Senior Clinical Fellow in Anaesthesia

Job responsibilities

KNOWLEDGE, SKILLS AND EXPERIENCE REQUIRED

Please see Person Specification

DUTIES OF THE POST

The successful applicant will have regular training lists across a broad spectrum of specialties as mutually agreed at interview and will be expected to contribute to the out of hours service by being part of the on-call team alongside the anaesthetic trainees. All out of hours call rotas are compliant with European Working Time Directive legislation and the 2016 contract. When not working out of hours, successful applicants will have a mixture of consultant supervised and solo lists (where appropriate).

LEVELS OF RESPONSIBILITY

The successful candidate will mainly have supervised theatre lists with consultant trainers, but it is envisaged that the candidate will have the opportunity to develop their own confidence in their areas of interest and work with local supervision independently.

The successful applicant will have a named consultant Educational Supervisor and undergo regular appraisal and actively take part in the GMC revalidation process. During these meetings any specific training requirements and educational goals can be defined.

TEACHING AND RESEARCH/STUDY AND TRAINING

The post can provide the applicant experience in anaesthetic subspecialty blocks not available in most hospitals subject to availability. We have a strong track record of supporting doctors through the portfolio pathway, if successful applicants wished to pursue this route, we will be fully supportive and facilitate access to all training modules required.

There is an excellent range of postgraduate medical activities at Leeds Teaching Hospitals directed by the PGME centre which has bases at both the Leeds General Infirmary and St Jamess University Hospital.

Leeds Teaching Hospitals is the main provider of postgraduate training in Anaesthesia in the West Yorkshire region. As such we have extensive experience of supporting and preparing trainees in their professional goals of achieving the FRCA examinations and securing consultant positions. We have a highly skilled and motivated consultant body who maintain a strong interest in teaching, training and examining, and this culture will be of benefit to those wishing to complete FRCA examinations.

The Leeds Teaching Hospitals is the principal teaching hospital for the Medical School at the University of Leeds and the post holder will be encouraged to participate fully in both undergraduate and postgraduate teaching.

This post is for an initial term of 2 year with the option to extend if mutually agreeable.

THE LEEDS WAY VALUES

Our values are part of what make us different from other trusts, so we see this as a strength, as well as a responsibility. They have been developed by our staff and set out what they see as important to how we work. Our five values are:

Patient-centred

Collaborative

Fair

Accountable

Empowered

All our actions and endeavours will be guided and evaluated through these values

Additionally, the following are core values which relate specifically to this post:

The beliefs and attitudes that underpin effective performance within the job role. Emphasis should be on the requirements of the role not the individual when completing this section. Examples might include quality focus, mistakes are used as a continual learning experience, honesty, integrity etc.

Leeds Teaching Hospitals NHS Trust is part of the West Yorkshire Association of Acute Trusts (WYAAT), a collaborative of the NHS hospital trusts from across West Yorkshire and Harrogate working together to provide the best possible care for our patients.

By bringing together the wide range of skills and expertise across West Yorkshire and Harrogate we are working differently, innovating and driving forward change to deliver the highest quality care. By working for Leeds Teaching Hospitals NHS Trust this is your opportunity to be a part of that change.

WYAAT is the acute sector arm of the West Yorkshire and Harrogate Health and Care Partnership, one of the largest integrated care systems in the country. The Partnerships ambition is for everyone to have the best possible health and wellbeing, and the work of WYAAT, and each individual trust, supports that ambition.

CONDITIONS OF SERVICE

This post is covered by the Hospital Medical and Dental Staff (England and Wales) Terms and Conditions of Service. These documents are available on the Medical Staffing Intranet site.

The post holder is required to be fully registered with the General Medical Council (GMC) and hold a licence to practice.

Standards of Conduct and Behaviour

You are required to work to the standards set out by the General Medical Council in Good Medical Practice. This includes protecting patients when you believe that a doctors or other colleagues conduct, performance or health is a threat to them. If, after establishing the facts, it is necessary, you must follow the Trusts procedures in this matter and inform your Clinical Director or Medical Director in the first instance.

The Trust has a set of expected behaviours for all employees and additional behaviours and skills that are expected of managers and supervisors.

