Job responsibilities
This
is a 10 PA appointment for a locum Consultant Gastroenterologist.
This post will deliver 10 PAs of service which will
include general gastroenterology/endoscopy commitments alongside a special
interest in inflammatory bowel disease (IBD). The Leeds IBD service is
delivered by 8 consultants supported by an experienced team of clinical nurse
specialists. We offer two specialist IBD clinics per week, a weekly IBD
multidisciplinary team meeting, twice monthly combined surgical clinics, as
well as dedicated combined rheumatology andpregnancy
clinics. Our current IBD patient population is in the region of 5000 patients.
The
post will be based at St Jamess University Hospital (SJUH). We also provide
outpatient services at Leeds General Infirmary and Wharfedale General Hospital.
We are a large yet cohesive department. We provide care for all aspects of
gastrointestinal disease to a large local population and receive tertiary
referrals into our subspecialty services.
We
have two inpatient wards in the modern Bexley wing at SJUH. Both wards have
excellent, well established teams of nursing staff and we are well supported by
our experienced gastrointestinal pharmacy, dietetic, and radiology colleagues.
We
provide high quality endoscopy training with JAG accreditation. We operate up
to 8 endoscopy rooms across Leeds, the majority of which have recently been
refurbished with state-of-the-art equipment. We provide a wide range of
diagnostic and therapeutic procedures, including bowel cancer screening, ERCP,
interventional EUS, advanced EMR/ESD, stenting, wireless capsule endoscopy,
double balloon and spiral enteroscopy, and biliary manometry.
Our
trainees gain valuable experience in managing complex patients within our
subspecialty services. In addition to IBD, these include enteral and parenteral
nutrition (PN) (including home PN), small bowel disease, functional gastrointestinal
disorders, and pancreatobiliary medicine.
There
is a strong research background to the unit with our three academic consultants
(Prof. Hull, Prof. Ford and Dr Subramanian). The research unit is based in the
Leeds Institute of Research at St Jamess on the St. Jamess site. There are
existing research programmes in the molecular biology of colorectal cancer and
IBD, and current clinical research projects in IBD, functional gastrointestinal
disorders, and endoscopy.
There
are close links with the Clinical Research Network. Our trainees and fellows
participate in recruitment for our portfolio studies, working closely with our
research nurses.
REQUIREMENTS
OF THE POST
-General Training and Qualifications
The
appointee must hold accreditation in gastroenterology and hold the MRCP and SCE
in gastroenterology or equivalent, and have completed higher specialist
training (or equivalent) if currently in a training programme within the UK.
Applicants
must be on the Specialist Register or within six months of being admitted to
the Register for trainees if currently in a training programme within the
UK, or have references which have been
authorised by the Deputy Medical Director and Clinical Director.
Applicants
must provide information regarding their status from the GMC and/or relevant
Royal College at the time of application, in order for their application to be
progressed further.
-Experience
The
appointee must be able to demonstrate a high level of clinical experience and
competence in all aspects of gastroenterology and appropriate experience in the
management of inflammatory bowel disease. It is desirable that the candidates
have experience in the conduct of clinical trials.
-Person specification
See person specification document.
-Clinical Audit
The
appointee will be expected to contribute and, where appropriate, take the lead
in the following:
Mortality and morbidity meetings;
Clinical audit programmes;
Development and application of agreed
clinical guidelines.
This is to be included in allocated time in the
individuals job plan as a supporting programmed activity. It would be expected that the time allocated
for this would include attendance at the relevantdepartmental
audit meeting(s) and that such attendance would be recorded (in accordance with
the Trusts clinical audit policy).
In
the discharge of these responsibilities the candidate will be expected to
maintain and update his/her skills and knowledge through appropriate continuing
medical education.
-TEACHING
The
post-holder will be required to participate in the undergraduate teaching
programme for the school of Medicine, University of Leeds, which is organised
on a speciality or clinical area basis.
The
post-holder will be required to collaborate with clinical colleagues to deliver
appropriate undergraduate teaching in accordance with the Trust contract with
the NHS Executive in association with the University of Leeds.
