Job summary
Job summary
An exciting opportunity has arisen for Senior Clinical Fellows aiming to achieve specialist registration in Neonatal Medicine through the Portfolio Pathway by rotating between a busy surgical neonatal unit (Chelsea and Westminster Hospital) and the London Neonatal Transfer Service. The programme is also open to candidates looking to gain valuable neonatal and transport experience via the Out of Programme (OOP) route.
The fellowship programme will run from September 2026, over a period of 1 to 2 years, depending on the candidate's needs and the availability of training spaces in participating hospitals:
a) 12 months: 6 months Chelsea and Westminster Hospital, 6 months London NTS
b) 24 months: 12 months Chelsea and Westminster Hospital, 12 months London NTS
It will include working across 2 hospitals: Chelsea and Westminster Hospital and the Royal London Hospital. Chelsea and Westminster Hospital will be the main employer, with honorary contracts offered when rotating to the London Neonatal Transfer Service (located at Royal London Hospital).
Main duties of the job
The programme consists of structured rotation through the 2 centres where bespoke educational supervision and support will be provided depending on the needs of the candidate. Both services provide care to a wide variety of patients including premature babies, surgical conditions and those with complex medical needs. There will be access to learning opportunities across clinical care, research, governance, teaching and risk management with a focus on helping candidates achieve the competencies and sign-offs they need for the Portfolio Pathway (previously called CESR pathway).
Chelsea and Westminster Hospital
Main duties of the job
Chelsea and Westminster Hospital is internationally reputable for their research excellence. C&W is home to the National Neonatal Research Database used for national and international population neonatal epidemiological studies.
Applicants must have middle-grade experience in Neonatology and be able to demonstrate competency in neonatal resuscitation, intubation and management of ventilated infants. The post holder will gain extensive experience in managing sick surgical infants.
The post would suit both UK trainees seeking out of programme experience/training to enhance their level 2/3 neonatal training and international trainees seeking a training opportunity that parallels UK grid training.
About us
About us
Chelsea and Westminster Hospital NHS Foundation Trust is one of England's top-performing and safest trusts. We operate two main acute hospital sites--Chelsea and Westminster Hospital and West Middlesex University Hospital--along with award-winning clinics across North West London.
Our nearly 7,500 staff care for a diverse population of 1.5 million, providing full clinical services, including maternity, A&E, and children's services, plus specialist HIV and sexual health clinics. The Care Quality Commission rates us 'Good' in safety, effectiveness, care, and responsiveness, and 'Outstanding' in leadership and resource use.
We continually invest in our facilities, including a £30m expansion of critical care at Chelsea and Westminster and an £80m Ambulatory Diagnostic Centre at West Middlesex.
We welcome applications for flexible working arrangements, accommodating requests where possible to support our staff and patient needs.
The Trust is committed to equality and welcomes applications from all, regardless of background. Adjustments can be made for disabled candidates. Early application is advised as vacancies may close once sufficient applications are received. If you haven't heard from us within three weeks of the closing date, your application was likely unsuccessful. Employment is subject to a six-month probationary period.
Some roles may require weekend shifts at multiple sites.
Job description
Job responsibilities
Senior Clinical Fellow/Portfolio Pathway Fellow in Neonatology, Chelsea and Westminster HospitalNHS Foundation Trust
Duties include
- Operational management of NICU under direct supervision of consultant neonatologists
- Daily consultant ward rounds and a weekly nutrition ward round
- Lead ward round and clinical decision making once a week on the registrar led ward round
- Overseeing documentation and progress of discharge summaries
- Support of SHOs in the assessment and management of acutely ill and postnatal ward neonates.
