Job summary
- Main area
- Cardiothoracic Surgery
- Grade
- NHS Medical & Dental: Senior Clinical Fellow
- Contract
- Fixed term: 6 months (pro rata)
- Hours
- Full time - 40 hours per week
- Job ref
- 196-MED4928
- Employer
- Guy's and St Thomas' NHS Foundation Trust
- Employer type
- NHS
- Site
- Harefield
- Town
- Harefield
- Salary
- £73,992 pro rata
- Salary period
- Yearly
- Closing
- 03/09/2025 23:59
Employer heading
Senior Clinical Fellow in Cardiothoracic Surgery
NHS Medical & Dental: Senior Clinical Fellow
Guy’s and St Thomas’ is among the UK’s busiest and most successful NHS foundation trusts. We provide a full range of hospital and community services for people in south London and as well as specialist care for patients from further afield including cancer, renal, orthopaedic, respiratory and cardiovascular services.
Guy’s is home to the largest dental school in Europe and a £160 million Cancer Centre opened in 2016. As part of our commitment to provide care closer to home, in 2017 we also opened a cancer centre and a kidney treatment centre at Queen Mary’s Hospital in Sidcup. St Thomas’ has one of the largest critical care units in the UK and one of the busiest emergency departments in London. It is also home to Evelina London Children’s Hospital.
Evelina London cares for local children in Lambeth and Southwark and provides specialist services across south east England including cardiac, renal and critical care services. We lead a number of specialist service networks aiming to ensure children are treated locally where possible, but have access to specialist expertise when they need it. Our community services include health visiting, school nursing and support for families of children with long-term conditions.
Our adult community services teams deliver care at the heart of the local communities we serve, working in partnership with GPs, local authorities and other healthcare and voluntary sector organisations. Working with our partners in Lambeth and Southwark, we are focusing on new ways of working to improve care for local patients.
In February 2021 the Royal Brompton and Harefield joined Guy’s and St Thomas’ NHS Foundation Trust, bringing together world-leading expertise in the care and research of heart and lung disease. Our merger provides a once in a generation opportunity to build a lasting, world-renowned heart and lung centre, providing the highest quality care for patients and conducting world-leading research.
We have a reputation for clinical excellence and high quality teaching and research. We are part of King’s Health Partners, one of eight accredited UK academic health sciences centres. In partnership with King’s College London we have dedicated clinical research facilities including an MHRA accredited Phase I clinical trials unit.
Patients are at the heart of everything we do and we pride ourselves on ensuring the best possible patient experience as well as safe, high quality care. We are proud to have one of the lowest mortality rates in the NHS. Following a comprehensive Care Quality Commission (CQC) inspection in 2019 we maintained our overall rating of ‘good’. Our adult community services achieved a rating of ‘outstanding’.
The commitment of our 23,500 staff is key to our success. We are one of the largest local employers and we aim to develop and support all our staff so they are able to deliver high quality, safe and efficient care. The 2019 NHS staff survey results show that we have one of the most engaged and motivated workforces in the NHS. We know this has a positive impact on the care provided to our patients.
We have one of the most ambitious capital investment programmes anywhere in the NHS.
Job overview
Aims and responsibilities of the post:
The post holders will rotate between the consultant firms and be fully involved in a range of cardiothoracic work. In addition to providing immediate cover to patients in cardiac recovery and on the general cardio-thoracic ward, the post holder will provide cover for intensive care emergencies. Consultant cover will be available at all times.
Please note this vacancy may close early if a sufficient number of applications have been received.
Main duties of the job
Main Duties & Responsibilities
1. To acquaint him/herself with details of patient management in discussion with the consultants and ensure their efficient execution.
2. To ensure that good communications are maintained with all medical colleagues, e.g. anesthetists, cardiologists, nursing staff and paramedical departments such as physiotherapists, radiographers and ancillary staff, to the benefit of the patient.
3. To ensure other Specialty Registrars and Consultants are kept informed regarding alteration in the condition of any of their patients.
4. To ensure that all in-patient notes are kept up to date and tidy.
5. Supervise the junior staff (SHOs and Nurse practitioners) in the performance of their duties.
Working for our organisation
The Royal Brompton and Harefield Clinical Group Board is a formal sub-committee of the Guy's and St Thomas' NHS Foundation Trust Board, with delegated responsibilities and decision-making rights for the strategic and operational running of its services. These are set out in the Guy’s and St Thomas’ Scheme of Delegation, and the Trust’s Standing Financial Instructions provide the delegation limits with regard to financial decisions.
The Guy’s and St Thomas’ NHS Foundation Trust Board of Directors holds legal accountability for the Trust including all aspects of the Royal Brompton and Harefield Clinical Group (RB&HH). The RB&HH Clinical Group Board provides assurance to the Guy’s and St Thomas’ NHS Foundation Trust Board of Directors on the overall operational, quality and safety and financial performance of Royal Brompton and Harefield Hospitals, and on the development and delivery of the Trust's strategy for its heart and lung services.
