Job summary Applications are invited for the position of Senior Clinical Fellow in Adult Critical Care and Major Trauma for a 12 month period in August 2025. This post would ideally suit candidates with anaesthetic/ICM experience who are aiming to advance their CV and develop their ICM & Acute Care Skills to a higher level within a Major Trauma ICU. The successful candidate would spend 50% of time developing a specialist interest in Major Trauma with opportunities for research, education, quality improvement and development of clinical expertise/skills related to major trauma. Suitable applicants will be offered opportunity to become faculty on the NUH Trauma, Anaesthesia, Resuscitation and Simulated Care Course and supported in applying for a place on the European Trauma Course. Main duties of the job The successful candidate will participate in the 1 in 8 airway rota across both QMC and NCH campus critical care units to maximise the clinical experience you gain during this post. Clinical Responsibilities will include (not exhaustive): Perform daily reviews on ICU patients and present findings on the MDT ward round, with a focus on our major trauma patient population within Adult Critical Care. In conjunction with the consultant support the clinical decision making of junior medical and nursing staff as the senior member of the critical care team Review critically unwell patients outside of critical care Admit, stabilise and formulate an initial management plan for critically unwell adults. Competently initiate ventilation, use vasopressors, insert CVC and Arterial Lines and be able to transfer the critically unwell patient. See for more details. About us NUH consists of the Queens Medical Centre Campus and the Nottingham City Hospital Campus. Duties will be based at both campuses. On the QMC campus the critical care area is divided into a 29-bedded intensive care (level 3 beds) and a 20-bedded level 2 HDU. The critical care area at the City campus has 17 beds that are used flexibly for level 2 and 3 care. Between the three units we see approximately 4500 admissions per year. NUH is the East Midlands Major Trauma Centre and is one of the busiest trauma units in Europe. (During the covid pandemic we were able to increase our capacity significantly). We are fortunate to have a large and skilled MDT to support the medical team in delivery of critical care to Nottingham and the wider catchment area. Ours is a diverse and vibrant city having a busy and culturally exciting centre, two universities and yet close proximity to picturesque villages, the Peak District, Sherwood Forest and Rutland Water. Date posted 23 April 2025 Pay scheme Hospital medical and dental staff Grade Doctor - other Salary Depending on experience per annum Contract Fixed term Duration 12 months Working pattern Full-time Reference number 164-7115339 Job locations Cross site Derby Road Nottingham NG7 2UH Job description Job responsibilities The post is open to all applicants who meet the essential criteria as detailed in the person specification below. It is open to all doctors who hold Full/limited registration with the GMC and successfully completed foundation year 2 training and a further 2 years in acute specialities (of which 12 months should be in anaesthesia) who wish to gain further experience in the management of critically unwell patients with a wide range of medical and surgical conditions and enhance their CV for application to specialist training or consultant posts. Critical Care at NUH is fortunate to have among its staff the National Lead for Organ Donation, Vice Chair of the NIHR Critical Care Group and enjoys close ties with the University of Nottingham completing a research qualification (e.g. MRes, DM) is encouraged and the post can be extended as required subject to appraisal. This post is whole time and is covered by the Medical and Dental Staff Terms and Conditions of Service. Doctors applying for this post from overseas should note that prior NHS experience is a prerequisite and we would recommend applying for one of our Trust Grade posts in the first instance. The post is EWTD compliant. The Salary for this post will be on the MT04 or MT05 scale depending on experience plus an out of hours supplement. This post is not recognised for training by the Postgraduate Dean, the Faculty of Intensive Care Medicine or by the Royal College of Anaesthetists. All successful applicants are allocated a clinical supervisor who will support the individual to develop their clinical and non-clinical skills and offer advice on how to achieve any specific individual goals the fellow may wish to achieve. We recommend that the appointee maintain a logbook of experience, complete appropriate assessments and participates in the wide range of non-clinical opportunities detailed below. Person Specification: Clinical Fellow in Adult Critical Care Essential for the post: A) MB ChB or equivalent & GMC registration with licence to practise B) Successful completion of FY2 training in an NHS setting plus two years of post-foundation training in acute specialities (Anaesthesia, Acute Medicine, Emergency Medicine or ICM) C) Have Completed Stage 1 Anaesthesia or ICM training or equivalent D) Ability to stabilise the deteriorating patient (including intubation