We are looking to appoint a motivated and enthusiastic Senior Clinical Fellow to Maternity leave cover starting in March 2024. This post offers a fantastic opportunity for doctors training in paediatrics/neonatology to gain a broad based experience in neonatal critical care at a large London neonatal unit alongside a full educational programme and opportunities to enhance their quality improvement, leadership and research skills. The post holder will be expected to contribute to the tier 2 rota (Middle Grade ST4- 8, Senior Clinical Fellow). They will have excellent clinical skills, evidence based knowledge and understanding to provide holistic care for premature and acutely sick new borns and their families.
Both tertiary centres provide care to a wide variety of patients including premature babies and those with complex medical needs. Both hospitals are surgical referral centres for the North West and South East London networks, respectively.
Please be advised that while Chelsea still operates the 2002 contract, The Evelina have moved onto the 2016 agreement.
Main duties of the job
The postholder will gain extensive experience in managing sick surgical infants.
Chelsea and Westminster Hospital is internationally reputable for their research excellence. C& W is home to the National Neonatal Research Database used for national and international population neonatal epidemiological studies.
Applicants must have middle-grade experience in Neonatology and be able to demonstrate competency in neonatal resuscitation, intubation and management of ventilated infants. The post would suit both UK trainees seeking out of programme experience/training to enhance their level 2/3 neonatal training and international trainees seeking a training opportunity that parallels UK grid training.
We provide services from two main hospitals, Chelsea and Westminster Hospital and West Middlesex University Hospital, and a number of clinics across London and the South-East. We have over 6,000 members of staff that are PROUD to Care for nearly one million people. Both hospitals provide full clinical services, including full maternity, emergency and children's, in addition to a range of community-based services across London, such as award-winning sexual health and HIV clinics.
We're one of the best preforming Trusts in the country. We're also one of the top trusts to work for - our staff say they're engaged, motivated, and would recommend us as a place to work and receive treatment.
Our Trust has been rated by the Care Quality Commission as 'Good' in all five of the main domains of safe, effective, caring, responsive and well-led, giving an us overall rating of 'Good'. We've also been awarded an 'Outstanding' rating for 'use of resources' by an NHS Improvement inspection.
Our facilities are some of the best in the country. We have been investing around 10 million a year in our estate. We are currently spending 25 million on expanding our adult and neonatal critical care facilities at Chelsea and Westminster and redevelopment of our children's unit at West Middlesex - in partnership with our charity, CW+ and generous donors.
Senior Clinical Fellow in Neonatology, Chelsea and Westminster Hospital NHS Foundation Trust
- Operational management of NICU under direct supervision of consultant neonatologists
- Daily consultant ward rounds and a weekly nutrition ward round with paediatric gastroenterologists
- Lead ward round and clinical decision making once a week on the registrar led ward round
- Overseeing documentation and progress of discharge summaries
- Support of SHOs in the assessment and management of acutely ill and postnatal ward neonates.
- Attendance at the weekly grand round with neonatal and paediatric surgical consultants
- Weekly liaison meeting with NICU staff and social services
- Weekly perinatal grand round with all obstetricians and neonatologists
- Liaison with neonatal surgical team and anaesthetists, paediatric cardiology and respiratory teams
- Involvement in neonatal medical and neurodevelopmental follow-up clinics
- Participate in neonatal transport (when not performed by NTS)
Provide high quality care to patients
- Maintain GMC registration and hold a licence to practice
- Develop and maintain the competencies required to carry out the duties of the post
- Ensure families are involved in decisions about care and respond to their views
The department has a strong international reputation for neonatal research, focussing in neonatal nutrition and neonatal Surgery. The Neonatal Data Analysis Unit which manages the UK National Neonatal Research Database (NNRD) is based at Chelsea and Westminster Hospital. The NNRD is used to support a broad range of service evaluations, audits (including the National Neonatal Audit Programme), quality improvement programmes, as well as clinical, health services and policy research. Candidates are expected to be GCP certified and get involved in the various local and multi-centre clinical trials and observational studies.
Opportunities for teaching medical students, nurses and junior medical staff are ample, in both formal and informal settings. These include formal teaching sessions and bedside teaching. Candidates are expected to contribute to the on-going departmental teaching programme for junior doctors.
Potholders would have opportunities to attend protected teaching sessions, which include a multi-session Cranial Ultrasound Imaging lectures (delivered currently by Prof Frances Cowan), journal clubs and informal teaching sessions. The resident consultants provide a regular case based bedside teaching on most of the night shifts, which care formally recorded as WBAs. In addition, there is a monthly one day simulation program that all trainees are expected to attend within their first 6 months into the post. In situ simulation sessions using high and low fidelity mannequins are undertaken, sometimes involving other departments like A& E and Paediatrics.
Each post holder will have an allocated educational supervisor and are expected to have formal appraisal meetings at regular intervals
Further training opportunities
Candidates are encouraged strongly to utilise their study leave to attend courses and conferences. They are encouraged to participate and present in network meetings are supported.
Audits & Governance
- Participate in clinical audit, incident reporting and to ensure resulting actions are implemented
- Ensure clinical guidelines and protocols are adhered to
- Keep fully informed about best practice in the specialty areas
- Role model of good practice for infection control to all members of the multidisciplinary team
Education and Qualifications
- MRCPCH or equivalent
- GMC Registration
- Safeguarding Training
- Certified New-born Life Support Provider
- Higher Degree in Paediatrics/ Teaching/ Research
- Good Clinical Practice certified
- Advanced Paediatric Life Support Provider
- Life Support courses Trainer
- Middle grade experience in a neonatal unit - at least 6 months
- Previous experience in a tertiary neonatal unit - at least 6 months
- Evidence of teaching experience
- Previous experience in a neonatal/ paediatric surgical unit
- Previous experience in a paediatric intensive care unit / cardiology
- Previous Research Experience
Skills and knowledge
- Competent in resuscitating and stabilising neonates
- Intubating and Managing Ventilated Neonates
- Competent in neonatal procedures like umbilical catheterisation
- Design and manage clinical audit projects
- Publications in peer reviewed journals
- Experience in managing pre and post -surgical aspects of neonatal care
- Perform Neonatal Echocardiograms
- Ability to perform Cranial ultrasound scans
- Supervise junior trainees and involve in informal and formal teaching
- Committed to patient focused care
- Motivation for personal development and improvement
- Ability to work as a team member in own and allied disciplines
- Excellent time management and organisational skills
- Excellent communication skills