Upper Gastrointestinal Consultant with Interest in Oesophageal Cancer

Gloucestershire Hospitals NHS Foundation Trust

The closing date is 05 May 2025

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Job summary

This is a new substantive appointment in the Upper GI Surgery Department in the Gloucestershire Hospitals NHS Foundation Trust. The successful candidate will join an ambitious team of 7 upper GI consultants to provide general and specialist upper GI care to the population of Gloucestershire and beyond. This post would be for a new colleague to join the department's cancer resection team.

The Three Counties Oesophago-Gastric Centre provides the breadth of Upper GI cancer care incorporating all aspects of oesophageal and gastric cancer management, metabolic and bariatric surgery, advanced minimally invasive surgical techniques including pioneering robotic surgeries and advanced endoscopic services including endoscopic mucosal and sub-mucosal resection, radiofrequency ablation and EUS guided interventions. It is the busiest benign biliary unit in the South-West with ample opportunity for clinical research.

Main duties of the job

The purpose of this post is to support and further develop the general upper GI service for the residents of Gloucestershire. As a senior employee of the Trust the post-holder will work in close co-operation with, and support other clinical, medical professional and managerial colleagues in providing high quality healthcare to the Trust's patients.

Integral to the responsibilities of the post are the following requirements:-

  • To ensure the provision of a first-class clinical service
  • To provide effective leadership to all staff engaged in the specialty
  • To sustain and develop teaching and research wherever appropriate
  • To undertake all work in accordance with the Trust's procedures and operating policies
  • To conduct clinical practice in accordance with contractual requirements and within the parameters of the Trust's and Division's services plans
  • To maintain the confidence of business plans and development strategies formulated for the specialty, the Surgical Division or the Trust.

About us

We are a large organisation providing acute services from Gloucestershire Royal Hospital in Gloucester and Cheltenham General Hospital to a population of 652,475* in Gloucestershire as well as caring for patients from surrounding counties and beyond.

Our workforce is almost 8,000 strong and our caring and dedicated staff are recognised as providing good and outstanding patient-centred, high-quality emergency, elective and specialist care across a range of clinical areas.

We are committed to recruiting the best people to work with us to achieve our Vision of providing 'Best Care for Everyone' and our success depends on the commitment and dedication of our staff, many of whom are world leaders in healthcare, teaching and research. You could make a real difference to our patients' lives by joining our team.

*Figures based CCG data on the number of people registered at a GP surgery in Gloucestershire

Date posted

07 April 2025

Pay scheme

Hospital medical and dental staff

Grade

Consultant

Salary

£105,504 to £139,882 a year per annum

Contract

Permanent

Working pattern

Full-time

Reference number

318-25-CONSUPPERGI

Job locations

Gloucestershire Hospitals NHS Foundation Trust

Great Western Road

Gloucester

GL1 3NN


Job description

Job responsibilities

The appointment to this post has the following aims:

To join a team that provides comprehensive consultant-based, patient-centred management of Upper GI patients. The Trust is committed to providing equitable working conditions with colleagues for new appointments.

To share in a comprehensive 1:8 rota for emergency and elective general and Upper GI care

To provide expertise and leadership within the Three Counties Oesophago-gastric Centre based in Gloucestershire Hospitals. Including:

o Oesophago-gastric resection using minimally invasive and ERAS techniques

o Comprehensive management of benign upper GI surgical conditions

o Specialist Benign Upper GI and general surgery clinics

o 2WW and MDT Cancer clinics

Diagnostic and therapeutic endoscopy service (with opportunity to develop/acquire specialist endoscopy skills

o MDT attendance

o Service development

To contribute to the continuing development of the departments clinical, research and educational interests. Appropriate additional duties would be incorporated into the post-holders job-plan after initial job-plan review.

To contribute to the ongoing reconfiguration of GI and emergency general surgery in Gloucestershire.

To work closely with an outstanding team of 5 cancer nurse specialists.

It is envisioned that this post will work to consolidate our close ties to Worcestershire, which will likely include on site sessions.

The post-holder will be expected to contribute to a Consultant-led service.

It is envisioned that a new appointee would be supported with advanced mentoring from senior colleagues, particularly with the oesophago-gastric resections.

Clinical Responsibilities:

The appointee will be expected: -

  • To share responsibility for the delivery of high-quality care to the patients presenting to the department
  • To examine and treat patients on the shop floor of the Department
  • To support the clinical decision making of junior medical and nursing staff
  • To provide on call support out of hours. To attend the Department out of hours as per agreed protocols. To remain contactable and available when on call
  • To carry out ward round

Education and Training

  • To provide conditions for improved training opportunities in line with national and local recommendations.

To participate in the undergraduate teaching programme.

To assist and participate with the development of postgraduate training for F1s, F2s, SpRs, STs and other staff as appropriate

Where agreed, to act as Educational Supervisor to junior and middle grade medical staff, being responsible for their appraisal and personal development planning. This would be agreed at initial job-plan review (6-12 months) and reflected in SPA allocation.