The
appointee will be expected, with colleagues to also contribute to the teaching
of postgraduates, including the teaching programme for Specialty Trainees in
the Local Education and Training Board.
-JOB
PLAN AND WORKING ARRANGEMENTS
The
job plan review will take place annually, normally with the Clinical Director
or Lead Clinician for Gastroenterology.
The annual job plan review may result in a revised job plan. There may be an interim review of the job
plan where duties, responsibilities, accountability arrangements or objectives
have changed or need to change significantly within the area.
-Proposed Job Plan
The
post consists of 10PAs with 8.5 PAs of direct clinical care (DCC) and 1.5 PAs
of supporting professional activity (SPA). This job plan will fit together with
colleagues job-plans with a careful rota of clinical sessions, to ensure
robust cover. For example, on a 13 week cycle rota the post holder will have 8
elective weeks, 2 on call weeks, 2 ward weeks and one rest week, with
cross-cover from other members of the team.
On-call
availability supplement Category *A supplement 3%
-Accountability
The
post-holder is managerially accountable for the use of resources to the Chief
Executive and professionally accountable to the Chief Medical Officer through
Clinical Directors. This may be amended
in the light of the Trusts management arrangements.
-Standards of Conduct and Behaviour
He/she
will be required to work to the standards set out by the General Medical
Council in Good Medical Practice. This
includes protecting patients when you believe that a doctors or other
colleagues conduct, performance or health is a threat to them.
If,
after establishing the facts, it is necessary, you must follow the Trusts
procedures in this matter and inform your Clinical Director or Medical Director
in the first instance.
Your
general conduct at work should comply with the standards set out in the Trusts
document on Appraisal, in particular the section on Core Behaviours.
-Consultant Appraisal
Appraisal
will be a contractual requirement for all consultant staff and the Trust
attaches considerable importance to this approach intended to be of benefit to
individual consultants and to achieve the highest possible standards in the
delivery of healthcare and services.
Arrangements for annual appraisal will be managed through the Clinical
Director.
-Leave Arrangements
All
leave should be applied for in accordance with the Trusts Leave Policy,
normally giving eight weeks notice of any leave, other than in exceptional
circumstances.
-Training
During the course of your employment, you agree to
undergo whatever training the Trust deems necessary. You will undertake all mandatory training
required for the role. This may include,
but is notlimited
to, induction training, professional development and safe working
practices. Funding of such training will
be in accordance with the Trusts Staff Development Policy.
-Continuing Medical Education
The
Trust fully supports the requirement for CME by the relevant Royal College and
acknowledges that it is an essential component of a consultants professional
activities that will be reviewed during the appraisal process and
revalidation. Time and financial support
for these activities will be granted in accordance with the Trusts Leave
Policy.
-Secretarial
Support
As
part of the resource commitments to enable the post-holder to fulfil their job
plan, the appointee will have access to such secretarial assistance as is
required. An office with IT facilities (PC, email etc) will be provided.
- Conditions of employment are determined by the Leeds Teaching Hospitals Trust
in accordance with the Terms & Conditions Consultants (England) 2003, as
amended from time to time in the light of national or local collective
agreements.
- The post-holder, as a practitioner with continuing responsibility for the care
of patients must be able to respond promptly to emergency calls from the
Hospital.
- Required to reside within a distance of 30 minutes or 10 miles by road from
their principal place of work unless an employing organisation agrees that they
may reside at a greater distance.
- Must be contactable by telephone.
- Must ensure that there are clear and effective arrangements so that the
employing organisation can contact him or her immediately at any time during a
period when he or she is on call.
- Where the Trust agrees that the post-holder may live further than ten miles
from the hospital, the Trust will only reimburse travelling expenses up to a
maximum of twenty miles return, in accordance with Trust Terms and Conditions
of Service.
- Assistance with relocation to the Leeds area may be provided to the successful
candidate.
- The normal NHS requirements for indemnity of medical and dental staff in cases
of medical negligence apply.
- The appointee is expected to observe the Trusts policies and procedures and to
follow the financial instructions of the LTHT.
- Your base hospital may change during your
employment, if and when your department transfers base, following consultation
