About this role
Job summary
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We are seeking seven enthusiastic, experienced and highly motivated Trust Grade Registrars to join our Anaesthesia and Critical Care departments at London North West University Healthcare NHS Trust (LNWHT). These are exciting new posts created by the merger of our previously separate Ealing Hospital and Northwick Park/Central Middlesex rotas into a single unified, three-site rota. This change represents a significant expansion in clinical breadth for post holders, and a unique opportunity to work across one of the largest and most diverse Intensive Care and Anaesthesia departments in North West London.
The posts are primarily designed for doctors with established experience in Intensive Care Medicine who are capable of functioning as the senior resident registrar within a consultant-led critical care service. Successful applicants will participate in resident on-call rotas covering Intensive Care and Enhanced Care services across all three hospital sites. During out-of-hours periods, post holders will frequently act as the most senior resident doctor within the Critical Care service, supported at all times by an on-call Intensive Care Consultant.
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Main duties of the job
The post holder will be expected to participate fully in the provision of a comprehensive Intensive Care and Anaesthetic service across all three hospital sites, accountable to the Clinical Directors?.
Critical Care Responsibilities
Participate in the resident on-call rota covering Intensive Care and Enhanced Care services across Northwick Park, Ealing and Central Middlesex Hospitals.
Function as the senior resident registrar within the Critical Care service, supported at all times by an on-call Intensive Care Consultant.
Assess, investigate and initiate management of critically ill patients presenting with respiratory, cardiovascular, neurological, renal, metabolic and infectious pathologies.
Anaesthetic Responsibilities
Provide anaesthesia and analgesia for patients undergoing elective and daytime CEPOD surgery across all Trust sites, exclusively under the direct, immediate supervision of an allocated Anaesthetic Consultant.
Post holders will not hold an anaesthetic on-call bleep. Out-of-hours commitments are entirely within Intensive Care and Enhanced Care services.
Undertake pre-operative assessments and provide post-operative care in the recovery room.
Advise surgical and pre-operative assessment teams on the preparation of patients for surgery.
About us
London North West University Healthcare NHS Trust (LNWH) cares for the people of Brent, Ealing, Harrow and beyond.
Our team of more than 8,200 clinical and support staff serve a diverse population of almost one million people.
We run major acute services at:
Northwick Park Hospital: home to one of the busiest emergency departments (A&E) in the country. The hospital provides a full range of services including the country's top-rated hyper-acute stroke unit and one of only three hyper-acute rehabilitation units in the UK St Mark's Hospital: an internationally renowned specialist centre for bowel disease Ealing Hospital: a busy district general hospital providing a range of clinical services, as well as 24/7 emergency department and urgent care centre, and specialist care at Meadow House Hospice Central Middlesex Hospital: our planned care site, hosting a range of surgical and outpatient services and collocated with an urgent care centre.
We are a university teaching NHS trust, in recognition of the important role we play in training clinicians of the future and bringing the benefits of research to the public.
Job description Job responsibilities
Anaesthetic Responsibilities
Provide anaesthesia and analgesia for patients undergoing elective and daytime CEPOD surgery across all Trust sites, exclusively under the direct, immediate supervision of an allocated Anaesthetic Consultant.
Post holders will not hold an anaesthetic on-call bleep. Out-of-hours commitments are entirely within Intensive Care and Enhanced Care services.
Undertake pre-operative assessments and provide post-operative care in the recovery room.
Advise surgical and pre-operative assessment teams on the preparation of patients for surgery.
planned daytime rota commitments together with eventual progression to oncall work on the maternity unit as part of the Obstetric Anaesthetic service.
Provide opportunities to help develop anaesthetic competencies appropriate to previous experience and career aspirations, supported by the allocated Educational Supervisor.
Critical Care Responsibilities
Participate in the resident on-call rota covering Intensive Care and Enhanced Care services across Northwick Park, Ealing and Central Middlesex Hospitals.
