Job summary
Following service growth and re-configuration, we are looking to appoint a dynamic colleague to complement the existing multidisciplinary intestinal failure team at St George's. The successful candidate would contribute to the continued development of the service including our collaboration with St Mark's, as well as other regional initiatives. Other complementary interests, for example in IBD or endoscopy, are encouraged.
The successful candidate would deliver inpatient and outpatient care to our cohort of HPN patients as part of a multidisciplinary team including two existing consultant gastroenterologists, three CNS, two dietitians, and a specialist pharmacist, and would work closely with allied specialties including intestinal failure surgeons and interventional radiology.
The post holder will also contribute to the delivery of inpatient and outpatient general luminal gastroenterology services including diagnostic and (where appropriate) therapeutic endoscopy together with 8 other luminal consultant colleagues (with a further 9th post approved). There is no acute medicine commitment, but the post holder will be part of a 1:15 consultant led, registrar delivered GI bleed rota including 1:15 weekend consultant ward rounds of gastroenterology / hepatology inpatients.
Main duties of the job
The successful candidate would be expected to provide high level Gastroenterology care. Sessions will take place St George's Hospital, Tooting but may include sessions at Queen Mary's Hospital, Roehampton or the Nelson Health Centre, South Wimbledon.
The post holder will be responsible for the care of Gastroenterology inpatients in a 1:9 Consultant rota. The post holder will be expected to have expertise in the management of complex nutritional problems and intestinal failure, supported by a dynamic multidisciplinary team.
The successful candidate will deliver a total of 2.5 outpatient clinics per week, including a specialist IBD clinic and a specialist complex nutrition / IF clinic on alternate weeks, and a suspected upper GI cancer clinic.
St George's Hospital is a national endoscopy training centre, in a JAG-accredited unit, and the SW London Bowel Cancer Screening Centre. The post holder will provide diagnostic and therapeutic upper and lower GI endoscopy, contributing to the training of trainee Gastroenterologists, Surgeons and Nurse Medical Endoscopists. There will be opportunities to participate in the delivery of national JAG training courses at the St George's site.
Other subspecialty interests would be considered (e.g. IBD, neurogastroenterology, advanced endoscopy), in which case additional responsibilities may accrue.
About us
With over 9,000 dedicated staff caring for patients around the clock, we are the largest healthcare provider in southwest London.Our main site, St George's Hospital in Tooting - one of the country's principal teaching hospitals - is shared with St George's, University of London, which trains medical students and carries out advanced medical research. St George's Hospital also hosts the St George's, University of London and Kingston University Faculty of Health and Social Care Sciences, which is responsible for training a wide range of healthcare professionals from across the region.As well as acute hospital services, we provide a wide variety of specialist care and a full range of community services to patients of all ages following integration with Community Services Wandsworth in 2010.St George's University Hospitals NHS Foundation Trust serves a population of 1.3 million across southwest London. A large number of services, such as cardiothoracic medicine and surgery, neurosciences and renal transplantation, also cover significant populations from Surrey and Sussex, totalling around 3.5 million people.
Job description
Job responsibilities
The Intestinal Failure (IF) Service at SGH provides specialist assessment, review and monitoring of Type I, Type II and Type III IF patients in both in-patient and out-patient settings, including discharging patient on HPN. These patients are managed by a multi-disciplinary nutritional support team (NST), currently comprising two Consultant Gastroenterologists, three nutrition nurse specialists, a specialist pharmacist, and two senior dietitians.
There are close working relationships with key related specialties including IF surgery (colorectal and bariatric / uuper GI) and interventional radiology. Where possible, all IF in-patients are cohorted to Gray (surgical) or Allingham (medical) wards to receive the best possible care by nurses who have received specific training in the provision of PN. The nutrition service also receives referrals for complex enteral feeding challenges and is the Lead centre for Medical Emergencies in Eating Disorders (MEED), with close links to the local Severe Eating Disorder Unit (SEDU) at Springfield Hospital.
