Job summary
This is a post open to candidates with sub-specialty training, experience and interest in cardiothoracic anaesthesia.
The cardiothoracic unit at the Hammersmith Hospital opened in 2009 following the amalgamation of the units at St Mary's and Hammersmith Hospitals. As well as merging of the cardiac and thoracic surgical workload, a new 16-bedded unit was built for the care of post-operative patients. Since then, there has been a substantial expansion of surgical and cardiology services at the Hammersmith Hospital, with particular growth in structural heart procedures in the cardiac catheter laboratory - TAVI, PFO, Mitraclips - as well as electro-physiology services. Aortic work has also increased with the appointment of two new surgeons, and the Hammersmith Hospital has now joined the regional aortic dissection rota, with the Harefield and Royal Brompton Hospitals. Post-operative intensive care for these complex cardiac cases is delivered by a dedicated team of consultants. In addition there has been a recent expansion in the number of consultant thoracic surgeons who are performing much higher numbers of cancer cases and emergency work. This has vastly increased the need for elective and emergency cardiothoracic anaesthetists.
In addition to cardiothoracic surgery, the Hammersmith Hospital has an expanding major cancer workload including upper GI, hepatobiliary, gynae-oncology and endocrine surgery, and is also a busy kidney and pancreas-kidney transplant centre.
Main duties of the job
This post is intended to support the group of anaesthetic consultants providing cardiothoracic anaesthesia in theatres and the cardiac catheter laboratory. The anaesthetic department is a flexible workforce, with most consultants having a combination of fixed regular lists and flexible sessions, and are to an extent 'annualised' in the delivery of clinical sessions. This arrangement allows us to respond to service requirements efficiently, as well as facilitating CPD, educational and annual leave requirements.
In addition to cardiothoracic cases, the Hammersmith Hospital provides complex cancer surgical services in gynaecology, endocrine, hepatobiliary and upper GI surgery and is a regional and national referral centre for these specialities. The Hammersmith Hospital is also home to a busy renal transplant unit. The successful candidate will have the opportunity to deliver peri-operative care to patients undergoing these complex procedures.
The post includes a 1:8 on call component which will cover cardiothoracic emergencies in theatre and cath lab emergencies, and approximately 50% of the time will include general emergencies as well - at the Hammersmith this is mostly kidney transplants, benign gynaecology and re-operation for surgical complications. When the Hammersmith Hospital is covering aortic dissections, there will be a dedicated on call cardiac anaesthetist for this. There is a resident anaesthetic registrar (ST4-7 level) and CT2/3 covering theatres out of hours.
About us
At Imperial College Healthcare you can achieve extraordinary things with extraordinary people, working with leading clinicians pushing boundaries in patient care. Become part of a vibrant team living our values - expert, kind, collaborative and aspirational. You'll get an experience like no other and will fast forward your career. Benefits include career development, flexible working and wellbeing, staff recognition scheme. Make use of optional benefits including Cycle to work, car lease schemes, season ticket loan or membership options for onsite leisure facilities.
The statutory requirement to be fully Covid-19 vaccinated as a condition of employment from April 2022 is subject to legislative review. At Imperial College Healthcare NHS Trust, we strongly encourage and support vaccination uptake as this remains the best line of defence against COVID19. The successful applicant may have contact with patients and service users and as part of our pre-employment checks and risk assessments, we will ask all candidates to confirm whether or not they have been fully vaccinated or have a medical exemption.
As part of our continued response to Covid19 we are still conducting the majority of our interviews virtually. We are committed to equal opportunities and improving the working lives of our staff and will consider applications to work flexibly, part-time or job share. Please talk to us at interview.
Job description
Job responsibilities
This is a full-time post of 10 PAs: 7.5 direct clinical care for elective work, 1 PA for on call and 1.5 SPA.
Timetable
There will be a regular commitment to cardiothoracic lists. Some sessions are delivered flexibly depending on service needs and the skills and interests of the successful candidate.
