About this role
Job summary
We are seeking to recruit One substantive specialty doctor anaesthetist to our current department of 22 whole time consultants. These posts have arisen due to expansion.
The Royal Orthopaedic Hospital NHS Foundation Trust is located in Birmingham and is an independent trust providing high quality and multidisciplinary care for patients undergoing orthopaedic, spinal (including complex spine) and oncological surgery. The Trust is a tertiary referral centre for both these specialties and revision arthroplasty surgery.
Applications are invited from enthusiastic and highly motivated anaesthetists to join our friendly and supportive department. Currently we have 28 consultants, 5 SAS doctors, 7 Anaesthetic Associates in Theatres and between 4-8 rotating registrars from the Birmingham school of Anaesthesia.
Within our department are five substantive specialty doctor anaesthetists who cover first on call duties with the registrars. The post holder will work within the Anaesthetic team and will undertake theatre and on call duties.
The successful candidate will undertake perioperative care of the patients undergoing orthopaedic surgery. He/she will administer general, regional or combined anaesthesia. The candidate will be expected to know the basic and advanced skills of managing anaesthetic emergencies in patients of all age groups.
Main duties of the job
He / she will cover the High Dependency Unit and attend cardiac arrests and critically ill patients on the ward. He / she will participate in the inter-hospital transfer of the critically ill patients. The candidate will ensure that he / she follow up the patient in the post-operative period and has understanding of and practiced regional anaesthesia.
There are also seven Anaesthetic Associates (AA) working in our department. They work under the supervision of a consultant anaesthetist in line with RCOA recommendations in a ratio of 1:1 or 1:2. Twin theatre working is embedded in our rota.
The Anaesthetic Department provides anaesthesia services for all orthopaedic surgical procedures being carried out in the hospital including interventional radiology. We currently also have consultants contributing to pre-assessment, HDU, acute and chronic pain and perioperative medicine. We are also in the process of developing an acute pain service to complement the critical care outreach service already in place.
About us
The Royal Orthopaedic Hospital NHS Foundation Trust is one of the largest specialist orthopaedic units in Europe. We offer planned orthopaedic surgery to people locally, nationally and internationally.
Our Trust is a very special hospital; big enough to deliver world class services and small enough to offer exceptional patient and staff experience. We offer a working experience unique in the West Midlands and we're always on the lookout for passionate people to join our award-winning team.
The ROH is an equal opportunities employer. We employ people of difference and are committed to growing an inclusive culture, where difference is celebrated, and people feel able to bring their whole and authentic self to work.
We are a Disability Confident Leader and offer a range of inclusive, family friendly and flexible working arrangements and policies, to support our people in the workplace. Flexible working requests will be considered.
The Trust is committed to the Disability Confident Interview Scheme and will offer an interview to disabled applicants who meet the minimum criteria for a vacancy and consider them on their abilities.
If you have a disability and need any support with your application or require any reasonable adjustments to be implemented please do get in touch with the Recruiting Manager for this position so that the team can support you.
For more information
To find out more about us, our work and our inspiring team, please visit www.roh.nhs.uk
Job description
Job responsibilities
Pre-Operative Assessment Clinic (POAC)
Anaesthesia Pre op Clinical Lead Dr Egidio da Silva
The hospital has a well-established Nurse-led Pre-Operative Assessment Clinic. Recently this has been expanded and is now staffed daily by a consultant anaesthetist. Consultant Anaesthetists are also involved in the Preoperative assessment of children, ensuring that appropriate patients are selected for their procedures at the Royal Orthopaedic Hospital. As part of our SLA with a local cardiology department, we also host an echocardiography clinic for our patients every fortnight.
Operating Theatres
There are ten operating theatres in our theatre suite. All theatres have modern anaesthetic machines (GE Healthcare). There are four ultrasound machines (sonosite) and one BK machine used for regional anaesthesia and vascular access. TIVA is widely used and BIS monitoring available. Cell salvage is widely used. Our current difficult airway equipment includes the Glidescope, disposable fibre optic scopes and ET view tubes. The theatres will be increased in number this year with plans for a modular theatre build.