- Attendance at the weekly grand round with neonatal and paediatric surgical consultants
- Weekly liaison meeting with NICU staff and social services
- Weekly perinatal grand round with all obstetricians and neonatologists
- Liaison with neonatal surgical team and anaesthetists, paediatric cardiology and respiratory teams
- Involvement in neonatal medical and neurodevelopmental follow-up clinics
- Participate in neonatal transport (when not performed by NTS)
Provide high quality care to patients
- Maintain GMC registration and hold a licence to practice
- Develop and maintain the competencies required to carry out the duties of the post
- Ensure families are involved in decisions about care and respond to their views
Clinical Research
The department has a strong international reputation for neonatal research, focussing in neonatal nutrition and neonatal surgery. The Neonatal Data Analysis Unit which manages the UK National Neonatal Research Database (NNRD) is based at Chelsea and Westminster Hospital. The NNRD is used to support a broad range of service evaluations, audits (including theNational Neonatal Audit Programme), quality improvement programmes, as well as clinical, health services and policy research.Candidates are expected to be GCP certified and get involved in the various local and multi-centre clinical trials and observational studies.
Teaching Skills
Opportunities for teaching medical students, nurses and junior medical staff are ample, in both formal and informal settings. These include formal teaching sessions and bedside teaching. Candidates are expected to contribute to the on-going departmental teaching programme for junior doctors.
Teaching Sessions
Potholders would have opportunities to attend protected teaching sessions, which include a multi-session Cranial Ultrasound Imaging lectures (delivered currently by Prof Frances Cowan), journal clubs and informal teaching sessions. The resident consultants provide a regular case based bedside teaching on most of the night shifts, which care formally recorded as WBAs. In addition, there is a monthly one day simulation program that all trainees are expected to attend within their first 6 months into the post. In situ simulation sessions using high and low fidelity mannequins are undertaken, sometimes involving other departments like A&E and Paediatrics. We are in the process of establishing POCUS on the unit and welcome applicants with experience in this area.
Each post holder will have an allocated educational supervisor and are expected to have formal appraisal meetings at regular intervals
Further training opportunities
Candidates are encouraged strongly to utilise their study leave to attend courses and conferences. They are also encouraged to participate and present in network meetings.
Audits & Governance
- Participate in clinical audit, incident reporting and to ensure resulting actions are implemented
- Ensure clinical guidelines and protocols are adhered to
- Keep fully informed about best practice in the specialty areas
- Role model of good practice for infection control to all members of the multidisciplinary team
We look forward to receiving your application and working together to improve the care and outcomes for our most vulnerable patients.
Senior Clinical Fellow/Portfolio Pathway Fellow at London Neonatal Transfer Service, Barts Health NHS Trust
Opportunities include:
Training in the use of specialised intensive care unit and transfer equipment - ventilation including High-Frequency Oscillation, CPAP and High Flow Nasal Cannula, therapeutic cooling, inhaled nitric oxide
Practical supervision
Concise topic teaching three times per week
Dedicated X-ray meeting
Training in cranial ultrasound, echocardiography, and Cerebral Function Monitoring
Specialist clinics: Neurodevelopmental/Respiratory/Cardiology
Communication, triage and advisory role in liaising with referring units regarding the transfer of sick neonates
Involvement in the clinical and operational decision-making for neonatal patients with complex and severe problems
Opportunities to act up and lead operations supported by the attending consultant
Stabilisation and transfer of critically unwell neonates
Improve your ability to give constructive feedback and lead/facilitate communication for improvement within teams, including attention to maintaining psychological safety
Simulation, crisis resource management and situational awareness training
NTS Outreach sessions
Non-Clinical Training and Responsibilities
Governance:
Postholders are supported in developing and completing audits, quality improvement projects and clinical guidelines. You will be included and welcomed to the regular governance meetings.
Research:
You are welcome to initiate your research with our team and contribute to the projects already running, spanning across cardio-respiratory physiology, neonatal neurology and surgery.
Teaching:
You will be supported in participating in and developing the academic programme that includes multiple healthcare professional groups - medical, nursing and ambulance staff.
