Guy's and St Thomas' NHS Foundation Trust

Senior Clinical Fellow - Paediatric Cardiorespiratory ICU and HDU

The closing date is 03 September 2025

Job summary

Applications are invited for Clinical Fellow posts in Paediatric Cardiorespiratory Intensive Care and High dependency Unit with start dates available in September 2025 and March 2026. This post is for 6 months in the first instance, with a possible extension for up to a maximum of 23 months, by mutual consent. This post is suitable for anaesthetists, paediatricians, paediatric cardiologists, or trainees with adult intensive care background wishing to gain further experience in the management of critically ill children with cardiorespiratory problems. Applicants for the Clinical Fellow post are expected to have at least 1 years' experience in Paediatric/adult intensive care and full MRCPCH or equivalent. Applications from Medical Training Initiative (MTI) applicants are welcome. The post may become a cross site role in the future, with some working at the Evelina site.

Main duties of the job

Working closely with other members of the clinical team (surgeons / cardiologists / respirologists / anaesthetists), the applicant will be expected to provide clinical care for all patients receiving intensive / high-dependency care at Royal Brompton Hospital. They will be fully involved with the investigation of patients by both invasive and non-invasive techniques. There will be opportunities for instruction and experience in paediatric intensive care, appropriate to the clinical fellow's prior experience The Clinical Fellows are responsible for the supervision and teaching of the SHO's in their duties. They will normally be required to attend weekly meetings (see Timetable and Education for details).

Two consultant-led ward rounds are held daily and the Fellow shares the responsibilities for these business and teaching rounds.

About us

The Royal Brompton Hospital is the largest postgraduate specialist heart and lung centre in the United Kingdom. A fundamental strength is its close collaboration on basic science research with the National Heart and Lung Institute. The Paediatric Cardiothoracic ICU admits close to 700 children per year with over 400 postoperative cardiopulmonary bypass cases. The posts offer a wide range of experience within the specialised area of Cardiorespiratory Care including the management and follow up of critically ill children. There is an active integrated teaching programme, and post holders are strongly encouraged to attend the established teaching programmes in the Paediatric Cardiology and Respiratory departments. Specific training needs of candidates can be accommodated within the PICU and associated paediatric sub-specialities. Research and audit activity is strongly encouraged and supported.

Details

Date posted

26 August 2025

Pay scheme

Hospital medical and dental staff

Grade

Doctor - other

Salary

£65,048 to £73,992 a year per annum

Contract

Fixed term

Duration

6 months

Working pattern

Full-time

Reference number

196-MED4932

Job locations

Royal Brompton Hospital

Sydney Street

London

SW3 6NP


Job description

Job responsibilities

Managerial Responsibility and On Call

The Clinical Fellow shares the managerial responsibility for their own rotas. The post is a full-shift working system which is European Working Time Directive compliant. The post attracts banding payment 1a which makes allowances for additional hours worked in the on call commitment as well as covering for colleagues in their absence.

Education and Training

There is an strong consultant led PICU teaching programme that fellows are actively encouraged to contribute to, as well as opportunities throughout the rest of the week for discussion of cases and subsequent management. All the PICU consultants have an active interest in teaching which is an integral part of their posts. PICU Fellows are expected to actively engage in the teaching process including preparing topics for presentation and leading review sessions of journal articles. Mentors will be assigned at the start of the post to guide specific education and training needs for the individual trainee.

The National Heart and Lung Institute has excellent facilities for studying and an extensive library with all the current journals and textbooks. The National Heart and Lung Institute is developing links with Imperial College, which will enhance the facilities available for studying and research.

Numerous postgraduate courses are held in the National Heart and Lung Institute and the Paediatric Department takes an active part. Postgraduate students are attached to the Department and receive tutorials and ward rounds from members of the Department.

Study leave funding is available and trainees are entitled to five days per six months subject to operational constraints and approval. Study leave may be granted to the maximum consistent with maintaining essential services. It may therefore not be available if it is inconsistent with patient care. PICU Fellows must always discuss this with the Educational Supervisor for PICU well in advance of considering the possibility of study leave. Study leave will not be granted if mandatory training has not been completed.

Teaching

The Clinical Fellow will be actively involved in the many teaching courses organised at Royal Brompton Hospital. In addition, they may be expected to teach SHOs and students attending the Royal Brompton Hospital or National Heart and Lung Institute either from abroad (elective students) or other NHS hospitals.

Audit

The Hospital is wholly committed to the ideals of continuous clinical audit as a means of identifying any weaknesses of care as early as possible, as a method of providing purchasers and others with accurate quantitative descriptions of the care we provide, and as an important element of modern medical education. In particular we are interested in the development of the patient-based measures of outcome that are appropriate to heart and lung medicine. For all these reasons we require all junior staff to commit themselves to these ideals of evidence-based medicine and to accept our audit needs as an essential element of their time here. As part of this remit, PICU Fellows are expected to maintain the PICU PICANET Database, a national and local dataset of all patients undergoing care in PICU. Additionally, there is a monthly academic half-day to cover clinical governance issues, morbidity and mortality for the directorate. PICU Fellows are actively encouraged to pursue and present audit projects during their post. There is additional junior doctor teaching in the afternoon segment of these half-days.

Research

Royal Brompton Hospital is a postgraduate teaching hospital which is closely associated with the National Heart and Lung Institute Division of Imperial College School of Medicine. The successful applicant will be strongly encouraged to undertake projects in conjunction with medical staff and it is anticipated that any established research interests of the appointee will be continued and developed.

Job description

Job responsibilities

Managerial Responsibility and On Call

The Clinical Fellow shares the managerial responsibility for their own rotas. The post is a full-shift working system which is European Working Time Directive compliant. The post attracts banding payment 1a which makes allowances for additional hours worked in the on call commitment as well as covering for colleagues in their absence.

