ROLE PROFILE. Clinical Associate Professor in Gastroenterology or Nutrition

Transcription

1 ROLE PROFILE Job Title: School/Department: Job Family and Level: Contract Status: Hours of Work: Location: Reporting to: Clinical Associate Professor in Gastroenterology or Nutrition School of Medicine, Nottingham Digestive Diseases Centre Clinical Academic, Clinical Associate Professor Permanent Full time/ Part-time (Minimum 0.6 WTE) Nottingham University Hospitals Head of Nottingham Digestive Diseases Centre Purpose of the New Role: The University of Nottingham invites applications for a Clinical Associate Professor in Gastroenterology, Hepatology or Nutrition related field. The person appointed will be expected to have a primary research commitment in conjunction with teaching and clinical service responsibilities. The job plan will encompass 5 University and 5 NHS programmed activities, provided at the Nottingham University Hospitals NHS Trust. The Nottingham Digestive Diseases Centre (NDDC) provides a wide range of research opportunities in gastrointestinal and liver disorders including a National Institute for Health Research (NIHR) funded Biomedical Research Centre (BRC) specialising in these themes. This post offers the opportunity to join the NDDC, one of the largest and internationally excellent divisions comprising academic gastroenterology, hepatology and gastrointestinal (GI) surgery. The NDDC has 8 Professors, 7 clinical/ 2 non-clinical associate professors, 4 clinical lecturers, 13 research & teaching staff, 5 technical and 8 administrative staff within the Gastrointestinal and Liver Disorder Theme of the NIHR BRC. The BRC builds on the NIHR-Nottingham Biomedical Research Unit established in 2008 and the only NIHRfunded BRU focussed on GI, liver and pancreas-related areas to have sustained its funding and theme during the most recent NIHR funding cycle. The GI & Liver Disorder theme is the largest of the five themes included in the NIHR-Nottingham BRC funded 23.6M for early translational programme of research for the period The major purpose of this appointment is to expand the critical mass of world leading and internationally excellent research performed within the NDDC and GI & Liver Disorder Theme of NIHR-Nottingham BRC that has GI & Liver Infections (C difficile, Viral Hepatitis and H pylori), Disorders of GI Physiology & Liver Metabolism and Innovative Methodologies as priority Research Areas. We have strong links with: - the Hepatitis C Virus (HCV) group that co-ordinates the world s largest HCV cohort (n >11,000) - the Clostridia Research Group, underpinned by the BBSRC/EPSRC centre and - the internationally leading Helicobacter group. Our long-standing collaboration with the world-class Sir Peter Mansfield Imaging Centre (SPMIC) will be considerably strengthened through the BRC s cross-cutting Imaging theme. The EPSRC/ MRC funded Nottingham Molecular Pathology Node (NMPN) is a joint venture between NDDC, the Respiratory Research Unit, Molecular Pathology and the Advanced Data Analysis Centre (ADAC) of the University of Nottingham (UoN). Our strong links with the MRC/ARUK Centre ( 2M) for Musculoskeletal Ageing Research, which is internationally leading in in-vivo human, whole body physiological investigations, and with the Food Sciences Page 1 of 12

2 Research Group ranked 2 nd in England in the RAND bibliometric analysis, provide outstanding collaborations that will underpin the development of new treatments for disorders of GI & liver physiology and metabolism. Our Stem Cell Biology Group, with its specific stem cell based disease models, the FRAME Alternatives Laboratory, a state-of-the-art cell biology facility expert in culturing primary human cells, and the UK top-ranked School of Pharmacy will translate GI and liver drug discovery/formulation programmes through our BRC theme. Our UK-leading GI epidemiology group provides expert methodological support and the Nottingham Clinical Trials Unit has recently expanded to provide improved support for early patient-based translational studies. The successful candidate is expected to have strengths in translational research in one of the research areas of the NDDC and the GI & Liver Disorders theme of the NIHR-Nottingham BRC. In particular, they will bring existing research strengths to devise, and undertake, their own research programme developing novel therapeutic and preventative strategies within their specialist field of interest. In addition, the person appointed will deliver excellent care to patients through the Gastroenterology/ Hepatology/ Nutrition/ Endoscopy Services of the Division of Surgery at the Nottingham University Hospitals (NUH) NHS Trust and contribute to the development and delivery of undergraduate and postgraduate teaching within the School of Medicine, UoN In terms of research, the appointee will be expected to: develop a research portfolio, gain external research funding. publish in prestigious journals, disseminate research findings and impact on clinical practice. supervise BMedSci, DM and PhD