Senior Clinical fellow
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Detailed job description and main responsibilities
The post is open to all applicants who meet the essential criteria as detailed in the person specification below. It is open to all doctors who hold Full/limited registration with the GMC and successfully completed foundation year 2 training and a further 2 years in acute specialities (of which 12 months should be in anaesthesia) who wish to gain further experience in the management of critically unwell patients with a wide range of medical and surgical conditions and enhance their CV for application to specialist training.
This post is whole time and is covered by the Medical and Dental Staff Terms and Conditions of Service. Doctors applying for this post from overseas should note that prior NHS experience is a prerequisite and we would recommend applying for one of our Trust Grade posts in the first instance.
The post is EWTD compliant and is paid at MT04 or MT05 depending on prior experience.
This post is not recognised for training by the Postgraduate Dean, the Faculty of Intensive Care Medicine or by the Royal College of Anaesthetists.
All successful applicants are allocated a clinical supervisor who will support the individual to develop their clinical and non-clinical skills and offer advice on how to achieve any specific individual goals the fellow may wish to achieve. We recommend that the appointee maintain a logbook of experience, complete appropriate assessments and participates in the wide range of non-clinical opportunities detailed below.
Person Specification: Senior Clinical Fellow in Adult Critical Care Medicine
Essential for the post:
A) MB ChB or equivalent & GMC registration with licence to practise
B) Successful completion of FY2 training in an NHS setting plus two years of post-foundation training in acute specialities (Anaesthesia, Acute Medicine, Emergency Medicine or ICM)
C) 12 months Anaesthesia and 3 months critical care experience within an NHS Setting
D) Ability to stabilise the deteriorating patient (including intubation and the initiation of organ support)
E) Evidence of continuous career development
F) Evidence of good written communication, successful team worker, sensitivity to needs of patients and colleagues
G) Punctuality, professional appearance and attitudes consistent with GMC guidelines. Values and behaviours aligned with NUH's
Desirable for the post:
H) Primary FRCA or equivalent higher qualification
I) ALS or equivalent accredited life support course
J) ATLS or other trauma course
K) Completion of Stage 1 Critical Care Training
L) Experience of senior on-call roles in the acute specialities in the UK
M) Completion of an Audit Cycle
N) Published Research
O) Evidence of academic achievement including additional qualifications, prizes
P) Competence in Bronchoscopy, Lung Ultrasound and Focused ECHO
A) Attendance at meetings/ courses/ membership of professional bodies
B) Evidence of Human Factors Training
C) Demonstrates non-medical interests/ activities
The Speciality
Critical care is part of the Clinical Support division.
There are 3 distinct adult critical care areas managed by clinical support across both QMC and City campuses. We aim to rotate you through both campuses so that you are exposed to a wide range of pathologies and speciality experience.
Queen's Medical Centre Campus (QMC)
On the Queen's campus Critical Care is divided into a 29-bedded Intensive Care (level 3 beds), and a 20-bedded level 2 High Dependency Unit. At QMC critical care receives referrals from major trauma and the following surgical specialties: neurosurgery, spinal, emergency orthopaedics, hepatobiliary, vascular, lower GI, maxillofacial and ENT. It also receives referrals from acute medicine (including acute gastroenterology). Of note, NUH became the East Midlands Major Trauma Centre in April 2012 and is the busiest Major Trauma Centre in the UK.
Nottingham City Hospital Campus
The critical care unit at the City campus has 17 beds that are used flexibly to accommodate up to 9 level 3 patients, the remaining beds are for level 2 admissions. The major subspecialty interests at City are thoracic surgery, upper GI surgery, elective orthopaedics, urology, burns and plastics, renal medicine, infectious diseases, oncology, haematology and respiratory medicine. The City campus also houses the separate Trent Cardiac Unit with its own dedicated intensive care unit.
There is a well-established critical care outreach team on both campuses. Across NUH CCOT provide support to all medical and surgical areas, seven days a week 08.00-22.00.
Medical Staffing
There are 75 Junior Staff in Critical Care
There are 35 Critical Care Consultants at NUH with an extensive range of subspecialty clinical and nonclinical interests and roles.
Non Clinical Opportunities
Within NUH Junior Critical Care Fellows have the opportunity and paid time (1 Day of CPD per week) to pursue their interest in a variety of clinical and non-clinical areas. This can include simulation, teaching, governance and quality improvement.
Educational opportunities
The departments offer extensive learning resources. There are several regular educational meetings each week including journal clubs, ITU rounds and morbidity meetings. There is a monthly protected teaching day for our Fellows which cover the clinical aspects of critical care in addition to optional teaching days which cover generic
non-clinical topics (e.g. ethics, medical law, professionalism, interview skills). There are hospital and departmental libraries at both sites including IT facilities.
FICE & FUSIC
There is plenty of opportunity for trainees to gain their FICE and FUSIC accreditation. The department is supported by several FICE & FUSIC mentors as well as consultants with experience of TOE.
Research opportunities
Available by special arrangement. Critical Care has links with the Academic Departments of Anaesthesia and Surgery and participation in on-going research and audit programmes will be encouraged.
Time for Continuing Professional Development CPD
These days may be used toward any educational activity, including preparation for postgraduate examinations. They must be used constructively and your clinical supervisor must be appraised of your CPD activities. While the days should fit around the on-call rota, the Rota Coordinator will try to facilitate any particular plans that the Fellow has in advance with sufficient notice (however no guarantees can be made). CPD days are allocated on a 44 week working year pro-rata basis. The days cannot be taken more than two days consecutively without special prior arrangement with the Rota Coordinator and this would be granted only in exceptional circumstances.
This time may also be utilised to prepare for post-graduate examinations (e.g. FRCA).
