Job summary
Interview Date - 12/05/2025
Oxford Critical Care (OCC) is pleased to announce the creation of our CESR Fellowship in Intensive Care Medicine. This post has been designed to support a motivated candidate in completing a Portfolio pathway application for a Certificate of Eligibility for Specialist Registration (CESR). The post will initially be for a period of 1 year with extension based on annual appraisal and progression toward CESR.The resulting post will be tailored to the successful candidate in line with the FICM specialty specific guidance for achieving entry onto the Specialist Register via the Portfolio pathway inIntensive Care Medicine. In addition to general ICM on OCC we are also able to offer placements within Neuro ICM, Cardiothoracic ICM, Paediatric ICM and Medicine. Following discussion with your supervisor we will be able to support the special skills year in a selection of topics.This provides a unique opportunity to train in Intensive Care Medicine with guidance and supervision from those with an appreciation and understanding of the Portfolio pathway.
Main duties of the job
The CESR Fellow in Intensive Care Medicine plays a vital role in delivering high-quality care to critically ill patients under consultant supervision. Their primary clinical duties include assessing and managing critically ill patients in the ICU as well as responding to referrals from the wards and the emergency department. They will participate in daily ward rounds, conduct comprehensive clinical assessments, and formulate management plans for patients requiring advanced organ support. The role also involves active engagement in multidisciplinary team meetings, responding to emergencies, and ensuring safe and effective patient handovers. The fellow will oversee junior doctors and nursing staff, contributing to their training while working towards their CESR portfolio through structured weekly educational sessions, clinical audits, and quality improvement initiatives. Additionally, they will have opportunities to engage in ongoing research within Oxford Critical Care. The programme duration ranges from 12 months to six years, depending on individual requirements, with annual progression based on performance. The role offers the opportunity to develop and refine procedural skills, including advanced airway management, vascular access, bronchoscopy, and Focused Intensive Care Echocardiography (FICE). Fellows are also encouraged to pursue specialist interests tailored in collaboration with their educational supervisor and the employing department.
About us
Oxford University Hospitals NHS Foundation Trust is one of the largest NHS teaching trusts in the country. It provides a wide range of general and specialist clinical services and is a base for medical education, training and research. The Trust comprises four hospitals - the John Radcliffe Hospital, Churchill Hospital and Nuffield Orthopaedic Centre in Headington and the Horton General Hospital in Banbury.
Our values, standards and behaviours define the quality of clinical care we offer and the professional relationships we make with our patients, colleagues and the wider community.
We call this Delivering Compassionate Excellence, and its focus is on our values of compassion, respect, learning, delivery, improvement and excellence.
These values put patients at the heart of what we do and underpin the quality healthcare we would like for ourselves or a member of our family. Watch how we set out to deliver compassionate excellence via the OUH YouTube channel.
In 2023NHS England launched its first sexual safety charter, and our Trust proudly signed it. We pledge zero tolerance for inappropriate sexual behaviour and commit to the ten core principles
Oxford University Hospitals promotes a safe, respectful hiring environment.
If you want to make a difference with us, come and join our team. Together, we will uphold the highest standards of care and professionalism.
Job description
Job responsibilities
Clinical GovernanceThe post-holder will participate in clinical audit, clinical effectiveness, risk management, quality improvement, and any other clinical governance activities as required by the Trust, Health Authorities, and external accrediting bodies.
Personal and Professional DevelopmentThe post-holder will be required to keep themselves fully up-to-date with their relevant area of practice. Professional or study leave will be granted at the discretion of the Trust, in line with the prevailing Terms and Conditions of Service, to support appropriate study, postgraduatetraining activities, relevant CME courses and other appropriate personal development needs.ManagementThe post-holder will be required to work within the Trust's management policies and procedures, both statutory and internal, accepting that the resources available to the Trust are finite and that all changes in clinical practice or workload, or developments requiring additional resources must have prior agreement with the Trust. They will undertake theadministrative duties associated with the care of their patients, and the running of their clinical department under the direction of the Clinical Director.General ConditionsRisk Management The management of risk is the responsibility of everyone and will be achieved within a progressive, honest and open environment.
