Job summary
We are recruiting for a Consultant in Anaesthetics - (general duties/perioperative medicine) who wishes to join #TeamIOWNHS. You should share our passion and drive to ensure that our patients receive quality and compassionate care and work with us to ensure the Trust continues its journey towards "great people, great place".
We are a friendly, genuinely supportive and active department looking to recruit an enthusiastic individual who will take part in the high-quality delivery and development of the anaesthetic and chronic pain services on the Isle of Wight.
This vacancy has arisen due to retirement; but comes at a time of significant opportunity as the Trust is undertaking estates improvements that include a new build emergency floor, diagnostics centre, and ICU.
This enables development of an Enhanced care facility which will include postoperative patient care. There has also been a drive to improve pre-operative assessment and pre-habilitation.
This post is suitable for those with more general interests. Successful applicants will undertake anaesthetic sessions across a range of surgical specialties including general surgery, trauma and orthopaedics, colorectal, ENT, urology and gynaecology and preassessment clinic. We would welcome someone with expertise in areas such as peri-operative medicine, with the opportunity and time allocation to develop and run this service.
Pending Royal College JD Approval
AAC interview panel to be conducted on 7th November 2023
Main duties of the job
The post is 10.2 PA including 2.5 SPA and 1.75 PA for participation in a 1 in 12 non-resident on call rota with prospective cover. The department provides anaesthetic services for general, ophthalmic, maxillo-facial, ENT, urological, orthopaedics and gynaecological surgery.
We also provide anaesthetic and resuscitation services to obstetrics, paediatrics, radiology, ECT and the ED. The relative geographical isolation means that all anaesthetists must maintain a wide range of core skills in order to be able to safely deliver this low frequency but high impact services.
For an overview of the main duties of the role please see the 'Job Description and Main Responsibilities' section below. To understand the day-to-day responsibilities in more detail please read the full job description document attached.
We are passionate about providing excellent CARE, which is why our values are Compassion, Accountable, Respect and Everyone counts. Our mission is to make sure that our community is at the heart of everything we do and that we hold our values across all our services.
We are committed to endorsing inclusion, diversity and multiculturalism throughout out services and as such, our procedures and policies ensure that applicants are always treated fairly throughout the recruitment process.
Why not come and see for yourself the CARE we give to our patients and staff. Apply to be part of our team today.
About us
The Isle of Wight NHS Trust is the only integrated acute, community, mental health and ambulance health care provider in England.
Working for our Trust brings a variety of benefits, including an onsite day nursery, cycle-to-work scheme, discounts at local businesses and gyms, and the opportunity to hire Trust's beach hut in Ryde. We offer many flexible working opportunities, speak to us about how we might be able to accommodate a flexible working arrangement for you and if it works for the service, we will do our best to make it work for you.
The Isle of Wight is a unique and stunning gem located off the South Coast of England, a short ferry journey from Portsmouth and Southampton, with journey times taking from as little as 10 minutes. London can be reached in 90 minutes by rail from Southampton or Portsmouth. The island offers an amazing coastline with beautiful countryside, year-round events, festivals and award-winning attractions.
Our 2020-2025 strategy sets out to ensure that we continue to be a provider of excellent and compassionate care. As part of this strategy, we are proactively taking steps to ensure that we recruit and retain the highest quality of talent to provide CARE and we would welcome applications from under-represented groups to ensure our Trust is an inclusive and diverse employer.
Job description
Job responsibilities
Duties of the post
It is expected that the successful applicant would undertake theatre lists in a wide range of specialities including colorectal surgery, trauma, ophthalmic theatre, and maternity. As well as a regular commitment to the pre-assessment clinic & daytime on call consultant rota (bleep 062).
The anaesthetic Department utilises a 12-week rolling schedule. Final timetable to be agreed following successful appointment.
We are currently 15 consultants (including this post) and 17 specialty doctors. We have a single training post in anaesthesia (which is at present occupied by a FY2 post in Intensive Care) and have a training commitment to several ED doctors undertaking consultant accreditation via the CESR route as well as a constant influx of medical students.
