Published: May 2026

Abstract

Job planning is a mandatory part of the national terms and conditions for National Health Service (NHS) consultants. Gastroenterology and hepatology services are experiencing increasing demand, workforce pressures and evolving models of care. This document aims to provide detailed guidance for consultant gastroenterologist job planning aligned with national standards and current NHS service requirements. Guidance was developed by the British Society of Gastroenterology Job Planning Advisory Group, informed by national policy, Royal College of Physicians recommendations and expert consensus. Key areas addressed include direct clinical care, supporting professional activities, outpatient services, endoscopy, inpatient care, emergency and on-call commitments and single point of access services. Recommendations are provided to support equitable and sustainable job planning. In conclusion effective job planning is essential to deliver safe, high-quality patient care while supporting workforce sustainability. A structured, transparent and collaborative approach is required.

New guidance from the RCP advocates for a more balanced flexible and realistic approach to job planning that will protect patient safety and improve workforce retention: Empowering physicians: Effective job planning for better patient care.