Senior Clinical Fellow in NIV Respiratory HDU

Job summary

The post holder will be required to provide support to the NIV unit with some front end (A&E & MAU) cover for suspected and confirmed NIV/Respiratory Failure patients and to new inpatient referrals. The post holder will also review new NIV admissions to the unit and will be actively involved in NIV assessment/management and care. The post holder will guide the junior doctors in the management of all patients under his/her care and will work closely with them and the MDT to facilitate the weaning process of all patients. The post holder will be actively involved in assessing Respiratory Failure/NIV patients in the NIV clinic and in attendance at the Neuromuscular NIV clinic. There will also be the opportunity to learn and develop sub-specialist skills in relation to this patient population, in relation to domiciliary care, cough support and augmentation.

The Grange University Hospital has a dedicated 8 bedded Acute NIV unit, equipped with continuous monitoring including the use of Transcutaneous C02 monitoring (TOSCA), End Tidal C02 monitoring and Level 1 sleep investigation facilities. Nurse directed protocols are utilised in relation to the patients admitted acutely for NIV including the use of blood gas analysis performed within the unit. Consultant ward rounds take place 4 times a week, with a weekly NIV MDT. The unit is a very busy and active unit with more than 250 admissions for acute NIV per annum.

Main duties of the job

The successful candidate will develop the skills to provide an assessment/retrieval service in A&E, the Medical Assessment Unit and to new inpatient referrals as well as supporting the Acute NIV Unit. They will be expected to review new NIV admissions and will be actively involved in their management during their stay in the unit. The post holder will guide the junior doctors in management of acutely unwell patients admitted for acute NIV and will work closely with them to facilitate appropriate weaning and discharge from the unit. The post holder will be actively involved in reviewing patients in the NIV clinics in addition to domiciliary visits. There will also be opportunity for experience in respiratory muscle function testing and development of cough augmentation skills including appropriate assessment of patients for use of the cough assist.

The post holder will be expected to participate in the acute general medicine on call rota. Rotating on call between The Grange University Hospital and The Royal Gwent Hospital every 6 months.

About us

Aneurin Bevan University Health Board is a multi-award-winning NHS organisation with a passion for caring. The Health Board provides an exceptional workplace where you can feel trusted and valued. Whatever your specialty or stage in your career, we have opportunities for everyone to start, grow and build your career. The health board provides integrated acute, primary and community care serving a population of 650,000 and employing over 16,000 staff.

We offer a fantastic benefits package and extensive training and development opportunities with paid mandatory training, excellent in-house programmes, opportunities to complete recognised qualifications and professional career pathways including a range of management development programmes. We offer flexible working and promote a healthy work life balance, provide occupational health support and an ambitious plan for a Wellbeing Centre of Excellence to support you at work.

Our Clinical Futures strategy continues to enhance and promote care closer to home as well as high quality hospital care when needed. Join us on our journey to pioneer new ways of working and deliver a world-class healthcare service fit for the future.