Job summary
Applications are invited for an RCS accredited Senior Clinical Fellow in Bariatric & Upper GI Surgery commencing October 2023 for a period of 12 months.
You will be exposed to a wide range of bariatric procedures, principally laparoscopic gastric bypass, banding, sleeve gastrectomy, intragastric balloon and revisional bariatric surgery.
The current unit NHS volume is several hundred procedures per year, and it is expected that you will be capable of independent practice by the end of the post.
Somerset NHS Foundation Trust is an International Centre of Excellence, the Level 1 Bariatric Surgery Centre for the Southwest region and has an established Bariatric Fellowship programme with Royal College of Surgeons of England approval. As well as training in theatres, you will also be exposed to the bariatric MDT and to outpatients. You will be encouraged to become involved in the units research activity and will contribute to the Middle Grade General Surgical on-call rota (non-resident) which is supported by both CT and F1 on-call tiers.
Main duties of the job
- Work as a member of the multidisciplinary Upper GI & Bariatric team to provide specialist Upper GI & Bariatric services for outpatients and on the wards.
- To work flexibly with the 5 Consultants to ensure cover for wards, outpatient clinics and operating lists.
- Play a full part in the provision of surgical services, potentially including scheduled out-of- hours work and resident/non-resident on-call duties on a rota basis with colleagues.
- Be involved in the development and planning of surgical services within the Trust.
-Undertake the administrative duties associated with the care of patients.
- Participate in audit examining activity, quality and cost of the surgical service. Participate regularly in medical management and audit meetings.
- Take part in the appraisal processes of the Hospital and its clinical governance activities.
About us
As an organisation, the NHS offers a wide range of benefits including flexible working, pension contributions, market leading annual leave allowance, career progression and regular conversations, not to mention our Blue Light Card and NHS exclusive discounts.
The benefits of working in Somerset include the idyllic countryside, with our areas of outstanding beauty and stunning coastlines. You will get to enjoy these perks whilst still only being a stone's throw away from bustling city centres like Bristol, Bath and Exeter and only two hours away from London.
There are excellent educational facilities in the area and, when compared to other regions, house prices are reasonable. You will experience the best of both in Somerset, the countryside and the cosmopolitan - there is truly something for everyone!
Job description
Job responsibilities
INTRODUCTION
This post is based in the General Surgery Department and is a replacement vacancy. It is envisaged that the successful applicant will start in Upper GI & Bariatric Surgery for a period of up to 12 months with opportunities thereafter to remain employed within the Trust in the Colorectal Department. There is a commitment to General Surgery and participation in the Registrar emergency on call rota.
THE SURGICAL DEPARTMENT
The Department
Upper GI & Bariatric surgery is currently part of the Surgical Directorate of Somerset NHS Foundation Trust.
Geography
The post will be based at Musgrove Park Hospital, Taunton for elective surgery, outpatient work and on-call.
Staff
Consultants
5 Consultant Upper GI & Bariatric Surgeons - Mr Richard Welbourn, Mr David Mahon, Mr Hamish Noble, Mr Matthew Mason and Miss Marianne Hollyman. They all participate in the General Surgical on call rota.
Trainees
The department currently has 1 peri-CCT Bariatric Fellow, 1 SpR, 1 Trust registrar (this post), 1 ST1/2, 1 SHO Clinical fellow and 3 F1 trainees.
Equipment and Facilities
There are 5 General Surgery operating theatres with one dedicated emergency theatre. We have an integrated laparoscopic theatre (OR1) and we have video links from the operating theatres to the lecture theatre in the Academy for training purposes. We have facilities for laparoscopic ultrasound and laparoscopic choledochoscopy. There are 4 inpatient surgical wards and a 12 bedded ITU / HDU complex is located directly opposite theatre. Day surgery has 4 additional operating theatres, and the endoscopy unit has 3 suites.
The department has 3 nurse specialists (2 bariatric and 1 UGI) and the bariatric service is supported by a full MDT of dieticians, endocrinologists, anaesthetists, psychologists and gastroenterologists. The department is supported by interventional and cross-sectional radiologists with facilities for on-site CT and MRI, together with ERCP.
