Job summary
Job
Title: Clinical Fellowship Transplant Hepatology
Specialty/Department:
Department of Hepatology
Location:
Leeds Liver Unit, St Jamess University Hospital
Salary:
Dependent on Experience
Open
to ST4 -ST8 grades (or equivalent)
Applications
are invited for a Clinical Fellowship available from September 2025 for 12
months (subject to satisfactory progression) in the Department of Hepatology at
St Jamess University Hospital, Leeds.
This
is an exciting opportunity to train in one of the leading UK Hepatology centres
and contribute to the Leeds Liver Units international reputation for
transplantation.
The
successful candidate will gain experience in all aspects of Hepatology
including the assessment of patients with acute and sub-acute liver failure,
assessment of patients for treatments such as liver transplantation and TIPSS,
patients with a wide variety of complex general Hepatological conditions and
with viral hepatitis. This is a clinical post and the fellow will join the out
of hours rota and have the opportunity to undertake audit and contribute to
ongoing projects in the department.
The
Department is affiliated to the University of Leeds with the MRC funded Centre
for Bioinformatics, the Leeds Institute of Data Analysis and the NIHR funded
Diagnostic Evaluation Co-operative.
Candidates
should hold full license to practice with the UK General Medical.
Basic salary scale will depend upon experience. An out
of hours banding supplement will also apply.
Main duties of the job
The
successful candidate will contribute to the out of hours rota (1 in 9;
resident) on the same basis as other trainees in the department, at registrar
level responsibility. This is a single tier rota and appropriate experience in
medical specialty training is highly desirable.
The
successful applicant will contribute to the inpatient service delivering care
of Liver Transplant and Hepatology patients. They will contribute to the Liver
Units medical out of hours rota. There will also be the opportunity to
participate in specialty clinics such as viral hepatitis, immune hepatology,
primary liver cancer and portal hypertension. The appointee will also
contribute to the care of patients in the Intensive Care Unit post liver
transplant or because of acute liver failure. The Department is also expanding
its Community Hepatology service and the appointee would also contribute to
this service.
Other opportunities for learning include a weekly
radiology meeting, a weekly pathology case conference, the transplant MDT
meeting and a weekly training meeting with a wide variety of topics covered
over the year.
About us
THE
LEEDS WAY VALUES
Our
values are part of what make us different from other trusts, so we see this as
a 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
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.
Leeds Teaching Hospitals is committed to our process
of redeploying 'at risk' members of our existing workforce to new roles. As
such, all our job adverts are subject to this policy and we reserve the right
to close, delay or remove adverts while this process is completed. If you do
experience a delay in the shortlisting stage of the recruitment cycle, please
bear with us while this process is completed, and contact the named contact if
you have any questions.
Job description
Job responsibilities
MEDICAL
STAFF IN THE DEPARTMENT
There
are 9 full-time Consultant Hepatologists, 1 part-time Consultant Hepatologist,
an Academic Consultant Hepatologist in the University of Leeds and a Specialty
Doctor making up the senior team within the department.
In
addition we have 6 specialist registrars on deanery accredited training
schemes, 4 fellows (clinical/clinical-research) and 2 internal medicine
trainees. The trainees all participate in a resident on call rota compliant
with the European Working Time Directive and also gain training and experience
through outpatient clinics. The consultants operate a consultant of the week on
call system and lead daily ward rounds including at weekends.
There
is a formal system for supervision and appraisal.
The
Specialist nurse (CNS) teams include the recipient transplant co-ordinators,
hepatology CNSs, substance misuse CNSs and viral hepatitis CNSs.
DUTIES
OF THE POST
The
successful candidate will contribute to the out of hours rota (1 in 9;
resident) on the same basis as other trainees in the department, at registrar
level responsibility. This is a single tier rota and appropriate experience in
medical specialty training is highly desirable.
The
successful applicant will contribute to the inpatient service delivering care
of Liver Transplant and Hepatology patients. They will contribute to the Liver
Units medical out of hours rota. There will also be the opportunity to
participate in specialty clinics such as viral hepatitis, immune hepatology,
primary liver cancer and portal hypertension. The appointee will also
contribute to the care of patients in the Intensive Care Unit post liver
transplant or because of acute liver failure. The Department is also expanding
its Community Hepatology service and the appointee would also contribute to
this service.
