There is an exciting opportunity to join the department of Anaesthesia & Critical Care at The Christies main site in Withington, Manchester as a Clinical Fellow in Anaesthesia and Critical Care.

This role is available to start immediately dependent on completing all necessary recruitment checks.

The post complements a team of 21 Consultant Anaesthetists, 9 SAS Doctors and 1 Advanced Nurse Practitioner (ANP).

The ideal candidate must have completed their Foundation programmes (or equivalent) and ideally will have experience of emergency medicine, surgery or anaesthesia training at core level.

The post is particularly suitable post for doctors considering careers in ICM, anaesthesia or other acute specialities.

The successful candidate will gain valuable experience working within an integrated oncological critical care service, led by a dedicated Critical Care consultant team, delivering high quality patient care.

Full Registration and a Licence to Practice with the General Medical Council at time of commencement is required.

Main duties of the job

There is no on call element associated with this role, an example of a job plan is shown within the job description/person specification.

The successful candidate will be based on the Oncology Critical Care Unit (OCCU) which is a state-of-the-art eight-bedded facility. The eight bedded unit supports the care of all the patient's undergoing treatment at The Christies Withington site, the unit delivers around 600 patient episodes per year 60% of which are surgical.

The post holder will provide resident medical cover for the Oncological Critical Care Unit (OCCU) during

the daytime and some twilight shifts, the role requires the post holder to provide support for the Cardiac Arrest, Outreach and Acute Pain Teams at The Christie, under the supervision of a consultant.

Although not a recognised teaching post, we will look to cater learning and teaching opportunities to the successful candidate based on their individual career aspirations and goals.

The critical care service complements a comprehensive range of cancer specialties including surgical, clinical, medical, and haematological oncology.

About us

The Christie is one of Europe's leading cancer centres, treating over 60,000 patients a year. We are based in Manchester and serve a population of 3.2 million across Greater Manchester & Cheshire, but as a national specialist around 15% patients are referred to us from other parts of the country. We provide radiotherapy through one of the largest radiotherapy departments in the world chemotherapy on site and through 14 other hospitals highly specialist surgery for complex and rare cancer and a wide range of support and diagnostic services. We are also an international leader in research, with world first breakthroughs for over 100 years. We run one of the largest early clinical trial units in Europe with over 300 trials every year. Cancer research in Manchester, most of which is undertaken on the Christie site, has been officially ranked the best in the UK

Job description
Job responsibilities

DUTIES AND RESPONSIBILITIES

The appointee will be based at The Christie and will be complemented by Specialty Doctors, IMT deanery trainees and an Advanced Nurse Practitioner (ANP).

The Oncology Critical Care Unit (OCCU) is a state-of-the-art eight-bedded facility. The critical care service complements a comprehensive range of cancer specialties including surgical, clinical, medical, and Haematological oncology. The unit delivers about 600 patient episodes per year 60% of which are surgical.

In addition, the post offers experience in clinical Anaesthesia, under immediate consultant supervision.

Each day shift will commence with a handover and the post holder will be required to:

• Examine OCCU patients
• Present the patients to the consultant intensivist on the ward round when detailed management plans will be made
• The post holder will then be required to carry out those management plans
• Hand over the care of his/her patients to the person covering the unit for the night

The OCCU resident is also a member of the cardiac arrest team and may be required to attend to acutely unwell patients outside the unit.

During the day the OCCU resident works under direct supervision by the OCCU consultant out-of- hours the OCCU consultant is on call from home.

Duration and Monitoring of the Programme

This fellowship is for 12 months. The post is available to commence in August 2023. Those wishing to apply for fellowships after this date are encouraged to submit an application and state the date from which they wish to be considered. The post is based at The Christie NHS Foundation Trust, Wilmslow Road, Manchester M20 4BX. Educational supervision will be provided by Dr Rajan Seth (Consultant Anaesthetist)

Continuing Professional Development

The Trust supports the requirements for continuing professional development (CPD) as laid down by the GMC and surgical colleges and is committed to providing time and financial support for these activities.

