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Clinical Fellow in Vascular Anaesthesia & CPET

Frimley Health NHS Foundation Trust
Frimley, Camberley
£55,329 per annum
Closing date
27 Apr 2024

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This Fellowship is aimed at senior trainees who are in possession of the FRCA (or equivalent) or CCT holders seeking specialised training in high risk anaesthesia for vascular surgery. However, post-primary candidates displaying aptitude and interest will be considered. The Fellow will gain experience in the pre-operative assessment and optimisation of high risk vascular patients and gain proficiency in the conduct and interpretation of CPET. They will manage patients for surgery under regional and general anaesthesia, for open and endovascular, elective and emergency procedures.

The Fellow will take part in the trainee 1:8 on call rota, being on call for Obstetrics, Intensive Care Unit or Theatres as required by the department. The trainees are supported by an anaesthetic consultant and an intensive care consultant on call from home. The post is for 6 -12 months commencing August 2024.

Please contact the Anaesthetic Department (0300 613 4162) if you wish to speak with Dr Rassam (Fellowship Supervisor) or contact him by email on

Main duties of the job

Clinical Experience

These goals will be dependent on the grade and prior experience of the successful applicant:

  • Appreciation of the implications of major comorbidities on the perioperative management of vascular patients.
  • Use of national guidelines, research, risk stratification, clinical assessment and CPET in assisting with pre-optimisation, perioperative management, and decision-making.
  • To have a comprehensive understanding of the benefits and risks of regional, combined regional/general and general anaesthetic techniques for major vascular surgery.
  • Independent preoperative assessment (in-patients and clinic setting) of patients having major vascular surgery and formulation of a perioperative care plans including any necessary pre-optimisation.
  • Contribution to multidisciplinary team meetings in planning for patient care.
  • Independent performance and interpretation of CPET (for patients undergoing vascular surgery and major colorectal resection) and understand the implications of the results on surgical choices.
  • Counselling of patients regarding their risks and choices.
  • Planning for blood conservation strategies and blood loss management.
  • Use of cardiac output monitoring inpatient management.
  • Independent management of patients undergoing peripheral vascular surgery, abdominal aortic aneurysm repair (open and endovascular) and carotid endarterectomy in the elective and emergency setting under either general or regional anaesthesia.

About us

There's never been a more exciting time to build your career at Frimley Health, one of the country's largest and most respected trusts

Frimley Health NHS Foundation Trust (FHFT) has an outstanding reputation and a proud record of achievement. We have an ongoing commitment to improving the health and care services for the 900,000 people we serve across Berkshire, Hampshire, Surrey and south Buckinghamshire.

We continue to invest in our services and facilities, including a £10 million upgrade to the hospital maternity unit as well as £49m major new Emergency Assessment Centre on our Wexham Park site. The opening of a brand new £100m state of the art hospital which replaced the existing hospital facility at Heatherwood and are planning to invest further in diagnostics and inpatient capacity at Frimley Park.

We have also made significant investment in our quality improvement and digital programmes to support our vision and we will ensure that we achieve our aim of providing the highest quality healthcare to our patients. Our new EPR - Epic - went live in June and we are already beginning to reap the benefits of this ambitious investment.

Our threecore values, and the behaviours that support them, guide everything we do and set out what we expect of our staff in the way they treat patients, visitors, service users and each other.

If you have a passion for clinical excellence, patient care and your own career development, you'll feel at home at Frimley Health.

Job description
Job responsibilities

Clinical Experience

These goals will be dependent on the grade and prior experience of the successful applicant:

  • Appreciation of the implications of endovascular techniques on anaesthetic management including, but not limited to, anaesthesia in an isolated site, renal protection and contrast nephropathy, management of patients with significant comorbidities and surgery performed under regional anaesthesia.
  • To gain exposure to a range of endovascular operations including TEVAR and REVAR.

Teaching and Presentations

  • Participation in regional trainee teaching of vascular anaesthesia.
  • Presentation of an update lecture to the anaesthetic department.

Clinical Audit and Research

The Fellow is expected to take part in clinical audit of topics pertinent to vascular anaesthesia and CPET.


The exact timetable will be tailored to fit the Fellows specific interests. The Fellow will take part in the trainee on call rota, being on call for the intensive care unit, obstetrics or theatres dependent on the requirements of the department.

Please see attached job description for further information.

Person Specification

  • Primary FRCA
  • Full GMC registration


  • Final FRCA or equivalent

Clinical Experience and Skills

  • Competence in adult general anaesthesia, obstetric anaesthesia and management of the intensive care unit with remote supervision
  • Interest in development of Vascular Anaesthesia and CPET skills and experience


  • Vascular Anaesthesia experience

Any attachments will be accessible after you click to apply.



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