Consultant in Gastroenterology

7 days left

Location
Huddersfield, West Yorkshire
Salary
£77,913 - £105,042
Posted
04 Oct 2018
Closes
28 Oct 2018
Ref
372-MED-BMJ-Gastro
Sector
Hospital
Specialty
Gastroenterology
Career Level
Consultant
Contract Type
Permanent
Hours
Full Time

Calderdale and Huddersfield NHS Foundation Trust is a dynamic and successful organisation with a strong organisational and personal development focus. With approximately 5700 employees and a turnover of £352 million, the Trust provides a comprehensive range of secondary care services to the people of Calderdale and Huddersfield and has an exceptional reputation for service delivery.
The Foundation Trust aims to design and implement services, policies and measures that meet the diverse needs of our service, population and workforce.

We are looking for 3 committed, forward thinking Gastroenterologists to join our expanding team at Calderdale and Huddersfield NHS Foundation Trust. 2 of the posts will have an interest in Hepatology to drive the service forward. The third post is a luminal Gastroenterology post, although other interests like nutrition and advanced endoscopy would be considered. The post holders will care for inpatients on the wards at HRI (Huddersfield Royal Infirmary). The outpatient services are delivered on both sites, including in the newly developed outpatient unit on the Huddersfield site. All posts are 10PAs and a job share would be considered. With these appointments we are looking to move to a specialist Gastroenterology on-call rota.

The Gastroenterology team manages a substantive bed base of 24 beds with a consultant led service on a 2 week rotational basis (currently 2:10 increasing to 2:14 with these posts).  The Gastroenterology team is run by 4.7 WTE consultants (increasing to 6.7 WTE with these appointments) and is supported by an excellent, dedicated multidisciplinary team.

 There are modern, state of the art endoscopy units at both HRI and CRH offering therapeutic and diagnostic OGD, colonoscopy, EMR, ERCP, capsule endoscopy, PEG, PEC and endoscopic stenting. Development of the service to include advanced EMR, ESD and other therapeutic work would be encouraged. The opportunity to perform ERCP is available. The service is supported by 5 nurse endoscopists. Both endoscopy units have scope guide to facilitate colonoscopy training and seminar rooms with full televisual links into all endoscopy rooms. Development of a training program would also be encouraged.

 The Trust is the lead centre for bowel cancer screening in Kirklees and Calderdale in conjunction with Mid Yorkshire NHS Trust. It was the first centre in the country to participate in bowel scope screening. There may be an opportunity to participate within the BCSP and develop complex polyp work within this.

A Diagnostic/Therapeutic Upper GI Cancer MDT is held weekly in Bradford, with links into the Leeds Pancreatic and Hepato-Biliary MDTs with support from 2 WTE Upper GI Cancer Nurse Specialists. It is anticipated that one post would continue to support this. A full colorectal MDT is held locally on a weekly basis. Involvement in this to coincide with advanced endoscopic work would be encouraged.

 There is an expanding IBD service led by Dr Sunil Sonwalkar and supported by two IBD Specialist Nurse. This includes a monthly IBD MDT, nurse led telephone help desk and nurse led clinics. The department is active in national audit and is participating in National research with the expectation of increasing involvement in further NIHR portfolio studies, this is supported by a dedicated research nurse. There is a dedicated Gastroenterology specialist dietician as well as regular interaction with specialist colorectal surgeons offering pouch surgery and complex fistula work.  

There is a nutrition service supporting PEG, NG, NJ and TPN. This is overseen by a monthly steering group and supported by a specialist nurse. There are significant opportunities to lead and develop this service.

The gastroenterology unit currently offers treatment for chronic viral hepatitis, led by Dr Ashwin Verma and supported by a dedicated viral hepatitis nurse specialist and MDT. There is ample opportunity to become involved within this service.

There is a community supported alcohol liaison service with regular in-reach into the Acute medical and Gastroenterology wards. There is an opportunity to work closely with the CCGs to develop further strategies to address the increasing incidence of alcohol related ill health.

There are close links with both dietetics for the management of functional bowel disease and coeliac disease as well as evolving interaction with the colorectal service for the management of chronic functional bowel pathology with a dedicated bowel dysfunction clinic including biofeedback and anal irrigation.

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