The Department has facilities for word processing, data processing, research and audit.
Postgraduate Education
Surgeons of all grades are required to undertake continuing medical education, take part in the local teaching programme and maintain their own interests and standards. Attendance at teaching sessions and audit meetings is expected.
Workload
General Work The surgical work of the Trust includes all District General Hospital surgical specialities including general surgery, vascular surgery, gynaecology, maxillofacial surgery, ENT, ophthalmic surgery, urology and orthopaedics as well as specialist surgery such as bariatric surgery and spinal surgery
Upper GI and Bariatric Surgery Service
This is a very busy Upper GI unit which undertakes the usual Upper GI work of a District General Hospital but it is also the tertiary referral Bariatric unit for the South West region (population 5.5 million), undertaking over 200 NHS bariatric surgical procedures per year. The vast majority of operating on the unit is of a minimal access nature and it is carried out on both an inpatient and day case basis. In addition to scheduled operating lists in both main theatre and day surgery, there are 3 outpatient clinics and 3 Endoscopy lists a week (including ERCP).
The Upper GI surgical service is focused on benign work (surgery for upper GI malignancies is undertaken in Bristol), although the unit provides support to the gastroenterology department and MDT in the diagnosis and pre and post-operative management of malignant cases.
Emergency Surgery
The majority of urgent General Surgery is listed for the dedicated all-day Emergency Theatre and is largely consultant led. Night-time operating is at consultant-level only.
Audit & Research
Review and Education
All surgeons and associated staff attend the monthly Directorate meeting, which is held on the same day as the audit session. The audit half day is currently organised on a rolling programme so that a different set of theatre sessions is affected each month. Audit topics are planned and published yearly in advance
Research
The Bariatric unit has an international reputation for research in this field.
DUTIES OF THE POST
- Work as a member of the multidisciplinary Upper GI & Bariatric team to provide specialist Upper GI & Bariatric services for outpatients and on the wards. To work flexibly with the 5 Consultants to ensure cover for wards, outpatient clinics and operating lists.
- Play a full part in the provision of surgical services, potentially including scheduled out-of-hours work and resident/non-resident on-call duties on a rota basis with colleagues.
- Be involved in the development and planning of surgical services within the Trust.
- Undertake the administrative duties associated with the care of patients.
- Participate in audit examining activity, quality and cost of the surgical service. Participate regularly in medical management and audit meetings.
- Take part in the appraisal processes of the Hospital and its clinical governance activities.
The appointee will be managerially and professionally accountable to the Clinical Lead for Upper GI/Bariatric Surgery and the Clinical Director for Acute Surgery.
Somerset Foundation NHS Trust is an organisation covering the whole of Somerset. There may be occasional requirements to travel across Somerset as part of the role.
Job description
Job responsibilities
INTRODUCTION
This post is based in the General Surgery Department and is a replacement vacancy. It is envisaged that the successful applicant will start in Upper GI & Bariatric Surgery for a period of up to 12 months with opportunities thereafter to remain employed within the Trust in the Colorectal Department. There is a commitment to General Surgery and participation in the Registrar emergency on call rota.
THE SURGICAL DEPARTMENT
The Department
Upper GI & Bariatric surgery is currently part of the Surgical Directorate of Somerset NHS Foundation Trust.
Geography
The post will be based at Musgrove Park Hospital, Taunton for elective surgery, outpatient work and on-call.
Staff
Consultants
5 Consultant Upper GI & Bariatric Surgeons - Mr Richard Welbourn, Mr David Mahon, Mr Hamish Noble, Mr Matthew Mason and Miss Marianne Hollyman. They all participate in the General Surgical on call rota.
Trainees
The department currently has 1 peri-CCT Bariatric Fellow, 1 SpR, 1 Trust registrar (this post), 1 ST1/2, 1 SHO Clinical fellow and 3 F1 trainees.
