Job summary
- Main area
- Anaesthesia
- Grade
- NHS Medical & Dental: Senior Clinical Fellow
- Contract
- 6 months (Fixed term: with possibility to extend)
- Hours
- Full time - 40 hours per week
- Job ref
- 196-MED5217
- Employer
- Guy's and St Thomas' NHS Foundation Trust
- Employer type
- NHS
- Site
- Guy's and St Thomas' NHS Foundation Trust
- Town
- London
- Salary
- £67,325 - £76,582 per annum excl. London Zone
- Salary period
- Yearly
- Closing
- 14/06/2026 23:59
Employer heading
Clinical Fellow in Anaesthesia – CESR Programme
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
An exciting opportunity has arisen for an ST3+ equivalent Clinical Fellow in Anaesthesia seeking Specialist Registration through the CESR route in South East London.
This innovative programme offers a structured pathway to CESR, combining high-quality clinical experience with dedicated educational supervision across tertiary, specialist and district general hospital settings. The programme duration is flexible, ranging from 1 to 4 years depending on individual training needs and progression.
The programme is delivered collaboratively by Guy's and St Thomas' NHS Foundation Trust (including Evelina London Children's Hospital), Lewisham and Greenwich NHS Trust, and the National Hospital for Neurology and Neurosurgery (Queen Square), with Guy's and St Thomas' as the employing organisation.
Fellows will rotate between Guy's and St Thomas' and Lewisham hospitals, with a dedicated neuroanaesthesia and neurocritical care placement at Queen Square where required. Training is aligned to the 2021 Royal College of Anaesthetists Curriculum and provides exposure to Stage 2 and Stage 3 competencies, including cardiothoracic, neuro, paediatric and obstetric anaesthesia, pain medicine, intensive care and major elective surgery.
Main duties of the job
The successful candidate will join a structured CESR Anaesthesia Programme supporting progression towards Specialist Registration in Anaesthesia. Fellows will work alongside trainees and consultants across participating hospitals in South East London, gaining experience aligned to the Royal College of Anaesthetists 2021 Curriculum and GMC CESR requirements.
The programme includes supervised training in cardiothoracic, neuro, paediatric and obstetric anaesthesia, pain medicine, intensive care and major elective surgery. Placements will be tailored to individual learning needs.
Fellows will rotate between Guy's and St Thomas', Lewisham and Greenwich, and where required, the National Hospital for Neurology and Neurosurgery. Educational supervision, progress reviews and annual appraisal will support professional development and CESR evidence collection.
The post combines elective clinical activity with participation in the resident on-call rota, with approximately 50% of time allocated to each. Duties will be matched to experience and competence, with consultant supervision available at all times.
The role also offers opportunities in quality improvement, audit, teaching, research, clinical governance, leadership and management. Fellows will be expected to maintain their portfolio, workplace-based assessments and logbook while working towards CESR.
Working for our organisation
This innovative CESR Anaesthesia Programme is delivered through a partnership between Guy's and St Thomas' NHS Foundation Trust, Lewisham and Greenwich NHS Trust, and the National Hospital for Neurology and Neurosurgery (Queen Square), providing access to a diverse range of clinical environments and specialist services across South East London.
The programme combines training within a leading academic health science centre, a high-performing district general hospital trust and a nationally recognised neuroscience centre. Fellows will gain experience across tertiary, specialist and general anaesthetic practice while developing evidence required for Specialist Registration through the CESR route.
Working across the partner organisations provides opportunities to develop clinical, educational, research, quality improvement, leadership and management skills within supportive multidisciplinary teams. Fellows benefit from dedicated educational supervision, structured career support and exposure to a broad range of specialties and patient populations.
The partner organisations are committed to delivering safe, compassionate and high-quality care while fostering an inclusive environment where staff are supported to develop professionally and achieve their potential. Fellows will be expected to uphold the values of Guy's and St Thomas' NHS Foundation Trust: putting patients first, taking pride in their work, respecting others, striving for excellence and acting with integrity.
Detailed job description and main responsibilities
Detailed Job Description and Main Responsibilities
The Clinical Fellow will participate in a structured CESR Anaesthesia Programme designed to provide the breadth of clinical experience, educational opportunities and supporting evidence required for progression towards Specialist Registration in Anaesthesia via the CESR route.
