Job summary
- Main area
- Critical Care / Intensive Care
- Grade
- Senior Clinical Fellow
- Contract
- 6 months (Fixed Term)
- Hours
- Full time - 40 hours per week
- Job ref
- 196-MED4830
- Employer
- Guy's and St Thomas' NHS Foundation Trust
- Employer type
- NHS
- Site
- St Thomas' Hospital
- Town
- London
- Salary
- £61,825 - £70,425 per annum
- Salary period
- Yearly
- Closing
- 25/05/2025 23:59
Employer heading
Senior Clinical Fellow in Critical Care
Senior 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
The Critical Care department at GSTT has an international reputation for clinical excellence and a prominent research profile. As well as serving the local population we provide tertiary critical care to the region.
The critical care directorate comprises six clinical areas and totals 75 beds at the St Thomas’ site. There are 39 level 3 beds in the East Wing of the hospital (15 on EW1 ICU, 13 on EW2 ICU and 11 on EW6 ICU), an overnight intensive recovery unit (11 level 3 beds staffed by anaesthetists), a medical/surgical HDU on East Wing level 10 (15 level 2 beds) and cardiovascular surgical HDU (10 level 2 beds) on East Wing level 8. At the Guy’s site, there are 13 level 2/3 beds on the Guys Critical Care Unit (GCCU).
Our case mix is challenging with a large proportion of complex medical and cardiothoracic patients. We manage a wide spectrum of medical and surgical emergencies.
We are one of the largest severe respiratory failure centres in Europe by case load. The service was commissioned in 2012. This includes a 24/7 consultant-led ECMO/severe respiratory failure retrieval service. We conduct around 100 ECMO retrievals annually. There is also exposure to extra-corporeal CO2 removal. There is ongoing going development of a VA programme for the management of reversible cardiogenic shock and eCPR. The post holder will also have significant exposure to general ITU patients and complex vascular, general surgery and cardiac surgery patients
Main duties of the job
This role is ST3- ST5 grade (Nodal point 4-5).
This post will provide the post-holder with unrivalled clinical experience and many opportunities for portfolio development including audit and research. The role occupies a central position in the Trust’s delivery of high class clinical care and carries significant responsibility.
ST 3-7 level trainees are required to provide direct clinical care in all of the Critical Care areas in the trust, namely:
- East Wing 1 and 2 Intensive Care Units
- Guy’s Critical Care Unit
- Victoria High Dependency Unit (EW10 Medical/Surgical HDU)
- Doulton High Dependency Unit (EW8 Surgical HDU)
In addition to providing direct clinical care the ST3-7 trainee is responsible for:
- Providing assistance and supervision for the ST1-2 trainees in critical care and their continuous assessment
- Timely assessment of critically ill patients within the hospital, including the Emergency Department (ED), Overnight Intensive Recovery (OIR) and ward areas.
- Leading the Clinical Response Team (CRT) with support from senior nursing and physiotherapy colleagues
- Safe transportation of critically ill patients within the Trust – this includes to and from the CT/MRI scanners and between the Guy’s and St Thomas’ sites.
- Transportation of critically ill patients to other hospitals.
- The ST3-7 trainee may be asked to provide clinical support in the Overnight Intensive Recovery Area (OIR) or the Lane-Fox Unit (chronic respiratory failure)
Working for our organisation
Guy’s and St Thomas’ NHS Foundation Trust comprises five of the UK’s best known hospitals – Guy’s, St Thomas’, Evelina London Children’s Hospital, Royal Brompton and Harefield – as well as community services in Lambeth and Southwark, all with a long history of high quality care, clinical excellence, research and innovation.
We are among the UK’s busiest, most successful Foundation Trusts. We provide specialist care for patients including heart and lung, cancer and renal services as well as a full range of local hospital and community services for people in Lambeth and Southwark.
We have a long tradition of clinical and scientific achievement and – as part of King’s Health Partners – we are one of England’s eight academic health sciences centres, bringing together world-class clinical services, teaching and research. We have one of the National Institute for Health Research’s biomedical research centres, established with King’s College London in 2007, as well as dedicated clinical research facilities.
We have around 22,700 staff, making us one of the largest NHS Trusts in the country and one of the biggest employers locally. We aim to reflect the diversity of the communities we serve and continue to develop new and existing partnerships with local people, patients, neighbouring NHS organisations, local authorities and charitable bodies and GPs.
Detailed job description and main responsibilities
Clinical:
The postholder will, together with colleagues, be responsible for the provision of services to the Guy’s & St Thomas’ NHS Foundation Trust to include:
(a) Diagnosis and treatment of patients of the trust in such hospitals, health centres or clinics or other premises as required.
(b) Continuing clinical responsibility for the patients in your charge, allowing for all proper delegation to, and training of, your staff.
Training of junior staff:
The postholder will take responsibility for the training and direction of junior staff allocated to him/her under aegis of the training plan that that postholder has agreed with their supervising consultant.
Teaching:
The postholder will be expected to contribute as appropriate in the teaching of undergraduate and postgraduate students.
Clinical Governance:
All medical and dental staff are expected to take part in clinical governance activity, including clinical audit, clinical guideline and protocol development and clinical risk management. They will be expected to produce evidence of their contribution in these areas and their audit of their own clinical work as part of their appraisal.
Person specification
Qualifications / Education
Essential criteria
- MBBS or equivalent medical qualification
- MRCP part 2 or equivalent (e.g. primary FRCA, MRCS, MRCEM)
Desirable criteria
- Higher degree (MD or equivalent)
- Post-graduate qualification in intensive care medicine (e.g. EDIC, FFICM)
Professional / Statutory Registration
Essential criteria
- Full registration with the GMC at time of appointment
- Eligible to work in the UK
Previous Experience
Essential criteria
- Engaged in medical practice for at least three years out of the last five years (including the most recent 12 months)
- Evidence that career progression is consistent with personal circumstances
- Evidence that present achievement and performance is commensurate with totality of period of training
- Applicants should have sufficient registration experience in the UK by the start of the job
Desirable criteria
- Experience of anaesthesia
- Experience of intensive care medicine
- Experience of acute medicine
Skills / Knowledge / Ability
Essential criteria
- Valid adult life support (ALS) certification
Desirable criteria
- Experience of central line or vascath insertion
- Experience of arterial line insertion
- Experience of intubation
Employer certification / accreditation badges
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
Further details / informal visits contact
- Name
- Francesco Vasques
- Job title
- Consultant Intensive Care
- Email address
- [email protected]
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