Leadership and Management:
You can develop leadership and management skills by attending the London Neonatal Group and Operational Delivery Network meetings. The designated consultant will provide you with the agenda and a post-meeting discussion and reflection before the forum.
Job description
Job responsibilities
Senior Clinical Fellow/Portfolio Pathway Fellow in Neonatology, Chelsea and Westminster HospitalNHS Foundation Trust
Duties include
- Operational management of NICU under direct supervision of consultant neonatologists
- Daily consultant ward rounds and a weekly nutrition ward round
- Lead ward round and clinical decision making once a week on the registrar led ward round
- Overseeing documentation and progress of discharge summaries
- Support of SHOs in the assessment and management of acutely ill and postnatal ward neonates.
- Attendance at the weekly grand round with neonatal and paediatric surgical consultants
- Weekly liaison meeting with NICU staff and social services
- Weekly perinatal grand round with all obstetricians and neonatologists
- Liaison with neonatal surgical team and anaesthetists, paediatric cardiology and respiratory teams
- Involvement in neonatal medical and neurodevelopmental follow-up clinics
- Participate in neonatal transport (when not performed by NTS)
Provide high quality care to patients
- Maintain GMC registration and hold a licence to practice
- Develop and maintain the competencies required to carry out the duties of the post
- Ensure families are involved in decisions about care and respond to their views
Clinical Research
The department has a strong international reputation for neonatal research, focussing in neonatal nutrition and neonatal surgery. The Neonatal Data Analysis Unit which manages the UK National Neonatal Research Database (NNRD) is based at Chelsea and Westminster Hospital. The NNRD is used to support a broad range of service evaluations, audits (including theNational Neonatal Audit Programme), quality improvement programmes, as well as clinical, health services and policy research.Candidates are expected to be GCP certified and get involved in the various local and multi-centre clinical trials and observational studies.
Teaching Skills
Opportunities for teaching medical students, nurses and junior medical staff are ample, in both formal and informal settings. These include formal teaching sessions and bedside teaching. Candidates are expected to contribute to the on-going departmental teaching programme for junior doctors.
Teaching Sessions
Potholders would have opportunities to attend protected teaching sessions, which include a multi-session Cranial Ultrasound Imaging lectures (delivered currently by Prof Frances Cowan), journal clubs and informal teaching sessions. The resident consultants provide a regular case based bedside teaching on most of the night shifts, which care formally recorded as WBAs. In addition, there is a monthly one day simulation program that all trainees are expected to attend within their first 6 months into the post. In situ simulation sessions using high and low fidelity mannequins are undertaken, sometimes involving other departments like A&E and Paediatrics. We are in the process of establishing POCUS on the unit and welcome applicants with experience in this area.
Each post holder will have an allocated educational supervisor and are expected to have formal appraisal meetings at regular intervals
Further training opportunities
Candidates are encouraged strongly to utilise their study leave to attend courses and conferences. They are also encouraged to participate and present in network meetings.
Audits & Governance
- Participate in clinical audit, incident reporting and to ensure resulting actions are implemented
- Ensure clinical guidelines and protocols are adhered to
- Keep fully informed about best practice in the specialty areas
- Role model of good practice for infection control to all members of the multidisciplinary team
We look forward to receiving your application and working together to improve the care and outcomes for our most vulnerable patients.
Senior Clinical Fellow/Portfolio Pathway Fellow at London Neonatal Transfer Service, Barts Health NHS Trust
Opportunities include:
Training in the use of specialised intensive care unit and transfer equipment - ventilation including High-Frequency Oscillation, CPAP and High Flow Nasal Cannula, therapeutic cooling, inhaled nitric oxide
Practical supervision
Concise topic teaching three times per week
Dedicated X-ray meeting
Training in cranial ultrasound, echocardiography, and Cerebral Function Monitoring
Specialist clinics: Neurodevelopmental/Respiratory/Cardiology
Communication, triage and advisory role in liaising with referring units regarding the transfer of sick neonates
Involvement in the clinical and operational decision-making for neonatal patients with complex and severe problems
Opportunities to act up and lead operations supported by the attending consultant
Stabilisation and transfer of critically unwell neonates
Improve your ability to give constructive feedback and lead/facilitate communication for improvement within teams, including attention to maintaining psychological safety
Simulation, crisis resource management and situational awareness training
NTS Outreach sessions
Non-Clinical Training and Responsibilities
Governance:
Postholders are supported in developing and completing audits, quality improvement projects and clinical guidelines. You will be included and welcomed to the regular governance meetings.
