Health and Community Services

Consultant in Gastroenterology

Information:

This job is now closed

Job summary

Job summary

Health & Community Services is seeking to appoint an enthusiastic and dynamic substantive Consultant in Gastroenterology. The successful applicant will join a team of two Consultant Gastroenterologists, two Staff Grades and a team of specialist nurses to provide a comprehensive service in Gastroenterology. The successful applicant will ideally have a specialist interest. The successful candidate will have broad experience of inpatient and outpatient gastroenterology and hepatology, fully competent in diagnostic and therapeutic upper and lower gastrointestinal endoscopy, including management of GI bleeding. The applicant will undertake inpatient specialist reviews where requested and take part in GI-Bleed on-call rota.For an informal discussion please contact Dr Moses Duku on m.duku@health.gov.je

Main duties of the job

Clinical Duties

Jointly develop a service of excellence for gastroenterology which ensures a seamless integration betweenJersey and tertiary centres in England

Participate in the development of the gastroenterology strategy for the island of Jersey including endoscopy services

To work in close partnership and liaison with Primary Care and other specialist services.

To undertake inpatient specialist reviews for gastroenterology

To undertake outpatient clinics for both gastroenterology

Provide diagnostic and therapeutic upper and lower GI endoscopy

To provide clinical advice & support to primary care colleagues and other consultants within Health & Community Services medical model

To deliver personalised, evidence informed medical care plans to all patients that are appropriately documented and regularly evaluated.

To provide advice and timely medical reviews and interventions as part of the interdisciplinary model of care.

To participate and attend relevant services MDTs

To liaise with tertiary referral centres as appropriate to provide patient centred care & service improvements

Maintain good quality up to date medical records including timely discharge letters and summaries.

To ensure appropriate documentation and coding is used to provide consistent audit and monitoring of the service

To adhere to local prescribing guidelines.

About us

Jersey is separate to the NHS. For further information about the services we provide, please click on the following link.

We believe that working in Jersey can be both professionally and personally rewarding. We pride ourselves in delivering high quality care that is patient-centred, safe and effective. Our aim is to deliver excellent clinical services and to make sure that our patients experience is of the highest quality. This is your opportunity to make a difference to the patients you are treating on the Island of Jersey.

We have a rotation of Junior doctors from Health Education Wessex.

We are currently developing the plans for our new hospital so the next few years will be an exciting time for Health & Community Services, Jersey.

Jersey is a wonderful place to live and work, offering low crime rates, excellent education, good sports and leisure facilities, unique wildlife and breath-taking scenery.

We welcome all applications irrespective of disability, gender, sexual orientation, race or religion and encourage all prospective applicants to research Jersey to see what it can offer you and your family as well as what our hospital can offer you and your career.

If you believe you fulfil our criteria and will be an asset to our organisation we look forward to receiving your application.

Details

Date posted

20 November 2023

Pay scheme

Hospital medical and dental staff

Grade

Consultant

Salary

£102,090 to £152,196 a year Depending on experience

Contract

Permanent

Working pattern

Full-time

Reference number

K0011-23-0267

Job locations

Government Of Jersey

19-21 Broad Street

St. Helier

Jersey

Channel Islands

JE2 3RR


Jersey General Hospital

Gloucester Street

St Helier

Jersey

JE1 3QS


Job description

Job responsibilities

Leadership & Management

Take part in management and audit activities to support the Care Group Leadership team & Public Health in planning for services and ensuring the service meets key performance indications including excellent patient care.

The post holder will be expected to take part in management and audit activities and represent the service at Hospital meetings, as agreed with colleagues.

The post holder will be expected to be fully involved in a Risk Management programmeand support the Governance agenda.

Represent the service at Hospital meetings, as agreed with colleagues.

Teaching and Research

The department is recognized for junior doctors from the Wessex deanery and medical students from Southampton and active teaching is encouraged in this role. It is expected that the post holder is participating in the training of Medical staff and that the candidate will ensure that the training and learning needs are identified and facilitated. This includes educational support for the clinical fellows recruited directly to Health & Community Services.

The post holder should deliver training to a range of professionals across the multi disciplinary team in stroke medicine to create a service of excellence for Jersey.

Opportunities for participating in research are supported when appropriate. The Health & Community Services has a policy for professional leave and is supportive of external duties for the good of the wider profession.

The appointee will take part in the GI bleed on-call rota alongside the other two consultant gastroenterologists which will be reflected in the final job plan.

There are currently two Gastroenterology Consultants. Dr David Ng with special interest in bowel cancer screening and IBD, and Dr Moses Duku with special interests in advanced diagnostic and therapeutic endoscopy and wireless capsule enteroscopy. They are supported by a nurse endoscopist and IBD nurse specialist, Consultant Radiologist with special interest diagnostic gastroscopy and EUS, two middle grade doctors, three junior training doctors, specialist nurses in alcohol and IBD, dieticians, a clinical investigations unit which performs 24 hours pH, and C13 urea breath tests and a fibroscan service. There is a close working relationship with the GI surgery, radiology (diagnostic and interventional), pathology and oncology departments and we run a weekly GI MDT.

