Locum Consultant Anaesthetist

Job responsibilities

INTRODUCTION

The Liverpool Heart and Chest Hospital provides medical and surgical adult cardiothoracic services to the people of Merseyside, North Wales, Isle of Man, parts of Lancashire and Cheshire. This catchment area has a population of over 2.8 million people.

The hospital is one of the largest of its kind in the country and performs around 2000 major cardiac procedures and 700 major thoracic procedures per annum. The full range of services for adult cardiothoracic surgical patients (with the exception of transplantation) is provided and this includes an expanding service for adult congenital, major aortic surgery, with minimally invasive robotic cardiac and thoracic surgery. The trust also performs over 150 transcatheter aortic valve insertion procedures per year.

The hospital has seen a great deal of development in the last few years. As a result of major capital investment, we are able to provide:

180 medical and surgical beds:

26 day case beds

12 bed cystic fibrosis ward

30 Critical care beds

8 dedicated cardiothoracic surgical operating theatres

Endoscopy suite

Recovery room

X-ray department with a multi-channel spiral CT Scanner and MRI scanner

Pulmonary function and oesophageal laboratory

5 cardiac catheterisation laboratories

One dedicated pacing theatre and a shared pacing/aneurysm theatre

Newly refurbished research laboratories

Hospital electronic patient record system (EPR)

Da Vinci Robotic surgery

Liverpool Heart and Chest Hospital continues to invest in infrastructure with a recently renovated Catheterisation Suite and Cystic Fibrosis Ward and construction of a new main entrance.

MEDICAL STAFFING

Anaesthetists

Dr J Ratnasingham Divisional Medical Director (Clinical Services)

Dr C Quarterman College Tutor

Dr O Al-Rawi Clinical Director Anaesthesia

Dr N Coulson Clinical Director Critical Care

Dr A Bhawnani

Dr J Kendall

Dr F Faraz

Dr B Gutowska

Dr D Mayhew

Dr B Murray

Dr K Palmer

Dr T Ridgway

Dr I Shaban

Dr P Wolski

Dr A Hill

Dr O Chambers

Dr E Houston

Dr M Evans

Consultant Cardiologists

Dr R A Perry Medical Director

Dr J L Morris Divisional Medical Director - Medicine

Dr W L Morrison

Dr D R Ramsdale

Prof R H Stables

Dr N D Palmer

Dr J D Mills Clinical Lead - Community

Dr C Appleby Clinical Lead - Intervention

Dr D J Wright

Dr A Rao Clinical Lead EP/Devices

Dr D M Todd

Dr J E P Waktare

Dr D Gupta

Dr R L Snowdon

Dr S Modi

Dr M El-Kadri

Dr P Velavan

Dr M Naffati

Dr A Khalatbari

Dr T A Fairbairn Clinical Lead Cardiac Diagnostics

Dr C Hammond

Dr S Aggarwal

Joint Cardiology Posts

Dr M Fisher

Dr A Khand

Dr M Andron

Dr B Kunadian

Dr T Ali

Dr J Hobbs

Dr J Pyatt

Dr A Chenzbrau

Thoracic Physicians

Prof P D O Davies

Dr C Hind

Dr K Mohan

Dr J Greenwood

Dr M Walshaw

Dr M Ledson Clinical Lead

Dr D Wat

Dr S Haines

Dr D Nazareth

Cardiothoracic Surgeons

Mr M Kuduvalli Divisional Medical Director Surgery

Mr A Muir Clinical Lead Cardiac Surgery

Mr O Nawaytou Clinical Lead Aortic surgery

Mr M Zeinah College Tutor Surgery

Mr M Field

Mr P Modi

Mr S Shanmuganathan

Miss D Harrington

Mr A Koshravi

Mr N Mediratta

Mr J Asante-Siaw Clinical Lead Thoracic Surgery

Mr R D Page

Mr S Woolley

Mr M Smith

Mr M Shackcloth

Miss S Love

ANAESTHETIC TRAINEES

There are 9 to 11 specialist trainees from the Mersey Regional Rotation who spend either three or six months at the hospital. The Clinical Fellows and Specialist Trainees provide Resident cover for the Critical Care areas.

The department regularly employ a clinical fellow who is usually in post for 6-12m to enhance their cardiothoracic experience

SESSIONAL COMMITMENT

The Anaesthetic Department is busy division providing anaesthetic for a wide variety of specialist areas including cardiac, thoracic, cardiology and critical care. A variety of sessions would be available and can be tailored to suit the appropriately qualified candidate.

This post attracts a 10 PAs locum consultant job plan including 1.5 SPA for a period of 12 months, starting as soon as possible. Job plan will be adjusted according to ability to do emergency on call commitment after a period of assessment which would be remunerated at 2 PA.