Each session of four hours attracts 1.25 PAs to include pre- and postoperative care.
Job planned sessions will all be delivered at the Hammersmith Hospital. However a split-site job plan covering other sites in the Trust (Charing Cross Hospital and St Marys Hospital) may be negotiated in the future.
The on call commitment for the post holder will be a 1:8 non-resident rota. This will either be covering cardiac emergencies, the cardiac catheter laboratory and general emergencies, or aortic dissections alone (when the Hammersmith is covering the regional aortic dissection rota).
SPA time is given to support continuous professional development, teaching, quality improvement and preparation for appraisal.
Job description
Job responsibilities
This is a full-time post of 10 PAs: 7.5 direct clinical care for elective work, 1 PA for on call and 1.5 SPA.
Timetable
There will be a regular commitment to cardiothoracic lists. Some sessions are delivered flexibly depending on service needs and the skills and interests of the successful candidate.
Each session of four hours attracts 1.25 PAs to include pre- and postoperative care.
Job planned sessions will all be delivered at the Hammersmith Hospital. However a split-site job plan covering other sites in the Trust (Charing Cross Hospital and St Marys Hospital) may be negotiated in the future.
The on call commitment for the post holder will be a 1:8 non-resident rota. This will either be covering cardiac emergencies, the cardiac catheter laboratory and general emergencies, or aortic dissections alone (when the Hammersmith is covering the regional aortic dissection rota).
SPA time is given to support continuous professional development, teaching, quality improvement and preparation for appraisal.
Person Specification
Education & Qualifications
Essential
- On GMC's register with a Licence to Practice or eligible to apply for GMC registration and a Licence to Practice
- On GMC's Specialist Register or within six months of being admitted to the register by the date of the interviews or eligible for specialist registration
- Appropriate Royal College Membership
Leadership/ Management Skills
Essential
- Able to take responsibility, show leadership, make decisions, exert appropriate authority.
- Have proven skills in leading, motivating, developing and managing the performance of colleagues.
- Management of staff
- Knowledge of finance/budgets
Teaching & Training
Essential
- Experience of teaching and training undergraduates/postgraduates and junior medical staff, genuine interest in trainee wellbeing
Audit
Essential
- Understanding of principles of clinical audit, QI project delivery and governance structures
Academic achievement
Essential
- Evidence of achievement appropriate to appointment at consultant level at Imperial College Healthcare NHS Trust
Language
Essential
- Able to speak and write English to the appropriate standard necessary to fulfil the job requirements
Knowledge&Skills
Essential
- Comprehensive training and experience in anaesthesia for cardiothoracic surgery to advanced level/Special Interest Area or equivalent
- IT Skills and computer literacy
Person Specification
Education & Qualifications
Essential
- On GMC's register with a Licence to Practice or eligible to apply for GMC registration and a Licence to Practice
- On GMC's Specialist Register or within six months of being admitted to the register by the date of the interviews or eligible for specialist registration
- Appropriate Royal College Membership
Leadership/ Management Skills
Essential
- Able to take responsibility, show leadership, make decisions, exert appropriate authority.
- Have proven skills in leading, motivating, developing and managing the performance of colleagues.
- Management of staff
- Knowledge of finance/budgets
Teaching & Training
Essential
- Experience of teaching and training undergraduates/postgraduates and junior medical staff, genuine interest in trainee wellbeing
Audit
Essential
- Understanding of principles of clinical audit, QI project delivery and governance structures
Academic achievement
Essential
- Evidence of achievement appropriate to appointment at consultant level at Imperial College Healthcare NHS Trust
Language
Essential
- Able to speak and write English to the appropriate standard necessary to fulfil the job requirements
Knowledge&Skills
Essential
- Comprehensive training and experience in anaesthesia for cardiothoracic surgery to advanced level/Special Interest Area or equivalent
- IT Skills and computer literacy
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).
