About this role
Job summary
This post is suitable for those pursuing a career in intensive care, cardiothoracic anaesthesia, respiratory medicine, cardiology or cardiothoracic surgery.
The intensive care unit has over 1500 level 3 admissions per annum and has 18 level 3 beds, a further 5 cardiac recovery level 3 beds and 10 high dependency level 2 beds. The case-mix is mainly intensive care following adult cardiac surgery (78% admissions), transplantation (11%), cardiology (6%) and thoracic surgery (7%).
Please note if sufficient applications are received this advert may close earlier than the advertised end date.
Main duties of the job
Clinical duties
The post holder will participate in the intensive care junior rota (EWTD compliant) in a 9 week rolling shift system, which comprises a 4 week block of cover to the intensive care unit with late and night shifts. There are further day-time duties in the recovery unit and the high dependency unit. Please note we will be likely changing to a 1 in 8 or 1 in 7 rota in August 2026. This rota is being devised currently.
The ICU is staffed by 15 consultants with an interest in intensive care on a rolling 8 week daytime roster with 2 consultants on during the daytime in the week. A third consultant (from Anaesthesia) covers the recovery unit and a fourth consultant covers the HDU and the critical care outreach service.
The post holder may be able to participate in activities related to his or her base speciality subject to mutual agreement between the post holder, the clinical lead for Intensive Care and the relevant service lead. Further details can be obtained from the clinical lead for Intensive Care.
About us
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.
Royal Brompton and Harefield hospitals joined Guy's and St Thomas' in February 2021 and is the largest specialist heart and lung centre in the UK and among the largest in Europe. We provide treatment for people with heart and lung disease, including rare and complex conditions, offering some of the most sophisticated treatment that is available anywhere in the world.
Our integrated approach to caring for patients from before birth, through childhood, adolescence and into adulthood and old age has been replicated around the world and has gained Royal Brompton and Harefield an international reputation as a leader in heart and lung diagnosis, treatment and research.
We are working in partnership with King's Health Partners, to deliver our vision of creating a new centre of excellence, which will be the global leader in the research into and treatment of heart and lung disease, in patients from pre-birth to old age.
We strive to recruit and retain the best staff as the dedication and skills of our employees lie at the heart of our organisation and ensure that our services are of the highest quality, safe and focused on our patients.
Job description Job responsibilities
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. The objective of this post is to provide the Junior Fellow with knowledge and clinical experience in delivering a broad spectrum of critical care including:
Management of single and multiple organ failure secondary to cardiovascular intervention.
Advanced techniques in ventilation including protective lung strategies and management ALI/ARDS, differential ventilation and prone ventilation.
Management of patients post thoracic organ transplant
Renal replacement therapy
Advanced haemodynamic monitoring including pulmonary artery flotation catheters and non-invasive cardiac output monitoring.
Management of extracorporeal life support
In addition the Junior Fellow would acquire specialist skills in:
Postoperative management of complex cardiothoracic surgical patients.
Transoesophageal and transthoracic echocardiography and critical care ultrasound techniques.
Percutaneous tracheostomy, intra-aortic counter-pulsation therapy, invasive and non-invasive cardiac output monitoring techniques and pacing.
Non-invasive ventilation.
Contribution to a clinical or basic science research project during their appointment.
Contribution to an audit project
Competency based training at the Harefield SIM centre
Clinical duties
The post holder will participate in the intensive care junior rota (EWTD compliant) in a 9 week rolling shift system, which comprises a 4 week block of cover to the intensive care unit with late and night shifts. There are further day-time duties in the recovery unit and the high dependency unit. Please note we will be likely changing to a 1 in 8 or 1 in 7 rota in August 2026. This rota is being devised currently.
The ICU is staffed by 15 consultants with an interest in intensive care on a rolling 8 week daytime roster with 2 consultants on during the daytime in the week. A third consultant (from Anaesthesia) covers the recovery unit and a fourth consultant covers the HDU and the critical care outreach service.
The post holder may be able to participate in activities related to his or her base speciality subject to mutual agreement between the post holder, the clinical lead for Intensive Care and the relevant service lead. Further details can be obtained from the clinical lead for Intensive Care.
Clinical experience
TOE training
Basic and advanced peri-operative and critical care echocardiography education Initial training will focus on basic principles (physics, standard views for examination, Doppler principle and quantification etc), Training sessions on the Heartworks TOE simulator
Further training may include sponsorship for attendance at a recognised external advanced training course and mentorship for accreditation from the British Society of Echocardiography.
Critical Care Ultrasound
Vascular access ultrasound Chest and pleural space ultrasound FEEL/FICE focussed ultrasound
Locally Run Courses
Transfer training ECMO Mechanical Life Support
MDT and Transplant administration experience
Contribution to retrieval and other transplant relating working groups Monthly morbidity and mortality audit meeting Education through attendance and participation in the Departmental Education Programme.
Research experience
The Department actively supports research. The post holder will be encouraged to develop and undertake a research project, which may be undertaken in collaboration with the Heart Science Centre (Imperial College). There will be an initial assessment at the commencement of the post to assess individual aims and objectives. Suitable time will be made available within the weekly timetable to participate in appropriate research and clinical audit. The Department encourages active participation in external critical care conferences.
