Lewisham and Greenwich NHS Trust, (LGT), is a community-focused provider of local and acute care, delivering high-quality services to over one million people living across the London boroughs of Lewisham, Greenwich, and Bexley. We provide whole-life care and are here to support our communities to live healthier lives as well as taking care of them when they need us the most.
Employing almost 7,500 colleagues, affectionately known as Team LGT, we provide services at Queen Elizabeth Hospital in Woolwich, University Hospital Lewisham, and at over a dozen community settings in Lewisham. We also provide some services at Queen Mary’s Hospital in Sidcup.
We have recently launched our new vision and values to mark the LGT10 – the tenth anniversary of our Trust forming in 2013. Our trust vision is to be exceptional in the quality of our patient care; our support for colleagues; and in the difference we make through our partnerships and in our communities.
Our hospitals and community sites provide a wide range of inpatient and outpatient services, as well as emergency and planned care. The Trust is rated as “good” or “outstanding” in over three-quarters of the services inspected by the Care Quality Commission.
Every year our work includes performing 10,000 procedures in our theatres; bringing seven and a half thousand new lives into the world; carrying out 570,000 visits to patients in their homes or communities and providing emergency care for more than 300,000 patients arriving in our busy Urgent and Emergency Departments.
LGT is a centre for the education and training of medical students enrolled with King’s College London’s GKT School of Medical Education. We are a training centre for nurses, midwives and allied health professionals. We are pioneering new roles that will support the changing needs of our patients and are one of the largest employers of physician associates in the country.
We are committed to working with our partners to deliver the best outcomes for our local communities. This means playing an active role in the South East London Integrated Care System (ICS), and in formal partnerships including the South East London Acute Provider Collaborative, provider partnerships with our local mental health trusts and borough-based boards of the ICS in Bexley, Greenwich and Lewisham.
Job overview
Lewisham and Greenwich NHS Trust require 2 dynamic and forward-thinking Consultants to join the Gastroenterology team. This post will be based at the University Hospital Lewisham (UHL) site: one of two acute sites operated by the Trust, with the other being Queen Elizabeth Hospital (QEH) in Woolwich. The Trust provides services for the more than 666,000 people living across the London boroughs of Lewisham, Greenwich and Bexley. Each site has an increasingly busy Endoscopy department, performing more than 10,000 procedures each year. UHL also acts as the lead site for Bowel Cancer Screening across South East London.
We are currently looking for 2 Consultant Gastroenterologists, one with a specialist interest in IBD; the sub-speciality for the second can be explored more flexibly and we would invite anyone interested to contact our department for a friendly conversation around this.
The post is a 10 PA appointment, with the post-holder expected to undertake 2 endoscopy lists and clinics each week, while participating in in-patient ward work reviewing acute Gastroenterology admissions. The post holder will also participate in the on-call GI Bleed rota.
The Gastroenterology Department at UHL consists of 6 Consultants, 2 Registrars, a Specialist Doctor and three specialist nurses (IBD and viral hepatitis). The establishment at the QEH site includes 6 Consultants, 2 Specialist Registrars, 3 Clinical Fellows and 3 specialist nurses with responsibilities for IBD, viral hepatitis and endoscopy. A number of specialist Gastroenterology services have been established at the Trust including ERCP, oesophageal physiology, capsule endoscopy and fibro scanning.
Main duties of the job
* To undertake high quality diagnostic and therapeutic upper and lower GI endoscopy
* To participate in the provision of a high quality out-patient Gastroenterology service, including patient administration
* To manage Gastroenterology in-patients
Key tasks:
* The post-holder will attend the weekly multidisciplinary meetings and weekly governance meetings
* Active participation in the management and development of the specialty and the introduction of new services
* Contribute to the educational programme, including weekly departmental meetings and teaching
* Act as the joint clinical supervisor for SpRs in Gastroenterology
* Participation in Pathology and Multidisciplinary Team Meeting
* Participation in medical audit
* Participation in the Trust consultant appraisal process
* Comply with the requirements for Continuing Professional Development and revalidation as laid down by the Royal College of Physicians. The trust is committed to providing the time and financial support for these activities
* A senior consultant will be nominated to each appointee to act as a mentor during the first 12 months in post
Working for our organisation
Our people are our greatest asset. When we feel supported and happy at work, this positivity reaches those very people we are here for, the patients. Engaged employees perform at their best and our Equality, Diversity & Inclusion (EDI) initiatives contribute to cultivate a culture of engagement. We have four staff networks, a corporate EDI Team and a suite of programmes and events which aim to insert the 5 aspirations:
* Improving representation at senior levels of staff with disabilities, from black, Asian, and ethnic minorities background, identify as LGBTQ+ and women, through improved recruitment and leadership development
* Widening access (anchor institution) and employability
* Improving the experience of staff with disability
* Improving the EDI literacy and confidence of trust staff through training and development
* Making equalities mainstream
Detailed job description and main responsibilities
a. Clinical Responsibilities.
