Senior Clinical Fellow - Hepatology

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Our trust has around 10,000 staff serving 1.6 million patients. It comprises Barnet Hospital, Chase Farm Hospital, the Royal Free Hospital and more than 30 services in the community. This larger scale organisation provides an unprecedented opportunity for us to continue our pioneering work, particularly in finding ways to deliver even better care to our patients.

Our mission is to deliver world class care and expertise in our clinical services, underpinned by world class teaching and research and we will continue to measure our progress against our five governing objectives: excellent outcomes, excellent patient and staff experience, excellent value for taxpayers' money, being safe and meeting our external duties, and building a strong organisation.

Everyone is welcome at Royal Free London NHS Foundation Trust. We're proud of our diversity and we continue to undertake new initiatives to advance equality for LGBT+, BME, gender equality, staff carers and people with disabilities and lived experiences to promote good relations and understanding between our staff.

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Click on the logo below to see the video of the Royal Free London NHS Foundation Trust values

Job overview

Applications are invited for a senior clinical fellow in Hepatology and Liver Transplantation at the Royal Free Hospital, a tertiary Hepatology and Liver Transplant Centre. The Unit has an excellent reputation for clinical care and research. The post is fully NHS funded and will be most suited to those reaching the end of their specialist training in gastroenterology/ hepatology wishing to gain more extensive experience. As well as liver transplantation, there is opportunity to pursue a sub-specialist interest, for example, in acute-on-chronic liver failure, viral hepatitis, complex portal hypertension and vascular liver diseases, autoimmune liver diseases, hepatocellular carcinoma or non-invasive fibrosis assessment. An interest in research is desirable and suitable projects offered depending on the candidate's interest.

The appointee will participate in the full range of daytime activities, to include cover of outpatients, exposure to endoscopy lists, the management of ward-based Hepatology and Liver Transplant patients, research, audit and teaching. The appointee will be able to attend weekly MDTs scheduled in transplantation, viral hepatology and hepatobiliary malignancies, radiology and pathology meetings. An individualised programme of clinical sessions, research and audit will be agreed with the successful candidate to meet subspecialist interest and training needs. The post includes a contribution to the out-of-hours rota.

Main duties of the job

As well as liver transplantation, there is opportunity to pursue a sub-specialist interest, for example, in acute-on-chronic liver failure, viral hepatitis, complex portal hypertension and vascular liver diseases, autoimmune liver diseases, hepatocellular carcinoma or non-invasive fibrosis assessment. An interest in research is desirable and suitable projects offered depending on the candidate's interest.

The appointee will participate in the full range of daytime activities, to include cover of outpatients, exposure to endoscopy lists, the management of ward-based Hepatology and Liver Transplant patients, research, audit and teaching. The appointee will be able to attend weekly MDTs scheduled in transplantation, viral hepatology and hepatobiliary malignancies, radiology and pathology meetings. An individualised programme of clinical sessions, research and audit will be agreed with the successful candidate to meet subspecialist interest and training needs. The post includes a contribution to the out-of-hours rota.

Hepatobiliary Medicine at the Royal Free Hospital

The Royal Free Hospital has, for a long time been synonymous with research and clinical excellence in the field of hepatology, and with the current near exponential increase in the incidence of liver disease, we aim to remain at the frontier of patient care, research and education.

For further information, please contact:

Dr Aileen Marshall: aileen.marshall@nhs.net Tel: 020 3758 2000 Ext 38325

Working for our organisation

About us

Our mission is to improve the health of the people we serve by delivering exceptional care, teaching and research every day.

What you'll love about working here

We are outstanding! The CQC rated the organisation as Outstanding for services being caring and well-led. The Trust was the first in the country to go from Requires Improvement to Outstanding in 2017, and is now the first to do this and then retain this rating. The Trust is currently one of only seven in the country to have been rated Outstanding twice, and one of only three general acute Trusts to achieve this.

A digital exemplar- Being appointed as a Global Digital Exemplar means we can realise this vision by implementing digital technologies that will help us to transform the way we work and how we relate to our colleagues, patients and partner organizations.

