Job summary
This is a permanent vacancy and the job plan activities provided are subject to change based on service requirements. This post is a new post, to compliment upper gastrointestinal team in managing benign upper gastrointestinal conditions, non-surgical upper gastrointestinal cancers and hernia services. There is close engagement with Upper gastrointestinal and Hepatopancreatic cancer services at Bristol Royal Infirmary. The job plan has a fixed pattern over a 12-week period and will be subject to review at 12 months. In an elective week, the post holder will provide services including operating sessions, clinic, relevant MDT meetings, ward rounds and endoscopy and supporting professional activities. The postholder will perform independent laparoscopic and open upper gastrointestinal and hernia procedures. There is additional work participating General Surgery on-call rota providing care in emergency surgery including colorectal resections and other General Surgical emergencies.

Main duties of the job
The upper gastrointestinal surgery is part of the GI surgery unit based in the Brunel Building, Southmead Hospital, and comprises of 7 upper GI surgeons. This includes 4 specialist Bariatric surgeons undertaking the full range of surgery, including revisional surgery. The GI team is part of the rota providing 24-hour emergency GI surgical care at North Bristol NHS Trust. The postholder will manage major trauma cases when doing emergency general surgery on-call.

When on call, the on-call consultant is responsible for reviewing patients in same day emergency care (SDEC) and acute admissions from 1pm. Consultants do an evening ward round (4-5pm) on the day they are on call and a post take ward round at 08:00 the following day. On the day after on call, the consultant is responsible for the CEPOD list. The post holder will have no elective commitments when on-call. The emergency take has evolved over time in both volume and complexity. GI surgery provides a subspecialist upper and lower GI take with patient transfer between teams. We have a co-located medical and surgical SDEC unit. The surgical SDEC unit includes other surgical specialties such as urology and neurosurgery.

Each consultant will do regular week-day on-call with average 1 in 8 frequency and weekend on-call of 1 in 12. These frequencies are subject to changes with new appointments. On-call day to include SDEC and the CEPOD list on the following day. This model will be reviewed at 6-12 months.

About us
Bristol NHS Foundation Trust brings together more than 28,000 staff to deliver over 160 clinical services across thirteen hospital locations, operating from three main sites at Southmead, Bristol city centre and Weston.

With an annual turnover of 2.6 billion, we are now one of the largest NHS trusts in the United Kingdom.

Chaired by Ingrid Barker and led by Maria Kane as Chief Executive, Bristol NHS Foundation Trust aims to transform the way healthcare is delivered locally with a clear focus on making a difference for what we call our Four Ps:

• Better outcomes for ourPatients
• More opportunities for our People
• Fairer more consistent care for ourPopulation
• Best Value for Public Purse

Our vision for five years from now:

• Patients will wait less time to be diagnosed and treated, and they will have the same high-quality experience and outcomes, regardless of who they are or where they live.
• We will meet rising demand by maximising the use of our available resources.
• More care will be delivered nearer to patients, in their homes or the community.
• Digital technologies will have transformed the way we work and the way we deliver care.
• Our people will feel engaged, energised and empowered by their work.
• We will be known as a place where people enjoy working, training and building a career.
• Our volume of globally renowned research and innovation will have grown significantly.
• We will contribute to system financial balance

Job responsibilities
A full outline of job plan can be found in the attached booklet.

A full job planning meeting will take place when the candidate start.

Applicants should have a CCT or be within six months of achieving this at the date of interview or be listed on the GMCs specialist register to be eligible for application for a substantive post. CESR applicants are welcome and must have their CESR in place at the time of interview.

Person Specification
Qualifications & Training
Essential

• Full and specialist registration with the General Medical Council (GMC) Or Within 12 months of obtaining expected CCT date at time of interview.
• CESR applicants are welcome and must have their CESR in place at the time of interview.

Desirable

• Higher academic qualification e.g. MD, PhD or equivalent

Experience
Essential

• Evidence of thorough and broad training and experience in UGI Surgery
• Able to take responsibility for delivering service without direct supervision

Desirable

• Evidence of a special interest and expertise that complements those of other consultants in the department and is consistent with the Trust's service strategy

Clinical Knowledge and Skills
Essential

• Up to date knowledge and experience of relevant specialty
• Knowledge of NHS priorities with reference to specialty

Desirable

• Broad range of IT skills

Clinical Governance and Audit
Essential

• Understanding of clinical governance and the individual responsibilities it implies
• Knowledge of the principles of clinical audit and evidence of participation
• Positive approach to evidence based practice
• Evidence of recent and regular engagement with continuing professional development (CPD) scheme

Research
Essential

• Knowledge of the principles involved in research
• Evidence of involvement in research

Desirable

• Additional academic experience and qualifications e.g. PhD
• Evidence of publication of peer reviewed academic papers

Teaching and Training
Essential

• Experience of teaching medical students and AHP's
• Experience of supervising trainees
• Knowledge of teaching to a multidisciplinary team

Desirable

• Formal teaching/ education qualification
• Educational Supervisor training completed

Management & Leadership
Essential

• Evidence of management training and evidence of learning from it
• Ability to organise efficient and smooth running of a specialist service
• Ability to cope with and effectively organise the workload of a consultant
• Ability to practice independently as a consultant
• Ability to take on responsibility and show evidence of leadership
• Ability to work under pressure and cope with setbacks

Desirable

• Evidence of management/leadership experience and/or qualifications and courses

Interpersonal, communication and team working skills
Essential

• Ability to communicate effectively with patients, relatives, clinical colleagues, support staff and other colleagues.
• Good knowledge of, and ability to use, spoken and written English
• Ability to present effectively to an audience, using a variety of methods, and to respond to questions and queries
• Ability to develop effective working relationships on an individual and multi-professional basis with all levels of staff both within and across divisions
• Ability to be a flexible team member

Any other Personal Abilities and Aptitudes
Essential

• Ability to adapt and respond to changing circumstances
• Awareness of personal limitations2

Desirable

• Additional professional responsibilities at local, regional or national levels
• Trained as a Consultant Appraiser

Other
Essential

• Meets professional health requirements
• Agreement to travel to and work in other Bristol NHS Foundation Trust sites necessitated by the role

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).

From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).

Employer details
Employer name: Bristol NHS Foundation Trust
Address: Southmead Hospital, Southmead, Bristol, BS10 5NB, United Kingdom
Employer's website: Apply through our website

Employer contact details
For questions about the job, contact: Upper Gastro Surgeon - Clinical Lead, Chris Wong, Christopher.Wong@nbt.nhs.uk