Job summary
We are recruiting ST4+ equivalents to two novel posts working half time with the new Adult Critical Care Transfer Service (ACCESS) and the other half at St. Bartholomew's Hospital in London, the largest specialist cardiothoracic hospital in the country. ACCESS service is a novel collaboration created on April 1st 2023 between Barts Health NHS Trust, Imperial College NHS Trust, and St. George's NHS Trust, creating the largest critical care transfer
This is suitable for applicants wanting to gain experience in both cardiac and general intensive care working in one of Barts' three critical care units as well as transfer and resuscitation of critically ill patients within the capital undertaking interfacility transfers. This is a unique opportunity to be a part of the UKs premier cardiac centre - Barts Heart Centre as well as the largest critical care transfer service in the country.With state-of-the-art facilities, Barts Heart Centre has 72 critical care beds, 10 theatres, 10 catheter labs and over 250 cardiac, vascular and thoracic beds, creating one of Europe's largest Cardiothoracic Centres. The ACCESS service is expected to deliver almost 2250-2500 transfers of patients within the London area per annum.
Main duties of the job
- Taking clinical leadership of the team and undertake safe inter-hospital transfers with distant supervision (after an appropriate period of mentoring and supervision commensurate to experience and sign-off).
- Ensuring thorough and accurate record keeping during transfers.
- Performing effective clinical handover when handing over to receiving team
- Carrying out appropriate equipment checks at the beginning and end of the day
- Proactively engage in education, governance and QI activities.
- Having an active role in service development and training.
About us
Barts Health is one of the largest NHS trusts in the country, and one of Britain's leading healthcare providers.
The Barts Health group of NHS hospitals is entering an exciting new era on our improvement journey to becoming an outstanding organisation with a world-class clinical reputation. Having lifted ourselves out of special measures, we now have the impetus and breathing space to chart a fresh course in which we are continually striving to improve all our services for patients.
Our vision is to be a high-performing group of NHS hospitals, renowned for excellence and innovation, and providing safe and compassionate care to our patients in east London and beyond. That means being a provider of excellent patient safety, known for delivering consistently high standards of harm-free care and always caring for patients in the right place at the right time. It also means being an outstanding place to work, in which our WeCare values and behaviours are visible to all and guide us in how we work together.
We strive to live by our WeCare values and are committed to promoting inclusion, where every staff member has a sense of belonging. We value our differences and fully advocate, cultivate and support an inclusive working environment where staff treat one another with dignity and respect. We aim to create an equitable working environment where every individual can fulfil their potential.
Job description
Job responsibilities
London ACCESS is a land based adult critical care transfer service offering a shared vision of consistent, safe, compassionate, and expert-led transfer of critically ill patients across London integrating with London Ambulance Service NHS Trust (LAS) and all five integrated care boards and their associated critical care networks within London.
It was established in April 2023 building on the pre-existing inter-hospital transfer teams that had been in continuous operation within the London region since the COVID pandemic.
There are currently four teams covering each quadrant of London which individually consist of: One transfer doctor (ST4+ anaesthesia/ITU or ST5+ PHEM with critical care experience) One transfer practitioner (ED/ITU nurse, ODP, ACCP or critical care paramedic) Two LAS crew (paramedics, advanced technicians, emergency care support workers
The teams are led by two Duty Retrieval Consultants who provide close support and expertise each day.
Job description
Job responsibilities
London ACCESS is a land based adult critical care transfer service offering a shared vision of consistent, safe, compassionate, and expert-led transfer of critically ill patients across London integrating with London Ambulance Service NHS Trust (LAS) and all five integrated care boards and their associated critical care networks within London.
It was established in April 2023 building on the pre-existing inter-hospital transfer teams that had been in continuous operation within the London region since the COVID pandemic.
There are currently four teams covering each quadrant of London which individually consist of: One transfer doctor (ST4+ anaesthesia/ITU or ST5+ PHEM with critical care experience) One transfer practitioner (ED/ITU nurse, ODP, ACCP or critical care paramedic) Two LAS crew (paramedics, advanced technicians, emergency care support workers
The teams are led by two Duty Retrieval Consultants who provide close support and expertise each day.
Person Specification
Qualifications
Essential
- GMC Registration
- Primary FRCA/MRCP or equivalent
- Completed stage 1 training in anaesthetics/ICM (or equivalent)
- ALS or equivalent
Desirable
- Full FRCA/ FICM
- Experience in cardiothoracic critical care
- APLS/EPLS (instructor status ideal)
- FICE/FUSIC
- ATLS or equivalent (instructor status ideal)
- Diploma in Retrieval and Transfer Medicine
- Diploma in Immediate Medical Care
Research and Development
Essential
- Understanding and knowledge of research and ability to interpret research papers.
- Good Clinical Practice training
Desirable
- Publications in critical care journals or in areas of special interest
Teaching and training
Essential
Desirable
- Experience in delivering training courses to junior medical and nursing staff
Governance
Essential
- Understand the principals of governance and risk management
Desirable
- Experience of audit or quality improvement
Management and Leadership
Essential
- Ability to work within a multi-disciplinary team
- Ability to work under pressure and to adapt to changing clinical environments
- Ability to problem-solve and escalate appropriately
- Ability to work as part of a multidisciplinary team in regional centres, respecting the input of all team members.
Desirable
- Experience in team leading
Appraisal and mandatory training
Essential
- Evidence of participation in appraisal process
- Up to date with statutory and mandatory training in current appointment
General skills and personal characteristics
Essential
- Evidence of and adherence to the GMC's 'good Medical Practice'
- Ability to communicate clearly and effectively in English (spoken and written)
- Self-motivated, empathetic, patient.
- Ability to communicate well with patients and to get on well with other staff
- Ability to handle conflict and work within a team
- Willing to actively and enthusiastically participate in service development to improve the delivery of critical care transfers in London
Person Specification
Qualifications
Essential
- GMC Registration
- Primary FRCA/MRCP or equivalent
- Completed stage 1 training in anaesthetics/ICM (or equivalent)
- ALS or equivalent
Desirable
- Full FRCA/ FICM
- Experience in cardiothoracic critical care
- APLS/EPLS (instructor status ideal)
- FICE/FUSIC
- ATLS or equivalent (instructor status ideal)
- Diploma in Retrieval and Transfer Medicine
- Diploma in Immediate Medical Care
Research and Development
Essential
- Understanding and knowledge of research and ability to interpret research papers.
- Good Clinical Practice training
Desirable
- Publications in critical care journals or in areas of special interest
Teaching and training
Essential
Desirable
- Experience in delivering training courses to junior medical and nursing staff
Governance
Essential
- Understand the principals of governance and risk management
Desirable
- Experience of audit or quality improvement
Management and Leadership
Essential
- Ability to work within a multi-disciplinary team
- Ability to work under pressure and to adapt to changing clinical environments
- Ability to problem-solve and escalate appropriately
- Ability to work as part of a multidisciplinary team in regional centres, respecting the input of all team members.
Desirable
- Experience in team leading
Appraisal and mandatory training
Essential
- Evidence of participation in appraisal process
- Up to date with statutory and mandatory training in current appointment
General skills and personal characteristics
Essential
- Evidence of and adherence to the GMC's 'good Medical Practice'
- Ability to communicate clearly and effectively in English (spoken and written)
- Self-motivated, empathetic, patient.
- Ability to communicate well with patients and to get on well with other staff
- Ability to handle conflict and work within a team
- Willing to actively and enthusiastically participate in service development to improve the delivery of critical care transfers in London
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).
