Consultant in Intensive Care

Intensive Care Unit, St Thomas' Hospital
London
GBP 60,000 - 80,000
Job description

Main area

Critical Care

Grade

NHS Medical & Dental: Consultant

Contract

Permanent

Hours

Full time - 10 sessions per week (10 PAs)

Job ref

196-CON996

Employer

Guy's and St Thomas' NHS Foundation Trust

Employer type

NHS

Site

Intensive Care Unit, St Thomas' Hospital

Town

London

Salary

£105,504 - £139,882 per annum

Salary period

Yearly

Closing

30/11/2024 23:59

Guy’s and St Thomas’ is among the UK’s busiest and most successful NHS foundation trusts. We provide a full range of hospital and community services for people in south London and as well as specialist care for patients from further afield including cancer, renal, orthopaedic, respiratory and cardiovascular services.

Guy’s is home to the largest dental school in Europe and a £160 million Cancer Centre opened in 2016. As part of our commitment to provide care closer to home, in 2017 we also opened a cancer centre and a kidney treatment centre at Queen Mary’s Hospital in Sidcup. St Thomas’ has one of the largest critical care units in the UK and one of the busiest emergency departments in London. It is also home to Evelina London Children’s Hospital.

Evelina London cares for local children in Lambeth and Southwark and provides specialist services across south east England including cardiac, renal and critical care services. We lead a number of specialist service networks aiming to ensure children are treated locally where possible, but have access to specialist expertise when they need it. Our community services include health visiting, school nursing and support for families of children with long-term conditions.

Our adult community services teams deliver care at the heart of the local communities we serve, working in partnership with GPs, local authorities and other healthcare and voluntary sector organisations. Working with our partners in Lambeth and Southwark, we are focusing on new ways of working to improve care for local patients.

In February 2021 the Royal Brompton and Harefield joined Guy’s and St Thomas’ NHS Foundation Trust, bringing together world-leading expertise in the care and research of heart and lung disease. Our merger provides a once in a generation opportunity to build a lasting, world-renowned heart and lung centre, providing the highest quality care for patients and conducting world-leading research.

We have a reputation for clinical excellence and high quality teaching and research. We are part of King’s Health Partners, one of eight accredited UK academic health sciences centres. In partnership with King’s College London we have dedicated clinical research facilities including an MHRA accredited Phase I clinical trials unit.

Patients are at the heart of everything we do and we pride ourselves on ensuring the best possible patient experience as well as safe, high quality care. We are proud to have one of the lowest mortality rates in the NHS. Following a comprehensive Care Quality Commission (CQC) inspection in 2019 we maintained our overall rating of ‘good’. Our adult community services achieved a rating of ‘outstanding’.

The commitment of our 23,500 staff is key to our success. We are one of the largest local employers and we aim to develop and support all our staff so they are able to deliver high quality, safe and efficient care. The 2019 NHS staff survey results show that we have one of the most engaged and motivated workforces in the NHS. We know this has a positive impact on the care provided to our patients.

We have one of the most ambitious capital investment programmes anywhere in the NHS.

Job overview

Provide High Quality Care to Patients

  • The post holder must be medically qualified and maintain GMC specialist registration and hold a licence to practice.
  • To develop and maintain the competencies required to carry out the duties required of the post.
  • To ensure prompt attendance at agreed direct clinical care Programmed Activities.
  • To ensure patients are involved in decisions about their care and to respond to their views.
  • To work with the multidisciplinary team, valuing all team members and to provide care in an agreed team structure.

Research, Teaching and Training

  • To collaborate with academic and clinical colleagues to enhance the Trust’s translational research portfolio, always meeting the full requirements of Research Governance.
  • To provide high quality teaching to medical undergraduates, postgraduates and members of other health care professions as required by the Clinical Director.
  • To undertake appropriate training and act as an educational and clinical supervisor and appraiser as delegated by the Clinical Director to ensure external accreditation of training post.

More information can be found on the job specification

Main duties of the job

Your job plan is anticipated to contain 10 Programmed Activities per week on average to be carried out on Guy’s & St Thomas’ sites and includes on-call commitments. This may be increased to 11 or 12 by mutual consent. Less than whole time working is supported by the department. Work at other Trusts, especially partner Trusts, is supported by the department. This an outline job plan and it is expected that you will discuss and agree a more detailed job plan, including your personal and professional objectives, with the Service Lead within 3 months of your start date.

More information can be found on the job specification.

Working for our organisation

The Department of Critical Care is seeking permanent Consultant Intensivist(s) to join a dynamic, ambitious and highly motivated clinical team dedicated to delivering first class, state of the art therapy to the critically ill. As well as providing critical care to our patients, the successful candidate(s) would have the opportunity to maintain specialty skillsets. The Department is particularly interested in recruiting team members who can offer, or wish to develop, specialist skills and contribute to key areas such as undergraduate/postgraduate educational management, simulation, ECMO, peri-operative critical care, HDU, outreach for the critically ill and critical care follow-up.

