Clinical Fellow in Anaesthesia – CESR Programme

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.

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.

Provide high-quality anaesthetic care across a broad range of surgical specialties.

Undertake elective and emergency anaesthetic duties appropriate to their level of training and competence.

Participate in perioperative assessment, intraoperative care and postoperative management of patients.

Work within multidisciplinary teams to deliver safe and effective patient care.

Participate in intensive care, obstetric anaesthesia, pain management and specialist anaesthetic services as required by the programme.

Maintain accurate clinical records and comply with local and national clinical governance requirements.

Escalate concerns appropriately and work within GMC Good Medical Practice standards.

CESR Training and Development

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

Major Elective Surgery

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

Meet regularly with their allocated Educational Supervisor and Clinical Supervisors.

Participate in structured educational reviews and annual appraisal.

Maintain an up-to-date portfolio, logbook and workplace-based assessments.

Attend departmental, regional and national educational activities where appropriate.

Participate in simulation training, multidisciplinary teaching and morbidity and mortality meetings.

Contribute to undergraduate and postgraduate teaching programmes.

Participate in clinical audit, quality improvement and patient safety initiatives.

Contribute to clinical governance activities within participating departments.

Engage in research and scholarly activities where opportunities arise.

Present audit, quality improvement or research work at local, regional or national meetings where appropriate.

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

Service development projects

Clinical governance activities

Educational and teaching programmes

Multidisciplinary working groups

Quality improvement initiatives

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.

Demonstrate commitment to the principles of Good Medical Practice.

Maintain GMC registration and mandatory training requirements.

Participate in appraisal and revalidation processes.

Take personal responsibility for progressing their CESR portfolio and identifying training requirements throughout the programme.

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.

Clinical Experience

Qualifications and Training

Essential: - Primary FRCA or equivalent or Postgraduate Anaesthesia degree (MD) or equivalent (for International Fellows)

Desirable: - Experience in Obstetrics Anaesthesia (IACOA)

Clinical Risk Management

Essential: - Evidence of contribution to effective clinical audit, quality improvement and clinical risk management

Desirable: - Experience in clinical guideline development