Job summary
The Critical Care department at GSTT has an international reputation for clinical excellence and a prominent research profile. As well as serving the local population we provide tertiary critical care to the region.
The critical care directorate comprises six clinical areas and totals 75 beds at the St Thomas' site. There are 39 level 3 beds in the East Wing of the hospital (15 on EW1 ICU, 13 on EW2 ICU and 11 on EW6 ICU), an overnight intensive recovery unit (11 level 3 beds staffed by anaesthetists), a medical/surgical HDU on East Wing level 10 (15 level 2 beds) and cardiovascular surgical HDU (10 level 2 beds) on East Wing level 8. At the Guy's site, there are 13 level 2/3 beds on the Guys Critical Care Unit (GCCU).
Our case mix is challenging with a large proportion of complex medical and cardiothoracic patients. We manage a wide spectrum of medical and surgical emergencies.
We are one of the largest severe respiratory failure centres in Europe by case load. The service was commissioned in 2012. This includes a 24/7 consultant-led ECMO/severe respiratory failure retrieval service. We conduct around 100 ECMO retrievals annually. There is also exposure to extra-corporeal CO2 removal. There is ongoing going development of a VA programme for the management of reversible cardiogenic shock and eCPR. The post holder will also have significant exposure to general ITU patients and complex vascular, general surgery and cardiac surgery patients
Main duties of the job
This Clinical Fellow post in Recovery after Critical Illness offers an exciting and unique opportunity to gain clinical experience in critical care aftercare under direct consultant supervision. You will contribute to the delivery of post ICU Recovery Services of a varied and challenging case mix (including the COVID19 and SRF/ECMO cohort). Training will be provided in multi-professional aspects of recovery after critical illness across the recovery continuum spanning both inpatient and outpatient phases. Additional experience will be available in our parallel aftercare programmes including: the ICU survivor peer support group, the patient diary project, psychological interventions, supporting driving resumption after ICU. An innovative digital recovery platform enabling patient-centred care and rehabilitation is also under evaluation. Opportunities are anticipated for quality improvement and research into outcomes after critical illness.
This post will combine clinical duties in the Post ICU Recovery Clinic (50%) and direct clinical care duties in the critical care department (50%).
About us
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.
We have a long tradition of clinical and scientific achievement and - as part of King's Health Partners - we are one of England's eight academic health sciences centres, bringing together world-class clinical services, teaching and research. We have one of the National Institute for Health Research's biomedical research centres, established with King's College London in 2007, as well as dedicated clinical research facilities.
We have around 22,700 staff, making us one of the largest NHS Trusts in the country and one of the biggest employers locally. We aim to reflect the diversity of the communities we serve and continue to develop new and existing partnerships with local people, patients, neighbouring NHS organisations, local authorities and charitable bodies and GPs.
Job description
Job responsibilities
This post will combine clinical duties in the Critical Illness Recovery Clinic (50%) and direct clinical care duties in the critical care department (50%).
Full training in all aspects of post critical illness follow-up will be provided. This will include assessment of post intensive care syndrome, multi-disciplinary interventions to promote recovery, patient- and family-centred outcomes from critical illness, health related quality of life instruments, and social/financial aspects of recovery. Exposure to peer support, patient diaries, patient experience and ICU discharge coordination is also provided.
Duties will include, but are not limited to:
-
- Screening and telephone pre-assessment of potential clinic patients
- Delivery of critical illness recovery clinic and assessment of PICS under consultant supervision
- Compose clinic letters and coordinate onward referrals
- Maintenance and development of follow-up database and contribution to ongoing audit/research activities
- Contribute to development and expansion of follow-up services to suit needs of GSTT case mix
- Quality improvement of our service including information and resources for patients and families
- Feedback and dissemination of follow-up activities to the wider critical care department
- Attendance at relevant meetings
- Teaching and training of medical, nursing and allied staff as well as medical students
You will also contribute to the general clinical workload of the GSTT ICU/HDU rota on a 50% basis.
