
Guys and St Thomas NHS Foundation Trust
Job title:
Clinical Fellow in Adult Critical Care, Tim Evans Fellowship
Company
Guys and St Thomas NHS Foundation Trust
Job description
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 overviewCLINICAL FELLOW IN CRITICAL CARE (whole-time, 1 year). The postholder may have been trained in any specialty but must have previous experience of adult critical care medicine (CCM), and be at least at the level of intermediate level training as previously defined by the Faculty of Intensive Intensive Care Medicine (UK), or equivalent.This post was created for and by Professor Timothy W Evans with Dr Neil Soni (Chelsea & Westminster hospital) in the 1990’s, at a time when the importance of combining anaesthetic skills with medicine during CCM training was beginning to be recognised, but was not easily achieved within a formal training structure. This one-year fellowship post aimed to support outstanding candidates in this regard. Many established Intensive care consultants across the UK have benefitted from this unique experience. To date, the fellowship continues to enable:
- Physician (or Surgeon) Intensivists obtain 6 months of supervised anaesthetic skills, or
- Anaesthetic Intensivists to obtain 6 months of acute medicine
This complementary training occurs at the Chelsea & Westminster Hospital, together with 6 months of advanced cardiorespiratory CCM at the Royal Brompton.Main duties of the jobTo be part of the critical care team, based on the ICUs but also contributing to the hospital outreach and cardiac arrest teams, when required.To participate in medical audit and Quality Improvement Projects (QIPs)To participate in the education and supervision of medical trainees and other staff.Working for our organisationThe intensive care units for adults are split across 2 levels; The 18 bedded Adult Intensive Care Unit (AICU) on level 3, and the 20 bedded Elizabeth Intensive Care Unit (EICU) on level 5. The units admit approximately 1200 patients per year with a variety of cardiological and respiratory diseases. The multidisciplinary ICU teams cares for patients utilising a wide range of organ support therapies, including extracorporeal cardiovascular and respiratory support. post-operative cardiac care is undertaken in a separate dedicated cardiac recovery unit (CRU) and high dependency unit (EICU/EHDU). The two intensive care unit’s case-mix includes complex post operative cardiac, thoracic and vascular surgery, Grown Up Congenital Heart disease and various mechanical assist devices. The AICU provides also a severe acute respiratory failure referral service for the South-West of England and is commissioned as one of 5 national ECMO centres.Each unit has at least 2 consultants on service Monday to Friday and additional consultantThe ICUs have an active teaching programme covering general and specialist critical care and can facilitate targeted teaching around relevant postgraduateThe unit teaches and trains undergraduate students from Imperial College London and has numerous honorary international visiting fellows. The postholder would be expected to support these teaching activities.Detailed job description and main responsibilitiesTo be part of the critical care team, based on the ICUs but also contributing to the hospital outreach and cardiac arrest teams, when required.To participate in medical audit and Quality Improvement Projects (QIPs)To participate in the education and supervision of medical trainees and other staff.Person specificationQualificationsEssential criteria
- MB BS or equivalent
- MRCP, FRCA, FRCS or equivalent
- GMC registration
- ALS (or equivalent)
ExperienceEssential criteria
- Critical care (minimum intermediate level / FICM stage 2)
Desirable criteria
- Cardiothoracic Critical Care
Skills, Knowledge and AbilitiesEssential criteria
- Knowledge of CCM
- Pathophysiology of CCM
- Teaching Skills
- Ability to Undertake Research
- Participation in Clinical Audit/QIP
- Communication Skills
OtherEssential criteria
- Commitment to continuing Medical Education & Professional Development
Guy’s and St Thomas’ celebrates, respects and values the diversity of its staff and patients. We review our policies, procedures and practices to ensure that all employees, patients and carers are treated equitable according to their needs. We are actively committed to ensuring that no one who applies for a job, works or study’s at the Trust, or accesses our services is discriminated against on the grounds of race, ethnicity, nationality, disability, religion or belief, age, gender identity , gender reassignment, sexual orientation, pregnancy and maternity/paternity, or marital/civil partnership.Applications are welcomed from applicants with a disability. We can make reasonable adjustments and offer support and advice in a variety of ways throughout the application process. Equality of opportunity is our policy.As an organisation we are committed to developing our services in ways that best suit the needs of our patients. This means that some staff groups will increasingly be asked to work a more flexible shift pattern so that we can offer services in the evenings or at weekends.Flexible workingWe are committed to supporting all employees to achieve a healthy work life balance and to work in a way that is best for them and our patients. We will consider all requests to work flexibly, taking in to account the individual’s personal circumstances as well the needs of the service. We encourage all prospective applicants to discuss their individual circumstances with the recruiting manager as part of the on-boarding process.Your e-mail address is important to us – We communicate to all job applicants via the e-mail address which has been provided on the application form. Please ensure that you check your e-mail on a regular basis.Please apply for this post by clicking “Apply Online Now.”Employer certification / accreditation badgesApplicant requirementsYou must have appropriate UK professional registration.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
- The Timothy W Evans Adult Critical Care Fellowship (PDF, 880.3KB)
- The Timothy W Evans Adult Critical Care Fellowship (PDF, 376.6KB)
Expected salary
Location
London
Job date
Sun, 16 Mar 2025 23:53:54 GMT
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