Job Description

Department of Critical Care

Junior Clinical Fellows in Adult Critical Care (Full time appointments)

Cardiothoracic ICU, General ICU and Neuro ICU

April 2019

Job Titles: Junior Clinical Fellow in Critical Care

Band: 1A (50%)

Hours of Work (p/w): 47

Service Centre/Directorate: Critical Care

Base: St George’s Hospital.

Accountable to: Dr Rafik Bedair

Reports to: Dr Dominic Spray, Dr Jonathan Ball, Dr Ashleigh Sherrington

Responsible for: N/A

Key working relationships: Critical care colleagues, surgical and medical referring teams and
anaesthesia colleagues; the emergency department.

Role of the Department: Provision of critical care services to patients on the general intensive
care unit, the cardiothoracic intensive care unit and the neuro intensive care unit.

Job Summary: St George’s Hospital is the primary teaching hospital in south-west London and
provides all of the tertiary specialities. Clinical fellows are required to work as part of the critical
care medical and multidisciplinary team. Candidates will be given the opportunity to rotate
between the Cardiothoracic ICU, Neuro ICU and the General ICU. The highest scoring
candidates at interview will be offered their first choice of unit. The duration of the posts is 6
months with the possibility of extension. We can accommodate experienced trainees / CFs
looking to broaden their experience (including subspecialty specific) and novice trainees / CFs
with no prior ICM experience. Duties and responsibilities will be commensurate with the individual
candidate’s experience, but are overseen by consultant intensivists at all times. The experience
gained will be beneficial to trainees wishing to pursue a wide variety of career aims.
Successful candidates often extend their stay beyond 6 months to gain further experience within
the directorate.
The rotas on each unit vary, but all attract a 1A banding (50%). Samples rotas template can be
found below.
Interested candidates may contact the clinical fellow coordinators via email: Cardiothoracic ICU -
Dr Gabor Zilahi (Gabor.Zilahi@stgeorges.nhs.uk); Neuro ICU – Dr Michael Puntis
(Michael.Puntis@stgeorges.nhs.uk); General ICU – Dr Vanessa Elliott
(Vanessa.Elliott@stgeorges.nhs.uk) via email.

Trust Vision & Values:

The post holder is expected to have a clear understanding of how this post contributes to the
achievement of the trust vision of:

St George’s Healthcare NHS Trust is the regional specialist care provider for south west London,
Surrey and beyond. The trust provides a high quality, comprehensive range of health services
from leading edge tertiary and trauma care to community services.
With national and regional referrals added to our local 3.5m catchment, we serve a population of
around 5m.

Co-located with St George’s, University of London and with both organisations now in a formal
strategic alliance with King’s Health Partners, the trust delivers with its partners high quality
research and education both of which contribute to the healthcare provision of tomorrow.
Acute and tertiary health services are delivered from over 1,000 beds across two sites, by around
8,000 staff.

St George's Hospital is a major acute hospital that offers very specialist care for complex injuries
and illnesses, including trauma, neurology, cardiac care, renal transplantation, cancer care and
stroke. It has a helipad which opened in spring 2014 and the work of its emergency department
can currently be seen on Channel 4’s ‘24 Hours in A&E’ programme. The hospital also provides
all the usual care you would expect from a local NHS district general hospital.
We also provide services at Queen Mary’s Hospital in Roehampton. These include outpatient
rapid diagnostic and treatment facilities, a minor injuries unit, limb fitting services and 70 elderly,
intermediate care and rehabilitation beds.

As well as hospital services, we provide a wide variety of specialist, maternity and community
services to children, adults, older people and people with learning disabilities. These services are
provided from St John’s Therapy Centre, 11 health centres and clinics, schools, nursing homes
and people’s own homes. The trust also manages the healthcare service at HMP Wandsworth

Background

General Intensive Care

GICU is an 18 + 3 bed facility admitting over 1500 adult general medical, surgical and trauma
patients per year. We have full respiratory, cardiovascular and renal support. The post holder will
assist with the management of patients with severe polytrauma, post-operative high risk surgical
cases and patients with severe medical conditions requiring organ support. The General ICU
team is usually the first point of contact for patients that may intensive care admission on wards or
in the emergency department. Under the supervision of more senior colleagues, the successful
candidate will be able to develop the necessary skills to see patients referrals and evaluate
where, how and when to admit a deteriorating patient and how to stabilise and manage the
patient in ICU. There is continuous support from a Consultant available 24/7. General ICU is a
busy unit with plenty of research and educational activities. Members of our team hold, or have
held, senior positions in international and national Societies and successful candidates will be
given the opportunity to participate in many educational and research activities.
Consultant GICU staff:
Dr Jon Aron
Dr Jonathan Ball
Dr Rafik Bedair
Dr Vanessa Elliott
Dr Mark Hamilton
Dr Susannah Leaver
Dr Orsolya Miskolci
Professor Andy Rhodes
Dr Nirav Shah

Cardiothoracic Intensive Care:

CTICU is a 21 bed unit which accepts around 1500 admissions per year and provides care to a
diverse group of patients.

