Senior Clinical Fellow in Recovery after Critical Illness
Guy’s and St Thomas’ is among the UK’s busiest and most successful NHS foundation trusts. We provide a full range of hospital and community services for people in south London and as well as specialist care for patients from further afield including cancer, renal, orthopaedic, respiratory and cardiovascular services.
Guy’s is home to the largest dental school in Europe and a £160 million Cancer Centre opened in 2016. As part of our commitment to provide care closer to home, in 2017 we also opened a cancer centre and a kidney treatment centre at Queen Mary’s Hospital in Sidcup.St Thomas’ has one of the largest critical care units in the UK and one of the busiest emergency departments in London. It is also home to Evelina London Children’s Hospital.
Evelina London cares for local children in Lambeth and Southwark and provides specialist services across south east England including cardiac, renal and critical care services. We lead a number of specialist service networks aiming to ensure children are treated locally where possible, but have access to specialist expertise when they need it.Our community services include health visiting, school nursing and support for families of children with long-term conditions.
Our adult community services teams deliver care at the heart of the local communities we serve, working in partnership with GPs, local authorities and other healthcare and voluntary sector organisations. Working with our partners in Lambeth and Southwark, we are focusing on new ways of working to improve care for local patients.
In February 2021 the Royal Brompton and Harefield joined Guy’s and St Thomas’ NHS Foundation Trust, bringing together world-leading expertise in the care and research of heart and lung disease. Our merger provides a once in a generation opportunity to build a lasting, world-renowned heart and lung centre, providing the highest quality care for patients and conducting world-leading research.
We have a reputation for clinical excellence and high quality teaching and research. We are part of King’s Health Partners, one of eight accredited UK academic health sciences centres. In partnership with King’s College London we have dedicated clinical research facilities including an MHRA accredited Phase I clinical trials unit.
Patients are at the heart of everything we do and we pride ourselves on ensuring the best possible patient experience as well as safe, high quality care. We are proud to have one of the lowest mortality rates in the NHS. Following a comprehensive Care Quality Commission (CQC) inspection in 2019 we maintained our overall rating of ‘good’.Our adult community services achieved a rating of ‘outstanding’.
The commitment of our 23,500 staff is key to our success. We are one of the largest local employers and we aim to develop and support all our staff so they are able to deliver high quality, safe and efficient care. The 2019 NHS staff survey results show that we have one of the most engaged and motivated workforces in the NHS.We know this has a positive impact on the care provided to our patients.
We have one of the most ambitious capital investment programmes anywhere in the NHS.
Job overview
The GSTT Post ICU Recovery Clinic is a comprehensive post ICU recovery service founded in 2016 that has already supported >3700 complex critically ill patients and their families beyond ICU and the first year of their discharge home. Patients receive full assessment of their physical, cognitive and psychological function through multidisciplinary assessments by consultant, critical care nurse, occupational therapist, physiotherapist, clinical psychologist and neuropsychiatrist.
This Clinical Fellow post in Recovery after Critical Illness offers an exciting and unique opportunity to gain clinical experience in critical care aftercare under direct consultant supervision. You will contribute to the delivery of post ICU Recovery Services of a varied and challenging case mix (including the COVID19 and SRF/ECMO cohort).Training will be provided in multi-professional aspects of recovery after critical illness across the recovery continuum spanning both inpatient and outpatient phases. Additional experience will be available in our parallel aftercare programmes including: the ICU survivor peer support group, the patient diary project, psychological interventions, supporting driving resumption after ICU.
An innovative digital recovery platform enabling patient-centred care and rehabilitation is also under evaluation. Opportunities are anticipated for quality improvement and research into outcomes after critical illness.
Main duties of the job
This post will combine clinical duties in the Post ICU Recovery Clinic (50%) and direct clinical care duties in the critical care department (50%).- Full training in all aspects of post critical illness follow-up will be provided. This will include assessment of post intensive care syndrome, multi-disciplinary interventions to promote recovery, patient- and family-centred outcomes from critical illness, health related quality of life instruments, and social/financial aspects of recovery. Exposure to peer support, patient diaries, patient experience and ICU discharge coordination is also provided.