The HPN service currently has approximately 60 patients, a significant number of which are referred from external Trusts in the South West Thames region for medical and surgical management of intestinal failure. There are existing strong links with other regional hospitals including the Royal Marsden Hospital through the South West Thames IF Network (SWIFTNET). In 2021, St. Marks (as lead provider) and St. Georges were jointly commissioned by NHSE to provide a regional medical and surgical service for patients with Severe Intestinal Failure (SIF) in West London. The two Trusts work closely together and operate a single hub for referrals, with patients from SW London generally triaged to St. Georges and NW London to St. Marks. Further exciting opportunities being explored include establishing outreach services and closer collaborative working with our surrounding Trusts including the Royal Marsden Hospital. The post holder would be expected to be involved in developing these collaborations further.
Together with two consultant colleagues, the appointee will manage and lead the care of in- and outpatients with intestinal failure, referred internally from St Georges and externally from across the South West Thames region. The appointee will be expected to liaise and lead on patient management with internal and external specialists (e.g. surgery, interventional radiology), and deliver multidisciplinary outpatient intestinal failure clinics. Care of intestinal failure inpatients is expected to follow a 1 month in 3 rota.
In addition, the appointee will be expected to provide care of IBD patients to a tertiary level through a regular IBD clinic. The appointee will be expected to participate at IBD and IF MDMs, VBIC, and external intestinal failure MDMs.
Job description
Job responsibilities
The Intestinal Failure (IF) Service at SGH provides specialist assessment, review and monitoring of Type I, Type II and Type III IF patients in both in-patient and out-patient settings, including discharging patient on HPN. These patients are managed by a multi-disciplinary nutritional support team (NST), currently comprising two Consultant Gastroenterologists, three nutrition nurse specialists, a specialist pharmacist, and two senior dietitians.
There are close working relationships with key related specialties including IF surgery (colorectal and bariatric / uuper GI) and interventional radiology. Where possible, all IF in-patients are cohorted to Gray (surgical) or Allingham (medical) wards to receive the best possible care by nurses who have received specific training in the provision of PN. The nutrition service also receives referrals for complex enteral feeding challenges and is the Lead centre for Medical Emergencies in Eating Disorders (MEED), with close links to the local Severe Eating Disorder Unit (SEDU) at Springfield Hospital.
The HPN service currently has approximately 60 patients, a significant number of which are referred from external Trusts in the South West Thames region for medical and surgical management of intestinal failure. There are existing strong links with other regional hospitals including the Royal Marsden Hospital through the South West Thames IF Network (SWIFTNET). In 2021, St. Marks (as lead provider) and St. Georges were jointly commissioned by NHSE to provide a regional medical and surgical service for patients with Severe Intestinal Failure (SIF) in West London. The two Trusts work closely together and operate a single hub for referrals, with patients from SW London generally triaged to St. Georges and NW London to St. Marks. Further exciting opportunities being explored include establishing outreach services and closer collaborative working with our surrounding Trusts including the Royal Marsden Hospital. The post holder would be expected to be involved in developing these collaborations further.
Together with two consultant colleagues, the appointee will manage and lead the care of in- and outpatients with intestinal failure, referred internally from St Georges and externally from across the South West Thames region. The appointee will be expected to liaise and lead on patient management with internal and external specialists (e.g. surgery, interventional radiology), and deliver multidisciplinary outpatient intestinal failure clinics. Care of intestinal failure inpatients is expected to follow a 1 month in 3 rota.
In addition, the appointee will be expected to provide care of IBD patients to a tertiary level through a regular IBD clinic. The appointee will be expected to participate at IBD and IF MDMs, VBIC, and external intestinal failure MDMs.
Person Specification
Experience
Essential
- Comprehensive training on a recognised SpR programme or equivalent
- Evidence of inpatient and outpatient IF experience in a tertiary centre
- Understanding of clinical commissioning and implications for specialty
- Demonstrable experience in all aspects of Clinical Governance
- Experience of leading clinical audits
- A track record in teaching medical and other clinical staff and students and giving clinical presentations
- Ability to take full and independent responsibility for the clinical care of patients
- Attending management course
Desirable
- Management experience
- Skills in endoscopic ultrasound
- Completed advanced nutrition fellowship
- Specialist IBD experience
- Specialist experience in neurogastroenterology
Skills and Knowledge
Essential
- Ability to organise, prioritise, delegate, and manage
- Ability to work productively in multidisciplinary teams
- Ability to develop rapport with and discuss treatment options with patients in a way they can understand
- Ability to develop, motivate and lead multidisciplinary teams
- Ability to advise on the efficient and smooth running of a specialist service
- Ability to supervise junior medical staff
- Ability to design and deliver talks/ lectures/workshops effectively
- Good interpersonal skills and emotional intelligence demonstrated by the ability to work closely and effectively with staff at all levels and disciplines.
