Senior clinical Fellow UHL ICU
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Lewisham and Greenwich NHS Trust, (LGT), is a community-focused provider of local and acute care, delivering high-quality services to over one million people living across the London boroughs of Lewisham, Greenwich, and Bexley. We provide whole-life care and are here to support our communities to live healthier lives as well as taking care of them when they need us the most.
Employing almost 7,500 colleagues, affectionately known as Team LGT, we provide services at Queen Elizabeth Hospital in Woolwich, University Hospital Lewisham, and at over a dozen community settings in Lewisham. We also provide some services at Queen Mary's Hospital in Sidcup.
We have recently launched our new vision and values to mark the LGT10 - the tenth anniversary of our Trust forming in 2013. Our trust vision is to be exceptional. In the quality of our patient care; our support for colleagues; and in the difference we make through our partnerships and in our communities.
To achieve this we value Respect, Compassion, and Inclusion; Being accountable over staying comfortable; Listening over always knowing best; and Succeeding together over achieving alone. You can read more about our visions and values here
Our hospitals and community sites provide a wide range of inpatient and outpatient services, as well as emergency and planned care. The Trust is rated as "good" or "outstanding" in over three-quarters of the services inspected by the Care Quality Commission.
Every year our work includes performing 10,000 procedures in our theatres; bringing seven and a half thousand new lives into the world; carrying out 570,000 visits to patients in their homes or communities and providing emergency care for more than 300,000 patients arriving in our busy Urgent and Emergency Departments.
LGT is a centre for the education and training of medical students enrolled with King's College London's GKT School of Medical Education. We are a training centre for nurses, midwives and allied health professionals. We are pioneering new roles that will support the changing needs of our patients and are one of the largest employers of physician associates in the country.
We are committed to working with our partners to deliver the best outcomes for our local communities. This means playing an active role in the South East London Integrated Care System (ICS), and in formal partnerships including the South East London Acute Provider Collaborative, provider partnerships with our local mental health trusts and borough-based boards of the ICS in Bexley, Greenwich and Lewisham.
Job overview
We are looking for 1 Senior Clinical fellow at University Hospital Lewisham, Lewisham, ICU. The post is full-time and is entirely within the Critical Care Unit for the contract duration. Rota pending, applicants who perform satisfactorily may be given a further period of 6 months within Critical Care or Anaesthesia.
The successful applicant will work in a EWTD compliant, 1:6 rota with prospective cover of annual and study leave. There are at least 2 juniors on both LDs and Nights.
The critical care unit is a new 18-bed unit on the third floor of a new 6 storey PFI development that was completed in 2006. The unit consists of single cubicle bed spaces and is equipped with modern monitoring and diagnostic equipment and with IT access at each bed space. The unit admits 800 patients per year - 40% of whom receive level 3 care and 60% are from Medical specialties.
The unit subscribes to ICNARC which provides a comparative audit service to more than 90% of units in England, outcome data is consistently better than that predicted by patients' illness severity.
Main duties of the job
Assess each patient every day on the ward round and plan patient care under the supervision of the Critical Care Consultant.
Participate with the other members of the team in the ongoing medical care of all the patients on the unit.
Attend and present patients every morning at the handover round and again each evening at the handover round to the Critical Care Resident on night shift
Document and execute a clinical management plan with the Critical Care Consultant on the unit during the day or on call at night regarding the care of all patients on the unit
Working for our organisation
Our people are our greatest asset. When we feel supported and happy at work, this positivity reaches those very people we are here for, the patients. Engaged employees perform at their best and our Equality, Diversity & Inclusion (EDI) initiatives contribute to cultivate a culture of engagement. We have four staff networks, a corporate EDI Team and a suite of programmes and events which aim to insert the 5 aspirations:
- Improving representation at senior levels of staff with disabilities, from black, Asian, and ethnic minorities background, identify as LGBTQ+ and women, through improved recruitment and leadership development
- Widening access (anchor institution) and employability
- Improving the experience of staff with disability
- Improving the EDI literacy and confidence of trust staff through training and development
- Making equalities mainstream
Detailed job description and main responsibilities
Communicate effectively with the Critical Care Consultant regarding all new referrals for admission.
Work effectively with trainees from other specialties (most commonly Anaesthetics) to provide safe out of hours care to critically ill patients
Follow all Trust and Critical Care Unit policies at all times, including policies for the clinical management of patients, Infection Control policy and reporting of accidents and incidents according to the Trust's Clinical Risk Management policy.
Participate in the ongoing Clinical Audit program on the unit as well as any clinical research projects that are in progress.
Participate in the teaching and education program for all trainees on the unit
Person specification
Qualifications
Essential criteria
- Medical Degree
- Full Registration with GMC with license to practice
Competencies
Essential criteria
- ALS provider (Advanced Life Support)
Desirable criteria
- Airway management skills
- Competency in vascular access, including central venous catheter insertion
Experience
Essential criteria
- Foundation Year 2 competencies or equivalent
Desirable criteria
- At least one year post foundation year experience in Medicine, Emergency Medicine or Anaesthesia
- Experience in Intensive Care Medicine
- Experience in Anaesthesia
- Evidence of participation in research and/or clinical audit projects
General skills
Essential criteria
- Good communication skills in verbal and written English
- Basic IT (information technology skills) and familiar with software applications such as Word, Excel and PowerPoint
- Good interpersonal skills
- Working with colleagues as part of a multi-disciplinary team
Personal qualities
Essential criteria
- Able to work under pressure
- Aware of own limitations and when to ask for help
- Ability to prioritise tasks and show effective time management
- Enthusiastic learner with good time keeping, reliable
- Physical Requirements
Physical Requirements
Essential criteria
- Physically/Mentally fit to pass occupational health assessment.
- New work permit rules apply to this post
Administration
Essential criteria
- Familiar with current structure of health service and knowledgeable about recent initiatives and changes
Desirable criteria
- Some understanding of clinical risk management
Audit
Essential criteria
- Through understanding of principles of medical audit
Desirable criteria
- Evidence of participation in audit project
We reserve the right to close the post before the stated closing date, please apply early. We do not contact applicants with the outcome of the shortlisting. If you have been shortlisted, you will receive an invite to an assessment day or interview.
As a local employer and anchor institution we work closely with our community to recruit locally and we welcome applications from the widest variety of people to ensure our workforce are reflective of the local communities which we serve. We encourage all suitable candidates to apply including if you are Black, Asian or other ethnic minorities, live with a disability (visible or not) or are LGBT+. We have a number of active staff networks including Disability, LGBT+, Multicultural Inclusion and Women's staff networks to bring staff together and celebrate diversity across our whole workforce.
Please note, not all roles will meet the criteria for a skilled worker visa.
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
- Candidate information pack (PDF, 454.9KB)
- Working at LGT (PDF, 4.2MB)