Job summary
An exciting opportunity has arisen for an ST3+ equivalent Clinical Fellow in Anaesthesia seeking Specialist Registration through the CESR route in South East London.

This innovative programme offers a structured pathway to CESR, combining high-quality clinical experience with dedicated educational supervision across tertiary, specialist and district general hospital settings. The programme duration is flexible, ranging from 1 to 4 years depending on individual training needs and progression.

The programme is delivered collaboratively by Guy's and St Thomas' NHS Foundation Trust (including Evelina London Children's Hospital), Lewisham and Greenwich NHS Trust, and the National Hospital for Neurology and Neurosurgery (Queen Square), with Guy's and St Thomas' as the employing organisation.

Fellows will rotate between Guy's and St Thomas' and Lewisham hospitals, with a dedicated neuroanaesthesia and neurocritical care placement at Queen Square where required. Training is aligned to the 2021 Royal College of Anaesthetists Curriculum and provides exposure to Stage 2 and Stage 3 competencies, including cardiothoracic, neuro, paediatric and obstetric anaesthesia, pain medicine, intensive care and major elective surgery.

Main duties of the job
The successful candidate will join a structured CESR Anaesthesia Programme supporting progression towards Specialist Registration in Anaesthesia. Fellows will work alongside trainees and consultants across participating hospitals in South East London, gaining experience aligned to the Royal College of Anaesthetists 2021 Curriculum and GMC CESR requirements.

The programme includes supervised training in cardiothoracic, neuro, paediatric and obstetric anaesthesia, pain medicine, intensive care and major elective surgery. Placements will be tailored to individual learning needs.

Fellows will rotate between Guy's and St Thomas', Lewisham and Greenwich, and where required, the National Hospital for Neurology and Neurosurgery. Educational supervision, progress reviews and annual appraisal will support professional development and CESR evidence collection.

The post combines elective clinical activity with participation in the resident on-call rota, with approximately 50% of time allocated to each. Duties will be matched to experience and competence, with consultant supervision available at all times.

The role also offers opportunities in quality improvement, audit, teaching, research, clinical governance, leadership and management. Fellows will be expected to maintain their portfolio, workplace-based assessments and logbook while working towards CESR.

About us
This innovative CESR Anaesthesia Programme is delivered through a partnership between Guy's and St Thomas' NHS Foundation Trust, Lewisham and Greenwich NHS Trust, and the National Hospital for Neurology and Neurosurgery (Queen Square), providing access to a diverse range of clinical environments and specialist services across South East London.

The programme combines training within a leading academic health science centre, a high-performing district general hospital trust and a nationally recognised neuroscience centre. Fellows will gain experience across tertiary, specialist and general anaesthetic practice while developing evidence required for Specialist Registration through the CESR route.

Working across the partner organisations provides opportunities to develop clinical, educational, research, quality improvement, leadership and management skills within supportive multidisciplinary teams. Fellows benefit from dedicated educational supervision, structured career support and exposure to a broad range of specialties and patient populations.

The partner organisations are committed to delivering safe, compassionate and high-quality care while fostering an inclusive environment where staff are supported to develop professionally and achieve their potential. Fellows will be expected to uphold the values of Guy's and St Thomas' NHS Foundation Trust: putting patients first, taking pride in their work, respecting others, striving for excellence and acting with integrity.

Job responsibilities
The Clinical Fellow will participate in a structured CESR Anaesthesia Programme designed to provide the breadth of clinical experience, educational opportunities and supporting evidence required for progression towards Specialist Registration in Anaesthesia via the CESR route.

Working under the supervision of consultant anaesthetists, the post holder will contribute to the delivery of safe, effective and patient-centred anaesthetic services across participating organisations while undertaking a structured programme of training aligned to the Royal College of Anaesthetists 2021 Curriculum.