Other
opportunities for learning include a weekly radiology meeting, a weekly
pathology case conference, the transplant MDT meeting and a weekly training
meeting with a wide variety of topics covered over the year.
LEVELS
OF RESPONSIBILITY
The
successful candidate will report to a clinical supervisor and the Lead
Clinician for the overall running and governance of the department. All
consultants deliver clinical training and supervision. The successful candidate is expected to
comply with the departments leave guidance and has a responsibility to ensure
that patient care comes first.
TEACHING
AND RESEARCH/STUDY AND TRAINING
All
trainees have an assigned supervisor and undergo regular appraisal.
A
monthly governance meeting is held in the Department of Hepatology or the Liver
transplant programme, providing a well-structured audit and learning
environment. Participation in the hospitals mandatory audit programme and
governance meetings is expected.
The
successful applicant will have the opportunity to contribute to audit or a
clinical project within the department should they wish. Enthusiasm to conduct
an audit or clinical research project will be welcomed and encouraged.
All
new starters to the Leeds Teaching Hospitals NHS Trust undertake a corporate
induction, and there is a well-developed programme of e-learning packages to
support education in essential areas such as infection control. The Liver Unit
has an intranet site currently holding transplant medicine guidelines and
developing as a site for other departmental guidelines. In addition the trust
provides a web-based clinical guideline programme and access to Up-to-Date for
all members of staff. There is a clinical sciences library based on site.
Job description
Job responsibilities
MEDICAL
STAFF IN THE DEPARTMENT
There
are 9 full-time Consultant Hepatologists, 1 part-time Consultant Hepatologist,
an Academic Consultant Hepatologist in the University of Leeds and a Specialty
Doctor making up the senior team within the department.
In
addition we have 6 specialist registrars on deanery accredited training
schemes, 4 fellows (clinical/clinical-research) and 2 internal medicine
trainees. The trainees all participate in a resident on call rota compliant
with the European Working Time Directive and also gain training and experience
through outpatient clinics. The consultants operate a consultant of the week on
call system and lead daily ward rounds including at weekends.
There
is a formal system for supervision and appraisal.
The
Specialist nurse (CNS) teams include the recipient transplant co-ordinators,
hepatology CNSs, substance misuse CNSs and viral hepatitis CNSs.
DUTIES
OF THE POST
The
successful candidate will contribute to the out of hours rota (1 in 9;
resident) on the same basis as other trainees in the department, at registrar
level responsibility. This is a single tier rota and appropriate experience in
medical specialty training is highly desirable.
The
successful applicant will contribute to the inpatient service delivering care
of Liver Transplant and Hepatology patients. They will contribute to the Liver
Units medical out of hours rota. There will also be the opportunity to
participate in specialty clinics such as viral hepatitis, immune hepatology,
primary liver cancer and portal hypertension. The appointee will also
contribute to the care of patients in the Intensive Care Unit post liver
transplant or because of acute liver failure. The Department is also expanding
its Community Hepatology service and the appointee would also contribute to
this service.
Other
opportunities for learning include a weekly radiology meeting, a weekly
pathology case conference, the transplant MDT meeting and a weekly training
meeting with a wide variety of topics covered over the year.
LEVELS
OF RESPONSIBILITY
The
successful candidate will report to a clinical supervisor and the Lead
Clinician for the overall running and governance of the department. All
consultants deliver clinical training and supervision. The successful candidate is expected to
comply with the departments leave guidance and has a responsibility to ensure
that patient care comes first.
TEACHING
AND RESEARCH/STUDY AND TRAINING
All
trainees have an assigned supervisor and undergo regular appraisal.
A
monthly governance meeting is held in the Department of Hepatology or the Liver
transplant programme, providing a well-structured audit and learning
environment. Participation in the hospitals mandatory audit programme and
governance meetings is expected.
The
successful applicant will have the opportunity to contribute to audit or a
clinical project within the department should they wish. Enthusiasm to conduct
an audit or clinical research project will be welcomed and encouraged.
