Clinic Fellow

4 weeks ago

London, United Kingdom Lewisham and Greenwich NHS Trust Full time

**Location(s)**: Queen Elizabeth Hospital, Woolwich

**Start Date**: April 2023

**Contract**: 6 months initially with the possibility to extend

Applicants are required to have full GMC registration with licence to practice.

The successful applicant will work a EWTD compliant, 1:6 rota with prospective cover of annual and study leave. Clinical Fellows will work alongside HEE trainees. You will be eligible for study leave with a supporting budget to accommodate CPD alongside regular in-house peer-to-peer training.

For further details, please refer to the job description.

General Characteristics of the post
The post is full-time and is entirely within the Critical Care Unit for the contract duration. Rota pending, applicants who perform satisfactorily may be given a further period of 6 months within Critical Care or
Anaesthesia.

The successful applicant will work in a EWTD compliant, 1:6 rota with prospective cover of annual and study leave. There are at least 2 juniors on both LDs and Nights.

The Critical Care Unit has 19 beds of which 6 are isolated. The unit admits approximately 900 patients per year.

The unit subscribes to ICNARC.

A team of ICU consultants provide 24-hour supervision, lead all ward rounds and support the juniors.

Working models for the consultants include single
- and cross-site activity (QEH and QEH/UHL).

Lewisham and Greenwich NHS Trust is a community focused provider of local and acute care, providing high quality services to over one million people living across the London boroughs of Lewisham, Greenwich and Bexley. With a turnover of around £700 million, we provide services at Queen Elizabeth Hospital in Woolwich, University Hospital Lewisham and a range of community settings in Lewisham. We also provide some services at Queen Mary’s Hospital in Sidcup.

As an organisation, we’ve made significant improvements for patients and staff in the last two and-a-half years. This is reflected in our most recent Care Quality Commission (CQC) inspection (from February 2020), which found improvements across the organisation and gave us an improved rating of “Good” in the Well-Led and Effective domains, in addition to the rating of “Good” that we had already achieved in the Caring domain. Our staff culture change programme has been key to the Trust’s improvement journey, as we’ve stabilised our workforce by reducing vacancy rates and improving staff retention. We’ve also significantly increased the representation of minority ethnic leaders across our clinical and corporate teams.

Duties of the post
Assess each patient every day on the ward round and plan patient care under the supervision of the Critical Care Consultant.

Participate with the other members of the team in the ongoing medical care of all the patients on the unit.

Attend and present patients every morning at the handover round and again each evening at the handover round to the Critical Care Resident on night shift.

Document and execute a clinical management plan with the Critical Care Consultant on the unit during the day or on call at night regarding the care of all patients on the unit.

Communicate effectively with the Critical Care Consultant regarding all new referrals for admission.

Work effectively with trainees from other specialties (most commonly Anaesthetics) to provide safe out of hours care to critically ill patients.

Follow all Trust and Critical Care Unit policies at all times, including policies for the clinical management of patients, Infection Control policy and reporting of accidents and incidents according to the Trust’s Clinical Risk Management policy.

Participate in the ongoing Clinical Audit program on the unit as well as any clinical research projects that are in progress.

Participate in the teaching and education program for all trainees on the unit.

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