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Job summary

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Senior Clinical Fellow - Thoracic Surgery
Grade
NHS Medical & Dental: Senior Clinical Fellow
Contract
6 months (Fixed term: 6 months, view to extend possibly)
Hours
Full time - 40 hours per week
Job ref
196-MED4955
Employer
Guy's and St Thomas' NHS Foundation Trust
Employer type
NHS
Site
Royal Brompton Hospital
Town
South Kensington
Salary
£73,992 pa
Salary period
Yearly
Closing
14/10/2025 23:59
Guy's and St Thomas' NHS Foundation Trust logo

Senior Clinical Fellow - Thoracic 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

RBH’s surgical programme makes it the largest cardiothoracic unit in the UK.  RBH supports a wide catchment area having longstanding referral relationships with clinicians in Beds & Herts, Bucks, Berks, Surrey and the South West Peninsula, as well as providing tertiary and quaternary services to referrers across the UK.
 
We are looking for a Senior Clinical Fellow in Thoracic Surgery . To assist the consultant staff in the preoperative assessment, operative and postoperative management of patients under their care.  In addition, clinical Trust fellows have a responsibility for administrative issues including staffing clinics, arranging operation lists, the organisation and staffing of lists and overseeing preoperative and postoperative care. This should include regular ward rounds and providing in and out of hours clinical cover when on-call.
 
This post may close earlier if a sufficient number of applications have been received.
 
Candidate must have 3 years of pure thoracic experience. 
 

Main duties of the job

Aims and responsibilities of the post:
To co-ordinate and supervise the admission and discharge of patients from the unit.  Responsible for maintaining accurate notes, up-to-date cardiac and thoracic monthly audit and for recording patient details in the database.  To take charge of all patients in the unit under the direction of the consultant surgeon to which you are attached.  Co-ordinate and supervise the work of all the junior medical staff.  Operating duties are directly or indirectly supervised and specific targets in operative experience as prospectively set out should be achieved.
 
The senior post holders will principally be assigned to one consultant but occasionally may be required to provide support to other firms. The junior 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 recovery and on the general cardiothoracic ward, the postholder will provide cover for intensive care emergencies.  Consultant cover will be available at all times.
 

Working for our organisation

Guy’s and St Thomas’ NHS Foundation Trust comprises five of the UK’s best known hospitals – Guy’s, St Thomas’, Evelina London Children’s Hospital, Royal Brompton and Harefield – as well as community services in Lambeth and Southwark, all with a long history of high quality care, clinical excellence, research and innovation.
 
We are among the UK’s busiest, most successful foundation trusts. We provide specialist care for patients including heart and lung, cancer and renal services as well as a full range of local hospital and community services for people in Lambeth and Southwark.
 
Royal Brompton and Harefield hospitals joined Guy’s and St Thomas’ in February 2021 and is the largest specialist heart and lung centre in the UK and among the largest in Europe. We provide treatment for people with heart and lung disease, including rare and complex conditions, offering some of the most sophisticated treatment that is available anywhere in the world.
 
Our integrated approach to caring for patients from before birth, through childhood, adolescence and into adulthood and old age has been replicated around the world and has gained Royal Brompton and Harefield an international reputation as a leader in heart and lung diagnosis, treatment and research. 
 
We strive to recruit and retain the best staff as the dedication and skills of our employees lie at the heart of our organisation and ensure that our services are of the highest quality, safe and focused on our patients.
 

Detailed job description and main responsibilities

Clinical
Attend and assist in the out-patient clinics, taking responsibility to ensure adequate staffing for the clinic and to facilitate its efficient running in any other way.  Clinic letters must be dictated promptly.
 
Attend consultant ward rounds.
 
Make formal ward rounds daily including at weekends and holidays as part of the on-call responsibilities.  These rounds should be considered a teaching opportunity for more junior staff.
 
Participation in the relevant rota will depend on clinical experience of the successful candidate.  Out of hours responsibilities include:
 
• Night-time supervision of care of surgical patients including those in the Intensive Care Unit/Recovery Unit and communicate appropriately with the responsible consultant regarding major problems arising with that consultants’ patients.
 
• Weekend on-call responsibilities include ward rounds as well as participation in emergency operations and assessment of in-patients or outside referrals.
 
Advise on the discharge of patients under the care of the cardiothoracic surgical consultants.
 
Theatre responsibilities
Ensure that the theatre cases are appropriately staffed.
 
Ensuring that junior staff are involved at an appropriate level wherever possible.  Junior staff must be assigned to cases whenever ward responsibilities permits.
 
Ensuring that adequate junior level assistants are available to help open and close cases performed under the direction of, or with the assistance of, a consultant.
 
Ensuring that all cases are sent for promptly and facilitating the efficient transfer of patients if required.
 
Ensuring that communication is maintained with the relatives of patients.
 
Ensure that either the operating surgeon or senior level assistant involved in the operation complete all appropriate data entry tasks at the conclusion of the operation.  In addition, the principal operator should be responsible for creating a suitable operation note, which accurately records the events of the procedure.  If operations are delayed or cancelled, the post holders are responsible for communicating with the wards appropriately and explaining the situation to the patients.
 
Admission responsibilities
Communicate with the consultant staff regarding their respective theatre schedules individually and co-ordinate hospital admission in an integrated and coherent manner such that hospital beds are utilised most efficiently.  This may require suggesting modifications to the planned admissions schedule to individual consultants on the basis of in-patient referrals, emergency cases or theatre cancellations.  Participation in weekly planning meetings is required.
 
Waiting list management
Maintain knowledge of the active waiting list for your consultant and participate in their selection for admission and surgery in a manner that is equitable for patients as much as possible.
 
This job description lists key components of the job, but is not in any way exhaustive.  The post holder must accept that he/she will also perform duties in occasional emergencies and unforeseen circumstances at the request of the appropriate consultant, in consultation where practicable with both junior and senior colleagues.  However, it is recognised that additional commitments arising this way are exceptional and in particular that junior doctors should not be required to undertake work of this kind of a prolonged period or on a regular basis.
 
Applicants are encouraged to view the Directorate and discuss the post. 

Person specification

QUALIFICATIONS AND TRAINING:

Essential criteria
  • Full GMC registration.
  • Entry on the GMC specialist register (or within six months by the date of interview).
  • FRCS CTh or equivalent qualification.

CLINICAL EXPERIENCE, KNOWLEDGE AND SKILLS:

Essential criteria
  • Comprehensive experience in both elective and emergency thoracic surgery.
  • 3 Years of pure thoracic experience
  • Previous appointments in recognised high quality thoracic surgery units.
  • Proven competency as an independent operator in specialised techniques that will enhance the existing departmental skill set e.g. VATS lobectomy, radical surgery for mesothelioma and emergency airways management using interventional bronchoscopy and laser
Desirable criteria
  • Credentialed training in robotic thoracic resections.

RESEARCH AND AUDIT:

Essential criteria
  • A PhD or equivalent higher degree relevant to cardiothoracic surgery.
  • Understanding of the principles and applications of clinical audit, research and medical statistics.
  • Experience in academic supervision and leadership.
Desirable criteria
  • Evidence of audit activity / publications in thoracic surgery topics.
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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
Sofina Begum
Job title
Consultant Thoracic Surgeon
Email address
[email protected]

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