Job summary Applications are invited for this 12 month post of Clinical Fellow in Endoscopy and Quality Improvement. This is an exciting and unique opportunity designed to provide a wide range of change management experience for a higher trainee who wishes to make a commitment to quality improvement and medical leadership as part of their career. Main duties of the job The twelve-month post has some degree of flexibility: typically five sessions per week developing and delivering quality improvement projects. These will be focused on the Endoscopy Department with a particular emphasis on the GI cancer pathways. This will also include time to work towards a postgraduate qualification in Quality Improvement or Medical Leadership. About us Homerton Healthcare NHS Foundation Trust is an acute hospital located in the east London Borough of Hackney. We are a merged hospital and community service trust. Homerton Healthcare is attached to the St. Bartholomew's and the Royal London School of Medicine and Dentistry (part of University of London). Homerton became one of the first ten NHS foundation trusts in the country in April 2004. This allows the Trust to secure certain freedoms to facilitate innovation in the way services are developed and provided. The Gastroenterology Department at the Homerton Hospital provides a comprehensive service for patients with gastroenterological problems whilst being fully committed to developing, teaching, training and research at all levels. There are specialist weekly IBD, Nutrition, Pancreatobiliary and Liver & Hepatitis clinics with support from nurse specialists and dieticians. The department includes 7 full time consultants, 1 nurse consultant, 3 specialist nurses, 2 nurse endoscopists, 2 NE Thames Gastroenterology ST3 registrars, a SIM gastroenterology Fellow, an Acute Medicine ST3 registrar, a Core medical trainee and 2 foundation doctors. Date posted 18 February 2025 Pay scheme Hospital medical and dental staff Grade Doctor - other Salary £41,750 to £64,288 a year per annum pro rota Contract Fixed term Duration 12 months Working pattern Full-time Reference number 293-EMRS-MED-0079 Job locations Homerton University Hospital, NHS trust Homerton Row London E9 6SR Job description Job responsibilities The post-holder will provide fixed and/or flexible cover for endoscopy lists and outpatient clinics. The post will include three flexible service endoscopy/clinic sessions per week. The work intensity will vary depending on the number of lists cancelled by other endoscopists and will likely include some Saturday or evening working. There may also be a need to cover Gastroenterology outpatient clinics within the service sessions when there is increased demand in the out-patient services. There are no on-call commitments for this post. The remaining 2 clinical sessions are available to meet the post-holders training needs. There will be opportunities to learn specialist endoscopic procedures eg therapeutic colonoscopy, ERCP/EUS or to attend specialist clinics including hepatology, nutrition or IBD. The post-holder will also be committed to initiating, supervising and conducting a program of rolling audits (JAG/GRS audits) within the department as part of clinical governance requirements and to perform other tasks required to fulfil the criteria set by the global rating scale in endoscopy such as the development of guidelines. This will give the Fellow a unique insight into the overall performance of the department and excellent first-hand experience of meeting the demands of JAG quality standards. There are strong links to academic medicine within the department and the post holder will have the opportunity to participate in research in the endoscopy unit if desired. As well as taking an active role in all activities within the department, the successful candidate will also be expected to have a strong commitment to teaching, including the teaching/training of junior registrars and nursing staff in endoscopy related activities. The post would typically be taken as an Out of Program Experience (OOPE) from their specialist training program. Prior agreement must be sought with the relevant Specialty Training Committee (STC) and Shared Services Job description Job responsibilities The post-holder will provide fixed and/or flexible cover for endoscopy lists and outpatient clinics. The post will include three flexible service endoscopy/clinic sessions per week. The work intensity will vary depending on the number of lists cancelled by other endoscopists and will likely include some Saturday or evening working. There may also be a need to cover Gastroenterology outpatient clinics within the service sessions when there is increased demand in the out-patient services. There are no on-call commitments for this post. The remaining 2 clinical sessions are available to meet the post-holders training needs. There will be opportunities to learn specialist endoscopic procedures eg therapeutic colonoscopy, ERCP/EUS or to attend specialist clinics including hepatology, nutrition or IBD. The post-holder will also be committed to initiating, supervising and conducting a program of rolling audits (JAG/GRS audits) within the department as part of clinical governance requirements and to perform other tasks required to fulfil the criteria set by the global rating scale in endoscopy such as the development of guidelines. This will give the Fellow a unique insight into the overall performance of the department and excellent first-hand experience of meeting the demands of JAG quality standards. There are strong links to academic medicine within the department and the post holder will have the opportunity to participate in research in the endoscopy unit if desired. As well as taking an active role in all activities within the department, the successful candidate will also be expected to have a strong commitment to teaching, including the teaching/training of junior registrars and nursing staff in endoscopy related activities. The post would typically be taken as an Out of Program Experience (OOPE) from their specialist training program. Prior agreement must be sought with the relevant Specialty Training Committee (STC) and Shared Services Person Specification Qualifications Essential MBBS or equivalent Full registration with a licence to practice from the General Medical Council, or eligible for same Completion of core training examinations (where appropriate) Satisfactory progression through gastroenterology training (ST3) as demonstrated by satisfactory RITA or ARCP outcomes Desirable Prizes or distinctions. Presentation of work at a national or international meeting. Higher qualification in quality improvement/medical leadership Knowledge and Expertise Essential Completion of core training competencies Undergraduate and postgraduate teaching ability Evidence of leadership ability Familiarity with current IT software packages Demonstrated experience in teaching JAG accreditation in Diagnostic Upper GI Endoscopy Desirable Team building skills Experience of independent endoscopic practice. JAG accreditation in diagnostic colonoscopy Education & Research Essential Demonstrated interest in quality improvement and/or medical education Experience of clinical audit Desirable Publications in peer reviewed journals. JAG Train the Trainers course Personal Skills Essential Good organisational skills Good communication skills Ability to develop good working relationships Commitment to continuing personal development Person Specification Qualifications Essential MBBS or equivalent Full registration with a licence to practice from the General Medical Council, or eligible for same Completion of core training examinations (where appropriate) Satisfactory progression through gastroenterology training (ST3) as demonstrated by satisfactory RITA or ARCP outcomes Desirable Prizes or distinctions. Presentation of work at a national or international meeting. Higher qualification in quality improvement/medical leadership Knowledge and Expertise Essential Completion of core training competencies Undergraduate and postgraduate teaching ability Evidence of leadership ability Familiarity with current IT software packages Demonstrated experience in teaching JAG accreditation in Diagnostic Upper GI Endoscopy Desirable Team building skills Experience of independent endoscopic practice. JAG accreditation in diagnostic colonoscopy Education & Research Essential Demonstrated interest in quality improvement and/or medical education Experience of clinical audit Desirable Publications in peer reviewed journals. JAG Train the Trainers course Personal Skills Essential Good organisational skills Good communication skills Ability to develop good working relationships Commitment to continuing personal development 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). 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. 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 Homerton Healthcare NHS Foundation Trust Address Homerton University Hospital, NHS trust Homerton Row London E9 6SR Employer's website https://www.homerton.nhs.uk/ (Opens in a new tab)