The Clinical Divisions are Heart (RB&HH incorporating Cardiology Radiology and Cardiac Surgery), Harefield (incorporating Cardiology, Transplant, Radiology, Respiratory and Cardiac and Thoracic Surgery), RB&HH Lung (incorporating Respiratory Medicine, Radiology and Lung Surgery); and Directorates of Paediatrics, Anaesthesia and Critical Care, Laboratory Medicine, Pharmacy and Rehabilitation and Therapies.
Detailed job description and main responsibilities
1.To take history, examine and record all findings of all patients admitted under the Consultant’s care.
2. Carry out and arrange all relevant investigations.
3. To see and examine all patients under the care of the Consultant concerned, including those in the Intensive Therapy Unit ensuring communication is maintained regarding the condition of any of their patients
4. To assist in the operating theatre.
5. To attend and assist Outpatient clinics under the direction of the consultant and to ensure that clinic letters are dictated promptly to fall in line with the 18 week referral to treatment policy.
6. To arrange for the transfer of patients to other hospitals or discharge home, and including a discharge summary on patient’s transfer.
7. To be responsible for the care of all cardiothoracic patients on the wards when working the on-call duty during weekend and evenings.
8. To perform minor surgical procedures such as chest aspiration, insertion of intercostal tubes, etc. and if necessary, under the supervision of a Consultant.
9. To dictate all urgent discharge summaries and ensure that these are forwarded to the patient’s General Practitioner or hospital of transfer within 24 hours after the patient is discharged and complete letters to General Practitioners.
10. To cross cover, in conjunction with other Specialty Trainees to ensure the service is covered during periods of absence, annual or study leave and with the guidance and supervision of the appropriate Consultant.
11. To keep Specialist Registrar colleagues and Consultants informed of any patient who is giving cause for concern.
12. To communicate to a patient’s relative the progress of that patient.
13. To be available for emergency calls to ITU and other parts of the hospital, if required i.e. for cardiac arrest.
14. To participate in research projects which may already be in progress.
15. To participate in lecturing to other staff if required, e.g. nurses and physiotherapists.
16. To accept that occasional emergencies and unforeseen circumstances may occur, and to respond to the needs of the service when they arise.
17. To participate in the Medical Audit Programme on a monthly basis and update PATS data entry.
Person specification
APPLICATION
Essential criteria
- ALL sections of application form FULLY completed according to written guidelines
- Ability to provide complete details of employment history • At least 24 months’ experience in surgery (with at least 12 months in Cardiothoracic surgery)
Desirable criteria
- • All applicants to have demonstrable skills in written and spoken English that are adequate to enable effective communication about medical topics with patients and colleagues in line with GMC Standards.
Qualifications and Experience
Essential criteria
- MRCS or equivalent or FRCS or higher degree
- Eligible for full registration with the GMC at time of appointment
- Meets professional health requirements (in line with GMC standards/Good Medical Practice)
- Equivalent to two years full time clinical experience in cardiothoracic surgery including pre and post operative care. Experience as a first assistant .
- Capacity to apply sound clinical knowledge & judgment & prioritise clinical need. Demonstrates appropriate technical competence & evidence of development of excellent diagnostic skills & judgement. • Validated logbook documentation of surgical exposure to date
Desirable criteria
- Evidence of contributing to teaching & learning of others
CLINICAL EXPERIENCE & SKILLS
Essential criteria
- Technical Knowledge & Clinical Expertise: Capacity to apply sound clinical knowledge & judgment & prioritise clinical need. Demonstrates appropriate technical competence & evidence of development of excellent diagnostic skills & judgement.
- Attendance at relevant courses, e.g. ATLS, Basic Surgical Skills or equivalent
- Problem Solving: Capacity to think beyond the obvious, with analytical and flexible mind. Capacity to bring a range of approaches to problem solving.
- Situation Awareness: Capacity to monitor and anticipate situations that may change rapidly
- • Organisation & Planning: Capacity to manage time and prioritise workload, balance urgent & important demands, follows instructions. Understands importance & impact of information systems.
Desirable criteria
- Evidence of relevant academic & research achievements, e.g. degrees, prizes, awards, distinctions, publications, presentations, other achievements
- Evidence of active participation in audit
- Evidence of participation in risk management and/or clinical/laboratory research
Employer certification / accreditation badges
Applicant requirements
You must have appropriate UK professional registration.
This post is subject to the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (Amendment) (England and Wales) Order 2020 and it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service.
Documents to download
Further details / informal visits contact
- Name
- Shreemattie Singh
- Job title
- Business Support Manager
- Email address
- [email protected]
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