IMPERIAL COLLEGE HEALTHCARE NHS TRUST

AND
ROYAL BROMPTON AND HAREFIELD NHS TRUST

PAEDIATRIC CRITICAL CARE 2 YEAR FELLOWSHIP

THE POST – CLINICAL FELLOW IN PAEDIATRIC INTENSIVE CARE

MEDICINE, CLINICAL FELLOW IN PAEDIATRIC CARDIAC INTENSIVE
CARE MEDICINE, AND CLINICAL FELLOW IN PAEDIATRIC CRITICAL
CARE RETRIEVAL.
The Clinical Fellowship in Paediatric Intensive Care Medicine and paediatric cardiac intensive care
medicine provides training in all aspects of Paediatric Intensive Care Medicine. The PICU at St.
Mary’s Hospital, and the CICU at the Royal Brompton Hospital have both been recently recognised
for training for Year 1 of the two-year Grid training programme in Paediatric Intensive Care Medicine
in the UK. The doctor in training would be expected to spend 12 months at St Mary’s (6 months at
ST1-3 level, and 6 months at ST4+ level) followed by 6 months at Royal Brompton and 6 months at
Children’s Acute Transport Service.

The PICU at St. Mary's has established itself as a major referral centre for children with life
threatening medical illnesses. The Department of Paediatrics is developing, as its major clinical and
research area, the field of Infectious Diseases. The unit has been designated the Regional Referral
Centre for HIV infected children and is also a referral centre for infectious diseases including those
requiring intensive care. The haematology service is a specialist bone marrow transplantation service
for children with inherited anaemias. The unit cares for paediatric general surgical patients, provides
renal replacement therapy and plasma exchange for children with autoimmune encephalitis.

A collaboration between St. Mary’s PICU and GOSH (Great Ormond Street Hospital) PICU has
developed into the independent retrieval service of PICU patients to the North Thames PICUs; this is
CATS, the Children’s Acute Transport Service and is based near GOS. CATS staffing includes SMH
PICU consultants and ten Fellows – three of these rotate from SMH - and provides training in all
aspects of retrieval medicine. Children are generally retrieved to the three PICUs in the North
Thames region, at St. Mary’s Hospital, Great Ormond Street Hospital and the Royal Brompton
Hospital.

The PICU at the Royal Brompton Hospital is a specialist cardio-respiratory intensive care unit, with a
focus on caring for children who have undergone cardiothoracic surgery for congenital heart disease,
as well as medical care for children with acquired heart disease and cardiac arrythmias. The service
includes the provision of ECMO for cardiac patients as well as the provision of specialist PICU for
paediatric respiratory patients.

IMPERIAL COLLEGE HEALTHCARE NHS TRUST

Imperial College Healthcare NHS Trust was created on October 1, 2007 by merging St. Mary’s NHS
Trust and Hammersmith Hospitals NHS Trust and integrating with the faculty of medicine of Imperial
College London. Now the largest NHS trust in the country, we have come together to establish the
UK’s first academic health science centre (AHSC). The Trust has an annual turnover of over £780
million, approximately 10,000 staff, and it sees over 500,000 patients a year.

The creation of the AHSC, a partnership between the NHS and Imperial College London, is a major
advance for patient care, clinical teaching and scientific invention and innovation. The fusion of the
different strands of our work and the achievements that can now be realised will lead to significant
benefits for patients and greater advances in healthcare than could be delivered apart.

Imperial College Healthcare NHS Trust already has a world-leading reputation. Hammersmith and St
Mary’s hospitals have two of the highest clinical ratings in the country, rated second and third best
Trusts for clinical performance, quality of care and safety.

The Trust was awarded the status of a generic Biomedical Research Centre by the National Institute
of Health Research (NIHR) in 2006 for its excellence in translational and clinical research – one of
only 5 in the UK.

Imperial College London has a campus on all main sites and is increasingly integrated with all the
clinical specialties. The Clinical Sciences Centre of the Medical Research Council (MRC) is also
based at Hammersmith Hospital providing a strong foundation for clinical and scientific research.

THE AHSC VISION AND MISSION

The vision for our academic health science centre (AHSC) is that the quality of life of our patients and
local populations will be vastly improved by taking the discoveries that we make and translating them
into medical advances - new therapies and techniques - and by promoting their application in the NHS
and around the world, in as fast a timeframe as is possible.

Our mission is to make our AHSC one of the top five AHSCs in the world within the next ten years,
channeling excellence in research to provide world-class healthcare for patients.

Achieving this challenging mission will significantly improve the quality of healthcare for the local
community, London and the UK as a whole, and enhance the UK's position as a global leader in
biomedical research and healthcare.
Lord Christopher Tugendhat is the chair of the organisation and Mark Davies is the Chief Executive.

Chairman Lord Christopher Tugendhat

CEO
Medical Director
Chief Financial Officer
Director of Nursing
Director of Research
Director of Education
Mark Davies
Professor Nick Cheshire
Bill Shields
Professor Janice Sigswoth
Professor Jonathan Weber
Professor Charles Pusey

We need all our staff to work together to fulfil the promise of the AHSC, and all staff need to be
inspired to share in making discoveries and finding new ways of treating patients. We are tearing
down institutional barriers to enable this to happen, and devising new ways of working between
doctors, scientists, nurses, administrators and managers.

The clinical services of the Trust are organised into 4 Divisions which are clinician led and have the
autonomy to organise themselves into optimum vehicles for the delivery of world class, integrated
research and healthcare.

Divisions
Investigative Sciences and Clinical Support
Medicine
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 Surgery, Cancer and Cardiovascular
Women’s and Children’s

Each Division has a Director of Research (usually a Head of Division) and a Director of Education,
who will work with the Division Director to ensure that opportunities for translational research and
postgraduate education for all staff are maximised.

IMPERIAL COLLEGE LONDON

Imperial College London is a science-based institution with a reputation for excellence in teaching and
research. Sir Keith O’Nions joined as the Rector of Imperial College on the 1st January 2010 and the
Chairman of the Court and Council is Lord Kerr of Kinlochard.

The Mission

Imperial College embodies and delivers world class scholarship, education and research in science,
engineering and medicine, with particular regard to their application in industry, commerce and
healthcare. We foster interdisciplinary working internally and collaborate widely externally.

Strategic Intent

 To remain amongst the top tier of scientific, engineering and medical research and teaching
institutions in the world
 To develop our range of academic activities to meet the changing needs of society, industry
and healthcare
 To continue to attract and develop the most able students and staff worldwide
 To establish our Business School as one of the leading such institutions in the world
 To communicate widely the significance of science in general, and the purpose and ultimate
benefits of our activities in particular.

Formation and History

Imperial College was established in 1907 in London’s scientific and cultural heartland in South
Kensington, as a merger of the Royal College of Science, the City and Guilds College and the Royal
School of Mines. St Mary’s Hospital Medical School and the National Heart and Lung Institute
merged with the College in 1988 and 1995 respectively and Charing Cross and Westminster Medical
School and the Royal Postgraduate Medical School merged on 1 August 1997, thereby creating the
Faculty of Medicine. The Kennedy Institute of Rheumatology became a Division of the Faculty of
Medicine in 2000. In addition to the Faculty of Medicine there are the Faculties of Engineering,
Natural Sciences, and Medicine and the Tanaka Business School.

