Clinical Fellow in Anaesthesia – CESR Programme

An exciting opportunity has arisen for an ST3+ equivalent Clinical Fellow in Anaesthesia seeking Specialist Registration through the CESR route in South East London.

This innovative programme offers a structured pathway to CESR, combining high-quality clinical experience with dedicated educational supervision across tertiary, specialist and district general hospital settings. The programme duration is flexible, ranging from 1 to 4 years depending on individual training needs and progression.

The programme is delivered collaboratively by Guy's and St Thomas' NHS Foundation Trust (including Evelina London Children's Hospital), Lewisham and Greenwich NHS Trust, and the National Hospital for Neurology and Neurosurgery (Queen Square), with Guy's and St Thomas' as the employing organisation.

Fellows will rotate between Guy's and St Thomas' and Lewisham hospitals, with a dedicated neuroanaesthesia and neurocritical care placement at Queen Square where required. Training is aligned to the 2021 Royal College of Anaesthetists Curriculum and provides exposure to Stage 2 and Stage 3 competencies, including cardiothoracic, neuro, paediatric and obstetric anaesthesia, pain medicine, intensive care and major elective surgery.

The successful candidate will join a structured CESR Anaesthesia Programme supporting progression towards Specialist Registration in Anaesthesia. Fellows will work alongside trainees and consultants across participating hospitals in South East London, gaining experience aligned to the Royal College of Anaesthetists 2021 Curriculum and GMC CESR requirements.

The programme includes supervised training in cardiothoracic, neuro, paediatric and obstetric anaesthesia, pain medicine, intensive care and major elective surgery. Placements will be tailored to individual learning needs.

Fellows will rotate between Guy's and St Thomas', Lewisham and Greenwich, and where required, the National Hospital for Neurology and Neurosurgery. Educational supervision, progress reviews and annual appraisal will support professional development and CESR evidence collection.

The post combines elective clinical activity with participation in the resident on-call rota, with approximately 50% of time allocated to each. Duties will be matched to experience and competence, with consultant supervision available at all times.

The role also offers opportunities in quality improvement, audit, teaching, research, clinical governance, leadership and management. Fellows will be expected to maintain their portfolio, workplace-based assessments and logbook while working towards CESR.

Working for our organisation

This innovative CESR Anaesthesia Programme is delivered through a partnership between Guy's and St Thomas' NHS Foundation Trust, Lewisham and Greenwich NHS Trust, and the National Hospital for Neurology and Neurosurgery (Queen Square), providing access to a diverse range of clinical environments and specialist services across South East London.

The programme combines training within a leading academic health science centre, a high-performing district general hospital trust and a nationally recognised neuroscience centre. Fellows will gain experience across tertiary, specialist and general anaesthetic practice while developing evidence required for Specialist Registration through the CESR route.

Working across the partner organisations provides opportunities to develop clinical, educational, research, quality improvement, leadership and management skills within supportive multidisciplinary teams. Fellows benefit from dedicated educational supervision, structured career support and exposure to a broad range of specialties and patient populations.

The partner organisations are committed to delivering safe, compassionate and high-quality care while fostering an inclusive environment where staff are supported to develop professionally and achieve their potential. Fellows will be expected to uphold the values of Guy's and St Thomas' NHS Foundation Trust: putting patients first, taking pride in their work, respecting others, striving for excellence and acting with integrity.

The Clinical Fellow will participate in a structured CESR Anaesthesia Programme designed to provide the breadth of clinical experience, educational opportunities and supporting evidence required for progression towards Specialist Registration in Anaesthesia via the CESR route.

Working under the supervision of consultant anaesthetists, the post holder will contribute to the delivery of safe, effective and patient-centred anaesthetic services across participating organisations while undertaking a structured programme of training aligned to the Royal College of Anaesthetists 2021 Curriculum.

The programme provides structured exposure to Stage 2 and Stage 3 curriculum areas, including:

The post holder will be expected to actively engage with educational opportunities and maintain evidence demonstrating progression towards CESR requirements.

The fellow will be encouraged to develop leadership and management skills through participation in:

The post holder will participate in the resident anaesthetic on-call rota, currently operating on an approximately 1:8 full-shift basis, including evenings, nights, weekends and public holidays.

On-call duties will vary according to placement location and individual competence but may include emergency theatre cover, obstetric anaesthesia, critical care support and specialist anaesthetic services. Appropriate consultant supervision will be available at all times.

Guy’s and St Thomas’ celebrates, respects and values the diversity of its staff and patients. We review our policies, procedures and practices to ensure that all employees, patients and carers are treated equitable according to their needs. We are actively committed to ensuring that no one who applies for a job, works or study’s at the Trust, or accesses our services is discriminated against on the grounds of race, ethnicity, nationality, disability, religion or belief, age, gender identity , gender reassignment, sexual orientation, pregnancy and maternity/paternity, or marital/civil partnership.

Applications are welcomed from applicants with a disability. We can make reasonable adjustments and offer support and advice in a variety of ways throughout the application process. Equality of opportunity is our policy.

As an organisation we are committed to developing our services in ways that best suit the needs of our patients. This means that some staff groups will increasingly be asked to work a more flexible shift pattern so that we can offer services in the evenings or at weekends.

Flexible working

We are committed to supporting all employees to achieve a healthy work life balance and to work in a way that is best for them and our patients. We will consider all requests to work flexibly, taking in to account the individual’s personal circumstances as well the needs of the service. We encourage all prospective applicants to discuss their individual circumstances with the recruiting manager as part of the on-boarding process.

Due to recent changes in the UK immigration rules which affect Skilled Worker Visas, Global Business Mobility, Higher Skill Level and Increased Salary Thresholds, please ensure that you are able to meet the requirements to live and work in the UK before applying. Further information about eligibility is available on the UK Government website.

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