Guy's and St Thomas' NHS Foundation Trust

Senior Clinical Fellow in Cardiothoracic Transplant & Organ Retrieval

The closing date is 06 January 2026

Job summary

Location: Harefield Hospital, LondonContract: Full-time, Fixed Term

About the RoleWe are seeking a highly motivated Transplant Surgery Fellow to join our world-leading team at Harefield Hospital, a center of excellence in heart and lung transplantation and mechanical circulatory support. This role offers an exceptional opportunity to gain hands-on experience in advanced transplant surgery and cutting-edge cardiac support therapies.

Key Responsibilities

  • Participate in the on-call rota for organ retrieval for transplantation.
  • Work closely with transplant physicians, providing surgical advice and support for transplant patients.
  • Assist in heart and lung transplant operations under consultant supervision.
  • Contribute to surgical management of patients with mechanical circulatory support (VAD, ECMO).
  • Lead daily ICU and ward rounds for transplant patients.
  • Present cases at weekly multidisciplinary team meetings.
  • Support training of junior surgeons in transplant patient care.
  • Engage in research activities, aiming for annual publication and conference submissions.
  • Assist with managing transplant, VAD, and MCS databases for audit and research purposes.
  • Be available for on-call duties within 15 minutes of the hospital (non-resident out of hours).

Requirements

  • MBBS or equivalent medical qualification.
  • Completion of core surgical training or equivalent experience.
  • Strong interest in cardiothoracic surgery and transplantation.
  • Excellent communication and teamwork skills.

Main duties of the job

Summary of Main Duties

  • Participate in the on-call rota for organ retrieval for transplantation.
  • Provide surgical advice and support for transplant patients and work closely with transplant physicians.
  • Assist in heart and lung transplant operations under consultant supervision.
  • Contribute to surgical management of patients with mechanical circulatory support (VAD, ECMO).
  • Lead daily ICU and ward rounds for transplant patients.
  • Present cases at weekly multidisciplinary team meetings.
  • Support training of junior surgeons in transplant patient care.
  • Engage in research activities, aiming for annual publication and conference submissions.
  • Help manage and improve transplant, VAD, and MCS databases for audit and research purposes.
  • Be available for on-call duties within 15 minutes of the hospital (non-resident out of hours).

About us

Harefield Hospital is a world-renowned center of excellence in cardiothoracic care, specializing in heart and lung transplantation, mechanical circulatory support, and advanced cardiac surgery. As part of the team, you'll work in a collaborative, innovative environment dedicated to improving patient outcomes through cutting-edge treatments and compassionate care. Our commitment to research, education, and multidisciplinary teamwork ensures that every staff member plays a vital role in shaping the future of cardiothoracic medicine.

Details

Date posted

23 December 2025

Pay scheme

Hospital medical and dental staff

Grade

Doctor - other

Salary

£73,992 a year Pro Rata

Contract

Fixed term

Duration

12 months

Working pattern

Full-time

Reference number

196-MED5034

Job locations

Harefield Hospital

Hill End Road

Harefield

UB9 6JH


Job description

Job responsibilities

Main responsibilities:

1. The Fellow will participate in the rota for surgeons engaged in the retrieval of organs for transplantation.

2. 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.

3. The Fellow will be expected to assist in transplant operations at the request of the consultant surgeon in charge of the transplant.

4. The Fellow will participate in the surgical management of patients who have undergone a variety of mechanical circulatory support including VAD, and ECMO implantation.

5. The Fellow will lead the ICU and ward round every morning for transplant patients.

6. The Fellow will present patients for discussion at the weekly multi-disciplinary team meetings following their pre-operative assessment.

7. The Fellow will be expected to play an active part in training junior surgeons in transplant patient management.

8. The Fellow will be expected and supported to pursue relevant research studies within the Trusts overall research portfolio, publishing at least 1 paper per year and submitting 1 abstract to an international conference.

9. 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.

10. This post is non-resident out of hours, but residence must be within 15 minutes normal drive time from the hospital for on-call duties to be undertaken.

11. The fellow on retrieval should be ready to leave within 60 min from the coordinators call.

Job description

Job responsibilities

Main responsibilities:

1. The Fellow will participate in the rota for surgeons engaged in the retrieval of organs for transplantation.

2. 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.

3. The Fellow will be expected to assist in transplant operations at the request of the consultant surgeon in charge of the transplant.

4. The Fellow will participate in the surgical management of patients who have undergone a variety of mechanical circulatory support including VAD, and ECMO implantation.

5. The Fellow will lead the ICU and ward round every morning for transplant patients.

6. The Fellow will present patients for discussion at the weekly multi-disciplinary team meetings following their pre-operative assessment.

7. The Fellow will be expected to play an active part in training junior surgeons in transplant patient management.

8. The Fellow will be expected and supported to pursue relevant research studies within the Trusts overall research portfolio, publishing at least 1 paper per year and submitting 1 abstract to an international conference.

9. 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.

10. This post is non-resident out of hours, but residence must be within 15 minutes normal drive time from the hospital for on-call duties to be undertaken.

11. The fellow on retrieval should be ready to leave within 60 min from the coordinators call.

Person Specification

Qualifications / Training

Essential

  • Full GMC registration
  • Evidence of at least 3 years' experience in cardiothoracic surgery
  • MRCS, FRCS, or equivalent
  • Evidence of at least 3 years' experience in cardiothoracic surgery

Desirable

  • Higher medical degree

Surgical Competence and Experience

Essential

  • Median sternotomy
  • Establishment of cardiopulmonary bypass (CPB)
  • Systematic haemostasis and closure of the chest
  • 1st assistant to Consultant Surgeon

Desirable

  • Evidence of at least 1 year attached to a transplant unit
  • Technically competent to perform routine cardiac surgical procedures as the primary operator (supervised/unsupervised)
  • Familiarity with donor optimisation and donor retrieval for intra-thoracic transplantation

Skills, Knowledge and Abilities

Essential

  • Ability to deal effectively with staff at all levels of the organisation
  • Strong interpersonal and communications skills in line with the Trust's Core Behaviours
Person Specification

Qualifications / Training

Essential

  • Full GMC registration
  • Evidence of at least 3 years' experience in cardiothoracic surgery
  • MRCS, FRCS, or equivalent
  • Evidence of at least 3 years' experience in cardiothoracic surgery

Desirable

  • Higher medical degree

Surgical Competence and Experience

Essential

  • Median sternotomy
  • Establishment of cardiopulmonary bypass (CPB)
  • Systematic haemostasis and closure of the chest
  • 1st assistant to Consultant Surgeon

Desirable

  • Evidence of at least 1 year attached to a transplant unit
  • Technically competent to perform routine cardiac surgical procedures as the primary operator (supervised/unsupervised)
  • Familiarity with donor optimisation and donor retrieval for intra-thoracic transplantation

Skills, Knowledge and Abilities

Essential

  • Ability to deal effectively with staff at all levels of the organisation
  • Strong interpersonal and communications skills in line with the Trust's Core Behaviours

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

Harefield Hospital

Hill End Road

Harefield

UB9 6JH


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

Harefield Hospital

Hill End Road

Harefield

UB9 6JH


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:

Senior Service manager Transplant

Craig Sanford

craig.sanford1@nhs.net

Details

Date posted

23 December 2025

Pay scheme

Hospital medical and dental staff

Grade

Doctor - other

Salary

£73,992 a year Pro Rata

Contract

Fixed term

Duration

12 months

Working pattern

Full-time

Reference number

196-MED5034

Job locations

Harefield Hospital

Hill End Road

Harefield

UB9 6JH


Supporting documents

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