In July 2007 the Queen granted a new royal charter which declared Imperial College an independent
university in its own right, awarding its own degrees. Until then Imperial was an independent
constituent part of the University of London, awarding University of London degrees.

Staff and Students

The academic and research staff of 3,184 includes 66 Fellows of the Royal Society, 74 Fellows
of the Royal Academy of Engineering, 76 Fellows of the Academy of Medical Sciences, one
Fellow of the British Academy, four Crafoord Prize winners and two Fields Medalists. Fourteen
Nobel Laureates have been members of the College either as staff or students.

The College has over 13,019 students, of whom 34 percent are postgraduate. Twenty nine percent of
students come from outside the European Union. External assessment of the College’s teaching
quality in many different subject areas has been judged to be of high standard. The proportion of
women students has increased to 36 percent of the total.

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Research

The quality of the College’s research has been judged consistently to be of the highest international
standard and the proportion of income from research grants and contracts is one of the highest of any
UK university.

The concentration of research in science, engineering and medicine gives the College a unique and
internationally distinctive research presence. Interdisciplinary working is fostered at the College
through its institutes and centres, which include the Institute of Biomedical Engineering, the Grantham
Institute for Climate Change and the Energy Futures lab. Their strength lies in the expertise drawn
together from across Imperial to tackle some of the world’s greatest problems.

Imperial’s enterprise culture ensures that discoveries in the lab are quickly translated to the market
place. The technology transfer company Imperial Innovations draws upon a pipeline of technology
emanating from Imperial’s research. In 2006-07 the company had equity holdings in 74 companies.
The College made 366 invention disclosures to the company during the same period.

Teaching and Learning

The College’s overall educational aim is to ensure a stretching and exhilarating learning experience.
While maintaining its traditional emphasis on single honours degree courses, Imperial also aims to
give students the opportunity to broaden their experience through courses relevant to student and
employer needs.

All Departments visited by the Higher Education Funding Council for England (HEFCE) for
assessment of their teaching have scored between 21 and 24 points (out of 24) or in the previous
system, have been judged excellent

The Graduate School of Life Sciences and Medicine is the focus of postgraduate education and
research in these areas. It maintains, enhances and monitors quality, and disseminates best practice,
whilst initiating and developing new programmes, particularly those with an interdisciplinary slant.

Location

The College now has one of the largest operational estates of any UK University. It includes seven
central London campuses: the main South Kensington Campus, Charing Cross Campus, Chelsea
and Westminster Campus, the Hammersmith Campus, the Northwick Park Campus, the Royal
Brompton Campus and St Mary’s campus; there are also two campuses outside London: the Silwood
Park and Wye Campuses.

THE FACULTY OF MEDICINE

The Faculty of Medicine is one of Europe’s largest medical institutions – in terms of its staff and
student population and its research income. It was established in 1997, bringing together all the major
West London medical schools into one world-class institution. It maintains close links with a number
of NHS Trusts with whom it collaborates in teaching and research activities.

Although on several sites, its academic divisions function as one Faculty, fully integrated within the
College.

There are six academic Schools, Institutes and Departments:

Schools, Institutes and Departments Head of School/Institute/Department

Department of Medicine Professor Gavin Screaton

Department of Surgery and Cancer Professor Jeremy Nicholson
Institute for Clinical Sciences Professor Amanda Fisher
Kennedy Institute of Rheumatology Professor Marc Feldmann

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National Heart and Lung Institute Professor Michael Schneider
School of Public Health Professor Elio Riboli

Faculty Centre

Principal Professor Sir Anthony Newman Taylor

Deputy Principal & Director of Education Professor Jenny Higham
Deputy Principal of Research Professor Jonathan Weber
Director of the Graduate School of Life Sciences & Medicine Professor Andrew George
and the School of Professional Development

In addition to the structure above, the research activity of the Faculty is divided into strategic
Research Themes that aim to provide a forum in which collaboration between the many academic
staff of the Faculty can be developed and nurtured, and external links across the College and the
wider research community can be established.

ROYAL BROMPTON AND HAREFIELD NHS TRUST

A SYSTEM OF CARE

Royal Brompton & Harefield NHS Foundation Trust is an internationally renowned centre for heart
and lung services. Our brand identity is strong and clear: delivering the best clinical care and the best
research for patients with heart and lung disease.

Heart and Lung diseases are the world’s biggest killers and our experts care for patients who come
from across the UK and overseas, not only from our local areas.

Our integrated approach to caring for patients from the womb, through childhood, adolescence and
into adulthood and old age has been replicated around the world and has gained the Trust an
international reputation as a leader in heart and lung diagnosis, treatment, and research.
Research programmes play a vital role at both our hospitals. This is because the most talented
medical experts are rarely content with using tried and tested methods to treat their patients. The
opportunity to influence the course of modern medicine by developing new treatments is a prospect
that attracts them to specialist centres, where research opportunities are a fundamental part of
delivering patient care. As well as travelling internationally to lecture and share their knowledge, our
clinicians hold prominent positions on influential boards, committees, institutions and professional
associations.

Our closest academic partners are the National Heart and Lung Institute in the Faculty of Medicine
Imperial College London and, the Harefield Heart Science Centre. Through our clinical research
studies we also have active collaborations with hospital and universities across the UK, most notably
with Liverpool Heart and Chest Hospital in the Joint Institute for Cardiovascular Medicine and
Science. This partnership also reflects the Trust’s desire to develop partnerships outside its usual
geographical boundaries.

Over the years our experts have been responsible for several major medical breakthroughs –
discovering the genetic mutations responsible for the heart condition dilated cardiomyopathy,
founding the largest centre for the development of new treatments for cystic fibrosis in Europe and
pioneering heart surgery for newborn infants.

Our hospitals do not operate in a vacuum; fully integrated networks of care exist with partner
organisations and many of our clinicians have joint appointments with neighbouring trusts.

Our experts promote the principle of ‘shared care’ through an expanding system of consultant-
delivered outreach clinics, at which they see patients at over 30 hospitals across the South East,

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 covering Essex, Sussex, Surrey, Hertfordshire, and Middlesex. This system allows patients to benefit
from specialist expertise in their local environment, with inpatient care at our hospitals as needed.

Trust mission, values and approach.

The Trust’s mission is to be the UK’s leading specialist centre for heart and lung disease. We will
achieve this mission through a strategy of focused growth in aspects of heart and lung treatment,
such as congenital heart disease, arrhythmia, heart failure and advanced lung diseases.

Our Approach
 The continual development of leading edge services through clinical refinement and research
 The effective and efficient delivery of core specialist treatment
 The transition of appropriate routine services to other centres to release capacity for new
interventions
Remaining an autonomous specialist organisation is central to preserving and building our strong
clinical and organisational record. However we are equally convinced of the importance of effective
partnerships particularly with major academic bodies to ensure a continuing pipeline of innovations to
develop future treatments.

Our Values
At the core of any organisation are its values; belief systems that are reflected in thought and
behaviour.