Applications for training posts
The department has an excellent reputation for successful recruitment into higher speciality training posts. Trainees are encouraged to develop their portfolio and identify and utilise opportunities to increase their success in subsequent recruitment. We are also fortunate to have a number of consultants who interview for example for National Anaesthesia Recruitment and therefore are in a position to support applicants during interview preparation.
Internal cover and Locums
The current banding allocation of this post includes an allowance for internal cover to cover the normal leave allowance of colleagues. In exceptional circumstances and for short periods only, Clinical Fellows may be requested to provide additional cover, for example, to cover sickness. Locums may also be employed in this instance.
Contact
If you would like further information about this post please email Gurmukh.sandhu@nhs.net
Person specification
Qualifications
Essential criteria
- MB ChB or equivalent. Full/limited GMC registration.
Desirable criteria
- Primary FRCA or equivalent higher qualification
- ALS or equivalent accredited life support course
Experience
Essential criteria
- Completion of Foundation training plus two years' of post-Foundation training in acute specialties (acute specialties here defined as any of Anaesthesia, Acute Medicine, Emergency Medicine, Intensive Care Medicine)
Desirable criteria
- Completion of Stage 1 Critical Care Training
- Experience of senior on-call roles in acute specialties in a UK hospital
Ability
Essential criteria
- Ability to stabilise the deteriorating patient including intubation and initiation of organ support
Desirable criteria
- Competence in bronchoscopy, lung ultrasound, focused echocardiography
Interpersonal Skills
Essential criteria
- Evidence of good written communication, successful team-worker, sensitivity to needs of patients and colleagues
Desirable criteria
- Evidence of formal Human Factors trainin
Professional Behaviour and Attitude
Essential criteria
- Punctuality, professional appearance and attitudes consistent with GMC guidelines
Desirable criteria
- Demonstrates non-medical interests / activities
Come and join our wonderful team at NUH. We are big believers in diversity and welcome new ideas to help develop our team in order to deliver world class healthcare to the vast patient populations we serve. With endless personal development opportunities available, at the NUH we will endeavour to turn your job into a career!
We particularly welcome applications from people who identify as Black, Asian and Minority Ethnic, or Disabled, as we are striving to be better represented at NUH.
Closing Dates: Please submit your application form as soon as possible to avoid disappointment; we reserve the right to close vacancies prior to the published closing date if we receive a sufficient number of completed application forms.
Communication: All communication related to your application will be via the email address you have provided. Please ensure you check your email account including your junk email regularly.
Easy read application: if you have a disability and find it difficult to complete our online application form, you can apply via our easy read application which you can find on the intranet https://www.nuh.nhs.uk/easy-read-job-application
NUH are now able to offer application completion support and interview preparation support. Please follow the link to book onto our sessions: Support for NUH Job Applications
If you are aged 16 or 17 and applying for a role that is more than 20 hours a week, please be aware that you will be asked to commence an Apprenticeship within the Trust alongside your role, as long as there is a suitable apprenticeship standard available. This is in line with the current guidance in England that whilst young people under the age of 18 can leave school (on the last Friday in June) they must then do one of the following:
- Stay in full-time education, for example at a college
- Start an Apprenticeship
- Spend 20 hours of more a week working or volunteering, while in part-time education or training
For more details visit; School leaving age - GOV.UK (www.gov.uk)
Salary: The quoted salary will be on a pro rata basis for part time workers.
Disability Confidence: All applicants who have declared a disability and who meet the essential criteria for the post will be shortlisted.
At Risk of redundancy: NHS employees within the East Midlands who are 'at risk' of redundancy will be given a preferential interview where they meet the essential criteria of the person specification.
International Recruitment: If you are applying for a role with us from outside of the UK then please read the guidance on applying for a health or social care job in the UK from abroad.
ID and Right to work checks: NUH authenticate ID and right to work documentation including passports and driving licenses through a system called Trust ID. NUH will scan your ID and right to work documentation in to the Trust ID system at your face to face ID appointment. The system will run a check against the key security features within your documentation. The system will provide us with an outcome of your check which will be stored securely on your personal file along with all other pre-employment check documentation.
Consent:
- Transfer of information: If I have previous NHS service - I consent to the transfer of my Electronic Staff Record (ESR) data between this and other NHS Trusts. I also consent to the Occupational Health Department confidentially accessing my occupational health records from my current or previous employer in order to check the status of my vaccinations, immunisations s and screening tests as relevant to the post. I understand this is an automated process and the information will only be used for these purposes prior to me taking up the position at NUH.
- Disclosure and Barring Service: Your post maybe subject to a DBS check which incur a cost dependent on the level of check required (£42.90 for enhanced and £22.90 for standard). I agree to reimburse Nottingham University Hospitals NHS Trust the cost of a Disclosure and Barring Service (DBS) check if it is required (by deduction from first month's pay). Should I decide to withdraw from my job offer, I agree to reimburse Nottingham University Hospitals NHS Trust the cost of the DBS check undertaken by cheque or other agreed method.
- For more information about our organisation and the career opportunities available, please visit our website and/or follow us on Instagram, Twitter and Facebook
Employer certification / accreditation badges
Applicant requirements
You must have appropriate UK professional registration.
This post is subject to the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (Amendment) (England and Wales) Order 2020 and it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service.
Documents to download
- Senior Clinical fellow JD (PDF, 784.3KB)
- Senior Clinical fellow PS (PDF, 304.6KB)
- Mindful Employer (PDF, 242.5KB)
- Equality and Diversity (PDF, 122.3KB)
- Equal Opportunities (PDF, 57.4KB)
- Disability Confidence Scheme (PDF, 51.0KB)
- Rehabilitation of Ex Offenders (PDF, 106.0KB)