and the initiation of organ support) E) Evidence of continuous career development F) Evidence of good written communication, successful team worker, sensitivity to needs of patients and colleagues G) Punctuality, professional appearance and attitudes consistent with GMC guidelines. Values and behaviours aligned with NUHs Desirable for the post: H) Primary FRCA or equivalent higher qualification I) ALS or equivalent accredited life support course J) ATLS or other trauma course K) Completion of Stage 2 Anaesthesia or ICM training L) Two year experience of anaesthesia in the UK M) Twelve month experience of internal medicine in the UK. N) Twelve months of previous Critical Care medicine in UK. O) Stage 2 anaesthesia or ICM trainee P) Completion of an Audit Cycle or Quality Improvement Project with evidence of having presented/published such work. Q) Publications (Research, QIP, Academic etc) R) Evidence of academic achievement including additional qualifications, prizes, Excellent ARCP Outcomes. S) Competence in Bronchoscopy, Lung Ultrasound and Focused ECHO T) Attendance at meetings/ courses/ membership of professional bodies U) Evidence of having completed a leadership or management course V) Evidence of Human Factors Training W) Demonstrates non-medical interests/ activities The Speciality Critical care is part of the Clinical Support division. There are 3 distinct adult critical care areas managed by clinical support across both QMC and City campuses. We aim to rotate you through both campuses so that you are exposed to a wide range of pathologies and speciality experience. Queens Medical Centre Campus (QMC) On the Queens campus Critical Care is divided into a 29-bedded Intensive Care (level 3 beds), and a 20-bedded level 2 High Dependency Unit. At QMC critical care receives referrals from major trauma and the following surgical specialties: neurosurgery, spinal, emergency orthopaedics, hepatobiliary, vascular, lower GI, maxillofacial and ENT. It also receives referrals from acute medicine (including acute gastroenterology). Of note, NUH became the East Midlands Major Trauma Centre in April 2012 and is the busiest Major Trauma Centre in the UK. Nottingham City Hospital Campus The critical care unit at the City campus has 17 beds that are used flexibly to accommodate up to 9 level 3 patients, the remaining beds are for level 2 admissions. The major subspecialty interests at City are thoracic surgery, upper GI surgery, elective orthopaedics, urology, burns and plastics, renal medicine, infectious diseases, oncology, haematology and respiratory medicine. The City campus also houses the separate Trent Cardiac Unit with its own dedicated intensive care unit. There is a well-established critical care outreach team on both campuses. Across NUH CCOT provide support to all medical and surgical areas, seven days a week 08:00-22:00. Medical Staffing There are 75 Junior Staff in Critical Care There are 35 Critical Care Consultants at NUH with an extensive range of subspecialty clinical and nonclinical interests and roles. Non Clinical Opportunities Educational opportunities The departments offer extensive learning resources. There are several regular educational meetings each week including journal clubs, ITU rounds and morbidity meetings. There is a monthly protected teaching day for our Fellows which cover the clinical aspects of critical care in addition to optional teaching days which cover generic non-clinical topics (e.g. ethics, medical law, professionalism, interview skills). There are hospital and departmental libraries at both sites including IT facilities. Previous Organ Donation Fellows have had the opportunity to spend some time with the lung/heart/liver transplantation teams. FICE & FUSIC There is plenty of opportunity for trainees to gain their FICE and FUSIC accreditation. The department is supported by several FICE & FUSIC mentors as well as consultants with experience of TOE. Research opportunities Available by special arrangement. Critical Care has links with the Academic Departments of Anaesthesia and Surgery and participation in on-going research and audit programmes will be encouraged. Time for Continuing Professional Development CPD 50% of the successful candidates paid time will be spent developing an interest in Organ Donation. Applications for training posts The department has an excellent reputation for successful recruitment into higher speciality training posts. Trainees are encouraged to develop their portfolio and identify and utilise opportunities to increase their success in subsequent recruitment. We are also fortunate to have a number of consultants who interview for example for National Anaesthesia Recruitment and therefore are in a position to support applicants during interview preparation. Internal cover and Locums The current banding allocation of this post includes an allowance for internal cover to cover the normal leave allowance of colleagues. In exceptional circumstances and for short periods only, Clinical Fellows may be requested to provide additional cover, for example, to cover sickness. Locums may also be employed in this instance Job description Job responsibilities The post is open to all applicants who meet the essential criteria as detailed in the person specification below. It