We have three core patient- facing values and four others that support them.
Our three core values are:
 We care
We believe our patients deserve the best possible specialist treatment for their heart and lung
condition in a clean, safe place.
 We respect
We believe that patients should be treated with respect, dignity and courtesy and they should be well
informed and involved in decisions about their care.
 We are inclusive
We believe in making sure that our specialist services can be used by everyone who needs them, and
we will act on any comments and suggestions that can help us improve the care we offer.
And the following values support us in achieving them:
 We believe in our staff
We believe our staff should feel valued and proud of their work and know that we will attract and keep
the best people by understanding and supporting them.

 We are responsible
We believe in being open about where our money goes, and in making our hospitals environmentally
sustainable.

 We discover
We believe it is our duty to find and develop new treatments for heart and lung disease, both for
today’s patients and for future generations.

 We share our knowledge

We believe in sharing what we know through teaching, so that what we learn can help patients
everywhere.

Performance and achievements in 2016/2017

Our experts in 2016/17:

Cared for more than Cared for nearly 40,000

Carried out 1,075 coronary
6
 artery bypass grafts
200,000 patients in our patients of all ages on our
outpatient clinics wards

Helped nearly 14,000 Broke ground on a new

adults who have breathing
problems caused by
diseases such as COPD
(chronic obstructive
pulmonary disease) and
severe asthma
development at Harefield
Received more than 10,000
Hospital to expand the
patient comments, of
intensive care unit and treat
which more than 90 per
250 additional patients each
cent were positive
year

Maintained one of the
fastest arrival to
treatment times for heart
attack patients in the UK
(23 minutes compared to a
national average of 56)
Were one of the top three
most highly cited health
research teams in England –
with 790 papers published in
scientific journals
Saw almost 700 patients in
our adult cystic fibrosis (CF)
clinics, making us one of
the largest and most active
adult CF centres in
Europe

Received a 96 per cent Performed 475 surgical

Successfully transplanted
recommendation score in procedures for congenital
an artificial heart into a
the annual Friends and heart disease (350
child – the first in Europe
Family Test paediatric, 125 adult)

Recruited 2,700 patients onto 200 research

Raised more than £11 million for programmes that will contribute towards
research better patient care and outcomes
.

Range of Services

The Trust provides first-rate clinical services and exceptional research output.

We have an outstanding Research and Development pedigree; with over 500 active research projects
across 10 R&D programmes. Every one of these programmes has been consistently given the top
rating by the NHS R&D Directorate. The table below illustrates the inter-relationship between our R&D
activity and clinical services.

Several of our clinical services have been formally designated as national services by the Department
of Health: Heart and Lung transplantation, Ventricular Assist Devices (LVAD), Pulmonary
Hypertension and Primary Ciliary Dyskinesia.

Research Programmes Clinical Services

Congenital Heart Disease  Adult Congenital Heart Disease
Pulmonary Hypertension
Paediatric Respiratory
Paediatric Congenital Heart Disease
Foetal medicine
Primary Ciliary Dyskinesia
Chronic Coronary Heart Disease and Atheroma  Acquired Heart Disease
Failing Heart  Heart Failure
Heart & Lung Transplant
Critical Care  Critical Care relating to Heart and Lung
Chronic Respiratory Failure  Chronic Obstructive Pulmonary Disease
Sleep Ventilation
Pulmonary Rehabilitation
Lung Volume Reduction

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Lung Cancer  Lung and Upper GI cancer services
Severe Respiratory Disease  Interstitial Lung Disease
Acute Lung Injury
Asthma & Allergy
Occupational and Environmental Medicine  Occupational Lung Disease
Chronic Suppurative Lung Disease  Paediatric and Adult Cystic Fibrosis
Non – CF Bronchiectasis
Aspergillosis
Mycobacterial Infections

Organisation

The Trust Board is constituted as follows:

Non Executive Members Executive Members

Baroness Sally Morgan (Chair) Chief Executive, Mr Bob Bell
Mr Andrew Vallance-Owen Medical Director and Responsible Officer,
Dr Richard Grocott-Mason
Ms Lesley-Anne Alexander Chief Operating Officer, Mr Robert Craig
Ms Kate Owen Associate Chief Executive - Finance, Mr Richard Paterson
Professor Kim Fox Director of Nursing, & Clinical Governance, Mrs Joy
Godden
Mr Richard Jones Director of Service Development, Mr Nicholas Hunt
Mr Simon Friend
Mr Mark Batten
Mr Luc Bardin

The Clinical Divisions are: Heart (RBH incorporating Cardiology Radiology and Cardiac Surgery),
Heart (HH incorporating Cardiology, Transplant, Radiology and Cardiac Surgery), Lung (cross-site
incorporating Respiratory Medicine, Radiology and Lung Surgery); and Directorates of Paediatrics,
Anaesthesia and Critical Care, Laboratory Medicine, Pharmacy and Rehabilitation and Therapies.

Non-clinical directorates are: Human Resources, Finance, Patient Services, Estates & Facilities,
Communications and Public Affairs and Business Development & Commissioning.

Harefield Hospital Site

Harefield Hospital (HH) is a regional centre for cardiology and cardiothoracic surgery, and an
international centre for adult heart and heart-lung transplantation. It is one of a small number of UK
cardiac centres assisting in development of implantable mechanical ventricular assist devices in the
management of end-stage heart failure. It also provides a primary intervention service for acute
coronary syndromes to selected Trusts and the London Ambulance Service, in outer West London
and the Home Counties. It has approximately 1,185 staff, 180 beds with 5 operating theatres, and 4
catheter laboratories.

Royal Brompton Hospital Site

Royal Brompton Hospital (RBH) is a specialist cardiothoracic centre specialising in diseases of the
heart and lung, with services for adults (Cardiology, Cardiothoracic Surgery and Thoracic Medicine)
and Paediatrics. It has approximately 2,100 staff, 300 beds, 6 operating theatres including a hybrid
theatre, 5 catheter laboratories, a private patients’ ward and extensive imaging facilities. The hospital
operates a Clinical Research Facility (CRF) to facilitate respiratory and cardiovascular research. This
is supported by research outpatient facilities, research echo, CMR, and catheter lab sessions and
state of the art genetic analysis facilities.

Adult Congenital Heart Unit

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 The Adult Congenital Heart Unit is one of the largest dedicated services of its type in the world,
providing care for around 4000 patients. The unit has an active interventional and surgical program.
Specialist clinics include high risk pregnancy, intervention and pulmonary hypertension. Research is
given high priority within the unit exemplified by the most recent assessment from the HFCE. The
RBH produces more highly-cited publications in ACHD than any other Trust in the country, or
anywhere else in the world.

Clinical Governance and Quality

The Trust has an extensive programme of clinical governance and quality led by Mrs Joy Godden,
Director of Clinical Governance and Nursing and Dr Richard Grocott-Mason, Medical Director. The
programme is delivered through the organisation’s systems and processes for monitoring and
improving services, including sections for:  

 Clinical audit and information

 Clinical risk management
 Research and development office
 Infection prevention and control
 Patient feedback
 Clinical Quality and Improvement

Regulation

The Trust was inspected by the Care Quality Commission during 2016. Harefield Hospital obtained a
‘good’ rating, while Royal Brompton Hospital was rated ‘requires improvement’.
 
