Job summary
Employer heading
Clinical Fellow in Cardiothoracic Transplant Surgery (ST3+)
Clinical Fellow
Newcastle Hospitals NHS Foundation Trust is one of the busiest and largest NHS foundation trusts in the country, with around 15,000 staff and an annual budget of £1.6 billion.
We have a long history of providing high quality care, clinical excellence, and innovation in medical research regionally, nationally and internationally.
We’re in the top five providers of specialised health services in the country, supporting people with a range of rare and complex medical, surgical and neurological conditions, cancers and genetic orders.
Our staff oversee around 6,500 patient contacts each day, delivering high standards of healthcare.
We are committed to promoting equality and diversity and recognise the benefit in providing an inclusive environment. We value and respect the diversity of our employees and aim to recruit a workforce which reflects the communities we serve, and is equipped to deliver the best service to our patients. We welcome all applications irrespective of people’s race, disability, gender, sexual orientation, religion or belief, age, gender identity, marriage and civil partnership, pregnancy and maternity and in particular those from under- represented groups.
Newcastle Hospitals are proud to be one of the exemplar organisations across the NHS on sustainability, with a long history of delivering Sustainable Healthcare in Newcastle (Shine) and the first healthcare organisation in the world to declare a climate emergency. Our strategy includes commitments to being Net Zero by 2030, for our direct carbon footprint, and Net Zero by 2040 for our footprint plus. Delivering these ambitions will not be possible without the help, support and action of every single member of our team.
Job overview
We are delighted to be able to offer an opportunity for a highly motivated, ambitious individual to join our well integrated team as a Trust Fellow in Cardiopulmonary Transplantation. These posts are available as soon as possible for 12 months in the first instance, with a possible extension.
The successful candidate will provide a service commitment to heart and lung retrieval and implantation, recipient assessment, as well as pre and post-operative care of transplant recipients. Experience in cardiopulmonary organ transplantation, ECMO, VAD implantation, machine perfusion technology will be gained and there will be an opportunity to attend operating lists in cardiac surgery. There are opportunities for exploring research.
Candidates for the post must be registered medical practitioners and hold a license to practice with the GMC. You must also hold MRCS or equivalent and have at least 18 months experience in cardiothoracic surgery.
Candidates may also have commitment to the conventional adult cardiothoracic surgery programme depending on the service requirements and departmental needs.
As a flexible working friendly organisation, we want to be sure that you can work in a way that is best for us and for our patients, and for you. Speak to us about how we might be able to accommodate a flexible working arrangement. If it works for the service, we will do our best to make it work for you.
Please read attached Job Description and Person Specification.
Main duties of the job
The successful candidate will provide a service commitment to heart and lung retrieval and implantation, recipient assessment, as well as pre and post-operative care of transplant recipients. Experience in cardiopulmonary organ transplantation, ECMO, VAD implantation, machine perfusion technology will be gained and there will be an opportunity to attend operating lists in cardiac surgery.
For an informal discussion and further information regarding the opportunity and Directorate, please contact: Mr Dronavalli 01912137397 or Mr BC Ramesh 01912137345
Please read attached Job Description and Person Specification.
Working for our organisation
Newcastle Hospitals NHS Foundation Trust is one of the busiest, largest and most successful teaching NHS foundation trusts in the country, with around 16,000 staff and an annual income of £1 billion. We have a long history of providing high quality care, clinical excellence, and innovation in medical research regionally, nationally and internationally.
We’re also proud to be the second largest provider of specialised services in the country. This means we support people with a range of rare and complex medical, surgical and neurological conditions, cancers and genetic orders.
Our staff oversee around 1.84 million patients ‘contacts’ each year, delivering high standards of healthcare.
We are committed to promoting equality and diversity and recognise the benefit in providing an inclusive environment. We value and respect the diversity of our employees and aim to recruit a workforce which reflects the communities we serve, and is equipped to deliver the best service to our patients. We welcome all applications irrespective of people’s race, disability, gender, sexual orientation, religion or belief, age, gender identity, marriage and civil partnership, pregnancy and maternity and in particular those from under- represented groups.
Detailed job description and main responsibilities
Duties and Responsibilities:
1. Under the direction and supervision of the Consultants in transplantation, participate in:
· Donor care and donor organ retrieval
· Heart and lung transplantation
· VAD implantation
· Machine organ perfusion
· The care of heart and lung failure patients, transplant recipients and VAD patients on the intensive care unit and on the ward.
