Job summary
Applications are invited for the post of Consultant in Anaesthesia with a special interest in Perioperative medicine at the Royal National Orthopaedic Hospital (RNOH). 10 Programmed Activities will be offered - 8.5 Direct Clinical Care (which includes 0.5 PA for on call) and 1.5 Supporting Professional Activities. The specific job plan will be developed in partnership between the needs of the department and the successful applicant. It is expected that the initial job plan will be reviewed after 6 months of service. Initial job plan will include sessions within all major units at the RNOH including the peripheral nerve injury unit, sarcoma unit, joint replacement unit, spinal unit, shoulder unit, foot and ankle unit, and anaesthetic pre-assessment clinic. Candidates must be able to demonstrate clinical experience at either fellowship or consultant level for perioperative medicine, including anaesthesia for complex orthopaedic and complex spinal deformity surgery. Job plans may be changed to accommodate where possible the specific requests of the candidate and the needs of the department. Currently the Trust permits flexibility in time and space to accommodate SPAs.
Main duties of the job
The post will be based at the Stanmore site in Middlesex.
Non-fixed commitments include:

• To join the team of consultant anaesthetists who provide anaesthesia at RNOH
• To provide pre and post-operative care
• To participate in the teaching of trainee anaesthetists
• To participate in postgraduate academic meetings of the anaesthetic department and departmental audit
• To attend consultant administrative departmental meetings
• To undertake audit of personal practice
• To improve service delivery and participate with clinical governance in line with local and national guidelines
• To undertake research

About us
RNOH Royal National Orthopaedic Hospital NHS Trust (RNOH) is the largest orthopaedic hospital in the UK and a global leader in our field. We provide a dynamic working environment where we support frontline staff to implement improvements so that we can realise our vision of being a world leading neuro-musculoskeletal hospital providing the best patient care and staff experience in the NHS, delivering world leading research, and offering a strong foundation of education, training and career progression. Our dedicated staff come from diverse backgrounds, and our patients benefit from the wide range of experience they bring to the trust. RNOH brings unrivalled expertise together in one place allowing us to deliver some of the world's most complex and innovative care to our patients. RNOH is rated good by the CQC and covers two sites, one in central London and one in Stanmore - which has recently opened The Stanmore Building, a new, state-of-the-art inpatient facility. For more information, apply through our website.
Salary: £113,565 to £150,569 a year +£2,162 LW per annum
Contract: Permanent
Working pattern: Full-time
Closing date: 08 November 2026
Reference number: 392 - MS038 - CAPM
Essential qualifications

• FRCA or GMC recognised equivalent qualification
• Full GMC Registration
• Entry on GMC specialist register with CCT or equivalent (proposed CCT/CESR date must be within 6 months of interview) or On the Specialist Register already for the required speciality or Relevant European Specialist Qualification
• ALS and APLS/EPLS
• Basic medical qualifications - MBBS or equivalent
• Consultant or fellowship-level experience in anaesthesia for complex orthopaedic surgery and complex spinal deformity surgery within a tertiary referral or specialist centre.
• Evidence of expertise in preoperative risk stratification, shared decision-making, and the postoperative care of patients requiring enhanced monitoring, HDU admission, and collaborative management in critical care environments where appropriate.

Desirable qualifications

• Possession of a higher qualification relevant to perioperative medicine, such as FFICM or PGDip/MSc in Perioperative Medicine
• Evidence of a teaching qualification
• Accreditation in, or evidence of training and experience in, focused perioperative echocardiography and point-of-care ultrasound to support perioperative decision-making in complex surgical patients.
• Evidence of contributing to research (i.e. local lead for regional / national studies, experience with recruiting patients to RCTs, up to date with GCP)
• Leadership experience - e.g. departmental rota/leave coordinator, including evidence of formal management training.

Essential knowledge and skills

• Understanding of principles of clinical governance
• Evidence of understanding the importance of GMC good medical practice and appraisal and revalidation
• Consultant role in ensuring patient safety
• Excellent verbal and written communication skills
• Competent in all aspects of skills appropriate to the role
• Computer literacy and IT skills
• Ability to effectively supervise junior medical staff
• Track record of establishing and maintaining good working relationships with patients, carers and multidisciplinary colleagues
• Knowledge and experience of Quality Improvement (QI) methodology, audit and service improvement work
• Understands and committed to Trust values: Patients first always, Excellence in all we do, Trust, honesty and respect for each other, Equality for all

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.