Research and Development

Research is a major activity at the Trust. In pursuing its research role, it is closely likened with its
association with the National Heart and Lung Institute (NHLI) which is a constituent division of
Imperial College School of Medicine. At the last research assessment exercise, the clinical research
carried out jointly between the hospital and NHLI was awarded a 5* rating (the highest possible rating,
shared by only two other UK establishments). Consultant staff at Royal Brompton and Harefield NHS
Foundation Trust are normally granted honorary status at Senior Lecturer level with the University of
London through NHLI and Imperial College.

The Trust operates two Clinical Research Facilities (CRF), Cardiac and Respiratory, in partnership
with Imperial College. The Cardiac CRF undertakes pioneering research into heart regeneration,
aiming to increase the understanding of cardiac conditions in people living with cardiomyopathy,
arrhythmia, coronary heart disease and heart failure. The CRF offers cutting edge genomics facilities,
using state-of-the-art next generation DNA sequencing, to directly focus on the genetic analysis of
inherited heart and lung conditions. It aims to be the leading national and international laboratory for
the discovery of genes involved in cardiovascular disease and their use in diagnostic and therapeutic
strategies.

The Trust structure for managing research changed in April 2017, with oversight for research being
placed within the clinical divisions. In response to this, a new structure was implemented incorporating
both operational and strategic aspects. To ensure appropriate delivery and oversight, new Cardiac
and Respiratory Research Committees have been established with oversight and focus of operational
running of the core facilities, including prioritisation of studies, governance, staffing, study and
strategic oversight by Imperial College with focus on strategic grant applications, AHSC linkages,
NIHR and GEL interactions.

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POST ONE – 12 MONTHS GENERAL PICU
Title of Post: Clinical Fellow in Paediatric Intensive Care Medicine
Main site of activity: Paediatric Intensive Care Unit, St. Mary’s Hospital
Responsible to: Paediatric Intensive Care Medical Team
Accountable to: Paediatric Intensive Care Unit Consultant Team

Background to the Post

The PICU at St. Mary’s has been established for 25 years. The unit has eight PICU beds and two
HDU beds. It is recently undergoing a major refurbishment and expansion hoping to be open to 15
beds by mid 2019. There are around 400 admissions to the unit each year, with 80% of these children
retrieved by the Children’s Acute Transport Service team (CATS). The remaining patients are
admitted through the Paediatric Emergency Department, the Paediatric wards, and post-operatively.
The majority of patients admitted have medical diagnoses, and the unit has a track record on the
management of severe, life-threatening infections. St. Mary’s Hospital is one of four Major Trauma
Centres in London and the PICU looks after children with major trauma requiring PICU care.

The unit works closely and collaboratively with all areas of the Paediatric Department at St. Mary’s
Hospital. There are many research interests within the department and the PICU is proud of its
research portfolio.

PICU Consultants
Professor. Simon Nadel Consultant Paediatric Intensivist and Lead Clinician
Dr. Claudine de Munter Consultant Paediatric Intensivist, Lead for Paediatric Guidelines
Consultant Paediatric Intensivist, Training Programme Director and ISAC chair
Dr. David Inwald Consultant Paediatric Intensivist
Dr. Sabeena Qureshi Consultant Paediatric Intensivist and Paediatric Anaesthestist
Dr. Padmandhan Ramnaryan Consultant Paediatric Intensivist and CATS consultant
Dr. Ruchi Sinha Consultant Paediatric Intensivist
Dr Tom Bycroft Consultant Paediatric Intensivist
Dr Rebecca Mitting Consultant Paediatric Intensivist

Role Summary
The fellow will be involved in the day to day running of the PICU/HDU at St Mary’s. While on duty, the
fellow will at all times be expected to take responsibility for every aspect of intensive care, including
airway and ventilation, vascular access and general management of newly admitted and existing
patients on the PICU/HDU. The fellow will always remain under the supervision of one of the
Consultant Intensivists.

Duties and responsibilities

The Fellow will work closely with all members of the multi-professional PICU team. The Fellow will be
involved in looking after looking after all patients on the PICU. They will work closely with more junior
and more senior colleagues.

The fellow is expected to play a lead role in the PICU audit, including involvement in morbidity and
mortality meetings, and other clinically based projects. In addition, together with the other fellows
and SpRs, the fellow will share the responsibility for daily collection and updating the PICU patient
database.

The fellow will be expected to participate in the development and updating of PICU/HDU protocols.

There is an active teaching programme on the PICU including simulation training, the opportunity to
attend theatre lists, and a core PICU curriculum training programme. The Fellow will be expected to
be involved in the teaching of undergraduate medical students and will also participate in the
postgraduate teaching of the specialist areas of paediatric critical care and Advanced Paediatric Life
Support. Attendance and participation in postgraduate courses will be expected.
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Fellows are expected to take part in Work-Place Based Assessments including Case Based
Discussions, as in-line with the PICU Core Curriculum through the Intercollegiate Training Committee
in Paediatric Intensive Care Medicine (ICTPICM).

Outline Timetable –
The PICU timetable is divided into short day, long day shifts, and night shifts. There are two
consultant ward rounds each day commencing at 08.30 and 17.00.

When working a long day or a night shift, Fellows are expected to focus on the management of the
patients on the PICU. When working on an early shift, Fellows are expected to work with the long day
team, when necessary. There are education weeks, where Fellows will be able to attend meetings,
prepare presentations for PICU meetings, attend operating theatre lists and augment their training
appropriate to their training needs which will be discussed with their educational supervisors.

Regular meetings: These are other meetings which PICU trainees can attend in addition to these.
Monday 12.30-13.30 Paediatric Grand Round
Tuesday

15.00-17.00 Paediatric ID Academic Ward Round

Wednesday All day PICU teaching

Thursday 12.45-13.45 Major Trauma Meeting

Friday 14.00-16.00 PICU Safety and morbidity meeting

Every month – The last Wednesday of each month is the core curriculum which is a Pan London
training programme aimed at covering the PICM curriculum. The trainee will be expected to attend
this programme.

On call: The rota is a full shift rota, initially ST1-3, moving to ST4+ after 6 months and in line with the
New Junior Doctor Contract and EWTD compliant.

The doctor will be allocated an RCPCH educational supervisor and will be expected to complete the
Imperial College Healthcare Appraisal process, with the option of registering for an RCPCH eportfolio
account. All educational supervisors have completed the RCPCH educational supervision course.

Annual leave entitlement will be 6 weeks per annum and study leave of 10 days per annum with a
budget of £400 for appropriate educational activities.

