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Job summary

Main area
Intensive Care
Grade
NHS Medical & Dental: Consultant
Contract
Permanent
Hours
Full time
Job ref
196-CON1178
Employer
Guy's and St Thomas' NHS Foundation Trust
Employer type
NHS
Site
St Thomas' Hospital
Town
London
Salary
£113,565 - £150,569 10 PA Minimum
Salary period
Yearly
Closing
28/10/2026 23:59

Employer heading

Guy's and St Thomas' NHS Foundation Trust logo

Critical Care Consultant

NHS Medical & Dental: Consultant

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

The Department of Critical Care is seeking a Consultant Intensivist to join our accomplished and forward-thinking team. We are dedicated to delivering exceptional critical care placing our patients at the centre of everything we do. Our successful candidates will have the opportunity to maintain specialist skills whilst developing expertise in areas such as cardiothoracic critical care, VV and VA-ECMO, cardiogenic shock, perioperative critical care, haematology-oncology critical care, HDU, outreach services, optimisation of EPIC workflows, and research in critical care. We provide comprehensive care for patients with complex medical and surgical conditions, managing a wide spectrum of medical and surgical emergencies.

We provide tertiary critical care across the region and have established an international reputation for clinical excellence and pioneering research. The units are equipped with advanced monitoring, point-of-care testing, and the EPIC electronic health care system for efficient documentation and prescribing.

Our role extends from the emergency department through wards, theatres, and external referrals. We maintain a fully funded critical care follow-up clinic. We have an established 24/7 outreach service, ensuring emergency critical care is delivered wherever our patients need us in the Trust. 

Main duties of the job

Provide High-Quality Care to Patients: Maintain professional registration and clinical competence while delivering timely, patient-centred care collaboratively within the multidisciplinary team.

Research, Teaching and Training: Support research governance, deliver high-quality multidisciplinary education, and undertake appropriate supervisory, appraisal and training responsibilities.

Performance Management: Work with clinical and managerial colleagues to improve clinical outcomes, patient flow, operational efficiency, data quality and financial performance.

Medical Staff Management: Ensure safe and contract-compliant resident doctor staffing through effective rota and leave management, supervision, recruitment, objective-setting and appraisal.

Governance: Monitor clinical outcomes, lead audit and incident learning, implement standards and guidance, promote infection prevention, and respond promptly to reports and complaints.

Strategy and Business Planning: Contribute to directorate and Trust planning and objectives, while representing the organisation at relevant external clinical networks and meetings.

Leadership and Team Working: Provide effective leadership, promote multidisciplinary and partnership working, chair specialty meetings, manage conflict constructively and comply with absence procedures.

Working for our organisation

About the Trust

Guy's and St Thomas' NHS Foundation Trust is among the UK's premier hospital systems, comprising Guy's Hospital, St Thomas' Hospital, Royal Brompton and Harefield facilities, Evelina London Children's Hospital, and comprehensive community services across Lambeth and Southwark. With a rich heritage spanning over 900 years, we provide specialist care for patients locally, nationally, and internationally, serving as a complete healthcare network for our diverse communities.

Our Commitment

We strive to recruit and retain exceptional staff who embody the dedication and expertise necessary to maintain our position as a leading healthcare provider. Our organisation ensures comprehensive support for all employees, fostering their professional development while maintaining the highest standards of quality, safety, and patient care.

Our award-winning reputation reflects our commitment to clinical excellence, innovative research, and compassionate care. We recognize that our staff represent our greatest asset, and we actively support their well-being to ensure sustainable, high-quality service delivery to our patients and communities.

Detailed job description and main responsibilities

Provide High Quality Care

·         The post holder must be medically qualified and maintain GMC specialist registration and hold a licence to practice

·         To develop and maintain the competencies required to carry out the duties required of the post.

·         To ensure prompt attendance at agreed direct clinical care Programmed Activities.

·         To ensure patients are involved in decisions about their care and to respond to their views.

·         To work with the multidisciplinary team, valuing all team members and to provide care in an agreed team structure.

 Research, Teaching and Training

·         To collaborate with academic and clinical colleagues to enhance the Trust’s translational research portfolio, at all times meeting the full requirements of Research Governance.

·         To provide high-quality teaching to medical undergraduates, postgraduates and members of other health care professions as required by the Clinical Director.

·         To undertake appropriate training and act as an educational and clinical supervisor and appraiser as delegated by the Clinical Director to ensure external accreditation of the training post.

