior medical staff. JAG Accredited Train the Trainer course

Personal skills

Essential

Communication; Ability to communicate with clarity and intelligently in written and spoken English; ability to build rapport, listen, persuade/ negotiate. Accountability; Ability to take responsibility, lead, make decisions and exert appropriate authority. Interpersonal Skills; Empathy, understanding, listening skills, patience and ability to work co-operatively with others. Able to change and adapt, respond to changing circumstances and to cope with setbacks or pressure. Ability to work as part of a team. Staff Management; Experience of performance management, developing and motivating staff. Finance; Knowledge of finance and budgets.

Desirable

Experience of junior staff management