POST TWO – 6 MONTHS CARDIAC INTENSIVE CARE UNIT RBHT

Consultant Paediatric Intensivists

Dr Margarita Burmester Lead consultant for Paediatric Intensive Care

Dr Duncan Macrae
Dr Sandra Gala-Peralta
Dr Ajay Desai
Dr Nitin Shastri
Dr Anke Furck
Dr Lidia Casanueva
Dr Angela Aramburo
Dr Victoria Sheward
Dr Abhishek Narayanan
Consultant in Paediatrics Intensive Care
Consultant in Paediatric Intensive Care
Consultant in Paediatric Intensive Care
Consultant in Paediatric Intensive Care
Consultant in Paediatric Intensive Care
Consultant in Paediatric Intensive Care
Consultant in Paediatric Intensive Care
Consultant in Paediatric Intensive Care
Consultant in Padiatric Intensive Care

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 Dr Amy Chan-Dominy Locum Cosultant in Padeiatric Intensive Care
Dr Charlotte Briar Locum Cosultant in Padeiatric Intensive Car

JOB DESCRIPTION

Clinical Fellow (SPR) in Paediatric Cardiorespiratory Intensive Care and High dependency

6 months

Royal Brompton Hospital

Duties of the Post

Timetable*

MON. TUES. WED. THURS. FRI. SAT. / SUN.

07:30:MDT 07:30:MDT 07:30: MDT 07:30:MDT round 07:30:MDT
round round round round

0800: Joint 0800: Joint 0800: 0800: Combined 0815: PICU

Cardiology & Cardiology Respiratory Medical/Surgical Journal club /
Surgical & Surgical meeting Cardiology Meeting Case base
meeting meeting Chelsea Wing Chelsea wing discussion
Chelsea wing Chelsea
wing

0900: 0900: 0900: 0900: 0900: 0900:

PICU PICU PICU PICU handover PICU PICU
handover handover handover handover handover
0945: 0945: 0945: 0945: anticipated 0945:
anticipated anticipated anticipated care anticipated
care care care care

1400: PICU 1400: PICU 1400: PICU 1400: PICU ward 1400: PICU 1400: PICU
ward round ward round ward round round ward round ward round
15:00:
SPRinT
training
2100: Night
handover 2100 –
night 2100 – night 2100 – night 2100 – night
handover handover handover handover
* This timetable is subject to change according to service need
Working closely with other members of the clinical team (surgeons / cardiologists / respirologists /
anaesthetists), the applicant will be expected to provide clinical care for all patients receiving intensive
/ high-dependency care at Royal Brompton Hospital. They will be fully involved with the investigation
of patients by both invasive and non-invasive techniques. There will be opportunities for instruction
and experience in paediatric intensive care, appropriate to the clinical fellow’s prior experience The
Clinical Fellows are responsible for the supervision and teaching of the SHO's in their duties. He/she
will normally be required to attend weekly meetings (see Timetable and Education for details).

Two consultant-led ward rounds are held daily and the Fellow shares the responsibilities for these
business and teaching rounds.

Managerial Responsibility and On Call

12
The Clinical Fellow shares the managerial responsibility for their own rotas. The post is a full-shift
working system which is European Working Time Directive compliant. The post attracts banding
payment 1a which makes allowances for additional hours worked in the on call commitment as well as
covering for colleagues in their absence.

Education and Training

There is an strong consultant led PICU teaching programme that fellows are actively encouraged to
contribute to, as well as opportunities throughout the rest of the week for discussion of cases and
subsequent management. All the PICU consultants have an active interest in teaching which is an
integral part of their posts. PICU Fellows are expected to actively engage in the teaching process
including preparing topics for presentation and leading review sessions of journal articles. Mentors
will be assigned at the start of the post to guide specific education and training needs for the
individual trainee.
Weekly Paediatric Teaching Activities at the Royal Brompton Site
Mon 8.00-9.00 Joint Cardiology & Surgical meeting
Mon 15.00-17.00 Simulation Training Session (SPRinT)
Mon 17.15-18.30 Respiratory research meeting (2nd & 4th weeks)
Tue 8.00-9.00 Joint Cardiology & Surgical meeting
Tue 12.15-1.15 Paediatric cardiac morphology seminar
Tue 12.00-1.00 PICU Grand rounds / Airway Workshop
Wed 8.00-9.00 Respiratory Seminars
Wed 8.00-9.00 Paediatric Cardiology Teaching
Wed 9.30-12.00 Respiratory Consultant teaching ward round
Wed 12.30-1.30 Respiratory Radiology Meeting
Thu 8.00-9.00 Combined medical-surgical cardiology meeting
Thu 1.00-2.00 Paediatric ST teaching programme
Thu 08.30-15.00 Anaesthetic sessions for PICU Fellows
Fri 8.15-9.00 PICU Journal Club / Case base discussion / Guidelines

The National Heart and Lung Institute has excellent facilities for studying and an extensive library with
all the current journals and textbooks. The National Heart and Lung Institute is developing links with
Imperial College, which will enhance the facilities available for studying and research.

Numerous postgraduate courses are held in the National Heart and Lung Institute and the Paediatric
Department takes an active part. Postgraduate students are attached to the Department and receive
tutorials and ward rounds from members of the Department.

Study leave funding is available and trainees are entitled to five days per six months subject to
operational constraints and approval. Study leave may be granted to the maximum consistent with
maintaining essential services. It may therefore not be available if it is inconsistent with patient care.
PICU Fellows must always discuss this with the Educational Supervisor for PICU well in advance of
considering the possibility of study leave. Study leave will not be granted if mandatory training has not
been completed.

Teaching
The Clinical Fellow will be actively involved in the many teaching courses organised at Royal
Brompton Hospital. In addition he/she will may be expected to teach SHOs and students attending
the Royal Brompton Hospital or National Heart and Lung Institute either from abroad (elective
students) or other NHS hospitals.

Audit
The Hospital is wholly committed to the ideals of continuous clinical audit as a means of identifying
any weaknesses of care as early as possible, as a method of providing purchasers and others with
accurate quantitive descriptions of the care we provide, and as an important element of modern
medical education. In particular we are interested in the development of the patient-based measures
of outcome that are appropriate to heart and lung medicine. For all these reasons we require all
junior staff to commit themselves to these ideals of ‘evidence-based medicine’ and to accept our audit

13
 needs as an essential element of their time here. As part of this remit, PICU Fellows are expected to
maintain the PICU PICANET Database, a national and local dataset of all patients undergoing care in
PICU. Additionally, there is a monthly academic half-day to cover clinical governance issues,
morbidity and mortality for the directorate. PICU Fellows are actively encouraged to pursue and
present audit projects during their post. There is additional junior doctor teaching in the afternoon
segment of these half-days.

Research
Royal Brompton Hospital is a postgraduate teaching hospital which is closely associated with the
National Heart and Lung Institute Division of Imperial College School of Medicine. The successful
applicant will be strongly encouraged to undertake projects in conjunction with medical staff and it is
anticipated that any established research interests of the appointee will be continued and developed.

Conditions of Service
The post is covered by the Terms and Conditions of Service for Hospital Medical & Dental Staff
(England & Wales) and General Whitley Council conditions of service. The Contract of Employment
will be held with Royal Brompton & Harefield NHS Trust.

Full registration of the General Medical Council will be required.

This job description sets out the key tasks and responsibilities of the post. It is essential that it be
regarded with a degree of flexibility, so that changing needs of the service can be met.