students. The person appointed will be required to devote the whole of their time to the duties of the post and give them priority at all times; the proportion of the time committed to the clinical services will be proportionate to the design of the clinical academic position and specified in the job plan in discussion with the School of Medicine, UoN and NUH. The person appointed will be expected to fulfil the following clinical service duties within the agreed Job Plan including: provision of reciprocal cover for periods of leave continuing responsibility for the care of patients in his/her charge and the proper functioning of the clinical department maintain CPD, annual appraisal and revalidation. These duties are subject to regular review in the light of the changing requirements of the academic and clinical service. If alterations to the described duties are required these will be mutually agreed between the successful candidate, their academic and NHS Consultant colleagues, the University and the NHS Trust. The successful applicant s line manager will be the Head of Nottingham Digestive Diseases Centre, School of Medicine, University of Nottingham. For clinical matters, line management will be devolved to Nottingham University Hospital s Head of Service for Gastroenterology. The Medical Director, Dr Keith Girling, has overall responsibility for the professional performance of clinicians working under Honorary Contracts within Nottingham University Hospital NHS Trust. NUH have recently developed a Trust mentoring scheme for new and existing consultants and this would be available to the new post-holder as will the UoN School of Medicine s Mentoring programme for clinical academics. The appointee will be encouraged and supported to attend the RCP New Consultants Development Programme. Main Responsibilities 1. Research: Formulate ideas & undertake high-quality clinical /laboratory research in conjunction with established research in the Department. To conduct peer reviewed clinical and basic research in Gastroenterology or Hepatology of sufficiently high quality to be returned in the University s evaluation of research quality. To obtain independent external funding to conduct such research To secure funding for, and provide supervision of, postgraduate research students studying for MD/PhD degrees. % time per year 40% Page 2 of 12

3 Contribute to some of the management systems of the School of Medicine e.g. Divisional and School committees, as requested by the Head of School or Head of Division, engage in research leadership and perform appraisals of School staff. 2. Teaching and School Management: To supervise postgraduate students undertaking higher degrees (e.g. MSc, MRes or similar). To develop curricula, teach, set exams, examine and otherwise participate in Clinical Phase 2 of the medical undergraduate curriculum. To participate in other phases of the curriculum from time to time. To participate in teaching on postgraduate taught courses. To make a contribution to School of Medicine management systems in undergraduate & postgraduate teaching which is in line with balance of other responsibilities 3. Clinical: - To participate as a clinical academic consultant in delivering excellent care to patients through the Gastroenterology/ Hepatology/ Nutrition/ Endoscopy Services of the Division of Surgery at the Nottingham University Hospitals (NUH) NHS Trust as determined by the agreed job plan. -To contribute to teaching & training of junior medical staff. To actively participate in Clinical Governance & audit activities, clinical service development & in promoting multidisciplinary teamwork in clinical practice. - To actively participate in continuing medical education (CME), appraisal and the requirements for revalidation as required by the clinical academic contract. 10 % 50% Knowledge, Skills, Qualifications & Experience Essential Qualifications/ PhD or MD, or equivalent Education Evidence of entry on GMC Specialist Register or eligible for entry on Register or within six months of receipt of Certificate of Completion of Training (CCT) at time of interview. MRCP (UK) or equivalent Skills/Training/ Experience of supervising junior Experience doctors in training Evidence of experience of teaching undergraduate medical students Ability to teach research and clinical skills Ability to offer expert clinical opinion on a range of Gastroenterology/Hepatology/Nutrition/ Endoscopy related problems Ability and experience to do out-ofhours endoscopy for acute GI bleeding Prestigious publications in peerreviewed journals Experience of gaining ethical and R&D approval for studies Ability and experience to contribute to the University of Nottingham goals, for example through serving on committees Experience of audit Ability and willingness to work within the Trust and NHS performance framework and targets Statutory/Legal Satisfactory enhanced disclosure from the Disclosure and Barring Service Full GMC registration with a licence to practice at the time of appointment. Other Evidence of ability to work in a team Desirable Accredited specialist training in gastroenterology Higher education teaching qualification or equivalent. Experience of teaching/ supervising postgraduate students Proven ability to attract research funding Experience of managing a research portfolio Page 3 of 12