The successful applicant will undertake two/three gastroenterology clinics with a general profile of 12 slots (5 new and 7 follow ups) and two overbooking slots and two/three endoscopy sessions consisting of 12 points per list. There will also be an involvement in the management of in-patients including a weekly morning round of gastroenterology patients admitted to the acute medical unit (AMU) and daily rounds of the gastroenterology patients when ‘on the wards’ (shared between consultants). The main duties and responsibilities of the post include:
* To undertake high quality diagnostic and therapeutic upper and lower GI endoscopy
* To participate in the provision of a high quality out-patient Gastroenterology service, including patient administration
* The post-holder will attend the weekly multidisciplinary meetings and monthly governance meetings
b. Medical Education & Teaching
* Contribute to the General Medicine educational programme, including weekly departmental meetings and teaching
* Act as the joint clinical supervisor for SpRs in Gastroenterology
c. Clinical Audit and Clinical Governance
* Attend and actively participate in the regular gastroenterology governance meetings
* Undertake high quality audit projects and participate in the collection of data required to meet national quality standards. Under the supervision of consultants, junior doctors on the gastroenterology firms are expected to actively participate in high quality audit and present their data at national and international meetings. Junior doctors are encouraged to participate in research projects and publish case reports. The approach of the current consultants results in many of the junior doctors on the gastroenterology firm achieving at least once publication in a peer-reviewed journal or presentation at a regional or national meeting.
d. Continuing Professional Development
* Participate in continuing professional development at local and national level
* Implement audit and research findings as appropriate in clinical practice
* Prepare and participate in an annual appraisal in accordance with Trust policy
* A willingness to undertake additional professional responsibilities at local, regional or national levels
e. Policy, Planning and Management
* Support the Trust to deliver quality patient care
* Contribute to the development of clinical and organisational protocols and guidelines
* Assist in the development of the Annual Service Plan for the Directorate and Division and participate in the strategic planning of the service
* Comply with all Trust policies
* Contribute to good communications between the department and the other relevant staff/departments within the Trust, outside agencies including Social Services, General Practitioners, other Gastroenterology Departments in neighbouring Trusts and the Emergency Services.
* To lead or participate in the development of improved workflow through the Gastroenterology Department, ensuring better patient experience and increased efficiency. Flexibility in these sessions is necessary depending on the changing demands on the service.
All candidates must have an MBBS or equivalent, registered with the GMC, MRCP or equivalent and must have the CCT for Gastroenterology and General Medicine. Applicants with a wide variety of sub-specialties such as nutrition, hepatology and IBD are invited to apply.
Person specification
Qualifications
* MBBS or equivalent.
* MRCP or equivalent.
* CCT for Gastroenterology and General Medicine
* Distinctions, scholarships, prizes.
* Other degrees, e.g. BSc MSc, MD
Registration
* Full Registration with the GMC
* To be on the Specialist Register for Gastroenterology on the date of commencement in post or to be within 6 months of obtaining CCT on a UK training program at date of interview
Clinical Experience
* Evidence of leadership.
* Able to take responsibility and cope with stressful situations.
* Able to get on with other members of the multidisciplinary team.
* A sympathetic approach to patients and relatives.
* Ability to establish good professional relationships with others
* Critical and enquiring approach to knowledge acquisition.
* To have undertaken a postgraduate communication skills course (or ensure that you have undertaken one within one year of appointment).
* An understanding of corporacy in the NHS
Clinical Audit
* Understand the principles of audit.
* An understanding of general principles, scientific method and interpretation of literature.
* Evidence of participation in audit projects.
* Evidence of personal research projects and their presentation.
* Publications in peer-reviewed journals
Teaching Experience
* Experience in teaching both undergraduate and postgraduate trainees and basic knowledge of general teaching principles
* An understanding of general teaching principles.
* Attendance at teaching the teachers course
Administrative & Management Experience
* An understanding of organisational ability and experience of NHS management tasks
* Will have attended a National Health Service Management Course appropriate to consultant duties.
Other Attributes
* Clear, concise and well-presented CV.
* An interest in teaching and education.
* Physically and mentally fit with satisfactory occupational health clearance
* Clearly formulated career goals.
* Experience in the training or development of trainees in medicine.
We reserve the right to close the post before the stated closing date, please apply early. We do not contact applicants with the outcome of the shortlisting. If you have been shortlisted, you will receive an invite to an assessment day or interview.
As a local employer and anchor institution we work closely with our community to recruit locally and we welcome applications from the widest variety of people to ensure our workforce are reflective of the local communities which we serve. We encourage all suitable candidates to apply including if you are Black, Asian or other ethnic minorities, live with a disability (visible or not) or are LGBT+. We have a number of active staff networks including Disability, LGBT+, Multicultural Inclusion and Women’s staff networks to bring staff together and celebrate diversity across our whole workforce.
Please note, not all roles will meet the criteria for a skilled worker visa.
Employer certification / accreditation badges
You must have appropriate UK professional registration.
This post is subject to the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (Amendment) (England and Wales) Order 2020 and it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service.
University Hospital Lewisham
High Street, Lewisham
London, SE13 6LH
T: 020 8333 3000
Queen Elizabeth Hospital
Stadium Rd, Woolwich
London, SE18 4QH
T: 020 8836 6000
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