Leave Arrangements

All leave should be applied for in accordance with the Trusts Leave Policy, normally giving six weeks notice of any leave, other than in exceptional circumstances.

Training

The jobholder must take responsibility in agreement with his/her line manager for his/her own personal development by ensuring that Continuous Professional Development remains a priority. The jobholder will undertake all mandatory training required for the role.

Health & Safety

All staff are responsible for working with their colleagues to maintain and improve the quality of services provided to our patients and other service users. This includes complying at all times with the Leeds Teaching Hospitals NHS Trust Policies, including Health and Safety policies, in particular by following agreed safe working procedures, and reporting incidents using the Trust Incident Reporting system.

Equality & Diversity

The jobholder must comply with all policies and procedures designed to ensure equality of employment and that services are delivered in ways that meet the individual needs of patients and their families. No person whether they are staff, patient or visitor should receive less favourable treatment because of their gender, ethnic origin, age, disability, sexual orientation, religion etc.

The Trust's Equality and Diversity Policy ensures that barriers to employment for disadvantaged groups are identified and removed, and that no person is treated less favourably on the grounds of their race, ethnic group, religion, impairment, age, gender, sexual orientation or mental health status. Reasonable adjustments will be made for disabled applicants and post holders where required.

Smoking Policy

The Leeds Teaching Hospitals NHS Trust recognises the serious hazards to health caused by smoking and has adopted a strict no smoking policy. Under the terms of our No Smoking Policy, staff, visitors and patients will not be permitted to smoke at any time or in any part of Trust property, whether inside or outside the hospital buildings.

Rehabilitation of Offenders Act & DBS Disclosure

This position involves access to patients during the normal course of duties and is therefore subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975. As such you must reveal any information which you may have concerning convictions which would otherwise be considered as spent.

An offer of appointment to this post would be subject to the express condition that the Leeds Teaching Hospitals Trust receives a satisfactory Disclosure and Barring Service (DBS, formerly CRB) Disclosure which will check the existence and the content of any criminal record received.

The Trust has the right to withdraw an offer or employment if not satisfied of a candidate's suitability for this position by reason of criminal record or antecedents, especially in cases where no declaration of criminal proceedings has been made on a candidates application form or DBS Form. The Trust reserves the right to determine this issue at its sole discretion. If you are appointed to this post, you will be asked to complete a 'DBS Disclosure Application Form' which will be submitted to the DBS.

Leeds Teaching Hospitals NHS Trust has a Policy Statement on the Recruitment of Ex-offenders which is available on request.

Infection Control

The jobholder must comply at all times with the Leeds Teaching Hospitals NHS Trust Infection Control policies, in particular by practicing Universal Infection Control Precautions. Hand hygiene must be performed before and after contact with patients and their environment.

Patient and Public Involvement

The Trust has a statutory duty to involve patients and public in evaluating and planning services. All staff have a responsibility to listen to the views of patients and to contribute to service improvements based on patient feedback.

Respect for Patient Confidentiality

The jobholder should respect patient confidentiality at all times and not divulge patient information unless sanctioned by the requirements of the role.

Health and Wellbeing

Leeds Teaching Hospitals is proactive in supporting staff wellbeing and reducing the stigma associated with certain health conditions such as mental ill health. We believe that supporting staff wellbeing is within everyones job role. Once in post, we ask that you familiarise yourself with our diverse offer with includes financial advice and support and mental health support including access to Mental Health First Aid training.

Additional Requirements

Essential

• Communication Skills: Demonstrates clarity in written/spoken communication & capacity to adapt language as appropriate to the situation
• Problem Solving & Decision Making: Capacity to use logical/lateral thinking to solve problems/make decisions, indicating an analytical/scientific approach
• Empathy & Sensitivity: Capacity to take in others perspectives and treat others with understanding; sees patients as people Demonstrates respect for all
• Managing Others & Team Involvement: Able to work in multi-professional teams & supervise junior medical staff
• Organisation & Planning: Capacity to manage/prioritise time and information effectively Capacity to prioritise own workload & organise ward rounds
• Coping with Pressure and managing uncertainty: Capacity to operate under pressure Demonstrates initiative & resilience to cope with changing circumstances
• Values: Understands, respects and demonstrates the values of the NHS Constitution (e.g. everyone counts; improving lives; commitment to quality of care; respect and dignity; working together
• Professional Integrity: Demonstrates probity (displays honesty, integrity, aware of ethical dilemmas, respects confidentiality)
• Shows initiative/drive/enthusiasm (self-starter, motivated, shows curiosity, initiative) Demonstrable interest in, and understanding of, the specialty
• Commitment to personal and professional development Evidence of attendance at organised teaching and training programme(s)