Two education fellows have recently been appointed and laparoscopic simulation equipment has been updated. Opportunities exist to be involved with helping to develop the existing excellent training environment at GHFT.

To undertake all work in accordance with Gloucestershire Hospitals NHS Foundation Trust procedures and operating policies

To attend accredited conferences and meetings to update personal level of clinical practice, teaching and management skills in line with CME/CPD requirements

To participate in an annual Job Planning Review process

    • To participate in the Trusts annual Appraisal process and to respond to any identified development needs.

To adhere to the Trusts Adverse Clinical Incident Policy

Audit (as agreed with Service Line Director)

  • To promote evidence-based practice. To respond appropriately to NICE guidance. To change own and others clinical practice in response to new clinical developments
  • To undertake and supervise relevant clinical audit topics
  • To be involved in risk management and quality assurance
  • To remain up to date and engaged in CME/CPD as per RCS guidelines
  • To respond appropriately to complaints and critical incidents
  • The post holder will be expected to take part in developing clinical audit in accordance with agreed Directorate and Corporate Clinical Governance programmes. These build on the considerable progress already made by the Trust in clinical audit and continuous quality improvement.

Leadership and management

To provide medical information for the development of systems appropriate for Trust needs

  • To participate in departmental consultant and senior staff meetings whilst remaining within the framework of the agreed strategy of the Trust and the Department

To attend other departmental, Divisional and Trust meetings as necessary

To attend regional and national meetings as necessary

  • To undertake all work in accordance with Trust procedures and operating policies

Teamwork

The Upper GI team has an inclusive approach to team working and it is expected that the appointee would embrace this approach and would also be expected:

  • To work within the framework of team decisions
  • To take a whole systems approach to working with the wider health community
  • To show initiative, enthusiasm and flexibility

Job description

Job responsibilities

The appointment to this post has the following aims:

To join a team that provides comprehensive consultant-based, patient-centred management of Upper GI patients. The Trust is committed to providing equitable working conditions with colleagues for new appointments.

To share in a comprehensive 1:8 rota for emergency and elective general and Upper GI care

To provide expertise and leadership within the Three Counties Oesophago-gastric Centre based in Gloucestershire Hospitals. Including:

o Oesophago-gastric resection using minimally invasive and ERAS techniques

o Comprehensive management of benign upper GI surgical conditions

o Specialist Benign Upper GI and general surgery clinics

o 2WW and MDT Cancer clinics

Diagnostic and therapeutic endoscopy service (with opportunity to develop/acquire specialist endoscopy skills

o MDT attendance

o Service development

To contribute to the continuing development of the departments clinical, research and educational interests. Appropriate additional duties would be incorporated into the post-holders job-plan after initial job-plan review.

To contribute to the ongoing reconfiguration of GI and emergency general surgery in Gloucestershire.

To work closely with an outstanding team of 5 cancer nurse specialists.

It is envisioned that this post will work to consolidate our close ties to Worcestershire, which will likely include on site sessions.

The post-holder will be expected to contribute to a Consultant-led service.

It is envisioned that a new appointee would be supported with advanced mentoring from senior colleagues, particularly with the oesophago-gastric resections.

Clinical Responsibilities:

The appointee will be expected: -

  • To share responsibility for the delivery of high-quality care to the patients presenting to the department
  • To examine and treat patients on the shop floor of the Department
  • To support the clinical decision making of junior medical and nursing staff
  • To provide on call support out of hours. To attend the Department out of hours as per agreed protocols. To remain contactable and available when on call
  • To carry out ward round

Education and Training

  • To provide conditions for improved training opportunities in line with national and local recommendations.

To participate in the undergraduate teaching programme.

To assist and participate with the development of postgraduate training for F1s, F2s, SpRs, STs and other staff as appropriate

Where agreed, to act as Educational Supervisor to junior and middle grade medical staff, being responsible for their appraisal and personal development planning. This would be agreed at initial job-plan review (6-12 months) and reflected in SPA allocation.

Two education fellows have recently been appointed and laparoscopic simulation equipment has been updated. Opportunities exist to be involved with helping to develop the existing excellent training environment at GHFT.

To undertake all work in accordance with Gloucestershire Hospitals NHS Foundation Trust procedures and operating policies

To attend accredited conferences and meetings to update personal level of clinical practice, teaching and management skills in line with CME/CPD requirements

To participate in an annual Job Planning Review process

    • To participate in the Trusts annual Appraisal process and to respond to any identified development needs.

To adhere to the Trusts Adverse Clinical Incident Policy

Audit (as agreed with Service Line Director)

  • To promote evidence-based practice. To respond appropriately to NICE guidance. To change own and others clinical practice in response to new clinical developments
  • To undertake and supervise relevant clinical audit topics
  • To be involved in risk management and quality assurance
  • To remain up to date and engaged in CME/CPD as per RCS guidelines
  • To respond appropriately to complaints and critical incidents
  • The post holder will be expected to take part in developing clinical audit in accordance with agreed Directorate and Corporate Clinical Governance programmes. These build on the considerable progress already made by the Trust in clinical audit and continuous quality improvement.