Education and Training

There is an strong consultant led PICU teaching programme that fellows are actively encouraged to contribute to, as well as opportunities throughout the rest of the week for discussion of cases and subsequent management. All the PICU consultants have an active interest in teaching which is an integral part of their posts. PICU Fellows are expected to actively engage in the teaching process including preparing topics for presentation and leading review sessions of journal articles. Mentors will be assigned at the start of the post to guide specific education and training needs for the individual trainee.

The National Heart and Lung Institute has excellent facilities for studying and an extensive library with all the current journals and textbooks. The National Heart and Lung Institute is developing links with Imperial College, which will enhance the facilities available for studying and research.

Numerous postgraduate courses are held in the National Heart and Lung Institute and the Paediatric Department takes an active part. Postgraduate students are attached to the Department and receive tutorials and ward rounds from members of the Department.

Study leave funding is available and trainees are entitled to five days per six months subject to operational constraints and approval. Study leave may be granted to the maximum consistent with maintaining essential services. It may therefore not be available if it is inconsistent with patient care. PICU Fellows must always discuss this with the Educational Supervisor for PICU well in advance of considering the possibility of study leave. Study leave will not be granted if mandatory training has not been completed.

Teaching

The Clinical Fellow will be actively involved in the many teaching courses organised at Royal Brompton Hospital. In addition, they may be expected to teach SHOs and students attending the Royal Brompton Hospital or National Heart and Lung Institute either from abroad (elective students) or other NHS hospitals.

Audit

The Hospital is wholly committed to the ideals of continuous clinical audit as a means of identifying any weaknesses of care as early as possible, as a method of providing purchasers and others with accurate quantitative descriptions of the care we provide, and as an important element of modern medical education. In particular we are interested in the development of the patient-based measures of outcome that are appropriate to heart and lung medicine. For all these reasons we require all junior staff to commit themselves to these ideals of evidence-based medicine and to accept our audit needs as an essential element of their time here. As part of this remit, PICU Fellows are expected to maintain the PICU PICANET Database, a national and local dataset of all patients undergoing care in PICU. Additionally, there is a monthly academic half-day to cover clinical governance issues, morbidity and mortality for the directorate. PICU Fellows are actively encouraged to pursue and present audit projects during their post. There is additional junior doctor teaching in the afternoon segment of these half-days.

Research

Royal Brompton Hospital is a postgraduate teaching hospital which is closely associated with the National Heart and Lung Institute Division of Imperial College School of Medicine. The successful applicant will be strongly encouraged to undertake projects in conjunction with medical staff and it is anticipated that any established research interests of the appointee will be continued and developed.

Person Specification

Qualifications / Training

Essential

  • MB BS or equivalent
  • MRCP/MRCPCH/FRCA or Equivalent

Desirable

  • Registration with GMC

Experience

Essential

  • Paediatric and/or Neonatal Intensive care and resuscitation

Desirable

  • Paediatric Anaesthetics
  • Respiratory medicine, cardiology or adult Intensive Care

Skills, Knowledge and Abilities

Essential

  • Technical and clinical skills required for paediatric intensive care
  • Teaching skills
  • Shows an approach based on critical enquiry and evidence based medicine
  • Ability to organise self and others

Desirable

  • ALS/PALS/APLS instructor

Other

Essential

  • Actively encourages juniors in research
  • Ability to initiate or supervise research
  • Builds a strong and effective relationship with patients, their parents and families and colleagues and gain in their confidence and trust
  • Is able to cope with considerable pressure as well as adapt to constant change and new demands
  • Demonstrates honesty, commitment, and integrity

Desirable

  • Published research
Person Specification

Qualifications / Training

Essential

  • MB BS or equivalent
  • MRCP/MRCPCH/FRCA or Equivalent

Desirable

  • Registration with GMC

Experience

Essential

  • Paediatric and/or Neonatal Intensive care and resuscitation

Desirable

  • Paediatric Anaesthetics
  • Respiratory medicine, cardiology or adult Intensive Care

Skills, Knowledge and Abilities

Essential

  • Technical and clinical skills required for paediatric intensive care
  • Teaching skills
  • Shows an approach based on critical enquiry and evidence based medicine
  • Ability to organise self and others

Desirable

  • ALS/PALS/APLS instructor

Other

Essential

  • Actively encourages juniors in research
  • Ability to initiate or supervise research
  • Builds a strong and effective relationship with patients, their parents and families and colleagues and gain in their confidence and trust
  • Is able to cope with considerable pressure as well as adapt to constant change and new demands
  • Demonstrates honesty, commitment, and integrity

Desirable

  • Published research

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

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

Guy's and St Thomas' NHS Foundation Trust

Address

Royal Brompton Hospital

Sydney Street

London

SW3 6NP


Employer's website

https://www.guysandstthomas.nhs.uk/careers/careers.aspx (Opens in a new tab)


Employer details

Employer name

Guy's and St Thomas' NHS Foundation Trust

Address

Royal Brompton Hospital

Sydney Street

London

SW3 6NP


Employer's website

https://www.guysandstthomas.nhs.uk/careers/careers.aspx (Opens in a new tab)


Employer contact details

For questions about the job, contact:

Paediatric Intensive Care Consultant

Anke Furck

a.furck@rbht.nhs.uk

03301288121

Details

Date posted

26 August 2025

Pay scheme

Hospital medical and dental staff

Grade

Doctor - other

Salary

£65,048 to £73,992 a year per annum

Contract

Fixed term

Duration

6 months

Working pattern

Full-time

Reference number

196-MED4932

Job locations

Royal Brompton Hospital

Sydney Street

London

SW3 6NP


Supporting documents

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