Job summary
Employer heading
Senior Clinical Fellow in Anaesthesia
NHS Medical & Dental: Specialty Trainee (ST6-8)
Guy’s and St Thomas’ is among the UK’s busiest and most successful NHS foundation trusts. We provide a full range of hospital and community services for people in south London and as well as specialist care for patients from further afield including cancer, renal, orthopaedic, respiratory and cardiovascular services.
Guy’s is home to the largest dental school in Europe and a £160 million Cancer Centre opened in 2016. As part of our commitment to provide care closer to home, in 2017 we also opened a cancer centre and a kidney treatment centre at Queen Mary’s Hospital in Sidcup. St Thomas’ has one of the largest critical care units in the UK and one of the busiest emergency departments in London. It is also home to Evelina London Children’s Hospital.
Evelina London cares for local children in Lambeth and Southwark and provides specialist services across south east England including cardiac, renal and critical care services. We lead a number of specialist service networks aiming to ensure children are treated locally where possible, but have access to specialist expertise when they need it. Our community services include health visiting, school nursing and support for families of children with long-term conditions.
Our adult community services teams deliver care at the heart of the local communities we serve, working in partnership with GPs, local authorities and other healthcare and voluntary sector organisations. Working with our partners in Lambeth and Southwark, we are focusing on new ways of working to improve care for local patients.
In February 2021 the Royal Brompton and Harefield joined Guy’s and St Thomas’ NHS Foundation Trust, bringing together world-leading expertise in the care and research of heart and lung disease. Our merger provides a once in a generation opportunity to build a lasting, world-renowned heart and lung centre, providing the highest quality care for patients and conducting world-leading research.
We have a reputation for clinical excellence and high quality teaching and research. We are part of King’s Health Partners, one of eight accredited UK academic health sciences centres. In partnership with King’s College London we have dedicated clinical research facilities including an MHRA accredited Phase I clinical trials unit.
Patients are at the heart of everything we do and we pride ourselves on ensuring the best possible patient experience as well as safe, high quality care. We are proud to have one of the lowest mortality rates in the NHS. Following a comprehensive Care Quality Commission (CQC) inspection in 2019 we maintained our overall rating of ‘good’. Our adult community services achieved a rating of ‘outstanding’.
The commitment of our 23,500 staff is key to our success. We are one of the largest local employers and we aim to develop and support all our staff so they are able to deliver high quality, safe and efficient care. The 2019 NHS staff survey results show that we have one of the most engaged and motivated workforces in the NHS. We know this has a positive impact on the care provided to our patients.
We have one of the most ambitious capital investment programmes anywhere in the NHS.
Job overview
Senior Clinical Fellow in Anaesthesia
Location: Harefield Hospital
The work of the department comprises anaesthesia for all forms of cardiac and thoracic surgery, the care of patients in the Intensive Therapy Unit, anaesthesia cover in the X-ray/Cardiology Department for diagnostic, electrophysiology and interventional/therapeutic procedures (including TAVI), and “stand-by” cover for heart biopsies and angioplasties. There are three cardiac and two thoracic operating theatres. Cardiac and thoracic lists run every day. There is an active mechanical support for program and transplantation program for the management of advanced cardiac and respiratory failure. Acute and chronic pain services are provided by the department.
The range of conditions treated is wide providing varied, interesting and valuable experience for anaesthetists.
Main duties of the job
This is a highly specialised post and would be ideally suited to an NTN holder in year 4 or 5 of their training (as out of programme experience) who wishes to pursue a career in cardiothoracic anaesthesia and intensive care. The appointee should have a minimum of four months experience in cardiothoracic anaesthesia, and consideration be given to other suitable candidates including those already in possession of their CCST or appropriately qualified overseas trainees.
This post is for 6 months initially with the possibility to extendable to 24 months, subject to satisfactory performance and the training needs of the individual Clinical Fellow. In general, the year will be divided into modules covering anaesthesia for adult cardiac surgery, thoracic surgery and cardiothoracic intensive care, with opportunities for research and skills in TOE. There may be opportunities to join the transplant retrieval team.
Working for our organisation
The Department of Anaesthesia and Critical Care has undergone a restructuring process to separate junior medial posts into those based in anaesthesia and those based in critical care. There are 21 juniors at registrar grade and 9 CT1/2 posts. This allows the provision of three separate on-call rosters – one for anaesthesia and outreach, and two for the intensive care unit. The junior staff comprises of:
3 Specialist Registrars (Deanery rotations in anaesthesia; 5 posts incorporate 3 month blocks in intensive care)
7 Clinical Fellows (intensive care only)
9 Clinical Fellows (based in anaesthesia but incorporating 2-3 month blocks in intensive care)
9 CT1/2 posts (including 1 Deanery CT rotation, 2 cardiology/ICU rotation) – intensive care
Detailed job description and main responsibilities
The post holder will be assigned to one or more blocks of 2/3 months in adult intensive care. When attached to the adult intensive care units the Clinical Fellows are expected to attend the ward rounds, participate in the daily clinical duties and attend the relevant teaching programmes.
The Clinical fellows participate in the provision of all aspects of anaesthetic and intensive care for adults undergoing cardiothoracic procedures. This includes preoperative assessment, intraoperative care and postoperative management. This may be carried out under the immediate or more distant supervision of the consultant staff as appropriate.
Person specification
Qualifications / Training
Essential criteria
- Postgraduate training in anaesthesia (to at least ST5 equivalent)
- FRCA (or equivalent)
Desirable criteria
- Higher degree (MD, PhD or equivalent)
- Training in transoesophageal echocardiography
- GMC Registration
Experience
Essential criteria
- Cardiothoracic anaesthesia ( >3months)
Desirable criteria
- Adult cardiothoracic intensive care
Skills, Knowledge and Abilities
Essential criteria
- Good interpersonal and communications skills in line with the Trust’s Core Behaviours (see appendix one)
- IT skills and computer literacy
Applicant requirements
This post is subject to the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (Amendment) (England and Wales) Order 2020 and it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service.
Documents to download
Further details / informal visits contact
- Name
- Christopher Skeoch
- Job title
- Consultant in Anaesthesia and Critical Care
- Email address
- [email protected]
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