is open to all doctors who hold Full/limited registration with the GMC and successfully completed foundation year 2 training and a further 2 years in acute specialities (of which 12 months should be in anaesthesia) who wish to gain further experience in the management of critically unwell patients with a wide range of medical and surgical conditions and enhance their CV for application to specialist training or consultant posts. Critical Care at NUH is fortunate to have among its staff the National Lead for Organ Donation, Vice Chair of the NIHR Critical Care Group and enjoys close ties with the University of Nottingham completing a research qualification (e.g. MRes, DM) is encouraged and the post can be extended as required subject to appraisal. This post is whole time and is covered by the Medical and Dental Staff Terms and Conditions of Service. Doctors applying for this post from overseas should note that prior NHS experience is a prerequisite and we would recommend applying for one of our Trust Grade posts in the first instance. The post is EWTD compliant. The Salary for this post will be on the MT04 or MT05 scale depending on experience plus an out of hours supplement. This post is not recognised for training by the Postgraduate Dean, the Faculty of Intensive Care Medicine or by the Royal College of Anaesthetists. All successful applicants are allocated a clinical supervisor who will support the individual to develop their clinical and non-clinical skills and offer advice on how to achieve any specific individual goals the fellow may wish to achieve. We recommend that the appointee maintain a logbook of experience, complete appropriate assessments and participates in the wide range of non-clinical opportunities detailed below. Person Specification: Clinical Fellow in Adult Critical Care Essential for the post: A) MB ChB or equivalent & GMC registration with licence to practise B) Successful completion of FY2 training in an NHS setting plus two years of post-foundation training in acute specialities (Anaesthesia, Acute Medicine, Emergency Medicine or ICM) C) Have Completed Stage 1 Anaesthesia or ICM training or equivalent D) Ability to stabilise the deteriorating patient (including intubation and the initiation of organ support) E) Evidence of continuous career development F) Evidence of good written communication, successful team worker, sensitivity to needs of patients and colleagues G) Punctuality, professional appearance and attitudes consistent with GMC guidelines. Values and behaviours aligned with NUHs Desirable for the post: H) Primary FRCA or equivalent higher qualification I) ALS or equivalent accredited life support course J) ATLS or other trauma course K) Completion of Stage 2 Anaesthesia or ICM training L) Two year experience of anaesthesia in the UK M) Twelve month experience of internal medicine in the UK. N) Twelve months of previous Critical Care medicine in UK. O) Stage 2 anaesthesia or ICM trainee P) Completion of an Audit Cycle or Quality Improvement Project with evidence of having presented/published such work. Q) Publications (Research, QIP, Academic etc) R) Evidence of academic achievement including additional qualifications, prizes, Excellent ARCP Outcomes. S) Competence in Bronchoscopy, Lung Ultrasound and Focused ECHO T) Attendance at meetings/ courses/ membership of professional bodies U) Evidence of having completed a leadership or management course V) Evidence of Human Factors Training W) Demonstrates non-medical interests/ activities The Speciality Critical care is part of the Clinical Support division. There are 3 distinct adult critical care areas managed by clinical support across both QMC and City campuses. We aim to rotate you through both campuses so that you are exposed to a wide range of pathologies and speciality experience. Queens Medical Centre Campus (QMC) On the Queens campus Critical Care is divided into a 29-bedded Intensive Care (level 3 beds), and a 20-bedded level 2 High Dependency Unit. At QMC critical care receives referrals from major trauma and the following surgical specialties: neurosurgery, spinal, emergency orthopaedics, hepatobiliary, vascular, lower GI, maxillofacial and ENT. It also receives referrals from acute medicine (including acute gastroenterology). Of note, NUH became the East Midlands Major Trauma Centre in April 2012 and is the busiest Major Trauma Centre in the UK. Nottingham City Hospital Campus The critical care unit at the City campus has 17 beds that are used flexibly to accommodate up to 9 level 3 patients, the remaining beds are for level 2 admissions. The major subspecialty interests at City are thoracic surgery, upper GI surgery, elective orthopaedics, urology, burns and plastics, renal medicine, infectious diseases, oncology, haematology and respiratory medicine. The City campus also houses the separate Trent Cardiac Unit with its own dedicated intensive care unit. There is a well-established critical care outreach team on both campuses. Across NUH CCOT provide support to all medical and surgical areas, seven days a week 08:00-22:00. Medical Staffing There are 75 Junior Staff in Critical Care There are 35 Critical Care Consultants at NUH with an extensive range of subspecialty clinical and nonclinical interests and roles. Non