Equipment and Facilities
There are 5 General Surgery operating theatres with one dedicated emergency theatre. We have an integrated laparoscopic theatre (OR1) and we have video links from the operating theatres to the lecture theatre in the Academy for training purposes. We have facilities for laparoscopic ultrasound and laparoscopic choledochoscopy. There are 4 inpatient surgical wards and a 12 bedded ITU / HDU complex is located directly opposite theatre. Day surgery has 4 additional operating theatres, and the endoscopy unit has 3 suites.
The department has 3 nurse specialists (2 bariatric and 1 UGI) and the bariatric service is supported by a full MDT of dieticians, endocrinologists, anaesthetists, psychologists and gastroenterologists. The department is supported by interventional and cross-sectional radiologists with facilities for on-site CT and MRI, together with ERCP.
The Department has facilities for word processing, data processing, research and audit.
Postgraduate Education
Surgeons of all grades are required to undertake continuing medical education, take part in the local teaching programme and maintain their own interests and standards. Attendance at teaching sessions and audit meetings is expected.
Workload
General Work The surgical work of the Trust includes all District General Hospital surgical specialities including general surgery, vascular surgery, gynaecology, maxillofacial surgery, ENT, ophthalmic surgery, urology and orthopaedics as well as specialist surgery such as bariatric surgery and spinal surgery
Upper GI and Bariatric Surgery Service
This is a very busy Upper GI unit which undertakes the usual Upper GI work of a District General Hospital but it is also the tertiary referral Bariatric unit for the South West region (population 5.5 million), undertaking over 200 NHS bariatric surgical procedures per year. The vast majority of operating on the unit is of a minimal access nature and it is carried out on both an inpatient and day case basis. In addition to scheduled operating lists in both main theatre and day surgery, there are 3 outpatient clinics and 3 Endoscopy lists a week (including ERCP).
The Upper GI surgical service is focused on benign work (surgery for upper GI malignancies is undertaken in Bristol), although the unit provides support to the gastroenterology department and MDT in the diagnosis and pre and post-operative management of malignant cases.
Emergency Surgery
The majority of urgent General Surgery is listed for the dedicated all-day Emergency Theatre and is largely consultant led. Night-time operating is at consultant-level only.
Audit & Research
Review and Education
All surgeons and associated staff attend the monthly Directorate meeting, which is held on the same day as the audit session. The audit half day is currently organised on a rolling programme so that a different set of theatre sessions is affected each month. Audit topics are planned and published yearly in advance
Research
The Bariatric unit has an international reputation for research in this field.
DUTIES OF THE POST
- Work as a member of the multidisciplinary Upper GI & Bariatric team to provide specialist Upper GI & Bariatric services for outpatients and on the wards. To work flexibly with the 5 Consultants to ensure cover for wards, outpatient clinics and operating lists.
- Play a full part in the provision of surgical services, potentially including scheduled out-of-hours work and resident/non-resident on-call duties on a rota basis with colleagues.
- Be involved in the development and planning of surgical services within the Trust.
- Undertake the administrative duties associated with the care of patients.
- Participate in audit examining activity, quality and cost of the surgical service. Participate regularly in medical management and audit meetings.
- Take part in the appraisal processes of the Hospital and its clinical governance activities.
The appointee will be managerially and professionally accountable to the Clinical Lead for Upper GI/Bariatric Surgery and the Clinical Director for Acute Surgery.
Somerset Foundation NHS Trust is an organisation covering the whole of Somerset. There may be occasional requirements to travel across Somerset as part of the role.
Person Specification
Qualifications
Essential
Desirable
Experience
Essential
- oA minimum of 4 years full time hospital service in registrar grade on a surgical training program
Desirable
- oTraining courses in bariatric surgery
Experience
Essential
- oFamiliar with clinical governance
Person Specification
Qualifications
Essential
Desirable
Experience
Essential
- oA minimum of 4 years full time hospital service in registrar grade on a surgical training program
Desirable
- oTraining courses in bariatric surgery
Experience
Essential
- oFamiliar with clinical governance
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.
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).
Additional information
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.
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).
