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Consultant Physician in General Medicine-interest in Gastroenterology

Hywel Dda University Health Board
£86,063 to £111,732 a year per annum
Closing date
13 Dec 2022

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Hospital, General internal medicine
Career Level
Contract Type
Full Time
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Job Details


Consultant Physician in General Medicine with an interest Gastroenterology

Base: Withybush General Hospital, Haverfordwest

Salary: 86,063 - 111,732 per annum

Hours: 37.5 hours / 10 sessions per week

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
  • 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
  • Appropriate higher degree, MD,PhD or MSc or equivalent
Clinical Experience
  • 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
  • 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
  • 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
  • Knowledge of risk management
  • Knowledge of annual job planning/appraisal review process
  • Experience and knowledge of critical appraisal of evidence so as to improve clinical outcomes
  • Evidence of initiating, progressing and concluding research projects with publication
  • Research degree
  • Evidence of organising programmes and teaching medical students and junior doctors
  • Willingness to teach all grades of professional multidisciplinary staff
  • Organisation of further teaching programmes in medical education
  • Training the Trainers experience
  • Knowledge of the management and structure of the NHS
  • Willingness to participate in clinical management
  • Evidence of management training

BMJRef: BMJ-98235/100-MED-WGH-099-C


About Us

Hywel Dda University Health Board is one of seven acute Health Boards in Wales serving a population of 384,000 and right now we are building our Future, setting the Pace for Care. It is an integrated health body, ensuring the delivery of high quality primary, community, mental health and secondary care services, and it is responsible for the health and wellbeing of people across Carmarthenshire, Ceredigion and Pembrokeshire.

You will enjoy excellent conditions of employment, whilst building your future in one of the best locations in the UK. West Wales is beautiful, sharing rugged coastlines with misty mountains. Outdoor sports are easy to pursue, whilst the amenities of urban centres such as Swansea and Cardiff are not too far away. The pace of life can be fast or slow, with a diverse range of people sharing an envious work-life balance across the region, with excellent quality schools, and reasonable property prices contribute to low living costs and high quality of life. 

Career Development

Hywel Dda is committed to developing the leadership capability of medics and we pride ourselves on the suite of medical and multi-disciplinary leadership programmes we have created that promote, support and encourage continuous development and improvement.

Hywel Dda is an organisation that aims to deliver a healthcare system of the highest quality, with excellent outcomes for our patients and our population. We value our staff and the work that they do and want all staff, at all levels, in all roles, to feel competent and empowered to make the changes that they know will improve patient’s experience and outcomes of care.

To achieve this aim, Hywel Dda needs a community of doctors from across the organisation that can lead the development and delivery of excellent clinical services.

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