Clinical Fellow in Cardiothoracic Transplant Surgery (ST3+)

The Newcastle upon Tyne Hospitals NHS Foundation Trust

The closing date is 01 December 2024

Job summary

We are delighted to be able to offer an opportunity for a highly motivated, ambitious individual to join our well integrated team as a Trust Fellow in Cardiopulmonary Transplantation. These posts are available as soon as possible for 12 months in the first instance, with a possible extension.

The successful candidate will provide a service commitment to heart and lung retrieval and implantation, recipient assessment, as well as pre and post-operative care of transplant recipients. Experience in cardiopulmonary organ transplantation, ECMO, VAD implantation, machine perfusion technology will be gained and there will be an opportunity to attend operating lists in cardiac surgery. There are opportunities for exploring research.

Candidates for the post must be registered medical practitioners and hold a license to practice with the GMC. You must also hold MRCS or equivalent and have at least 18 months experience in cardiothoracic surgery.

Candidates may also have commitment to the conventional adult cardiothoracic surgery programme depending on the service requirements and departmental needs.

As a flexible working friendly organisation, we want to be sure that you can work in a way that is best for us and for our patients, and for you. Speak to us about how we might be able to accommodate a flexible working arrangement. If it works for the service, we will do our best to make it work for you.

Please read attached Job Description and Person Specification.

Main duties of the job

The successful candidate will provide a service commitment to heart and lung retrieval and implantation, recipient assessment, as well as pre and post-operative care of transplant recipients. Experience in cardiopulmonary organ transplantation, ECMO, VAD implantation, machine perfusion technology will be gained and there will be an opportunity to attend operating lists in cardiac surgery.

For an informal discussion and further information regarding the opportunity and Directorate, please contact: Mr Dronavalli01912137397 or Mr BC Ramesh 01912137345

Please read attached Job Description and Person Specification.

About us

Newcastle Hospitals NHS Foundation Trust is one of the busiest, largest and most successful teaching NHS foundation trusts in the country, with around 16,000 staff and an annual income of £1 billion. We have a long history of providing high quality care, clinical excellence, and innovation in medical research regionally, nationally and internationally.

We're also proud to be the second largest provider of specialised services in the country. This means we support people with a range of rare and complex medical, surgical and neurological conditions, cancers and genetic orders.

Our staff oversee around 1.84 million patients 'contacts' each year, delivering high standards of healthcare.

We are committed to promoting equality and diversity and recognise the benefit in providing an inclusive environment. We value and respect the diversity of our employees and aim to recruit a workforce which reflects the communities we serve, and is equipped to deliver the best service to our patients. We welcome all applications irrespective of people's race, disability, gender, sexual orientation, religion or belief, age, gender identity, marriage and civil partnership, pregnancy and maternity and in particular those from under- represented groups.

Date posted

31 October 2024

Pay scheme

Hospital medical and dental staff

Grade

Doctor - other

Salary

£61,825 to £70,425 a year per annum

Contract

Fixed term

Duration

12 months

Working pattern

Full-time

Reference number

317-TD-24-233

Job locations

Cardiothoracic Surgery Specialty - FH

Newcastle upon Tyne

NE7 7DN


Job description

Job responsibilities

Duties and Responsibilities:

1. Under the direction and supervision of the Consultants in transplantation, participate in:

Donor care and donor organ retrieval

Heart and lung transplantation

VAD implantation

Machine organ perfusion

The care of heart and lung failure patients, transplant recipients and VAD patients on the intensive care unit and on the ward.

Management of immunosuppressed patients with opportunistic infection.

Management of complications (non-infection) of immunosuppressive drugs.

2. Patient Assessment

Participation in the assessment of patients with heart and lung failure for transplantation or for mechanical assistance.

3. Donor organ evaluation:

Discuss donor offers and matching to suitable recipients with the Transplant Co-ordinators and the Duty Consultant Transplant Surgeon.

Undergo comprehensive training in donor organ assessment and retrieval (including travel to donor hospitals to carry out full assessment and resuscitation of donors and procurement of donor heart and lungs according to departmental procedural protocols).

Preservation, maintenance, resuscitation and ex-vivo assessment of donor organs when required.

4. Surgery:

Transplant Surgery: participate in surgery for the implantation of donor organs and/or the implantation of mechanical circulatory support devices.

Establishing ECMO and care of ECMO patients for heart or lung failure.

Adult Cardiothoracic Surgery: To maintain skills ad hoc opportunities may arise to participate in general cardiothoracic surgery operating lists. It is intended that at least one list each week will be allocated to the post holder to maintain skills where possible.