Research:
You are welcome to initiate your research with our team and contribute to the projects already running, spanning across cardio-respiratory physiology, neonatal neurology and surgery.
Teaching:
You will be supported in participating in and developing the academic programme that includes multiple healthcare professional groups - medical, nursing and ambulance staff.
Leadership and Management:
You can develop leadership and management skills by attending the London Neonatal Group and Operational Delivery Network meetings. The designated consultant will provide you with the agenda and a post-meeting discussion and reflection before the forum.
Person Specification
Education and Qualifications
Essential
- MRCPCH or equivalent
- GMC Registration
- Safeguarding Training
- MBBS
- Certified New-born Life Support Provider
Desirable
- Higher Degree in Paediatrics/ Teaching/ Research
- Good Clinical Practice certified
- Advanced Paediatric Life Support Provider
- Life Support courses Trainer
Experience
Essential
- Middle grade experience in a neonatal unit - at least 6 months
- Previous experience in a tertiary neonatal unit - at least 6 months
Desirable
- Evidence of teaching experience
- Previous experience in a neonatal/ paediatric surgical unit
- Previous experience in a paediatric intensive care unit / cardiology
- Previous Research Experience
Skills and knowledge
Essential
- Competent in resuscitating and stabilising neonates
- Intubating and Managing Ventilated Neonates
- Competent in neonatal procedures like umbilical catheterisation
Desirable
- Design and manage clinical audit projects
- Publications in peer reviewed journals
- Experience in managing pre and post -surgical aspects of neonatal care
- Perform Neonatal Echocardiograms
- Ability to perform Cranial ultrasound scans
- Supervise junior trainees and involve in informal and formal teaching
Personal qualities
Essential
- Committed to patient focused care
- Motivation for personal development and improvement
- Ability to work as a team member in own and allied disciplines
- Excellent time management and organisational skills
- Excellent communication skills
- Reliability
Person Specification
Education and Qualifications
Essential
- MRCPCH or equivalent
- GMC Registration
- Safeguarding Training
- MBBS
- Certified New-born Life Support Provider
Desirable
- Higher Degree in Paediatrics/ Teaching/ Research
- Good Clinical Practice certified
- Advanced Paediatric Life Support Provider
- Life Support courses Trainer
Experience
Essential
- Middle grade experience in a neonatal unit - at least 6 months
- Previous experience in a tertiary neonatal unit - at least 6 months
Desirable
- Evidence of teaching experience
- Previous experience in a neonatal/ paediatric surgical unit
- Previous experience in a paediatric intensive care unit / cardiology
- Previous Research Experience
Skills and knowledge
Essential
- Competent in resuscitating and stabilising neonates
- Intubating and Managing Ventilated Neonates
- Competent in neonatal procedures like umbilical catheterisation
Desirable
- Design and manage clinical audit projects
- Publications in peer reviewed journals
- Experience in managing pre and post -surgical aspects of neonatal care
- Perform Neonatal Echocardiograms
- Ability to perform Cranial ultrasound scans
- Supervise junior trainees and involve in informal and formal teaching
Personal qualities
Essential
- Committed to patient focused care
- Motivation for personal development and improvement
- Ability to work as a team member in own and allied disciplines
- Excellent time management and organisational skills
- Excellent communication skills
- Reliability
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.
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.
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).