4 Good interpersonal skills Enquiring, critical approach to work Caring attitude to volunteers and patients Ability to communicate effectively with volunteers, patients, relatives, GPs, nurses, colleagues, and other agencies Commitment to Continuing Medical Education and the requirements of Clinical Governance and Audit Willingness to adopt the Ethos and Principles of the School of Medicine Clinical Job Description Clinical Activity Nottingham University Hospitals NHS Trust provides emergency, scheduled and ambulatory care to patients. Most of the Trust s emergency care pathway is provided on the QMC campus with specialist registrar on-call during the day and out-of-hours under the supervision of a dedicated consultant-led team. In-patient care is also provided on the QMC campus as dedicated consultant-led care. Scheduled, and ambulatory, care pathways are provided at QMC and City Hospital campuses as well as through the independent sector Treatment Centre. The post holder will have an annualised job plan working closely with other colleagues in delivering the service across both QMC and NCH campuses. They will have their own dedicated weekly sessions and be able to work flexibly with other luminal gastroenterologists and the emergency gastroenterology service. Booking rules for out-patient clinics are set by the individual consultants based on a point system (16-18 points per 4-hour session, 2 points per new & 1 point per follow up patient). We expect active discharge of patients to their primary care physician wherever possible; however, we acknowledge that as a tertiary centre of expertise some complex patients will need life-long specialist follow up and monitoring of new: follow up ratios is not always appropriate. Teaching Both campuses within Nottingham University Hospitals NHS Trust are major centres for undergraduate and postgraduate specialty trainee education and teaching. The successful candidate will be expected to play a full role in undergraduate and postgraduate teaching. Governance and Audit Nottingham University Hospitals NHS Trust is committed to the development of Clinical Governance. The approach taken is to develop actions plans at a directorate level. Each member of the medical staff is expected to take an active role in clinical governance activities within their Clinical Service Unit and each Clinical Service Unit has a Consultant nominated as Clinical Governance lead. The activities include, but are not restricted to, audit, incident reporting, review of complaints, risk management, CPD and Evidence Based Practice. Other Duties as Agreed The person appointed may eventually wish to take on other roles. Positions such as Clinical Service unit Lead are offered by the Trust on fixed-term contracts. Any positions offered by anyone outside the Trust (e.g. Training Programme Director, Regional College Advisor, Royal College Representative etc.) must be discussed with the Clinical Director, Head of Division within the University s School of Medicine and colleagues in advance of the position being accepted, so that consideration can be given to the job plan and whether this needs to be revised should the additional role be accepted. All the latter roles come under the University of Nottingham s External work policy. Please see Job Plan The following draft Job Plan reflects the best advanced assessment of what the final plan will be, based on 10 PAs. The University and Trust are moving towards annualised job plans to ensure the maximum flexibility and responsiveness of the service. Time off in lieu is granted for weekend and evening working. The weekly job plan outlined below is the most likely starting point although it is likely that sessions will change both in location and type to fit with service needs. The Job Plan will be subject to annual review. Page 4 of 12

5 Candidates who are unable, for personal reasons, to work full-time, may be eligible to be considered for the post on a part-time basis. In such a case, modification of the job content would need to be discussed with the University and the Trust. Programmed Activities: Clinical Care: Out-patient clinics (4 hours; 38 annualised) 0.9 [DCC] Endoscopy cross cover (4 hours; 28 list annualised, 0.53 [DCC] including 10 evening lists) Inpatient Ward Cover QMC 0.38 [DCC] 4 weeks in total in year (16 hrs/week) SPA pro-rata core NHS SPA (not including research/ 1.0 [SPA] trainee supervisions / NHS management roles) Admin 0.36 [DCC] On-call (frequency 1:13 combined QMC and NCH), 1.47 [DCC] supported by junior staff Cross site travel 0.05 [SPA] Pathology/Radiology MDT 0.11 [DCC] Teaching 0.15 [SPA] Service Development 0.05 [SPA] Sub Total Up to 5* (*distributed from the above by negotiation) Academic Academic including