Clinical Fellow in Hepato-Pancreato-Biliary Medicine and Endoscopy

Job responsibilities

Key areas of responsibilities

The post holder will work closely with other members of the team to ensure high quality HPB and gastroenterology services within the strategic framework agreed by the team. They will work closely with the appropriate clinical management teams.

The post holder will undertake 1 HPB out-patients clinics at Hammersmith, 2-3 ERCP / EUS training lists and and 3 general endoscopy lists per week. They will also attend the benign and malignant pancreatic MDTs and the liver MDT and a weekly ERCP governance meeting Some of the endoscopy sessions will be flexible to support the backfill of lists.

While the post will be based at The Hammersmith, at least one Endoscopy session per week will be at one of the other Imperial sites.

There will be a commitment to the out-of-hours endoscopy service at either SpR or Consultant level dependent on the seniority of the postholder.

3.1 Provide High Quality Care to Patients in Acute & General Medicine and Gastroenterology

The post holder must be medically qualified and be an SpR or maintain GMC specialist registration.

They maintain the competencies required to carry out the duties of the post.

They must ensure prompt attendance at agreed direct clinical care Programmed Activities.

They must ensure patients are involved in decisions about their care and to respond to their views.

The Trust supports the requirements of CME as laid down by the Royal College of Physicians and is committed to providing time and financial support for these activities.

3.2 Research, Teaching and Training

The post holder will participate in the teaching and training of undergraduates and junior medical staff. They will be encouraged to participate in ongoing research within the department.

3.3 Performance Management

The post holder will work with medical, nursing and managerial colleagues to ensure high performance in the following areas:

Clinical efficiency e.g. length of stay reductions, reducing cancelled procedures and DNA rates.

Quality outcomes e.g. infection control targets, reducing re-admission rates.

Financial management e.g. identification, implementation and achievement of cost improvement programmes; participating in efforts to ensure services are provided cost effectively e.g. managing locum agency spend, monitoring and managing the drug budget to target, ensuring accuracy of clinical data for the team.

Operational efficiency e.g. day case rates, waiting list activity and demand management.

It will be particularly important for the post holder to contribute to the clinical management of endoscopy.

3.4 Medical Staff Management

The post holder will:

Work with colleagues to ensure junior doctors hours are compliant with EWTD and New Deal;

Ensure that adequate systems and procedures are in place to control and monitor leave for junior medical staff and to ensure that there is appropriate cover within the clinical areas, including on-call commitments;

Participate in the recruitment of junior medical staff as delegated by the Divisional management team;

Participate in team objective setting as part of the annual job planning cycle;

Be responsible for the ongoing appraisal of all doctors in training, Trust doctors and non-consultant grades as delegated by the Divisional management team.

3.5 Governance

The post holder will:

Review clinical outcomes in designated clinical areas using external benchmarking data where appropriate, to identify and advise variances to the Divisional management team.

Participate in clinical audit, incident reporting and analysis and ensure resulting actions are implemented.

Work closely with the Directorate, Patient and Public Involvement panels in relation to clinical and services developments as delegated by the Divisional management team.

Ensure NICE clinical requirements are reviewed, implemented and monitored.

Ensure clinical guidelines and protocols are adhered to by junior medical staff and updated on a regular basis.

Keep fully informed about best clinical practice and ensure implications for practice changes are discussed with the Divisional management team.

Be a role model for good infection control practice to all members of the multidisciplinary team.

3.6

3.7 Leadership and Team Working

The post holder will be expected:

To demonstrate excellent leadership skills with regard to individual performance, clinical teams, the Trust and when participating in national initiatives.

To work collaboratively with all members of the multi-disciplinary team and Imperial College London as required.

To chair meetings as necessary.

To resolve conflict and difficult situations through negotiation and discussion, involving appropriate parties.

To adhere to Trust/Departmental guidelines on leave including reporting absence.

3.8 Administrative duties

The postholder will be expected to undertake the administrative duties associated with the care of individual patients, and to contribute to the proper functioning of the clinical department, including involvement in audit and clinical governance.

Qualifications

Essential

• GMC registered Medical Practitioner
• GMC specialist registration or within 6 months of being admitted to the GMC's specialist register
• Appropriate Royal College Membership

Desirable

• M.Sc
• Higher research degree

Language

Essential

• Are able to speak and write English to the appropriate standard necessary to fulfill the job requirements

Academic achievements including reasearch/publications

Essential

• Demonstrable interest in clinical research

Audit

Essential

• Understanding of principles of clinical audit
• Experience of leading audits

Teaching & Training

Essential

• Experience of teaching and training undergraduates / postgraduates and junior medical staff

Leadership/Management skills

Essential

• Able to take responsibility, show leadership, make decisions, exert appropriate authority
• Have proven skills in leading, motivating, developing and managing the performance of colleagues

Knowledge/Skills

Essential

• SpR in Gastroenterology or gastrointestinal surgery
• Independent practice in luminal endoscopy (including therapies) by JAG criteria
• IT Skills and computer literacy
• Experience in ERCP and EUS

Desirable

• CCT in Gastroenterology

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.

Certificate of Sponsorship

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).