High Dependency Unit
Anaesthetic HDU Lead Dr William Tosh
Speciality Doctor Lead - Dr Anil N Rao
In order to provide clinical continuity our consultant group has nine members at any given time that will provide Monday to Friday daytime cover of the high dependency unit in a five-day stretch. Membership of this group is anticipated to change bi-annually, in order for us all to maintain clinical skill in critical care. All consultants cover the HDU and theatre out of hours.
The High Dependency Unit (HDU) has 6 beds in line with CQC requirements. The HDU is equipped with invasive monitoring equipment, TEG and other bedside tests for clotting and a blood gas analyser. Non-invasive ventilatory support is available. However, elective post-operative ventilation is not carried out.
Any patient who may require post-operative ventilation is transferred to the parent unit from where the patient was referred or a local hospital with level three care available. Careful assessment of cases reduces this to a minimum. On occasion surgeons carry out surgery in the other hospitals if the condition of the patient demands elective post-operative ventilation.
Management Service
The hospital has an established chronic pain management service with new appointments of two consultant anaesthetists who will also be part of the anaesthesia team and the acute pain service being created. The service is completed with input from a multi-disciplinary team comprising of psychology, nursing, physiotherapy and occupational therapist.
Surgical Services
Hand and Elbow Surgery: Most hand surgery is carried out using regional techniques with only a very low percentage of patients having general anaesthesia.
Spinal Service - There are eleven spinal surgeons. Their work includes anterior and posterior stabilisation of cervical, thoracic and lumbar spine within deformity, degenerative and spinal oncology surgery. Children under the age of five and those with a predicted requirement for post-operative ventilation are treated at the Birmingham Childrens Hospital.
Paediatric Surgery - Paediatric surgery is run jointly with the Birmingham Childrens Hospital. Younger and more challenging children are treated at the Birmingham Childrens Hospital.
Joint Replacement Surgery - Arthroplasty involves primary and revision surgery. There is an extensive rheumatoid practice, which is supported by on-site rheumatologist. The successful candidates should be proficient in performing regional blocks for extremity surgery.
Foot and Ankle Surgery - General and regional techniques are used for adult and paediatric patients, some of whom may have global musculoskeletal morbidity.
Oncology Surgery - Covers adult and paediatric patients who may require diagnostic or treatment operative procedures, which can therefore be extensive in duration. The catchment area is very wide and patients can be at any stage in their overall treatment plan.
Continuing Professional Development
The post holders will be expected to undertake continuing medical education along the lines recommended by the Royal College of Anaesthetists. As a standalone surgical facility, all anaesthetists have current ALS and APLS certification. We also undertake regular CPD at Birmingham Childrens Hospital or on paediatric anaesthesia related courses as well as updates in adult critical care.
Clinical Governance
The Specialty Doctor will practice within the framework of clinical governance and infection control; participate in clinical audit, morbidity and mortality meetings and report critical incidents. There is an active audit program at the ROH and the candidate is expected to participate in departmental audit.
Teaching & Audit
The candidate will be expected to take part in departmental teaching and audit activity.
Person Specification
Qualifications
Essential
- Full registration with the GMC
Desirable
- Intermediate training or Step 1 ICM training as described by the faculty of intensive care medicine
- MRCP or other professional or higher qualification
- FRCA or equivalent
Experience
Essential
- A minimum of 3 years experience in anaesthesia is required.
- Multi specialty anaesthesia duties and critical care experience
- Experience in HDU/critical care and acute pain
Desirable
- Experience in working as part of a team
- Experience/exposure in Spinal surgeries or post op care
Skills
Essential
- Able to communicate effectively and appropriately with patients, their families and other health professionals
- Good relationship with patients and colleagues
- Well-developed interpersonal skills
- Evidence of participation in clinical audit
Desirable
- Leadership skills appropriate to participating in and leading a multidisciplinary team
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
The Royal Orthopaedic Hospital NHS Foundation Trust
Address
Royal Orthopaedic Hospital
Bristol Rd, South
Birmingham
B31 2AP
United Kingdom
Employer's website
https://www.roh.nhs.uk/ (Opens in a new tab)