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NB: This vacancy closed to applications on 12/07/2022.

Clinical Fellow - SCReaM Human Factors & Team Resource Management

Job Reference: 384-FS-EMF10759

Royal Surrey NHS Foundation Trust
384 496840 Intensive Care Unit (ICU)
£58,398 DoE plus Enhancements

Royal Surrey NHS Foundation Trust is a friendly, supportive, busy but welcoming acute and community Trust that is ambitious about developing our services and your career.

Our compassionate, caring and friendly colleagues make up our Royal Surrey family and are at the heart of what we do. We all have a passion for learning, continuous improvement and excelling together through innovation, research and development. There are over 4,500 members of our Royal Surrey family.

We are clinically led and provide joined up care by bridging the gap between hospital and community services alongside regional specialist cancer care. Our main acute hospital site is in Guildford with community hospital sites at Milford, Haslemere and Cranleigh. We provide adult community health services in the community and homes across Guildford and Waverley.

We have received an overall ‘Good’ rating from the CQC with Medical care (including older people’s care), End of Life Care and Maternity services being deemed ‘Outstanding’ by the CQC. We are investing in our colleagues through our health and wellbeing programme and a commitment to supporting professional development as well as investing more than £45 million in our physical environment and new equipment in the next few years.

There has never been a better time to join us.

Clinical Fellow in Patient Safety: SCReaM Human Factors & Team Resource Management

One clinical fellow post is available from February 2023 for an initial six months, but may be extended for a further six months by mutual arrangement. Applicants should be ST 6-7 or post-CCT Anaesthetists with the FRCA (or equivalent) and have an interest in patient safety, Team/Crew Resource Management and simulation.

Successful applicants would be expected to have up to two days per week dedicated to a patient safety or quality improvement programme. The clinical commitment would be to theatres or ICU depending on preference. The post has a senior level of on-call clinical commitment which is primarily out of hours (night time and weekend) work. The role is to oversee and assist two trainees in the Intensive Care Unit, participating in handover rounds and pro-actively managing patients in the ICU, and to oversee and assist two anaesthetic trainees in theatres, labour ward and anywhere else in the hospital where senior level anaesthetic or critical care input is required.

The aim of this fellowship is to enable the fellow to undertake an active part in the rapidly expanding innovative SCReaM Human Factor and Team Resource Management (TRM) programme. There is the opportunity to undertake a patient safety, quality improvement or research project whilst developing a sound understanding of patient safety, clinical risk management, quality improvement, and change management. In particular, the successful candidate will take a lead role in the delivery and further development and expansion of the SCReaM programme.

Conceived and launched across two large acute NHS trusts in 2016, SCReaM is an innovative initiative to improve team performance, staff and patient wellbeing and safety through a number of quality improvement (QI) projects and TRM training of substantive theatre teams, supported by Crew Resource Management (CRM) instructors from the aviation industry and other high performance industries. Central to this has been the introduction of a new cognitive aid, the SCReaM emergency prompt cards, for use during adverse events in theatres (ref: King W, Lomax S. SCReaM! Surrey Crisis Resource Management Programme:introducing human factor training alongside operating theatre emergency prompt cards. Anaesthesia News 2017. Issue 358). This is the first UK designed aid for this purpose and been in use for several years. The AAGBI’s recent launch of the Quick Reference Handbook, analogous to the SCReaM prompt cards, has led to increasing interest in this area globally. We are already near completion of one research study in this area, in collaboration with the University of Surrey, with several further research projects and QI projects in development. The initiative is being increasingly expanded to other parts within and outside of the trust.

This post will place the successful candidate at the heart of an enthusiastic and dynamic SCReaM team made up of clinicians, theatre team champions, aviation pilot CRM instructors, and intructors from other high performance industries. They will also work closely with the medical simulation team, anaesthetic and ICU simulation fellows.

For further information please contact:

Dr Leigh Kelliher

Department of Anaesthesia

Royal Surrey County NHS Trust

Egerton Road

Guildford GU2 7XX

Tel. 01483 464116

Email :

Dr Suzi Lomax

Department of Anaesthesia

Royal Surrey County NHS Trust

Egerton Road

Guildford GU2 7XX

Tel: 01483 464116


The Royal Surrey is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. Reasonable adjustments to the interview process can be made for any candidates with a disability. The Royal Surrey NHS Foundation Trust has a safeguarding policy for both adults and children and is committed to all safeguarding legislation and current standards.

The closing date given is a guide only. There may be occasions when we close a vacancy once sufficient applications have been received. Please submit your application as early as possible to avoid regret. Please check your emails regularly as this is how we will communicate with you during the recruitment process. If you have not heard from us within three weeks after the closing date, this usually means that your application was not successful. In submitting an application, you authorise Royal Surrey NHS Foundation Trust to confirm any previous NHS service details via the Inter Authority Transfer (IAT) process should you be appointed to the post.

The Trust aims to treat all applicants fairly in regards to any disclosure of conviction revealed at the application stage. Having a criminal record will not necessarily bar you from working with us. This will depend on the nature of the position and the circumstances and background of your offences. If you currently reside outside of the UK we will require documentary proof of security/police clearance, in English.

Disclosure and Barring Service (DBS) Check

This post is subject to the Rehabilitation of Offenders Act 1974 (Exceptions) Order (as amended) and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (DBS) to check for any previous criminal convictions.

Tier 2 Certificate of Sponsorship

Applications from job seekers who require current Tier 2/skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information please visit the UK Visas and Immigration website.

From 6 April 2017, Tier 2/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.

For further advice, please visit Applying from overseas.

UK Registration

Applicants must have current UK professional registration. For further information please see applying from overseas.

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