Staff will be provided with the necessary education, training and support to enable them to meet this responsibility.Staff should be familiar with the Major Incident Policy Fire Policy Information governanceand should make themselves familiar with the local response plan and their role within that response.Responsibilities for Health and SafetyThe post holder is responsible for ensuring that all duties and responsibilities of this post are carried out in compliance with the Health & Safety at Work Act 1974, Statutory Regulations and Trust Policies and Procedures. This will be supported by the provision of training andspecialist advice where required.Infection ControlInfection Control is everyones responsibility. All staff, both clinical and non-clinical, are required to adhere to the Trusts Infection Prevention and Control Policies and make every effort to maintain high standards of infection control at all times thereby reducing the burden of Healthcare Associated Infections including MRSA.All staff employed by OUH have the following key responsibilities: Staff must wash their hands or use alcohol gel on entry and exit from all clinical areas and/or between each patient contact. Staff members have a duty to attend mandatory infection control training provided for them by the Trust. Staff members who develop an infection (other than common colds and illness) that may be transmittable to patients have a duty to contact Occupational Health.Child ProtectionThe post holder will endeavour at all times to uphold the rights of children and young people in accordance with the UN Convention Rights of the Child.Safeguarding Children and Vulnerable AdultsThe Trust is committed to safeguarding children and vulnerable adults throughout the organisation. As a member of the trust there is a duty to assist in protecting patients and their families from any form of harm when they are vulnerable.Information GovernanceAll staff must complete annual information governance training. If you have a Trust email account this can be completed on-line, otherwise you must attend a classroom session. For further details, go to the Information Governance intranet site.Data QualityData quality is a vital element of every member of staffs job role. OUH recognises the importance of information in the provision of patient care and in reporting on its performance.Data quality is therefore crucial in ensuring complete, timely and accurate information is available in support of patient care, clinical governance, performance management, service planning, and financial and resource planning and performance.All staff should ensure that they have read and understood the Trusts Data Quality Policy.IndemnityUnder NHS Indemnity, the Trust will take direct responsibility for costs and damages arising from medical negligence where it (as employer) is vicariously liable for the acts and omissions of its medical and dental staff.Where junior medical staff are involved in the care of private patients in a NHS hospital, they would normally be doing so as part of their contract. It is advisable that junior doctors who are involved in work outside their employment should have medical defence cover. This includesCategory 2 work, i.e. reports for insurance companies, cremation fees.
All staff should ensure that they have read and understood the Trusts Data Quality Policy.
Job description
Job responsibilities
Clinical GovernanceThe post-holder will participate in clinical audit, clinical effectiveness, risk management, quality improvement, and any other clinical governance activities as required by the Trust, Health Authorities, and external accrediting bodies.
Personal and Professional DevelopmentThe post-holder will be required to keep themselves fully up-to-date with their relevant area of practice. Professional or study leave will be granted at the discretion of the Trust, in line with the prevailing Terms and Conditions of Service, to support appropriate study, postgraduatetraining activities, relevant CME courses and other appropriate personal development needs.ManagementThe post-holder will be required to work within the Trust's management policies and procedures, both statutory and internal, accepting that the resources available to the Trust are finite and that all changes in clinical practice or workload, or developments requiring additional resources must have prior agreement with the Trust. They will undertake theadministrative duties associated with the care of their patients, and the running of their clinical department under the direction of the Clinical Director.General ConditionsRisk Management The management of risk is the responsibility of everyone and will be achieved within a progressive, honest and open environment.
Staff will be provided with the necessary education, training and support to enable them to meet this responsibility.Staff should be familiar with the Major Incident Policy Fire Policy Information governanceand should make themselves familiar with the local response plan and their role within that response.Responsibilities for Health and SafetyThe post holder is responsible for ensuring that all duties and responsibilities of this post are carried out in compliance with the Health & Safety at Work Act 1974, Statutory Regulations and Trust Policies and Procedures. This will be supported by the provision of training andspecialist advice where required.Infection ControlInfection Control is everyones responsibility. All staff, both clinical and non-clinical, are required to adhere to the Trusts Infection Prevention and Control Policies and make every effort to maintain high standards of infection control at all times thereby reducing the burden of Healthcare Associated Infections including MRSA.All staff employed by OUH have the following key responsibilities: Staff must wash their hands or use alcohol gel on entry and exit from all clinical areas and/or between each patient contact. Staff members have a duty to attend mandatory infection control training provided for them by the Trust. Staff members who develop an infection (other than common colds and illness) that may be transmittable to patients have a duty to contact Occupational Health.Child ProtectionThe post holder will endeavour at all times to uphold the rights of children and young people in accordance with the UN Convention Rights of the Child.Safeguarding Children and Vulnerable AdultsThe Trust is committed to safeguarding children and vulnerable adults throughout the organisation. As a member of the trust there is a duty to assist in protecting patients and their families from any form of harm when they are vulnerable.Information GovernanceAll staff must complete annual information governance training. If you have a Trust email account this can be completed on-line, otherwise you must attend a classroom session. For further details, go to the Information Governance intranet site.Data QualityData quality is a vital element of every member of staffs job role. OUH recognises the importance of information in the provision of patient care and in reporting on its performance.Data quality is therefore crucial in ensuring complete, timely and accurate information is available in support of patient care, clinical governance, performance management, service planning, and financial and resource planning and performance.All staff should ensure that they have read and understood the Trusts Data Quality Policy.IndemnityUnder NHS Indemnity, the Trust will take direct responsibility for costs and damages arising from medical negligence where it (as employer) is vicariously liable for the acts and omissions of its medical and dental staff.Where junior medical staff are involved in the care of private patients in a NHS hospital, they would normally be doing so as part of their contract. It is advisable that junior doctors who are involved in work outside their employment should have medical defence cover. This includesCategory 2 work, i.e. reports for insurance companies, cremation fees.