Clinical Opportunities Educational opportunities The departments offer extensive learning resources. There are several regular educational meetings each week including journal clubs, ITU rounds and morbidity meetings. There is a monthly protected teaching day for our Fellows which cover the clinical aspects of critical care in addition to optional teaching days which cover generic non-clinical topics (e.g. ethics, medical law, professionalism, interview skills). There are hospital and departmental libraries at both sites including IT facilities. Previous Organ Donation Fellows have had the opportunity to spend some time with the lung/heart/liver transplantation teams. FICE & FUSIC There is plenty of opportunity for trainees to gain their FICE and FUSIC accreditation. The department is supported by several FICE & FUSIC mentors as well as consultants with experience of TOE. Research opportunities Available by special arrangement. Critical Care has links with the Academic Departments of Anaesthesia and Surgery and participation in on-going research and audit programmes will be encouraged. Time for Continuing Professional Development CPD 50% of the successful candidates paid time will be spent developing an interest in Organ Donation. Applications for training posts The department has an excellent reputation for successful recruitment into higher speciality training posts. Trainees are encouraged to develop their portfolio and identify and utilise opportunities to increase their success in subsequent recruitment. We are also fortunate to have a number of consultants who interview for example for National Anaesthesia Recruitment and therefore are in a position to support applicants during interview preparation. Internal cover and Locums The current banding allocation of this post includes an allowance for internal cover to cover the normal leave allowance of colleagues. In exceptional circumstances and for short periods only, Clinical Fellows may be requested to provide additional cover, for example, to cover sickness. Locums may also be employed in this instance Person Specification Qualifications Essential MB ChB or equivalent. Full/limited GMC registration Successful completion of FY2 training in an NHS setting plus two years of post-foundation training in acute specialities (Anaesthesia, Acute Medicine, Emergency Medicine or ICM) Desirable Primary FRCA or equivalent higher qualification ALS or equivalent accredited life support course Experience Essential Twelve months' Anaesthetics & three months' Critical Care experience AND prior experience of NHS-based anaesthetics or ICU experience Desirable Experience of senior on-call roles in acute specialties Completion of Audit Cycle or quality improvement project Ability Essential Ability to stabilise the deteriorating patient including intubation and initiation of organ support Desirable Competence in bronchoscopy, lung ultrasound, focused echocardiography Interpersonal Skills Essential Evidence of good written communication, successful team-worker, sensitivity to needs of patients and colleagues Punctuality, professional appearance and attitudes consistent with GMC guidelines Desirable Evidence of formal Human Factors training Demonstrates non-medical interests / activities Person Specification Qualifications Essential MB ChB or equivalent. Full/limited GMC registration Successful completion of FY2 training in an NHS setting plus two years of post-foundation training in acute specialities (Anaesthesia, Acute Medicine, Emergency Medicine or ICM) Desirable Primary FRCA or equivalent higher qualification ALS or equivalent accredited life support course Experience Essential Twelve months' Anaesthetics & three months' Critical Care experience AND prior experience of NHS-based anaesthetics or ICU experience Desirable Experience of senior on-call roles in acute specialties Completion of Audit Cycle or quality improvement project Ability Essential Ability to stabilise the deteriorating patient including intubation and initiation of organ support Desirable Competence in bronchoscopy, lung ultrasound, focused echocardiography Interpersonal Skills Essential Evidence of good written communication, successful team-worker, sensitivity to needs of patients and colleagues Punctuality, professional appearance and attitudes consistent with GMC guidelines Desirable Evidence of formal Human Factors training Demonstrates non-medical interests / activities Disclosure and Barring Service Check This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions. Certificate of Sponsorship Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab). From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab). UK Registration Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window). Additional information Disclosure and Barring Service Check This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions. Certificate of Sponsorship Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab). From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab). UK Registration Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window). Employer details Employer name Nottingham University Hospitals NHS Trusts Address Cross site Derby Road Nottingham NG7 2UH Employer's website https://www.nuh.nhs.uk/ (Opens in a new tab)