Job responsibilities

DUTIES AND RESPONSIBILITIES

The appointee will be based at The Christie and will provide senior input to wards and an outpatient clinic.

Clinical Provide specialist gastroenterology and nutrition input for inpatients and outpatientsrequiring complex nutrition support, including cancer-related intestinal failure, complex enteral feeding, and parenteral nutrition. Provide specialist input into the assessment and management of patients requiring artificial nutrition support, including parenteral nutrition (PN) and complex enteral feeding. Undertaking outpatient clinics (OPC) for patients on home parenteral nutrition, ensuring continuity of care and prevention of avoidable admissions. Lead two ward rounds (WR) and multidisciplinary team (MDT) meetings within the Nutrition Support Team. Support shared care models with regional centres (e.g. Salford) to optimise patient pathways. Manage complex PN nutrition-related complications, including line sepsis, liver disease,fluid/electrolyte imbalance, and gastrointestinal failure. Actively contribute to multidisciplinary team meetings, collaborating with dietitians, nurses, pharmacists, oncology, palliative care, and other relevant specialties to ensure coordinated patient care Maintain effective communication and coordination with the patient's parent Team, ensuring shared decision-making and seamless care planning for complex artificial nutrition support. Support oncology and other clinical teams in ethical, patient-centered, and evidence-based decision-making for complex artificial nutrition support cases, including end-of-life care considerations Provide consultant-level advice to other clinical teams within the Trust. Ensure safe initiation and monitoring of parenteral and complex enteral nutrition. To support decision making in appropriateness for home PN and providing support and advice to medical teams for palliative and EOL patients.

Leadership & Service Development Contribute to the strategic development of the Nutrition Support Service in line with national guidance (e.g. BAPEN, NICE). Be an active member of the trust Nutrition Steering Committee. Promote and monitor standards of complex nutritional care for cancer and intestinal failure patients. Strengthen governance, audit, and quality improvement processes within the NST service. Provide leadership in decision-making around artificial nutrition in patients with advanced cancer, ensuring decisions are evidence-based, ethical, and aligned with patients values. Contribute to goals-of-care discussions, advance care planning, and end-of-life care decisions. Act as a source of specialist advice on ethical dilemmas related to artificial nutrition, capacity, and best-interest decision-making in collaboration with legal and ethics committees if required. Participate in the strategic planning of nutrition support services, including potential expansion into broader gastroenterology/later effects work. Engage with regional and national networks to promote best practice.

Education & Training Provide teaching on ethical principles in artificial nutrition support and complex decision-making Contribute to undergraduate and postgraduate education programmes. Undertake CPD and maintain GMC revalidation.Research & Audit Contribute to the development, implementation, and review of policies, guidelines, and audit programs to ensure compliance with best practice standards. Engage with research activity in clinical nutrition and gastroenterology and support the development of research capacity and innovation within the team. Present and publish findings at local, national, and international level. Participate in or initiate research projects, and contribute to audit, service evaluation, and clinical research in nutrition and cancer. Develop and participate in clinical trials and translational research related to artificial nutrition, cancer cachexia, and survivorship.Governance & Professional Standards Participate in annual appraisal, job planning, and revalidation. Comply with Trust and GMC standards on clinical governance, risk management, safeguarding, and data protection. Maintain continuing professional development in line with Royal College of Physicians guidance. Uphold equality, diversity, and inclusion principles in clinical and educational practice.Office Equipment & Secretarial Support The role will have a consultant office within our Supportive Oncology Directorate, shared with a colleague from Endocrinology. The role will also have access to secretary based within Dietetics and Nutrition. Any role specific clinical equipment required for the Gastroenterologist will be purchased as required. The consultant will be issued Trust laptop.

Continuing Professional Development (CPD)The Trust supports the requirements for CPD as laid down by the GMC and royal colleges and is committed to providing time and financial support for these activities.

Job PlanningThe job plan outlines the requirements of the post and may be altered by joint agreement with the Divisional Clinical Director and Service Manager and in response to service needs. Job Plans are prospectively agreed subject to an annual individual job plan review (May September). It is expected that the initial Job Plan discussion will take place within the first six months of employment at the Trust and then be aligned to the Trusts annual Job Planning review cycle.

The annual review will examine all aspects of the job plan (including any educational and supervision components) and will also include an assessment of professional development with defined goals for the future. For more information refer to the Terms and Conditions section of this Job Description and also the Trusts Job Planning Policy

The consultant job plan will include a combination of Direct Clinical Care (DCC) and Supporting Professional Activities (SPA) delivered across the 7day week.

Weekend working will consist of programmed clinical activities that are jobplanned, scheduled in advance, and reviewed annually through the job planning process.

The pattern and timing of weekday and weekend programmed activities will be agreed on appointment and subsequently reviewed through the annual job planning cycle, taking account of service needs and consultant preferences.

Essential Training/Mandatory TrainingTo ensure you maintain safe practice and understand Trust requirements, you must ensure your essential/mandatory training modules are maintained at all times using allocated core SPA time to complete them.

On call CommitmentsThis role does not require participation in the on-call rota.

The OPC includes review and coordination with regional centres (e.g., Salford) to manage home PN patients and prevent avoidable admissions. SPA time includes preparation for MDT, clinical governance, ethical case review, and research/education activities. The remaining PA time can be flexible to accommodate urgent clinical needs, additional late effects work, or service development.

Qualifications

Essential

• MRCP
• GMC registration with a license to practice.
• Entry on the General Medical Council (GMC) specialist register via one of the following: Certificate of Completion of Training (CCT) (the proposed CCT date must be within 6 months of interview). Certificate of Eligibility for Specialist Registration (CESR).

Desirable

• Higher degree (MD/PHD) in gastroenterology, nutrition or related field
• Qualifications in oncology

Research / Publications

Essential

• Participation in relevant research in the field of nutrition/ oncology

Desirable

• Publication in Peer reviewed journals, active research in nutrition / gastroenterology

Training

Essential

• Broad Training in nutrition including enteral and parenteral nutrition and gastroenterology

Desirable

• Training in oncology patients

Experience

Essential

• Experience in clinical nutrition, enteral and parenteral nutrition; MDT experience in tertiary / specialist setting
• Knowledge and experience of ethical decision-making in artificial nutrition and end-of-life care.
• Experience of working in acute setting Clinical leadership
• Evidence of audit, quality improvement and governance participation
• Evidence of teaching and clinical supervision

Desirable

• Experience in Cancer related nutrition or intestinal failure

Personal skills

Essential

• Team working
• communication skills
• commitment to patient centred care
• Evidence of clinical leadership skills
• Ability to work under pressure, self motivated, able to motivate a team, enthusiastic and professional demeanor

Desirable

• Leadership in national societies, member of BAPEN

Disclosure and Barring Service Check

This 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.

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).