- IT skills
- Understanding of modern medical curriculum and of learning assessment tools
- Teaching and presentation skills
- Ability to critically appraise scientDisability and equality awareness ific literature
Desirable
- Research skills
- Strong leadership skills and performance driven
Qualifications and Training
Essential
- Full registration and license to practice with General Medical Council or eligible if currently working overseas
- Currently on the Special Register or eligibility for inclusion on the Specialist Register within 6 months of the interview date
- Higher professional qualification (eg. MRCP)
- Full JAG accreditation in colonoscopy and upper GI endoscopy
- Completion of a relevant management course / programme
Desirable
- MD or PhD
- Published research papers/presentations in relevant field
- Train the Trainer certification by JAG
Personal qualities
Essential
- Caring and professional attitude and approach with patients
- Respects individuals' rights, interests, beliefs, preferences and cultures
- Initiative, common sense, enthusiasm
- Able to take responsibility and lead by example
- Approachability and capacity to integrate well with medical and other colleagues
- Commitment to continuing professional development
- Ability to work collaboratively with the Care Group team
- Excellent personal time management skills
- Ability to make clear rational decisions, exercising independent judgement in a professional and competent manner
- Intellectual flexibility required to work with ambiguity and complexity
- Demonstrable drive and personal resilience
- High level of verbal and written communication skills
- Awareness of own personal development needs
- Demonstrable ability to cope under pressure
Desirable
- Involvement with national/international bodies
Person Specification
Experience
Essential
- Comprehensive training on a recognised SpR programme or equivalent
- Evidence of inpatient and outpatient IF experience in a tertiary centre
- Understanding of clinical commissioning and implications for specialty
- Demonstrable experience in all aspects of Clinical Governance
- Experience of leading clinical audits
- A track record in teaching medical and other clinical staff and students and giving clinical presentations
- Ability to take full and independent responsibility for the clinical care of patients
- Attending management course
Desirable
- Management experience
- Skills in endoscopic ultrasound
- Completed advanced nutrition fellowship
- Specialist IBD experience
- Specialist experience in neurogastroenterology
Skills and Knowledge
Essential
- Ability to organise, prioritise, delegate, and manage
- Ability to work productively in multidisciplinary teams
- Ability to develop rapport with and discuss treatment options with patients in a way they can understand
- Ability to develop, motivate and lead multidisciplinary teams
- Ability to advise on the efficient and smooth running of a specialist service
- Ability to supervise junior medical staff
- Ability to design and deliver talks/ lectures/workshops effectively
- Good interpersonal skills and emotional intelligence demonstrated by the ability to work closely and effectively with staff at all levels and disciplines.
- IT skills
- Understanding of modern medical curriculum and of learning assessment tools
- Teaching and presentation skills
- Ability to critically appraise scientDisability and equality awareness ific literature
Desirable
- Research skills
- Strong leadership skills and performance driven
Qualifications and Training
Essential
- Full registration and license to practice with General Medical Council or eligible if currently working overseas
- Currently on the Special Register or eligibility for inclusion on the Specialist Register within 6 months of the interview date
- Higher professional qualification (eg. MRCP)
- Full JAG accreditation in colonoscopy and upper GI endoscopy
- Completion of a relevant management course / programme
Desirable
- MD or PhD
- Published research papers/presentations in relevant field
- Train the Trainer certification by JAG
Personal qualities
Essential
- Caring and professional attitude and approach with patients
- Respects individuals' rights, interests, beliefs, preferences and cultures
- Initiative, common sense, enthusiasm
- Able to take responsibility and lead by example
- Approachability and capacity to integrate well with medical and other colleagues
- Commitment to continuing professional development
- Ability to work collaboratively with the Care Group team
- Excellent personal time management skills
- Ability to make clear rational decisions, exercising independent judgement in a professional and competent manner
- Intellectual flexibility required to work with ambiguity and complexity
- Demonstrable drive and personal resilience
- High level of verbal and written communication skills
- Awareness of own personal development needs
- Demonstrable ability to cope under pressure
Desirable
- Involvement with national/international bodies
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).
