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Job Title: Clinical Fellowship Hepatology
Specialty/Department: Department of Hepatology
Location: Leeds Liver Unit, St James’s University Hospital
Salary: Dependent on Experience
Job link: https://www.jobs.nhs.uk/xi/vacancy/916736281
Applications are invited for a Clinical Fellowship available from September 2021 for 6 months renewable for a further 6 months in the Department of Hepatology at St James’s University Hospital in Leeds.
We are looking for an enthusiastic well-motivated trainee who wants the opportunity to gain experience in the management of liver disease.With a growing need for doctors to understand and be able to manage patients with liver disease, this is an exciting opportunity to train in one of the leading UK Hepatology centres and contribute to the Leeds Liver Unit’s international reputation for transplantation.
The successful candidate will gain experience in all aspects of Hepatology including the assessment of patients with acute and sub-acute liver failure, assessment of patients for treatments such as liver transplantation and TIPSS, patients with a wide variety of complex general Hepatological conditions and with viral hepatitis. This is a clinical post and the fellow will join the out of hours rota and have the opportunity to undertake audit and contribute to ongoing projects in the department.
The Department is affiliated to the University of Leeds with the MRC funded Centre for Bioinformatics, the Leeds Institute of Data Analysis and the NIHR funded Diagnostic Evaluation Co-operative.
Candidates should hold full licence to practise with the UK General Medical Council and have completed their Foundation Years training or equivalent.
Basic salary scale will depend upon experience. An out of hours banding supplement will also apply.
Interested applicants are welcome to contact Dr Mark Aldersley, Consultant Hepatologist and Lead Clinician by e-mail email@example.com .
Closing date 27th September 2021.
A survey of HCC surveillance in the UK was last conducted in 2014, which highlighted some weaknesses in service provision nationally. We are repeating the survey to see if things have changed, and extending the survey to include additional questions on surveillance imaging and secondary surveillance. We have worked with the HCC UK Committee in developing this survey, and the project is supported by BASL. We hope that this will generate a valuable contemporary overview of UK HCC surveillance service delivery, and stimulate discussion and innovation.
The link to the survey is found here > https://forms.gle/U46TZq7oeVfJveAs7
This time we are seeking service level responses (one response per organisation or service).We expect the survey will only take 10-15 minutes to complete, although some of the questions might require input from other clinical colleagues e.g. section 3 is about imaging and may require input from a radiologist. We will acknowledge the lead contributor from each organisation in a report of this survey.
Many thanks in advance for your time.
Dr Aloysious Aravinthan, Consultant Hepatologist, Nottingham University Hospitals NHS Trust
Dr James Franklin, Consultant Radiologist, University Hospitals Dorset NHS Foundation Trust
Dr Christopher Clarke, Consultant Radiologist, Nottingham University Hospitals NHS Trust
Professor Steve Ryder, Consultant Hepatologist, Nottingham University Hospitals NHS Trust
Professor Shahid Khan, Professor of Practice (Hepatology), Imperial College London
In an effort to further address the unmet medical need in viral hepatitis, Gilead Sciences is launching a fellowship program.
The programme will support proposals that evaluate existing, or implement and evaluate new, innovative initiatives focussed on increasing appropriate Hepatitis Delta testing utilising electronic healthcare systems (e.g. automated reflex testing or pop-ups).
Applications will be accepted from 16th August and 15th October 2021.
For more information on Gilead Sciences Fellowship program and how to apply, please visit: www.gileadgiving.co.uk .
The IQILS accreditation programme has grown significantly in the last 18 months. There has been a rapid increase in the level of engagement from services, committed to progressing with IQILS accreditation. The programme currently has 60 registered services, an increase of 8 services in 2021 alone. 11 services are currently signed off for the level 1 standards; A list of all these services can be found on the IQILS website. Three services will be undergoing a full accreditation assessment in the latter part of 2021.
The programme is also offering registered services, that are not an operational delivery hub for the Hepatitis C network, peer review support opportunities. The peer reviews are taking place remotely and will provide your service with an opportunity to receive feedback and guidance on how to progress with the accreditation standards.
In other news, Dragana Smith has recently been appointed as the new IQILS programme manager. Dragana previously worked as programme manager for the pulmonary rehabilitation accreditation programme, and prior to joining the Royal College of Physicians, worked in the fields of legal practice and medical education.
Registration to the programme is open to all liver services across the UK. If your service is interested in registering, please visit our website to sign up: https://www.iqils.org/UserRegistration/
Services registered to the programme receive access to the following benefits:
• The full accreditation standards
• Access to the IQILS website and self-assessment webtool
• Regular virtual training session on the accreditation process and standards
• Online repository of best practice templates and documents
• Regular newsletters on the programme with updates
• Support from the IQILS office team
Please contact the IQILS team at firstname.lastname@example.org or 0203 3075 1508 if you would like to speak to the IQILS team about the programme.
The IQILS accreditation programme is seeking nurse and medical assessors to conduct accreditation assessments for the programme.
The IQILS programme was launched in 2017 and is designed to support liver services in the UK. Accreditation is a supportive process of evaluating the quality of clinical services against the programme’s established standards.