Function as the senior resident registrar within the Critical Care service, supported at all times by an on-call Intensive Care Consultant.
Assess, investigate and initiate management of critically ill patients presenting with respiratory, cardiovascular, neurological, renal, metabolic and infectious pathologies.
Lead the resident medical response to deteriorating patients referred from wards, emergency departments, theatres and recovery areas.
Participate in consultant-led ward rounds and contribute to the formulation of management plans. There will be opportunity to lead ward rounds in an acting-up or upskilling capacity.
Person Specification
Qualifications Essential
ooPrimary medical qualification acceptable to the GMC (MBBS, MBChB or equivalent) oFull GMC registration with Licence to Practise oEvidence of good standing from current medical regulatory body (where applicable) oAdvanced Life Support (ALS) provider certificate or equivalent
Desirable
Final FRCA, FFICM, EDIC or CICM
CLINICAL EXPERIENCE, KNOWLEDGE AND EFFECTIVENESS Essential
ooMinimum of 4 years postgraduate clinical experience oMinimum of 2 years experience working in an Intensive Care Unit, with the clinical capability to function as the senior resident registrar in a consultant-led ICU, in conjunction airway management experience set out below, which is required to carry the outreach and ICU resident bleeps oExperience managing critically ill patients with respiratory failure, septic shock, multi-organ dysfunction and major perioperative complications oExperience managing patients requiring invasive and non-invasive ventilation oExperience managing patients with circulatory failure requiring vasopressor or inotropic support, including the ability to recognise, initiate and titrate vasopressor and inotropic therapy oExperience of advanced airway management including tracheal intubation, including the ability to independently lead and manage induction and intubation of a critically unwell patient oExperience of arterial and central venous catheter insertion oExperience of intra-hospital and inter-hospital transfer of critically ill patients oExperience managing tracheostomised patients oExperience managing patients receiving renal replacement therapy oExperience supervising junior medical staff
Desirable
Further experience in anaesthetics or intensive care or acute medical specialties Awareness of specialty developments. IT skills including use of databases, spread sheets, Word, PowerPoint etc. and willingness and aptitude to learn how to use CERNER (electronic patient record system).
Communication Essential
oooCoherent, confident, diplomatic and decisive in verbal and written communication oCommunicates effectively with the multidisciplinary team, patients and their families oAwareness of own limitations, need to ask for help and escalate as necessary Experience of teaching (formal/informal)
Desirable
Demonstrable presentation skills in educational or scientific settings Formal teaching experience
Management, Audit and Research Essential
Ability to manage own workload/time and train medical staff. Participation in clinical audit Understanding of audit principles and commitment to its use as a tool for raising and maintaining standards. Able to appraise scientific publications and perform literature searches.
Desirable
Evidence of ability to lead a team. Ability to develop and lead on audit project. Evidence of research undertaken, presentations at meetings, publications in peer reviewed journals.
Personal Skills Essential
oAppropriate knowledge and practical skills to recognise and manage high-risk patients in the ICU and perioperative environment oAbility to prioritise workload and make sound clinical decisions in a busy acute environment
Desirable
oPoint-of-care ultrasound or critical care echocardiography skills oIT skills including use of electronic health records oAwareness of current developments in Intensive Care Medicine and Anaesthesia
Motivation Essential
Initiative and drive. Able to conduct self-directed learning
Desirable
Project management skills.
Teaching Essential
oExperience of teaching junior colleagues (formal or informal)
Desirable
oFormal teaching qualification or experience oExperience of simulation-based teaching
Disclosure and Barring Service Check This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.
Certificate of Sponsorship Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).
From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).
UK Registration
Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).
Employer details Employer name London North West University Healthcare NHS Trust
Address LNWH
Watford Road
Harrow
HA1 3UJ
United Kingdom
Employer's website https://www.lnwh.nhs.uk (Opens in a new tab)