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CARDIOTHORACIC DIRECTORATE

CSU Cardiothoracic anaesthesia, cardiothoracic critical care unit and theatres

There are approximately 900 cardiac surgical cases carried out at the JR with a full range of adult procedures with the exception of transplantation. Additionally there are over 500 thoracic cases with many complex and high-risk cases requiring intensive care / HDU support post-operatively.

Cardiology procedures requiring anaesthetic support include ablation, complex device insertion and extractions, TAVI and other structural inventions.

Cardiothoracic critical care unit provides both Level 2 and Level 3 care to patients after both cardiac and thoracic surgery and also following emergency and elective cardiological procedures. The unit receives over 1500 admissions per year.  Most are planned admissions but the unit also receives emergency admissions including those transferred from other hospitals for emergency cardiothoracic surgery and cardiothoracic patients who become critically ill on the ward.  Emergency admissions also include patients after emergency percutaneous coronary interventional and out of hospital arrest.

CTCCU patients are able to receive a full range of organ support procedures including ventricular assist devices and hemofiltration.

Clinical

This post is in cardiothoracic anaesthesia. You will provide care for adult cardiothoracic patients at the John Radcliffe. This will include cardiac surgery, thoracic surgery and anaesthesia for cardiology procedures including ablation and TAVI.  Suitably qualified candidates will also support the critical care of these patients.  This care includes direct care of admissions, leading ward rounds, follow-up outpatient clinics and consultations on relevant critically ill inpatients.

Teaching/Research

 Oxford University Hospitals NHS Trust is a teaching hospital trust, and the post-holder will be required to participate in programmes for teaching clinical students, training  doctors in training and in clinical examinations.  It is expected that this will be an integral part of everyday clinical activity.  The post-holder’s contribution to teaching, training and research will be included in the regular job plan review. 

Clinical Governance

The post-holder will participate in all clinical governance activities, including clinical audit, clinical effectiveness, risk management, quality improvement activities as required by the Trust, and external accrediting bodies.

Personal and Professional Development

The post-holder will be required to keep themselves fully up-to-date with their relevant area of practice and to be able to demonstrate this to the satisfaction of the Trust.  Professional or study leave will be granted at the discretion of the Trust, in line with the prevailing Terms and Conditions of Service, to support appropriate study, postgraduate training activities, relevant CME courses and other appropriate personal development needs. This is currently 30 days over a 3 year period.

 Management

The post-holder will be required to work within the Trust's management policies and procedures, both statutory and internal, accepting that the resources available to the Trust are finite and that all changes in clinical practice or workload, or developments requiring additional resources must have prior agreement with the Trust.  He/she will undertake the administrative duties associated with the care of his/her patients, and the running of his/her clinical service under the direction of the lead clinician and/or directorate chair.