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Consultant in Gastroenterology

Employer
University Hospitals Birmingham NHS Foundation Trust
Location
Birmingham, West Midlands
Salary
£84,559.00 to £114,003.00
Closing date
19 May 2022

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Sector
Hospital, Gastroenterology
Career Level
Consultant
Contract Type
Permanent
Hours
Full Time
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UNIVERSITY HOSPITALS BIRMINGHAM NHS FOUNDATION TRUST

Consultant in Gastroenterology (Clinical Nutrition and Intestinal Failure)

Applications are invited from dynamic and motivated individuals to join our team of 27 consultants.

The Trust consists of four hospitals within Birmingham; Queen Elizabeth, Heartlands, Good Hope, and Solihull hospitals. The successful appointee would primarily be based at the Queen Elizabeth Hospital where the Intestinal Failure Unit resides but may potentially work across site as part of an agreed job plan.

Desirable sub-speciality expertise in clinical nutrition, enteral and parenteral nutrition is sought including home parenteral nutrition and intestinal failure. The new appointee would have a wide experience in general gastroenterology as well as endoscopy and will participate in inpatient endoscopy and GI bleed on call rota.

The gastroenterology department at UHB can offer a wide range of opportunities in many subspecialties.

  • The nutrition team have built an excellent tertiary referral service, with significant growth in all areas , becoming a regional centre for type 2 and type 3 intestinal failure and Home Parental Nutrition (HPN). Outside of the pandemic situation the team was managing up to 24 IF surgical procedures per year and currently have around 130 patients on Home Parenteral Nutrition. Close links exist with the National Reference Centre in Salford and the two national small bowel transplant centres. The consultant team is supported by a strong nutrition nursing, dietetic, pharmacy and psychology team working in collaboration with our IF surgical and colorectal/stoma care nurse specialists with planned service expansion as NHSE tendering draws to a conclusion. A strong ethos of service evaluation and research exists with the team publishing in a diverse field. Team members are also involved in national professional bodies
  • UHB is a leading centre nationally in IBD care with a well-established Multidisciplinary team receiving tertiary referrals from the region. We host sub-speciality clinics including IBD obstetric, Pouch, transition, and joint surgical clinics. There is a strong research focus supported by IBD fellows with close links to the University of Birmingham. The service is now one of the largest in England and is supported by 9 IBD specialist nurses and an IBD pharmacist. Expansion is in progress to appoint more nurses as well as a psychologist. The IBD team have national and international profile in IBD endoscopy and research with particular expertise in faecal transplant, microbiome and nutrition in IBD. The team are developing app based follow-up programs to streamline the service and have the support of a dynamic IT system. The trust has recently relocated some of the infusion service to support up to 100 patients per week with a dedicated infusion nurse led team.
  • The Trust runs a large Bowel Cancer Screening Programme, with an existing team of 7 accredited BCSP endoscopists with further expansion planned. There is a complex lower GI polyp service consisting of 5 endoscopists whom offer EMR, ESD and access to TEMS.
  • There is a comprehensive Upper & Lower GI physiology service offering pH & manometry as well as breath testing facilities.
  • The trust has a thriving Barrett’s service with a dedicated MDT, screening lists, EMR and access to HALO.
  • Specialist endoscopy includes ERCP (9 lists), spyscope cholangioscopy, diagnostic & therapeutic EUS, double & single balloon enteroscopy, HALO, ESD, Upper GI EMR, complex polyp resection, capsule endoscopy (largest service in West Midlands) and GA endoscopy. There is a thriving endoscopy research programme with multiple fellows.
  • A well-established regional Liver transplantation and HPB surgery exists at UHB with over 150 transplants per year with the GI service closely linked with this service offering EUS, Spyscope and ERCP.
  • Inpatient secondary care hepatology is provided by the gastroenterologists across sites. Specialist viral hepatitis and general hepatology clinics (including Fibroscan) are provided by local hepatologists on the HGS sites, with the service currently supported by an ACP and with recruitment to a specialist liver nurse role in progress. Tertiary liver care and transplantation is provided at the Queen Elizabeth, with close links between gastroenterology and liver teams.

The department is very busy and has a strong foundation in complex IBD, specialist endoscopy, HPB work, nutrition and research which is expanding rapidly. We are well supported by the IBD, Upper GI and colorectal specialist nurses, nutrition nurses, and GI dieticians in addition to 7 nurse endoscopists.

Education and training is an important facet to the department with site specific education leads, meetings and training, supporting around 18 registrars & fellows including 2 international, 4 endoscopy & 3 IBD fellows.

There is a 1 in 7-8, site specific GI bleed rota covering UHB. In-patient work is predominantly hepatology & gastroenterology at all sites (excluding Solihull) with daytime cover for some outlying general medicine inpatients.

For more information or to arrange a visit to the department, please contact Dr Marcus Mottershead, Consultant Gastroenterologist via e-mail marcus.mottershead@uhb.nhs.uk or 0121 424 0435.
 

PLEASE NOTE: COVID-19 vaccination remains the best way to protect yourself, your family, your colleagues and of course our patients from the virus when working in our healthcare settings.

We do encourage our staff to get vaccinated. We will be checking the vaccination status of all new starters so that we can manage individual and environmental risks, and so that we can support those who may be undecided about vaccination. If you are unvaccinated there is helpful advice and information at birminghamandsolihullcovidvaccine.nhs.uk  where you can also find out more about how to access vaccination.

 

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