Research, undergraduate roles, postgraduate teaching, academic administration and academic CPD 5 PAs (including 4.25 PAs allocated to research, UG and PG teaching and 0.75 for academic administration and management and supporting professional activities associated with the University role) Sub Total 5 Sample weekly timetable: Total = 10 PAs AM PM Eve Monday Clinic (NCH) Endo list (NCH) Tuesday University University Wednesday Free Session Research Mixed Endoscopy (City Hospital Campus of NUH) (17:00-20:00) Thursday University University Friday Journal Club / Admin University Ward rounds: In-patient gastroenterology is divided into liver and luminal service with two consultants (one Hepatologist and one luminal Gastroenterologist) leading care at any given time. The new appointee will oversee inpatient care for about patients in rotation with other Gastroenterologists. We are committed to provide consultant-led service and aim to have daily senior ward rounds. Each consultant aims to do four ward rounds (including 1 teaching round) per week while covering the ward. One day of the week, the Speciality Registrar leads the ward round with appropriate discussion with the consultant. During time on the ward, fixed morning commitments will be cancelled to allow 4 hours of dedicated ward time to include case discussion, meeting with relatives, junior doctor supervision and ward related admin. Administrative Support Page 5 of 12

6 Office accommodation and administrative support will be provided by the Trust and University, as will a PC with and Internet access. All consultants are required to check their hospital regularly. The post holder will be assigned a named Patient Pathway Administrator (PPA) who manages patient queries, tracks results and pathways, types clinic letters and handles post. In addition, there are speciality PAs on both campuses, who perform more complex administrative functions & manage diaries, rotas and clinics cancellations. The post holder will be assigned a named PA on the City campus as well as use of the pool of speciality PAs on the QMC campus. Both named PPA and PAs are shared by multiple consultants and cross-cover occurs during times of leave. The University of Nottingham strongly endorses Athena SWAN principles, with commitment from all levels of the organisation in furthering women s careers. It is our mission to ensure equal opportunity, best working practices and fair policies for all. The School of Medicine holds a Silver Athena SWAN in recognition of our achievements in promoting and advancing the representation of women in science, technology, engineering, medicine and mathematics (STEMM). Please see Appendix 1 The University of Nottingham Described by the Times Good University Guide 2017 as the nearest Britain has to a truly global university The University of Nottingham has award-winning campuses in the UK, China and Malaysia and hosts a global academic community in all three countries. The University has an institution-wide commitment to embedding an international dimension across all of our activities enabling us to produce graduates who are empowered to excel in a challenging global environment and deliver genuinely world-changing research. Our reputation for world-class research has yielded major scientific breakthroughs such as Nobel-winning MRI techniques, drug discovery, food technologies and engineering solutions for future economic, social and cultural progress. Already ranked among the UK s elite universities and global polls for research excellence, our reputation for world-class research has been further enhanced with the 2014 results of the Research Excellence Framework (REF). In addition to scoring highly in quality rankings covering major disciplines in science, engineering, the social sciences, medicine, business and the arts, it is Nottingham s research power rankings which demonstrate the impressive volume of excellent research which is carried out. We are now ranked 8 th in the UK on a measure of research power which takes into account both the quality of research and the number of research-active staff who made REF returns, confirming Nottingham s place in the top tier of the world s elite higher education institutions. The main University campus is set beside a lake, in an extensive belt of woodland, parks and playing fields. The 330 acre University Park Campus is the focus of life for more than 32,000 students and houses the majority of the University s academic schools and many of the central Services. The Jubilee campus is situated 2 miles away from the University Park, and provides extra capacity. The University Medical School is situated next to the University Park. Together with the University Hospital, it forms the Queen s Medical Centre (QMC). University of Nottingham Medical School Nottingham has a strong reputation for both clinical medicine and teaching. As one of the most popular medical schools in the country, it is able to select excellent students and produce and attract good junior doctors. The School of Medicine comprises the Divisions of Cancer and Stem Cell Sciences, Child Health, Obstetrics and Gynaecology; Clinical Neuroscience; Epidemiology and Public Health; Primary Care; Psychiatry and Applied Psychology; Rehabilitation and Ageing; Medical Sciences and Graduate Entry Medicine; Respiratory Medicine; Rheumatology, Orthopaedics and Dermatology and the Nottingham Digestive Diseases Centre. The School also hosts the Education Centre, the Centre for Interprofessional Education and Learning, the Clinical Research Facility, the Clinical Skills Centre, NIHR Design Service East Midlands, Nottingham Clinical Trials Unit, PRIMIS and Medical Imaging Unit. Page 6 of 12

