Job summary
- Main area
- Paediatric Intensive Care
- Grade
- NHS Medical & Dental: Specialty Registrar
- Contract
- Fixed term: 6 months (Opportunity to extend up to 23 months by mutual consent)
- Hours
- Full time - 40 hours per week
- Job ref
- 196-MED4932
- Employer
- Guy's and St Thomas' NHS Foundation Trust
- Employer type
- NHS
- Site
- Royal Brompton Hospital
- Town
- London
- Salary
- £65,048 - £73,992 per annum
- Salary period
- Yearly
- Closing
- 03/09/2025 23:59
Employer heading

Senior Clinical Fellow - Paediatric Cardiorespiratory ICU and HDU
NHS Medical & Dental: Specialty Registrar
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
Applications are invited for Clinical Fellow posts in Paediatric Cardiorespiratory Intensive Care and High dependency Unit with start dates available in September 2025 and March 2026. This post is for 6 months in the first instance, with a possible extension for up to a maximum of 23 months, by mutual consent. This post is suitable for anaesthetists, paediatricians, paediatric cardiologists, or trainees with adult intensive care background wishing to gain further experience in the management of critically ill children with cardiorespiratory problems. Applicants for the Clinical Fellow post are expected to have at least 1 years’ experience in Paediatric/adult intensive care and full MRCPCH or equivalent. Applications from Medical Training Initiative (MTI) applicants are welcome. The post may become a cross site role in the future, with some working at the Evelina site.
Main duties of the job
Working closely with other members of the clinical team (surgeons / cardiologists / respirologists / anaesthetists), the applicant will be expected to provide clinical care for all patients receiving intensive / high-dependency care at Royal Brompton Hospital. They will be fully involved with the investigation of patients by both invasive and non-invasive techniques. There will be opportunities for instruction and experience in paediatric intensive care, appropriate to the clinical fellow’s prior experience The Clinical Fellows are responsible for the supervision and teaching of the SHO's in their duties. They will normally be required to attend weekly meetings (see Timetable and Education for details).
Two consultant-led ward rounds are held daily and the Fellow shares the responsibilities for these business and teaching rounds.
Working for our organisation
The Royal Brompton Hospital is the largest postgraduate specialist heart and lung centre in the United Kingdom. A fundamental strength is its close collaboration on basic science research with the National Heart and Lung Institute. The Paediatric Cardiothoracic ICU admits close to 700 children per year with over 400 postoperative cardiopulmonary bypass cases. The posts offer a wide range of experience within the specialised area of Cardiorespiratory Care including the management and follow up of critically ill children. There is an active integrated teaching programme, and post holders are strongly encouraged to attend the established teaching programmes in the Paediatric Cardiology and Respiratory departments. Specific training needs of candidates can be accommodated within the PICU and associated paediatric sub-specialities. Research and audit activity is strongly encouraged and supported.
Detailed job description and main responsibilities
Managerial Responsibility and On Call
The Clinical Fellow shares the managerial responsibility for their own rotas. The post is a full-shift working system which is European Working Time Directive compliant. The post attracts banding payment 1a which makes allowances for additional hours worked in the on call commitment as well as covering for colleagues in their absence.
Education and Training
There is an strong consultant led PICU teaching programme that fellows are actively encouraged to contribute to, as well as opportunities throughout the rest of the week for discussion of cases and subsequent management. All the PICU consultants have an active interest in teaching which is an integral part of their posts. PICU Fellows are expected to actively engage in the teaching process including preparing topics for presentation and leading review sessions of journal articles. Mentors will be assigned at the start of the post to guide specific education and training needs for the individual trainee.
The National Heart and Lung Institute has excellent facilities for studying and an extensive library with all the current journals and textbooks. The National Heart and Lung Institute is developing links with Imperial College, which will enhance the facilities available for studying and research.
Numerous postgraduate courses are held in the National Heart and Lung Institute and the Paediatric Department takes an active part. Postgraduate students are attached to the Department and receive tutorials and ward rounds from members of the Department.
Study leave funding is available and trainees are entitled to five days per six months subject to operational constraints and approval. Study leave may be granted to the maximum consistent with maintaining essential services. It may therefore not be available if it is inconsistent with patient care. PICU Fellows must always discuss this with the Educational Supervisor for PICU well in advance of considering the possibility of study leave. Study leave will not be granted if mandatory training has not been completed.
Teaching
The Clinical Fellow will be actively involved in the many teaching courses organised at Royal Brompton Hospital. In addition, they may be expected to teach SHOs and students attending the Royal Brompton Hospital or National Heart and Lung Institute either from abroad (elective students) or other NHS hospitals.
Audit
The Hospital is wholly committed to the ideals of continuous clinical audit as a means of identifying any weaknesses of care as early as possible, as a method of providing purchasers and others with accurate quantitative descriptions of the care we provide, and as an important element of modern medical education. In particular we are interested in the development of the patient-based measures of outcome that are appropriate to heart and lung medicine. For all these reasons we require all junior staff to commit themselves to these ideals of ‘evidence-based medicine’ and to accept our audit needs as an essential element of their time here. As part of this remit, PICU Fellows are expected to maintain the PICU PICANET Database, a national and local dataset of all patients undergoing care in PICU. Additionally, there is a monthly academic half-day to cover clinical governance issues, morbidity and mortality for the directorate. PICU Fellows are actively encouraged to pursue and present audit projects during their post. There is additional junior doctor teaching in the afternoon segment of these half-days.
Research
Royal Brompton Hospital is a postgraduate teaching hospital which is closely associated with the National Heart and Lung Institute Division of Imperial College School of Medicine. The successful applicant will be strongly encouraged to undertake projects in conjunction with medical staff and it is anticipated that any established research interests of the appointee will be continued and developed.
Person specification
Qualifications / Training
Essential criteria
- MB BS or equivalent
- MRCP/MRCPCH/FRCA or Equivalent
Desirable criteria
- Registration with GMC
Experience
Essential criteria
- Paediatric and/or Neonatal Intensive care and resuscitation
Desirable criteria
- Paediatric Anaesthetics
- Respiratory medicine, cardiology or adult Intensive Care
Skills, Knowledge and Abilities
Essential criteria
- Technical and clinical skills required for paediatric intensive care
- Teaching skills
- Shows an approach based on critical enquiry and evidence based medicine
- Ability to organise self and others
Desirable criteria
- ALS/PALS/APLS instructor
Other
Essential criteria
- Actively encourages juniors in research
- Ability to initiate or supervise research
- Builds a strong and effective relationship with patients, their parents and families and colleagues and gain in their confidence and trust
- Is able to cope with considerable pressure as well as adapt to constant change and new demands
- Demonstrates honesty, commitment, and integrity
Desirable criteria
- Published research
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
- Anke Furck
- Job title
- Paediatric Intensive Care Consultant
- Email address
- [email protected]
- Telephone number
- 0330 1288121
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