Currently there is a vacancy in critical care consultant cover. Successful applicant will have the opportunity to include 1 week (5 working days) every 8 weeks into the above job plan.

The successful candidates will have full secretarial support, a personal computer (training available if required) and office accommodation.

EDUCATION AND AUDIT

A strong emphasis is placed on quality improvement work within the department, and all medical staff are expected to carry out regular projects. There are regular critical incident meetings and combined mortality and morbidity meetings are also held in conjunction with the surgical division. Medical staff are also required to participate in the Trusts Clinical Governance and Appraisal System.

The hospital provides undergraduate medical education for final year students from Liverpool University. Emphasis is also placed on teaching and training of anaesthetic trainees the fundamentals of cardiothoracic anaesthesia. The successful candidate will be expected to devote time to the training of juniors on a regular basis both for clinical training and more formal teaching.

A specialist Library is available on site. In addition, the libraries of the Liverpool Medical Institution, Liverpool University and Broadgreen Hospital are also available for reference.

CONFIDENTIALITY

All employees must adhere to policies and procedures relating to Information Governance, Confidentiality and Information Security.

RISK MANAGEMENT

The Trust is committed to approaching the control of risks in a strategic and organised manner.

The post holder must be aware of their individual responsibilities as detailed in the Trusts Risk Management, Health & Safety and Incident policies, and those under the Health and Safety at Work Act. This includes the reporting of any untoward incident, accident, potential or actual hazard identified.

SAFEGUARDING

All staff are required to be familiar with the arrangements for safeguarding children, young people and vulnerable adults and support the organisation in promoting the welfare of children, young people and vulnerable adults.

Staff working directly with children, young people and vulnerable adults will have a responsibility to ensure safeguarding and promoting their welfare forms an integral part of their duties.

Staff who come into contact with children, vulnerable adults, parents and carers in the course of their work and/or have access to records will have responsibilities to safeguard and promote the welfare of children, young people and vulnerable adults.

Staff that come into contact in the course of their duties, with parents, carers or other significant adults or children, young people and vulnerable adults should always be mindful of safeguarding and promotion of the welfare of these individuals.

HEALTH AND WELLBEING

The Trust is a Health Promoting Hospital. The Trust expects that when you are presented with opportunities to improve the lifestyle of our patients you seek help from appropriately trained clinical staff to ensure patients are supported and assisted in making the necessary lifestyle changes. This is in accordance with best practice as described in the DoH white paper Choosing Health Making Healthy Choices Easier.

EQUAL OPPORTUNITIES

The Liverpool Heart & Chest Hospital NHS Foundation Trust is committed to achieving equal opportunities. All employees are expected to observe this policy in relation to the public and fellow employees.

All staff are expected to adhere to, and act in accordance with, the values & behaviours of the Trust.

This document is intended to be used as a guide to the general scope of duties involved in this post. It is not exhaustive and should not therefore be used as a rigid specification. It will be kept under review and amended as required in consultation with the post holder.

Values and Behaviours

Essential

• Evidence of Leadership qualities
• Flexibility in a changing work environment
• Evidence of patient centred care

Experience

Essential

• Minimum of 12 months Advanced training in Cardiothoracic anaesthesia including ability to use and interpret trans-oesophageal echocardiography.
• Recent experience working in an NHS setting.
• Ability to offer expert clinical opinion on a range of clinical problems.
• Ability to take full and independent responsibility for clinical care of patients.

Desirable

• Experience in anaesthesia for major aortic surgery.
• Experience in anaesthesia for Adult Congenital Cardiac surgery.
• Experience and interest in critical care.

Qualifications

Essential

• Full GMC registration with licence to practice
• CCT (or equivalent) with entry on Specialist Register for Anaesthesia or within six months of anticipated CCT date on the date of interview or working towards achieving CESR certification within 12m of date of interview.
• FRCA or equivalent diploma
• Passed written Transoesophageal Echocardiography examination or equivalent

Desirable

• Additional degree or post-graduate qualification (MRCP, MD etc)
• Post-Graduate Prizes
• Full TOE accreditation

Skills and Abilities

Essential

• Excellent interpersonal and written skills
• High level of team working and communication skills
• Active regular participation in teaching and training.
• Evidence of consistent engagement with clinical audit
• Evidence of achieving GMC standards to be recognised as a clinical supervisor
• Regular commitment to continuing medical education
• Evidence of reflective practice
• Evidence of involvement in clinical research
• Presentations at regional and national meetings

Desirable

• Experience of audit management.
• Evidence of achieving GMC standards to be recognised as an educational supervisor
• Formal experience in medical education including regional teaching.
• ALS/ATLS instructor
• Continuing plans for funded research
• Author of recent peer reviewed publications.
• Experience of conducting research projects

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).