Job summary
We aim to provide a high-quality patient experience and an excellent place to work for all staff. We believe that the key to improved patient and staff experience is a high quality, efficient and patient-centred pathway, in which the patient sees the 'right doctor, first time'.
The Gastroenterology department is primarily based at St Peter's with outpatient clinics at the St Peter's and Ashford sites.
Inpatient care is provided on a 22 bedded ward (Cedar Ward). The team provides in-reach support to the acute medical unit, surgical assessment unit, along with other medical and surgical wards. In common with other Trusts, we have a consultant-delivered service in line with the Keogh recommendations. The goal to implement consultant of the week ward cover is a key driver for the new posts. The department has provided consultant led seven-day care for a number of years.
St Peter's has a fully equipped, JAG-accredited endoscopy unit with three rooms within the endoscopy suite and state-of-the-art Pentax video endoscopy equipment (including Scope-pilot for colonoscopies). We are able to perform a full range of diagnostic and therapeutic endoscopies, including ERCP, EUS and colonic, gastric, and duodenal EMR, stenting, push enteroscopy, single balloon enteroscopy and bariatric endoscopy.
We have an established small bowel capsule service; and also provide capsule colonoscopy. are a bowel cancer screening site with dedicated lists to accommodate this.
Main duties of the job
- Deliver Clinical, Educational, Managerial Services of the highest professional standard at Consultant Level to the Department
- Work with existing consultants and the multi-disciplinary team to provide a high quality well-led service for patients of Ashford & St Peter's, including the diagnosis, investigations, treatment and management of patients, in accordance with Trust policies and practices.
- Deliver Direct Clinical Care to patients, through all parts of the Department assisting clinical decision-making and sharing equally in the workload
- To deliver quality care for Gastroenterology patients within the Gastroenterology department in a team with the other Gastroenterology Consultants
- To provide excellent care for patients undergoing endoscopy
- To take part in teaching and supervision of junior doctors and medical students.
- To participate in the Gastroenterology/Endoscopy seven day on-call service
- To support service development, audit and other clinical governance activity; to ensure compliance with JAG quality measure
- Participate in the professional training of the staff in the department, both medical and non-medical, and contribute as required to teaching sessions for other hospital staff as well as undergraduate and postgraduate staff, including supervision of junior medical staff. Teaching and training will require verification of teaching certification
- Support recruitment, appraisal, development and mentoring activities to a multi-disciplinary, multi-professional team.
About us
Ashford and St. Peters Hospitals NHS Foundation Trust serves a population of more than 410,000 people living in North-West Surrey, parts of Hounslow and beyond.
Over 3,700 highly trained doctors, nurses, midwives, therapists, healthcare scientists and other support staff make up our workforce, providing a wide range of services across our two hospital sites, Ashford, Surrey and St Peter's, Chertsey, Surrey.
We also run many specialist clinics in the community and local community hospitals and other healthcare facilities.
Our vision is to be one of the best healthcare Trusts in the country. There has never been a better time to join us in the NHS at ASPH. We are committed to providing continuous professional development, staff benefits and flexibility to shape our workforce around our patient care.
This is an exciting time to join our Trust, as we work on the expansion of our theatres at Ashford Hospital and move towards this becoming our dedicated elective centre. We want to create a state-of-the-art centre for excellence for planned surgical procedures; with care delivered by dedicated, specialist teams in a modern and well-equipped environment.
We hope to use this centre to create an environment of learning and to facilitate training of the next generation of our skilled NHS workforce. Our plans are ambitious - why not, come and be a part of our journey.
Adverts may close early, so applicants are encouraged to submit an application as soon as possible.
Job description
Job responsibilities
Deliver Clinical, Educational, Managerial Services of the highest professional standard at Consultant Level to the Department
- Work with existing consultants and the multi-disciplinary team to provide a high quality well-led service for patients of Ashford & St Peters, including the diagnosis, investigations, treatment and management of patients, in accordance with Trust policies and practices.
- Deliver Direct Clinical Care to patients, through all parts of the Department assisting clinical decision-making and sharing equally in the workload.
- The Consultant team will provide comprehensive senior clinical cover to the Department.
- To deliver quality care for Gastroenterology patients within the Gastroenterology department in a team with the other Gastroenterology Consultants.
- To triage referrals to the Gastroenterology Department
- To provide excellent care for patients undergoing endoscopy
- To take part in teaching and supervision of junior doctors and medical students.