Job description
Job responsibilities
This post will combine clinical duties in the Critical Illness Recovery Clinic (50%) and direct clinical care duties in the critical care department (50%).
Full training in all aspects of post critical illness follow-up will be provided. This will include assessment of post intensive care syndrome, multi-disciplinary interventions to promote recovery, patient- and family-centred outcomes from critical illness, health related quality of life instruments, and social/financial aspects of recovery. Exposure to peer support, patient diaries, patient experience and ICU discharge coordination is also provided.
Duties will include, but are not limited to:
-
- Screening and telephone pre-assessment of potential clinic patients
- Delivery of critical illness recovery clinic and assessment of PICS under consultant supervision
- Compose clinic letters and coordinate onward referrals
- Maintenance and development of follow-up database and contribution to ongoing audit/research activities
- Contribute to development and expansion of follow-up services to suit needs of GSTT case mix
- Quality improvement of our service including information and resources for patients and families
- Feedback and dissemination of follow-up activities to the wider critical care department
- Attendance at relevant meetings
- Teaching and training of medical, nursing and allied staff as well as medical students
You will also contribute to the general clinical workload of the GSTT ICU/HDU rota on a 50% basis.
Person Specification
Qualifications/ Education
Essential
- MBBS or equivalent medical qualification
- FRAC/MRCP/MRCS or equivalent qualification
Desirable
- DICM/EDIC or equivalent qualification in intensive care medicine
Professional/ Statutory Registration
Essential
- Eligible for full registration with licence to practice with the GMC at time of appointment
- Eligibility to work in the UK
Previous experience
Essential
- Ability to provide a complete employment history with no unexplained career gaps
- Evidence that career progression is consistent with personal circumstances
- Evidence that present achievement and performance is commensurate with totality of period of training
- Minimum 18 months substantive experience in intensive care medicine
Desirable
- Experience delivering follow up care to patients and families after critical illness
- Knowledge of ICU survivorship and outcomes
- Demonstrable research experience
- Demonstrable teaching experience
Skills/Knowledge/ Ability
Essential
- Valid adult life support (ALS) certification
- Airway skills (minimum 12 months substantive anaesthesia)
- Excellent verbal and written communication skills for a wide range of audiences
- Excellent interpersonal skills, including confident and comfortable interaction with multi-disciplinary colleagues
Desirable
- 24 months substantive experience in anaesthesia
- Fluent use of IT including email, word processing, spreadsheet, database
- Expertise in statistics and data analysis
Person Specification
Qualifications/ Education
Essential
- MBBS or equivalent medical qualification
- FRAC/MRCP/MRCS or equivalent qualification
Desirable
- DICM/EDIC or equivalent qualification in intensive care medicine
Professional/ Statutory Registration
Essential
- Eligible for full registration with licence to practice with the GMC at time of appointment
- Eligibility to work in the UK
Previous experience
Essential
- Ability to provide a complete employment history with no unexplained career gaps
- Evidence that career progression is consistent with personal circumstances
- Evidence that present achievement and performance is commensurate with totality of period of training
- Minimum 18 months substantive experience in intensive care medicine
Desirable
- Experience delivering follow up care to patients and families after critical illness
- Knowledge of ICU survivorship and outcomes
- Demonstrable research experience
- Demonstrable teaching experience
Skills/Knowledge/ Ability
Essential
- Valid adult life support (ALS) certification
- Airway skills (minimum 12 months substantive anaesthesia)
- Excellent verbal and written communication skills for a wide range of audiences
- Excellent interpersonal skills, including confident and comfortable interaction with multi-disciplinary colleagues
Desirable
- 24 months substantive experience in anaesthesia
- Fluent use of IT including email, word processing, spreadsheet, database
- Expertise in statistics and data analysis
Disclosure and Barring Service Check
This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.
Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).
From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).
Additional information
Disclosure and Barring Service Check
This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.
Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).
From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).