Successful candidates will assist with management of these patients including generic intensive
care support, advanced respiratory support, advanced cardiovascular monitoring (including
pulmonary artery floatation catheters), intra-aortic balloon counter-pulsation, trans-thoracic and
trans-oesophageal echocardiography and renal replacement therapy. The fellow will always be
working under the supervision of a cardiothoracic intensive care consultant. Other members of
the CTICU medical team include anaesthetic specialist trainees, respiratory physicians and
clinical fellows. During quiet periods on the unit, there is the possibility to attend theatres to gain
exposure to cardiothoracic surgery/anaesthesia and transoesophageal echocardiography. Senior
ICM trainees have the opportunity to spend some of their day shifts pursuing their own specialist
interests (eg broadening theatre experience, research, teaching etc).

Consultant Cardiothoracic Staff:

Dr M Ahmed
Dr N Al-Subaie
Dr A Crerar-Gilbert
Dr A Dewhurst
Dr M Edsell
Dr N Fletcher
Professor Madden
Dr P Quinton
Dr F Schroeder
Dr D Spray
Dr G Zilahi

Neuro Intensive Care

NICU is a 12 +3 bed unit. Successful candidates will assist with the management of patients with
severe traumatic brain injury, spinal cord injury, subarachnoid haemorrhage, elective and
emergency post-operative neurosurgical cases and patients with neurological disease requiring
advanced organ monitoring and support. There may be opportunities to observe neurosurgery or
neuroradiology theatres lists or undertake neuroscience related research projects.

Consultant Neuro ICU Staff:

Dr J Ball
Dr N Burgess
Dr V Elliott
Dr A Garner
Dr A Hitchings
Dr D Mathew
Dr J Porter
Dr M Puntis
Dr A Sherrington
Dr A Zoumprouli

Non-clinical activities

The St George’s intensive care units conduct a comprehensive teaching programme for trainee
staff, both generic and specialty specific. In addition, dependent on workload, there may by
opportunities to attend the multiple other teaching opportunities provided by a large teaching
hospital/tertiary referral centre. Clinical Fellows are expected to actively participate in research
and audit as well as attend multi-disciplinary and clinical governance meetings. Participation in
specific research projects will be encouraged and facilitated. Successful applicants will be
expected to present at departmental and national meetings.

The following responsibilities are common to all posts in the Trust:

 The post holder will be required to participate in clinical governance activities within the
service centre.

 The post holder will be expected to observe the trust’s agreed policies and procedures
drawn up with the profession on clinical matters, and to follow the standing orders and
financial instructions of St Georges Hospital.

 To have responsibility for the Health, Safety and Welfare of self and others and to comply
at all times with the requirement of the Health and Safety Regulations.

 To ensure confidentiality at all times, only releasing confidential information obtained

during the course of employment to those acting in an official capacity in accordance with
the provisions of the Data Protection Act and its amendments.

 To work in accordance with the Trust’s Equal Opportunities policy to eliminate unlawful
discrimination in relation to employment and service delivery.

 To comply with St. George’s Hospital No Smoking Policies.

 To undertake such duties as may be required from time to time as are consistent with the
responsibilities of the grade and the needs of the service.

 To promote at all times equal opportunities for staff and patients in accordance with St
George’s Healthcare policies to ensure that no person receives less favourable treatment
than another on the grounds of: age; disability; marriage and civil partnership; pregnancy
and maternity; race (ethnicity); religion or belief; sex (gender); gender reassignment or
sexual orientation.

 To ensure skills are up-to-date and relevant to the role, to follow relevant Trust policies
and professional codes and to maintain registration where this is a requirement of the role.
This job description is not an exhaustive document but is a reflection of the current
position. Details and emphasis may change in line with service needs after consultation
with the post holder.