- To participate in the Gastroenterology/Endoscopy seven day on-call service
- To support service development, audit and other clinical governance activity; to ensure compliance with JAG quality measures.
- Any changes will be by negotiation and will be reflected in the job plans of the team.
- Have a continuing responsibility for the care of patients in his/her charge, ensuring safe handover as appropriate.
- Engage fully with the care of patients outside the department and provide a prompt opinion on request from consultant colleagues in other specialties.
- Engage with medical, nursing, management and all relevant co-workers in the delivery of department objectives: to provide clinical leadership, improve the patient experience; ensure the highest quality clinical care.
- Actively participate in and support other staff with education, research, audit and clinical governance activities involving a multi-disciplinary workforce across the department
- Participate in the professional training of the staff in the department, both medical and non-medical, and contribute as required to teaching sessions for other hospital staff as well as undergraduate and postgraduate staff, including supervision of junior medical staff. Teaching and training will require verification of teaching certification
- Support recruitment, appraisal, development and mentoring activities to a multi-disciplinary, multi-professional team.
- Undertake any other duties appropriate for a consultant.
LEARNING, DEVELOPMENT AND RESEARCH
- The Trust encourages and supports consultants with a special interest to develop their interest, where it meets department objectives, and can be audited and reviewed, and provide learning opportunities for other staff.
- Participate in clinical audit activities of the department and hospitals, ensuring record-keeping is effective.
- Undertake research and develop special interests within the limits of clinical and service workload.
- Undertake continuing medical education internally and externally with study leave entitlement as appropriate.
SUPPORTING PROFESSIONAL ACTIVITIES (SPA):
ASPH is committed to ensuring that all Consultants have two dedicated SPAs within their job plan. Specific responsibilities will be developed on appointment and according to areas of interest, but Supporting Professional Activities (SPAs) are intended to include
- Audit, research, and local clinical governance activity
- Formal teaching and preparation (e.g., giving lectures, seminars)
- Post-graduate teaching, and training (e.g., of junior doctors, medical students)
- external teaching and education delivery (e.g., ATLS, APLS)
- Clinical management, attendance at departmental and trust meetings
- Appraisal, Job planning and rota organisation
- Service development, quality improvement work, Major incident planning
SPA activity will be scheduled based on individual preference, and to meet the needs of the service.
4.3 THE JOB PLAN
The Job Plan has 8.5 PAs of Direct Clinical Care (DCC) (including 0.5 PA for out of hours GI bleed cover) and 2 Supporting Professional Activities (SPA) which will be organised on a 6-week rota. The rota allows for consultants to alternate working on busy and less busy days in order to equalise workloads.
A specific job plan will be agreed with the appointed consultant and to meet the needs of the service. The Job Plan will be reviewed annually
Ward week.
Sat 1.66 PAs 8am 1pm & out of hours on call for GI bleeds.
Sun 1.66 PAs 8am 1pm & out of hours on call for GI bleeds.
Mon to Friday 2.25 PAs each day for ward round of the Gastroenterology ward, in reach into Clinical Assessment Unit and for in hours GI bleed on-call.
Weeks 2 to 6;
2 clinics & 1-2 endoscopy sessions a week.
The above is for a 10.5PA a week job plan however if the candidate wishes to perform an additional Direct Clinical care activity, then this will be welcomed and appropriately job planned.
Ward Week
AM
PM
Monday
Ward Round 1 PA
In-reach (CAU/other wards) 0.5 PA
In hours GI bleed 0.75 PA
Tuesday
Ward Round 1 PA
In-reach (CAU/other wards) 0.5 PA
In hours GI bleed 0.75 PA
Wednesday
Ward Round 1 PA
In-reach (CAU/other wards) 0.5 PA
In hours GI bleed 0.75 PA
Thursday
Ward Round 1 PA
In-reach (CAU/other wards) 0.5 PA
In hours GI bleed 0.75 PA
Friday
Ward Round 1 PA
In-reach (CAU/other wards) 0.5 PA
In hours GI bleed 0.75 PA
Saturday
Ward Round (Gastro Ward) & In reach 1.66PA
Sunday
Ward Round (Gastro Ward) & In reach 1.66PA
Weeks 2-6
AM
PM
Monday
SPA 1PA
MDT 1 PA
Tuesday
Speciality 1PA
Clinic 1PA
Wednesday
Admin 1PA
Endoscopy 1PA
Thursday
Clinic 1PA
Friday
SPA 1PA
Endoscopy 1PA
Following the ward week and weekend on call, provision will be made for rest in week 2 and also for lost SPA sessions from the ward week in weeks 2-6. Midweek out of hours GI bleed on-calls will be scheduled to allow for rest if needed the following day.