Although this is not a recognised training post, the following benefits are available:

• Trust and Departmental induction programmes
• Weekly departmental teaching sessions
• Experience and training in intensive care of adult cancer patients, including cardiovascular support, invasive CVS monitoring and mechanical
• Regular time-tabled sessions in clinical anaesthesia for a wide range of oncological surgical procedures, often complex and requiring multidisciplinary The specialities involved include GI and colorectal surgery, urology, gynaecology, plastic and reconstructive surgery, and hepato-biliary surgery. Anaesthetic services are also provided for brachytherapy and radiotherapy including proton beam treatment of paediatric patients.
• Regular time-tabled sessions for supportive activities such as audit, administration etc
• Acute pain service
• Chronic pain management service
• Support for developmental needs of the post holder

This post would be particularly suitable for those wishing to pursue a career in one of the acute medical (Anaesthesia, Intensive care, Emergency or Acute Medicine), oncological or surgical specialties.

Job Plan

Week

MON

TUE

WED

THU

FRI

SAT

SUN

SPA

Total:

1

OFF

OFF

8:00-17:30

08:00-20:30

08:00-20:30

NONE WORKING

NONE WORKING

38.5

Hours:

0

0

9.5

12.5

12.5

0

0

4

Week

MON

TUE

WED

THU

FRI

SAT

SUN

SPA

Total:

2

08:00-20:30

08:00-20:30

08:00-20:30

OFF

OFF

NONE WORKING

NONE WORKING

41.5

Hours:

12.5

12.5

12.5

0

0

0

0

4

Average:

40

The is an example of a potential rota pattern that the successful candidate would be working in the department, but would be agreed in a job planning meeting with Clinical Director for Anaesthesia and Critical Care when commencing in post.

PERSON SPECIFICATION

Essential for the post

Desirable for the post

METHOD OF

ASSESSMENT

1. ATTAINMENTS Educational

Medical Degree

AF

Qualifications

Full registration with GMC

FRCA or its equivalent

AF

Professional Qualifications

GMC registration

CE

2. TRAINING

Advanced Life Support

Airway skills More advanced competencies in

Anaesthesia and/or Intensive care medicine (ICM).

AF/I

3. EXPERIENCE Job Specific

At least 3 months

experience in ICM and Anaesthesia.

3 years experience in Anaesthesia & Critical Care.

AF

Management / Audit

Demonstrates understanding of the importance of audit

and research.

Evidence of active participation in clinical

research / audit

AF/I

4. PERSONAL SKILLS

Good communication skills in verbal and written English Good interpersonal skills Working well in a multi- disciplinary team

Calm, efficient under pressure

Knowing when to ask for help

To recognise personal limitations but to work competently within these boundaries

Reliable, punctual, hard-

working, enthusiastic.

Awareness of specific needs of patients and carers, issues relating to service provision for cancer patients in hospital and the community.

Empathy with patients and carers involved in tertiary treatments and understanding of their special needs.

AF/I

5. CIRCUMSTANCES

Domicile

Abbreviations for Methods of Assessment:

AF Application Form

I Interview R References

CE Certification Evidence

Person Specification
Qualifications
Essential

• Medical Degree
• Full registration with GMC

Desirable

• FRCA or its equivalent

Experience
Essential

• At least 3 months experience in ICM and Anaesthesia.

Desirable

• 3 years' experience in Anaesthesia & Critical Care

Training
Essential

• Advanced Life Support

Desirable

• Airway skills More advanced competencies in Anaesthesia and/or Intensive care medicine (ICM).

Management/ Audit
Essential

• Demonstrates understanding of the importance of audit and research.

Desirable

• Evidence of active participation in clinical research / audit

Personal skills
Essential

• Good communication skills in verbal and written English Good interpersonal skills Working well in a multi- disciplinary team Calm, efficient under pressure
• Knowing when to ask for help
• To recognise personal limitations but to work competently within these boundaries
• Reliable, punctual, hard- working, enthusiastic

Desirable

• Awareness of specific needs of patients and carers, issues relating to service provision for cancer patients in hospital and the community.
• Empathy with patients and carers involved in tertiary treatments and understanding of their special needs.

413-MD-C2023-23245