Advanced Fellow in Adult ICM with an interest in ECMO in London

University Hospitals of Leicester NHS Trust

The closing date is 22 July 2026.

We are looking for experienced intensive care doctors (ST6 or equivalent level and above) to work as Senior Adult Intensive Care Medicine Fellows with a specialist interest in severe respiratory failure (SRF) and Extracorporeal Membrane Oxygenation (ECMO). You will work as an integral member of the adult intensive care team at Glenfield Hospital. This is a unique opportunity to work in one of the UK's largest and most experienced centres for adult ECMO and the only NHS Trust providing ECMO support to patients of all ages from neonate to adult. The adult intensive care unit admits in excess of 1500 patients annually and has treated more than 1000 patients in the adult ECMO programme.

This post is suitable for:

• Intensive Care Medicine trainees who have completed at least intermediate (or equivalent) training in adult intensive care medicine looking to enhance their skills in a specialist cardio‑respiratory intensive care unit.
• ICM trainees wishing to pursue ECMO as part of their special skills year during stage 2 intensive care medicine training.
• All ICM doctors, regardless of dual speciality interest: Anaesthesia, Respiratory Medicine, Renal or Acute Internal Medicine, Emergency Medicine, Surgery etc.
• Post‑CCT in Anaesthesia, those interested in Cardiac Anaesthesia and those interested in Transport Medicine for critically ill patients.

Main duties of the job:

You will become a key member of a highly skilled multi‑disciplinary team providing adult intensive care services and gaining valuable experience in the following key areas:

• Air and Road Transport of patients with Severe Respiratory Failure including mobile ECMO.
• Initiation and ongoing management of patients on veno‑venous and veno‑arterial ECMO.
• Management of surgical and medical Cardiothoracic intensive care patients – elective and emergency.
• Trans‑thoracic and trans‑oesophageal echocardiography, lung ultrasound.
• Advanced ventilatory techniques – including prone positioning, the use of nitric oxide, APRV and selective lung ventilation.
• The use of a variety of vasoactive drugs, pulmonary artery catheter and intra‑aortic balloon pump for cardiac output monitoring and mechanical circulatory support.
• Competence in key practical skills including percutaneous tracheostomy, ECMO cannulation and decannulation, bronchoscopy, intercostal drain insertion and central venous and pulmonary artery catheter insertion for drug delivery, renal support and invasive haemodynamic monitoring.
• Opportunity and support for national presentations of audit / data / research.

This is an exciting opportunity for a dynamic and ambitious individual to further develop key critical care medicine skills in the provision of advanced respiratory care including ECMO and transport of the critically ill adult and work in a leading cardio‑thoracic intensive care unit.

Job responsibilities:

PRINCIPAL ELEMENTS OF THE POST WILL BE:

• Day to day care of Adult intensive care patients – You will become a key member of a highly skilled multidisciplinary team (including ECMO consultants, intensivists, AICU nurses, ECMO specialist nurses, perfusionists, cardiothoracic surgeons and anaesthetists, pharmacists, physiotherapists, dieticians, radiologists and radiographers) providing advanced respiratory and cardiovascular critical care support including ECMO (both veno‑venous for respiratory support and veno‑arterial for cardio‑cardiorespiratory support) and inhaled nitric oxide in adult patients. Within the role there is opportunity to become competent in a number of invasive procedures including ECMO cannulation and decannulation, percutaneous tracheostomy, bronchoscopy, central line insertion for drug delivery, renal replacement therapy and invasive monitoring and chest drain insertion.
• Transport of patients – You will be part of our established transport team, and you will gain experience in transport of critically ill patients by road and by air (when possible). You will liaise with referring hospitals regarding retrieval and repatriation of patients. This will include both short trips within UHL and the local network and transport of patients to and from hospitals anywhere in the United Kingdom. The transport of patients with Severe Acute Respiratory Failure will be achieved by conventional means, with the possible addition of inhaled Nitric Oxide and in prone position. The most unstable patients and those in whom their current treatment cannot be replicated in the ambulance/aircraft will be transported on mobile ECMO. Initially all transfers of patients referred with Severe Acute Respiratory Failure (SARF), whether conventional or mobile ECMO retrievals will be undertaken under the supervision of an ECMO consultant. During the post you will be expected to gain experience and confidence with independent transfers of critical care patients with increasingly complex needs. Fellows will aim to undertake independent conventional retrievals of SARF patients and intra‑hospital.