Our endoscopy unit has highly motivated staff and performs a wide range of endoscopic procedures. The unit currently comprises of two endoscopy suites, fully equipped with all the latest Olympus equipment. The overall endoscopic workload is around 5,000 cases per annum, including gastroscopy, colonoscopy, EMR, EUS, stenting, treatment of gastro-oesophageal varices, insertion of feeding gastrostomy tubes, balloon dilatation, APC, wireless capsule enteroscopy and a flexible sigmoidoscopy bowel cancer screening service

The Gastroenterology Department sits within the Medical Services Care Group which comprise the following range of services, a full structure chart of the care group can be found in the appendix:

Ambulatory Emergency Care

Cardiology

Dermatology

Diabetes

Emergency Admissions Unit (EAU)

Emergency Department

Haematology

Medical Day Unit

Medical outpatients

Medical Wards - Bartlett, Corbiere and Rozel Wards

Neurology

Oncology

Palliative Medicine

Pathology

Rehabilitation Ward Plemont Ward (Interim Rehabilitation Unit)

Renal Medicine

Respiratory

Rheumatology

Sexual Health

Medical Services Care Group

Medicine in Jersey is fully age and specialty integrated. There are 3 medical wards, Bartlett, Rozel and Corbiere. A 5-bedded Enhanced Care Area is sited on AAU and there is a separate intensive care unit led by intensivists. There is also an Ambulatory Emergency Care Unit led by the Acute Medicine Department. There is a 25 bed Acute Assessment Unit.

SAS doctors are responsible for the day-to-day management of their patients on the wards with the help of clinical fellows, FY1 or FY2 doctor whom they closely supervise.

On call, the SAS doctor is responsible for seeing patients referred by the Emergency Department and reviewing patients admitted to the AAU by GPs in conjunction with the Acute Medicine team. A core responsibility of the Medicine Care Group is the provision of a safe acute medical service. The Care Group provides named Consultant supervision for non-Consultants at all times and ensures that prompt review and treatment is provided for acute medical emergencies referred by General Practitioners or the Emergency Department.

Consultants are responsible for producing and updating guidelines for the management of acute medical emergencies in their specialist area

Care Group Statistics

There are 63 medical beds. 12-20 acute medical admissions on average during each 24-hour period on call within a range of approximately 6-24.

There are approximately 4,500 medical admissions annually

Job description

Job responsibilities

Leadership & Management

Take part in management and audit activities to support the Care Group Leadership team & Public Health in planning for services and ensuring the service meets key performance indications including excellent patient care.

The post holder will be expected to take part in management and audit activities and represent the service at Hospital meetings, as agreed with colleagues.

The post holder will be expected to be fully involved in a Risk Management programmeand support the Governance agenda.

Represent the service at Hospital meetings, as agreed with colleagues.

Teaching and Research

The department is recognized for junior doctors from the Wessex deanery and medical students from Southampton and active teaching is encouraged in this role. It is expected that the post holder is participating in the training of Medical staff and that the candidate will ensure that the training and learning needs are identified and facilitated. This includes educational support for the clinical fellows recruited directly to Health & Community Services.

The post holder should deliver training to a range of professionals across the multi disciplinary team in stroke medicine to create a service of excellence for Jersey.

Opportunities for participating in research are supported when appropriate. The Health & Community Services has a policy for professional leave and is supportive of external duties for the good of the wider profession.

The appointee will take part in the GI bleed on-call rota alongside the other two consultant gastroenterologists which will be reflected in the final job plan.

There are currently two Gastroenterology Consultants. Dr David Ng with special interest in bowel cancer screening and IBD, and Dr Moses Duku with special interests in advanced diagnostic and therapeutic endoscopy and wireless capsule enteroscopy. They are supported by a nurse endoscopist and IBD nurse specialist, Consultant Radiologist with special interest diagnostic gastroscopy and EUS, two middle grade doctors, three junior training doctors, specialist nurses in alcohol and IBD, dieticians, a clinical investigations unit which performs 24 hours pH, and C13 urea breath tests and a fibroscan service. There is a close working relationship with the GI surgery, radiology (diagnostic and interventional), pathology and oncology departments and we run a weekly GI MDT.

Our endoscopy unit has highly motivated staff and performs a wide range of endoscopic procedures. The unit currently comprises of two endoscopy suites, fully equipped with all the latest Olympus equipment. The overall endoscopic workload is around 5,000 cases per annum, including gastroscopy, colonoscopy, EMR, EUS, stenting, treatment of gastro-oesophageal varices, insertion of feeding gastrostomy tubes, balloon dilatation, APC, wireless capsule enteroscopy and a flexible sigmoidoscopy bowel cancer screening service

The Gastroenterology Department sits within the Medical Services Care Group which comprise the following range of services, a full structure chart of the care group can be found in the appendix:

Ambulatory Emergency Care

Cardiology

Dermatology

Diabetes

Emergency Admissions Unit (EAU)

Emergency Department

Haematology

Medical Day Unit

Medical outpatients

Medical Wards - Bartlett, Corbiere and Rozel Wards

Neurology

Oncology

Palliative Medicine

Pathology

Rehabilitation Ward Plemont Ward (Interim Rehabilitation Unit)

Renal Medicine

Respiratory

Rheumatology

Sexual Health

Medical Services Care Group

Medicine in Jersey is fully age and specialty integrated. There are 3 medical wards, Bartlett, Rozel and Corbiere. A 5-bedded Enhanced Care Area is sited on AAU and there is a separate intensive care unit led by intensivists. There is also an Ambulatory Emergency Care Unit led by the Acute Medicine Department. There is a 25 bed Acute Assessment Unit.