Trust mission
To be the leading national and international centre for the diagnosis, treatment and care of patients
with heart and lung disease, creating and disseminating knowledge through research and education

Patient care
To serve our patients by working with them to determine their needs, viewing the quality of care as
being of paramount importance

Research
To translate the outcomes of research into improved patient care by evaluating new ideas and being
innovative in how they are applied

Education
To provide education and training for our staff, while encouraging teamwork and valuing each
member of the team for their involvement and specialist expertise

POST THREE – 6 MONTHS PAEDIATRIC CRITICAL CARE RETRIEVAL

MEDICINE

CATS receives approximately 2500 referrals per year, of which around 1200 are retrieved
with 70 -80% being ventilated. These transports are performed by land (ambulance and rapid
response unit vehicle) and air (fixed wing and helicopter). Approximately 50-60 patients are
transported by air each year.
The main role of the fellow is to manage all aspects of a transport to ensure a safe, efficient
and cohesive transfer from the referring centre to the accepting intensive care unit. This
includes giving advice at the initial referral call; coordinating the transport; stabilising the
patient and ensuring continuity of intensive care during the transfer. Full on the job training
will be given, and all transports will be supervised throughout, either by an accompanying
consultant in retrieval medicine, or by close telephone contact.
It is also expected that the fellows will take an interest in the organisational aspects of
transport medicine, including audit, quality assurance projects, presentation at transport

14
forums and research in subjects pertaining to retrieval medicine and paediatric intensive
care.
A logbook of transports will be kept and reviewed by the trainee’s supervisor; issues arising
from these transports will be discussed on a regular basis. At the completion of the service
term, the fellow will receive a formal appraisal from their supervisor.
Key working relationships
Internal:
This post requires excellent team working and communication skills. Fellows work closely
alongside the team of CATS consultants, fellows, ANPs, intensive care nurses, ambulance
technicians and administrative staff. We also work in close collaboration with the PICUs in
the North Thames region.
External:
The post will require good communication with parents/guardians of acutely unwell children.
Fostering good relationships with our referring units is key, as well as maintaining the
excellent rapport we have with other retrieval services throughout the UK.
Main duties and responsibilities
For each referral, the fellow is expected to:
1. Take a succinct & directed history
2. Give advice as necessary, according to CATS/APLS protocols.
3. Liaise with CATS and intensive care staff
4. Arrange and carry out transport
5. Document the process fully
6. Maintain the CATS database and provide a summary for the referring institution.
7. Update their personal logbook.
8. Discuss issues of importance arising from retrieval if appropriate

It is also expected that the fellows will take an interest in the organisational aspects of
transportl medicine, including audit, quality assurance projects, presentation at retrieval
forums and research in subjects pertaining to transport medicine and paediatric intensive
care.
This job description is intended as an outline of the areas of activity and can be amended in
the light of the changing needs of the service and will be reviewed as necessary in
conjunction with the post-holder.

40 basic hours, plus additional ‘Out of Hours’ equating to a maximum of 48 hours per week on
average. New junior doctor contract and EWTD compliant.

Clinical experience
The clinical fellow is an integral part of the multidisciplinary retrieval team. They can expect to
gain wide ranging experience in the early management and stabilization of critically ill &
injured children prior to intensive care admission. The range of cases encountered will cover
common general medical conditions requiring PICU (respiratory and infectious conditions) as
well as more specialist cases (neurosurgery and cardiac). In addition, experience with the
retrieval and stabilisation of patients referred for ECMO, liver failure and vein of Galen
malformations will be obtained.
In a typical 6 month rotation a fellow would normally handle around 80 referrals and perform
approximately 50 transports. Fellows will hone their skills in communication and rapid triage
during their attachment. They will also enhance their practical skills in procedures such as
endotracheal intubation, arterial and central venous access, and intercostal drainage.
Induction
A structured orientation program outlining the principles and process of transport medicine
and use of equipment will be held at the beginning of each rotation. The program will

15
encompass the theoretical aspects of transport, as well as hands-on practical sessions to
familiarize trainees with the equipment.
All fellows will be accompanied by a supervisor for a minimum of two land transports and one
flight transport. Further physical supervision will be determined by the needs of the trainee
and the acuity of the case, the emphasis being on support and education of the fellow at all
times.
Rota and working pattern
The service provides 2 transport teams throughout a 24-hour period. The ten transport
fellows work on a full shift system with overlapping shifts, which forms a 48-hour EWTD
compliant rota (band 1a). Annual and study leave is pro rata in accordance with the Junior
Doctor Contract. The times of shifts are currently as follows:
Early day shift 08:00 – 20:00
Late day shift 10:00 – 22:00
Early night shift 20:00 – 09:00
Late night shift 21:30 – 09:00
Float Shift 08:00 – 20:00
Short day shift 08:00 – 15:00 (Mon-Fri)
The week of short days (Mon-Fri 0800-1500) incorporated within the rota enables the fellows
to conduct audit or research related to transport or paediatric intensive care medicine. Some
flexibility is expected given the emergency and unpredictable nature of the work.
Compensatory rest is mandated after late running shifts.

Education and training

Education and training is a vital part of the fellow post at CATS. The main focus is on training
fellows in transport medicine, although opportunities to benefit from the PICU training
program are actively encouraged.
Each fellow has an allocated educational (or clinical) supervisor and a nurse buddy at CATS.
Supervisors meet with the fellow at least twice during their rotation, once at the beginning to
set educational objectives and at the end to provide feedback, review the logbook and sign
off all the relevant competencies. Additional and informal meetings are left to the discretion of
the trainee and supervisor.
All fellows are expected to maintain a CATS logbook of referrals and retrievals, as well as
learning points from each case. The logbook also provides a section for competencies to be
signed off for referral taking, organization of the retrieval, familiarity with equipment and
practical procedures. Logbooks are reviewed as part of the appraisal meetings by the
supervisors.
In addition to the supervisors, fellows benefit from having a nurse buddy (usually an ANP or
senior nurse) who they may approach to discuss feedback or training needs.
Paediatric trainees also attend anaesthetic sessions at either GOSH or SMH at the beginning
of their training period.
Formal teaching occurs at CATS as per following schedule:
Monday to Friday:
08:00 - 09:00 CATS morning meeting (discussion of referrals from past 24 hr)
On short days, fellows are encouraged to attend:
08:15 - 08:45 GOSH NICU ward round
07:30 - 09:30 GOSH CICU ward round
08:15 - 09:30 GOSH PICU ward round
Wednesday: (Every Wednesday)
08:00 – 16:00 CATS teaching day as per education timetable
Thursday:
09:00 Journal club (CATS)
Friday:
08:00 Cardiac M&M (CICU)

16
Weekly tutorials on topics relevant to retrieval medicine are held weekly in the CATS office.
These take the form of lectures, tutorials, scenarios and hands-on sessions with equipment.

A monthly PICU core curriculum teaching (full day) is organized at North Thames PICU’s. All
trainees are expected to attend, except if already out on a transport.

Confidentiality

On appointment you may be given access to confidential information which must only be
disclosed to parties entitled to receive it. Information obtained during the course of
employment should not be used for any purpose other than that intended. Unauthorised
disclosure of information is a disciplinary offence.

