Job summary
We are looking to appoint our next Bariatric Senior Clinic Fellow to work in our unit for 12 months from 2 October 2024, we reserve the right to also appoint for the subsequent 12 months if two appointable candidates are identified at interview.
This highly sought after fellowship is based at St Richard's hospital in Chichester, West Sussex. It is approved by the Royal College of Surgeons of England and aimed primarily at post-CCT trainees with a career interest in Bariatric Surgery.
The hospital has one of the longest established and busiest Bariatric Surgery units in the country. It has been recognised by IFSO as a Centre of Excellence in Bariatric and Metabolic Surgery.
The post aims to offer exposure to approximately 400 bariatric procedures per year, including primary, revisional and emergency cases, working towards independent practice by the end of the fellowship. The Fellow will also be involved with the weekly multi-disciplinary new patient clinic, occasional follow up clinics and endoscopy sessions (if the fellow has pre-existing JAG accreditation). The Fellow will also be expected to be actively involved in on-going research projects and will have the opportunity to conduct new studies as part of our growing research portfolio.
The fellowship is highly regarded for its standard of training with all fellows over the last decade securing consultant positions in their chosen field.
Main duties of the job
The fellow is an integral part of our comprehensive Bariatric service providing care to new, elective, follow up and emergency patients. They should have leadership and management skills that will mean that they can help co-ordinate the care of emergency tertiary referrals from hospitals across Kent, Surrey and Sussex (and sometimes beyond).
The fellowship offers exposure to around 400 Bariatric operations per year. The fellow would be expected to perform a major part of well over 50% of these procedures. These include primary (predominantly sleeve gastrectomy, Roux-en-Y gastric bypass and one anastomosis gastric bypass), revisional and emergency cases. As the fellowship progresses, there will be the opportunity to develop independent practice and help train the registrars in the department. Elective operating time is protected, with no on call commitment during elective hours.
There are opportunities to develop endoscopic skills, including interventions for bariatric complications.
Attendance at the multidisciplinary one stop new patient clinic each Friday is another key role of the post. There are also opportunities to attend follow up appointments, including a specialist gastric band management clinic that is run by our specialist nurses and surgical care practitioner.
Additionally, there is a1 in 8 out of hours (evening/nights and weekends), non-resident on-call commitment at registrar level for General Surgery.
About us
At UHSussex we're proud to be at the heart of the NHS. As one of the UK's largest acute Trusts, we're a leading example of the excellence, the ambition and the values that have embodied the NHS for over 70 years.
Improving lives: We are a vibrant and inclusive organisation, with hardworking, talented and dedicated individuals, who work together towards a common goal, to always put our Patient First. Our mission is summed up by our 'where better never stops' motto and no matter the role at UHSussex, you will play a part in driving us forwards and in improving the lives of patients across Sussex. We treat our patients and staff with the same compassion and empathy we expect for ourselves. We're here for them when they need us, and we go above and beyond to meet their needs. This can be seen in our wellbeing programme for staff which is extensive and designed to support you when you need it because we know that to look after others we must first look after ourselves.
Build a career with us: As a university trust and a leader in healthcare research, we value learning, teaching and training so that we can be the best that we can be. From the moment you start with us and throughout your career we will help you to grow and develop. We hope that in choosing UHSussex you are choosing a long and happy career where you will be able to see the difference you make and feel valued for all that you do.
Job description
Job responsibilities
This is a 12 month fixed term post aimed at post-CCT Upper GI specialist surgeons with a career interest in Bariatric surgery and aims to prepare them for independent practice. It can be made available as full or part time post. It is overseen by the Royal College of Surgeons of England as part of their Senior Clinical Fellowship scheme.
St Richards Bariatric Unit provides bariatric surgery services for the West Sussex, East Sussex, Kent and parts of Hampshire. It has been recognised by IFSO as an International Centre of Excellence in Bariatric and Metabolic Surgery. It is one of the longest established and busiest bariatric services in the UK. The service is geared towards treating approximately 400 cases per year. This includes primary, revision and emergency Bariatric surgery, the fellow would be expected to have a major role in well over 50% of these cases.
Then department is a friendly and supportive place to work, with a very close knit extended surgical team across the entirety of General Surgery. Specifically, the Bariatric service is supported by a dedicated specialist Bariatric physician, a team of specialist anaesthetists, 2 specialist nurses, a surgical care practitioner, a team of supporting dietitians, a recently appointed psychologist and a dedicated administrative team.
Outpatient multi-disciplinary new patient and follow up clinics are conducted in the specialist Bariatric clinic. All new patients attend a one-stop multi-disciplinary bariatric clinic where they are assessed by a specialist physician, surgeon, anaesthetist, dietitian and specialist nurse, having undergone psychological assessment prior to clinic. The bariatric fellow plays an active part in this clinic each week.
Most weeks there are at least 3 all day operating lists, as well as the new patient clinic, follow up clinics and, occasionally, endoscopy sessions. The Fellows time is protected to allow attendance at all Bariatric operating lists and new patient clinics. Duties also include inpatient care and the supervision of other doctors in training. Another key responsibility of the post is to help co-ordinate the care of emergency tertiary referrals to the department from the South East of England.
The Fellow will be involved in the General Surgery on call rota at middle grade level (1 in 8). However, this is an out of hours commitment (weekends, evening and nights) only and should not impact on exposure to Bariatric activity. Similarly, there is an opportunity for further exposure to all other aspects of general surgery, if desired, and to run independent operating lists, dependent on the experience and competence of the successful applicant.
The post works along the lines of a Senior Registrar post, with responsibilities supervising the more junior registrars on the Upper GI unit. Therefore, it is aimed at an Upper GI trainee with advanced laparoscopic skills (preferably including suturing) in their final year of training or, preferably, post CCT. Prior experience in Bariatric Surgery is preferred but not essential as we have successfully trained surgeons to independent practice in Bariatric Surgery with no prior experience.