Sustainable healthcare - We have joined the international movement to declare a climate emergency, recognising the impact climate change is having on the world. Climate change is labelled as the greatest threat to health in the 21st century, with a range of conditions related to heat, cold, extreme weather and air pollution predicted to rise. To lead the way in healthcare the Trust has set ambitious goals to become carbon neutral by 2030.

Detailed job description and main responsibilities

Applications are invited for a senior clinical fellow in Hepatology and Liver Transplantation at the Royal Free Hospital, a tertiary Hepatology and Liver Transplant Centre. The Unit has an excellent reputation for clinical care and research. The post is fully NHS funded and will be most suited to those reaching the end of their specialist training in gastroenterology/ hepatology wishing to gain more extensive experience. As well as liver transplantation, there is opportunity to pursue a sub-specialist interest, for example, in acute-on-chronic liver failure, viral hepatitis, complex portal hypertension and vascular liver diseases, autoimmune liver diseases, hepatocellular carcinoma or non-invasive fibrosis assessment. An interest in research is desirable and suitable projects offered depending on the candidate's interest.

The appointee will participate in the full range of daytime activities, to include cover of outpatients, exposure to endoscopy lists, the management of ward-based Hepatology and Liver Transplant patients, research, audit and teaching. The appointee will be able to attend weekly MDTs scheduled in transplantation, viral hepatology and hepatobiliary malignancies, radiology and pathology meetings. An individualised programme of clinical sessions, research and audit will be agreed with the successful candidate to meet subspecialist interest and training needs. The post includes a contribution to the out-of-hours rota.

Hepatobiliary Medicine at the Royal Free Hospital

The Royal Free Hospital has, for a long time been synonymous with research and clinical excellence in the field of hepatology, and with the current near exponential increase in the incidence of liver disease, we aim to remain at the frontier of patient care, research and education.

The Royal Free provides secondary and tertiary Hepatology services. There is excellent access to ITU, a 24 hour TIPS rota and 24 hour consultant led GI bleeding rota. The liver transplant service at the Royal Free has been established for 30 years. The number of transplants performed has increased recently and currently stands at approximately 140 liver transplants per year. We have a live donor program. We are a tertiary centre for patients with hepatobiliary and pancreatic malignancy and the full range of surgical, locoregional and oncological treatments is provided for these patients. Dedicated clinics are established for viral hepatitis, liver metabolic disease, primary hepatocellular malignancy, autoimmune liver disease, PBC, PSC, NAFLD, Vascular liver disease as well as clinics for general hepatology and liver transplantation. A number of very active clinical research programs run with themes such as clinical and experimental portal hypertension, acute and acute on chronic liver failure, liver support and liver transplantation, non-invasive fibrosis assessment, clinical trials of new anti-viral agents, metabolic studies of hepatic encephalopathy, pruritis pathways and examining the effect of remote ischaemia pre-conditioning on liver graft function.

For further information, please contact:

Dr Aileen Marshall: aileen.marshall@nhs.net Tel: 020 3758 2000 Ext 38325

a transplantation unit.

A training contract and areas of particular interest would be identified prior to commencement of the post but the following areas could be provided at UHBW:

• Management of complex viral liver disease
• Decompensated chronic liver disease and alcoholic hepatitis
• Portal hypertension
• Liver cancer
• Long term follow-up of the transplant patient and transplant assessment
• Acute liver failure
• Complex biliary and autoimmune liver diseases
• Other training experience available: ERCP/EUS, research meetings, audit/governance

The trainee would have supervised clinic experience, through between 2 and 3 specialist Hepatology clinics weekly (including independently-run 'Hot-clinic' for urgent referrals). Direct consultation with the supervising consultant would be expected at the end of each clinic; a half hour discussion session will be included. The trainee would participate in ward cover of Hepatology patients in conjunction with a consultant Hepatologist (there is always hepatology cover) and share responsibility for daily senior hepatology in-reach to AMU/ED/ITU and additional referrals.