SAS doctors are responsible for the day-to-day management of their patients on the wards with the help of clinical fellows, FY1 or FY2 doctor whom they closely supervise.

On call, the SAS doctor is responsible for seeing patients referred by the Emergency Department and reviewing patients admitted to the AAU by GPs in conjunction with the Acute Medicine team. A core responsibility of the Medicine Care Group is the provision of a safe acute medical service. The Care Group provides named Consultant supervision for non-Consultants at all times and ensures that prompt review and treatment is provided for acute medical emergencies referred by General Practitioners or the Emergency Department.

Consultants are responsible for producing and updating guidelines for the management of acute medical emergencies in their specialist area

Care Group Statistics

There are 63 medical beds. 12-20 acute medical admissions on average during each 24-hour period on call within a range of approximately 6-24.

There are approximately 4,500 medical admissions annually

Person Specification

Qualifications

Essential

  • Primary Medical Degree
  • Higher Specialty qualification: MRCP or equivalent
  • Full Registration with the General Medical Council (GMC) with a Licence to practise (for overseas candidates it is mandatory that a licence is obtained prior to appointment).
  • Inclusion on the GMC Specialist Register/Certificate of Completion of Training (CCT) or equivalent in Gastroenterology (or be within 6 months of obtaining this at the date of the interview - documentary evidence of this must be provided to support your application)
  • ALS

Desirable

  • Clinical Experience in similar NHS environment or equivalent
  • MS or MD
  • Inclusion on the GMC Specialist Register/Certificate of Completion of Training (CCT) or equivalent in Hepatology (or be within 6 months of obtaining this at the date of the interview - documentary evidence of this must be provided to support your application)
  • Inclusion on the GMC Specialist Register/Certificate of Completion of Training (CCT) or equivalent in General Medicine (or be within 6 months of obtaining this at the date of the interview - documentary evidence of this must be provided to support your application)

Experience

Essential

  • Broad experience in Gastroenterology
  • Enthusiastic Teacher
  • General medicine on-call consultant experience

Desirable

  • Broad experience in General Medicine
  • Broad experience in Hepatology
  • Previous Management Responsibility / Leadership Experience
Person Specification

Qualifications

Essential

  • Primary Medical Degree
  • Higher Specialty qualification: MRCP or equivalent
  • Full Registration with the General Medical Council (GMC) with a Licence to practise (for overseas candidates it is mandatory that a licence is obtained prior to appointment).
  • Inclusion on the GMC Specialist Register/Certificate of Completion of Training (CCT) or equivalent in Gastroenterology (or be within 6 months of obtaining this at the date of the interview - documentary evidence of this must be provided to support your application)
  • ALS

Desirable

  • Clinical Experience in similar NHS environment or equivalent
  • MS or MD
  • Inclusion on the GMC Specialist Register/Certificate of Completion of Training (CCT) or equivalent in Hepatology (or be within 6 months of obtaining this at the date of the interview - documentary evidence of this must be provided to support your application)
  • Inclusion on the GMC Specialist Register/Certificate of Completion of Training (CCT) or equivalent in General Medicine (or be within 6 months of obtaining this at the date of the interview - documentary evidence of this must be provided to support your application)

Experience

Essential

  • Broad experience in Gastroenterology
  • Enthusiastic Teacher
  • General medicine on-call consultant experience

Desirable

  • Broad experience in General Medicine
  • Broad experience in Hepatology
  • Previous Management Responsibility / Leadership Experience

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

Health and Community Services

Address

Government Of Jersey

19-21 Broad Street

St. Helier

Jersey

Channel Islands

JE2 3RR


Employer's website

https://www.gov.je (Opens in a new tab)

Employer details

Employer name

Health and Community Services

Address

Government Of Jersey

19-21 Broad Street

St. Helier

Jersey

Channel Islands

JE2 3RR


Employer's website

https://www.gov.je (Opens in a new tab)

Employer contact details

For questions about the job, contact:

Consultant in Gastroenterology

Dr Moses Duku

m.duku@health.gov.je

Details

Date posted

20 November 2023

Pay scheme

Hospital medical and dental staff

Grade

Consultant

Salary

£102,090 to £152,196 a year Depending on experience

Contract

Permanent

Working pattern

Full-time

Reference number

K0011-23-0267

Job locations

Government Of Jersey

19-21 Broad Street

St. Helier

Jersey

Channel Islands

JE2 3RR


Jersey General Hospital

Gloucester Street

St Helier

Jersey

JE1 3QS


Supporting documents

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