5. Post-operative Care:

Participate in the care of early post-operative transplant and VAD patients on the ICU and on the wards in conjunction with allied professionals.

Participate in the daily morning and evening ward rounds.

Assess and manage patients re-admitted with medical and surgical complications of transplantation or VAD.

6. Completion of accurate records including patients clinical notes and discharge summaries. Maintaining medical audit records as required by Newcastle upon Tyne Hospitals NHS Trust.

7. Participation in teaching of junior medical staff, undergraduate students and other non-medical staff as required.

8. To adhere to the clinical protocols of the Department and support its developments, projects and practices and undertake other duties as appropriate to the level of responsibility for the smooth running of the service.

9. To participate and contribute to clinical or basic sciences research

10. To contribute to Audit, Clinical governance and mortality and morbidity Meetings

Flexibility:

In line with the Trusts core value of placing patients at the heart of everything we do, we are developing our service provision to be responsive to the needs of our patients. To meet those needs some staff groups will be increasingly asked to work a more flexible work pattern so that they can offer services in the evening or weekend. As a result any offer of employment to a consultant post will be subject to you agreeing to work a new more flexible pattern or working in the future if required, including evening and weekend work.

Please read attached Job Description and Person Specification.

Job description

Job responsibilities

Duties and Responsibilities:

1. Under the direction and supervision of the Consultants in transplantation, participate in:

Donor care and donor organ retrieval

Heart and lung transplantation

VAD implantation

Machine organ perfusion

The care of heart and lung failure patients, transplant recipients and VAD patients on the intensive care unit and on the ward.

Management of immunosuppressed patients with opportunistic infection.

Management of complications (non-infection) of immunosuppressive drugs.

2. Patient Assessment

Participation in the assessment of patients with heart and lung failure for transplantation or for mechanical assistance.

3. Donor organ evaluation:

Discuss donor offers and matching to suitable recipients with the Transplant Co-ordinators and the Duty Consultant Transplant Surgeon.

Undergo comprehensive training in donor organ assessment and retrieval (including travel to donor hospitals to carry out full assessment and resuscitation of donors and procurement of donor heart and lungs according to departmental procedural protocols).

Preservation, maintenance, resuscitation and ex-vivo assessment of donor organs when required.

4. Surgery:

Transplant Surgery: participate in surgery for the implantation of donor organs and/or the implantation of mechanical circulatory support devices.

Establishing ECMO and care of ECMO patients for heart or lung failure.

Adult Cardiothoracic Surgery: To maintain skills ad hoc opportunities may arise to participate in general cardiothoracic surgery operating lists. It is intended that at least one list each week will be allocated to the post holder to maintain skills where possible.

5. Post-operative Care:

Participate in the care of early post-operative transplant and VAD patients on the ICU and on the wards in conjunction with allied professionals.

Participate in the daily morning and evening ward rounds.

Assess and manage patients re-admitted with medical and surgical complications of transplantation or VAD.

6. Completion of accurate records including patients clinical notes and discharge summaries. Maintaining medical audit records as required by Newcastle upon Tyne Hospitals NHS Trust.

7. Participation in teaching of junior medical staff, undergraduate students and other non-medical staff as required.

8. To adhere to the clinical protocols of the Department and support its developments, projects and practices and undertake other duties as appropriate to the level of responsibility for the smooth running of the service.

9. To participate and contribute to clinical or basic sciences research

10. To contribute to Audit, Clinical governance and mortality and morbidity Meetings

Flexibility:

In line with the Trusts core value of placing patients at the heart of everything we do, we are developing our service provision to be responsive to the needs of our patients. To meet those needs some staff groups will be increasingly asked to work a more flexible work pattern so that they can offer services in the evening or weekend. As a result any offer of employment to a consultant post will be subject to you agreeing to work a new more flexible pattern or working in the future if required, including evening and weekend work.

Please read attached Job Description and Person Specification.

Person Specification

Education and Qualifications

Essential

  • Primary Medical Qualification.
  • Full GMC registration or eligibility to obtain this within 3 months (or within 6 months for non-EEA applicants).
  • Successful completion of MRCS or equivalent
  • 18 months experience in cardiothoracic surgery

Clinical Skills and Knowledge

Essential

  • Good history & examination skills.
  • Able to formulate a working diagnosis.
  • Able to order appropriate investigations.
  • Image interpretation relevant to practice
  • Knows when to appropriately seek assistance from a senior colleague.

