St Richard’s Hospital (Western Sussex Hospitals NHS Trust)

Bariatric Fellowship

Fellowship location

Fellowship Centre St Richard’s Hospital (Western Sussex Hospitals NHS Trust)
Fellowship Country England
Centre Town/City Chichester, West Sussex

Fellowship faculty

Fellowship Director Mr Will Hawkins
Contact Number Contact the current fellow Richard Newton for information (07980005675) or Mr Hawkins
Faculty Email or

Fellowship details

Speciality focus Bariatric surgery
Duration 12 months
Salary Yes, based on a trust grade registrar with 1A banded on call
On-call Yes (1 in 8 non-resident out of hours on call which entails: Alternate Wednesday nights, 1 in 8 Friday nights, 1 in 8 48 hour weekends)
Next available October 2019

Fellowship history

Programme began Approximately 2010 & part of the RCS Senior Clinical Fellowship scheme since 2016
Previous fellows 11
Current fellows One senior clinical fellow (post-CCT) and one research fellow (SHO)
Operative experience Most have gained operative independence within a year for primary bariatric surgery.

Fellowship contents

Oesophageal resection No
Gastric resection No
Liver resection No
Liver transplant No
Pancreas resection No
Bariatric surgery Yes – It is a busy unit with three permanent and two visiting consultant surgeons (the visiting consultants were both previously fellows in the unit). Per year there are approximately 220 Roux-en-Y Gastric Bypasses and 80 Sleeve Gastrectomies with a gradual move towards more Sleeves. We do some gastric band work but increasingly this is removing them and converting to Gastric Bypass. A significant proportion of the work is revisional which the fellow is very involved in. The fellow attends 2.5 days of theatre lists per week on average, with an MDT and clinic on a Friday. We have experience in developing our fellows in a stepwise fashion that has achieved independence in bariatric surgery for all our post-CCT fellows over 12 months. The fellow is an integral part of the functioning of the unit, working closely with our team of surgeons, specialist physician, anaesthetists, specialist dietitians and administrators. The fellow is also the lead facilitator for our tertiary referral service, liaising with other units wanting advice or to transfer patients into the department.
Research opportunities Yes – The department has sufficient clinical experience and caseload for meaningful clinical research which is actively encouraged and supported. There are several active academic links with regional universities, including a non-clinical PhD fellow at the University of Chichester. We have recently appointed a specialist bariatric physician to the department and, aside from vastly improving the holistic care we can offer our patients, this has opened up several new streams of potential research which are constantly evolving.

Additional information

This is an excellent post for an Upper GI Surgeon wishing to pursue a career in bariatric surgery, or gain experience and competence in advanced laparoscopic surgery. Applicants would ideally be post-CCT and have good laparoscopic skills (especially suturing) prior to starting the fellowship. The bariatric fellow is usually the most senior surgical trainee in the surgical department and is therefore expected to support and teach the more junior trainees. The registrar in the UGI team is not rostered to be involved with the bariatric work, so the fellow does have a great opportunity to develop their skills. The post is designed to help the fellow smoothly make the ‘step-up’ from trainee to consultant level practice with all of our recent fellows securing consultant posts after completion of the fellowship. We are always happy to continue to support our fellows in their on-going careers once they move on from our unit.