About this role
Job summary
The postholder's duties will be primarily at the John Radcliffe Hospital but it is a condition of the appointment that the postholder will be willing to work in any of the Trust's other sites.
A whole-time/part-time post as a Consultant in Cardiothoracic Intensive Care is now available at the John Radcliffe Hospital.
This appointment is on a whole-time/part-time basis, but applications are welcome from those who wish to job share. Applications from candidates who are qualified in Intensive Care Medicine with or without another specialty are welcomed, as well as applications from Cardiothoracic Anaesthetists with an interest in Intensive Care.
Candidates are highly recommended to visit the department and hospital and are invited to contact Dr Andrew Johnson, CSU Lead for Cardiothoracic Anaesthesia and Cardiothoracic Critical Care, Oxford University Hospitals NHS Trust, The John Radcliffe. Email: [email protected]
Any person who is unable for personal reasons to work full-time will be eligible to be considered for the post. If such a person is appointed, modification of the job content will be discussed on a personal basis, in consultation with consultant colleagues. Suitably qualified job-share candidates will receive serious consideration.
Main duties of the job
This consultant post will provide Intensive Care and Anaesthetic services to cardiothoracic patients as part of a team of consultants providing cardiac and thoracic surgery and cardiology procedures at the Trust. This post is in Cardiothoracic Intensive care with or without another specialty. You will provide care for adult cardiothoracic and cardiology patients on the Cardiothoracic Critical Care Unit the John Radcliffe. This care includes direct care of admissions, leading ward rounds, follow-up outpatient clinics and consultations on relevant critically ill inpatients.
About us
Oxford University Hospitals NHS Foundation Trustis one of the largest NHS teaching trusts in the country. It provides a wide range of general and specialist clinical services and is a base for medical education, training and research. Find out more herewww.ouh.nhs.uk
The Trust comprises four hospitals - the John Radcliffe Hospital, Churchill Hospital and Nuffield Orthopaedic Centre in Headington and the Horton General Hospital in Banbury.
Our values, standards and behaviours define the quality of clinical care we offer and the professional relationships we make with our patients, colleagues and the wider community. We call thisDelivering Compassionate Excellenceand its focus is on our values of compassion, respect, learning, delivery, improvement and excellence. These values put patients at the heart of what we do and underpin the quality healthcare we would like for ourselves or a member of our family. Watch how we set out to deliver compassionate excellence via theOUH YouTube channel.
In 2023NHS England launched its first sexual safety charter, and our Trust proudly signed it. We pledge zero tolerance for inappropriate sexual behaviour and commit to the ten core principles
Oxford University Hospitals promotes a safe, respectful hiring environment.
If you want to make a difference with us, come and join our team. Together, we will uphold the highest standards of care and professionalism.
Job description Job responsibilities
CSU Cardiothoracic Anaesthesia, Cardiothoracic Critical Care Unit and Theatres
There are approximately 900 cardiac surgical cases carried out at the JR with a full range of adult procedures with the exception of transplantation. Additionally, there are over 500 thoracic cases with many complex and high-risk cases requiring intensive care / HDU support post-operatively. There are established aortic and mitral surgical programs which include minimally invasive mitral and complex aortic operations.
Cardiology procedures requiring anaesthetic support include ablation, complex device insertion and extractions, TAVI and other structural inventions including percutaneous edge to edge valve repair.
The Cardiothoracic Critical Care Unit provides both Level 2 and Level 3 care to patients after both cardiac and thoracic surgery and also following emergency and elective Cardiological procedures. The unit receives over 1500 admissions per year. Most are planned admissions, but the unit also receives emergency admissions including those transferred from other hospitals for emergency Cardiothoracic surgery and Cardiothoracic patients who become critically ill on the ward. Emergency admissions also include patients after emergency percutaneous coronary intervention and out of hospital arrest.
CTCCU patients receive a full range of organ support procedures including ventricular assist devices, VA ECMO, Impella and haemofiltration.
