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Job Descrption

The post-holder will provide diagnostic and therapeutic endoscopy and will be expected to attend ward referrals and care for inpatients with gastroenterological disease. All patients with gastrointestinal complaints should be admitted to our base ward and come under our care. Ward work is shared with 7 other consultants (8 in total). The junior staff includes two specialist registrars in gastroenterology (one usually in their final year and the other in their first or second years) one specialist registrar in acute medicine, two Gastroenterology Clinical Fellows (one Simulation Fellow and one Quality Improvement Fellow), one CMT and two FY1 trainees. The liver service is supported by a CNS in liver. The postholder is expected to participate in the emergency GI Bleed rota (currently 1:8). Elective out of hours endoscopy is required comprising one evening session per fortnight and a two session Saturday list to coincide with bleeding on call 1:8.

GIM on call may be required subject to... service needs.
• Ward cover is currently organised in 1 month blocks, shared with 8 other consultants (1:5 months). Referrals cover is currently organised in 1 week blocks, shared with other 7 consultants (1:8 weeks) (separate to ward cover). This workload equates to 1 PA/week across the year.

2 SPA: 1 core SPA which includes appraisal, job planning and CPD activities; 1 SPA clinical supervision, teaching and training

Gastro Clinics consisting of 5 news and 5 FU’s

1 Endoscopy list a week (when not on the wards) to be covered at Mile End Early Diagnostic Centre – contingent to successful appointment.

1 Evening Endoscopy list per fortnight to be covered at HUH

GI Bleed rota 1:8 which generates 5% banding supplement

GIM on call may be required subject to service needs

Homerton University Hospital is at the centre of an ethnically and culturally diverse population with a high incidence of gastrointestinal and liver disease.

The Academic Department of Medical and surgical Gastroenterology provides a wide range of services including diagnostic and therapeutic endoscopy, video capsule endoscopy, ERCP and EUS. There are specialist clinics in inflammatory bowel disease and liver disease, and we are an upper GI cancer unit and lower GI cancer centre. We perform more than 10% of all the bariatric operations done in the UK, and we are a Bowel Cancer Screening Centre. This post will focus on general gastroenterology and endoscopy.

The post holder will be expected to contribute to the development of the service within the directorate. The appointee will be expected to take part in the management and routine administrative duties associated with the care of their patients, running of clinical departments and the supervision of junior medical staff and specialist nurses. The appointee will be expected to undertake the relevant training and appraisal to become a named clinical and educational supervisor and to contribute to the teaching of medical students attached to the Gastroenterology team. In addition, he or she will be expected to adopt an active role in the wider management arena within the directorate where appropriate.

The department has a strong focus on clinical audit and clinical risk management and there are regular clinical audit meetings and case review meetings which the appointee will be expected to attend when possible. The Trust is committed to developing a clear approach to clinical governance and the post holder will be expected to play a key role in this area, participating in the development and implementation of specific initiatives when appropriate

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