· Management of immunosuppressed patients with opportunistic infection.
· Management of complications (non-infection) of immunosuppressive drugs.
2. Patient Assessment
· Participation in the assessment of patients with heart and lung failure for transplantation or for mechanical assistance.
3. Donor organ evaluation:
· Discuss donor offers and matching to suitable recipients with the Transplant Co-ordinators and the Duty Consultant Transplant Surgeon.
· Undergo comprehensive training in donor organ assessment and retrieval (including travel to donor hospitals to carry out full assessment and resuscitation of donors and procurement of donor heart and lungs according to departmental procedural protocols).
· Preservation, maintenance, resuscitation and ex-vivo assessment of donor organs when required.
4. Surgery:
· Transplant Surgery: participate in surgery for the implantation of donor organs and/or the implantation of mechanical circulatory support devices.
· Establishing ECMO and care of ECMO patients for heart or lung failure.
· Adult Cardiothoracic Surgery: To maintain skills ad hoc opportunities may arise to participate in general cardiothoracic surgery operating lists. It is intended that at least one list each week will be allocated to the post holder to maintain skills where possible.
5. Post-operative Care:
· Participate in the care of early post-operative transplant and VAD patients on the ICU and on the wards in conjunction with allied professionals.
· Participate in the daily morning and evening ward rounds.
· Assess and manage patients re-admitted with medical and surgical complications of transplantation or VAD.
6. Completion of accurate records including patients’ clinical notes and discharge summaries. Maintaining medical audit records as required by Newcastle upon Tyne Hospitals NHS Trust.
7. Participation in teaching of junior medical staff, undergraduate students and other non-medical staff as required.
8. To adhere to the clinical protocols of the Department and support its developments, projects and practices and undertake other duties as appropriate to the level of responsibility for the smooth running of the service.
9. To participate and contribute to clinical or basic sciences research
10. To contribute to Audit, Clinical governance and mortality and morbidity Meetings
Flexibility:
In line with the Trust’s core value of placing patients at the heart of everything we do, we are developing our service provision to be responsive to the needs of our patients. To meet those needs some staff groups will be increasingly asked to work a more flexible work pattern so that they can offer services in the evening or weekend. As a result any offer of employment to a consultant post will be subject to you agreeing to work a new more flexible pattern or working in the future if required, including evening and weekend work.
Please read attached Job Description and Person Specification.
Person specification
Education and Qualifications
Essential criteria
- Primary Medical Qualification.
- Full GMC registration or eligibility to obtain this within 3 months (or within 6 months for non-EEA applicants).
- Successful completion of MRCS or equivalent
- 18 months experience in cardiothoracic surgery
Clinical Skills and Knowledge
Essential criteria
- Good history & examination skills.
- Able to formulate a working diagnosis.
- Able to order appropriate investigations.
- Image interpretation relevant to practice
- Knows when to appropriately seek assistance from a senior colleague.
Desirable criteria
- Evidence of commitment and interest in transplantation
Management and Administration Experience
Essential criteria
- Ability to run a service and participate in management process.
- Committed to share in professional, managerial and teaching responsibilities necessary to fulfil the obligations of the Directorate to the Trust and its workforce.
- Able to communicate well with patients and colleagues
- An understanding of Clinical Governance
Desirable criteria
- Proven management and administration ability
- Understanding of management goals
- Experience with audit
- Evidence of leadership / project management
- Evidence of having implemented change
Teaching
Desirable criteria
- Experience of supervising junior medical staff. Experience of participation in undergraduate and postgraduate teaching
- Ability to teach clinical skills
Clinical Governance, Audit and Research
Essential criteria
- Experience of audit projects.
Desirable criteria
- Higher degree. Publications in the last 4 years as first author.
- Evidence of involvement in and understanding of research methodology and publication of findings. Research/critical review of literature essential.
Communication, Relationships and Working with Colleagues
Essential criteria
- Ability to communicate and liaise effectively with patients and other people within a team.
- Ability to work as a team with professional colleagues in all disciplines.
Personal Attributes
Essential criteria
- Alignment with the Trust’s Values.
- Flexible approach to service delivery and committed approach to development
- A commitment to personal / unit CPD
- Time management skills
- Honesty, integrity, awareness of ethical dilemmas, respect for confidentiality
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
Further details / informal visits contact
- Name
- Louise Scorfield
- Job title
- HR Advisor
- Email address
- [email protected]
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