7 The School of Medicine brings together in one School staff undertaking research for the benefit of the health of patients. It includes all primary care and hospital-based medical and surgical disciplines, principally in the Queen s Medical Centre and City Hospital Nottingham Campuses, Royal Derby Hospitals NHS Foundation Trust and also at the University s main campus and at the King s Meadow and Jubilee Campuses. Most of our School s Senior Researchers and Teachers are also clinicians who dedicate 50% of their time to patient care within the Nottingham University Hospitals NHS Trust & Royal Derby Hospitals NHS Trust. This close juxtaposition brings cutting-edge clinical care to our patients and clinical relevance to our research and teaching. We are closely integrated with our full time NHS clinical colleagues, many of whom are themselves leaders in research and teaching and who work closely with the University and this increases the mutual benefit from integration between the University and NHS. Mission: Our mission is to improve human health and quality of life locally, nationally and internationally through outstanding education, research and patient care. Priorities: 1. Teaching and learning, particularly training tomorrow s doctors and teaching specialised postgraduates 2. Research and research training: We will perform and support the highest quality big research which impacts on human health and disease 3. Partnership with the NHS and other healthcare providers 4. Visibility and profile of the School of Medicine: We will do what we do better, and we will tell others about it Ethos and principles: 1. Having people and patients at the heart of all we do: our teaching and learning, our research and our patient care 2. Contribution within the School of Medicine and to society beyond our immediate roles; helpfulness and service 3. Openness and fairness, with particular emphasis on communication (both internal and external) and on equality and diversity among students and staff 4. Personal and group responsibility for all aspects of our work, within a culture of opportunity and reward Our research spans 11 major themes, ranging from cancer to vascular medicine. We work closely with industry and the NHS. Our world-leading research ranges from basic and translational science through to clinical trials, epidemiology, and health services research. Our clear theme is improving human health, underpinning a vibrant postgraduate research training programme leading to PhD or DM. Many of our academics are clinicians, using their expertise to provide cutting edge specialised treatment to NHS patients; reflecting our ethos that patients are at the heart of all we do. The partnership between University of Nottingham and Nottingham University Hospitals NHS Trust was recently awarded by NIHR, a transformational 23.6 million to to expand their pioneering work into new treatments and diagnostics for a wide range of health problems, establishing a new Biomedical Research Centre (BRC), which will incorporate two existing smaller Biomedical Research Units in the city. The Nottingham BRC will be the leading UK hub in five key areas of health research: Gastrointestinal and Liver Disorders Deafness and hearing loss Respiratory medicine Musculoskeletal disease Mental health technology At the core of the Biomedical Research Centre will be Nottingham s world-leading expertise in magnetic resonance imaging (MRI). It means the latest medical imaging research and technology pioneered here can be translated into real benefits for patients in all five of the BRC s research areas. In the 2014 Research Excellence Framework the four Units of Assessment included in the School of Medicine were among the six most improved in the whole University since RAE 2008: Over 80% of our research in 2014 was graded as world-leading or internationally excellent. Our research spans 11 major themes and ranges from basic and translational science through to clinical trials, epidemiology, and health services research. We work closely with industry and the NHS. Our research is underpinned by a strong postgraduate research training programme leading to PhD or DM. Our major research themes are in Cancer and Stem Cells; Child Health, Obstetrics & Gynaecology; Clinical Neurosciences; Dermatology; Digestive Page 7 of 12

