Senior Fellow in Intestinal failure and Nutrition

Job description

Job responsibilities

LEEDS TEACHING HOSPITAL NHS TRUST

JOB DESCRIPTION

JOB DETAILS

Job Title: Senior Fellow in Intestinal failure and Nutrition

Specialty/Department: Gastroenterology

Location: SJUH (base hospital), LGI

INFORMATION ABOUT THE DEPARTMENT

Gastroenterology in Leeds is based at St Jamess University Hospital. We also provide outpatient services at Leeds General Infirmary and Wharfedale General Hospital. We are a large yet cohesive department. We provide care for all aspects of gastrointestinal disease to a large local population and receive tertiary referrals into our subspecialty services.

We have 2 inpatient wards in the modern Bexley wing at SJUH. Both wards have excellent, well established teams of nursing staff and we are well supported by our experienced GI pharmacist, dietician and radiologists.

We operate up to 8 endoscopy rooms across Leeds, the majority of which have recently been refurbished with state-of-the-art equipment. We provide a wide range of diagnostic and therapeutic procedures, including bowel cancer screening, ERCP, interventional EUS, advanced EMR/ESD, stenting, capsule, double balloon and spiral enteroscopy and biliary manometry.

Our trainees gain valuable experience in managing complex patients within our subspecialty services. These include a large IBD service (supported by a team of IBD nurse specialists and weekly MDT with our radiologists and IBD surgeons), enteral and parenteral nutrition (including home PN), small bowel disease and pancreaticobiliary medicine.

There is a strong research background to the unit with our three academic consultants (Prof. Hull, Prof. Ford and Dr Subramanian). The research unit is based in the Leeds Institute of Molecular Medicine (LIMM) on SJUH site. There are existing research programmes in the molecular biology of colorectal cancer and IBD and current clinical research projects in IBD and endoscopy.

The Leeds Teaching Hospitals NHS Trust is one of the largest trusts in the UK. The Trust has a values-led strategy known as The Leeds Way and is committed to high quality patient-centred care and academic and educational excellence.

Leeds is a vibrant city with stylish shopping arcades, a range of theatres, museums and sporting events, excellent transport links and within easy reach of the Yorkshire Dales which provide a base for lots of outdoor activities such as cycling and walking.

MEDICAL STAFF IN THE DEPARTMENT

There are 20 consultant gastroenterologists, 1 specialty doctor with an interest in nutrition, 3 research fellows, 2 endoscopy fellows, 1 junior fellows, 6 NTN HST and 10 FY1/CT level doctors.

The consultants operate a consultant of the week on-call system and look after inpatients in 2 week blocks.

Consultant gastroenterologists

Dr Alaa Alakkari

Dr Chris Black

Dr Clare Donnellan (Clinical Lead Nutrition)

Dr Simon Everett

Professor Alex Ford (academic)

Dr David Gracie (Lead Clinician Gastroenterology)

Dr John Hamlin

Dr Matthew Huggett

Professor Mark Hull (academic)

Dr Jason Jennings (small bowel lead)

Dr Noor Mohammed (Clinical Lead for Endoscopy)

Dr Peter Mooney

Dr Aaron On

Dr Bharat Paranandi

Dr Helen Rafferty

Dr Bjorn Rembacken (consultant endoscopist)

Dr Anita Sainsbury

Dr Christian Selinger (Clinical Lead IBD)

Dr Ruchit Sood

Dr Venkat Subramanian (academic)

KNOWLEDGE, SKILLS AND EXPERIENCE REQUIRED

Candidates should hold a primary medical qualification and have a subsequent minimum of 4 years clinical experience, at least 2 of which should be at the level of core/internal medical trainee or higher. Candidates must hold a full Licence to Practice with the General Medical Council. Candidates should hold a certificate in Advanced Life Support from the UK Resuscitation Council, or an equivalent.

DUTIES OF THE POST

This post is embedded within the nutrition team, which consists of 4 specialist nurses; 4 specialist dieticians; and 5 pharmacists; with administrative support. The team is led by 2 consultant gastroenterologists, a consultant colorectal surgeon and a Nurse Specialist Manager. The team look after approximately 180 patients on home parenteral nutrition and see between 20 and 40 patients daily receiving parenteral nutrition in hospital.

These patients are very complex. Inpatients are reviewed regularly, with parenteral nutrition prescriptions altered to fit the clinical picture. Outpatients frequently also need close monitoring and a key part of the job is to help manage this.