1. Additional Information
1.1. Study Leave: Up to 5 days per six months subject to operational constraints and approval. Study leave may be granted to the maximum consistent with maintaining essential services.
Trust grades and Speciality Trainees must discuss study leave with their Consultants well in advance (at least 6 weeks prior)
1.2. Annual Leave: Up to 12 days per six months subject to operational constraints and approval. Trust grades and Speciality Trainees must give at least 6 weeks notice. All annual leave should be requested via the correct form which must be signed by their consultant and passed to Diane McCann, Divisional Support, for authorisation. No more than 2 Speciality Trainees/Trust grades to be away at same period.
1.3. Library: Library facilities are situated at Harefield Hospital and in the National Heart and Lung Institute which is a departmental library of Imperial College School of Medicine. Services include interlibrary loans, photocopying and on-line searching using CD-ROM and network services including MEDLINE, EMBASE and Science Citation Index. The Audio-Visual Section provides a wide range of facilities including computer graphics, slide processing, poster titles, overhead transparencies and colour printing.
1.4. Sickness: On first day of sickness, please inform your Registrar as well as the Consultant on your firm. On the 8th day, a medical certificate is to be submitted and to be continued at weekly intervals until fit to resume duty. Sickness is noted and the policy adhered to.
1.5. Confidentiality: During the course of your employment you may have access to, see or hear information of a confidential nature and you are required not to disclose such information, particularly that relating to patients and staff.
1.6. Data Protection: In order to comply with the Data Protection Act 1998 you must not at any time use personal data held by the Trust for any unauthorised purpose or disclose such as data to a third party.
1.7. You must not make any disclosure to any unauthorised person or use any confidential information relating to the business affairs of the Trust, unless expressly authorised to do so by the Trust.
1.8. Health and safety: You must co-operate with management in discharging its responsibilities under the Health and Safety at Work Act 1974 and take reasonable health and safety of yourself and others and ensure the agreed safety procedures are carried out to maintain a safe environment for patients, employees and visitors.
1.9. Diversity: You are at all times required to carry out your responsibilities with due regard to the Trusts diversity policy and to ensure that staff receive equal treatment throughout their employment with the Trust.
1.10. CLINICAL GOVERNANCE
The post-holder will participate in the clinical audit, clinical effectiveness, risk management, quality improvement and any other clinical governance activities as required by the Trust, Health Authorities, and external accrediting bodies.
1.11. Conflict of interests: You may not without the consent of the Trust engage in any outside employment. In accordance with the Trusts conflict of interest policy, you must declare to your manager all private interests, which could potentially result in personal gain as a consequence of your employment in the Trust. Interests that might appear to be in conflict should also be declared to your manager.
In addition, the NHS Code of Conduct and Standards of Business Conduct for NHS Staff (HSG 93/5) requires you to declare all situations where you or a close relative or associate has a controlling interest in a business (such as a private company, public organisation or other NHS voluntary organisation) or in any activity which may compete for any NHS contracts to supply goods or services to the Trust. You must therefore register such interests with the Trust, either on appointment or subsequently whenever such interests are gained. You should not engage in such interests without the written consent of the Trust, which will not be unreasonably withheld. It is your responsibility to ensure that you are not placed in a position that may give rise to a conflict between your private interest and your NHS duties.
1.12. Code of Conduct for Professionally Qualified Staff: All staff are required to work in accordance with their professional groups code of conduct (e.g. NMC, GMC, DoH Code of Conduct for Senior Managers).
1.13. Disclosure and Barring Service checks (DBS): Any applicant who is short-listed for this post will be asked to complete a disclosure form as the post-holder will be required to have contact with vulnerable adults or persons under the age of 18. The successful candidate will be subject to a criminal record check from the Disclosure and Barring Service prior to the appointment being confirmed. The disclosure will include details of cautions, reprimands, and final warnings, as well as convictions if applicable.
The Trust operates a no-smoking policy
Note: The above description is not exhaustive, and may be altered to meet the changing needs of the post and of the directorate. The post holder will be expected to be flexible and to co-operate in accordance with the changing requirements of the directorate and of the Trust.
Person Specification
Qualifications and Training Essential
Eligible for full GMC registration at time of employment (2) Training or equivalent experience in Intensive Care Medicine
Desirable
Postgraduate diploma (FRCA or equivalent) Higher degree (MD, PhD or equivalent) Training in Echocardiography Experience in mechanical circulatory support
Experience Essential
Adult intensive Care
Desirable
Adult Cardiothoracic Critical Care
Skills, knowledge and abilities Essential
Good interpersonal communication skills in line with the trust's core behaviours IT skills and computer literacy Airway skills
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 Guy's and St Thomas' NHS Foundation Trust
Address Harefield Hospital
Hill End Road
Harefield
UB9 6JH
United Kingdom
Employer's website https://www.guysandstthomas.nhs.uk/careers/careers.aspx (Opens in a new tab)