Risk Management

You will be required to ensure that you implement systems and procedures at a local level to
fulfil the requirements of the organisation’s Risk Management Strategy including local
management and resolution of complaints and concerns, management of SUIs/incidents and
near misses. Your specific responsibility for risk management will be clarified to you by your
manager at your local induction.

Emergency Planning

In accordance with the organisations responsibilities under the Civil Contingencies Act 2004,
you may be required to undertake alternative duties as is reasonable directed at alternative
locations in the event of and for the duration of a significant internal incident, major incident
or flu pandemic.

Human Rights

You are required to comply with the regulations of the Human Rights Act 1998 during the
course of your employment.

Sustainable Development

You will be required to demonstrate a personal commitment to the Trust’s Sustainable

Development Plan and to take personal responsibility for carrying-out your work duties in a
way which is compliant with this Plan.

MAIN CONDITIONS OF SERVICE FOR MEDICAL STAFF AT IMPERIAL

The post holder will be indemnified by the Trust for all NHS work undertaken as part of his/her
contract of employment.

The post holder is encouraged to take out adequate defence cover as appropriate to cover him/her for
any work that does not fall within the scope of the indemnity scheme (contract of employment).

Hours per week: 48

Salary scale: £30,002 - £47,175 per annum
London Weighting: £2,162 per annum

17
 Trust arrangements for adherence to the EU Working Time Directive are in place.

Clinical Governance and Risk Management

The Trust believes everyone has a role to play in improving and contributing to the quality of care
provided to our patients. As an employee of the Trust you are expected to take a proactive role in
supporting the Trust’s clinical governance agenda by:
-Talking part in activities for improving quality such as clinical audit
-Identifying and managing risks through incident and near miss reporting and undertaking risk
assessments
-Following Trust polices, guidelines and procedures
-Maintaining your continuing professional development

All Clinical staff making entries into patient health records are required to follow the Trust standards of
record keeping

All staff have a responsibility to report all clinical and non-clinical accidents or incidents promptly and
when requested to co-operate with any investigation undertaken.

Information Quality Assurance

As an employee of the Trust it is expected that you will take due diligence and care in regard to any
information collected, recorded, processed or handled by you during the course of your work and that
such information is collected, recorded, processed and handled in compliance with Trust
requirements and instructions.

Freedom of Information
The post holder should be aware of the responsibility placed on employees under the Freedom of
Information Act 2000 and is responsible for helping to ensure that the Trust complies with the Act
when handling or dealing with any information relating to Trust activity.

Management of a Violent Crime

The Trust has adopted a security policy in order

- to help protect patients, visitors and staff

- to safeguard their property

All employees have a responsibility to ensure that those persons using the Trust and its services are
as secure as possible.

Pension Scheme
The post is subject to deduction of superannuation contributions unless a member of staff opts out of
the Scheme. Deductions are 6% before pay is assessed for income tax. It is possible in certain
circumstances to pay additional contributions to enhance pensionable service; there is also an
Additional Voluntary Contribution (AVC) scheme linked to the NHS Pension Scheme.

Health and Safety at Work

a) It is the duty of every employee while at work not to intentionally or recklessly interfere with anything
provided in the interest of health and safety, including anything provided in pursuance of statutory
provision.

b) It is the duty of everyone while at work to take reasonable care of the Health and Safety of themselves
and other persons who may be affected by acts or omissions at work.

c) It is the duty of every employee while at work to co-operate with the employer in ensuring that all
statutory and other requirements are complied with.

Statutory Medical Examination

18
All appointments are conditional upon prior health clearance by the Trust's Occupational Health
Service. Failure to provide continuing satisfactory evidence will be regarded as a breach of contract.

Professional Registration/Licence to Practice

Staff undertaking work which requires professional/state registration/licence are responsible for
ensuring that they are so registered/licensed and that they comply with any Codes of Conduct
applicable to that profession. Proof of registration/licence to practice must be produced on
appointment and, if renewable, proof of renewal must also be produced.

Criminal Records Bureau

Applicants for posts in the NHS are exempt from the Rehabilitation of Offenders Act 1974. All
applicants who are offered employment will be subject to a criminal record check from the Criminal
Records Bureau before the appointment is confirmed. This includes details of cautions, reprimands,
final warnings, as well as convictions. Further information is available from the Criminal Records
Bureau and Disclosure websites at www.crb.gov.uk and www.disclosure.gov.uk

Equal Opportunities
The Trust believes that all employees have the right to be treated with dignity and respect. Failure to
comply with or adhere to the Trust’s Equal Opportunities Policy will be treated as misconduct under
the Trust’s Disciplinary Policy and Procedure

The Trust requires that in return you treat others with dignity and respect and that you do not harass
or otherwise discriminate against any other member of staff, patient or visitor to the Trust or
employees of any associated employers or contractors of the Trust on the grounds of race, colour,
sex, age, disabilities, religious beliefs or sexual orientation.

Fitness to Practice
Prior to making an appointment to a post, the Trust needs to establish if applicants for such positions
have ever been disqualified from the practice of a profession or required to practise subject to
specified limitations following fitness to practise proceedings by a regulatory body in the UK or in
another country, and whether they are currently the subject of any investigation or proceedings by any
body having regulatory functions in relation to health/social care professionals, including such a
regulatory body in another country.

Car Parking and Public Transport

There are pay and display and permit holders only car parks at all hospital sites. Information on
transport links is available at http://www.imp..nhs.uk/maps/map.htm

Security
Employees are required to wear security badges at all times

Variation
The job description gives a general outline of the duties of the post and is not intended to be an
inflexible or finite list of tasks. It may be varied, from time to time after consultation with the post
holder.

Professional Association/Trade Union Membership

It is the policy of the Trust to support the system of collective bargaining and as an employee in the
Health Service you are therefore encouraged to join a professional organisation or trade union. You
have the right to belong to a trade union and to take part in its activities at any appropriate time and to
seek and hold office in it. Appropriate time means a time outside working hours.

Work Visa/ Permits/Leave to Remain

If you are a non-resident of the United Kingdom or European Economic Union, any appointment
offered will be subject to the Resident Labour Market test (RLMT). The Trust is unable to employ or
continue to employ you if you do not obtain or maintain a valid Right to Work (leave to remain).

Safeguarding children and vulnerable adults

19
Post holders have a general responsibility for safeguarding children and vulnerable adults in the
course of their daily duties and for ensuring that they are aware of the specific duties relating to their
role.
Confidentiality
The post-holder must maintain confidentiality of information about staff, patients and health service
business and be aware of the Data Protection Act (1984) and Access to Health Records Act (1990).

Conflict of Interests
You may not without the consent of the Trust engage in any outside employment and in accordance
with the Trust’s Conflict of Interest Policy you must declare to your manager all private interests which
could potentially result in personal gain as a consequence of your employment position in the Trust.
In addition the NHS Code of Conduct and Standards of Business Conduct for NHS Staff require you
to declare all situations where you or a close relative or associate has a controlling interest in a
business (such as a private company, public organisation, other NHS or voluntary organisation) or in
any activity which may compete for any NHS contracts to supply goods or services to the Trust. You
must therefore register such interests with the Trust, either on appointment or subsequently,
whenever such interests are gained. You should not engage in such interests without the written
consent of the Trust, which will not be unreasonably withheld. It is your responsibility to ensure that
you are not placed in a position which may give rise to a conflict of interests between any work that
you undertake in relation to private patients and your NHS duties.