The post-holder would be expected to work with the team, but also find educational opportunities within gastroenterology to match their needs. Other opportunities to develop skills in general gastroenterology through clinic and endoscopy work are encouraged. They would also be able to do more interventional procedures such as gaining more complex venous access, should this be suitable for them.

There is no on call associated with this job, which is based on a 40 hour week, Monday to Friday. Work in the morning principally involves seeing inpatients receiving parenteral nutrition. Afternoon work will either involve the weekly clinic/review meeting, or seeing drop-in outpatients with line/other issues.

The post is offered as a fix term 12 months contract. The post-holder will be allocated an educational supervisor who will assess progress and help mentor the successful candidate.

LEVELS OF RESPONSIBILITY

The post is fully supported, both by the non-medical roles within the nutrition team, but also the specialty doctor and medical/surgical consultants.

TEACHING AND RESEARCH/STUDY AND TRAINING

We have a weekly programme of departmental CPD activity. This includes histopathology and clinical governance meetings, journal article and clinical topic presentations. There are plenty of opportunities to develop teaching skills in ward based or more formal settings, including simulation.

THE LEEDS WAY VALUES

Our values are part of what make us different from other trusts, so we see this as strength, as well as a responsibility. They have been developed by our staff and set out what they see as important to how we work. Our five values are:

Patient-centred

Collaborative

Fair

Accountable

Empowered

All our actions and endeavours will be guided and evaluated through these values

Additionally the following are core values which relate specifically to this post:

The beliefs and attitudes which underpin effective performance within the job role. Emphasis should be on the requirements of the role not the individual when completing this section. Examples might include: quality focus, mistakes are used as a continual learning experience, honesty, integrity etc.

Leeds Teaching Hospitals NHS Trust is part of the West Yorkshire Association of Acute Trusts (WYAAT), a collaborative of the NHS hospital trusts from across West Yorkshire and Harrogate working together to provide the best possible care for our patients.

By bringing together the wide range of skills and expertise across West Yorkshire and Harrogate we are working differently, innovating and driving forward change to deliver the highest quality care. By working for Leeds Teaching Hospitals NHS Trust this is your opportunity to be a part of that change.

WYAAT is the acute sector arm of the West Yorkshire and Harrogate Health and Care Partnership, one of the largest integrated care systems in the country. The Partnerships ambition is for everyone to have the best possible health and wellbeing, and the work of WYAAT, and each individual trust, supports that ambition.

CONDITIONS OF SERVICE

This post is covered by the Hospital Medical and Dental Staff (England and Wales) Terms and Conditions of Service. These documents are available on the Medical Staffing Intranet site.

The post holder is required to be fully registered with the General Medical Council (GMC) and hold a licence to practice.

Standards of Conduct and Behaviour

You are required to work to the standards set out by the General Medical Council in Good Medical Practice. This includes protecting patients when you believe that a doctors or other colleagues conduct, performance or health is a threat to them. If, after establishing the facts, it is necessary, you must follow the Trusts procedures in this matter and inform your Clinical Director or Medical Director in the first instance.

Your general conduct at work should comply with the standards set out in the Trusts document on Appraisal, in particular the section on Core Behaviours.

Leave Arrangements

All leave should be applied for in accordance with the Trusts Leave Policy, normally giving eight weeks notice of any leave, other than in exceptional circumstances.

Person Specification

Eligibility, Fitness to practice, and Language Skills

Essential

• Eligible for full registration with the GMC at time of appointment and hold a current licence to practice
• Eligibility to work in the UK.
• Is up to date and fit to practise safely
• All applicants to have demonstrable skills in written and spoken English adequate to enable effective communication about medical topics with patients and colleagues demonstrated
• Meets professional health requirements (in line with GMC standards/Good Medical Practice)

Qualifications

Essential

• Primary Medical Qualification

Desirable

• MRCP (UK)

Experience

Essential

• Evidence of achievement of CT1&2 level competencies in medicine (as defined by the curricula relating to Core Medical training)
• Ability to provide complete details of employment history
• Evidence that career progression is consistent with personal circumstances
• Evidence that present achievement and performance is commensurate with totality of period of training

Desirable

• MRCP full diploma or equivalent

Clinical, Academic, and Personal

Desirable

• At least 6 months experience in gastroenterology/nutrition

Optional

Desirable

• Demonstrates awareness of the basics of managing medical/surgical conditions, including emergencies.

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).

Employer details

Employer name

Leeds Teaching Hospitals

Address

St. James's University Hospital

Beckett Street

Leeds

LS9 7TF

Employer's website

https://www.leedsth.nhs.uk/ (Opens in a new tab)