Successful applicants will undergo a detailed training programme that equips them with the necessary skills and knowledge required to undertake the role. You will be invited to remote training sessions, as well as observe an assessment and receive support from the office team. If you are interested in becoming an assessor, please contact the IQILS team at email@example.com to further discuss the role.
The HCC UK Committee is currently seeking expressions of interest for a number of posts. HCC UK is a multi-disciplinary group aiming to promote professional collaboration in research, education and clinical service development for primary liver cancers. The group meet three to four times a year and all post holders will serve for three years and may be re-elected for one further term:
• Chair - will chair committee meetings
• Conference & education lead x 2
• Basic science lead
• Hepatology representative
• Oncology representative
• Surgery representative
• Radiology representative
Any BASL member who wishes to be affiliated to HCC UK can do so via the 'member area' of the BASL website or by emailing firstname.lastname@example.org .
Please send your nomination, clearly stating the position that your nomination is for to the BASL Secretariat at email@example.com . Deadline extended to 17:00 on Friday 13th August 2021.
Candidates wishing to be considered to join the HCC UK Committee should be a member of BASL and will require one BASL member to propose them and a second to confirm their suitability for the role in writing. (Proposing and seconding of candidates is by email.)
If more than one candidate is nominated the Secretariat will arrange for an election of BASL HCC UK members, in which all BASL members affiliated to HCC UK may vote. At this stage a personal statement will be requested from the candidates and the successful candidate will be elected by a simple majority of those members voting.
(Added 13 July 2021)
The tenure of a number of committee member posts will come to an end in September 2021 and BASL are now seeking nominations for the following 3 positions on its Governing Board:
BASL Secretary Elect - elected by the membership and will shadow the BASL Secretary from October 2021, taking up the role of Secretary at the end of the Business Meeting of the Association in September 2022.
The Secretary is the Chief Executive of the Association and serves for up to two years. They are responsible for running the administrative tasks pertaining to his/her function and will work closely with the Secretariat, who are appointed by the Governing Board.
Research Lead - elected by the membership to serve for a period of up to three years and may be re-elected once. The Research Lead is responsible for basic science, research and portfolio development.
Services Lead - elected by the membership to serve for a period of up to three years and may be re-elected once. The Services Lead supports the development and implementation of Clinical Standards and the provision of Clinical Services, including preparation and delivery of advice to national health authorities concerning liver diseases.
The newly elected BASL members will take up their roles at the end of the BASL Annual Business Meeting in September 2021.
All of the above posts, with the exception of the Secretary Elect post, shall be registered with Companies House in the UK as a Director of BASL and registered with the Charities Commission as a Trustee.
BASL is committed to promoting equality and diversity and ensuring equal opportunities and access for all our members. Please consider joining the BASL committee and help to shape the future of BASL.
Please send your nominations, clearly stating the position that your nomination is for, to the BASL Secretariat at firstname.lastname@example.org by the deadline of 23:59 on Wednesday 30th June 2021.
Candidates wishing to be considered for nomination must be a member of BASL and will require one BASL member to propose them and a second BASL member to confirm their suitability for the role in writing. (Proposing and seconding of candidates is by email.)
If more than one candidate is nominated for a particular post, the Secretariat will arrange for an election of all members. He/she will be elected by simple majority of those members voting.
A personal statement, containing no more than approx. 300 words, will be required from the candidate should an election need to take place. Candidates will be contacted by the Secretariat if a personal statement is required.
The newly elected posts will be announced at the next Annual Business Meeting of the Association during BASL2021 which takes place from 21st – 24th September.
If you need any more information on any of the above, please do not hesitate to contact email@example.com .
We look forward to hearing from you.
BASL are looking to develop a Trainee Subcommittee to increase regional representation for hepatology interested trainees.
Key roles will be in the promotion of hepatology locally and assistance in delivering BASL Trainee Educational events.
The subcommittee will be formed of 8 regional representatives. Please download the BASL Trainee Subcommittee Aims document below for more information, including the regional areas:
If you have any specific questions, please contact firstname.lastname@example.org .
The post will be for 2 years and BASL members are invited to submit an expression of interest to email@example.com detailing which region you are interested in representing, along with a 300 word personal statement explaining why you want to represent your region and what you can bring to the BASL Trainee Subcommittee.
Deadline - for expressions of interest is 23:59 on Wednesday 30th June 2021.
In the case of multiple applicants for a region the Secretariat will arrange for an election of the BASL In Training members. Representatives will be elected by simple majority of those members voting.
BASL is committed to promoting equality and diversity and ensuring equal opportunities and access for all our members. Please consider representing your region.
We look forward to hearing from you.
Environmentally Sustainable Hepatology - It’s time to make a start.
The Covid-19 Pandemic has precipitated a rapid re-think of how medical services should be provided in the UK and around the world. This reconfiguring of services is happening in parallel to the run up to the G7 conference in Carbis Bay, Cornwall where Climate is a key item on the agenda. As well as this the UK is hosting the COP26 climate conference later this year, this pivotal meeting taking place at a time when key decisions and investments are being made as part of the recovery from the pandemic. There have been many pleas to place Climate, Planetary and Human Health at the centre of the pandemic recovery.
