Guy's and St Thomas' NHS Foundation Trust

Senior Clinical fellow in HPB

The closing date is 11 February 2026

Job summary

This is a clinical post based in the Department of Gastroenterology at Guy's & St Thomas' Hospital. The hepatology and HPB unit at Guy's and St Thomas' is a IQILs level 2 accredited unit, that provides a tertiary service for the care of patients with advanced liver disease, its complications and complex hepatobiliary conditions The post holder will undertake clinical sessions in the Department of Gastroenterology at Guy's & St Thomas' Hospitals (as per proposed timetable). This post addresses candidates who have completed or are completing their training in Gastroenterology and wish to gain higher experience on liver/pancreatobiliary disease.

Main duties of the job

This post offers a unique opportunity for training in ERCP, cholangioscopy, pancreatic endotherapy, electrohydraulic lithotripsy, enteral stenting, cystgastrostomy and general endoscopy. ERCP lists occur three or four times per week in a dedicated fluoroscopy/endoscopy room, and general anaesthesia/propofol sedation provided twice per week. EUS is provided separately, and training in this area can be provided. The role will include hepatology/gastroenterology clinics, a virtual clinic, benign MDT co-ordination and preparation for the weekly malignant MDT. The successful candidate will be expected to support the ward team in assessing HPB inpatients, to engage in audit, quality improvement and research projects.

The post holders will also participate in undergraduate and postgraduate teaching and training

About us

As an organisation we are committed to developing our services in ways that best suit the needs of our patients. This means that some staff groups will increasingly be asked to work a more flexible shift pattern so that we can offer services in the evenings or at weekends.

All our vacancies can be viewed on our website.

Our excellent benefits include final salary pension scheme. Please visit our website to find out more.

Equality of opportunity is our Policy. The Trust provides health services to a diverse community.

Details

Date posted

28 January 2026

Pay scheme

Hospital medical and dental staff

Grade

Doctor - other

Salary

£73,992 a year p.a excl of LZ

Contract

Fixed term

Duration

12 months

Working pattern

Full-time

Reference number

196-MED5056

Job locations

St Thomas Hospital

Westminster Bridge Road

London

SE1 7EH


Job description

Job responsibilities

The post holder will, together with colleagues, be responsible for the provision of Gastroenterology services to the Guys & St Thomas NHS Foundation Trust to include:

Attendance at 10 sessions per week across sites at Guys & St Thomas NHS Foundation Trust. The exact timetable may vary but would normally include 5 endoscopy sessions (on fixed days or flexible, including 3-4 training hepatobiliary lists, one general endoscopy service list), 1 outpatient clinic plus one virtual clinic, participation in multidisciplinary meetings and liaison with other specialist teams. The post holder will support the inpatient activity for the hepatobiliary services.

The post holder will also be expected to cover some additional endoscopy lists in rotation with other clinical fellows and to participate in the Saturdays endoscopy rota, which is currently 1:8 but may change according to service delivery needs. The post holder will participate in a GI bleeder rota. The exact split of oncall contribution and weekend endoscopy will vary according to the skills of the applicant.

Involvement in service development and the improvement of quality of care through audit, quality improvement projects and implementation of new services in collaboration with the HPB team at GSTT.

Undertaking the administrative duties necessary as part of clinical sessions, including writing of letters and provision of advice to GPs and other specialities.

The post holder may, on occasions, be asked to undertake additional duties such as emergency endoscopy or consultations particularly when specialist registrars in the department are away on annual or professional leave.

The postholder will be expected to deliver some flexible sessions per week as part of the weekly DCC. These will be either endoscopy lists or general outpatient clinics, depending on the needs of the service.

Job description

Job responsibilities

The post holder will, together with colleagues, be responsible for the provision of Gastroenterology services to the Guys & St Thomas NHS Foundation Trust to include:

Attendance at 10 sessions per week across sites at Guys & St Thomas NHS Foundation Trust. The exact timetable may vary but would normally include 5 endoscopy sessions (on fixed days or flexible, including 3-4 training hepatobiliary lists, one general endoscopy service list), 1 outpatient clinic plus one virtual clinic, participation in multidisciplinary meetings and liaison with other specialist teams. The post holder will support the inpatient activity for the hepatobiliary services.

The post holder will also be expected to cover some additional endoscopy lists in rotation with other clinical fellows and to participate in the Saturdays endoscopy rota, which is currently 1:8 but may change according to service delivery needs. The post holder will participate in a GI bleeder rota. The exact split of oncall contribution and weekend endoscopy will vary according to the skills of the applicant.

