Job summary
The Liver ITU provides the most comprehensive service for the management of critically ill patients with liver disease (acute liver failure, decompensate chronic liver disease, hepatobilary surgery, trauma and liver transplantation) and has a strong reputation for innovative research into novel clinical treatments such as extracorporeal liver support. The ITU facilities are housed in a 15-bed area in close proximity to the liver wards, theatres and laboratories.
The ward services have recently expanded to provide inpatient beds for 58 patients covering all aspects of liver disease. Patients are admitted as local, regional, supra-regional or international referrals. Supporting the ward-based service is a dedicated outpatient service, providing daily clinics to all patient groups.
Endoscopic services also form part of the total package of care, with over 2,000 endoscopies and 700 ERCPs performed annually on locally and nationally referred patients. Endoscopic ultrasound is also offered.
Main duties of the job
The focus of this fellowship is HPB medicine and provides a thorough, holistic approach to patient care. Involvement in research projects is encouraged, as is participation in audit activities. Attendance at UK meetings (BSG) and international meetings (UEGW, DDW, etc.) can be supported and is encouraged.
Acceptance of an offer of this post will be deemed to include acceptance of changes, including remuneration, in accordance with the provisions of the agreement and circular (MD 1/92).
Medical clearance, and in some circumstances an examination, is required prior to appointment.
The post is covered by the Terms and Conditions of Service of Hospital Medical and Dental Staff and the General Whitley Council.
Although these fellows' appointments are not accredited for training the appointees will be expected to participate fully in the educational and training programmes within the department and the hospital. Appointees will have a named educational supervisor and be expected to undergo annual review and appraisal and will be provided with equal training opportunities as the local trainees. Annual leave and study leave is commensurate with other post foundation doctors. The experience and opportunities offered would be excellent experience for applicants planning a career in Liver Medicine.
About us
The Trust provides a full range of local and specialist services across its five sites. The trust-wide strategy of Strong Roots, Global Reach is our Vision to be BOLD, Brilliant people, Outstanding care, Leaders in Research, Innovation and Education, Diversity, Equality and Inclusion at the heart of everything we do. By being person-centred, digitally-enabled, and focused on sustainability, we aim to take Team King's to another level.
We are at a pivotal point in our history and we require individuals who are ready to join a highly professional team and make a real, lasting difference to our patients and our people.
King's is committed to delivering Sustainable Healthcare for All via our Green Plan. In line with national Greener NHS ambitions, we have set net zero carbon targets of 2040 for our NHS Carbon Footprint and 2045 for our NHS Carbon Footprint Plus. Everyone's contribution is required in order to meet the goals set out in our Green Plan and we encourage all staff to work responsibly, minimising their contributions to the Trust's carbon emissions, waste and pollution wherever possible.
Job description
Job responsibilities
The successful candidate will be involved in fixed clinical commitments determined by both their clinical training needs and the service requirements of the Institute; an example timetable is outlined below. The focus of this post is ERCP and EUS. The successful candidate will also undertake one specialist HPB clinic per week. All ERCP procedures at Denmark Hill are performed under general anaesthetic.
Together with other colleagues to provide a service for patients. This includes all aspects of treatment and relevant management duties for the proper functioning of the Care Group.
Shared responsibility with other colleagues for providing 24 hours, 7 days a week cover for the Unit on a rota basis. Responsible also for covering colleagues periods of annual leave and short-term sickness.
Participation in Multi-disciplinary Meetings.
Contribution to audit and clinical governance programmes.
Responsible for outpatient clinic commitments in peripheral hospitals as agreed with the Care Group management team.
Contribute to the Care Group research interests in accordance with the Trusts R&D framework.
Contribute to the audit programmes, Morbidity and Mortality, clinical governance programs and learning from Deaths.
Conduct all activities within the contracted level of service and operating plan for service(s).
Work in conjunction with clinical and other professional colleagues to ensure that the productivity of staff within the specialty is maintained and their job satisfaction is enhanced. This may include involvement in the appraisal process for peers and/or junior colleagues.
Be aware of, and comply with, all Trust infection prevention and control policies, to include hand hygiene, personal hygiene, environmental and food hygiene.
Prepare for and undertake the protective interventions that you are responsible for in a manner that is consistent with evidence-based practice and maintaining patient safety.
Although there is no regular service provision, the post holder will be required to provide occasional daytime ward cover when necessary, including to cover study leave. There will also be an element of administrative duties, and the post holder will be expected to participate in the GI bleed on-call rota on a 1 in 7 basis, with prospective cover.
Job description
Job responsibilities
The successful candidate will be involved in fixed clinical commitments determined by both their clinical training needs and the service requirements of the Institute; an example timetable is outlined below. The focus of this post is ERCP and EUS. The successful candidate will also undertake one specialist HPB clinic per week. All ERCP procedures at Denmark Hill are performed under general anaesthetic.
Together with other colleagues to provide a service for patients. This includes all aspects of treatment and relevant management duties for the proper functioning of the Care Group.
Shared responsibility with other colleagues for providing 24 hours, 7 days a week cover for the Unit on a rota basis. Responsible also for covering colleagues periods of annual leave and short-term sickness.
Participation in Multi-disciplinary Meetings.
Contribution to audit and clinical governance programmes.
Responsible for outpatient clinic commitments in peripheral hospitals as agreed with the Care Group management team.
Contribute to the Care Group research interests in accordance with the Trusts R&D framework.
Contribute to the audit programmes, Morbidity and Mortality, clinical governance programs and learning from Deaths.
Conduct all activities within the contracted level of service and operating plan for service(s).
Work in conjunction with clinical and other professional colleagues to ensure that the productivity of staff within the specialty is maintained and their job satisfaction is enhanced. This may include involvement in the appraisal process for peers and/or junior colleagues.
Be aware of, and comply with, all Trust infection prevention and control policies, to include hand hygiene, personal hygiene, environmental and food hygiene.
Prepare for and undertake the protective interventions that you are responsible for in a manner that is consistent with evidence-based practice and maintaining patient safety.
Although there is no regular service provision, the post holder will be required to provide occasional daytime ward cover when necessary, including to cover study leave. There will also be an element of administrative duties, and the post holder will be expected to participate in the GI bleed on-call rota on a 1 in 7 basis, with prospective cover.
Person Specification
Qualifications & Registration
Essential
- MRCP or equivalent
- Full registration with GMC
Training and experience
Essential
- Registrar or equivalent training in gastroenterology and/or Hepatology (ST 5 level or above). Accredited in basic and therapeutic OGD.
Desirable
- Independent upper gastrointestinal endoscopist with some experience in managing variceal bleeding.
Audit & Research
Essential
- Understanding of principles of medical audit and undertaken audit projects
- Understanding of the concept of research. Understanding of research governance and ethics
Person Specification
Qualifications & Registration
Essential
- MRCP or equivalent
- Full registration with GMC
Training and experience
Essential
- Registrar or equivalent training in gastroenterology and/or Hepatology (ST 5 level or above). Accredited in basic and therapeutic OGD.
Desirable
- Independent upper gastrointestinal endoscopist with some experience in managing variceal bleeding.
Audit & Research
Essential
- Understanding of principles of medical audit and undertaken audit projects
- Understanding of the concept of research. Understanding of research governance and ethics
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).
