Job summary
The three-year post provides training in a range of anaesthetic sub-specialities to facilitate the post-holder preparing and submitting a portfolio application for specialist registration (CESR) with the GMC. 18 months will be spent at East Surrey Hospital and 18 months at St George's Hospital. This programme is recognised by the Royal College of Anaesthetists for Portfolio Pathway.
Fellows will have the opportunity to apply for special interest modules in anaesthetic sub-specialities provided at St Georges including airway, regional, neurosurgery, cardiac, paediatrics, trauma, obstetrics, vascular, and peri-operative medicine.
Fellows will also carry out anaesthetic duties at a level appropriate to clinical experience and competence and this will also determine the degree of supervision. This post will help the anaesthetist to consolidate evidence of knowledge, skills and experience within a safe environment. Fellows are supported with mentoring, clinical support and educational supervision appropriate to with their needs.
Main duties of the job
The post is a 1:8 full shift rota. Post-holders are be allocated to the appropriate on call rota based on skills and experience. Fellows will provide anaesthetic cover in areas such as general, trauma, paediatric, neurosurgical and cardiac theatres as well as for trauma and cardiac arrest calls, cardiac catheter lab, neuroradiology and obstetrics subject to agreement.
Fellows are required to undertake an annual educational performance review in which they must demonstrate adequate documented progression towards the goal of submitting a successful CESR application. This is in addition to the required appraisal for registration with the GMC. Commitment and enthusiasm to progress through the necessary domains, leadership qualities and the ability to work as part of a multidisciplinary teams is also reviewed annually. Progression/renewal of annual contract will dependent on a positive outcome from annual reviews.
The post holders will observe the trusts agreed policies and procedures on clinical matters and will follow the standing orders and financial instructions of St Georges Healthcare NHS Trust and East Surrey Hospital.
About us
With over 9000 staff, St George's Hospital is the largest healthcare provider in Southwest London. In 2022 St George's became part of the George's Epsom St Helier group (GESH) with neighbouring Epsom, St Helier Trust to form one of the largest hospital and healthcare groups in the country, providing high quality healthcare for the population of South West London and Surrey borders. Our main site, St George's Hospital - one of the country's principal teaching hospitals - is shared with St George's, University of London, which trains medical students and carries out advanced medical research.
A number of our services are members of established clinical networks which bring together clinicians from a range of healthcare providers working to improve the quality of services for patients. These include the South London Cardiac and Stroke Network and the South West London and Surrey Trauma Network, for which St George's Hospital is the designated heart attack centre, hyper-acute stroke unit and major trauma centre.
Job description
Job responsibilities
The St Georges Hospital department boasts over 100 substantive consultant anaesthetic staff. The department has diverse interests both surgically and geographically. The anaesthetic service is spread throughout 24 inpatient operating theatres in 3 wings, and there is a separate day unit with a further 5 theatres. Outside of theatres, the department is involved in interventional radiological services for cardiac, neurosurgical, endovascular and chronic pain as well as MRI and CT scanning.
The anaesthetic department provides emergency care in Accident and Emergency, in particular in support of the Major Trauma Centre status of the Trust. An acute pain team is attached to the department and receives anaesthetic input. The department also supports the work of the hospital in all clinical areas.
Job description
Job responsibilities
The St Georges Hospital department boasts over 100 substantive consultant anaesthetic staff. The department has diverse interests both surgically and geographically. The anaesthetic service is spread throughout 24 inpatient operating theatres in 3 wings, and there is a separate day unit with a further 5 theatres. Outside of theatres, the department is involved in interventional radiological services for cardiac, neurosurgical, endovascular and chronic pain as well as MRI and CT scanning.
The anaesthetic department provides emergency care in Accident and Emergency, in particular in support of the Major Trauma Centre status of the Trust. An acute pain team is attached to the department and receives anaesthetic input. The department also supports the work of the hospital in all clinical areas.
Person Specification
Qualifications and Training
Essential
- Full GMC registration
- MB BS (or equivalent medical qualification)
- Final FRCA or accepted test of knowledge
- ALS
Desirable
- Teaching qualification/certificate
- Having attended a simulation 'Train the Trainers' programme
- Evidence of participation in a medical education-related study programme
- ATLS
Experience
Essential
- Clinical training and experience at least equivalent to that gained following the Royal College of Anaesthetists Curriculum 2021 Stage 2
- Ability to take full and independent responsibility for assessment of patients preoperatively and manage most common emergencies
- Confident in managing cardiac arrest situations.
Desirable
- Participation in clinical audit or research in anaesthesia
Knowledge, Skills and Competencies
Essential
- Clinical skills and knowledge appropriate for level of training and completion of an appropriate number of work place assessments or DOPS, anaes-CEX, CBDs, MSF for anaesthesia
- Logbook up to date
- Awareness of limitations and seeks help appropriately
- Provider of at least one of - ATLS/ALS/EPLS or similar
Desirable
- Instructor of ALS/ATLS/EPLS or similar
- Knowledge of Human Factors training
- Leadership skills appropriate to leading a multidisciplinary team
- Directing and teaching medical, nursing and other professions allied to anaesthesia
- Can demonstrate effectiveness in Quality Improvement programmes
- Published or submitted research papers
Behaviours and Values
Essential
- Flexibility in shift/working patterns to meet the needs of the service
- Able to participate as a team member
- Of good character (as per GMC requirements)
- Willing to accept additional responsibilities as delegated by senior staff
- Good communication skills, both oral and written
- Excellent organisational skills
- Initiative and motivation
- Indication of relevance of this post and career development
- Familiar with working practices in UK and Royal College of Anaesthetists training programme
Person Specification
Qualifications and Training
Essential
- Full GMC registration
- MB BS (or equivalent medical qualification)
- Final FRCA or accepted test of knowledge
- ALS
Desirable
- Teaching qualification/certificate
- Having attended a simulation 'Train the Trainers' programme
- Evidence of participation in a medical education-related study programme
- ATLS
Experience
Essential
- Clinical training and experience at least equivalent to that gained following the Royal College of Anaesthetists Curriculum 2021 Stage 2
- Ability to take full and independent responsibility for assessment of patients preoperatively and manage most common emergencies
- Confident in managing cardiac arrest situations.
Desirable
- Participation in clinical audit or research in anaesthesia
Knowledge, Skills and Competencies
Essential
- Clinical skills and knowledge appropriate for level of training and completion of an appropriate number of work place assessments or DOPS, anaes-CEX, CBDs, MSF for anaesthesia
- Logbook up to date
- Awareness of limitations and seeks help appropriately
- Provider of at least one of - ATLS/ALS/EPLS or similar
Desirable
- Instructor of ALS/ATLS/EPLS or similar
- Knowledge of Human Factors training
- Leadership skills appropriate to leading a multidisciplinary team
- Directing and teaching medical, nursing and other professions allied to anaesthesia
- Can demonstrate effectiveness in Quality Improvement programmes
- Published or submitted research papers
Behaviours and Values
Essential
- Flexibility in shift/working patterns to meet the needs of the service
- Able to participate as a team member
- Of good character (as per GMC requirements)
- Willing to accept additional responsibilities as delegated by senior staff
- Good communication skills, both oral and written
- Excellent organisational skills
- Initiative and motivation
- Indication of relevance of this post and career development
- Familiar with working practices in UK and Royal College of Anaesthetists training programme
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.
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.
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).
