Senior Fellow in Endoscopy - HPB Interventional/General Endoscopy

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 21 consultants working across our 2 Hospitals; Chelsea & Westminster Hospital and West Middlesex University Hospital.

The Trust sees a high number of patients with upper gastrointestinal and HPB cancers because of the established close clinical links with The Royal Marsden Hospital. The Chelsea & Westminster Hospital is represented on RM partner's tumour group. There are weekly upper GI/HPB MDTs (both benign and malignant) with excellent support from expert interventional radiology and surgical colleagues.

This post will offer 3 interventional endoscopy training lists per week. Interventional endoscopy are all performed in dedicated room with fixed fluoroscopy equipment. All lists are anaesthetic supported with all cases performed with either deep propofol sedation or GA. Additionally, the post holder will be expected to deliver 4 general endoscopy service lists per week in a semi annualised format.

This post will offer 3 interventional endoscopy training lists per week. Interventional endoscopy are all performed in dedicated room with fixed fluoroscopy equipment. All lists are anaesthetic supported with all cases performed with either deep propofol sedation or GA.

• The lists are mixed lists containing ERCP, EUS, luminal stenting/dilatation, some EMR e.g. duodenal.
• Total cases performed per year: ERCP > 400, EUS > 200.
• ERCPs grade 1-4 performed including hilar strictures, PSC, pancreatic duct intervention, laparoscopic assisted ERCP. Plan to introduce cholangioscopy in near future.
• Interventional EUS including drainage of peripancreatic fluid collections, Axios/LAMS

Additionally, the post holder will be expected to deliver 4 general endoscopy service lists per week in a semi annualised format.

All duties must be carried out under supervision or within Trust policy and procedure. You must never undertake any duties that are outside your area of skill or knowledge level. If you are unsure, you must seek clarification from a more senior member of staff.

As detailed above, this post will provide 3 ERCP/EUS training lists per week and the post holder will also deliver 4 general endoscopy service lists.

Should the postholder wish, there may be opportunities to also perform waiting list initiative endoscopy lists.

Chelsea and Westminster Hospital NHS Foundation Trust is one of England's top-performing and safest trusts. We operate two main acute hospital sites--Chelsea and Westminster Hospital and West Middlesex University Hospital--along with award-winning clinics across North West London.

Our nearly 7,500 staff care for a diverse population of 1.5 million, providing full clinical services, including maternity, A&E, and children's services, plus specialist HIV and sexual health clinics. The Care Quality Commission rates us 'Good' in safety, effectiveness, care, and responsiveness, and 'Outstanding' in leadership and resource use.

We continually invest in our facilities, including a £30m expansion of critical care at Chelsea and Westminster and an £80m Ambulatory Diagnostic Centre at West Middlesex.

We welcome applications for flexible working arrangements, accommodating requests where possible to support our staff and patient needs.

The Trust is committed to equality and welcomes applications from all, regardless of background. Adjustments can be made for disabled candidates. Early application is advised as vacancies may close once sufficient applications are received. If you haven't heard from us within three weeks of the closing date, your application was likely unsuccessful. Employment is subject to a six-month probationary period.

Some roles may require weekend shifts at multiple sites.

The main duties of the appointees will be centred around delivery of Endoscopy lists.

1. Outpatient endoscopy activity

• The post holder will be expected to deliver 4 general endoscopy lists per week (OGD/colonoscopy/flexible sigmoidoscopy) in a semi annualised format likely in a 6 week rolling block
• The post holder will be expected to support 3 interventional endoscopy lists per week
• AM endoscopy lists are booked at 12 points and PM endoscopy lists are booked at 10 points
• A further 1 DCC will be provided to allow the post holder to do patient related admin related to the endoscopy lists
• 2 SPA sessions will be provided (1.5 core SPA, 0.5 SPA clinical audit) to make this a 10PA role

2. On call activity

N/A

3. Inpatient Activity

N/A

The main duties of the appointees will be centred around delivery of Endoscopy lists.

1. Outpatient endoscopy activity

• The post holder will be expected to deliver 4 general endoscopy lists per week (OGD/colonoscopy/flexible sigmoidoscopy) in a semi annualised format likely in a 6 week rolling block
• The post holder will be expected to support 3 interventional endoscopy lists per week
• AM endoscopy lists are booked at 12 points and PM endoscopy lists are booked at 10 points
• A further 1 DCC will be provided to allow the post holder to do patient related admin related to the endoscopy lists
• 2 SPA sessions will be provided (1.5 core SPA, 0.5 SPA clinical audit) to make this a 10PA role

2. On call activity

N/A

3. Inpatient Activity

N/A

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
• Full GMC registration with licence to practice
• Higher degree e.g. PhD or MD or fellowship

• Broad experience in General Internal Medicine and Gastroenterology
• Teaching experience / willingness to teach medical, nursing & other staff
• Experience and competence in OGD and colonoscopy - JAG accredited
• Experience of audit / clinical research
• Experience in Upper GI Diseases (Benign and Malignant)
• Undertaken a management course
• 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

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
• Full GMC registration with licence to practice
• Higher degree e.g. PhD or MD or fellowship

• Broad experience in General Internal Medicine and Gastroenterology
• Teaching experience / willingness to teach medical, nursing & other staff
• Experience and competence in OGD and colonoscopy - JAG accredited
• Experience of audit / clinical research
• Experience in Upper GI Diseases (Benign and Malignant)
• Undertaken a management course
• 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

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).

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 name

Chelsea and Westminster Hospital NHS Foundation Trust

Address

Chelsea and Westminster Hospital

369 Fulham Road

London

SW10 9NH

United Kingdom

Employer's website

https://www.chelwest.nhs.uk/ (Opens in a new tab)

Employer name

Chelsea and Westminster Hospital NHS Foundation Trust

Address

Chelsea and Westminster Hospital

369 Fulham Road

London

SW10 9NH

United Kingdom

Employer's website

https://www.chelwest.nhs.uk/ (Opens in a new tab)