Job summary
Trust Fellow - posts starting in February and March 2025
The Children's Acute Transport Service (CATS) stabilises & transports critically ill & injured children into intensive care facilities in North Thames. The posts are ideally suited to doctors with backgrounds in paediatric critical care, anaesthesia, or emergency medicine who wish to consolidate and broaden their experience of paediatric critical care medicine.
The successful applicants will be working as part of a team of 12 specialist registrars/clinical fellows and advanced clinical practitioners. The service currently undertakes about 1000 transports per year with a wide range of paediatric, neonatal surgical and cardiac intensive care cases, including those referred for ECMO support.
Supernumerary flexible time is included in the rota to allow for participation in clinical audit and to cater to the training needs of the individual. Previous experience in transport medicine is desirable but not essential as the post entails full training in the transport of critically ill children by road and air.
Applicants must be registered with the General Medical Council or eligible for registration.
Based in central London, GOSH offers flexible working, help with childcare and travel, excellent training and development opportunities, and assistance with finding somewhere to live.
All applicants must return their application forms electronically via NHS Jobs.
Main duties of the job
CATS receives approximately 2500 referrals per year, of which around 1200 are retrieved, with 60 -70% being ventilated. These transports are performed by land (ambulance and rapid response unit vehicle) and air (fixed wing and helicopter). Approximately 50-60 patients are transported by air each year.
The main role of the fellow is to manage all aspects of a transport to ensure a safe, efficient, and cohesive transfer from the referring centre to the accepting intensive care unit. This includes giving advice at the initial referral call; coordinating the transport; stabilising the patient and ensuring continuity of intensive care during the transfer. Full on the job training will be given, and all transports will be supervised throughout, either by an accompanying consultant in retrieval medicine, or by close telephone contact.
It is also expected that the fellows will take an interest in the organisational aspects of transport medicine, including audit, quality assurance projects, presentation at transport forums and research in subjects pertaining to retrieval medicine and paediatric intensive care.
A logbook of transports will be kept and reviewed by the trainee's supervisor; issues arising from these transports will be discussed on a regular basis. At the completion of the service term, the fellow will receive a formal appraisal from their supervisor.
About us
GOSH is committed to recruiting the best person for the job, based solely on their ability and individual merit as measured against the criteria for the role; through a process that is fair, open, consistent and free from bias and discrimination.
We are committed to being a diverse and inclusive employer and foster a culture where all staff are valued, respected and acknowledged. All applicants will receive consideration for employment without regard to race, colour, national origin, religion, sexual orientation, gender, gender identity, age, disability status or length of time spent unemployed.
We particularly welcome applications from BAME communities, people with disabilities and/or long-term health conditions and LGBT+ community members.
We have policies and procedures in place to ensure that all applicants and employees are treated fairly and consistently. We are proud to be accredited as a Disability Confident Employer, a member of Business Disability Forum and a Stonewall Diversity Champion.
We have active and Executive supported BAME, LGBT+ and Allies, Disability and Long-Term Health Conditions and Women's staff networks. Staff networks are employee-led groups formed around interests, issues and a common bond or background. Staff network members create a positive and inclusive work environment at Great Ormond Street Hospital by actively contributing to the Trust's mission, values and efforts specific to inclusion. All of our staff networks are open to any employee.
Job description
Job responsibilities
The full job description provides an overview of the key tasks and responsibilities of the role attached.
The Person Specification outlines the qualifications, skills, experience and knowledge required, both attached.
Person Specification
GOSH Culture and Values
Essential
1. Always welcoming
2. Always helpful
3. Always expert
4. Always one team
5. Knowledge and Understanding of diverse backgrounds and perspectives.
6. Understanding of Diversity and Inclusion challenges in the workplace.
7. Demonstrable contribution to advancing Equality, Diversity and Inclusion in the Workplace
Skills/Abilities
Essential
8. Excellent written and oral communication skills
9. Ability to organise and prioritise own workload
10. Ability to work under pressure in a multi-disciplinary environment
11. Ability to prioritise clinical needs
12. Procedural skills including central line insertion, arterial line insertion, airway skills and intubation of children aged 0-16 years, chest drain insertion
Academic/Professional qualification/Training
Essential
13. Primary medical qualification - MBBS or equivalent
14. Full GMC registration (obtained by designated start date)
15. MRCP, MRCPCH or equivalent
16. Accredited to The Royal Colleges of Paediatrics and Child Health and/or Anaesthesia or equivalent
Desirable
17. Higher degree - MSc, MPhil related discipline
Experience/Knowledge
Essential
18. Two years SpR equivalent training or equivalent 6 months experience in a tertiary PICU OR Higher paediatric anaesthesia training PICU experience
19. Experience of teaching and presenting
20. Experience of audit activities
21. Understanding of principles of clinical governance
Desirable
22. Clinical experience in related paediatric specialties
23. Published research in peer reviewed journals
24. Recognition and stabilization of acutely unwell children
25. Experience in Paediatric Retrieval
26. Experience of congenital heart disease management