All
new starters to the Leeds Teaching Hospitals NHS Trust undertake a corporate
induction, and there is a well-developed programme of e-learning packages to
support education in essential areas such as infection control. The Liver Unit
has an intranet site currently holding transplant medicine guidelines and
developing as a site for other departmental guidelines. In addition the trust
provides a web-based clinical guideline programme and access to Up-to-Date for
all members of staff. There is a clinical sciences library based on site.
Person Specification
Eligibility, Fitness to practice, and Language Skills
Essential
- Be eligible for full registration with, and hold a current Licence to Practise from, the GMC at intended start date
- MDU/MPS or equivalent
- Is up to date and fit to practise safely and is aware of own training needs.
- All applicants to have demonstrable skills in written and spoken English adequate to enable effective communication about medical topics with patients and colleagues
- Demonstrates clarity in written/spoken communication & capacity to adapt language as appropriate to the situation
- Able to build rapport, listen, persuade & negotiate. Professional telephone manner
Qualifications
Essential
- Primary Medical Degree
- Completion of Foundation Training or equivalent
- Advanced Life Support Certificate from the Resuscitation Council UK or equivalent (as required to complete Foundation competences) by intended start date
Desirable
- Holding national training number in gastroenterology looking for (and able to take) out of programme experience.
Clinical, Academic, and Personal Skills
Essential
- Ability to apply sound clinical knowledge and judgement to problems. Ability to prioritise clinical need. Ability to maximise safety and minimise risk
- Recognition of, and ability to undertake the initial management of, an acutely ill patient
- Experience in managing complications of cirrhosis.
- Ability to manage acute GI haemorrhage
- Competent at independent insertion of paracentesis drains.
- Demonstrates understanding of research, including awareness of ethical issues
- Demonstrates understanding of the basic principles of audit, clinical risk management, evidence-based practice, patient safety, and clinical quality improvement initiatives
- Demonstrates knowledge of evidence-informed practice.Must have evidence of participation in clinical governance and clinical audit.
- Willingness to undertake undergraduate teaching.
- Capacity to use logical/lateral thinking to solve problems/make decisions, indicating an analytical/scientific approach. Capacity to bring a range of approaches to problem solving
Desirable
- Aptitude for practical skills, e.g. manual dexterity
- Successful completion of relevant skills course(s),
- Ability to receive clinical information from telephone referral service
- Evidence of relevant academic and research achievements, e.g. degrees, prizes, awards, distinctions, publications, presentations, other achievements
- Evidence of involvement in an audit project, a quality improvement project, formal research project or other activity which: focuses on patient safety and clinical improvement
- demonstrates an interest in and commitment to the specialty beyond the mandatory curriculum
- Evidence of interest in, and experience of teaching
- Evidence of feedback for teaching
- Instructor status (or a recommendation for instructor status) in an advanced life support course (ALS, ATLS, EPLS, APLS) or equivalent course
Experience
Essential
- 4 years experience after full GMC registration or equivalent, and evidence of achievement of foundation competences, in line with GMC standards / Good Medical Practice
- Evidence of achievement of CT/ST1competencies in medicine (as defined by the curricula relating to Core Medical training)
- Previous experience in gastroenterology and/or hepatology in core training post.
- At least 4 years experience in medical specialities by the time of intended start date
- Evidence that present achievement andperformance is commensurate with totality of their period of training
- Evidence that career progression is consistent with personal circumstances
- Able to work in multi-professional teams & supervise junior medical staff. Ability to show leadership, make decisions, organise and motivate other team members for the benefit of patients through, f
Desirable
- Higher specialist training in gastroenterology or hepatology (holding national training number or CCT).
- Experience in upper GI endoscopy.
- Experience in working in acute general medicine.
Additional Requirements
Essential
- Capacity to manage/prioritise time and information effectively. Capacity to prioritise own workload & organise ward rounds. Capacity to operate under pressure
- Evidence of thoroughness (is well prepared, shows self discipline/ commitment, is punctual and meets deadlines)
- Capacity to monitor developing situations and anticipate issues
- Demonstrates initiative & resilience to cope with changing circumstances
- Is able to deliver good clinical care in the face of uncertainty
- Take responsibility for own actions.
- Demonstrates probity (displays honesty, integrity, aware of ethical dilemmas, respects confidentiality)
- Demonstrates respect for all. Capacity to take in others perspectives and treat others with understanding; sees patients as people.