- Duties will include, but are not limited to:
- Screening and telephone pre-assessment of potential clinic patients
- Delivery of critical illness recovery clinic and assessment of PICS under consultant supervision
- Compose clinic letters and coordinate onward referrals
- Maintenance and development of follow-up database and contribution to ongoing audit/research activities
- Contribute to development and expansion of follow-up services to suit needs of GSTT case mix
- Quality improvement of our service including information and resources for patients and families
- Feedback and dissemination of follow-up activities to the wider critical care department
- Attendance at relevant meetings
- Teaching and training of medical, nursing and allied staff as well as medical students
Working for our organisation
Guy’s and St Thomas’ NHS Foundation Trust comprises five of the UK’s best known hospitals – Guy’s, St Thomas’, Evelina London Children’s Hospital, Royal Brompton and Harefield – as well as community services in Lambeth and Southwark, all with a long history of high quality care, clinical excellence, research and innovation.
We are among the UK’s busiest, most successful Foundation Trusts. We provide specialist care for patients including heart and lung, cancer and renal services as well as a full range of local hospital and community services for people in Lambeth and Southwark.
We have a long tradition of clinical and scientific achievement and – as part of King’s Health Partners – we are one of England’s eight academic health sciences centres, bringing together world-class clinical services, teaching and research.We have one of the National Institute for Health Research’s biomedical research centres, established with King’s College London in 2007, as well as dedicated clinical research facilities.
We have around 22,700 staff, making us one of the largest NHS Trusts in the country and one of the biggest employers locally. We aim to reflect the diversity of the communities we serve and continue to develop new and existing partnerships with local people, patients, neighbouring NHS organisations, local authorities and charitable bodies and GPs.
Detailed job description and main responsibilities
Clinical:
The postholder will, together with colleagues, be responsible for the provision of services to the Guy’s & St Thomas’ NHS Foundation Trust to include:
(a) Diagnosis and treatment of patients of the trust in such hospitals, health centres or clinics or other premises as required.
(b) Continuing clinical responsibility for the patients in your charge, allowing for all proper delegation to, and training of, your staff.
Training of junior staff:
The postholder will take responsibility for the training and direction of the multi-disciplinary staff allocated to him/her under the aegis of the training plan that that postholder has agreed with their supervising consultant.
Clinical Governance:
All medical and dental staff are expected to take part in clinical governance activity, including clinical audit, clinical guideline and protocol development and clinical risk management. They will be expected to produce evidence of their contribution in these areas and their audit of their own clinical work as part of their appraisal.
Person specification
Qualifications / Education
Essential criteria- MBBS or equivalent medical qualification
- FRAC/MRCP/MRCS or equivalent qualification
- DICM/EDIC or equivalent qualification in intensive care medicine
Professional / Statutory Registration
Essential criteria- Eligible for full registration with licence to practice with the GMC at time of appointment
- Eligible to work in the UK
Previous Experience
Essential criteria- Ability to provide a complete employment history with no unexplained career gaps
- Evidence that career progression is consistent with personal circumstances
- Evidence that present achievement and performance is commensurate with totality of period of training
- Minimum 18 months substantive experience in intensive care medicine
- Experience delivering follow up care to patients and families after critical illness
- Knowledge of ICU survivorship and outcomes
- Demonstrable research experience
- Demonstrable teaching experience
Skills / Knowledge / Ability
Essential criteria- Valid adult life support (ALS) certification
- Airway skills (minimum 12 months substantive anaesthesia)
- Excellent verbal and written communication skills for a wide range of audiences
- Excellent interpersonal skills, including confident and comfortable interaction with multi-disciplinary colleagues
- 24 months substantive experience in anaesthesia
- Fluent use of IT including email, word processing, spreadsheet, database
- Expertise in statistics and data analysis
Guy’s and St Thomas’ celebrates, respects and values the diversity of its staff and patients. We review our policies, procedures and practices to ensure that all employees, patients and carers are treated equitable according to their needs. We are actively committed to ensuring that no one who applies for a job, works or study’s at the Trust, or accesses our services is discriminated against on the grounds of race, ethnicity, nationality, disability, religion or belief, age, gender identity , gender reassignment, sexual orientation, pregnancy and maternity/paternity, or marital/civil partnership.
Applications are welcomed from applicants with a disability. We can make reasonable adjustments and offer support and advice in a variety of ways throughout the application process. Equality of opportunity is our policy.
As an organisation we are committed to developing our services in ways that best suit the needs of our patients. This means that some staff groups will increasingly be asked to work a more flexible shift pattern so that we can offer services in the evenings or at weekends.
Flexible working
We are committed to supporting all employees to achieve a healthy work life balance and to work in a way that is best for them and our patients. We will consider all requests to work flexibly, taking in to account the individual’s personal circumstances as well the needs of the service.We encourage all prospective applicants to discuss their individual circumstances with the recruiting manager as part of the on-boarding process.
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