Clinical
This post is in Cardiothoracic Intensive care with or without another specialty. You will provide care for adult cardiothoracic and cardiology patients on the Cardiothoracic Critical Care Unit the John Radcliffe. This care includes direct care of admissions, leading ward rounds, follow-up outpatient clinics and consultations on relevant critically ill inpatients. For applicants from an anaesthesia background, there is the opportunity to provide anaesthesia for cardiac surgical, thoracic surgical and cardiological procedures depending upon expertise and the needs of the service. Applicants with a CCT in another specialty will be able to perform clinical duties in that specialty subject to arrangement with the relevant specialty.
The work pattern on the Cardiothoracic Critical Care is comprised of 12 hour resident day shifts and non-resident overnight on-calls. The unit is therefore covered by dedicated Consultants 24 hours a day, 7 days a week; this being divided between a group of 7 consultants. Consultants tend to provide 6-7PAs per week to the Cardiothoracic Critical Care, leaving remaining PAs for associated specialty working (anaesthesia or otherwise) although this is negotiable. The rota is delivered in an annualised way to allow for increased efficiency and flexibility enabling leave to be taken when desired. An indicative job plan is attached below.
Teaching/Research
Oxford University Hospitals NHS Trust is a teaching hospital trust, and the post-holder will be required to participate in programmes for teaching clinical students, training doctors in training and in clinical examinations. It is expected that this will be an integral part of everyday clinical activity. The post-holders contribution to teaching, training and research will be included in the regular job plan review.
Clinical Governance
The post-holder will participate in all clinical governance activities, including clinical audit, clinical effectiveness, risk management, investigation of patient safety incidents quality improvement activities as required by the Trust, and external accrediting bodies.
Personal and Professional Development
The post-holder will be required to keep themselves fully up-to-date with their relevant area of practice and to be able to demonstrate this to the satisfaction of the Trust. Professional or study leave will be granted at the discretion of the Trust, in line with the prevailing Terms and Conditions of Service, to support appropriate study, postgraduate training activities, relevant CME courses and other appropriate personal development needs. This is currently 30 days over a 3 year period.
Management
The post-holder will be required to work within the Trust's management policies and procedures, both statutory and internal, accepting that the resources available to the Trust are finite and that all changes in clinical practice or workload, or developments requiring additional resources must have prior agreement with the Trust. He/she will undertake the administrative duties associated with the care of his/her patients, and the running of his/her clinical service under the direction of the lead clinician and/or directorate chair.
Person Specification
Qualifications Essential
Full GMC Specialist Registration CCT or equivalence Completed a recognised training programme in Intensive Care Medicine and/or Anaesthesia GMC Registered with licence to practice. Experience in cardiothoracic anaesthesia and transoesophageal echocardiography
Desirable
MD, PhD DICM, EDIC, FFICM or equivalent Completion of fellowship in cardiothoracic anaesthesia Echocardiography Accreditation
Experience Essential
Significant experience in the care of cardiothoracic and general intensive care patients Evidence of ability to make decisions at consultant level and to manage complex clinical problems.
Desirable
Clinical experience of advanced cardiac life support e.g. ECMO, VAD, Impella Experience at consultant or similar level
Skills and Knowledge Essential
Excellent leadership skills. Evidence of ability to lead a clinical team at the level of a consultant in a teaching hospital. Sufficient organisational skills to function as a consultant. An understanding of management structure and function within the NHS. Effective administrative and time management skills. Evidence of significant contribution to successful teamwork Good spoken and written English. Communication skills should be highly developed. Good personal and interpersonal skills. Experience of formal and informal contributions to teaching and training. Experience of routine clinical audit Evidence of effective and sustained contribution to clinical governance, clinical risk management and clinical audit activities.
Desirable
Evidence of leadership in research, professional bodies, or other spheres. Evidence of organisational skills in research, professional bodies, or other spheres Training in clinical management. Management qualification Training in clinical management. Management qualification Medical sub-specialty skills relevant to general internal medicine or intensive care medicine. Proven ability to communicate in written form (publications, reports etc). Computing skills: ability to use word processor, spread sheet and web browser programs. Prior experience with clinical information systems. Education qualification. Peer reviewed publications. Research grants.
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 Oxford University Hospitals NHS Foundation Trust
Address Cardiothoracic Critical Care Unit, Oxford Heart Centre, John Radcliffe Hospital
Headley Way
Oxford
OX3 9DU
United Kingdom
Employer's website https://www.ouh.nhs.uk/ (Opens in a new tab)