Consultant in Anaesthesia

The Department We currently have a 28 substantive Consultant Anaesthetists. In addition, there are 14 Anaesthetic Specialty Doctors and two Associate Specialists. The trainee establishment consists of eight stage 1 trainees, together with four stage 2 or 3 trainees all rotating from the South Yorkshire Anaesthetic Training Rotation. The department also has one Foundation Year 2 doctor on a 4-month rotation within critical care.

Elective Surgery Elective surgical lists are either half or full day and run for either 4 or 8 hours. Anaesthetists are allocated an extra hour per half day for pre-op assessment and post-op care. Surgical specialties include: general surgery (including laparoscopic colorectal surgery), orthopaedics and trauma, gynaecology, urology, ENT, maxillofacial, breast surgery, ophthalmology. We have an excellent Day Surgery Unit and one of our colleagues is the Past-President of the British Association of Day Surgery (BADS).

We have an excellent regional anaesthesia service with higher and advanced training modules. We have an excellent Paediatric exodontia anaesthesia service and a community dental sedation service. In addition to the above we are the referral centre for ECT and we also provide a regular cardioversion service. We have a resident Professor and a strong anaesthesia and critical care research portfolio participating in many international and national portfolio studies with input from funded trust research nurses.

Obstetric Anaesthesia and Analgesia Rotherham has a busy obstetric unit. In 2018 there were approx. 3000 deliveries. 15 sessions per week are currently covered by nine Consultant Anaesthetists.

Weekday consultant cover is from 07:40 21:00. Overnight cover is provided by the Registrar on-call and the General Anaesthetic Consultant on call. The weekend days have anaesthetist covering Labour Ward and helping in theatres and ICU if needed. Acute Pain An enthusiastic and dynamic team of nursing staff run our nationally renowned acute pain service throughout the Trust.

There is a well-established ward-based epidural service for Orthopaedics, General Surgery, Urology and Gynaecology with on-going developments focusing on enhanced recovery, management of acute pain in the patient with chronic pain and analgesia for fractured necks of femur. The Pain team has particular expertise in the management of rib fractures and our protocols have been published and presented nationally. The pain team also provide an acupuncture service which has reduced the incidence of post-operative nausea and vomiting (PONV). Training & Teaching In addition to service commitments, there are excellent opportunities for the appointee to become involved in anaesthetic training, module development, educational supervision and appraisal.

The Department has an excellent reputation for teaching and training. The department offers training modules in all the surgical specialities available at the Trust, as well as Critical Care Medicine. All consultants are encouraged to participate in teaching and tutorials, in addition to practical aspects of training in the operating theatres and intensive care The Critical Care Unit is recognised for basic, intermediate level RCoA training and Stage 1 of the FICM training program. One of our ICU Consultants is FICE accredited and all the remaining ICU Consultants are working towards FICE accreditation.

There is an established teaching programme within the department, with an afternoon of tutorials on topics relating to Anaesthetics and Critical Care Medicine. A lunchtime ICU journal club and a mortality and morbidity meeting is held once a month at the ICU Clinical Governance meeting. Critical Care Unit We admit around 630 patients a year, of which 35% are Level 3. Approximately 60% are emergency medical admissions, and around 15% are elective surgical patients.

Our mean APACHE II score is 15.2, with a unit mortality of 12%, which is in keeping with other similar units in the ICNARC Case Mix Programme, and we have a risk-adjusted acute hospital mortality of 0.91 (2018-2019 ICNARC data). There are currently 6 funded Level 3 (ICU) bed spaces and 8 funded Level 2 (HDU) bed spaces. The ICU and the HDU are co-located to make a Critical Care Unit. Theatres, radiology and the brand new Urgent Care Emergency department are in close proximity.

There are currently nine Consultants and one associate specialist, who have a special interest in Critical Care and provide consultant cover for the unit. Two Critical Care consultants cover the unit each weekday, providing a total of 20 clinical sessions. These new posts were approved to help meet the GPICS standards for critical care. For more information please see job pack attached.