Sessional Gastroenterology Consultant

The post holder will work with a team of Gastroenterologists, GPwERs and Health Care Assistants providing predominantly face to face consultations, in one of our community based clinics. The clinics provide pre-booked appointments for adult patients referred to the service. A range of gastroenterology conditions will be seen in the clinics, including, but are not limited to, dyspepsia, abdominal pain, food intolerance, irritable bowel syndrome, constipation, NAFLD, raised Ferritin. We offer flexible working in a purpose built environment and are open 7 days per week, 8am-8pm. The post is offered on a Professional Services Agreement and sessions and hours are negotiable.
Main duties of the jobParticipate with the team to optimise performance and ensure the delivery of high quality evidence based care.
Inspire and motivate the team members providing clear goals and recognising accomplishments.
Offer support and mentorship, promoting good practice and a learning environment.
Be a source of clinical expertise, facilitating multidisciplinary team meetings.
Participate in clinical educational sessions and support the development of junior colleagues.
Participate in clinical audit as per HH policy and procedure.
Actively contribute to development and efficiency of the service.
Be competent in managing common gastroenterology presentations.
Optimise the medical management of this group of patients, in agreement with the patient and discharge them back to their registered GP.
Refer to secondary care and/or other services as appropriate.
Be a source of clinical expertise to less experienced staff, and work in partnership within a multi-disciplinary team as appropriate.
Participate in clinical meetings, HH clinical governance agenda, training and education.
Be responsible for any pathology or radiology results that are ordered by themselves and support team members in interpreting the same as needed.
About usHarrow Health Community Interest Company (HH) began in 2007 by a group of Harrow GPs, whose sole aim was to ensure patients receive a high quality clinical care service within the community. Over the years HH has expanded. We now deliver a number of community services including ENT, Dermatology, Gynaecology, ADHD and Enhanced Frailty Services.
HH Community Services directorate has been awarded a contract to provide a general Gastroenterology service on behalf of NWL ICB. This is also a Right to Choose contract across the country.
Our vision is to provide high quality patient care, enhancing patient experience by providing excellent clinical effectiveness in a safe environment. Working in partnership with other stakeholders HH will continue to provide gold standard services and develop a sustainable future for the local health community.
Job responsibilitiesMain Responsibilities To support the Gastroenterology team to deliver a high standard of evidence based care to those attending the service.Participate in Multidisciplinary Team meetings.Work with the team to maintain a high quality, clinically effective and cost effective primary care service.To provide a comprehensive service to the patients attending the Gastroenterology clinic including clinical examination, investigations as needed, diagnosis and management, and referral as appropriate.To ensure patients have consented to, and are fully involved in the implementation of their procedure/treatment plans.Interpretation of results where requested for individuals.If a prescription is needed, this must be in line with the NHS England and local guidelines.To adapt styles of communication appropriately in order to promote empowerment, self-management and health education for patients. Interpreters can be sought as needed.Using the EMIS system, the consultation must be recorded in the patients records. Where the patient is registered with a Harrow GP the clinician will have access to their GP records. Proformas are set on the EMIS system and must be completed by the clinician. These will be shared with all the referring clinicians.Liaise with other team members as appropriate.To identify actual or potential clinical risks within scope of practice and take appropriate action using, when required, the appropriate reporting structure.To be personally accountable for professional and ethical actions and practices within a framework that adheres to the GMCs requirements and HH policies and procedures.To ensure that patient records and documentation are maintained in line with HH policies and use of the electronic patient records system. This includes:Documenting full, accurate and contemporaneous records of assessments, investigations, procedures, treatments and aftercare.Encouraging colleagues to maintain good and complete records.Working closely with the reception team/administrator, ensuring all records pertinent to patients are filed as appropriate.Work within local policies, protocols and guidelines.Ensure Safeguarding Adults referral is considered in cases of suspected abuse and policies and procedures are followed when concerns are raised.To participate in audits as requested, and use the results, current research, and government guidelines to make recommendations for changes to service delivery and clinical practice, sharing these findings as appropriate.To collect data, and provide service information to the Service Manager as required.To ensure that the Clinical Manager/Service Manager/Head of Nursing and Clinical Governance Lead are kept informed on service issues and potential risks.To work with the Service Manager in delivering and promoting the needs of the service.To work with the Clinical Lead, Service Manager, Head of Nursing and Clinical Governance Lead to meet the Clinical Governance needs of the services, including investigation of incidents (including serious incidents) and complaints, where required.To remain updated in the use of all equipment used in the service and to report any technical problems or issues with that equipment.To participate in team meetings to discuss day to day operational issues as required.To be a skilled practitioner in areas needed for effective care delivery.To recognise and work within own competence and keep abreast of developments in practice and topical issues ensuring that skills are maintained.To collaborate in the continuing development of the Consultant role to include:Level of autonomy in practice.Show self-motivation toward expanding practice and developing skills and knowledge, with the support of HH.Ensure statutory and mandatory training is up to date.Awareness of and compliance with all relevant company policies/guidelines, e.g. confidentiality, data protection, health and safety.To participate and contribute to operational policy making, attending appropriate meetings as required.Work within policies relating to safeguarding, prevent and other HH Policies.Corporate Responsibilities The Post holder must be able to work independently within defined responsibilities, but also as part of a larger team and be able to troubleshoot and find solutions to problems.To adhere to Information Governance, patient confidentiality and Data protection legislations/standards.To work to standards set out in HH policies, service contracts and in line with NHS England/CQC regulations.To support the team to ensure that all HH policies, standards and requirements are understood and in place in the service to include excellent record keeping and delivery of high standard patient and customer services.To understand service specifications and contracts.Represent HH effectively and professionally to a wide range of patients, stakeholders, members and partners.Take an active role in the development and embedding of the organisation's culture, values and reputation as a provider of high quality services, leading by example at all times.Responsible for policy implementation related to own Service area.Pro-actively look for growth opportunities.Freedom to Act The post holder is expected to work with a high level of individual discretion and autonomy, knowing when to partner with colleagues as appropriate.Additional Information HH operates a system of individual performance review/appraisal for the purpose of agreeing performance objectives and discussing development needs in line with requirements of service need in the operational plan.