Desirable

  • Evidence of commitment and interest in transplantation

Management and Administration Experience

Essential

  • Ability to run a service and participate in management process.
  • Committed to share in professional, managerial and teaching responsibilities necessary to fulfil the obligations of the Directorate to the Trust and its workforce.
  • Able to communicate well with patients and colleagues
  • An understanding of Clinical Governance

Desirable

  • Proven management and administration ability
  • Understanding of management goals
  • Experience with audit
  • Evidence of leadership / project management
  • Evidence of having implemented change

Teaching

Desirable

  • Experience of supervising junior medical staff. Experience of participation in undergraduate and postgraduate teaching
  • Ability to teach clinical skills

Clinical Governance, Audit and Research

Essential

  • Experience of audit projects.

Desirable

  • Higher degree. Publications in the last 4 years as first author.
  • Evidence of involvement in and understanding of research methodology and publication of findings. Research/critical review of literature essential.

Communication, Relationships and Working with Colleagues

Essential

  • Ability to communicate and liaise effectively with patients and other people within a team.
  • Ability to work as a team with professional colleagues in all disciplines.

Personal Attributes

Essential

  • Alignment with the Trust's Values.
  • Flexible approach to service delivery and committed approach to development
  • A commitment to personal / unit CPD
  • Time management skills
  • Honesty, integrity, awareness of ethical dilemmas, respect for confidentiality
Person Specification

Education and Qualifications

Essential

  • Primary Medical Qualification.
  • Full GMC registration or eligibility to obtain this within 3 months (or within 6 months for non-EEA applicants).
  • Successful completion of MRCS or equivalent
  • 18 months experience in cardiothoracic surgery

Clinical Skills and Knowledge

Essential

  • Good history & examination skills.
  • Able to formulate a working diagnosis.
  • Able to order appropriate investigations.
  • Image interpretation relevant to practice
  • Knows when to appropriately seek assistance from a senior colleague.

Desirable

  • Evidence of commitment and interest in transplantation

Management and Administration Experience

Essential

  • Ability to run a service and participate in management process.
  • Committed to share in professional, managerial and teaching responsibilities necessary to fulfil the obligations of the Directorate to the Trust and its workforce.
  • Able to communicate well with patients and colleagues
  • An understanding of Clinical Governance

Desirable

  • Proven management and administration ability
  • Understanding of management goals
  • Experience with audit
  • Evidence of leadership / project management
  • Evidence of having implemented change

Teaching

Desirable

  • Experience of supervising junior medical staff. Experience of participation in undergraduate and postgraduate teaching
  • Ability to teach clinical skills

Clinical Governance, Audit and Research

Essential

  • Experience of audit projects.

Desirable

  • Higher degree. Publications in the last 4 years as first author.
  • Evidence of involvement in and understanding of research methodology and publication of findings. Research/critical review of literature essential.

Communication, Relationships and Working with Colleagues

Essential

  • Ability to communicate and liaise effectively with patients and other people within a team.
  • Ability to work as a team with professional colleagues in all disciplines.

Personal Attributes

Essential

  • Alignment with the Trust's Values.
  • Flexible approach to service delivery and committed approach to development
  • A commitment to personal / unit CPD
  • Time management skills
  • Honesty, integrity, awareness of ethical dilemmas, respect for confidentiality

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.

Certificate of Sponsorship

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.

Certificate of Sponsorship

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).

Employer details

Employer name

The Newcastle upon Tyne Hospitals NHS Foundation Trust

Address

Cardiothoracic Surgery Specialty - FH

Newcastle upon Tyne

NE7 7DN


Employer's website

https://careers.nuth.nhs.uk/why-us (Opens in a new tab)


Employer details

Employer name

The Newcastle upon Tyne Hospitals NHS Foundation Trust

Address

Cardiothoracic Surgery Specialty - FH

Newcastle upon Tyne

NE7 7DN


Employer's website

https://careers.nuth.nhs.uk/why-us (Opens in a new tab)


For questions about the job, contact:

HR Advisor

Louise Scorfield

Louise.Scorfield@nhs.net

Date posted

31 October 2024

Pay scheme

Hospital medical and dental staff

Grade

Doctor - other

Salary

£61,825 to £70,425 a year per annum

Contract

Fixed term

Duration

12 months

Working pattern

Full-time

Reference number

317-TD-24-233

Job locations

Cardiothoracic Surgery Specialty - FH

Newcastle upon Tyne

NE7 7DN


Supporting documents

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