Job summary
There is an exciting opportunity to join the department of Anaesthesia & Critical Care at The Christies main site in Withington, Manchester as a Clinical Fellow in Anaesthesia and Critical Care.The post complements a team of 24 Consultants in Anaesthesia and/or Critical Care, 7 SAS Doctors, 3 fellows and 2 trainees & 1 ANP.The ideal candidate must have completed their Foundation programmes (or equivalent) and ideally will have experience of emergency medicine, surgery or anaesthesia training at core level.The post is particularly suitable post for doctors considering careers in ICM, anaesthesia or other acute specialities.The successful candidate will gain valuable experience working within an integrated oncological critical care service, led by a dedicated Critical Care consultant team, delivering high quality patient care.Full Registration and a Licence to Practice with the General Medical Council at time of commencement is required

Main duties of the job
This role provides senior cover on the OCCU medical rota. This is a resident rota covering the critical care unit and management of critically unwell patients throughout the hospital during the day. You will be supported by a senior, airway trained registrar on-site.The successful candidate will be based on the Oncology Critical Care Unit (OCCU) which is a state-of-the-art eight-bedded facility. The eight bedded unit supports the care of all the patient's undergoing treatment at The Christie's Withington site, the unit delivers around 600 patient episodes per year; 60% of which are surgical.

The post holder will provide resident medical cover for the Oncological Critical Care Unit (OCCU). The role requires the post holder to provide support for the Cardiac Arrest, Outreach and Acute Pain Teams at The Christie, under the supervision of a consultant.Although not a recognised teaching post, we will look to cater learning and teaching opportunities to the successful candidate based on their individual career aspirations and goals.The critical care service complements a comprehensive range of cancer specialties including surgical, clinical, medical, and haematological oncology

About us
The Christie is one of Europe's leading cancer centres, treating over 60,000 patients a year. We are based in Manchester and serve a population of 3.2 million across Greater Manchester & Cheshire, but as a national specialist around 15% patients are referred to us from other parts of the country. We provide radiotherapy through one of the largest radiotherapy departments in the world; chemotherapy on site and through 14 other hospitals; highly specialist surgery for complex and rare cancer; and a wide range of support and diagnostic services. We are also an international leader in research, with world first breakthroughs for over 100 years. We run one of the largest early clinical trial units in Europe with over 300 trials every year. Cancer research in Manchester, most of which is undertaken on the Christie site, has been officially ranked the best in the UK.

The postholder will contribute to the delivery of high quality consultant led care across 7 days. This includes participation in planned weekend and weekday clinical activity to support safe, timely decision making and continuity of care for patients

Job responsibilities
DUTIES AND RESPONSIBILITIESThe medical establishment currently provides 24 Consultants in Anaesthesia and/or Critical Care, 7 SAS Doctors, 3 fellows and 2 trainees, 1 ANP.

The appointee will be based at The Christie and will provide senior input to the Oncological Critical Care Unit (OCCU) and support for the Cardiac Arrest, Outreach and Acute Pain Teams at The Christie. Additionally, the post will offer regular time tabled supervised sessions in clinical Anaesthesia, and time for supportive activities such as audit and research.

Administration:

• Maintain accurate clinical documentation and handovers
• Participate in MDT meetings and departmental audit cycles

Teaching

• Contribute to in-house anaesthetic teaching and education of resident doctors and medical students.
• Opportunity to assist in regional teaching programmes.

Research

• Engage in national and local research/audit projects, such as NELA and PQIP.
• Support the design and analysis of quality improvement initiatives.

Communication and working relationships

• Work collaboratively with the OCCU Team, Outreach, theatre staff, surgeons, and acute pain team.
• Communicate effectively with patients and carers, especially in complex cancer care settings.

Governance, quality and risk management

• Adhere to Trust policies and GMC guidance on professional standards
• Participate in clinical governance meetings, incident reviews and morbidity and mortality meetings where appropriate.

Professional development:

• Dedicated SDT time to support CPD, appraisal and revalidation activities.
• Encouraged to attend conferences and external educational courses.

Education and training:

• Access to structured learning resources within The Christie School of Oncology

Support and office facilities:

• Shared office space with IT access.
• Anaesthetic support from the anaesthetic Directorate.

Mentoring:

• Clinical and educational supervision provided by a named consultant.
• Regular job planning and progression reviews.

Continuing Professional DevelopmentThe Trust supports the requirements for continuing professional development (CPD) as laid down by the GMC and surgical colleges and is committed to providing time and financial support for these activities.

Role PlanningThe role will include an average approximately 40 hours/week of clinical duties in CCU and theatres. Shifts will include long days covering the critical care unit; in addition to short days on critical care or in theatres.

Over a 12 week rolling rota period, it is anticipated that the postholder will complete approximately:16 x 12.5 hour long day shifts on CCU (weekdays)14 x 10 hour short day shifts on CCU12 x 9.5 hour Theatre shifts

In addition to the above, it is anticipated that the postholder will receive approximately 2 hours of self development time per week to contribute to audit, research, training and quality improvement projects. There are also opportunities to attend and become involved with other anaesthetic-led services at the Christie; including CPET/Pre-op Clinics/Acute Pain Rounds/Chronic Pain clinics and interventions.

All post-holders will be given a named clinical and educational supervisor.

Currently, the job description does not include any night shifts or weekend working. However, it is highly anticipated that over the course of the contract period; the role will change, and the postholder will be required to participate in nights and weekend working, under the direct supervision of a senior doctor.

Weekend working will consist of clinical activities that are scheduled in advance and reviewed where required as work schedules are reviewed, taking account of service needs.

On call CommitmentsThe postholder will contribute to resident daytime and evening cover on the oncological critical care unit. This is a resident rota covering the critical care unit, and supporting the management of critically unwell patients throughout the hospital under the direct supervision of a consultant. The postholder will have to complete 16 resident long day shifts over the course of a 12-week period.

As stipulated above, currently, the job description does not include any night shifts or weekend working. However, it is highly anticipated that over the course of the contract period; the role will change, and the postholder will be required to participate in nights and weekend working, under the direct supervision of a senior doctor.

Person Specification
Qualifications
Essential

• Medical Degree
• GMC registration

Desirable

• Primary FRCA, MRCP, MCEM or equivalent

Training
Essential

• Advanced Life Support

Desirable

• Airway skills
• Higher competencies in Anaesthesia and/or Intensive care Medicine (ICM), e.g. CVC/Arterial line insertion, etc

Experience
Essential

• Minimum 3 months experience in ICM, Anaesthesia, acute/emergency medicine.
• Demonstrates an understanding of the importance of audit
• Minimum of 1 Year NHS Experience

Desirable

• 6-12 months experience in Anesthesia and Critical care
• Evidence of active participation in clinical audit

Personal skills
Essential

• Good communication skills in verbal and written English
• Good interpersonal skills
• Working well in a multi- disciplinary team Calm, efficient under pressure
• Knowing when to ask for help
• To recognise personal limitations but to work competently within these boundaries
• Reliable, punctual, hard- working, enthusiastic.

Desirable

• Awareness of specific needs of patients and carers, issues relating to service provision for cancer patients in hospital and the community.
• Empathy with patients and carers involved in tertiary treatments and understanding of their special needs.

Teaching
Essential

• Evidence of an interest in teaching and supporting the learning of medical students and/or junior healthcare professionals

Desirable

• Formal teaching qualification or completion of a recognised teaching course
• Experience of planning, delivering and evaluating structured teaching sessions or courses

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