Clinical Governance To have responsibility for a commitment to maintaining a high quality service to patients by contributing to, as a team member, continual development of service in the light of research evidence and by audit, based against clinically relevant standards.
Code of Conduct All members of staff are required to work in accordance with their professional groups code of conduct, if relevant and adhere to the HH Code of Conduct for Staff.
Uniform and Dress Code All staff should adhere to infection control principles and must wear appropriate clothing and identity badge when on duty.
Conflict of Interests You may not without the consent of HH engage in any outside employment. You must declare to your manager all private interests, which could potentially result in personal gain as a consequence of your employment position in HH. Interests that might appear to be in conflict should also be declared.
DBS It is a requirement of this position that a Disclosure Barring Service check at the appropriate level is undertaken.
Confidentiality The post holder is required not to disclose such information, particularly that relating to patients and staff. All employees are subject to the Data Protection Act 1998 and must not only maintain strict confidentiality in respect of patient and staff records, but the accuracy and integrity of the information contained within. The post holder must not at any time use personal data held by HH for any unauthorised purpose or disclosure such as data to a third party. You must not make any disclosure to any unauthorised person or use any confidential information relating to the business affairs of HH, unless expressly authorised to do so by HH. Further guidance on confidentiality is contained within HH Information Security Management System (ISMS).
Data Protection The post holder must at all times respect the confidentiality of information in line with the requirements of the Data Protection Act. This includes, if required to do so, obtain, process and/or use information held on a computer in a fair and lawful way, to hold data only for the specified registered purposes and to use or disclose data only to authorized persons or organisations as instructed. By signing the job description, you are agreeing to adhere to the NHS code of conduct.
Education and Training Personal continuing professional development is encouraged and an annual appraisal system is in place to discuss personal development and ongoing training/objectives.
The post holder is required at all times to carry out responsibilities with due regard to HH Equal Opportunities Policy and to ensure that staff receive equal treatment throughout their employment with HH.
Smoking is not allowed on any part of HH premises.
Health and SafetyAs an employee of HH, the employee has a duty under the Health and Safety at Work Act 1974, to take reasonable care of the health and safety of themselves and all other persons who may be affected by their acts or omissions at work.
Co-operate with their employer to ensure compliance with Health and Safety legislation and the Health and Safety policies and procedures of the treatment centre, not intentionally or recklessly interfere with, or misuse, anything provided in the interests of health, safety, or welfare, in pursuance of any of the relevant statutory provisions.
All members of staff have a responsibility to report all clinical and non-clinical accidents or incidents promptly and when requested to, co-operate with any investigation undertaken.
This list of duties and responsibilities is not exhaustive and the post holder may be required to undertake other relevant and appropriate duties as reasonably required.
The role description and person specification will be subject to regular review and amendment as necessary and may be reviewed on an ongoing basis in accordance with the changing needs of HH.
Person SpecificationQualificationsFull registration with the General Medical Council.CCT on the Specialist Register for Consultants.Relevant Higher Degree e.g. PhD, MD or other clinical qualifications.To be a reflective practitioner.Committed to self-directed development.Awareness of HH Clinical Governance agenda.Assertive, adaptable/flexible/energetic and enthusiastic.Good communication skills and able to be sensitive and empathetic in distressing situations.Ability to work under pressure.Committed team worker and excellent leadership and communication skills.Possession of current Medical Indemnity.Able to challenge accepted practice as appropriate.Develop links with other primary care services as needed.ExperienceExperience of working independently, with a minimum of 10 years experience post qualification.MB ChB or equivalent.MRCP or UK equivalent.On Specialist Register of the General Medical Council (GMC) or within six months of anticipated CCT in Gastroenterology date on the date of interview.Certificate of Eligibility for Specialist Registration (CESR).Up to date knowledge of DOH, NICE and local guidelines for the management of gastroenterology presentations to the service, including pharmacological measures.Competency in interpreting and acting on pathology, histology and radiology results.Teaching experience.Mentorship and appraisal experience.Infection Prevention and Control Procedures.Knowledge of use of IT/EMIS system.Excellent written and oral communication skills.Regular attendance at Gastroenterology updates.Disclosure and Barring Service CheckThis 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.
Depending on experience Professional Services Agreement Contract.

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