Allied Services
We have 7 operating theatres (4 main, 2 in a separate day case unit, 1 satellite eye theatre) and a dedicated obstetric theatre. We increasingly provide anaesthetic services outside of theatres including: ECT, endoscopy & radiology.
Pre-Assessment
The nurse led pre-assessment process of all elective patients is well established at St Marys Hospital. There is a daily consultant anaesthetic clinic available to review anticipated difficult cases and to communicate potential problems to colleagues. We run an Enhanced Recovery Program for orthopaedic, colorectal, and gynaecological surgery.
Obstetrics
The Maternity unit has about 1200 deliveries per year with an epidural rate of approximately 25% and a caesarean section rate of around 17%. The Anaesthetic department provides Consultant cover in hours to the labour ward. Out of hours there is a dedicated doctor to provide anaesthesia for obstetrics.
Acute Pain Service (APS)
The APS is provided by a consultant anaesthetist and a full-time acute pain nurse, supported by ward-based link nurses. Apart from the clinical service, it provides teaching and education for medical and nursing staff.
Post-operative pain is managed in a variety of ways including PCA and PCEA. Ultrasound guided nerve and plexus blockade are also commonly employed techniques. We have recently invested in several state-of-the-art ultrasound machine and developed a protocol for local anaesthetic wound/nerve catheter infiltration postoperatively.
The new post holder will be expected to work closely with the APS when implementing new post-operative pain management strategies.
Intensive Care Unit (ICU)
The unit admits about 400 patients a year. The majority (70%) are critically ill adult medical patients. Paediatric ICU services and the regional neurological unit are based in Southampton. Initial assessment and resuscitation of these patients involves the anaesthetic team. Critical care outreach is well established, and this nurse led service also lead the hospital at night team.
In hours the medical staffing of the unit consists of one of six dedicated ICU consultants supported by a resident specialty doctor. Out of hours the resident speciality doctor staffs the unit and is supported by the general on call consultant in anaesthesia. Weekend ICU ward rounds are undertaken by dedicated ICU consultants.
Chronic Pain Service (CPS)
This is an outpatient service open to GPs for malignant and non-malignant pain syndromes. It is provided by a team of two consultants from the Department, a Clinical Psychologist and part-time Nurse Specialist, as well as Specialist Physiotherapists providing Physical Therapy and Acupuncture sessions.
The Earl Mountbatten Hospice provides malignant pain control, respite services and terminal care and cooperates closely with the Hospital CPS.
The service runs a Pain Management and a Functional Restoration Program on the Island.
Job Planning and Appraisal
Post holders will take part in Annual Appraisal and performance review against objectives as well as specific requirements laid out above.
Job description
Job responsibilities
Duties of the post
It is expected that the successful applicant would undertake theatre lists in a wide range of specialities including colorectal surgery, trauma, ophthalmic theatre, and maternity. As well as a regular commitment to the pre-assessment clinic & daytime on call consultant rota (bleep 062).
The anaesthetic Department utilises a 12-week rolling schedule. Final timetable to be agreed following successful appointment.
We are currently 15 consultants (including this post) and 17 specialty doctors. We have a single training post in anaesthesia (which is at present occupied by a FY2 post in Intensive Care) and have a training commitment to several ED doctors undertaking consultant accreditation via the CESR route as well as a constant influx of medical students.
Allied Services
We have 7 operating theatres (4 main, 2 in a separate day case unit, 1 satellite eye theatre) and a dedicated obstetric theatre. We increasingly provide anaesthetic services outside of theatres including: ECT, endoscopy & radiology.
Pre-Assessment
The nurse led pre-assessment process of all elective patients is well established at St Marys Hospital. There is a daily consultant anaesthetic clinic available to review anticipated difficult cases and to communicate potential problems to colleagues. We run an Enhanced Recovery Program for orthopaedic, colorectal, and gynaecological surgery.
