Senior Clinical Fellow - Adult Critical Care and Transfer Services

The Adult Critical Care Transfer and Retrieval team are looking to recruit to a Senior Clinical Fellow level post for a fixed term period of 12 months due to funding commencing in August 2026. To qualify for this exciting role, you must be a doctor with ST4+ equivalent training in Intensive Care Medicine who is fully registered with the GMC and has significant demonstrable experience in the transfer care setting, aligned to the personal specification. It is essential that you are ambitious, highly motivated and able to remain calm under pressure.

These posts are based in North Wales and involve combining sessions in transfer and retrieval medicine and critical care. This is a full-time post with out of hours commitments. The job plan is negotiable, depending on individual interests and service requirements, and split into two components:

• Approximately 50% of shifts will be with ACCTS-North
• Approximately 50% in Critical Care at Ysbyty Glan Clwyd

The job is suitable for doctors who have completed core training in the Adult Critical Care Transfer Service Cymru (ACCTS), intensive care or anaesthesia and have a minimum of 18 months of experience in anaesthesia.

Main duties of the job include:

• ACCTS is a predominantly road-based service deployed with dedicated critical care transfer vehicles and equipment.
• The Retrieval and Transfer physician will deploy in a team alongside a support worker and a retrieval and transfer practitioner drawn from a pool of nurses and allied health professionals with extensive intensive care experience and specific training in inter-facility critical care transfer.
• ACCTS, in partnership with WAA/EMRTS, will operate a rotary wing model of retrieval and transfer to support long-distance transfers.
• Upon completion of appropriate training and a period of targeted clinical experience, it would be expected that you would then take up a full part in the duty rota.
• The ability to work both day and night shifts is an essential part of the role.
• While a base location will be agreed upon with the successful candidate, there may be a need to travel to various bases across Wales for education and service delivery requirements, and all candidates would be expected to contribute to twilight or overnight cover.

The department of Intensive Care at Glan Clwyd Hospital will offer a training programme with a view to some candidates staying on for a further two years to complete the core training curriculum, allowing application for entry into specialist training.

About us: Swansea Bay University Health Board has responsibility for the health of around 390,000 people in the Neath Port Talbot and Swansea areas, with a budget of around £1 billion and employing 12,500 people. We are a University Health Board working in partnership with Swansea University, Swansea School of Medicine, the School of Health Science and the Institute of Life Science. The Health Board has three major hospitals providing a range of services: Morriston and Singleton hospitals in Swansea and Neath Port Talbot hospital in Baglan, Port Talbot. The Health Board is part of A Regional Collaboration for Health (ARCH), which is a partnership with Hywel Dda UHB and Swansea University, aimed at improving the wellbeing and wealth of South West Wales.

Swansea is Wales' second-largest city, and sits on the five-mile sweep of Swansea Bay. An ideal base for exploring South-West Wales, there is also much on offer for visitors in Swansea itself, including a range of shops, cosy cafes, great restaurants, art galleries, as well as good outdoor lifestyle options with its beautiful coastline and beaches on the Gower Peninsula. Swansea also has excellent sporting facilities including the Wales National Pool and Liberty Stadium, home to the Ospreys and Swansea City football club.

Job responsibilities: A full and detailed Job Description is attached to this advert – please check that you meet the essential criteria prior to submitting your application. Selection for this rewarding role is demanding and consists of several clinical scenario assessments as well as group work and a formal interview. An assessment event will be held at one of the ACCTS operational bases at a date to be confirmed. The ability to speak Welsh is desirable for this post. English and/or Welsh speakers are equally welcome to apply.

Person Specification:

• Essential: Full GMC registration with license to practice and up to date appraisal/revalidation. Successful completion of relevant life support/resuscitation/trauma courses previously.
• Desirable: Completed intermediate level training / Stage 2 training in Anaesthesia/ICM OR ST5 equivalent practice. Diploma in Retrieval and Transfer Medicine. Clinical fellowship in a Retrieval System (Overseas/Military/UK). Higher Degree (MD/MSc). Post graduate qualification in medical education. Experience in FAST scanning or bedside echocardiography.

• Essential: Competence in management of acute illness and injury in adults. Competent in the assessment, resuscitation and stabilisation of critically unwell patients including emergency anaesthesia, ventilation and invasive monitoring. Sound judgement and decision making. Ability to manage complex work and prioritise effectively. Good understanding of the principles of clinical governance.
• Desirable: Evidence of relevant teaching/instructing in critical care or transfer.

• Essential: Demonstrate interest in and understanding of transfer medicine. Experience of extensive inter- and intra-hospital critical care transfers. Experience of critical care transfer and retrieval and/or pre-hospital emergency medicine in dedicated service. Willingness to undergo further training in critical care transfer. Willingness to undertake the Diploma in Retrieval and Transfer Medicine. Experience in post-graduate/multidisciplinary education.
• Desirable: Experience using simulation for education. Prior experience working within a trauma centre (experience of major trauma, major haemorrhage, massive transfusion). Prior experience with evidence of working within an established pre-hospital aeromedical or road-based service. Prior experience with evidence of working within an established secondary retrieval service. Experience as a clinical tutor or lecturer at post-graduate level.

• Essential: Ability to lead a multi-disciplinary team in both the hospital and transport environments. Ability to work as part of a multi-disciplinary team in both the hospital and transport environments. Ability to maintain CPD to a high standard.
• Desirable: Ability to speak Welsh. Prepared to work at more than one ACCTS base.