We have developed strong links with the Universities of Surrey and Chichester and there is an opportunity to be heavily involved in research and audit projects. The Trust has a very supportive R&D department. Opportunities are also available in developing management, leadership and education skills during the fellowship.
Job description
Job responsibilities
This is a 12 month fixed term post aimed at post-CCT Upper GI specialist surgeons with a career interest in Bariatric surgery and aims to prepare them for independent practice. It can be made available as full or part time post. It is overseen by the Royal College of Surgeons of England as part of their Senior Clinical Fellowship scheme.
St Richards Bariatric Unit provides bariatric surgery services for the West Sussex, East Sussex, Kent and parts of Hampshire. It has been recognised by IFSO as an International Centre of Excellence in Bariatric and Metabolic Surgery. It is one of the longest established and busiest bariatric services in the UK. The service is geared towards treating approximately 400 cases per year. This includes primary, revision and emergency Bariatric surgery, the fellow would be expected to have a major role in well over 50% of these cases.
Then department is a friendly and supportive place to work, with a very close knit extended surgical team across the entirety of General Surgery. Specifically, the Bariatric service is supported by a dedicated specialist Bariatric physician, a team of specialist anaesthetists, 2 specialist nurses, a surgical care practitioner, a team of supporting dietitians, a recently appointed psychologist and a dedicated administrative team.
Outpatient multi-disciplinary new patient and follow up clinics are conducted in the specialist Bariatric clinic. All new patients attend a one-stop multi-disciplinary bariatric clinic where they are assessed by a specialist physician, surgeon, anaesthetist, dietitian and specialist nurse, having undergone psychological assessment prior to clinic. The bariatric fellow plays an active part in this clinic each week.
Most weeks there are at least 3 all day operating lists, as well as the new patient clinic, follow up clinics and, occasionally, endoscopy sessions. The Fellows time is protected to allow attendance at all Bariatric operating lists and new patient clinics. Duties also include inpatient care and the supervision of other doctors in training. Another key responsibility of the post is to help co-ordinate the care of emergency tertiary referrals to the department from the South East of England.
The Fellow will be involved in the General Surgery on call rota at middle grade level (1 in 8). However, this is an out of hours commitment (weekends, evening and nights) only and should not impact on exposure to Bariatric activity. Similarly, there is an opportunity for further exposure to all other aspects of general surgery, if desired, and to run independent operating lists, dependent on the experience and competence of the successful applicant.
The post works along the lines of a Senior Registrar post, with responsibilities supervising the more junior registrars on the Upper GI unit. Therefore, it is aimed at an Upper GI trainee with advanced laparoscopic skills (preferably including suturing) in their final year of training or, preferably, post CCT. Prior experience in Bariatric Surgery is preferred but not essential as we have successfully trained surgeons to independent practice in Bariatric Surgery with no prior experience.
We have developed strong links with the Universities of Surrey and Chichester and there is an opportunity to be heavily involved in research and audit projects. The Trust has a very supportive R&D department. Opportunities are also available in developing management, leadership and education skills during the fellowship.
Person Specification
Experience/ Qualifications
Essential
- oAdvanced Life Support Certificate from the Resuscitation Council UK or equivalent
- oFull GMC Registration with a licence to practice
- oMRCS or appropriate specialist qualification
- oBasic medical degree
Desirable
- oHigher Degree
- oFRCS / Post CCT
Clinical Skills and Experience
Essential
- oUnderstanding of clinical risk management
- oTraining in General/Upper GI & Laparoscopic Surgery
Desirable
- oPrior experience in Bariatric Surgery
- oTraining in Upper GI endoscopy (JAG accreditation)
Knowledge
Desirable
- oBreadth of experience in and outside specialty
Organisation and Planning
Essential
- oUnderstanding of: NHS / Clinical governance / Resource constraints
- oExperience and ability to work in multi-professional teams
Desirable
- oEvidence of managerial skills: Achievements / Course attended
Teaching Skills
Essential
- oEvidence of an interest and commitment to teaching
Desirable
- oRecognised teaching qualification
Academic and Research
Essential
- oEvidence of participation in audit
Desirable
- oResearch experience
- oPublications, prizes and honours
Career
Essential
- oAppropriate progression of career to date
Personal Attributes
Essential
- oEvidence of:- Good communication skills both oral and written
Person Specification
Experience/ Qualifications
Essential
- oAdvanced Life Support Certificate from the Resuscitation Council UK or equivalent
- oFull GMC Registration with a licence to practice
- oMRCS or appropriate specialist qualification
- oBasic medical degree
Desirable
- oHigher Degree
- oFRCS / Post CCT
Clinical Skills and Experience
Essential
- oUnderstanding of clinical risk management
- oTraining in General/Upper GI & Laparoscopic Surgery
Desirable
- oPrior experience in Bariatric Surgery
- oTraining in Upper GI endoscopy (JAG accreditation)
Knowledge
Desirable
- oBreadth of experience in and outside specialty
Organisation and Planning
Essential
- oUnderstanding of: NHS / Clinical governance / Resource constraints
- oExperience and ability to work in multi-professional teams
Desirable
- oEvidence of managerial skills: Achievements / Course attended
Teaching Skills
Essential
- oEvidence of an interest and commitment to teaching
Desirable
- oRecognised teaching qualification
Academic and Research
Essential
- oEvidence of participation in audit
Desirable
- oResearch experience
- oPublications, prizes and honours
Career
Essential
- oAppropriate progression of career to date
Personal Attributes
Essential
- oEvidence of:- Good communication skills both oral and written
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).
