Mae Trac yn falch o bweru recriwtio ar gyfer
Guy's and St Thomas' NHS Foundation Trust

Gwybodaeth
Cysylltu
- Address
- Trust Offices
- St Thomas' Street
- London
- SE1 9RT
- Contact Number
- 020 7188 7188
Transplant Retrieval Fellow
Closed for applications on: 18-Mai-2023 00:00
Statws y swydd wag: Closed
Closed for applications on: 18-Mai-2023 00:00
Manylion allweddol
Lleoliad
- Gwefan
- Harefield Hospital
- Cyfeiriad
- Hill End Road
- Tref
- Harefield
- Cod post
- UB9 6JH
- Major / Minor Region
- Llundain
Math o gontract a phatrwm gwaith
- Contract
- Cyfnod Penodol: 6 mis (6 month initially, extendable by mutual agreement to 24 months)
- Oriau
- Llawnamser - 40 awr yr wythnos (Retrieval on-call cover and NORS (National Organ Retrieval Service) on-call)
Cyflog
- Cyflog
- £51,017 - £58,398 £2,162 (London Zone Allowance)
- Cyfnod cyflog
- Yn flynyddol
- Gradd
- (Transplant Retrieval Fellow)
Arbenigedd
- Prif leoliad
- Transplant Service
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.
Trosolwg o'r swydd
Job Title: Fellow in Cardiothoracic Transplantation and Mechanical Circulatory Support and Cardiothoracic Organ Retrieval.
Location: Harefield Hospital
The transplant fellow forms a key part of the multidisciplinary team in transplantation and the surgical treatment of heart and lung failure. The fellow will provide surgical input to the care of transplant patients on the ward, and Intensive Care Unit, will participate in transplant operations, and play a leading role in the optimization and retrieval of organs for transplantation. The fellow will be actively involved in the bridge-to-transplant programme for implantable ventricular devices (VAD), Extra-corporeal Membrane Oxygenation (ECMO) and other similar mechanical circulatory and respiratory support systems.
The fellow will also participate in training junior medical and surgical staff in matters of organ optimisation and retrieval, recipient selection and management.
The Trust has engaged in a new style national solid organ offering rota, which requires Harefield Team to be part of an on-call national rolling rota of 1 week on, 1 week off. During the week off, the site is still active to receive organs.
See job description for more details
Advert
- The Fellow will participate in the rota for surgeons engaged in the retrieval of organs for transplantation.
- The Fellow will be expected to establish a close working relationship with the transplant physicians and be a ready source of surgical advice for the care of transplant patients on the transplant wards.
- The Fellow will be expected to assist in transplant operations at the request of the consultant surgeon in charge.
- The Fellow will participate in the surgical management of patients who have undergone a variety of mechanical circulatory support including VAD, and ECMO implantation.
- The Fellow will lead the ICU and ward round every morning for transplant patients.
- The Fellow will present patients for discussion at the weekly MDT meetings following their pre-operative assessment.
- The Fellow will be expected to play an active part in training junior surgeons in transplant patient management.
- The Fellow will be expected and supported to pursue relevant research studies within the Trust’s overall research portfolio, publishing at least 1 paper per year and submitting 1 abstract to an international conference.
- The Fellow will assist with organising and managing the transplant, VAD and short-term MCS databases, transforming these files to more accessible format, facilitating generation of audit and research projects.
- There will be an expectation to support non-transplant cardiac surgery activity on a rotational basis.
Gweithio i'n sefydliad
The transplant service at Harefield Hospital provides around 30 - 40 heart transplants annually with around 20 lung transplants, and 12 -15 durable LVAD implants per annum. In addition, there is an active short term mechanical circulatory support programme using peripheral and central VA ECMO, short term biventricular support devices and other forms of mechanical support for the circulation.
All new Doctors at the Royal Brompton and Harefield Hospitals will be provided a detailed and focused Trust and Departmental Induction upon their arrival. As part of the local induction, a Professional and Management Mentor will be allocated, with whom the appointee will meet for regular meetings.
Swydd-ddisgrifiad a phrif gyfrifoldebau manwl
Training will be 2 years and will be divided into 4 stages. Progression from one stage to the next will be dependent on demonstration of competence in the key skills as follows:
Stage 1 (6 months): Junior Retrieval Fellow:
- Participates in organ retrieval as an assistant, learning how to optimise and retrieve donor organs.