Involvement in service development and the improvement of quality of care through audit, quality improvement projects and implementation of new services in collaboration with the HPB team at GSTT.

Undertaking the administrative duties necessary as part of clinical sessions, including writing of letters and provision of advice to GPs and other specialities.

The post holder may, on occasions, be asked to undertake additional duties such as emergency endoscopy or consultations particularly when specialist registrars in the department are away on annual or professional leave.

The postholder will be expected to deliver some flexible sessions per week as part of the weekly DCC. These will be either endoscopy lists or general outpatient clinics, depending on the needs of the service.

Person Specification

Qualifications and Training:

Essential

  • Full GMC Registration MBBS of equivalent MRCP or equivalent

Desirable

  • Completed specialist training in Gastroenterology Higher Degree (MD or PhD)

Clinical Experience:

Essential

  • At least 2 years comprehensive clinical experience in Gastroenterology at Specialist Registrar Grade. Experience in the management of hepatobiliary disease

Desirable

  • Training in the management of complex liver disease in tertiary/transplant centre Training in ERCP or EUS

Knowledge and Skills:

Essential

  • Ability to work as an effective member of a multidisciplinary team Competent/independent (JAG criteria) in diagnostic OGD and Colonoscopy with key performance indicators

Desirable

  • Higher training in advanced/ interventional endoscopy

Research:

Essential

  • Understanding of the principles and applications of clinical research.

Desirable

  • Further research degree Research portfolio in Gastroenterology

Teaching:

Essential

  • Experience of undergraduate teaching and post graduate training

Desirable

  • Teaching qualification Endoscopy trainer

Management:

Essential

  • Evidence of understanding of the role of clinical management

Desirable

  • Management training or qualification Evidence of leadership in the development of clinical services

Other:

Essential

  • Evidence of understanding of and adherence to the principles of Good Medical Practice set out by the General Medical Council Evidence of contribution to effective clinical audit and clinical risk management

Desirable

  • Experience in clinical guideline development
Person Specification

Qualifications and Training:

Essential

  • Full GMC Registration MBBS of equivalent MRCP or equivalent

Desirable

  • Completed specialist training in Gastroenterology Higher Degree (MD or PhD)

Clinical Experience:

Essential

  • At least 2 years comprehensive clinical experience in Gastroenterology at Specialist Registrar Grade. Experience in the management of hepatobiliary disease

Desirable

  • Training in the management of complex liver disease in tertiary/transplant centre Training in ERCP or EUS

Knowledge and Skills:

Essential

  • Ability to work as an effective member of a multidisciplinary team Competent/independent (JAG criteria) in diagnostic OGD and Colonoscopy with key performance indicators

Desirable

  • Higher training in advanced/ interventional endoscopy

Research:

Essential

  • Understanding of the principles and applications of clinical research.

Desirable

  • Further research degree Research portfolio in Gastroenterology

Teaching:

Essential

  • Experience of undergraduate teaching and post graduate training

Desirable

  • Teaching qualification Endoscopy trainer

Management:

Essential

  • Evidence of understanding of the role of clinical management

Desirable

  • Management training or qualification Evidence of leadership in the development of clinical services

Other:

Essential

  • Evidence of understanding of and adherence to the principles of Good Medical Practice set out by the General Medical Council Evidence of contribution to effective clinical audit and clinical risk management

Desirable

  • Experience in clinical guideline development

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.

Employer details

Employer name

Guy's and St Thomas' NHS Foundation Trust

Address

St Thomas Hospital

Westminster Bridge Road

London

SE1 7EH


Employer's website

https://www.guysandstthomas.nhs.uk/careers/careers.aspx (Opens in a new tab)


Employer details

Employer name

Guy's and St Thomas' NHS Foundation Trust

Address

St Thomas Hospital

Westminster Bridge Road

London

SE1 7EH


Employer's website

https://www.guysandstthomas.nhs.uk/careers/careers.aspx (Opens in a new tab)


Employer contact details

For questions about the job, contact:

Consultant Hepatologist

Dr Sreelakshmi Kotha

Sreelakshmi.Kotha@gstt.nhs.uk

02071882491

Details

Date posted

28 January 2026

Pay scheme

Hospital medical and dental staff

Grade

Doctor - other

Salary

£73,992 a year p.a excl of LZ

Contract

Fixed term

Duration

12 months

Working pattern

Full-time

Reference number

196-MED5056

Job locations

St Thomas Hospital

Westminster Bridge Road

London

SE1 7EH


Supporting documents

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