Working under the supervision of consultant anaesthetists, the post holder will contribute to the delivery of safe, effective and patient-centred anaesthetic services across participating organisations while undertaking a structured programme of training aligned to the Royal College of Anaesthetists 2021 Curriculum.
Clinical Responsibilities
The post holder will:
-
Provide high-quality anaesthetic care across a broad range of surgical specialties.
-
Undertake elective and emergency anaesthetic duties appropriate to their level of training and competence.
-
Participate in perioperative assessment, intraoperative care and postoperative management of patients.
-
Work within multidisciplinary teams to deliver safe and effective patient care.
-
Participate in intensive care, obstetric anaesthesia, pain management and specialist anaesthetic services as required by the programme.
-
Maintain accurate clinical records and comply with local and national clinical governance requirements.
-
Escalate concerns appropriately and work within GMC Good Medical Practice standards.
CESR Training and Development
The programme provides structured exposure to Stage 2 and Stage 3 curriculum areas, including:
-
Cardiothoracic Anaesthesia
-
Neuroanaesthesia and Neurocritical Care
-
Paediatric Anaesthesia
-
Obstetric Anaesthesia
-
Pain Medicine
-
Intensive Care Medicine
-
Trauma and Emergency Anaesthesia
-
Major Elective Surgery
The post holder will be expected to actively engage with educational opportunities and maintain evidence demonstrating progression towards CESR requirements.
Educational Responsibilities
The successful candidate will:
-
Meet regularly with their allocated Educational Supervisor and Clinical Supervisors.
-
Participate in structured educational reviews and annual appraisal.
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Maintain an up-to-date portfolio, logbook and workplace-based assessments.
-
Attend departmental, regional and national educational activities where appropriate.
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Participate in simulation training, multidisciplinary teaching and morbidity and mortality meetings.
-
Contribute to undergraduate and postgraduate teaching programmes.
Quality Improvement, Research and Governance
The post holder will be expected to:
-
Participate in clinical audit, quality improvement and patient safety initiatives.
-
Contribute to clinical governance activities within participating departments.
-
Engage in research and scholarly activities where opportunities arise.
-
Present audit, quality improvement or research work at local, regional or national meetings where appropriate.
Leadership and Management
The fellow will be encouraged to develop leadership and management skills through participation in:
-
Service development projects
-
Clinical governance activities
-
Educational and teaching programmes
-
Multidisciplinary working groups
-
Quality improvement initiatives
On-Call Commitments
The post holder will participate in the resident anaesthetic on-call rota, currently operating on an approximately 1:8 full-shift basis, including evenings, nights, weekends and public holidays.
On-call duties will vary according to placement location and individual competence but may include emergency theatre cover, obstetric anaesthesia, critical care support and specialist anaesthetic services. Appropriate consultant supervision will be available at all times.
Professional Responsibilities
The post holder will:
-
Demonstrate commitment to the principles of Good Medical Practice.
-
Maintain GMC registration and mandatory training requirements.
-
Participate in appraisal and revalidation processes.
-
Take personal responsibility for progressing their CESR portfolio and identifying training requirements throughout the programme.
Person specification
Clinical Experience
Essential criteria
- 2 year full-time postgraduate training in anaesthesia (or its equivalent gained on a part-time or flexible basis) or 1.5 years full-time postgraduate training in anaesthesia AND 6 months full-time postgraduate training in intensive care (or its equivalent gained on a part-time or flexible basis)
- Post-graduate experience in other specialities (e.g. up to 1 years’ experience in one or more of the following: medicine, surgery, paediatrics, obstetrics and gynaecology, A & E)
Qualifications and Training
Essential criteria
- MBBS or equivalent degree Primary FRCA or equivalent or Postgraduate Anaesthesia degree (MD) or equivalent (for International Fellows)
Clinical Risk Management
Essential criteria
- Evidence of contribution to effective clinical audit, quality improvement and clinical risk management
Desirable criteria
- Experience in clinical guideline development
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
- Dr Veda Ponnaiah
- Job title
- Fellows Tutor
- Email address
- [email protected]
- Additional information
For further information about the post, please contact:
Dr Sheela Badiger
[email protected]
Training Lead & College TutorDr Huw Thomas
[email protected]
College Tutor & Joint CESR LeadThis vacancy may be closed early if sufficient applications for the role are received. Please be sure to register your interest and submit you application as soon as you possibly can to avoid any disappointment.
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