Clinical Responsibilities

• Provide high-quality anaesthetic care across a broad range of surgical specialties.
• Undertake elective and emergency anaesthetic duties appropriate to their level of training and competence.
• Participate in perioperative assessment, intraoperative care and postoperative management of patients.
• Work within multidisciplinary teams to deliver safe and effective patient care.
• Participate in intensive care, obstetric anaesthesia, pain management and specialist anaesthetic services as required by the programme.
• Maintain accurate clinical records and comply with local and national clinical governance requirements.
• Escalate concerns appropriately and work within GMC Good Medical Practice standards.

CESR Training and Development
The programme provides structured exposure to Stage 2 and Stage 3 curriculum areas, including:

• Cardiothoracic Anaesthesia
• Neuroanaesthesia and Neurocritical Care
• Paediatric Anaesthesia
• Obstetric Anaesthesia
• Pain Medicine
• Intensive Care Medicine
• Trauma and Emergency Anaesthesia
• Major Elective Surgery

The post holder will be expected to actively engage with educational opportunities and maintain evidence demonstrating progression towards CESR requirements.

Educational Responsibilities

• Meet regularly with their allocated Educational Supervisor and Clinical Supervisors.
• Participate in structured educational reviews and annual appraisal.
• Maintain an up-to-date portfolio, logbook and workplace-based assessments.
• Attend departmental, regional and national educational activities where appropriate.
• Participate in simulation training, multidisciplinary teaching and morbidity and mortality meetings.
• Contribute to undergraduate and postgraduate teaching programmes.

Quality Improvement, Research and Governance

• Participate in clinical audit, quality improvement and patient safety initiatives.
• Contribute to clinical governance activities within participating departments.
• Engage in research and scholarly activities where opportunities arise.
• Present audit, quality improvement or research work at local, regional or national meetings where appropriate.

Leadership and Management
The fellow will be encouraged to develop leadership and management skills through participation in:

• Service development projects
• Clinical governance activities
• Educational and teaching programmes
• Multidisciplinary working groups
• Quality improvement initiatives

On-Call Commitments
The post holder will participate in the resident anaesthetic on-call rota, currently operating on an approximately 1:8 full-shift basis, including evenings, nights, weekends and public holidays.

On-call duties will vary according to placement location and individual competence but may include emergency theatre cover, obstetric anaesthesia, critical care support and specialist anaesthetic services. Appropriate consultant supervision will be available at all times.

Professional Responsibilities

• Demonstrate commitment to the principles of Good Medical Practice.
• Maintain GMC registration and mandatory training requirements.
• Participate in appraisal and revalidation processes.
• Take personal responsibility for progressing their CESR portfolio and identifying training requirements throughout the programme.

Person Specification
Essential

• 2 year full-time postgraduate training in anaesthesia (or its equivalent gained on a part-time or flexible basis) or 1.5 years full-time postgraduate training in anaesthesia AND 6 months full-time postgraduate training in intensive care (or its equivalent gained on a part-time or flexible basis)
• Current GMC registration
• Primary FRCA or equivalent or Postgraduate Anaesthesia degree (MD) or equivalent (for International Fellows)
• Evidence of contribution to effective clinical audit, quality improvement and clinical risk management

Desirable

• Post-graduate experience in other specialities (e.g. up to 1 years' experience in one or more of the following: medicine, surgery, paediatrics, obstetrics and gynaecology, A & E)
• Experience in Obstetrics Anaesthesia (IACOA)
• Experience in clinical guideline development

Disclosure and Barring Service Check
This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

UK Registration
Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).

Employer details
Employer name: Guy's and St Thomas' NHS Foundation Trust
Address: Great Maze Pond, London, SE1 9RT, United Kingdom
Employer's website: https://www.guysandstthomas.nhs.uk/careers/careers.aspx

Contact
Fellows Tutor: Dr Veda Ponnaiah, vedahari.ponnaiah@nhs.net

Date posted: 14 October 2026
Closing date: 25 October 2026
Pay scheme: Hospital medical and dental staff
Grade: Doctor - other
Salary: £67,325 to £76,582 a year per annum excl. London Zone
Contract: Fixed term, 6 months
Working pattern: Full-time
Reference number: 196-MED5323

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975.