Consultant in Gastroenterology with an interest in Nutrition
There is an exciting opportunity to appoint a replacement full time consultant Gastroenterologist, with a particular interest in Nutrition and Intestinal Failure (IF), to join our dynamic team of Gastroenterologists. Following NUH’s successful bid to be designated as the surgical IF centre for East Midlands, we are looking to expand our workforce to deliver a high quality IF service for the region.
In addition to some experience in nutrition and intestinal failure, the post holder is expected to have broad experience of gastroenterology and endoscopy, and to contribute to the core Gastroenterology elective and emergency service.
The post holder will have an annualised job plan. This will include dedicated time on the IF ward (QMC campus), delivering a specialist nutrition/IF clinic and contributing to the PEG service. There will also be time dedicated the emergency gastroenterology service. The post holder will have designated administrative support and work across both Queens Medical Centre and Nottingham City Hospital campuses.
In-patient duties are shared between 3 consultants in 1 month blocks and supported by our 8 specialty registrars and multiprofessional nutrition team. There is a weekly IF MDT, which will form part of the core activity of this post.
The Gastroenterology, Nutrition and Hepatology inpatient beds are located at the QMC campus. The IF ward has 21 beds in single or double room facilities. Emergency inpatient endoscopies, ERCP, EUS, EMR & RFA are provided from the 2 room endoscopy suite at QMC. Out-patient clinics and elective endoscopy (4 rooms) are delivered from the Nottingham Treatment Centre on the QMC site.
Although we do not have any in-patient Gastroenterology/Hepatology facilities on the City Hospital (NCH) Campus, we provide senior GI, Nutrition & Hepatology consultations for other specialty in-patients, and out-patient Gastroenterology, Hepatology, Endoscopy and Nutrition services. The 4 room Endoscopy unit at NCH provides elective and emergency diagnostic and therapeutic endoscopy facilities including complex polypectomy and transnasal endoscopy. It is a designated bowel cancer screening centre and recently introduced Bowelscope.
Provision of emergency gastroenterology service: NUH Acute Gastroenterology Service was reconfigured to receive all acute gastroenterology patients at QMC campus from 2006. The appointee will contribute to this service, leading the team including specialty trainee registrars and nurses; providing assessment and planning management for acute admissions with GI and liver problems. The team will also liaise with endoscopy staff to organise and perform urgent inpatient endoscopy procedures either in endoscopy or theatres with full anaesthetic support. The acute gastroenterology service at QMC is provided by gastroenterology consultants (1 in 13, including this new post) who provide 24 hours cover for this service, with the week split 4:3 (Monday-Thursday and Friday-Sunday). The consultant on-call, specialist nurse and StR will be free from other clinical commitments for that period. Two “hot” GI/liver clinics are conducted from 12-1pm on Tuesday and Thursday to see urgent referrals through the Nottingham Navigation Service to help reduce unnecessary acute admissions through ED & acute medicine. During evenings and weekends the on-call team will also provide cross town acute gastroenterology service covering both QMC and NCH campuses.