100-MED-WGH-099-A

Consultant Physician in General Medicine with an interest Gastroenterology

Base: Withybush General Hospital, Haverfordwest

Salary: 86,063 - 111,732 per annum

To provide, with consultant colleagues (as appropriate) a service in General Medicine and support the development of sub-speciality interest to the hospital and community so designated with responsibility for the prevention, diagnosis and treatment of illness.

All clinical staff are accountable and responsible for their own clinical competence and should limit their actions to those for which they are deemed competent. Clinical staff are also required to comply with the requirements of their professional organisation regarding supervision.

You would work primarily in the acute secondary care setting supporting the innovative and exciting work occurring outside the acute hospital. You would also take part in the acute medical in-patient service for all adult age groups and be part of the General Medical on-call rota 1:12

Main duties of the job

The post holder will have joint responsibility for Ward 7 which is a Gastroenterology and General Internal Medicine Ward with up to 26 beds. This will be by a consultant of the week model with ward responsibility alternating on a fortnightly or more basis.

When the consultant does not have ward responsibility there will be increased clinic and endoscopy sessions.

Ward 7 is supported by a consultant geriatrician one session a week to support MDT meeting and review of patients with frailty issues.

The post holder if they have the appropriate endoscopy skillset may opt to do the upper GI bleed on call rota based at WWGH in place of the GIM on call in Withybush or do a slot share (i.e. 1 in 24 GIM on call) this is negotiable

About us

Hywel Dda University Health Board is the planner and provider of NHS healthcare services for people in Carmarthenshire, Ceredigion, Pembrokeshire and its bordering counties. Our 11,000 members of staff provide primary, community, in-hospital, mental health and learning disabilities services for around 384,000 people across a quarter of the landmass of Wales. We do this in partnership with our three local authorities and public, private and third sector colleagues, including our volunteers, through:

• Four main hospitals: Bronglais General in Aberystwyth, Glangwili General in Carmarthen, Prince Philip in Llanelli and Withybush General in Haverfordwest;
• Seven community hospitals: Amman Valley and Llandovery in Carmarthenshire; Tregaron, Aberaeron and Cardigan in Ceredigion; and Tenby and South Pembrokeshire Hospital Health and Social Care Resource Centre in Pembrokeshire;
• 48 general practices (four of which are managed practices), 47 dental practices (including three orthodontic), 99 community pharmacies, 44 general ophthalmic practices (43 providing Eye Health Examination Wales and 34 low vision services) and 17 domiciliary only providers and 11 health centres;
• Numerous locations providing mental health and learning disabilities services;
• Highly specialised and tertiary services commissioned by the Welsh Health Specialised Services Committee, a joint committee representing seven health boards across Wales.

Job description
Job responsibilities

The successful applicant will be expected to contribute to the maintenance of standards for JAG accreditation and develop a subspecialty interest.

The Endoscopy Unit is JAG accredited and has Magnetic scope guides in both rooms along with CO2 insufflators and availability of NBI and Olympus scopes. Entonox is also in routine use.

There is also a good track record of training trainees in Endoscopy.

There are 4 Bowel Screening Colonoscopists within the Health Board and scope for further expansion.

The Health Board has lowest waiting times and is helping other Health Board with Bowel Screening workload. There is close working with colorectal teams and regular Joint IBD & Biologics meetings. CNS in IBD supports the IBD workload. There is an established and experienced CNS network for BBV and Nutrition team and you will be encouraged to take on clinical support and development.

You will contribute to the existing Clinical Trial Program with the shared support of a Clinical Trials Nurse.

An understanding of health informatics and enthusiasm to apply this within an evolving environment of healthcare within a West Wales Healthcare environment is desirable.

You will take advantage of established videoconferencing facilities to develop clinical networks with colleagues across Hywel Dda University Health Board

The appointee will have clinical and supporting clinical activity responsibilities according to the Welsh Assembly Government agreed pattern of weekly working for a Consultant under the new consultant contract. There will be seven direct clinical sessions, and three supporting professional activity (SPA) sessions including an on call commitment

Person Specification
Qualifications
Essential

• Full GMC Registration and Licence to Practice
• On Specialist Register/SpR due to obtain relevant CCT/CESR(CP) within 6 months of interview
• MRCP
• Valid certified advanced life support skills

Desirable

• Appropriate higher degree, MD, PhD or MSc or equivalent

Clinical Experience
Essential

• Broad based experience in Acute General Medicine and Gastroenterology
• Knowledge of UK hospital systems (or equivalent)
• Knowledge and participation in CPD
• Competence in Gastroenterology
• Able to apply knowledge
• Safe and effective written and verbal communication skills
• Knowledge and experience of communicating bad news
• Meet the requirement of the GMC's Good Medical Practice

Desirable

• Experience of NHS
• Wider experience, research and training in providing sub specialty service
• Evidence of above average performance
• Membership of the British Society of Gastroenterology
• Additional clinical qualification(s)

Clinical Governance
Essential

• Evidence of participation in clinical audit and understanding role of audit in improving medical practice
• Comprehension of core philosophy and building blocks of Clinical Governance

Desirable

• Knowledge of risk management
• Knowledge of annual job planning/appraisal review process

Research
Essential

• Experience and knowledge of critical appraisal of evidence so as to improve clinical outcomes

Desirable

• Evidence of initiating, progressing and concluding research projects with publication
• Research degree

Teaching
Essential

• Evidence of organising programmes and teaching medical students and junior doctors
• Willingness to teach all grades of professional multidisciplinary staff

Desirable

• Organisation of further teaching programmes in medical education
• Training the Trainers experience

Management
Essential

• Knowledge of the management and structure of the NHS
• Willingness to participate in clinical management

Desirable

• Evidence of management training

BMJRef: BMJ-93586/100-MED-WGH-099-B