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Advanced Clinical Fellow - Gastroenterology
The closing date is 31 March 2026
Gloucestershire Hospitals NHS Foundation Trust is seeking to appoint an Advanced Clinical Fellow in Gastroenterology to join our well‑established and highly regarded Gastroenterology and Endoscopy service within the Medicine Division.
This is a full‑time (40 hours) post aimed at senior Gastroenterology trainees (ST6‑8) or post‑CCT doctors (or equivalent), offering a structured opportunity to further develop advanced endoscopic skills alongside specialist gastroenterology experience. The post combines 50% service delivery with 50% training, development and research, tailored to the interests and experience of the successful candidate.
The role is based primarily at Cheltenham General Hospital, with cross‑county working at Gloucestershire Royal Hospital and community sites. The Trust is home to the Regional Endoscopy Training Centre, providing a strong training, education and research environment, including exposure to advanced lower GI therapies, complex polypectomy, and specialist clinics such as IBD and hepatology.
Main duties of the job
The postholder will deliver high‑quality clinical care within Gastroenterology and Endoscopy services, contributing to both elective and specialist activity while developing advanced endoscopic and training skills.
Independent performance of upper and lower GI endoscopy, including colonoscopy with level 2 polypectomy (minimum), contributing to service lists.
Participation in advanced endoscopy training opportunities, including complex EMR, lower GI ESD and colonic dilatation.
Delivery of outpatient gastroenterology clinics, including opportunities in specialist areas such as IBD, hepatology and nutrition (depending on experience and interests).
Active involvement in endoscopy education and training, including opportunities to observe and contribute to regional training courses.
Participation in audit, quality improvement and research activity, including opportunities in advanced endoscopy and AI‑related research.
Working collaboratively within multidisciplinary teams across gastroenterology, surgery, radiology, histopathology, specialist nursing and allied health professionals.
Maintaining professional standards in line with GMC Good Medical Practice and Trust clinical governance requirements.
There is no General Internal Medicine commitment and no on‑call requirement associated with this post.
About us
At Gloucestershire Hospitals NHS Foundation Trust, we place people at the heart of everything we do. With over 9,000 staff, we are the largest employer in Gloucestershire and one of the largest Trusts in the South West, providing a full range of acute and specialist services across two main hospital sites and multiple community locations.
Our Gastroenterology service has a strong national reputation for innovation, training and quality improvement, supported by:
* A fully JAG‑accredited endoscopy service
* A Regional Endoscopy Training Centre delivering national and regional courses
* Strong specialist services in IBD, hepatology, nutrition and bowel cancer screening
* A culture that actively supports research, education and service improvement.
We are committed to equality, diversity and inclusion, creating an environment where staff feel valued, supported and able to thrive. In return, we offer flexible working, excellent NHS pension benefits, generous annual leave, wellbeing support, and opportunities for professional development across clinical, educational and leadership pathways.
Job responsibilities
The Advanced Clinical Fellow will work under the supervision of Consultant Gastroenterologists and will be expected to practice with an appropriate level of autonomy, consistent with their experience and competencies.
Clinical responsibilities
Provide high‑quality, patient‑centred gastroenterology and endoscopy care.
Undertake independent diagnostic and therapeutic endoscopy, including colonoscopy and gastroscopy.
Apply sound clinical judgement in the assessment and management of gastroenterology patients.
Contribute to specialist services including IBD, hepatology, nutrition and bowel cancer screening, as appropriate.
Participate in multidisciplinary meetings, including IBD, hepatology, radiology and histology MDTs.
Training, education and development
Develop advanced endoscopic skills through supervised and independent practice.
Contribute to the education and supervision of junior doctors, trainees and other healthcare professionals.
Engage with regional and local endoscopy training activity, with opportunities to develop faculty skills.
Maintain a professional training portfolio and participate in appraisal and development planning.
Research, audit and quality improvement
Participate in clinical audit, quality improvement and patient safety initiatives.
Engage in research activity where appropriate, including opportunities in endoscopy training, advanced therapy and AI.
Support the Trust’s clinical governance framework and continuous improvement culture.
Professional and organisational responsibilities
Work collaboratively within multidisciplinary and multi‑professional teams.
Comply with Trust policies, clinical governance standards and information governance requirements.
Maintain GMC registration, licence to practise and mandatory training.
Uphold the Trust’s commitment to safeguarding, equality, diversity and inclusion.
The postholder will be expected to demonstrate flexibility in working patterns aligned to service needs, with secretarial and administrative support provided.
Person Specification
Quality
* Demonstrates commitment to delivering high‑quality, safe and patient‑centred care in Gastroenterology and Endoscopy.
* Demonstrates probity, professionalism and adherence to GMC Good Medical Practice.
* Evidence of participation in clinical audit, quality improvement or patient safety initiatives.
* Evidence of completed audit cycles and contribution to service improvement.
* Demonstrates understanding of clinical governance and risk management processes.
Knowledge
* MBBS (or equivalent) with full MRCP (UK) or equivalent.
* Full GMC registration with licence to practise at time of appointment.
* Sound knowledge of core Gastroenterology and Hepatology practice.
* Knowledge of advanced endoscopic techniques and pathways.
* Knowledge of research methodology and critical appraisal.
* Awareness of NHS structures, resource management and service delivery.
Experience
* ST6+ experience in Gastroenterology and Endoscopy (or equivalent).
* Independent practice in colonoscopy (minimum level 2 polypectomy).
* Evidence of competence to work without direct supervision.
* Current ALS certification (or equivalent).
* Experience in teaching or training junior doctors or allied professionals.
* Experience in advanced endoscopic therapy (e.g. complex EMR, ESD, dilatation).
* Evidence of involvement in research or publications.
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.
Gloucestershire Hospitals NHS Foundation Trust
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