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Consultant Anaesthetist

3 months ago


Manchester, United Kingdom The Christie NHS FT Full time

Job summary

Due to a growth in demand for our services we are seeking to appoint three consultant anaesthetists to support activities across a range of oncological specialties in our large tertiary single site cancer would welcome applications from candidates who have a specialist interest in Critical Care and/or Pain Management, all post holders will undertake a varying amount of adult general anaesthesia work at Christie NHS Foundation Trust Withington site, supporting the specialist surgical specialties of Gynaecology, Plastic, Urology and Colorectal is a degree of flexibility when developing job plans and consideration will be made for each candidate's unique skill sets, which would make other sub-specialty roles possible, this could include out-of-hours on call (Critical Care or Theatre), daytime Critical Care and anaesthesia for paediatric radiotherapy. Job plans will be agreed on commencement of the post with the Clinical Director for Anaesthesia & Critical Care and the service manager for Anaesthesia, Theatres and Surgery (ATS).

Main duties of the job

To contribute to the provision of Anaesthesia across a range of oncological specialties held at The post holders will undertake sessions in Anaesthesia for Oncological Surgery, Radiotherapy and will have the opportunity to provide Consultant out-of-hours on call cover for either Theatres or Critical the first instance, the total contractual commitment will be 10 PA ( PA for DCC and for SPA), allocated according to the job plan. Job plans will be agreed on commencement of the post with the Clinical Director for Anaesthesia & Critical Care and the service manager for Anaesthesia, Theatres and Surgery (ATS).Consultants' individual needs and specialist interests are supported and services are dynamic and rapidly developing, thus offering further opportunities for the successful department has a rolling 8-week rota developed from the agreed job plans of all consultants.Individual job plans reflect this and are reviewed annually, in keeping with current trust Department of Anaesthesia, Acute & Chronic Pain and Critical Care resides within the directorate of Anaesthesia, Theatres and Surgery (ATS) which is part of the division of Clinical Support & Specialist Surgery.

About us

The Christie NHS Foundation Trust, situated in south Manchester, is the largest cancer treatment centre of its kind in Europe, and an international leader in cancer research and development. The Christie serves a local population of 3 million within the Greater Manchester and Cheshire Cancer Network, providing surgery, radiotherapy and complex chemotherapy hospital has continued a program of major investment at the main hospital site, this includes: the recent opening of NHS England's first Proton Beam Therapy Centre, an eight bedded Oncological Critical Care Unit (OCCU) with Level 3 facilities, nine theatres, two Da Vinci robotic surgical systems, an active Clinical Trials Unit, Oak Road Treatment Centre chemotherapy suite (the largest in the UK - working 6 days a week), Brachytherapy unit, expanded Young Oncology and Haem-oncology unit, Maggie's Centre, Manchester Cancer Research Centre and the exciting redevelopment of the Paterson research facility to be opened 2023, which will give the opportunity of collaborative team department has an establishment of 23 Consultant Anaesthetists supporting the development of Anaesthesia, Critical Care and Pain Services at The Christie. There is an active pre-operative and pre-habilitation service including in-house CPET and pulmonary function testing.

