Senior Clinical Fellow in Cardiothoracic Surgery - Harefield Hospital
Closed for applications on: 17-Apr-2024 00:03
Vacancy status: Closed
Closed for applications on: 17-Apr-2024 00:03
Key details
Location
- Site
- Harefield
- Address
- Hillend Road
- Town
- Harefield
- Postcode
- UB9 6JH
- Major / Minor Region
- London
Contract type & working pattern
- Contract
- Fixed term: 6 months (extendable to 24 months by mutual agreement)
- Hours
- Full time - 40 hours per week (additional commitment as per rota requirements)
Salary
- Salary
- £55,329 - £63,152 pro rota
- Salary period
- Yearly
- Grade
- (NHS Medical & Dental: Specialty Registrar)
Specialty
- Main area
- Cardiothoracic Surgery
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
Job title: Senior Clinical Fellow in Cardiothoracic Surgery
Location: Harefield Hospital
The Directorate provides both Cardiac and Thoracic Surgical services on both Royal Brompton and Harefield sites, with a Paediatric/GUCH service at the Brompton, and Transplantation at Harefield Hospital.
Cardiac Surgery, within the Heart Division at Harefield Hospital, provides a comprehensive service for patients requiring cardiac surgical intervention including:
Heart & Lung failure surgery
Coronary Artery By-pass Surgery (including total arterial revascularization and Off-Pump techniques)
Aortic Valve Surgery
Mitral Valve surgery
Minimally invasive cardiac surgery (including minimal access valve replacement and endoscopic vein harvesting)
Aortic Surgery
Thoracic Surgery is undertaken by 4 consultants and has an international reputation for pioneering clinical practice and research. The work involves total care of the patient, both pre and post operatively.
The post holders will rotate between the consultant firms and be fully involved in a range of cardiothoracic work. In addition to providing immediate cover to patients in cardiac recovery and on the general cardio-thoracic ward, the post holder will provide cover for intensive care emergencies. Consultant cover will be available at all times.
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Main Duties & Responsibilities
1. To acquaint him/herself with details of patient management in discussion with the consultants and ensure their efficient execution.
2. To ensure that good communications are maintained with all medical colleagues, e.g. anaesthetists, cardiologists, nursing staff and paramedical departments such as physiotherapists, radiographers and ancillary staff, to the benefit of the patient.
3. To ensure other Specialty Registrars and Consultants are kept informed regarding alteration in the condition of any of their patients.
4. To ensure that all in-patient notes are kept up to date and tidy.
Royal Brompton &
Harefield Hospitals
Part of Guy’s and St Thomas’ NHS Foundation Trust
11
5. Supervise the junior staff (SHOs and Nurse practitioners) in the performance of their duties.
Working for our organisation
Our Trust includes St Thomas' Hospital, Guy's Hospital, Royal Brompton and Harefield Hospitals, Evelina London Children's Hospital, and community services in Lambeth and Southwark.
Our Trust has 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. Together with King’s College London we have dedicated clinical research facilities and a National Institute for Health Research (NIHR) Biomedical Research Centre. We are also working in partnership with King’s Health Partners, to deliver the vision of creating a brand-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.
Royal Brompton and Harefield Hospitals (RB&HH) became part of Guy’s and St Thomas’ NHS Foundation Trust in February 2021 and the Group 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 heart and lung conditions, carrying out some of the most complicated surgery, and offering some of the most sophisticated treatment that is available anywhere in the world.
Detailed job description and main responsibilities
Clinical Duties
1. To take history, examine and record all findings of all patients admitted under the Consultant’s care.
2. Carry out and arrange all relevant investigations.
3. To see and examine all patients under the care of the Consultant concerned, including those in the Intensive Therapy Unit ensuring communication is maintained regarding the condition of any of their patients
4. To assist in the operating theatre.
5. To attend and assist Outpatient clinics under the direction of the consultant and to ensure that clinic letters are dictated promptly to fall in line with the 18 week referral to treatment policy.
6. To arrange for the transfer of patients to other hospitals or discharge home, and including a discharge summary on patient’s transfer.
7. To be responsible for the care of all cardiothoracic patients on the wards when working the on-call duty during weekend and evenings.
8. To perform minor surgical procedures such as chest aspiration, insertion of intercostal tubes, etc. and if necessary under the supervision of a Consultant.
9. To dictate all urgent discharge summaries and ensure that these are forwarded to the patient’s General Practitioner or hospital of transfer within 24 hours after the patient is discharged and complete letters to General Practitioners.
10. To cross cover, in conjunction with other Specialty Trainees to ensure the service is covered during periods of absence, annual or study leave and with the guidance and supervision of the appropriate Consultant.
11. To keep Specialist Registrar colleagues and Consultants informed of any patient who is giving cause for concern.
12. To communicate to a patient’s relative the progress of that patient.
13. To be available for emergency calls to ITU and other parts of the hospital, if required i.e. for cardiac arrest.
14. To participate in research projects which may already be in progress.
15. To participate in lecturing to other staff if required, e.g. nurses and physiotherapists.
16. To accept that occasional emergencies and unforeseen circumstances may occur, and to respond to the needs of the service when they arise.
17. To participate in the Medical Audit Programme on a monthly basis and update PATS data entry.
Additional
Applicant requirements
Person specification
APPLICATION COMPLETION
Essential criteria
- ALL sections of application form FULLY completed according to written guidelines
- Provide complete details of employment history
QUALIFICATION
Essential criteria
- MRCS A1+A2 (or Parts 1 and 2) or equivalent
- MRCS B (or Part 3) or equivalent
- FRCS
- Eligible for full registration with the GMC at time of appointment
- At least 24 months’ experience in surgery (with at least 12 months in Cardiothoracic surgery)
Desirable criteria
- Good teaching and training
- Good working relationships with colleagues
CLINICAL SKILLS :Technical Knowledge & Clinical Expertise:
Essential criteria
- Capacity to apply sound clinical knowledge & judgment & prioritise clinical need.
- Demonstrates appropriate technical competence & evidence of development of excellent diagnostic skills & judgement
- Validated logbook documentation of surgical exposure to date
Desirable criteria
- Shows aptitude for practical skills, e.g. hand-eye co-ordination, dexterity, Visio-spatial awareness
- Attendance at relevant courses, e.g. ATLS, Basic Surgical Skills or equivalent
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
- Evidence of contributing to teaching & learning of others
Desirable criteria
- Evidence of relevant academic & research achievements, e.g. degrees, prizes, awards, distinctions, publications, presentations, other achievements
- Evidence of active participation in audit
- Evidence of participation in risk management and/or clinical/laboratory research
COMMITMENT TO SPECIALITY
Essential criteria
- Shows realistic insight into cardiothoracic surgery and the demands of a surgical lifestyle. Demonstrates knowledge of training programme & commitment to own development. Shows critical & enquiring approach to knowledge acquisition, commitment to self-directed learning & reflective/analytical approach to practice
Desirable criteria
- • Extracurricular activities / achievements relevant to cardiothoracic surgery
Further details / informal visits contact
- Name
- Shreemattie Singh
- Job title
- Service Manager
- Email address
- [email protected]
- Telephone number
- 01895823737
No longer accepting applications
Sorry, this vacancy is no longer accepting applications.
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