 Performance Management

·         To work with medical, nursing and managerial colleagues to ensure high performance in the following areas:

o   Clinical efficiency e.g. LOS reductions, reducing cancelled operations and improved patient flow.

o   Quality of outcomes e.g. infection control targets, reducing re-admission rates.

o   Financial management e.g. identification, implementation and achievement of cost improvement programmes and participating in efforts to ensure services are provided cost effectively e.g. managing locum agency spend, monitoring and managing the drug budget to target, ensuring accuracy of clinical data for the team.

o   Operational efficiency e.g. day-case rates, waiting list activity and demand management, enabled through appropriate data collection for the evaluation of the service.

 Medical Staff Management

·         To work with colleagues to ensure resident doctors’ hours are compliant in line with resident doctor contracts.

·         To ensure compliance with systems and procedures that have been put in place to control and monitor leave for junior medical staff and to ensure that there is appropriate cover within the clinical areas, including on-call commitments

·         To participate in educational supervision of resident doctors as required by the faculty tutors and clinical lead.

·         To participate in the recruitment of junior medical staff as and when required.

·         To participate in team objective setting as part of the annual job planning cycle.

·         To participate in the annual appraisal of all doctors in training, Trust doctors, Clinical Fellows and non-consultant grades as delegated by the Clinical Director/General Manager.

Governance

·         To review clinical outcomes in the designated area using external benchmarking data where appropriate, to identify and advise variances to the Clinical Director.

·         Participate in clinical audit, incident reporting and analysis, and ensure that resulting actions are implemented.

·         To work closely with the Directorate, Patient and Public Involvement panels in relation to clinical and service developments as delegated by the Clinical Director.

·         Participate in ensuring NICE requirements are reviewed, implemented, and monitored in the speciality areas.

·         To ensure clinical guidelines and protocols are adhered to by junior medical staff and updated on a regular basis.

·         To keep fully informed about best practice in the speciality areas and ensure implications for practice changes are discussed with the Clinical Director.

·         To role model good practice for infection control to all members of the multidisciplinary team.

·         To respond in a timely manner to request for reports (eg Coronial reports) and responses to complaints

 Strategy and Business Planning

·         To participate in the business planning and objective-setting process for the directorate and Trust, where appropriate.

·         To represent the Trust at appropriate clinical networks/other external clinical meetings, as delegated by the Clinical Director.

Leadership and Team Working

·         To demonstrate excellent leadership skills with regard to individual performance, clinical teams, the Trust and when participating in national or local initiatives.

·         To work collaboratively with all members of the multi-disciplinary team and Kings Health Partners as required.

·         To chair regular meetings for the specialties.

·         To resolve conflict and difficult situations through negotiation and discussion, involving appropriate parties.

·         Adhere to Trust/departmental guidelines on leave including reporting absence.

Person specification

Professional Qualification

Essential criteria
  • Full GMC Registration, Entry on the Specialist Registrar with CCT in ICM, FFICM
Desirable criteria
  • A higher degree (PhD, MD or equivalent).

Clinical Experience

Essential criteria
  • Comprehensive clinical experience in Intensive Care.
Desirable criteria
  • Expertise in undergraduate education, simulation, outreach, pulmonary hypertension, echocardiography, human factors, transport, major incident planning or ECMO.

Clinical Skills

Essential criteria
  • Ability to work as an effective member of a multidisciplinary team.
Desirable criteria
  • Ability to think strategically for service improvement.

Audit Management & IT

Essential criteria
  • Understanding of the principles and applications of clinical audit
Desirable criteria
  • Ability to improve clinical elements of EHR systems

Research, Teaching skill & experience

Essential criteria
  • Understanding of the principles and applications of clinical research and experience of undergraduate teaching and post graduate training.
Desirable criteria
  • Ability to attract funding for research projects, as part of the overall ICU research strategy an advantage, teaching qualification and simulation module leadership and curriculum development, human factors, undergraduate training.

Data management

Essential criteria
  • Understanding and interpretation of complex clinical datasets and ability to use data-driven insights to inform clinical decision-making
Desirable criteria
  • Experience with statistical analysis and data visualization tools and advanced skills in leveraging electronic health record systems for data management and analysis

Leadership / Management skills

Essential criteria
  • Evidence of understanding of the role of clinical management.
Desirable criteria
  • Management training or qualification and evidence of leadership in the development of clinical services.

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
Andrew Retter
Job title
Clinical Lead
Email address
[email protected]
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