Senior Registrar in Anaesthetics & Critical Care

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Our cultural ambition is to have a culture that places people at the heart of all we do, where we all belong, and where learning, improvement and excellence thrive.

Job overview

Preferred Start Date 05-Feb-2025 (negotiable)

We invite candidates to apply for the position of Senior Registrar in Critical Care, with an interest in Anaesthesia and Perioperative Medicine. This is a 6-month post (potentially extendable to 12-months), based at Basingstoke & North Hampshire Hospital (BNHH) working within Anaesthetic and Critical Care Service supporting one of the largest Peritoneal Malignancy units in the world.

This is an excellent opportunity to be embedded in a large tertiary surgical service and to further skills in the perioperative care of major surgical patients. The successful applicant would be expected to deliver full on call pattern within Critical Care and then an even split between Anaesthetics and Critical Care for the remainder of the shifts. Anaesthetic shifts will exclusively be in either Peritoneal Malignancy or Hepatobiliary theatres. Applicants can expect to gain experience in managing these patients at all points in the perioperative journey. From a practical procedures point of view the vast majority of these patients receive thoracic epidurals, and full invasive monitoring including subclavian CVC lines.

There are also opportunities to learn and develop ultrasound skills alongside experienced trainers in FUSIC Heart, and Lung modules.

Main duties of the job

A formal job plan will be agreed between the appointee and the clinical supervisor. The clinical duties will include those normally expected of a Clinical Fellow in a Critical Care unit of any general hospital in the United Kingdom. Resident on-call availability is required, which is supported by a dedicated consultant support from home. The working pattern is compliant with the European Working Time Directive. Total direct clinical care hours averaged over 6 weeks will not exceed 48 hours per week. Prospective cover for colleagues' annual leave is required. There is potential for working more or less than this to suit individual circumstances.

In daytime hours the role will be split between theatres and Critical Care.

Working for our organisation

Our vision is to provide outstanding care for every patient. Patient care is at the heart of what we do at our three sites: Basingstoke and North Hampshire Hospital, Royal Hampshire County Hospital in Winchester and Andover War Memorial Hospital. Hampshire Hospitals NHS Foundation Trust provides medical and surgical services to a population of approximately 600,000 people across Hampshire and parts of West Berkshire.

Our cultural ambition is to have a culture that places people at the heart of all we do, where we all belong, and where learning, improvement and excellence thrive.

We provide specialist services to people across the UK and internationally. We are one of only two centres in the UK treating pseudomyxoma peritonei (a rare form of abdominal cancer) and we are leaders in the field of tertiary liver cancer and colorectal cancer.

The trust employs more than 9,000 staff and has a turnover of over £500 million a year. As a Foundation Trust, we are directly accountable to our members through the governors. The Council of Governors represent the interests of their constituencies and influence the future plans of the Foundation Trust.

Tackling Climate Change: Hampshire Hospitals aims to embed sustainability and net zero carbon principles into the delivery of care across all its services. To find out more, search HHFT Climate Action or contactclimateaction@hhft.nhs.uk.

Detailed job description and main responsibilities

The successful applicant will be expected to:
• Provide daily assessment and management of ICU/HDU patients as directed by the senior clinical team.
• Performing invasive procedures, including arterial lines, central venous catheters, chest drains and lumbar punctures, all under supervision until competent.
• Attending cardiac arrest, emergency & trauma calls.
• Reviewing critical care referrals from the emergency department, theatres and wards, and liaising with admitting team.
• Learning, developing and applying ultrasound skills in critical care.

BNHH has 18 critical care beds and receives over 1,000 critical care admissions each year. We routinely manage complex surgical patients, as the hospital is a tertiary referral centre for peritoneal malignancy surgery and resectional hepatobiliary work. We also manage complex cardiology patients, as the hospital is the Trust hub for cardiology, with a 24/7 PPCI service.

The Trust is keen to attract the highest calibre of trainee doctors. It realises that to maintain that aim for the future the quality of teaching and training must be of the highest order. Consultant staff are responsible for the training and supervision of all junior medical staff and time is expected to be regularly allocated to their teaching.

Person specification

Professional Qualifications

Essential criteria

• Licence to practice & full registration with GMC
• Life support course successfully completed (e.g. ALS/ILS/PALS/ATLS)
• MB ChB or equivalent
• Previous training in Critical Care and Anaesthesia equivalent to completion of Core Training in Anaesthesia.

Desirable criteria

• Post graduate exam success (e.g. MRCP, FRCA, FFICM)
• Life support course instructor

Clinical Experience & Knowledge

Essential criteria

• Significant experience of clinical working since medical qualification (including foundation years)
• Able to lead teams in a resuscitation environment
• Interest in post of care ultrasound
• Worked in the UK's NHS
• Independent practice of rapid sequence intubation

Desirable criteria

• Experience of bronchoscopy
• Experience of point of care ultrasound
• Previous Research Experience

Other Specific Requirements

Essential criteria

• Excellent communication skills
• Ability to establish good professional relations with others
• Physically and mentally fit with satisfactory occupational health clearance
• Able to work evenings, nights and weekends

Desirable criteria

• Teaching skills

Our commitment to you:

We are committed to equality and diversity in both the provision of our services and how we recruit and manage our staff. Applications are encouraged from everyone with the necessary attributes for the job, irrespective of age, disability, gender reassignment, race, religion or belief, sex, sexual orientation, marriage or civil partnership, pregnancy and maternity.

Happy to Talk Flexible Working - all requests for flexible and part time working will be considered.

The paperwork:

• HHFT is committed to putting the safety and care of our patients first - as well as helping us to protect you and your colleagues. Therefore, we would recommend that you are vaccinated against COVID-19 and that you understand that we are treating COVID-19 positive patients within our services.
• Shortlisted candidates will be contacted at least 5 working days before the scheduled interview date. Applications will be submitted directly into our preferred third party recruitment system (Trac). All subsequent information regarding your application will be generated from apps.trac.jobs via email - please ensure to check your junk/spam folders.
• All new staff will be subject to a probationary period covering their first six months in post.
• In compliance with Part 7 of the Immigration Act 2016, all applicants must be able to communicate fluently in English to an appropriate standard which will be assessed as part of the selection process.
• This vacancy may close before the current listed closing date. If you intend to apply you are advised not to delay submitting your completed application.

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

• Job Description (PDF, 718.8KB)
• HHFT Employee Rewards & Benefits (PDF, 723.8KB)
• Tackling Climate Change at Hampshire Hospitals (PDF, 4.9MB)