Locum Gastroenterologist - specialist interest in Intestinal Failure
NHS Jobs Birmingham
This is a 12-month locum consultant post in gastroenterology and Intestinal Failure, Home Parenteral Nutrition and Clinical Nutrition Service. The Queen Elizabeth Hospital Birmingham (QEHB) is an NHS England commissioned regional tertiary referral centre for severe intestinal failure, both surgery and home parenteral nutrition (HPN), covering a population of around 3.5 million, with currently around 140 patients on HPN.
The IF Unit enjoys close links with Salford's National IF Unit as the Northern Reference Centre, the two adult small bowel transplant units in Oxford and Cambridge and the Birmingham Children's Hospital which hosts both its own IF/HPN unit but also a paediatric small bowel transplant unit.
The Trust's well-developed partnership with the University provides the basis for teaching and research, which in turn underpins a high-quality clinical service. The nutrition service also manages the in-patient parenteral nutrition delivery across the QEHB site with an average of 20-35 patients requiring PN at any one time.
The details of the well-staffed nutrition support team are seen below. Gastroenterology: At the Queen Elizabeth Hospital a rolling 1 in 10 ward rota (pure GI & Liver) occurs in one to two weekly blocks to manage the in-patients. Due to the nutrition commitments, the successful candidate will be likely to undertake this at a 1 in 20 rota.
There is a close liaison between Gastroenterologists, radiologists and surgeons with a combined X-ray meeting & IBD MDT weekly, with IF cases also presented at both the IBD MDT where required and a specific IF MDT. In addition, there are joint gastroenterology/surgery IBD as well as joint ileo-anal pouch and PSC/IBD clinics.
There is a busy GI Physiology Unit offering oesophageal pH, manometry and motility studies and ano-rectal physiology services. A pelvic floor service is offered but led by the colorectal surgeons. The QEHB has a tertiary referral hepatology and liver transplant team, in addition to the gastroenterology team.
Endoscopy: Our JAG accredited unit hosts 4 main out-patient rooms, a separate dedicated in-patient suite and regular fluoroscopy lists. A recent tender has bought new endoscopes, stacks and CO2 facilities via a managed endoscopy services contract with Olympus.
The service is supported by three full time nurse endoscopists. The department also has a capsule endoscopy service, single balloon enteroscopy, EUS, ERCP, Bowel Cancer Screening, spyscope, HALO, and dedicated Barrett's service including cytosponge.
The philosophy of the Gastroenterology department is one of well-defined team work with individuals practising to agreed locally published guidelines, thus ensuring continuity of patient management protocols despite the multidisciplinary nature and size of the team.
The IF Unit enjoys close links with Salford's National IF Unit as the Northern Reference Centre, the two adult small bowel transplant units in Oxford and Cambridge and the Birmingham Children's Hospital which hosts both its own IF/HPN unit but also a paediatric small bowel transplant unit.
The Trust's well-developed partnership with the University provides the basis for teaching and research, which in turn underpins a high-quality clinical service. The nutrition service also manages the in-patient parenteral nutrition delivery across the QEHB site with an average of 20-35 patients requiring PN at any one time.
The details of the well-staffed nutrition support team are seen below. Gastroenterology: At the Queen Elizabeth Hospital a rolling 1 in 10 ward rota (pure GI & Liver) occurs in one to two weekly blocks to manage the in-patients. Due to the nutrition commitments, the successful candidate will be likely to undertake this at a 1 in 20 rota.
The consultants at Queen Elizabeth have no acute medical commitment (not part of the G(I)M on-call) apart from on-going in-patient care of patients transferred to the gastroenterology ward, the 'buddy' surgical ward outliers', and in times of exceptional need (e.g. COVID pandemic). The consultants currently participate in an on-call bleed rota for the Queen Elizabeth site only, primarily for the management of severe upper GI haemorrhage but also to offer advice on the management of other acute GI conditions.
It is anticipated this will be on a 1 in 12 frequency in 2025. We are strongly supported on the surgical side by colorectal, upper GI and sarcoma surgeons and have strong links with diagnostic and interventional radiology. Mr Nigel Suggett is our Intestinal Failure Surgical Lead supported by Ms Melisssa Cuhna.There is a close liaison between Gastroenterologists, radiologists and surgeons with a combined X-ray meeting & IBD MDT weekly, with IF cases also presented at both the IBD MDT where required and a specific IF MDT. In addition, there are joint gastroenterology/surgery IBD as well as joint ileo-anal pouch and PSC/IBD clinics.
There is a busy GI Physiology Unit offering oesophageal pH, manometry and motility studies and ano-rectal physiology services. A pelvic floor service is offered but led by the colorectal surgeons. The QEHB has a tertiary referral hepatology and liver transplant team, in addition to the gastroenterology team.
Endoscopy: Our JAG accredited unit hosts 4 main out-patient rooms, a separate dedicated in-patient suite and regular fluoroscopy lists. A recent tender has bought new endoscopes, stacks and CO2 facilities via a managed endoscopy services contract with Olympus.
The service is supported by three full time nurse endoscopists. The department also has a capsule endoscopy service, single balloon enteroscopy, EUS, ERCP, Bowel Cancer Screening, spyscope, HALO, and dedicated Barrett's service including cytosponge.
The philosophy of the Gastroenterology department is one of well-defined team work with individuals practising to agreed locally published guidelines, thus ensuring continuity of patient management protocols despite the multidisciplinary nature and size of the team.
The appointee would be expected to conform to this pattern of working. To discuss this post in further detail, please contact Dr Sheldon Cooper on Sheldon.cooper@uhb.nhs.uk
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