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Job summary

Main area
Junior Clinical Fellow in Adult Critical Care
Grade
NHS Medical & Dental: Junior Clinical Fellow
Contract
Fixed term: 6 months (view to extend by mutual agreement)
Hours
Full time - 40 hours per week
Job ref
196-MED5284
Employer
Guy's and St Thomas' NHS Foundation Trust
Employer type
NHS
Site
Royal Brompton Hospital
Town
London
Salary
£54,499 per annum
Salary period
Yearly
Closing
28/08/2026 23:59

Employer heading

Guy's and St Thomas' NHS Foundation Trust logo

Junior Clinical Fellow in Adult Critical Care

NHS Medical & Dental: Junior Clinical Fellow

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

Junior Clinical Fellow in Adult Critical Care.
Location - Royal Brompton Hospital
This post is within the Heart Division, Department of Critical Care, and the postholder will be professionally accountable to the Clinical Lead of
AICU and EICU, the Cross-site Director of Critical Care and the Director of Heart Division.
Come and join us at a pivotal moment in Royal Brompton & Harefield’s history. The only UK hospital to be ranked by Newsweek in the top 10
globally for cardiology and we have some exciting plans we want you to be part of our journey. In February 2021 we merged with Guy’s and St
Thomas’ NHS Foundation Trust as a first step towards our vision of creating a brand-new centre that will be the global leader in the research into
and treatment of heart and lung disease in patients from pre-birth to old age. This is a once in a lifetime opportunity to help to shape this vision
and we want you to be part of it.
This post is suitable for those pursuing a career in intensive care, respiratory medicine, cardiology or cardiothoracic surgery and/or any acute
specialty including acute medicine, emergency medicine, ACCS or anaesthesia.

This advert may close early if sufficient number of applications have been received.

Main duties of the job

The intensive care unit has over 800 level 3 admissions per annum and has 2 level 3 beds. The case-mix is mainly level 3 admissions following
adult cardiac surgery, cardiology (including GUCH), and thoracic surgery or those requiring Extracorporeal Life Support due to severe respiratory
failure or cardiogenic shock. The post-holder will also work in the 16 bedded adult HDU at Royal Brompton Hospital. Here the case mix includes
postoperative cardiac (including GUCH and vascular), thoracic surgery and acutely unwell cardiology admissions including local STEMI
admissions.
Fellows would be expected to acquire the critical care competencies as described in the Faculty of Intensive Care Curriculum at basic level, that is
within stage 1.

Working for our organisation

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.
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, worldrenowned
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 and a National
Institute for Health Research (NIHR) Biomedical Research Centre.
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’.

Detailed job description and main responsibilities

The objective of this post is to provide the junior clinical fellow with knowledge and clinical experience in delivering a broad spectrum of critical care
including:
• Recognition and management of single and multiple organ failure following cardiovascular intervention.
• Basic techniques in respiratory support including invasive and non-invasive ventilation, protective lung strategies and management
ALI/ARDS, and respiratory weaning.
• Basics of extracorporeal life support (VV and VA ECMO).
• Essentials of renal failure and basic management of renal replacement therapy.
• Recognition and management of sepsis and appropriate antimicrobial therapy.
• Haemodynamic monitoring including pulmonary artery flotation catheters and noninvasive cardiac output monitoring.
• Intra-aortic counter-pulsation therapy and temporary pacing.
• Postoperative and peri-operative management of complex cardiothoracic surgical patients.
• General management of critically ill patients (analgesia, sedation, nutrition, EOLC etc).
• Contribution to a clinical or basic science research project during their appointment.
• Contribution to an audit project/Quality Improvement Project.

Person specification

Qualifications/Training

Essential criteria
  • Maximum score 6 • Full GMC registration with a license to practice • MBBS or equivalent medical qualification • Completion of foundation year 2 training (or equivalent)
Desirable criteria
  • FRCA/MRCP/MRCS or equivalent qualification (or first part)

Experience

Essential criteria
  • • Minimum one year of clinical experience in hospital practice • Ability to provide a complete employment history with no unexplained career gaps
Desirable criteria
  • Evidence that career progression is consistent with personal circumstances • Experience within Intensive Care Medicine and/or anaesthesia • Demonstrable research experience • Demonstrable teaching experience

Skills, Knowledge and Abilities

Essential criteria
  • • Good interpersonal and communications skills in line with the Trust’s Core Behaviors (see appendix one) • IT skills and computer literacy • Advanced Life Support

Employer certification / accreditation badges

Timewise helps businesses to attract and develop the best talent through flexible working.Care quality commission - GoodDisability confident employer

Applicant requirements

You 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

Apply online now

Further details / informal visits contact

Name
Mina Patel
Job title
Service Manager - Critical Care and Anaesthetia
Email address
[email protected]
Telephone number
07977352165
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