Detailed job description and main responsibilities

Provide High Quality Care to Patients

  • The post holder must be medically qualified and maintain GMC specialist registration and hold a licence to practice.
  • To develop and maintain the competencies required to carry out the duties required of the post.
  • To ensure prompt attendance at agreed direct clinical care Programmed Activities.
  • To ensure patients are involved in decisions about their care and to respond to their views.
  • To work with the multidisciplinary team, valuing all team members and to provide care in an agreed team structure.

Research, Teaching and Training

  • To collaborate with academic and clinical colleagues to enhance the Trust’s translational research portfolio, always meeting the full requirements of Research Governance.
  • To provide high quality teaching to medical undergraduates, postgraduates and members of other health care professions as required by the Clinical Director.
  • To undertake appropriate training and act as an educational and clinical supervisor and appraiser as delegated by the Clinical Director to ensure external accreditation of training post.

Performance Management

  • To work with medical, nursing and managerial colleagues to ensure high performance in the following areas:
    • Clinical efficiency e.g., LOS reductions, reducing cancelled operations and improved patient flow.
    • Quality of outcomes e.g., infection control targets, reducing re-admission rates.
    • Financial management e.g., identification, implementation and achievement of cost improvement programmes and participating in efforts to ensure services are provided cost effectively e.g. managing locum agency spend, monitoring and managing the drug budget to target, ensuring accuracy of clinical data for the team.
    • Operational efficiency e.g., day-case rates, waiting list activity and demand management, enabled through appropriate data collection for the evaluation of the service.

Medical Staff Management

  • To work with colleagues to ensure junior doctors’ hours are compliant in line with junior doctor contracts.
  • To ensure compliance with systems and procedures that have been put in place to control and monitor leave for junior medical staff and to ensure that there is appropriate cover within the clinical areas, including on-call commitments.
  • To participate in educational supervision of junior doctors as required by the faculty tutors and clinical lead.
  • To participate in the recruitment of junior medical staff as and when required.
  • To participate in team objective setting as part of the annual job planning cycle.
  • To participate in the annual appraisal of all doctors in training, Trust doctors, Clinical Fellows and non-consultant grades as delegated by the Clinical Director/General Manager.

Governance

  • To review clinical outcomes in designated area using external benchmarking data where appropriate, to identify and advise variances to the Clinical Director.
  • Participate in clinical audit, incident reporting and analysis and to ensure resulting actions are implemented.
  • To work closely with the Directorate, Patient and Public Involvement panels in relation to clinical and services developments as delegated by the Clinical Director.
  • Participate in ensuring NICE requirements are reviewed and implemented and monitored in the speciality areas.
  • To ensure clinical guidelines and protocols are adhered to by junior medical staff and updated on a regular basis.
  • To keep fully informed about best practice in the speciality areas and ensure implications for practice changes are discussed with the Clinical Director.
  • To role model good practice for infection control to all members of the multidisciplinary team.
  • To respond in a timely manner to request for reports (eg Coronial reports) and responses to complaints

Strategy and Business Planning

  • To participate in the business planning and objective setting process for the directorate and Trust where appropriate.
  • To represent the Trust at appropriate clinical networks/other external clinical meetings, as delegated by the Clinical Director.

Leadership and Team Working

  • To demonstrate excellent leadership skills with regard to individual performance, clinical teams, the Trust and when participating in national or local initiatives.
  • To work collaboratively with all members of the multi-disciplinary team and Kings Health Partners as required.
  • To chair regular meetings for the specialties.
  • To resolve conflict and difficult situations through negotiation and discussion, involving appropriate parties.
  • Adhere to Trust/departmental guidelines on leave including reporting absence.

Guy’s and St Thomas’celebrates, respects and values the diversity of its staff and patients. We review our policies, procedures and practices to ensure that all employees, patients and carers are treated equitable according to their needs. We are actively committed to ensuring that no one who applies for a job, works or study’s at the Trust, or accesses our services is discriminated against on the grounds of race, ethnicity, nationality, disability, religion or belief, age, gender identity , gender reassignment, sexual orientation, pregnancy and maternity/paternity, or marital/civil partnership.

Applications are welcomed from applicants with a disability. We can make reasonable adjustments and offer support and advice in a variety of ways throughout the application process. Equality of opportunity is our policy.

As an organisation we are committed to developing our services in ways that best suit the needs of our patients. This means that some staff groups will increasingly be asked to work a more flexible shift pattern so that we can offer services in the evenings or at weekends.

Flexible working

We are committed to supporting all employees to achieve a healthy work life balance and to work in a way that is best for them and our patients. We will consider all requests to work flexibly, taking in to account the individual’s personalcircumstances as well the needs of the service. We encourage all prospective applicants to discuss their individual circumstances with the recruiting manager as part of the on-boarding process.

Your e-mail address is important to us -We communicate to all job applicants via the e-mail address which has been provided on the application form. Please ensure that you check your e-mail on a regular basis.

Please apply for this post by clicking "Apply Online Now."

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.

Further details / informal visits contact

Name Dr Andrew Retter Job title Consultant and Clinical Lead for Intensive Care Email address Andrew.Retter@gstt.nhs.uk

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