Clinical, Academic, and Personal Skills

Essential

• Ability to apply sound clinical knowledge and judgement to problems
• Recognition of, and ability to undertake the initial management of, an acutely ill patient
• Abilities consistent with an Anaesthetic trainee having completed their ST5 grade of training or equivalent
• Evidence of Logbook indicating experience of appropriate number of clinical cases and procedures
• Evidence of competence to work without direct supervision
• Demonstrates understanding of research, including awareness of ethical issues
• Demonstrates understanding of the basic principles of audit, clinical risk management, evidence-based practice, patient safety, and clinical quality improvement initiatives
• Demonstrates knowledge of evidence-informed practice
• Ability to provide complete details of employment history and Evidence that career progression is consistent with personal circumstances
• At least 2 years experience in Anaesthesia by the time of intended start date

Desirable

• Successful completion of relevant skills courses
• Research and audit skills: Evidence of relevant academic and research achievements, e.g. degrees, prizes, awards, distinctions, publications, presentations, other achievements
• Evidence of involvement in an audit project, a quality improvement project, formal research project or other activity which focuses on patient safety and clinical improvement
• Teaching: Evidence of interest in, and experience of teaching Evidence of feedback for teaching
• Instructor status (or a recommendation for instructor status) in an advanced life support course (ALS, ATLS, EPLS, APLS) or equivalent course
• Extracurricular activities / achievements relevant to the specialty

Eligibility, Fitness to practice, and Language Skills

Essential

• Be eligible for full registration with, and hold a current licence to practise from, the GMC at intended start date.
• Eligibility to work in the UK
• Advanced Life Support Certificate from the Resuscitation Council UK or equivalent (as required to complete Foundation competences) by intended start date
• Is up to date and fit to practise safely and is aware of own training needs
• All applicants to have demonstrable skills in written and spoken English adequate to enable effective communication about medical topics with patients & colleagues demonstrated by one of the following
• Applicants have undertaken undergraduate medical training in English. OR
• Achieved minimum score of 7 across all 4 of the following categories in the academic International English Language Testing System (IELTS) in a single sitting within 24 months at time of application -
• Listening, Speaking, Reading and Writing. (An overall minimum score of 7.5) OR
• Achieved the minimum Grade B across all 4 of the following categories in the Occupational English Test (OET) in medicine in a single sitting within 24 months at time of application
• Listening, Speaking, Reading and Writing. (You must provide your candidate number).
• If applicants believe they have adequate communication skills, but do not have evidence in one of the above forms, they must provide alternative supporting evidence of language skills

Qualifications

Essential

• MBBS or equivalent medical qualification
• Final FRCA examination or equivalent (Listed on RCOA website under Accepted Test of Knowledge

Experience

Essential

• Minimum of 72 months experience after full GMC registration or equivalent, and evidence of achievement of foundation competences, in line with GMC standards / Good Medical Practice; including:
• make the care or your patient your first concern provide a good standard of practice and care take prompt action if you think that patient safety, dignity or comfort is being compromised
• protect and promote the health of patients and of the public treat patients as individuals and respect their dignity work in partnership with patients
• work with colleagues in the ways that best serve patients interests be honest and open and act with integrity never discriminate unfairly against patients or colleagues
• 12 months Experience working within the NHS in Anaesthesia within the last 3 years
• Evidence of minimum of 5 years Anaesthetic training (within or outside the UK)
• Minimum of 6 months of Obstetric Anaesthesia Experience
• Evidence of completion of IAC and IAOC or equivalent Stage 2 sign off on LLP

Desirable

• Ability to demonstrate relevant competencies through SLE or WBA or comparable evidence

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).