Gastroenterology Consultant - ERCP/EUS

The Department of Gastroenterology is part of the Surgery, Anaesthetics, Critical Care and Theatres (SACCT) Division and physically comprises a Gastroenterology and Endoscopy Unit and a Gastroenterology ward. We offer a consulting service in Gastroenterology and Hepatology with dedicated IBD, Nutrition and Liver clinics. The current Gastroenterology workforce comprises 6.8 whole time equivalent (WTE) Consultants, 3 Specialist Trainees (from the North-West Deanery) and 2 Trust Grade Registrars/Clinical Fellow equivalent. We are also supported by 3 IMT and 2 FY1 doctors who are ward based. Our Gastroenterology Registrars rotate between the existing Gastroenterology Consultants on a 4-monthly basis. Experienced secretarial support is provided to each Consultants on a 2:1 ratio with each secretary further supported by additional Admin support and typists. We have 3 IBD Specialist Nurses, 3 Nutrition Specialist Nurses, 3 Upper GI CNS, 3 Liver Specialist Nurses and 4.5 WTE Alcohol support liaison nurses. We are in the process of recruiting two UGI/Pancreatic/NSS pathway ACPs to support these cancer pathways. Endoscopy Our large JAG accredited Endoscopy unit has 5 Endoscopy procedural rooms with funding secured for expansion of the unit with addition of a 6th Endoscopy procedural room in 2023. Endoscopy recovery and restoration is also being supported through activity at a temporary modular unit run by an insourcing company until January 2024. We are a performance driven and responsive service utilising an Endoscopy performance dashboard to improve and maintain standards. The appointee will assist the Endoscopy unit in providing a high-quality endoscopy service maintaining best practice with reference to standards outlined by the JAG global rating scale (GRS) for endoscopy We carry out approximately 15,000 endoscopic procedures per annum and are a spoke centre for the North-West Endoscopy training academy and admin hub for Bowel cancer screening within the Lancashire region. We have 7 Clinical Endoscopists, 1 trainee Clinical Endoscopist and have also been successful in securing funding to recruit to an Endoscopy Nurse Consultant post as well. An open access endoscopy service (triaged by Clinical endoscopists) and straight-to-test fast track upper and lower GI endoscopy services are well-established. A wide range of diagnostic and therapeutic endoscopic procedures are carried out including banding of oesophageal varices, thrombin injection for gastric varices, oesophageal, duodenal and colonic stent insertion, balloon dilatation, colonoscopy and polypectomy, upper and lower GI endoscopic mucosal resection, push enteroscopy, ERCP, EUS and capsule endoscopy. The department has an established EUS service for UGI and HPB (diagnostic including FNA). Single balloon enteroscopy is also performed on an as required basis. We also provide a Nutrition CNS led PEG service and also provide PEXACT (direct puncture gastrostomy) as well as placement of NJ tubes. We have recently secured funding to support a new TNE service which will be delivered in the outpatient clinic setting. We have Olympus 290 series HD equipment.

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