- Acts as an assistant in recipient operations.
- Attends ITU and ward rounds to become familiar with aspects of perioperative care.
- Attendance with Interventional cardiologist to learn ultrasound and wire skills.
- Attendance at with lung transplant physician to learn bronchoscopy.
- Attendance with echocardiography technicians and consultants to become familiar with TTE and TOE.
Objectives:
Work towards achieving DBD retrieval of heart and lungs under direct supervision. This will in part depend on surgical skill set of the individual.
Stage 2 (6 months): Retrieval Fellow:
- Progresses towards leading donor optimization and organ retrieval team. Participates in teaching of Junior Retrieval Fellow.
- Develops skills in post-operative management of transplant patients.
- Initiation in DCD retrievals.
- Active participation with peripheral ECMO cannulation.
Objectives:
To become independent in DBD retrieval of heart and lungs.
To participate actively in DCD lung retrievals.
Stage 3 (6 months): Senior Retrieval Fellow:
- Acts as first assist to consultant surgeon with transplant procedure.
- Leads post-operative care of the transplant patient in close collaboration with Intensive care team and transplant physicians and surgeons.
- Initiation to DCD heart retrieval procedure and organ perfusion techniques.
Objectives:
Achieves sign off for DCD retrieval of lungs.
Achieves independence in peripheral ECMO cannulation.
Stage 4 (6 months): Senior Retrieval Fellow-2:
- Assists consultant surgeon with transplant procedures or acts as lead surgeon in less complex procedures.
- Achieves competence in post-operative care of the transplant patient in close collaboration with Intensive care team and transplant physicians.
Objectives:
Achieves independence for all type of retrievals, percutaneous insertion of devices and less complex transplant procedures.
Guy’s and St Thomas’ celebrates, respects and values the diversity of its staff and patients. We review our policies, procedures and practices to ensure that all employees, patients and carers are treated equitable according to their needs. We are actively committed to ensuring that no one who applies for a job, works or study’s at the Trust, or accesses our services is discriminated against on the grounds of race, ethnicity, nationality, disability, religion or belief, age, gender identity , gender reassignment, sexual orientation, pregnancy and maternity/paternity, or marital/civil partnership.
Applications are welcomed from applicants with a disability. We can make reasonable adjustments and offer support and advice in a variety of ways throughout the application process. Equality of opportunity is our policy.
As an organisation we are committed to developing our services in ways that best suit the needs of our patients. This means that some staff groups will increasingly be asked to work a more flexible shift pattern so that we can offer services in the evenings or at weekends.
Flexible working
We are committed to supporting all employees to achieve a healthy work life balance and to work in a way that is best for them and our patients. We will consider all requests to work flexibly, taking in to account the individual’s personal circumstances as well the needs of the service. We encourage all prospective applicants to discuss their individual circumstances with the recruiting manager as part of the on-boarding process.
Due to recent changes in the UK immigration rules which affect Skilled Worker Visas, Global Business Mobility, Higher Skill Level and Increased Salary Thresholds, please ensure that you are able to meet the requirements to live and work in the UK before applying. Further information about eligibility is available on the UK Government website.
Your e-mail address is important to us - We communicate to all job applicants via the e-mail address which has been provided on the application form. Please ensure that you check your e-mail on a regular basis.
Please apply for this post by clicking "Apply Online Now."
Gofynion yr ymgeisydd
Manyleb y person
Essential
Meini prawf hanfodol
- Full GMC registration
Meini prawf dymunol
- Higher Medical Degree
Essential
Meini prawf hanfodol
- MRCS, FRCS, or equivalent
Meini prawf dymunol
- Evidence of at least 1 year attached to a transplant unit
Essential
Meini prawf hanfodol
- Evidence of at least 3 years’ experience in cardiothoracic surgery
Meini prawf dymunol
- Familiarity with donor optimisation and donor retrieval for intra-thoracic transplantation
Essential
Meini prawf hanfodol
- Advanced life support training
Rhagor o fanylion / cyswllt ar gyfer ymweliadau anffurfiol
- Enw
- Professor John Dunning
- Teitl y swydd
- Director of Transplant
- Cyfeiriad ebost
- [email protected]
- Rhif ffôn
- 01895 828715
- Gwybodaeth i gefnogi eich cais
You can also contact Michelle Parker - Professor John Dunning's secretary on:
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