During weeks 2 to 6 there will be the expectation to cover two clinics and one to two endoscopy sessions a week in conjunction with the administrative and specialised programmed activity sessions.
Supporting Professional Activities (SPAs) are intended to cover formal post-graduate teaching, audit, research, appraisal and clinical management as required. The balance of sessions between Ashford & St. Peters is flexible. Teaching and training will require verification of teaching certification.
TOTAL 10.5 PAs consisting of 8.5 DCC and 2 SPA
Consultant On-Call Rota (Frequency of rota/detail of rota)
The post holder will be required to participate in the department rota on a 1:8 basis. The on-call availability supplement will be Category A (5%). The PAs may be adjusted, subject to the job-plan and agreed work commitment, such as prospective colleague cover and additional duties. Clinical activity will be scheduled to avoid face to face clinical activity post GI Bleed on calls
The Trust aims to implement a consultant rota that provides weekend cover and Consultant presence in the department.
Ward Activity Days
Ward activity days will include ward round on Cedar Ward, in-reach into the Clinical Assessment Unit and other clinical areas: including medical wards, surgical wards, emergency department and ambulatory emergency care unit as necessary and in hours GI bleed cover.
Job description
Job responsibilities
Deliver Clinical, Educational, Managerial Services of the highest professional standard at Consultant Level to the Department
- Work with existing consultants and the multi-disciplinary team to provide a high quality well-led service for patients of Ashford & St Peters, including the diagnosis, investigations, treatment and management of patients, in accordance with Trust policies and practices.
- Deliver Direct Clinical Care to patients, through all parts of the Department assisting clinical decision-making and sharing equally in the workload.
- The Consultant team will provide comprehensive senior clinical cover to the Department.
- To deliver quality care for Gastroenterology patients within the Gastroenterology department in a team with the other Gastroenterology Consultants.
- To triage referrals to the Gastroenterology Department
- To provide excellent care for patients undergoing endoscopy
- To take part in teaching and supervision of junior doctors and medical students.
- To participate in the Gastroenterology/Endoscopy seven day on-call service
- To support service development, audit and other clinical governance activity; to ensure compliance with JAG quality measures.
- Any changes will be by negotiation and will be reflected in the job plans of the team.
- Have a continuing responsibility for the care of patients in his/her charge, ensuring safe handover as appropriate.
- Engage fully with the care of patients outside the department and provide a prompt opinion on request from consultant colleagues in other specialties.
- Engage with medical, nursing, management and all relevant co-workers in the delivery of department objectives: to provide clinical leadership, improve the patient experience; ensure the highest quality clinical care.
- Actively participate in and support other staff with education, research, audit and clinical governance activities involving a multi-disciplinary workforce across the department
- Participate in the professional training of the staff in the department, both medical and non-medical, and contribute as required to teaching sessions for other hospital staff as well as undergraduate and postgraduate staff, including supervision of junior medical staff. Teaching and training will require verification of teaching certification
- Support recruitment, appraisal, development and mentoring activities to a multi-disciplinary, multi-professional team.
- Undertake any other duties appropriate for a consultant.
LEARNING, DEVELOPMENT AND RESEARCH
- The Trust encourages and supports consultants with a special interest to develop their interest, where it meets department objectives, and can be audited and reviewed, and provide learning opportunities for other staff.
- Participate in clinical audit activities of the department and hospitals, ensuring record-keeping is effective.
- Undertake research and develop special interests within the limits of clinical and service workload.
- Undertake continuing medical education internally and externally with study leave entitlement as appropriate.
SUPPORTING PROFESSIONAL ACTIVITIES (SPA):
ASPH is committed to ensuring that all Consultants have two dedicated SPAs within their job plan. Specific responsibilities will be developed on appointment and according to areas of interest, but Supporting Professional Activities (SPAs) are intended to include
- Audit, research, and local clinical governance activity
- Formal teaching and preparation (e.g., giving lectures, seminars)
- Post-graduate teaching, and training (e.g., of junior doctors, medical students)
- external teaching and education delivery (e.g., ATLS, APLS)
- Clinical management, attendance at departmental and trust meetings
- Appraisal, Job planning and rota organisation
- Service development, quality improvement work, Major incident planning
SPA activity will be scheduled based on individual preference, and to meet the needs of the service.