Leadership and management

To provide medical information for the development of systems appropriate for Trust needs

  • To participate in departmental consultant and senior staff meetings whilst remaining within the framework of the agreed strategy of the Trust and the Department

To attend other departmental, Divisional and Trust meetings as necessary

To attend regional and national meetings as necessary

  • To undertake all work in accordance with Trust procedures and operating policies

Teamwork

The Upper GI team has an inclusive approach to team working and it is expected that the appointee would embrace this approach and would also be expected:

  • To work within the framework of team decisions
  • To take a whole systems approach to working with the wider health community
  • To show initiative, enthusiasm and flexibility

Person Specification

Qualifications

Essential

  • Full General Medical Council registration.
  • Consideration will be given to candidates within 2 years of their expected CCT date where a conditional offer could be made pending achievement of the above essential qualifications.

Desirable

  • Higher degree relevant to the specialty
  • Teaching qualification Management/Leadership qualification
  • Training and experience in Oesophageal Cancer

Clinical experience

Essential

  • Ability to offer an expert clinical opinion on specialist problems in Upper GI Surgery
  • Ability to offer an expert clinical opinion on the breadth of Upper GI surgical conditions.
  • Ability to take full and independent responsibility for clinical care of patients
  • Validated logbook indicating adequate and appropriate level of specialist Upper GI surgical operative experience

Management & Administrative skills

Essential

  • Evidence of participation in Audit and Clinical Governance Programmes
  • Ability to manage and lead a surgical firm

Teaching experience

Essential

  • Ability to teach clinical and operative skills
  • Ability to apply research outcomes to clinical and surgical problems

Research experience

Essential

  • Ability to appraise research critically and apply research outcomes to clinical and surgical problems
  • Ability to supervise junior staff undertaking research projects

Desirable

  • Publications in peer-reviewed journals

Personal attributes

Essential

  • Communication skills, written and verbal
  • Ability to work in a multi-disciplinary team
  • Ability to show initiative and enthusiasm
  • Ability to work under stress
  • Flexibility - able to adapt to changing circumstances
  • Honesty and reliability
  • Enquiring, critical approach to work
  • Caring attitude to patients
  • Ability to communicate effectively with patients, relatives, GP's, nurses and other agencies
Person Specification

Qualifications

Essential

  • Full General Medical Council registration.
  • Consideration will be given to candidates within 2 years of their expected CCT date where a conditional offer could be made pending achievement of the above essential qualifications.

Desirable

  • Higher degree relevant to the specialty
  • Teaching qualification Management/Leadership qualification
  • Training and experience in Oesophageal Cancer

Clinical experience

Essential

  • Ability to offer an expert clinical opinion on specialist problems in Upper GI Surgery
  • Ability to offer an expert clinical opinion on the breadth of Upper GI surgical conditions.
  • Ability to take full and independent responsibility for clinical care of patients
  • Validated logbook indicating adequate and appropriate level of specialist Upper GI surgical operative experience

Management & Administrative skills

Essential

  • Evidence of participation in Audit and Clinical Governance Programmes
  • Ability to manage and lead a surgical firm

Teaching experience

Essential

  • Ability to teach clinical and operative skills
  • Ability to apply research outcomes to clinical and surgical problems

Research experience

Essential

  • Ability to appraise research critically and apply research outcomes to clinical and surgical problems
  • Ability to supervise junior staff undertaking research projects

Desirable

  • Publications in peer-reviewed journals

Personal attributes

Essential

  • Communication skills, written and verbal
  • Ability to work in a multi-disciplinary team
  • Ability to show initiative and enthusiasm
  • Ability to work under stress
  • Flexibility - able to adapt to changing circumstances
  • Honesty and reliability
  • Enquiring, critical approach to work
  • Caring attitude to patients
  • Ability to communicate effectively with patients, relatives, GP's, nurses and other agencies

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

Gloucestershire Hospitals NHS Foundation Trust

Address

Gloucestershire Hospitals NHS Foundation Trust

Great Western Road

Gloucester

GL1 3NN


Employer's website

https://www.gloshospitals.nhs.uk/ (Opens in a new tab)

Employer details

Employer name

Gloucestershire Hospitals NHS Foundation Trust

Address

Gloucestershire Hospitals NHS Foundation Trust

Great Western Road

Gloucester

GL1 3NN


Employer's website

https://www.gloshospitals.nhs.uk/ (Opens in a new tab)

For questions about the job, contact:

Consultant Upper GI Surgeon and Clinical Lead

Steve Hornby

steve.hornby@nhs.net

03004226658

Date posted

07 April 2025

Pay scheme

Hospital medical and dental staff

Grade

Consultant

Salary

£105,504 to £139,882 a year per annum

Contract

Permanent

Working pattern

Full-time

Reference number

318-25-CONSUPPERGI

Job locations

Gloucestershire Hospitals NHS Foundation Trust

Great Western Road

Gloucester

GL1 3NN


Supporting documents

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