Hepatology clinical fellow in HCC surveillance

Job summary

The Hepatology service at Guy's and St Thomas' (GSTT) is an IQILs level 2 accredited unit that provides tertiary care for patients with liver disease and hepatobiliary conditions. The unit has a large outpatient service with sub‑specialty clinics, including viral hepatitis, autoimmune liver disease and HPB medicine. There is a hepatology inpatient service on Alan Apley ward, St Thomas' Hospital, with a dedicated resident doctor team and a Gastro Day Unit offering a day‑case paracentesis service.

There is a large endoscopy unit at St Thomas' and Guy's Hospitals and as part of the Hepatology service there are two dedicated endoscopy lists for management of portal hypertension and four ERCP/EUS lists per week. We are a tertiary referral service for complex hepatobiliary cases. The unit is also active in clinical and commercial research and quality improvement.

This post focuses on service development, primarily based in the Department of Gastroenterology and Hepatology at GSTT and funded by SELCA. The main aim is to work on a regional project to improve the quality of hepatocellular carcinoma (HCC) surveillance across south east London. The post holder will work closely with all three NHS Trusts in the region and will have the opportunity to undertake clinical sessions in the Hepatology department at GSTT and attend oncology/HCC clinics and MDMs at King's College Hospital.

Our values describe who we are as an organisation and help shape our Guy's and St Thomas' culture. They guide us in everything that we do and are central to how we deliver our strategy.

We updated our values in September 2024 to express what we expect of ourselves and each other, both now and in the future. Almost 1,800 colleagues from across the Trust helped develop these to summarise what matters to us as an organisation.

Caring: we put patients first

Ambitious: we innovate and strive for excellence

Inclusive: we respect each other and work collaboratively

Date posted: 27 February 2026

Pay scheme:
Hospital medical and dental staff

Grade:
Doctor - other

Salary: £52,656 a year p.a excl of LZ

Contract:

Fixed term

Duration: 12 months

Working pattern:
Full-time

Reference number: 196-MED
5093

St Thomas Hospital, Westminster Bridge Road, London, SE1 7EH

Co‑operate with consultant leads, SELCA project managers and other clinical staff on the HCC surveillance project at all three sites. Help develop databases of patients at risk of HCC at each site and engage in novel AI solutions to improve surveillance, as well as patient engagement projects. Clinical duties will be predominantly outpatient hepatology service, with possible oncology clinic involvement. Endoscopy training is not provided, but ad‑hoc experience may be gained.

Inpatient coverage may be required.

• MRCP or equivalent qualification ALS Full Registration and a License to Practice with the General Medical Council

• Completed Internal Medicine Training Higher Degree (MD or PhD)

• Completion of at least 2 years clinical training in general internal medicine/hepatology/gastroenterology
• Experience in quality improvement, service improvement and research

• Experience in a tertiary liver centre
• Specialty registrar experience or equivalent

• Excellent time management and organisational skills
• Excellent IT capability, including skills and experience in database development and management
• Good interpersonal skills, able to work with professionals from clinical and non‑clinical backgrounds
• Excellent understanding of the principles of audit and quality improvement

• Knowledge of chronic liver disease and hepatocellular carcinoma

• Good communication, both verbal and written
• Ability to work as part of a team
• Ability to understand and communicate with patients and colleagues
• Ability to undertake research projects and audit

• Interest in leading investigative, audit and research work…