All staff should ensure that they have read and understood the Trusts Data Quality Policy.
Person Specification
Qualifications
Essential
- MBBS or equivalent medical qualification
- Primary FRCA (all components) by time of offer or MRCP(UK) full diploma by time of offer or MRCEM by time of offer date
Desirable
Professional Registration
Essential
- Full registration with the GMC at time of application
- Eligible to work in the UK
Clinical Expererience
Essential
- In the last 36 months of medical practice: - Minimum 6 months experience in anaesthetics or equivalent airway skills (such as attaining RCoA IAC). -Minimum 6 months experience in intensive care medicine
- Evidence that present career progression is consistent with personal circumstances and that present achievements/competencies correspond with period since gaining primary medical qualification.
Desirable
- Experience of working in acute internal medicine.
Language, Personal and Behaviour Skills
Essential
- Good personal and interpersonal skills.
- Good written and oral communication skills to manage the full range of patient and colleague interactions.
- Aligned to the Trust values.
- Conducts themselves in a professional manner at all times
- Positive attitude to all tasks and stakeholders.
- Demonstrate commitment to completing the CESR programme.
- Evidence of competence to work without direct supervision where appropriate.
- Able to work in multi-professional teams and supervise junior medical staff and other staff members as part of the MDT.
Desirable
- Demonstrate good understanding of CESR programme.
Clinical Skills
Essential
- Demonstrate awareness and appropriate knowledge base to manage acute medical conditions e.g community acquired pneumonia, acute gastro-intestinal bleed, pancreatitis.
- Able to demonstrate proficiency in a range of medical procedures as an indication of manual dexterity and hand-eye coordination.
- Valid advanced life support (ALS) provider status.
Desirable
- Experience of inserting central vascular catheters
- Experience of arterial line insertion
- Wider experience of airway management.
- Additional life support provider status e.g. APLS or ATLS
Clinical Governance
Essential
- Able to demonstrate an appreciation of clinical governance and risk management
Desirable
- Evidence of clinical governance activity e.g. presentation at clinical governance meeting, involvement with incident reporting, dealing with complaints etc
Person Specification
Qualifications
Essential
- MBBS or equivalent medical qualification
- Primary FRCA (all components) by time of offer or MRCP(UK) full diploma by time of offer or MRCEM by time of offer date
Desirable
Professional Registration
Essential
- Full registration with the GMC at time of application
- Eligible to work in the UK
Clinical Expererience
Essential
- In the last 36 months of medical practice: - Minimum 6 months experience in anaesthetics or equivalent airway skills (such as attaining RCoA IAC). -Minimum 6 months experience in intensive care medicine
- Evidence that present career progression is consistent with personal circumstances and that present achievements/competencies correspond with period since gaining primary medical qualification.
Desirable
- Experience of working in acute internal medicine.
Language, Personal and Behaviour Skills
Essential
- Good personal and interpersonal skills.
- Good written and oral communication skills to manage the full range of patient and colleague interactions.
- Aligned to the Trust values.
- Conducts themselves in a professional manner at all times
- Positive attitude to all tasks and stakeholders.
- Demonstrate commitment to completing the CESR programme.
- Evidence of competence to work without direct supervision where appropriate.
- Able to work in multi-professional teams and supervise junior medical staff and other staff members as part of the MDT.
Desirable
- Demonstrate good understanding of CESR programme.
Clinical Skills
Essential
- Demonstrate awareness and appropriate knowledge base to manage acute medical conditions e.g community acquired pneumonia, acute gastro-intestinal bleed, pancreatitis.
- Able to demonstrate proficiency in a range of medical procedures as an indication of manual dexterity and hand-eye coordination.
- Valid advanced life support (ALS) provider status.
Desirable
- Experience of inserting central vascular catheters
- Experience of arterial line insertion
- Wider experience of airway management.
- Additional life support provider status e.g. APLS or ATLS
Clinical Governance
Essential
- Able to demonstrate an appreciation of clinical governance and risk management
Desirable
- Evidence of clinical governance activity e.g. presentation at clinical governance meeting, involvement with incident reporting, dealing with complaints etc
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).