8 Diseases; Epidemiology and Public Health; Mental Health; Musculoskeletal physiology and disease; Primary Care; Rehabilitation and Ageing; Respiratory Medicine; and Renal Medicine. The School of Medicine trains tomorrow s doctors on a vibrant undergraduate medical course with a unique intercalated BMedSci, as well in a specialised graduate-entry programme built around clinical problem solving. We teach medicine and related disciplines at both undergraduate and postgraduate level. We have a dedicated clinical academic training programme and are committed to training PhD and doctoral research students and to supporting postdoctoral clinicians and scientists in their research. Professor Tony Avery is Dean of the School of Medicine. For further information, please see our website Nottingham Central within the East Midlands, Nottingham is a vibrant and prosperous city with something to offer everyone. It is one of the UK s leading retail centres and has a huge variety of restaurants, bars and nightclubs which attract people from all over the UK. Culturally, it has good theatres, an arena which attracts both national and international performers and a range of historical interests relating to subjects such as the lace industry, Lord Byron and DH Lawrence. Nottingham is also known for sport, being the home of Trent Bridge Cricket Ground, Nottingham Forest and Notts County Football Clubs, the National Water Sports Centre and the Nottingham Tennis Centre. There is a good network of roads with easy access to the M1 and the A1, a fast frequent rail service to London and other major cities. Nottingham East Midlands Airport is only eighteen miles away. The city is set within a county of outstanding natural beauty which includes Sherwood Forest, Wollaton Park, lively market towns and wonderful historic buildings. Housing is relatively inexpensive and, in addition to the two Universities, there are excellent schools and colleges available. To find out more about Nottingham, use the following links: Nottingham County Council Tourism University of Nottingham Zoopla (Guide to local properties) My Nottingham (information on schools, term dates, school transport etc.) Appendix 2 Academic activity in the Nottingham Digestive Diseases Centre Academic hepatology, gastroenterology & GI surgery in Nottingham comprises of medical and surgical gastroenterologists, hepatologists and non-clinical scientists, which we believe to be the largest clinicallybased gastro-intestinal research grouping in the UK. At its core are 12 senior academics (8 full Professors and 6 associate professor/senior Lecturer) with extensive, mature, well-funded research programmes and expertise ranging from molecular and cellular biology through patient-based research to clinical trials and GI epidemiology. They work closely with the NHS gastroenterologists/hepatologists, many of whom also have active research programmes. Nottingham Digestive Diseases Biomedical Research Unit (NDDBRU) is the only BRU in the UK that is funded by the National Institute for Health Research (NIHR) to deliver translational research both in gastrointestinal and liver specific areas of research. Established with 5.3M funding in 2008, NDDBRU successfully secured further 7.2M funding for the period The current research programme of NDDBRU is focussed on Gastrointestinal and Liver Infection, Inflammation and consequences. NIHR NDD BRU has 4-bedded area suitable for intensive monitoring and interventions, research endoscopy facility, patient assessment rooms and tissue processing and storage facility. We have access to state-of-the-art laboratories in the University of Nottingham. Our collaboration includes over 50 Principal Investigators and also we have the largest dedicated academic training programme in gastroenterology in the UK, with 15 Research Council Training Fellows and 34 non clinical PhDs. As part of the implementation of the research strategy University of Nottingham has identified 24 Research Priority Areas (RPA) and grouped them around five Global Research Themes (GRT) so that we can use creative interdisciplinary approaches to deliver world-class research on a global scale. Chronic inflammatory disease is one of the RPAs in combination with Respiratory research groups under the Health and Wellbeing GRT. Page 8 of 12

9 Current research interests in gastroenterology/ hepatology/ academic surgery The research interests of the NDDC are broad covering luminal gastroenterology, hepatology and gastrointestinal surgery. There is specific expertise in H. pylori associated diseases, C. difficile infection, diverticular disease, inflammatory bowel disease, neurogastroentreology, drug-induced liver injury, nonalcoholic fatty liver disease, chronic hepatitis C, cirrhosis and biomarkers of liver disease, perioperative nutrition and metabolism, diverticular disease, anal fissure, colorectal cancer and anaemia/ iron deficiency. Prof Guru Aithal is the Head of the Division, NDDC and the GI & Liver Disorder Theme lead for NIHR Nottingham BRC. He also jointly leads Chronic inflammatory disease RPA and is the Deputy Director of NPMN. He has led recent