Trust Grade Registrar in Critical Care and Anaesthesia

We are seeking seven enthusiastic, experienced and highly motivated Trust Grade Registrars to join our Anaesthesia and Critical Care departments at London North West University Healthcare NHS Trust (LNWHT). These are exciting new posts created by the merger of our previously separate Ealing Hospital and Northwick Park/Central Middlesex rotas into a single unified, three-site rota. This change represents a significant expansion in clinical breadth for post holders, and a unique opportunity to work across one of the largest and most diverse Intensive Care and Anaesthesia departments in North West London.

The posts are primarily designed for doctors with established experience in Intensive Care Medicine who are capable of functioning as the senior resident registrar within a consultant-led critical care service. Successful applicants will participate in resident on-call rotas covering Intensive Care and Enhanced Care services across all three hospital sites. During out-of-hours periods, post holders will frequently act as the most senior resident doctor within the Critical Care service, supported at all times by an on-call Intensive Care Consultant.

Main duties of the job

• Participate fully in the provision of a comprehensive Intensive Care and Anaesthetic service across all three hospital sites, accountable to the Clinical Directors.

Critical Care Responsibilities

• Participate in the resident on-call rota covering Intensive Care and Enhanced Care services across Northwick Park, Ealing and Central Middlesex Hospitals.
• Function as the senior resident registrar within the Critical Care service, supported at all times by an on-call Intensive Care Consultant.
• Assess, investigate and initiate management of critically ill patients presenting with respiratory, cardiovascular, neurological, renal, metabolic and infectious pathologies.
• Lead the resident medical response to deteriorating patients referred from wards, emergency departments, theatres and recovery areas.
• Participate in consultant-led ward rounds and contribute to the formulation of management plans.
• There will be opportunity to lead ward rounds in an acting-up or upskilling capacity.

Anaesthetic Responsibilities

• Provide anaesthesia and analgesia for patients undergoing elective and daytime CEPOD surgery across all Trust sites, exclusively under the direct, immediate supervision of an allocated Anaesthetic Consultant.
• Post holders will not hold an anaesthetic on-call bleep.
• Out-of-hours commitments are entirely within Intensive Care and Enhanced Care services.
• Undertake pre-operative assessments and provide post-operative care in the recovery room.
• Advise surgical and pre-operative assessment teams on the preparation of patients for surgery.

Person Specification

• Qualifications
• Primary medical qualification acceptable to the GMC (MBBS, MBChB or equivalent).
• Full GMC registration with Licence to Practise.
• Evidence of good standing from current medical regulatory body (where applicable).
• Advanced Life Support (ALS) provider certificate or equivalent.
• Clinical Experience, Knowledge and Effectiveness
• Minimum of 4 years postgraduate clinical experience.
• Minimum of 2 years experience working in an Intensive Care Unit, with the clinical capability to function as the senior resident registrar in a consultant-led ICU.
• Experience managing critically ill patients with respiratory failure, septic shock, multi-organ dysfunction and major perioperative complications.
• Experience managing patients requiring invasive and non-invasive ventilation.
• Experience managing patients with circulatory failure requiring vasopressor or inotropic support.
• Experience of advanced airway management including tracheal intubation.
• Experience of arterial and central venous catheter insertion.
• Experience managing tracheostomised patients.
• Experience supervising junior medical staff.
• Communication
• Coherent, confident, diplomatic and decisive in verbal and written communication.
• Communicates effectively with the multidisciplinary team, patients and their families.
• Management, Audit and Research
• Ability to manage own workload/time and train medical staff.
• Participation in clinical audit.
• Personal Skills
• Good communication and interpersonal skills.
• Enthusiasm and commitment to the specialty.
• Flexibility, punctuality and reliability.
• Motivation
• Initiative and drive. Able to conduct self-directed learning.
• Teaching
• Experience of teaching junior colleagues (formal or informal).
• Knowledge and Skills
• Appropriate knowledge and practical skills to recognise and manage high-risk patients in the ICU and perioperative environment.