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
Role: Senior Clinical Fellow (SPR) in Heart Failure /Transplant Medicine
Location: Harefield Hospital
This is a registrar-level post in Advanced Heart Failure/Transplant Medicine; the successful applicant will join a dynamic team with an international reputation. Harefield Hospital provides specialist cardiothoracic services including interventional cardiology, thoracic and cardiac surgery. This post is to commence in July for a period of 6 months with a possible extension by mutual agreement (up to a maximum of 23 months where appropriate).
This post offers clinical experience and training in advanced heart failure, ventricular assist device support and clinical management after heart transplantation. It is suitable for those seeking a post CCT fellowship in advanced heart failure and for current trainees in cardiovascular medicine who wish to have a period of out-of-programme training in advanced heart failure.
The post holder will undertake an active role in inpatient care and participate in outpatient clinics as well as the EWTD-compliant on-call rota.
Main duties of the job
1. To work as full-time medical team member of the Trust's multi-disciplinary transplant team.
2. To provide clinical management and support to heart failure patients receiving mechanical circulatory support. Such support is primarily used as a bridge to transplantation.
3. To provide clinical teaching to medical team members, with particular emphasis on management of advanced heart failure, ventricular assist devices and post-transplant long term care.
4. To conduct clinical audit and retrospective analysis of clinical data, with emphasis on training and mentoring junior team members.
Working for our organisation
Royal Brompton and Harefield hospitals joined Guy's and St Thomas' in February 2021 and is the largest specialist heart and lung centre in the UK and among the largest in Europe. We provide treatment for people with heart and lung disease, including rare and complex conditions, offering some of the most sophisticated treatment that is available anywhere in the world.
Our integrated approach to caring for patients from before birth, through childhood, adolescence and into adulthood and old age has been replicated around the world and has gained Royal Brompton and Harefield an international reputation as a leader in heart and lung diagnosis, treatment and research.
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 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.
Detailed job description and main responsibilities
Clinical Responsibilities
* To work as a full-time clinical member of the multi-disciplinary team, including participation and presentation at weekly Multi-disciplinary Team Meetings and other meetings in the Division and Trust.
* To ensure good communication is maintained within the Transplant service at Harefield Hospital, working in collaboration with medical and surgical colleagues, other departments and services.
* To assist when required in the Angiography Laboratory.
* To attend and lead Outpatient Clinics.
* To arrange for the transfer of patients to/from other hospitals or discharge home; including a transfer/discharge summary.
* To perform minor surgical procedures such as chest aspiration, chest drain insertion, central venous lines and arterial blood gases etc.
* Supervise and train junior staff allocated to the Transplant Service.
* To undertake regular ward rounds to ensure effective management during the in-patient stay.
* To keep the Ward Sister and Consultant informed of any patient who is giving cause for concern.
* To communicate to a patient's relative the progress of that patient.
* To dictate / input all urgent discharge summaries only and ensure that these are forwarded to the patients General Practitioner or hospital of transfer as soon as possible after the patient is discharged.
* To be available for emergency calls to ITU and other parts of the hospital as required (i.e. Cardiac Arrest).
* Participate in the Medical Audit Programme and update relevant patient database programmes.
* Participate fully in the service and training programme of the Transplant Service and Heart Division.
* To accept that occasional emergencies and unforeseen circumstances may occur, and to respond to the needs of the service when they arise.
On Call
Participate in an on-call rota covering inpatient activity and emergency work. This may involve cross cover to Lung Failure and Cardiology Services.
Person specification
Qualifications / Training
Essential criteria
* Full GMC registration
* MRCP, or equivalent
* Must have at some experience in the UK in a substantive post or equivalent experience
* Advanced life support training
Desirable criteria
* Teaching experience at of medical students and FY1/2 or ST1/2 or similar posts.
Experience
Essential criteria
* Experience assisting with heart failure cardiology procedures including echo, right heart catheterisation and diagnostic coronary angiography
* Research experience with significant publication record and contributions to major professional conferences.
* Advanced life support training.
Desirable criteria
* Experience of the pre and post-operative medical care of heart failure patients undergoing heart and Lung transplantation or VAD insertion
* Experience of the long-term follow up of heart transplant patients including the management of immunosuppression
* Participation in a recognised scheme of continuing medical education.
Skills, Knowledge and Abilities
Essential criteria
* Proficient and efficient handling medical problems
* Evidence of safe sound practical procedures
* Good interpersonal and communications skills
Desirable criteria
* Sound knowledge of Heart and Lung Failure, and Transplantation
* Ability to contribute to research and teaching at national level
* Sound knowledge of radiation protection.
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 equitably according to their needs. We are actively committed to ensuring that no one who applies for a job, works or studies 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 into account the individual's personal circumstances as well as 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.
Your e-mail address is important to us - We communicate to all job applicants via the e-mail address which has been provided on the application form. Please ensure that you check your e-mail on a regular basis.
Please apply for this post by clicking "Apply Online Now."
Employer certification / accreditation badges
Applicant requirements
You must have appropriate UK professional registration.
This post is subject to the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (Amendment) (England and Wales) Order 2020 and it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service.
Documents to download
* Senior Clinical Fellow (SPR) in Heart Failure Transplant Medicine (PDF, 756.5KB)
* Senior Clinical Fellow (SPR) in Heart Failure Transplant Medicine (PDF, 752.3KB)
* Senior Clinical Fellow (SPR) in Heart Failure Transplant Medicine (PDF, 376.6KB)
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