Consultant Gastroenterologist (General)

Job Overview

The Shrewsbury and Telford Hospital NHS Trust is looking to appoint a Consultant Gastroenterologist to join our existing team. The Department of Gastroenterology provides a service to the county of Shropshire and Mid Wales and currently consists of 8 Consultant Gastroenterologists and 1 Consultant Hepatologists working across both hospital sites.

Main Duties of the Job

Clinical

• To be responsible and work independently for the continuing care of patients alongside consultant staff.
• To participate in the Gastroenterology on call rota.
• To work independently caring for patients with gastrointestinal complaints, carrying out a mixture of emergency and elective care.
• To participate in the audit and governance and support the training of junior medical staff and other staffing groups that care for our patients.
• To carry out appropriate administrative duties in support of clinical commitments.
• To be a core member and participate in the Upper GI / Hepatobiliary Cancer MDT.
• To develop enhanced clinical skills, especially in the assessment and management of acutely ill patients.
• To have excellent team-working skills with the abilities and professional attitude to work well in a multi-professional team.
• To deliver clinical and quality targets agreed both nationally and locally with clinical teams and commissioners.
• To follow patients throughout their clinical pathways.

Working for Your Organisation

The Shrewsbury and Telford Hospital NHS Trust (SaTH) is the main provider of acute hospital services for around half a million people in Shropshire, Telford & Wrekin and mid Wales. Encompassing some of the most picturesque parts of England and Wales, the Trust’s catchment stretches from the Cambrian Mountains in the west to Newport and the fringes of the Black Country in the east. The main towns include: Bridgnorth, Ludlow, Market Drayton, Oswestry, Shrewsbury and Whitchurch (in Shropshire); Newport, Telford and Wellington (in Telford & Wrekin); and Newtown and Welshpool (in Powys) – all beautiful and unique. Our main service locations are the Princess Royal Hospital (PRH) in Telford and the Royal Shrewsbury Hospital (RSH) in Shrewsbury, which are located 20 minutes’ drive apart. Together they provide 99% of our activity. Both hospitals provide a wide range of acute hospital services including accident & emergency, outpatients, diagnostics, inpatient medical care and critical care.

Detailed Job Description and Main Responsibilities

A formal job plan will be agreed between the successful candidate and their Clinical Director and consultant colleagues, on behalf of the Medical Director within 3 months of starting in post. A full-time job plan is based on a 10 PA working week. The job plan will be reviewed annually and is a prospective agreement that sets out the consultant's duties, responsibilities, and objectives for the coming year. It covers all aspects of a consultant’s professional practice including clinical work, teaching, research, education and managerial responsibilities. It will provide a clear schedule of commitments, both internal and external and will include personal objectives, detailing links to wider service improvements and trust strategic priorities.

For a full-time contract, the job plan will be divided on average per week (pro-rata for a part-time post) as follows:

• 7.5 Programmed Activities (PAs) of Direct Clinical Care - includes clinical activity, clinically related activity and predictable and unpredictable emergency work. Clinic templates are for 3.5 hours to allow 0.5 hours for additional clinic related admin (phone calls, time to admit from clinic) within the 1 PA allocated.
• 2.5 Supporting Professional Activities (SPAs) - includes CPD, audit, teaching and research. 1.5 of these will be to support revalidation. The remaining are to be directed at Trust priorities and might include educational supervision, lead roles, and other activities to be reviewed annually as part of the job planning process. SPA time sufficient for quality assurance activities will be provided. Consultants may carry out a maximum of one SPA session off site at a time suited to their individual timetable and in keeping with the requirements of the activities. Direct Clinical Care PA time will be sufficient to deal with the clinical admin generated by inpatient, outpatient and endoscopic activity.
• Out of Hours Activity - There will be a requirement to take part in an on call rota primarily for GI bleeds with a frequency of approximately 1 in 10. Weekend on call will require on site input on Saturday and Sunday mornings, as well as an on call from home to advise on other Gastroenterological cases emergencies.

The allocation of PAs is reviewed and may be subject to adjustment when a further diary exercise is undertaken or if the service demands a review of the team job plan.

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