- Demonstrates awareness of ethical principles, safety, confidentiality & consent.
Person Specification
Eligibility, Fitness to practice, and Language Skills
Essential
- Be eligible for full registration with, and hold a current Licence to Practise from, the GMC at intended start date
- MDU/MPS or equivalent
- Is up to date and fit to practise safely and is aware of own training needs.
- All applicants to have demonstrable skills in written and spoken English adequate to enable effective communication about medical topics with patients and colleagues
- Demonstrates clarity in written/spoken communication & capacity to adapt language as appropriate to the situation
- Able to build rapport, listen, persuade & negotiate. Professional telephone manner
Qualifications
Essential
- Primary Medical Degree
- Completion of Foundation Training or equivalent
- Advanced Life Support Certificate from the Resuscitation Council UK or equivalent (as required to complete Foundation competences) by intended start date
Desirable
- Holding national training number in gastroenterology looking for (and able to take) out of programme experience.
Clinical, Academic, and Personal Skills
Essential
- Ability to apply sound clinical knowledge and judgement to problems. Ability to prioritise clinical need. Ability to maximise safety and minimise risk
- Recognition of, and ability to undertake the initial management of, an acutely ill patient
- Experience in managing complications of cirrhosis.
- Ability to manage acute GI haemorrhage
- Competent at independent insertion of paracentesis drains.
- Demonstrates understanding of research, including awareness of ethical issues
- Demonstrates understanding of the basic principles of audit, clinical risk management, evidence-based practice, patient safety, and clinical quality improvement initiatives
- Demonstrates knowledge of evidence-informed practice.Must have evidence of participation in clinical governance and clinical audit.
- Willingness to undertake undergraduate teaching.
- Capacity to use logical/lateral thinking to solve problems/make decisions, indicating an analytical/scientific approach. Capacity to bring a range of approaches to problem solving
Desirable
- Aptitude for practical skills, e.g. manual dexterity
- Successful completion of relevant skills course(s),
- Ability to receive clinical information from telephone referral service
- Evidence of relevant academic and research achievements, e.g. degrees, prizes, awards, distinctions, publications, presentations, other achievements
- Evidence of involvement in an audit project, a quality improvement project, formal research project or other activity which: focuses on patient safety and clinical improvement
- demonstrates an interest in and commitment to the specialty beyond the mandatory curriculum
- Evidence of interest in, and experience of teaching
- Evidence of feedback for teaching
- Instructor status (or a recommendation for instructor status) in an advanced life support course (ALS, ATLS, EPLS, APLS) or equivalent course
Experience
Essential
- 4 years experience after full GMC registration or equivalent, and evidence of achievement of foundation competences, in line with GMC standards / Good Medical Practice
- Evidence of achievement of CT/ST1competencies in medicine (as defined by the curricula relating to Core Medical training)
- Previous experience in gastroenterology and/or hepatology in core training post.
- At least 4 years experience in medical specialities by the time of intended start date
- Evidence that present achievement andperformance is commensurate with totality of their period of training
- Evidence that career progression is consistent with personal circumstances
- Able to work in multi-professional teams & supervise junior medical staff. Ability to show leadership, make decisions, organise and motivate other team members for the benefit of patients through, f
Desirable
- Higher specialist training in gastroenterology or hepatology (holding national training number or CCT).
- Experience in upper GI endoscopy.
- Experience in working in acute general medicine.
Additional Requirements
Essential
- Capacity to manage/prioritise time and information effectively. Capacity to prioritise own workload & organise ward rounds. Capacity to operate under pressure
- Evidence of thoroughness (is well prepared, shows self discipline/ commitment, is punctual and meets deadlines)
- Capacity to monitor developing situations and anticipate issues
- Demonstrates initiative & resilience to cope with changing circumstances
- Is able to deliver good clinical care in the face of uncertainty
- Take responsibility for own actions.
- Demonstrates probity (displays honesty, integrity, aware of ethical dilemmas, respects confidentiality)
- Demonstrates respect for all. Capacity to take in others perspectives and treat others with understanding; sees patients as people.
- Demonstrates awareness of ethical principles, safety, confidentiality & consent.
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).
