Senior Clinical Fellow in Neonatology

Registrar-level posts on the Neonatal Unit, with responsibility for the first- and second-line medical care of babies admitted to the Neonatal Unit. Role will be tailored to clinical experience. Seniority level will be assessed based on the candidates’ on-line application and interview performance.

Senior Fellow/case loading doctor: equivalent to ST4-5 (Nodal Point 4). Providing direct care to babies in the different areas of the unit (ITU, HDU, SCBU, PNW, labour ward), working as part of the team in the neonatal unit.

Senior Fellow/coordinator: equivalent to ST6-7 or post-CCT (Nodal Point 5). This role includes more expectation of leadership, supervision, teaching, independent working, while still supported by the consultant body. The candidates will need to prove ability in leading resuscitation and stabilisation at birth of complex patients, coordinating intensive care, and managing referrals from other hospitals, providing teaching and supervision for the junior members of the team, offering antenatal counselling and supporting families, taking part in multidisciplinary meetings. The role also includes a high level hands-on activity, especially in the most complicated cases, where full confidence in technical skills will be required.

Ability to fulfil the criteria of case loading doctor or coordinator will be determined by the level of seniority demonstrated during the interview process., The post holder 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.

Case Loading Doctors: to provide direct clinical care for inpatients in Intensive Care, High Dependency, Special Care, Labour Ward and Postnatal Ward. To work at an appropriate level within a 3-tier junior medical team. To develop knowledge and experience in straightforward and complex neonatal problems, including subspecialty neonatology (particularly in neonatal cardiology and surgery). To develop antenatal and postnatal counselling skills. To develop skills in follow-up assessment in outpatient clinic. To develop practical skills including: neonatal stabilisation and resuscitation, airway management, central lines insertion, POCUS (particularly lung ultrasound, cranial ultrasound and line ultrasound for tip position identification).

Coordinators: all the above, plus provide leadership in the junior doctors’ team on the clinical floor. To develop, teach and supervise practical skills including: neonatal resuscitation, airway management, line insertion under ultrasound guidance, POCUS, lung ultrasound. To undertake independent antenatal and postnatal counselling for parents. To confidently arrange discharge planning and to liaise with other teams for transfer to and from other units. To develop skills in follow-up assessment in outpatient clinic.

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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We have positions available starting in March 2025 and September 2025. We operate a rolling rota that complies fully with the European Working Time Directive (EWTD) and the current contract guidelines (42 hours/week, with a maximum of 1:3 weekends). This position is suitable for candidates with previous registrar-level experience in a level three neonatal unit. Senior candidates meeting the criteria outlined in the Job Description and Person Specification will be appointed at a Nodal point 4 or 5 level, depending on the experience demonstrated in their application and interview, as well as their ability to fulfil the specific roles described in this advert.

In accordance with the seniority required for this role, MTI candidates who are in their first experience in the UK will not be considered for appointment.

For further information please contact Dr Anna Milan ([email protected]), consultant neonatologist.