Code of Conduct
All staff are required to work in accordance with the code of conduct for their professional group (e.g.
Nursing and Midwifery Council, Health Professions Council, General Medical Council, NHS Code of
Conduct for Senior Managers).

Infection control
It is the responsibility of all staff, whether clinical or non-clinical, to familiarise themselves with and
adhere to current policy in relation to the prevention of the spread of infection and the wearing of
uniforms.
Clinical staff – on entering and leaving clinical areas and between contacts with patients all staff
should ensure that they apply alcohol gel to their hands and also wash their hands frequently with
soap and water. In addition, staff should ensure the appropriate use of personal protective clothing
and the appropriate administration of antibiotic therapy. Staff are required to communicate any
infection risks to the infection control team and, upon receipt of their advice, report hospital-acquired
infections in line with the Trust’s Incident Reporting Policy.

Non clinical staff and sub-contracted staff – on entering and leaving clinical areas and between
contacts with patients all staff should ensure they apply alcohol gel to their hands and be guided by
clinical staff as to further preventative measures required. It is also essential for staff to wash their
hands frequently with soap and water.

Staffs have a responsibility to encourage adherence with policy amongst colleagues, visitors and
patients and should challenge those who do not comply. You are also required to keep up to date
with the latest infection control guidance via the documents library section on the intranet.

No Smoking
The Trust operates a non-smoking policy.

Preliminary Visits
Candidates may discuss the post and arrange visits with Dr. Rebecca Mitting, PICU Consultant.
R.mitting@nhs.net
For RBHT contact Desai Ajay <A.Desai@rbht.nhs.uk>
For CATS contact Andrew.jones@gosh.nhs.uk

20
MAIN CONDITIONS OF SERVICE FOR MEDICAL STAFF WORKING AT
ROYAL BROMPTON AND HAREFIELD NHS TRUST

HEALTH CLEARANCE

Applicants invited for interview will be asked to complete a medical questionnaire for submission to
the Trust’s Occupational Health Service.

NB Medical Staff who will be undertaking clinical work will be required to provide written Proof of
hepatitis B immunisation and antibody status, BCG and rubella immunisations. In the absence of
such evidence the post holder will not be placed on the payroll or undertake clinical work until the
evidence is produced to the satisfaction of the Trust.

The Trust requires that any doctor or dentist who directs the use of x-rays for procedures such as
cardiac catherisation, pacemaker insertions, orthopaedic procedures, etc, in patient investigations or
administers radioisotopes to patients possesses a certificate as proof of training in accordance with
the “Ionising Radiation (Protection of Persons undergoing Medical Examination or Treatment)
Regulations 1988”, and submits a copy of their certificate to the Medical Staffing Department.
Courses to allow Trust medical staff to obtain the certificate are available through the Department of
Medical Physics, Churchill.

CLINICAL GOVERNANCE

The post-holder will participate in the clinical audit, clinical effectiveness, risk management, quality
improvement and any other clinical governance activities as required by the Trust, Health Authorities,
and external accrediting bodies.

PERSONAL AND PROFESSIONAL DEVELOPMENT

The post-holder will be required to keep himself/herself fully up-to-date with their relevant area of
practice. Professional or study leave will be granted at the discretion of the Trust, in line with the
prevailing Terms and Conditions of Service, to support appropriate study, postgraduate training
activities, relevant CME courses and other appropriate personal development needs.

MANAGEMENT

The post-holder will be required to work within the Trust’s management policies and procedures, both
statutory and internal, accepting that the resources available to the Trust are finite and that all
changes in clinical practice or workload, or developments requiring additional resources must have
prior agreement with the Trust. He/She will undertake the administrative duties associated with the
care of his/her patients, and the running of his/her clinical department under the direction of the
Clinical Director.

GENERAL

The post-holder will assume a continuing responsibility for the care of patients in his/her charge and
the proper functioning of his/her department.

IMPORTANT GENERAL NOTE

The post-holder must take responsible care of his/her own health and safety and any other personnel
who may be affected by his/her omission. Trust policies and regulations must be followed at all times.

INDEMNITY

21
 Under NHS Indemnity, the Trust will take direct responsibility for costs and damages arising from
medical negligence where it (as employer) is vicariously liable for the acts and omissions of its
medical and dental staff.

Where junior medical staff are involved in the care of private patients in an NHS hospital, they would
normally be doing so as part of their contract. It is advisable that junior doctors who are involved in
work outside his/her employment should have medical defense cover. This includes Category 2 work,
i.e. reports for insurance companies, cremation fees.

Core behaviours for all Trust staff

All staff will commit to:

Act with honesty and integrity at all times

Demonstrate respect for others and value diversity
Focus on the patient and internal and external customer at all times
Make an active contribution to developing the service
Learn from and share experience and knowledge
Keep others informed of issues of importance and relevance
Consciously review mistakes and successes to improve performance
Act as ambassadors for their directorate and the Trust
Be aware of the impact of their own behaviour on others
Be discreet and aware of issues requiring confidentiality

In addition, all managers and supervisors will:

Value and recognise the ideas and contributions of all team members
Coach individuals and teams to perform to the best of their ability
Delegate work to develop individuals in their roles and realise their potential
 Give ongoing feedback on performance, and effectively manage poor performance
Provide support and guidance to all team members
Encourage their team to achieve work/personal life balance
Actively listen to comments/challenges and respond constructively
Lead by example, setting high standards
 Ensure that there are sufficient resources for their team and rebalance priorities accordingly
Provide a safe working environment

PERSON SPECIFICATION FOR PAEDIATRIC CRITICAL CARE

FELLOWSHIP

CRITERION Desira Assess

ble / ed by
Essenti A / I / R 
al
Qualifications/Training

MB BS or equivalent E A
MRCP/MRCPCH/FRCA or Equivalent E A
Registration with GMC E A
Post graduate academic qualification in paediatrics or D
anaesthesia eg MSC, pHD,

Experience

Paediatric and/or Neonatal Intensive care and resuscitation E A/I/R

22
OR extensive post graduate experience in anaesthesia A/I/R
Paediatric Anaesthetics D A/I/R
Respiratory medicine, cardiology or adult Intensive Care D

Skills, Knowledge and Abilities

Technical and clinical skills required for paediatric intensive E A/I/R

care E A/I/R
Teaching skills E A/I/R
Shows an approach based on critical enquiry and evidence E A/I/R
based medicine E A/I/R
Ability to organise self and others E A/I/R
ALS/PALS/APLS instructor D A/I/R
Understanding of the principles of clinical governance E

Other

Actively encourages juniors in research E A/I/R

Ability to initiate or supervise research E A/I/R
Builds a strong and effective relationship with patients, their E A/I/R
parents and families and colleagues and gain in their confidence
and trust
Is able to cope with considerable pressure as well as adapt E A/I/R
to constant change and new demands
Demonstrates honesty, commitment, and integrity E A/I/R
Published research D A/I/R

KEY:  E = Essential D = Desirable  A = Application  I = Interview  R = References 

23