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. Date posted 28 January 2025 Pay scheme Hospital medical and dental staff Grade Doctor - other Salary £61,825 a year OOH Contract Fixed term Duration 12 months Working pattern Full-time Reference number C9298-MED-665 Job locations St. James's University Hospital Beckett Street Leeds LS9 7TF 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. 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 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)