An excellent opportunity has arisen to join our expanding patient centred and supportive Gastroenterology department at Blackpool Teaching Hospitals NHS Foundation Trust. Our hard-working and forward-thinking team are keen to develop the Gastroenterology and Liver service and would welcome similar minded candidates to join our department. This is an exciting time to join us with opportunity to support outpatient transformation as part of a blended workforce as we develop our Luminal and Liver services and establish novel outpatient pathways. Our Gastroenterology and Liver service is one of the busiest in the UK – we offer a broad range of diagnostic and therapeutic services for all gastroenterological conditions. Our JAG accredited, performance driven and patient centred Endoscopy unit delivers approximately 15,000 procedures per annum and is a spoke centre for the North-West Endoscopy training academy and is the admin hub for Bowel cancer screening within the Lancashire region. The post holder is expected to have a broad experience of Gastroenterology, Hepatology and Endoscopy, contributing to the core Gastroenterology elective and emergency service whilst having a specialist interest in ERCP and EUS service delivery and development. The post-holder will contribute to outpatient activity providing outpatient clinics, advice and guidance to General practitioners and triage of referrals through a Clinical assessment service and will be responsible for managing their own cohort of outpatient Gastroenterology and hepato-pancreato-biliary patients. A commitment to Endoscopy is expected and with appropriate allocation in the job plan the candidate will make an equal contribution to the care of Gastroenterology inpatients and the out-of-hours GI-Bleed endoscopy service which is 1:6 at present with plans to transition to a 1:8 model with further recruitment. The post holder will be required to manage the care of the non-GI related patients who are currently admitted to the Gastroenterology ward, however there are ongoing discussions to reduce our current bed base so as to allow us to focus on the care of Gastroenterology and Hepatology inpatients and provide a Gastroenterology and Hepatology in-reach service. The post-holder will contribute to teaching and training / supervision of doctors, Endoscopists and Specialist Nurses – support to become an Educational Supervisor and trainer in Endoscopy will be provided. Indicative Job Plan There is shared care of inpatients under the Gastroenterology team on the Gastroenterology ward with a Consultant currently being ward based for 1 week out of every 6 weeks. The appointee will make an equal contribution to the care of Gastroenterology inpatients and the out-of-hours GI-Bleed endoscopy service which is 1:6 at present with plans to transition to a 1:8 model with further recruitment. All on-call weeks are followed by a post-on-call (POC) week followed by standard normal weeks until the next on-call cycle. Elective activity (outpatient clinics, endoscopy lists) is mainly concentrated in the 5-week period off the ward. ON-CALL WK JOB PLAN Monday Tuesday Wednesday Thursday Friday AM WARD WARD WARD WARD WARD PM INPATIENT REFERRALS ADMIN INPATIENT REFERRALS INPATIENT ENDOSCOPY INPATIENT REFERRALS POC WEEK JOB PLAN nday Tuesday Wednesday Thursday Friday AM CAS TRIAGE / A&G SPA INPATIENT ENDOSCOPY POC CLINIC ERCP PM ADMIN POC CLINIC CAS TRIAGE / A&G OFF ADMIN/SPA STANDARD WEEK JOB PLAN AM ENDOSCOPY EUS ERCP / SPA PANCREATO-BILIARY CLINIC ERCP PM ADMIN GASTRO CLINIC SPA OFF ADMIN The Department of Gastroenterology is part of the Surgery, Anaesthetics, Critical Care and Theatres (SACCT) Division and physically comprises a Gastroenterology and Endoscopy Unit and a Gastroenterology ward. We offer a consulting service in Gastroenterology and Hepatology with dedicated IBD, Nutrition and Liver clinics. The current Gastroenterology workforce comprises 6.8 whole time equivalent (WTE) Consultants, 3 Specialist Trainees (from the North-West Deanery) and 2 Trust Grade Registrars/Clinical Fellow equivalent. We are also supported by 3 IMT and 2 FY1 doctors who are ward based. Our Gastroenterology Registrars rotate between the existing Gastroenterology Consultants on a 4-monthly basis. Experienced secretarial support is provided to each Consultants on a 2:1 ratio with each secretary further supported by additional Admin support and typists. We have 3 IBD Specialist Nurses, 3 Nutrition Specialist Nurses, 3 Upper GI CNS, 3 Liver Specialist Nurses and 4.5 WTE Alcohol support liaison nurses. We are in the process of recruiting two UGI/Pancreatic/NSS pathway ACPs to support these cancer pathways. Endoscopy Our large JAG accredited Endoscopy unit has 5 Endoscopy procedural rooms with funding secured for expansion of the unit with addition of a 6th Endoscopy procedural room in 2023. Endoscopy recovery and restoration is also being supported through activity at a temporary modular unit run by an insourcing company until January 2024. We are a performance driven and responsive service utilising an Endoscopy performance dashboard to improve and maintain standards. The appointee will assist the Endoscopy unit in providing a high-quality endoscopy service maintaining best practice with reference to standards outlined by the JAG global rating scale (GRS) for endoscopy We carry out approximately 15,000 endoscopic procedures per annum and are a spoke centre for the North-West Endoscopy training academy and admin hub for Bowel cancer screening within the Lancashire region. We have 7 Clinical Endoscopists, 1 trainee Clinical Endoscopist and have also been successful in securing funding to recruit to an Endoscopy Nurse Consultant post as well. An open access endoscopy service (triaged by Clinical endoscopists) and straight-to-test fast track upper and lower GI endoscopy services are well-established. A wide range of diagnostic and therapeutic endoscopic procedures are carried out including banding of oesophageal varices, thrombin injection for gastric varices, oesophageal, duodenal and colonic stent insertion, balloon dilatation, colonoscopy and polypectomy, upper and lower GI endoscopic mucosal resection, push enteroscopy, ERCP, EUS and capsule endoscopy. The department has an established EUS service for UGI and HPB (diagnostic including FNA). Single balloon enteroscopy is also performed on an as required basis. We also provide a Nutrition CNS led PEG service and also provide PEXACT (direct puncture gastrostomy) as well as placement of NJ tubes. We have recently secured funding to support a new TNE service which will be delivered in the outpatient clinic setting. We have Olympus 290 series HD equipment.