Royal Cornwall Hospitals Trust

Clinical Fellow in Enhanced Perioperative Care/Critical Care

This job is now closed

Job summary

Clinical Fellows in Enhanced Perioperative Care

Applications are invited for the post of Clinical Fellow in Enhanced Perioperative Care with opportunities in Research, Quality improvement, Clinical innovation or Education.The post will provide the opportunity to develop non-clinical skills and experience. This will also give the post-holder experience to enhance their own CV development and, along with supported clinical experience, provide additional value in their future career choices.

The aims of EPOC are to:

Provide higher acuity monitoring and care for the higher risk elective surgical patient, than can be provided at ward level in the early post-operative period.

Relieve the demand from critical care and free up their resources to care for emergency patients.

Prevent overnight or long stays in recovery of patients by both providing beds, but also freeing up critical care resources.

Improve patient outcomes and experience by both providing high acuity care, but also enabling care to be provided when originally scheduled

EPOC is staffed by a well established and highly functional, experienced team of dedicated EPOC nurses (Bands 7,6&5 with ~2:1 nurse: patient ratio) and clinical fellows with consultant anaesthetist / intensivist supervision for up to 48hours postoperatively. Surgical teams and allied professionals including physiotherapists, pharmacists, pain and stoma specialists are also present every day on EPOC.

Main duties of the job

Receive handover from nursing staff in the mornings re: any significant medical issues for patients already on EPOC

Attend / conduct ward rounds

Undertake clinical review of patients and clinical interventions as appropriate

Be able to recognise & offer immediate clinical intervention for the deteriorating patient in line with clinical competencies & ALS protocols.

Be continually aware of the clinical status of patients on EPOC & be vigilant & proactive in identifying deviations from the expected post-operative course

Know & act on EPOC escalation pathways when presented with issues that require senior support or when there is uncertainty regarding a course of action

Present patients for senior review & complete discharge paperwork as necessary and subsequent verbal handover to parent surgical team

Undertake QI - Every 3rd week is non-clinical & dedicated to QI. Fellows will be expected to record, compile & present M&M data during their time on EPOC. In addition fellows will be expected to produce at least one small audit project related to EPOC. Additional QI time may be used for preparation for applications to specialist training or other projects of the fellows choosing

Attend teaching, including Thursday critical care junior doctor teaching.

Handover to nursing staff & surgical teams with clear plan for overnight care

Provide informal ward based, learning support for resident year 5 medical students preparing for foundation year jobs

About us

Royal Cornwall Hospitals NHS Trust is the biggest provider of healthcare services in Cornwall and the Isles of Scilly. Our three main sites are Royal Cornwall Hospital Truro, St Michael's Hospital Hayle and West Cornwall Hospital Penzance, our staff and services are available across the region.

The Trust employs 5,000+ staff, has a budget of £380 million and 750 beds

We work with health and social care organisations including NHS Kernow and NHS England to ensure local healthcare needs are met. We provide acute medical, surgical and specialist services to around 500,000 which can increase significantly during busy holiday periods.

The Trust has teaching hospitals status as part of the University of Exeter Medical School. Keeping at the forefront of medical advances, we continually developing clinical services and are committed to maximising the range of specialist care offered locally.

We can offer you a rewarding career in a supportive working environment. We have extensive educational links to help you realise your full potential and develop skills to provide outstanding healthcare to the local community.

Enjoy an outstanding quality of life in a place that offers surfing beaches and fishing harbours to beautiful countryside and historic towns. With clean air, plenty of opportunities for outdoor activities and excellent schools, colleges and universities (including adult education) it is the ideal place for families and for you to develop your own career

Date posted

01 April 2025

Pay scheme

Hospital medical and dental staff

Grade

Doctor - other

Salary

£49,909 to £61,825 a year per annum

Contract

Fixed term

Duration

6 months

Working pattern

Full-time, Part-time, Job share

Reference number

156-MS-4168

Job locations

Royal Cornwall Hospital

Truro

TR1 3LJ

Job description

Job responsibilities

PLEASE NOTE: To view the full Job Description and Person Specification, please click the supporting document on the right-hand side

To be an employee of the NHS you need to successfully complete the following:

Identity Checks
Professional registration and qualification checks
Employment history and reference checks
Work health assessments
Criminal record check standards
Right to work checks

For further information please visit:

https://www.nhsemployers.org/topics-networks/employment-standards-and-regulation

We reserve the right to close this advert early, or when the allocated number of applications has been reached. Please submit your application at the earliest opportunity.
Agency interest will not be considered until this advert has closed.

Job description

Job responsibilities

PLEASE NOTE: To view the full Job Description and Person Specification, please click the supporting document on the right-hand side

To be an employee of the NHS you need to successfully complete the following:

Identity Checks
Professional registration and qualification checks
Employment history and reference checks
Work health assessments
Criminal record check standards
Right to work checks

For further information please visit:

https://www.nhsemployers.org/topics-networks/employment-standards-and-regulation

We reserve the right to close this advert early, or when the allocated number of applications has been reached. Please submit your application at the earliest opportunity.
Agency interest will not be considered until this advert has closed.

Person Specification

Qualification / Eligibility

Essential

GMC Registration with a Full License to Practice
MB BS (or equivalent medical qualification)
Eligible to work at Core Level

Desirable

Formal teaching courses / qualifications

EXPERIENCE

Essential

Demonstrable previous NHS experience or equivalent.
ALS Provider or equivalent
Has achieved appropriate level of Foundation competencies.
Experienced in Clinical Audit and Clinical Governance and the benefits of how this improves the quality of care provided to patients and ensuring this is embedded in clinical practice
Provide teaching to MDTs.
Ability to teach and motivate junior medical staff.

Desirable

Previous experience in Intensive Care Medicine, Anaesthetics or Perioperative Medicine.

Practical and Intellectual Skills

Essential

Excellent Communication and interpersonal skills; adapts style depending on audience
Speak fluent English to at least I.E.L.R.S level 7.5

Person Specification

Qualification / Eligibility

Essential

GMC Registration with a Full License to Practice
MB BS (or equivalent medical qualification)
Eligible to work at Core Level

Desirable

Formal teaching courses / qualifications

EXPERIENCE

Essential

Demonstrable previous NHS experience or equivalent.
ALS Provider or equivalent
Has achieved appropriate level of Foundation competencies.
Experienced in Clinical Audit and Clinical Governance and the benefits of how this improves the quality of care provided to patients and ensuring this is embedded in clinical practice
Provide teaching to MDTs.
Ability to teach and motivate junior medical staff.

Desirable

Previous experience in Intensive Care Medicine, Anaesthetics or Perioperative Medicine.

Practical and Intellectual Skills

Essential

Excellent Communication and interpersonal skills; adapts style depending on audience
Speak fluent English to at least I.E.L.R.S level 7.5

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).

Additional information

Disclosure and Barring Service Check

Certificate of Sponsorship

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

Royal Cornwall Hospitals Trust

Address

Royal Cornwall Hospital

Truro

TR1 3LJ

Employer's website

https://www.royalcornwall.nhs.uk/ (Opens in a new tab)

Employer details

Employer name

Royal Cornwall Hospitals Trust

Address

Royal Cornwall Hospital

Truro

TR1 3LJ

Employer's website

https://www.royalcornwall.nhs.uk/ (Opens in a new tab)