Consultant Anaesthetist and Intensive Care
Isle of Wight NHS Trust
The closing date is 29 February 2024
We are recruiting for a Consultant in Anaesthetics and Intensive Care 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.
Due to expansion of our Intensive care services and strengthening out of hours specialist cover we are expanding our intensive care consultant workforce. The successful applicant will join our current 6 ICU consultants.
Our critical care services are firmly embedded in the regional Thames Valley & Wessex Adult Critical Care Network. Our ICU is having regular informal and formal peer review meetings from the regional Thames Valley & Wessex Adult Critical Care Network which both strengthens the relationship with our neighboring hospitals as well as ensuring ongoing improvement and delivery of excellent care.
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 consisting of and participation in a 1 in 12 non-resident on call rota with prospective cover for anaesthetics and ICU. The Trust is investing in new estates which include a new 8 bedded level 3 ICU as well as a new emergency floor and diagnostics centre. The build of the new ICU is expected to be completed by Winter 2023.
ICNARC data shows that our patient outcomes are good when benchmarked with our peers. We have outstanding links both with our partner hospital Portsmouth University Hospital and the regional tertiary centres. We recently had a GIRFT review with overall very positive feedback.
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.
The Isle of Wight NHS Trust is the only integrated acute, community, mental health and ambulance health care provider in England. We serve a population of approximately 150,000 residents, making the services we offer variable and personalised with a flexible approach to our service users.
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.
Duties of the post
The ICU utilises a 6-week rolling schedule for the in hours duty consultant between the hours of 08:00 & 18:00.
All 6 current post holders undertake anaesthetic sessions & have string links to the anaesthetic department. Should the applicant prefer to undertake sessions in an alternative department (eg medicine) this can also be considered.
The anaesthetic Department utilises a 12-week rolling schedule. 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 the pre-assessment clinic & daytime on call consultant rota (bleep 062).
The anaesthetic & ICU consultants provide out of hours non-resident consultant cover for anaesthesia for emergency surgery, obstetric anaesthesia, and the management of the intensive care unit; on a 1:12 prospective cover basis.
The anaesthetic department have recently strengthened our in hours anaesthetic senior cover, with the provision of daytime resident consultant sessions to undertake emergency work and ensure the smooth running of theatres.
Additional daytime anaesthetic/ICU cover is provided at weekends to allow specialist staff to undertake the ICU ward round and to facilitate emergency work. Some consultants undertake weekend emergency anaesthetic/trauma sessions or an ICU ward round in lieu of participation in the OOH ICU and anaesthetic on call rota. This is agreed at job planning.
Intensive Care Unit (ICU)
We have daily multidisciplinary ward rounds with colleagues from pharmacy, microbiology, dietitians, and physiotherapists. The unit admits about 400 patients a year. The majority (70%) are critically ill adult medical patients.
We have up to date equipment, monitoring and ventilators that can be expected from a general high quality intensive care unit.
The Trust is currently developing an ICU follow up service and enhanced care provision for level 1+ patients. There is ample opportunity for the post holder to be involved in these developments.
Critical care outreach is well established, and this nurse delivered service also leads the hospital at night team, providing 24/7 cover in supporting amongst other things the referring teams in timely assessment and referral of critically ill patients. This team has strong links to ICU as well as an expanded role throughout the hospital and is playing a pivotal role in many aspects of keeping patients safe.
Tertiary ICU services including paediatric the regional neurological unit are based in Southampton. Initial assessment, resuscitation and stabilisation of these patients involves the anaesthetic team. Due to the remote location the anaesthetic team may also be involved in transfer by helicopter or ferry to mainland services.
Medical staffing consists of 7 consultants (including this post), each of whom undertake weeks on ICU. There is a resident SAS doctor 24/7 as well as an FY2 trainee post. Out of hours the consultant support is shared with the anaesthetic department. To strengthen the ICU specialist advice OOH, there are weekend morning ICU consultant ward rounds and consideration is being given to OOH telephone advice to the non-ICU anaesthetic consultants.
The medical team run regular M&M and consultant team meetings to ensure high quality standardised care. There are well established links to PUHT ICU educational meetings and attendance at their educational meetings is encouraged.
The Anaesthetic Department
The department provides anesthetic services for general, ophthalmic, maxilla-facial, ENT, urological, orthopedics and gynecological surgery. We have 7 operating theatres (4 main, 2 in a separate day case unit, 1 eye satellite unit) and a dedicated obstetric theatre.
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 these low frequency but high impact services
We are currently 15 consultants 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 also have a training commitment to several ED doctors undertaking consultant accreditation via the CESR route as well as a constant influx of medical students.
The Department operates a mentor scheme for all new appointees.
We have 7 operating theatres (4 main, 2 in a separate day case unit, 1 satellite eye theatre) and a dedicated obstetric theatre.
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 orthopedic, colorectal, and gynecological surgery.
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 labor ward. Out of hours there is a dedicated specialist 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 anesthetic 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.
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.
Audit and Clinical Governance
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).
Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).