Job summary
Applications are invited for the post of Clinical Fellow in Anaesthesia (Locally Employed Doctor) of CT1+/equivalent grade to join the Department of Anaesthesia at LNWUHT. Applicants must have a minimum of six months' previous experience in anaesthesia and Initial Assessment of Competency (IAC) or evidence of equivalent training. In addition, previous experience in intensive care or acute medical specialties is desirable.It is expected that the candidate would sit or already be in possession of the primary FRCA examination.
This post provides comprehensive training and development opportunities for a career anaesthetist who wishes to gain further experience in a busy northwest London Trust, through primarily working at both Ealing and Northwick Park Hospitals. It could also provide a route to either applying for a Specialist Training number or following an alternative path, such as the CESR route. The department has an excellent reputation for training and professional development and for supporting trainees taking FRCA exams and applying for training numbers. There is a weekly departmental teaching programme, as well as regular clinical governance and mortality meetings. The anaesthetic department is also in the process of setting up its own CESR programme
Main duties of the job
In addition to anaesthetic provision for elective and emergency cases on both the Ealing and Northwick Park sites, the successful candidate will participate in the out of hours theatre rota atEaling Hospital. The rota is 1:7, working with both locally employed and Imperial trainee doctors and is EWTD and New Deal compliant.
Other out of hours duties include patient assessment for theatres, pain management and being part of the cardiac arrest and trauma teams. Postholders will also gain experience in dealing with critically unwell patients on the wards and the Emergency Department. There is a senior resident tier at night with experienced SAS grade anaesthetists for help and supervision and a non-resident Consultant available for advice and on-site support as required.
Although out of hours the role will be based at Ealing Hospital, at other times the postholder will also work on the Northwick Park site and have exposure to anaesthesia for both elective and emergency cases across a wide range of surgical specialties includinggeneral surgery, colorectal, upper GI, gynae, orthopaedic/trauma, head and neck/oromaxillofacial, vascular, breast and urology. There is also a busy obstetric unit at Northwick Park which can provide the opportunity for training if required, eg for CT3 training.
About us
London North West University Healthcare NHS Trust (LNWUHT) is one of the largest integrated NHS Trusts in the country employing more than 8,000 staff with a budget of more than £640 million a year. We are the first Trust of its kind to provide complete hospital-based and community healthcare services to a combined population of 850,000 in the boroughs of Brent, Harrow and Ealing. Our services include four major acute hospitals (the internationally renowned St Marks' Hospital, Northwick Park, Ealing and Central Middlesex Hospitals) and community services across Brent, Harrow and Ealing.
Job description
Job responsibilities
The post holder will be expected to participate fully in the provision of a comprehensive anaesthetic service to the Trust and be accountable to the Clinical Director. Duties will include to:
Provide anaesthesia and analgesia for patients undergoing elective and emergency surgery, under the supervision of a more senior anaesthetist (Registrar/Consultant)
- Undertake pre-operative assessments and provide post-operative care in the recovery room
- Participate in the delivery of the acute pain service
- Communicate with their supervising Middle Grade or Consultant Anaesthetist for advice and support as required.
- Provide resuscitation and trauma care with support of more senior anaesthetist
- Familiarise him/ herself with their role in the Trusts Major Incident policy and departmental policies
- When required, provide support to the intensive care team, either on ICU, in the Emergency Department or the wards, with appropriate supervision. If appropriate, they may also be required to transfer patients to another hospital.
- Perform duties in occasional emergencies and unforeseen circumstances at the request of the appropriate consultant in consultation where applicable with his/her colleagues both senior and junior
- Attend teaching sessions and departmental meetings including Clinical Governance
- Follow the General Medical Council Good Medical Practice guidance with respect to all duties (www.gmc-uk.org)
CLINICAL RESPONSIBILITIES
The post holder must:
- Know when to ask for help, whom to ask for help, and not act beyond the level of his/her own competence. There is always an anaesthetic senior registrar grade onsite and also a supervising consultant/duty consultant for guidance and assistance
- Effect detailed hand-over at the end of a duty shift
- In the event of a list cancellation or early finish, be available on site for possible re-assignment to other lists.
Job description
Job responsibilities
The post holder will be expected to participate fully in the provision of a comprehensive anaesthetic service to the Trust and be accountable to the Clinical Director. Duties will include to:
Provide anaesthesia and analgesia for patients undergoing elective and emergency surgery, under the supervision of a more senior anaesthetist (Registrar/Consultant)
- Undertake pre-operative assessments and provide post-operative care in the recovery room
- Participate in the delivery of the acute pain service
- Communicate with their supervising Middle Grade or Consultant Anaesthetist for advice and support as required.
- Provide resuscitation and trauma care with support of more senior anaesthetist
- Familiarise him/ herself with their role in the Trusts Major Incident policy and departmental policies
- When required, provide support to the intensive care team, either on ICU, in the Emergency Department or the wards, with appropriate supervision. If appropriate, they may also be required to transfer patients to another hospital.
