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Job summary

Main area
Respiratory Medicine
Grade
NHS Medical & Dental: Nodal Point 4 Local Appointment
Contract
12 months (Fixed term: 12 months (October 2026 - October 2027))
Hours
Full time - 40 hours per week
Job ref
196-MED5123
Employer
Guy's and St Thomas' NHS Foundation Trust
Employer type
NHS
Site
Royal Brompton Hospital
Town
London
Salary
£65,048 per anum
Salary period
Yearly
Closing
06/04/2026 23:59
Interview date
16/04/2026

Employer heading

Guy's and St Thomas' NHS Foundation Trust logo

Fellowship in Specialist Respiratory Medicine

NHS Medical & Dental: Nodal Point 4 Local Appointment

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

Post

The posts is 6 x 1.0 WTE Clinical Fellowship (SpR level) in Specialist Respiratory Medicine. The post is available from October 2026 for a period of 12 months.

Professional and Clinical Duties of the Post

The post is full time. We welcome applications for less than full time working and/or job shares.

This post offers the opportunity for focused subspeciality experience in respiratory medicine in a world-renowned specialist centre. There are ample opportunities to become involved in our research and quality improvement and clinical audit. Furthermore, the postholders may wish to take an active role in our simulation-based educational programme and would be supported in gaining additional training in the delivery of this.

The post is ideally suited to trainees wishing to gain further subspeciality experience in respiratory medicine in a tertiary centre, perhaps with a view towards exploring opportunities in research and looking towards consultant posts in respiratory medicine. The posts also offer candidates the opportunity to build their CV in education and audit/quality improvement.  We have been successfully running these posts for a number of years and many of our previous fellows have successfully gone on to consultant appointments.

 

Please note the post may close early if sufficient number of applications have been received.

Main duties of the job

Main Duties & Responsibilities


•    To acquaint him/herself with details of patient management in discussion with the consultants and ensure their efficient execution.

•    To ensure that good communications are maintained with all medical colleagues, e.g. anaesthetists, cardiologists, nursing staff and paramedical departments such as physiotherapists, radiographers and ancillary staff, to the benefit of the patient.

•    To ensure other Specialty Registrars and Consultants are kept informed regarding alteration in the condition of any of their patients.

•    To ensure that all in-patient notes are kept up to date and tidy.

•    Supervise the junior clinical fellow staff (SHOs) in the performance of their duties.

Working for our organisation

Guy’s and St Thomas’ NHS Foundation Trust (GSTT) is one of the largest hospital trusts in the country, comprising two of London’s oldest and best-known teaching hospitals.  The hospitals have a long history, dating back almost 900 years, and have been at the forefront of medical progress and innovation since they were founded.  Both hospitals have built on these traditions and continue to have a strong national and international reputation for clinical excellence, teaching, research, and innovation.

Detailed job description and main responsibilities

Duties - Professional 
•    To take a history, examine and record all findings of all patients admitted under the Consultant’s care.

•    Carry out and arrange all relevant investigations.

•    To see and examine all patients under the care of the Consultant concerned.

•    To attend and assist at out-patient sessions as per timetable of firm.

•    To arrange for the transfer of patients to other hospitals or discharge home, with a discharge summary on the clinical episode.

•    To be responsible for the care of all/any respiratory patients on the wards.

•    To dictate all discharge summaries within 24hrs and ensure that these are forwarded to the patients, General Practitioner and/or hospital of transfer as soon as possible after the patient is discharged and complete letters to General Practitioners.

•    To cross cover, in conjunction with other Specialty Registrars when one Specialty Registrar is absent or on annual or study leave and to ensure that the duties and responsibilities of the absent colleague are carried out.

•    To keep the Consultants informed of any patient who is giving cause for concern.

•    To communicate with patient’s relative on the progress of the patients.

•    To be available for emergency calls to ITU and other parts of the hospital, if required i.e. for cardiac arrest.

•    To participate in research projects that may already be in progress.

•    To participate in lecturing to other staff if required, e.g. nurses.

•    To participate in the Medical Audit Programme as required.

•    To accept that occasional emergencies and unforeseen circumstances may occur, and to respond to the needs of the service when they arise.

Person specification

Qualifications/Training

Essential criteria
  • MBBS or equivalent medical qualification
  • MRCP (UK) or equivalent

Experience

Essential criteria
  • Previous experience within Respiratory Medicine
  • Evidence of achievement of Foundation and IMT competences or equivalent by time of appointment in line with GMC standards/Good Medical Practice
  • Good clinical care
  • Maintaining good medical practice
  • Good relationships and communication with patients
  • Good working relationships with colleagues
  • Good teaching and training
  • Professional behaviour and probity
  • Delivery of good acute clinical care
  • Evidence of ST1 & ST2 competences in Medicine by the post start date or equivalent

Skills, Knowledge and Abilities

Essential criteria
  • Audit
Desirable criteria
  • Teaching
  • Research

Other

Essential criteria
  • Specific interest in the management of respiratory patients
  • Commitment to continuing medical education

Employer certification / accreditation badges

Timewise helps businesses to attract and develop the best talent through flexible working.Care quality commission - GoodDisability confident employer

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

Apply online now

Further details / informal visits contact

Name
Dr Amelia Bercusson
Job title
Educational Lead
Email address
[email protected]
Additional information

Dr Justin Garner

[email protected]

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