St George’s Healthcare NHS Trust is an Equal Opportunities employer and operates a No

Smoking Policy.
Person Specification

Job Title: Junior Clinical Fellow in Critical Care

Band: 1A

Factor Essential Desirable Method of

Assessment
Qualifications and Medical Degree (2) MRCP/FRCA/MRCS/MRCEM A
Training Full GMC registration (2) (2)

Experience Ability to take responsibility Experience in intensive care, A, I

for assessment and clinical anaesthesia, medicine or
care of patients (2) surgery (2)
Completion of Foundation Experience of NHS or similar
Training or equivalent. (2) healthcare system (2)

Skills Ability to communicate Completed QIP or audit in A, I

effectively in all situations intensive care. (2)
(2)
Skills appropriate for a Critical Care course. (2)
junior doctor in intensive
care (2)
Evidence of activity in audit
or quality improvement (2)
ALS or CALS qualification
within 4 yrs. (2)

Knowledge Knowledge appropriate to Postgraduate medical A, I

the role of junior doctor on qualification. (2)
intensive care (2)

Other Ability to manage priorities Clear career aim (2) A, I

and work within a team (2)
Excellent written and oral
communication skills (2)
Previous publications (2)
Demonstrable interest in
research (2)
Demonstrable interest in medical
education. (2)
Management course (2)

Key:
I = Interview
A = Application Form
NICU Junior Rota Template:

Working arrangement
Week Mon Tue Wed Thu Fri Sat Sun

1 20:00 - 24:00 00:00 - 9:00, 00:00 - 9:00, 00:00 - 9:00, 00:00 - 9:00
20:00 - 24:00 20:00 - 24:00 20:00 - 24:00
2 20:00 - 24:00 00:00 - 9:00, 00:00 - 9:00,
20:00 - 24:00 20:00 - 24:00
3 00:00 - 9:00 8:00 - 21:00 8:00 - 21:00

4 8:00 - 18:00 8:00 - 18:00 8:00 - 18:00 8:00 - 18:00 8:00 - 18:00 8:00 - 13:00

5 8:00 - 21:00 8:00 - 21:00 8:00 - 21:00

6 8:00 - 21:00 8:00 - 21:00

7 8:00 - 18:00 8:00 - 18:00 8:00 - 18:00 8:00 - 18:00 8:00 - 18:00

8 8:00 - 18:00 8:00 - 18:00 8:00 - 18:00 8:00 - 18:00 8:00 - 18:00

Duty details
Duty Nam e Type Start Finish Days Duratio
n

A NWD Shift 8:00 18:00 1 10:00

B Long Day Shift 8:00 21:00 1 13:00

C Nights Shift 20:00 9:00 2 13:00

D D Shift 8:00 13:00 1 5:00

GICU/CTICU Junior Rota Template:

Working arrangement
Week Mon Tue Wed Thu Fri Sat Sun

1 20:00 - 24:00 00:00 - 9:00, 00:00 - 9:00, 00:00 - 9:00

20:00 - 24:00 20:00 - 24:00
2 8:00 - 18:00 8:00 - 18:00 8:00 - 18:00 8:00 - 18:00 8:00 - 18:00

3 8:00 - 18:00 8:00 - 18:00 8:00 - 18:00 8:00 - 18:00 8:00 - 18:00

4 8:00 - 21:00 8:00 - 21:00 8:00 - 21:00 8:00 - 18:00 8:00 - 18:00

5 20:00 - 24:00 00:00 - 9:00, 00:00 - 9:00, 20:00 00:00 - 9:00,

20:00 - 24:00 - 24:00 20:00 - 24:00
6 00:00 - 9:00 8:00 - 21:00 8:00 - 21:00 8:00 - 21:00 8:00 - 21:00

7 8:00 - 18:00 8:00 - 18:00

8 20:00 - 24:00 00:00 - 9:00, 00:00 - 9:00, 00:00 - 9:00

20:00 - 24:00 20:00 - 24:00
9 8:00 - 18:00 8:00 - 18:00 8:00 - 18:00 8:00 - 18:00 8:00 - 18:00

10 8:00 - 21:00 8:00 - 21:00 8:00 - 21:00 8:00 - 18:00 8:00 - 18:00

11 20:00 - 24:00 00:00 - 9:00, 00:00 - 9:00, 20:00 00:00 - 9:00,

20:00 - 24:00 - 24:00 20:00 - 24:00
12 00:00 - 9:00 8:00 - 21:00 8:00 - 21:00 8:00 - 21:00 8:00 - 21:00

13 8:00 - 18:00 8:00 - 18:00

Duty details

Duty Nam e Type Start Finish Days Duration

A NWD Shift 8:00 18:00 1 10:00
B Long Day Shift 8:00 21:00 1 13:00
C Night Shift 20:00 9:00 2 13:00