Over the last few years the majority of us will have noticed gradual steps towards a more sustainable future, in what we eat, how we travel and almost every other aspect of our lives. These changes include a move to a more environmentally sustainable future for healthcare. The NHS is leading this change internationally with plans underway to deliver the world’s first net zero healthcare system . This transformation requires a rethink of every aspect of NHS practice from heating and lighting to changes to the NHS constitution. This transformation delivers the potential to maintain or improve quality of care whilst lessening our impact on the planetary systems and natural world on which we all rely.
"It is not enough for the NHS to treat the problems caused by air pollution and climate change - from asthma to heart attacks and strokes - we need to play our part in tackling them at source."
NHS Chief Executive Simon Stevens
A number of specialities including Anaesthetics, Surgery and Nephrology are making progress with a move to more sustainable healthcare models, with help from organisation such as https://sustainablehealthcare.org.uk . Our Gastroenterology colleagues are also making progress with the recent appointment of a Fellow in Sustainable Endoscopy and an expanding international coalition: ‘The Green Endoscopy Network’ (Twitter @GreenEndoscopy).
It is overdue for Hepatology to start a journey towards a more sustainable future rather than be left on the sidelines at this time.
What is Sustainable Healthcare?
A sustainable healthcare system is achieved by delivery high-quality care and improved public health without exhausting natural resources and living within the ecological boundaries of our planet.
The 4 main domains of sustainable healthcare are set out below adapted from Mortimer et al.
How do we make a start on Sustainable Hepatology?
Maybe the best way to start is by recognising that some current practices already fit within the sphere of sustainable hepatology within one of the domains above. For instance non-invasive assessment of hepatic fibrosis whether it be by ELF test or FibroScan represent low carbon modalities of assessing severity of liver disease. Other more sustainable practices underway, such as telephone and video appointments where appropriate, represent a change to lean services delivery and such practices should be embedded where appropriate and feasible. These may sound like small steps, however with an increasing burden of liver disease they are significant and represent a beginning.
Where else might Sustainable Hepatology lead and what might be the next steps?
The next step may be to consider embedding sustainability in quality improvement framework (SusQI) and into the outcomes of a service measured against environmental, economic, and social cost to determine its sustainability value. This framework was developed by the Centre for Sustainable Healthcare with partners including the Royal College of Physicians . This might lead to a new focus on healthcare preventive measures such as minimum unit pricing of alcohol or a greater focus on preventing metabolic liver disease both within childhood and adult services.
We might also consider:
• Form a multi-disciplinary group of interested others to define what Sustainable Hepatology should be.
• Consulting with https://sustainablehealthcare.org.uk at an early stage.
• Educate ourselves, our association, colleagues, departments and others where appropriate on climate, health and liver disease.
• Incorporate talks on climate and sustainability into gastroenterology and hepatology training and relevant meetings.
• The principles of sustainable quality improvement (SusQI) have been developed by a group including the Royal College of Physicians. These principles could be incorporated into guideline development and quality improvement in Hepatology.
• Appoint Fellows in Sustainable Hepatology (as is taking place in Endoscopy, Anaesthetics, Surgery, Dentistry and Psychiatry).
• A move to more sustainable Hepatology conferences.
In our opinion it is time for hepatology to look to a more sustainable future and we welcome the thoughts and opinions of colleagues in the UK around the world as to how to make this happen.
Join BASL’s Sustainable Hepatology Working Group
BASL is committed to being an inclusive organisation, offering equal opportunity for members to be involved in the work of the association. If you are interested in being part of a working group to develop ideas for Sustainable Hepatology and work with others to promote thinking about this is our future research and service developments, please contact our lead, Dr William Stableforth, by emailing firstname.lastname@example.org .
Each year BASL presents the Dame Sheila Sherlock research prize, one of the highlights of the BASL Annual Meeting. This prize is awarded annually to recognise the enormous contribution of Dame Sheila Sherlock to the development of Hepatology as a discipline in its own right.
Dame Sheila was involved in the foundation of the British Liver Club in 1961, which subsequently evolved into The British Association for the Study of the Liver (BASL). She was one of our past presidents and the first recipient of The BASL Distinguished Service Award. In keeping with Dame Sheila’s enthusiasm for fostering young researchers, this eponymous research prize is awarded to young investigators without substantive posts in either medicine or science for their research contributions in the field of Hepatology.
In keeping with Dame Sheila’s enthusiasm for fostering young researchers, this eponymous research prize is awarded to young investigators without substantive posts in either medicine or science for their contributions in the field of hepatology research.
The winner will receive free registration to the meeting, an award and a prize of £1,000 and an invite to deliver the prize lecture and present their research at the BASL Annual Meeting.
To apply, please send one A4 sheet outlining your research and another A4 sheet listing up to 5 related publications.
Please send submissions to email@example.com before the deadline of 09:00hrs on Monday 2nd August 2021
You must be a BASL member to apply.