discoveries in genetic susceptibility to DILI; he is the Chief-investigator for Prospective European DILI Registry supported by European Association for the Study of Liver. He also established a translational research group in Nottingham investigating novel tests to stratify NAFLD, life style and pharmacological interventions in NAFLD. In collaboration with SPMMRC, there are a number of work streams developing MR methodology to evaluate chronic liver diseases. Prof John Atherton has led translational and basic research in Helicobacter pylori virulence and has contributed to seminal work in the area of H. pylori gastritis and ulcer diathesis. Dr Karen Robinson an immunologist with a focus on immune mechanisms underlying both pathogenetic as well as protective effects of H. pylori. Prof Robin Spiller s research programme in neurogastroenterology focuses on pain and motility disturbance in IBS. He is currently investigating the hypothesis that constipation is caused by excessive cyclical retrograde propagated contractions (CRPC) leading to mechanism-based treatments. The role of CRPCs in diarrhoeapredominant IBS and its modulation by 5HT3 antagonists is a subject of another trial that Prof Spiller is leading. Prof Yash Mahida is interested in mucosal biology (including GI stem cells) and C. difficile pathogenesis. Prof Krish Ragunath is an academic endoscopist interested in advanced imaging, pre-cancer detection and treatment in the GI tract. Prof Chris Hawkey is interested in inflammatory bowel disease, non-steroidal anti-inflammatory drugs, cancer prevention and the conduct of clinical trials, which currently include the HEAT trial examining the benefit of H. pylori eradication in the prevention of aspirin associated GI bleeding. Dr Gordon Moran has broad research interests in inflammatory Bowel Disease and has expertise in the neurohumoral regulation of appetite in relation to inflammatory disorders of GI tract. Dr Luca Marciani is a Physicist focussed on developing novel MR based imaging techniques to evaluate in vivo the effect of food and GI function. Dr Maura Corsetti, is a clinical associate professor interested in disorders of GI physiology and motility an expert in high resolution manometry. Dr Neil Guha, is an expert in the development and evaluation of biomarkers in liver disease. His current work includes stratification of chronic liver disease using tissue, serum and imaging markers both in primary care and hospital based cohorts. Dr Neil Guha and Prof Guru Aithal were winners of the National NHS Innovation Award in 2013 and finalists of BMJ gastroenterology team of the year. Dr Aloysius Dominic Aravinthan has investigated the role of hepatocyte senescence in liver fibrosis and has a focus on hepatocellular carcinoma. Dr Brian Thomson is the Director of Nottingham Health Science Biobank (NHSB) which provides a centralised, quality assured, biofluid and tissue resource to underpin translational studies and to provide added value our clinical trials. Dr Tim Card and Dr Joe West conduct a wide range of GI epidemiology and observational studies in many areas including IBD, GI bleeding, celiac disease and liver diseases. Prof Dileep Lobo has developed successful research programmes in the field of surgical metabolism, nutrition, fluid and electrolyte balance, and pancreatic cancer. Page 9 of 12

10 Mr Austin Acheson has interest in impact of anaemia in patients with colorectal cancer and has lead the trials iron infusion to optimise care of patients perioperatively. Mr David Humes is the NIHR Post-doctoral fellow and associate professor in surgical epidemiology; he uses Clinical Practice research data Links and Hospital Episode Statistics to study the epidemiology of diverticular disease and risk of venous thrombosis. Further details of individual academic gastroenterologists and their research interests can be found at: Nottingham University Hospitals NHS Trust (NUH) VISION Our vision for the future of our hospitals is 'working together to be the best for patients'. WHO WE ARE NUH has three campuses Queen s Medical Centre (QMC), Nottingham City Hospital and Ropewalk House. We provide general hospital services to the 2.5 million residents of Nottingham and its surrounding communities and specialist services to a further 3-4 million across the region. We are one of the largest employers in the region, with 15,000 people making up team NUH. We have 1,500 volunteers and over 14,000 public members. The Trust s annual turnover is 940million. We have approximately 1,700 beds (90 wards). QMC is our emergency care site, where our Emergency Department, Major Trauma Centre and Nottingham Children's Hospital are located Nottingham City Hospital is where we largely care for patients with long-term conditions and run our elective services. This includes our centres for cancer, haematology, heart disease, urology, respiratory medicine and elective orthopaedics In Ropewalk House we provide a range of outpatient services, including hearing services We have maternity and neonatal units at QMC and City