4.3 THE JOB PLAN
The Job Plan has 8.5 PAs of Direct Clinical Care (DCC) (including 0.5 PA for out of hours GI bleed cover) and 2 Supporting Professional Activities (SPA) which will be organised on a 6-week rota. The rota allows for consultants to alternate working on busy and less busy days in order to equalise workloads.
A specific job plan will be agreed with the appointed consultant and to meet the needs of the service. The Job Plan will be reviewed annually
Ward week.
Sat 1.66 PAs 8am 1pm & out of hours on call for GI bleeds.
Sun 1.66 PAs 8am 1pm & out of hours on call for GI bleeds.
Mon to Friday 2.25 PAs each day for ward round of the Gastroenterology ward, in reach into Clinical Assessment Unit and for in hours GI bleed on-call.
Weeks 2 to 6;
2 clinics & 1-2 endoscopy sessions a week.
The above is for a 10.5PA a week job plan however if the candidate wishes to perform an additional Direct Clinical care activity, then this will be welcomed and appropriately job planned.
Ward Week
AM
PM
Monday
Ward Round 1 PA
In-reach (CAU/other wards) 0.5 PA
In hours GI bleed 0.75 PA
Tuesday
Ward Round 1 PA
In-reach (CAU/other wards) 0.5 PA
In hours GI bleed 0.75 PA
Wednesday
Ward Round 1 PA
In-reach (CAU/other wards) 0.5 PA
In hours GI bleed 0.75 PA
Thursday
Ward Round 1 PA
In-reach (CAU/other wards) 0.5 PA
In hours GI bleed 0.75 PA
Friday
Ward Round 1 PA
In-reach (CAU/other wards) 0.5 PA
In hours GI bleed 0.75 PA
Saturday
Ward Round (Gastro Ward) & In reach 1.66PA
Sunday
Ward Round (Gastro Ward) & In reach 1.66PA
Weeks 2-6
AM
PM
Monday
SPA 1PA
MDT 1 PA
Tuesday
Speciality 1PA
Clinic 1PA
Wednesday
Admin 1PA
Endoscopy 1PA
Thursday
Clinic 1PA
Friday
SPA 1PA
Endoscopy 1PA
Following the ward week and weekend on call, provision will be made for rest in week 2 and also for lost SPA sessions from the ward week in weeks 2-6. Midweek out of hours GI bleed on-calls will be scheduled to allow for rest if needed the following day.
During weeks 2 to 6 there will be the expectation to cover two clinics and one to two endoscopy sessions a week in conjunction with the administrative and specialised programmed activity sessions.
Supporting Professional Activities (SPAs) are intended to cover formal post-graduate teaching, audit, research, appraisal and clinical management as required. The balance of sessions between Ashford & St. Peters is flexible. Teaching and training will require verification of teaching certification.
TOTAL 10.5 PAs consisting of 8.5 DCC and 2 SPA
Consultant On-Call Rota (Frequency of rota/detail of rota)
The post holder will be required to participate in the department rota on a 1:8 basis. The on-call availability supplement will be Category A (5%). The PAs may be adjusted, subject to the job-plan and agreed work commitment, such as prospective colleague cover and additional duties. Clinical activity will be scheduled to avoid face to face clinical activity post GI Bleed on calls
The Trust aims to implement a consultant rota that provides weekend cover and Consultant presence in the department.
Ward Activity Days
Ward activity days will include ward round on Cedar Ward, in-reach into the Clinical Assessment Unit and other clinical areas: including medical wards, surgical wards, emergency department and ambulatory emergency care unit as necessary and in hours GI bleed cover.
Person Specification
Essential and Desirable
Essential
- oCertificate of Completion of Specialist Training (or CCT) by the time of taking up the post or be accredited for inclusion on the General Medical Council's Specialist Register. oFully registered with the General Medical Council
Essential
Essential
- oProviding direct clinical care oActive participation in clinical audit oExperience in developing effective and collaborative working relationships.
Person Specification
Essential and Desirable
Essential
- oCertificate of Completion of Specialist Training (or CCT) by the time of taking up the post or be accredited for inclusion on the General Medical Council's Specialist Register. oFully registered with the General Medical Council
Essential
Essential
- oProviding direct clinical care oActive participation in clinical audit oExperience in developing effective and collaborative working relationships.
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).
