Junior Clinical Fellow in ITU - Harefield Hospital
Closed for applications on: 13-Dec-2022 00:00
Vacancy status: Closed
Closed for applications on: 13-Dec-2022 00:00
Key details
Location
- Site
- Harefield Hospital
- Address
- Hill End Road
- Town
- Uxbridge
- Postcode
- UB9 6JH
- Major / Minor Region
- London
Contract type & working pattern
- Contract
- Fixed term: 6 months (In the first instance, extendable by mutual consent to up to a maximum 24 months)
- Hours
- Full time - 40 hours per week (Plus out of hours and weekends)
Salary
- Salary
- £40,257 Plus additional allowances dependent on rota template
- Salary period
- Yearly
- Grade
- (Junior Clinical Fellow in ITU)
Specialty
- Main area
- ITU
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
Junior Clinical Fellow
Harefield Hospital
Ongoing post availability
This post is suitable for those pursuing a career in intensive care, cardiothoracic anaesthesia, respiratory medicine, cardiology or cardiothoracic surgery.
The post holder will participate in the intensive care registrar 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.
The ICU is staffed by 12 full time 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 second consultant (from Anaesthesia) covers the recovery unit and a third 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 Lead Clinician for Intensive Care and the relevant service lead. Further details can be obtained from the Lead Clinician in Intensive Care.
Advert
Fellows would be expected to acquire the critical care competencies as described in the Faculty of Intensive Care Curriculum at basic level. 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.
- 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
Working for our organisation
Harefield Hospital (HH) is a regional centre for cardiology and cardiothoracic surgery, and an international centre for adult heart and heart-lung transplantation. It is one of a small number of UK cardiac centres assisting in development of implantable mechanical ventricular assist devices in the management of end-stage heart failure. It also provides a primary intervention service for acute coronary syndromes to selected Trusts and the London Ambulance Service, in outer West London and the Home Counties. It has approximately 1,185 staff, 180 beds with 5 operating theatres, and 4 catheter laboratories.
Detailed job description and main responsibilities
The appointee is expected to undertake the admission and day to day care of cardiology patients. This includes a number of patients admitted for short term investigation and also patients requiring longer term treatment. Emergency cases are admitted daily incorporating all aspects of tertiary centre cardiology.
Main Duties and Responsibilities
The appointee is expected to attend regular cardiac clinics and ward rounds.
Some experience may be gained in all aspects of non-invasive cardiac investigations and in addition, some experience in assisting at cardiac catheters may be obtained
Some experience in procedural techniques including central line insertion, pleural taps and ascetic taps maybe obtained.
He/she is expected to maintain good professional liaison with colleagues, nursing, para-medical and administrative staff.
The rota is a partial shift working pattern which may be subject to change. Additionally, there is resident on-call cover at SHO level.
A cardiac arrest bleep is always carried by the SHO on call, local resuscitation training will be provided, and completion of the ALS course supported
SHO’s are expected to provide cover for the absence of their colleagues during annual and study leave.
Emergency management of all acute cardiac conditions.
Attendance and case presentations at MDTs.
Communication with primary and secondary care teams to plan safe and appropriate patient discharge will be a key role.
Clinical audit.
Applicant requirements
Person specification
QUALIFICATIONS
Essential criteria
- MRCP 1
- • Eligible for full or limited registration with the GMC at time of appointment
- Ability to provide complete details of employment history
- Is up to date and fit to practice safely
- At least 6 months’ experience (at SHO level) in Cardiology (not including Foundation modules)
Desirable criteria
- Evidence of relevant academic & research
- MRCP (PACES)
EXPERIENCE & Clinical Skills
Essential criteria
- ALL sections of application form FULLY completed according to written guidelines
- Good clinical care ,Delivery of good acute clinical care
- Capacity to apply sound clinical knowledge & judgment & prioritise clinical need. Demonstrates appropriate technical competence & evidence of development of excellent diagnostic skills & judgement
Desirable criteria
- • Formal teaching experience
KNOWLEDGE /Probity
Essential criteria
- Knowledge of the basic educational principles and their applications within clinical settings
- Capacity to think beyond the obvious, with analytical and flexible mind. Capacity to bring a range of approaches to problem solving
- Capacity to operate effectively under pressure & remain objective in highly emotive/pressurised situations. Awareness of own limitations & when to ask for help
- Capacity to monitor and anticipate situations that may change rapidly
- Demonstrates effective judgement and decision-making skills
- Takes responsibility for own actions, demonstrates respect for the rights of all. Demonstrates awareness of ethical principles, safety, confidentiality & consent. Awareness of importance of being the patients’ advocate, clinical governance & responsibilities of an NHS employee
Desirable criteria
- • Teaching and training skills • Critical appraisal skills • Presentation or papers
ACADEMIC / RESEARCH SKILLS
Essential criteria
- Demonstrates understanding of the basic principles of audit, clinical risk management & evidence-based practice. Understanding of research basic research principles, methodology & ethics, with potential to contribute to research risk management
Desirable criteria
- Evidence of active participation in audit
- Evidence of participation in risk management and/or clinical/laboratory research
Further details / informal visits contact
- Name
- Dr Eftychia Galiatsou
- Job title
- Consultant Intensivist
- Email address
- [email protected]
No longer accepting applications
Sorry, this vacancy is no longer accepting applications.
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