Hospital. On average we see: 71,006 outpatient appointments a month 16,386 outpatient appointments a week 3,277 outpatient appointments a day 89 elective patients a day 1,932 elective patients a month 318 daycase patients a day 6,892 daycase patients a month 2,123 patients pass through the doors at QMC a day 536 Emergency Department patients a day 557 patients a day (elective, day case and emergency) ACHIEVEMENTS We are at the forefront of many research programmes and new surgical procedures. In partnership with The University of Nottingham we host a Biomedical Research Centre carrying out vital research into hearing, digestive diseases, respiratory, musculoskeletal disease, mental health and imaging. As a teaching trust we have a strong relationship with The University of Nottingham and other universities across the East Midlands, playing an important role in the education and training of doctors, nurses other healthcare professionals. Page 10 of 12

11 We are part of the London 2012 Olympic legacy and offer services at the National Centre for Sport and Exercise Medicine - East Midlands, based at Loughborough University. VALUES AND BEHAVIOURS: Known as 'we are here for you' our values describe the NUH way of doing things. 'We are here for you' is our promise to patients that all day, every day, we will do our very best to ensure: you are cared for politely and respectfully by kind and helpful staff, who have taken the time to listen to you and keep you informed at every step you are safe in clean and comfortable facilities, with highly professional teams who work together to make sure you are in safe hands you are confident in your treatment provided by well-trained, skilled and compassionate teams, who involve you in your care and appreciate the value of your time Our values: caring and helpful safe and vigilant clinically excellent accountable and reliable best use of time and resources Innovation for patients THOUGHTFUL PATIENT CARE Caring And Helpful Polite, respect individuals, thoughtful, welcoming Helpful, kind, supportive, don t wait to be asked Listening, informing, communicating CONTINUOUS IMPROVEMENT Accountable And Reliable Reliable and happy to be measured Appreciative of the contribution of others Effective and supportive team-working Safe And Vigilant Best Use Of Time & Resources Clean hands and hospital so patients Simplify processes, to find more time to are safe care Professional, so patients feel safe Eliminate waste, investing for patients Honest, will speak up if needed to keep patients safe Making best use of every pound we spend Clinically Excellent Innovation For Patients Best outcomes through evidence-led Empowerment to act on patient feedback clinical care Improvement led by research and Compassionate, gentle, see whole evidence person Teaching the next generation Value patients time & minimise waiting Clinical Management Arrangements in the Nottingham University Hospitals NHS Trust Nottingham University Hospitals NHS Trust is managed via a structure of five Clinical Divisions, all of which are cross-town based. These are: - Medicine Division - Cancer & Associated Specialties Division - Clinical Support Division - Surgery Division - Family Health Division - There are also the Corporate Departments. Page 11 of 12

12 Each Division is led by a Divisional Director, supported by a Divisional Team, and each specialty within that division will have a Head of Service. Conditions of Service and Governance The successful candidate will be offered an Honorary Contract with the Nottingham University Hospitals NHS Trust under the terms and conditions. When undertaking clinical duties on this basis within the Trust, the person appointed will be expected to adhere to local policies and procedures and to take note of the standing orders and financial instructions of the Trust. Nottingham University Hospitals NHS Trust is committed to the development of Clinical Governance. The approach taken is to develop actions plans at a directorate level. Each member of the medical staff is expected to take an active role in clinical governance activities within their directorate and each directorate has a Consultant nominated as Clinical Governance lead. The activities include (but are not restricted to) audit, incident reporting, review of complaints, risk management, CPD and Evidence Based Practice. Professional Standards The Head of Service is managerially responsible for all activity and personnel in the specialty in which the appointee will work. The Medical Director and Responsible Officer, Dr Keith Girling, has overall responsibility for the professional standards of clinicians, including of those holding Honorary Contracts with NUH. All clinicians are expected to comply with management arrangements in place, to follow the guidelines on practice laid down by the General Medical Council s Maintaining Good Medical Practice, and to be accountable to the Trust for their actions and the quality of their work. A yearly Joint Clinical and Academic Appraisal is carried out. Page 12 of 12