It is expected that the trainee will present regular case summary and literature review (i.e. case-based) on a regular basis at the weekly Friday lunchtime Hepatology meeting. A log of these presentations will be kept and form part of the assessment of completeness of training.

Person specification

Royal Free World Class Values

Essential criteria

• Demonstrable ability to meet the Trust Values

Education & professional Qualifications

Essential criteria

• Possession of MBBS or equivalent medical qualification
• GMC Registration
• Membership of relevant Royal College or equivalent
• MRCP or CCST in gastroenterology

Desirable criteria

• A post graduate medical degree

Experience

Essential criteria

• At least 4 years of higher level training in gastroenterology
• Independent (as defined by Jag criteria) upper GI endoscopist
• Independent flexible sigmoidoscopy

Desirable criteria

• Experience/training in colonoscopy

• Covid-19 Vaccination

  Getting vaccinated, and getting a booster, remains the best defence against COVID-19.
  We encourage and support staff to get COVID-19 vaccine and a booster dose as and when they are eligible.

• AT* - Apprenticeship Training. Where AT* is entered next to the job title indicates that this vacancy is for an apprenticeship role.
• By applying for this role, you accept if successful, that your personal data may be transferred from the Trust to another NHS organisation where your employment transfers within the NHS. This is in accordance with the streamlining programme which aims at saving you time and improving efficiencies within the NHS when your employment transfers. Therefore we require you to complete your stat and Man e-learning modules prior to joining our organisation.
• If you are an EU/EEA citizen who does not have EU Settlement or Pre-Settled status, you will require a visa to work in the UK.
• Applications from job seekers who require sponsorship to work in the UK are welcome and will be considered alongside all other applications. Before submitting your application and to avoid disappointment please check that you are eligible under the UKVI points based system.
• If you are offered a role with one of the NLPSS partner trusts, as part of pre-employment checks your identity and right to work documentation will be verified remotely (in most circumstances), using a certified identity verification service provider TrustID. You will be asked to capture an image of the relevant documents as well as a "selfie" using your smartphone/tablet (if available) for facial matching. TrustID will also perform a digital address check using Trunarrative and Equifax, which is a soft check and does not leave a footprint on your credit rating. For more information, visit www.trustid.co.uk
• The Trust uses electronic new starter forms on Trac to collect personal details. Information collected is securely stored and used to set up the employee record on the ESR HR system.
• The Trust will request a DBS (CRB) if post involves regulated activities. The Trust is compliant with the Disclosure and Barring Service Codes of practice and the Rehabilitation of offenders act.
• By applying for this post you are agreeing to Royal Free London NHS Foundation Trust transferring the information contained in this application to its preferred applicant management system. If you are offered a job, information will also be transferred into the national NHS Electronic Staff Records system.
• Please be aware of scams - unless specified above, we will only communicate with you via @recruit.trac.jobs or nhs.net e-mails and we will never ask you for any payments.

Applications are welcome from people wishing to job share or work flexible patterns. We are committed to equal opportunities.

Please note:

• Due to the high number of applications that are received for some posts we may close this vacancy before the advertised closing date. Therefore please apply for this post as soon as you can, if you are interested and you meet the requirements of the Person Specification
• Only those candidates who clearly demonstrate how they meet the person specification will be shortlisted for this job.
• Interview arrangements will be communicated via email so please check your email regularly following the closing date.

Please be advised that due to exceptionally high demand, all Royal Free accommodation is at full capacity and waiting lists are being held. Average waiting times are 12 months. Please do not rely on Trust accommodation when you commence your role and ensure you investigate alternative accommodation for your arrival.

Employer certification / accreditation badges

Applicant requirements

You must have appropriate UK professional registration.

This post is subject to the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (Amendment) (England and Wales) Order 2020 and it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service.

Documents to download

• Job Description (PDF, 464.4KB)
• Person Specification (PDF, 312.6KB)
• Functional Requirements (PDF, 111.5KB)
• Work Schedule (PDF, 552.5KB)
• Medical and Dental - benefits, about RFL, values and governing objectives (PDF, 940.0KB)