Job description

Job responsibilities

Detailed job description and main responsibilitiesThe post holder will share with the other consultants the responsibility for the continuity of care of patients treated at The Christie and they will be expected to work with local managers and professional colleagues in the efficient running of services and will share administrative duties.Subject to the provisions of the Terms and Conditions of Service, the successful candidate is expected to follow the divisions agreed policies and procedures, drawn up in consultation with health care professionals on clinical matters, and to follow the standing orders and financial instructions of The Christie NHS Foundation Trust.ClinicalThe contractual commitment will be an annualised average of 10 PAs per week. The consultant on-call commitment for this post is to cover the Theatres out-of-hours and holds a value of PA per week (subject of annual review). There is also a possibility to contribute to the OCCU on call rota if skills and interest are permitting, which is valued at PA/week, this would be subject to a PA adjustment if more consultants were to join this on call rota.Anaesthetic ServicesAnaesthetic care is available for a range of specialised oncological surgical procedures, often complex and requiring multidisciplinary input. The specialties involved include GI and colorectal surgery, urology, gynaecology, plastic and reconstructive surgery. Anaesthetic services are also provided for brachytherapy/radiotherapy, including paediatric and interventional and Chronic Pain ServiceThe Acute Pain Service at the Christie has long been established as a part of patient care in the trust. This service oversees approximately 300 epidurals and 300 PCAs per year offered through theatres and the OCCU, predominately for the surgical patients. The service also provides, and has written, the epidural, acute pain and PCA guidelines and prescription charts for the trust. It also provides the educational programme and educational materials for all grades of staff. The Service also has a close relationship with the Supportive Care Team (approximately 15% of acute pain patients coming through The Christie also have chronic pain problems).SurgeryThe Christie Directorate of Surgery is a specialist tertiary referral surgical centre that concentrates on rare cancers, complex procedures and multi-disciplinary cancer surgery and sits within the Cancer Centre Services Division of the Trust. All our specialities (colorectal surgery, urology, gynaecology, plastic and reconstruction) work as a single service in a network across populations ranging from 25 million, with Senior Specialist Registrars and Clinical Fellows allocated by the Specialty Training Committees to support these areas. Surgery is an integral part of The Christie comprehensive cancer centre. Our surgical teams work closely with other professionals, Clinical and Medical Oncology, Diagnostic and Interventional Radiology, Critical Care and Anaesthetics, Acute Oncology, Palliative Supportive care, Complementary therapies, Psycho-oncology, Pathology, Nuclear Medicine and Researchers. This allows for complex multidisciplinary care of patients requiring multimodality therapies. Additionally, the Surgical Directorate provides support to patients undergoing radiotherapy and chemotherapy for their cancer who suffer complications or side effects that require surgical opinion/ Directorate of Surgery provides a service to local, regional and national populations. Much of our work is based on rare and complex cancers under the remit of specialised and highly specialised commissioning, whilst ensuring patients being treated non-surgically, within the comprehensive centre, are supported addition to the specialist services the surgical department is one of the two nationally funded referral centres for peritoneal tumours undertaking major, multi-visceral, cyto-reductive procedures with Heated Intraoperative Intraperitoneal Chemotherapy (HIPEC).Our surgical facilities are comprehensively equipped, running 7 operating theatres, two of which are Robotic and a separate dedicated radiotherapy theatre. With a further two operating theatres; one robotic and one integrated laparoscopic, which opened in December 2020 for The Christie Private are 8 resident specialty doctors covering OCCU resident nighttime shifts with a Clinical Fellow and Advanced Clinical Practitioner (ACP) covering the unit during the daytime, supported by two specialist trainees in Acute Medicine.

Person Specification

Qualifications

Essential

Full GMC registration with a valid license to practice CCT or CESR (or equivalent) with entry on Specialist Register for Anaesthesia or within six months of anticipated CCT date on the date of interview Member of a medical indemnity organisation FRCA or equivalent EDIC or equivalent ALS

Desirable

FFICM or equivalent Additional degree or post-graduate qualification (MRCP, MD etc) Higher/Advanced or equivalent in new RCoA curriculum Post-Graduate Prizes

Training

Essential

Smooth progression through training consistent with personal circumstances Higher training in airway management, general, urological and gynaecological surgery Ability to manage risk and end of life decisions

Desirable

Relevant medical experience outside anaesthesia Advanced training general, urological and gynaecological surgery Advanced training in airway management

Experience

Essential

Experience in anaesthesia/intensive care Good understanding of clinical governance Active consistent engagement with clinical audit Regular commitment to continuing medical education Experience of postgraduate and undergraduate teaching Evidence of achieving GMC standards to be recognised as a clinical supervisor Active regular participation in teaching and training of medical and para-medical colleagues

Desirable

Experience in working in NHS settings Evidence of implementing change to improve patient care Involvement in Clinical Research in Critical Care, Anaesthesia and/or Oncology Presentations at regional and national meetings Publications in peer reviewed journal Experience of undergraduate course and curriculum development Evidence of achieving GMC standards to be recognised as an educational supervisor Extensive / formal experience in medical education including regional teaching Formal Educational Qualification/Postgraduate educational qualification Life support course instructor

Leadership

Essential

Leadership qualities Evidence of reflective practice Good understanding of NHS management structures Caring and responsible attitude to colleagues

Desirable

Evidence of leadership in anaesthesia/critical care