Job summary
Applications are invited for the above posts to commence on a rolling basis from Feb 2019 for 6 months in the first instance.
The posts are intended to provide critical care experience in an acute adult critical care unit providing both HDU and ITU level care, to anaesthetic and non-anaesthetic trainees who will have the opportunity to participate in educational activities, training, audit and research within the department of Critical Care Medicine. You would join a team that includes over 30 trainees and 17 Consultants.
The Royal London Hospital (RLH) forms part of Barts and The London NHS Trust. The ACCU (Adult Critical Care Unit ) is a 44 bedded critical care unit in the brand new hospital into which the Royal London moved in December 2011. The ACCU accepts referrals for medical and surgical patients requiring level 2 and 3 care. The hospital receives tertiary referrals for a number of Medical Specialties including Neurology, Gastroenterology, Hepatology, Renal and Stroke Medicine, as well as surgical specialties such as hepatobiliary surgery, upper and lower GI tract surgery, major vascular, maxillofacial and ENT surgery.
The RLH is the base hospital for the London's Helicopter Emergency Medical Service (HEMS) and the NE London Stroke Referral Unit. The Accident & Emergency Department caters for over 100,000 patients every year.
Applicants MUST have current GMC Registration and a minimum of 2 years clinical experience post qualification.
Main duties of the job
These posts are for Clinical Fellows in the ACCU, the new 44 bedded Adult Critical Care Unit at The Royal London Hospital. The Critical Care unit has 44 beds, of which 22 are dedicated level 2 beds accepting both surgical and medical patients and 22 are level 3 beds accepting a range of trauma, neuro and medical patients. There is also a separate 15 bedded post surgical recovery unit which is also covered by the ACCU medical team and Anaesthesia. The unit is staffed by a team of 19 Consultant Intensivists and 40 trainees from a variety of specialties and interests (Intensive Care medicine, Anaesthesia, Acute Medicine, Respiratory medicine, Surgery, Research Fellows). These Clinical Fellow posts are part of the ACCU trainee rotation, covering both level 2 and level 3 patients.
The hospital receives tertiary referrals for a number of Medical Specialties including Neurology, Gastroenterology, Hepatology, Renal and Stroke Medicine, as well as surgical specialties such as hepatobiliary surgery, upper and lower GI tract surgery, major vascular, maxillofacial and ENT surgery.
Patients with trauma or neurotrauma make up over 35% of admissions to the ACCU. These patients often present with a complex range of injuries which provide many challenges to care. We admit many patients with isolated neurotrauma, or with head and torso injuries, requiring neurocritical care.
About us
Barts Health is one of the largest NHS trusts in the country, and one of Britain's leading healthcare providers.
The Barts Health group of NHS hospitals is entering an exciting new era on our improvement journey to becoming an outstanding organisation with a world-class clinical reputation. Having lifted ourselves out of special measures, we now have the impetus and breathing space to chart a fresh course in which we are continually striving to improve all our services for patients.
Our vision is to be a high-performing group of NHS hospitals, renowned for excellence and innovation, and providing safe and compassionate care to our patients in east London and beyond. That means being a provider of excellent patient safety, known for delivering consistently high standards of harm-free care and always caring for patients in the right place at the right time. It also means being an outstanding place to work, in which our WeCare values and behaviours are visible to all and guide us in how we work together.
We strive to live by our WeCare values and are committed to promoting inclusion, where every staff member has a sense of belonging. We value our differences and fully advocate, cultivate and support an inclusive working environment where staff treat one another with dignity and respect. We aim to create an equitable working environment where every individual can fulfil their potential.
Job description
Job responsibilities
The duties are not definitive and may be changed in accordance with the needs of the service.
- Admitting emergency patients to the ACCU.
- Involvement in day-to-day inpatient management under the direction of the Consultants and other senior trainees.
- Liaising with medical / surgical teams about patients admission, progress and discharge.
- Liaising with nursing staff, physiotherapists and other clinical staff about patient status.
- Caring for patients on the ACCU. This includes prescribing and supervising treatment, instituting invasive monitoring and gathering and interpreting results.
- Explaining the patients condition and progress clearly to patients and relatives.
- Maintaining accurate medical records, including data for audit purposes.
- Providing and receiving pertinent handover at the start and at the end of shift.
- Participation in educational activities including formal teaching sessions, X-ray meetings, journal clubs and case presentations.
- Development of his/her own interests, including active participation in clinical audit.
- On- call will be a full-shift which is consistent with 1A banding under the New Deal on junior doctors hours.
- Reviewing patients referred to the critical care service from other wards and from the A and E Dept
Job description
Job responsibilities
The duties are not definitive and may be changed in accordance with the needs of the service.
- Admitting emergency patients to the ACCU.
- Involvement in day-to-day inpatient management under the direction of the Consultants and other senior trainees.
- Liaising with medical / surgical teams about patients admission, progress and discharge.
- Liaising with nursing staff, physiotherapists and other clinical staff about patient status.
- Caring for patients on the ACCU. This includes prescribing and supervising treatment, instituting invasive monitoring and gathering and interpreting results.
- Explaining the patients condition and progress clearly to patients and relatives.
- Maintaining accurate medical records, including data for audit purposes.
- Providing and receiving pertinent handover at the start and at the end of shift.
- Participation in educational activities including formal teaching sessions, X-ray meetings, journal clubs and case presentations.
- Development of his/her own interests, including active participation in clinical audit.
- On- call will be a full-shift which is consistent with 1A banding under the New Deal on junior doctors hours.
- Reviewing patients referred to the critical care service from other wards and from the A and E Dept
Person Specification
Qualifications
Essential
- MB BS or equivalent Current GMC registration
Desirable
- Primary MRCP, MRCS, FRCA or equivalent MRCP, FRCA
Knowledge - Clinical expertise in Speciality /Sub speciality:
Desirable
- Some critical care experience Some anaesthetic experience
Training Expected - Management/Audit Experience
Essential
- 2 years at Foundation or Core trainee level in Acute Medicine, Emergency Medicine, Specialist Medicine, Surgery or Anaesthesia
Academic Achievements - Research/Publications
Desirable
- Some evidence of academic work outside standard MBBS course.
Personal Skills
Essential
- Flexible approach to work and evidence of team working IT literate
Personal qualities
Essential
- Self motivated Ability to work under pressure Able to work as part of a team Reliable work record
Person Specification
Qualifications
Essential
- MB BS or equivalent Current GMC registration
Desirable
- Primary MRCP, MRCS, FRCA or equivalent MRCP, FRCA
Knowledge - Clinical expertise in Speciality /Sub speciality:
Desirable
- Some critical care experience Some anaesthetic experience
Training Expected - Management/Audit Experience
Essential
- 2 years at Foundation or Core trainee level in Acute Medicine, Emergency Medicine, Specialist Medicine, Surgery or Anaesthesia
Academic Achievements - Research/Publications
Desirable
- Some evidence of academic work outside standard MBBS course.
Personal Skills
Essential
- Flexible approach to work and evidence of team working IT literate
Personal qualities
Essential
- Self motivated Ability to work under pressure Able to work as part of a team Reliable work record
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).
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).