- Perform duties in occasional emergencies and unforeseen circumstances at the request of the appropriate consultant in consultation where applicable with his/her colleagues both senior and junior
- Attend teaching sessions and departmental meetings including Clinical Governance
- Follow the General Medical Council Good Medical Practice guidance with respect to all duties (www.gmc-uk.org)
CLINICAL RESPONSIBILITIES
The post holder must:
- Know when to ask for help, whom to ask for help, and not act beyond the level of his/her own competence. There is always an anaesthetic senior registrar grade onsite and also a supervising consultant/duty consultant for guidance and assistance
- Effect detailed hand-over at the end of a duty shift
- In the event of a list cancellation or early finish, be available on site for possible re-assignment to other lists.
Person Specification
Essential
Essential
- Possession of basic medical qualification[eg, MBBS or equivalent registerable medical qualification and completion of at least one year in an internship post
- oProvision of evidence of having worked for a minimum of 6 months in the last year in anaesthesia oProvision of evidence of good standing from the applicant's local medical regulatory council. oDemonstrate knowledge of English by obtaining an overall score of 7.5, with minimum scores of 7.0 in speaking, listening, reading and writing. In the 'Academic' test of the International English Language Testing System (IELTS). oEligibility for PLAB exemption. oProvision of two structured, supportive references from supervising consultants, both of whom must have worked with the applicant within the last 2 years.
- oMinimum of 6 months of anaesthetic training oInitial Assessment of Competence (IAC) or equivalent oAdvanced Life Support certification (UK or equivalent)
- oAppropriate knowledge, practical skills and attitude to independently preoperatively assess and anaesthetise ASA 1 or 2 patient having minor/moderate uncomplicated surgical procedure oAbility to identify high risk patient preoperatively oAbility and attitude to recognise a deteriorating patient and when to call for help oWorking knowledge and familiarity with commonly used anaesthetic equipment and drugs oFamiliarity with core anaesthetic national guidance, eg DAS guidelines for failed intubation
- oCoherent, diplomatic oEffectively communicates with theatre team, patients and their families
- oEnthusiasm and commitment to the specialty. oAbility to work in harmony with medical, nursing and allied health professionals. oFlexibility, punctuality and reliability. oAbility to cope with stressful situations
- GMC registration is a mandatory requirement
Desirable
- ooFurther experience in anaesthetics or intensive care or acute medical specialties
- ooAwareness of specialty developments. oIT skills including use of databases, spread sheets, Word, PowerPoint etc.
- ooDemonstrable presentation skills in educational or scientific settings.
- ooPersonable. oProject management skills.
Essential
Essential
- oUnderstanding of audit principles and commitment to its use as a tool for raising and maintaining standards.
Person Specification
Essential
Essential
- Possession of basic medical qualification[eg, MBBS or equivalent registerable medical qualification and completion of at least one year in an internship post
- oProvision of evidence of having worked for a minimum of 6 months in the last year in anaesthesia oProvision of evidence of good standing from the applicant's local medical regulatory council. oDemonstrate knowledge of English by obtaining an overall score of 7.5, with minimum scores of 7.0 in speaking, listening, reading and writing. In the 'Academic' test of the International English Language Testing System (IELTS). oEligibility for PLAB exemption. oProvision of two structured, supportive references from supervising consultants, both of whom must have worked with the applicant within the last 2 years.
- oMinimum of 6 months of anaesthetic training oInitial Assessment of Competence (IAC) or equivalent oAdvanced Life Support certification (UK or equivalent)
- oAppropriate knowledge, practical skills and attitude to independently preoperatively assess and anaesthetise ASA 1 or 2 patient having minor/moderate uncomplicated surgical procedure oAbility to identify high risk patient preoperatively oAbility and attitude to recognise a deteriorating patient and when to call for help oWorking knowledge and familiarity with commonly used anaesthetic equipment and drugs oFamiliarity with core anaesthetic national guidance, eg DAS guidelines for failed intubation
- oCoherent, diplomatic oEffectively communicates with theatre team, patients and their families
- oEnthusiasm and commitment to the specialty. oAbility to work in harmony with medical, nursing and allied health professionals. oFlexibility, punctuality and reliability. oAbility to cope with stressful situations
- GMC registration is a mandatory requirement
Desirable
- ooFurther experience in anaesthetics or intensive care or acute medical specialties
- ooAwareness of specialty developments. oIT skills including use of databases, spread sheets, Word, PowerPoint etc.
- ooDemonstrable presentation skills in educational or scientific settings.
- ooPersonable. oProject management skills.
Essential
Essential
- oUnderstanding of audit principles and commitment to its use as a tool for raising and maintaining standards.
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).