Obstetrics
The Maternity unit has about 1200 deliveries per year with an epidural rate of approximately 25% and a caesarean section rate of around 17%. The Anaesthetic department provides Consultant cover in hours to the labour ward. Out of hours there is a dedicated doctor to provide anaesthesia for obstetrics.
Acute Pain Service (APS)
The APS is provided by a consultant anaesthetist and a full-time acute pain nurse, supported by ward-based link nurses. Apart from the clinical service, it provides teaching and education for medical and nursing staff.
Post-operative pain is managed in a variety of ways including PCA and PCEA. Ultrasound guided nerve and plexus blockade are also commonly employed techniques. We have recently invested in several state-of-the-art ultrasound machine and developed a protocol for local anaesthetic wound/nerve catheter infiltration postoperatively.
The new post holder will be expected to work closely with the APS when implementing new post-operative pain management strategies.
Intensive Care Unit (ICU)
The unit admits about 400 patients a year. The majority (70%) are critically ill adult medical patients. Paediatric ICU services and the regional neurological unit are based in Southampton. Initial assessment and resuscitation of these patients involves the anaesthetic team. Critical care outreach is well established, and this nurse led service also lead the hospital at night team.
In hours the medical staffing of the unit consists of one of six dedicated ICU consultants supported by a resident specialty doctor. Out of hours the resident speciality doctor staffs the unit and is supported by the general on call consultant in anaesthesia. Weekend ICU ward rounds are undertaken by dedicated ICU consultants.
Chronic Pain Service (CPS)
This is an outpatient service open to GPs for malignant and non-malignant pain syndromes. It is provided by a team of two consultants from the Department, a Clinical Psychologist and part-time Nurse Specialist, as well as Specialist Physiotherapists providing Physical Therapy and Acupuncture sessions.
The Earl Mountbatten Hospice provides malignant pain control, respite services and terminal care and cooperates closely with the Hospital CPS.
The service runs a Pain Management and a Functional Restoration Program on the Island.
Job Planning and Appraisal
Post holders will take part in Annual Appraisal and performance review against objectives as well as specific requirements laid out above.
Person Specification
Qualifications
Essential
- Full registration with the General Medical Council and licence to practise by date of appointment.
- Entry on the GMC specialists register or be within six months of obtaining CCT at time of interview.
- Fellowship of the RCoA or equivalent.
- Fellowship of Faculty Pain medicine or equivalent
Clinical Skills
Essential
- Demonstrate a high level of competence and anaesthetic skill
- Wide understanding and experience of chronic pain medicine
- Broad exposure to general anaesthesia including paediatrics, obstetrics and ICU.
Desirable
- Post CCT experience in anaesthesia
- Post CCT experience in chronic pain medicine.
Audit and Clinical Governance
Essential
- Participation in audit relevant to specialty.
- Can demonstrate understanding of clinical research.
Desirable
- Able to demonstrate implementation of change from audit cycle.
- Has undertaken and published research in peer reviewed journal or presented at regional/national level.
Teaching
Essential
- Commitment to both undergraduate and postgraduate teaching and training.
Desirable
- ALS / ATLS APLS Instructor
Person Specification
Qualifications
Essential
- Full registration with the General Medical Council and licence to practise by date of appointment.
- Entry on the GMC specialists register or be within six months of obtaining CCT at time of interview.
- Fellowship of the RCoA or equivalent.
- Fellowship of Faculty Pain medicine or equivalent
Clinical Skills
Essential
- Demonstrate a high level of competence and anaesthetic skill
- Wide understanding and experience of chronic pain medicine
- Broad exposure to general anaesthesia including paediatrics, obstetrics and ICU.
Desirable
- Post CCT experience in anaesthesia
- Post CCT experience in chronic pain medicine.
Audit and Clinical Governance
Essential
- Participation in audit relevant to specialty.
- Can demonstrate understanding of clinical research.
Desirable
- Able to demonstrate implementation of change from audit cycle.
- Has undertaken and published research in peer reviewed journal or presented at regional/national level.
Teaching
Essential
- Commitment to both undergraduate and postgraduate teaching and training.
Desirable
- ALS / ATLS APLS Instructor
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
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).
