Consultant in Anaesthetics

Surgical specialties in the Trust include: general surgery (including laparoscopic colorectal surgery), orthopaedics, Obs & Gynae, urology, ENT, maxillofacial, breast surgery and ophthalmology. We run a busy pre-operative assessment service including cardiopulmonary exercise testing. We specialise in day case surgery (led by recent BADS president) and regional anaesthesia.

The critical care unit consists of 6 funded ITU beds and 8 funded HDU beds. There are consultants with a special interest in critical care medicine. We have also appointed an Associate Specialist in intensive care to support the expanding department. We have FICE echo accreditation.

There are many research opportunities within the Anaesthetic department and the trust as a whole. A consultant colleague is a professor with an active research portfolio and we make a significant contribution in terms of recruitment to prominent trials. Successful applicants will be encouraged to have an active part in furthering projects and quality improvements within the department.

We have a wealth of managerial experience within the department with colleagues currently holding several senior roles within the Trust.

We currently have

a 30 substantive Consultant Anaesthetists. In addition, there are 14

Anaesthetic Specialty Doctors and two Associate Specialists. The trainee

establishment consists of eight stage 1 trainees, together with four stage 2 or

3 trainees all rotating from the South Yorkshire Anaesthetic Training Rotation.

The department also has one Foundation Year 2 doctor on a 4-month rotation

within critical care.

Elective surgical

lists are either half or full day and run for either 4 or 8 hours.

Anaesthetists are allocated an extra hour per half day for pre-op assessment

and post-op care. Surgical specialties include: general surgery (including

laparoscopic colorectal surgery), orthopaedics and trauma, gynaecology,

urology, ENT, maxillofacial, breast surgery, ophthalmology. We have an

excellent Day Surgery Unit and one of our colleagues is the Past-President of

the British Association of Day Surgery (BADS).

We have an

excellent regional anaesthesia service with higher and advanced training

modules.

We have an

excellent Paediatric exodontia anaesthesia service and a community dental

sedation service. In addition to the above we are the referral centre for ECT

and we also provide a regular cardioversion service.

We have a

resident Professor and a strong anaesthesia and critical care research

portfolio participating in many international and national portfolio studies

with input from funded trust research nurses.

Rotherham has a

busy obstetric unit. In 2018 there were approx. 3000 deliveries. 15 sessions

per week are currently covered by nine Consultant Anaesthetists. Weekday

consultant cover is from 07:40 21:00. Overnight cover is provided by the

Registrar on-call and the General Anaesthetic Consultant on call. The weekend

days have anaesthetist covering Labour Ward and helping in theatres and ICU if

needed.

An enthusiastic

and dynamic team of nursing staff run our nationally renowned acute pain

service throughout the Trust. There is a well-established ward-based epidural

service for Orthopaedics, General Surgery, Urology and Gynaecology with

on-going developments focusing on enhanced recovery, management of acute pain

in the patient with chronic pain and analgesia for fractured necks of femur.

The Pain team has particular expertise in the management of rib fractures and

our protocols have been published and presented nationally. The pain team also

provide an acupuncture service which has reduced the incidence of

post-operative nausea and vomiting (PONV).

In addition to

service commitments, there are excellent opportunities for the appointee to

become involved in anaesthetic training, module development, educational

supervision and appraisal. The Department has an excellent reputation for

teaching and training. The department offers training modules in all the

surgical specialities available at the Trust, as well as Critical Care

Medicine. All consultants are encouraged to participate in teaching and

tutorials, in addition to practical aspects of training in the operating

theatres and intensive care.

Unit is recognised for basic, intermediate level RCoA training and Stage 1 of

the FICM training program. One of our ICU Consultants is FICE accredited and

all the remaining ICU Consultants are working towards FICE accreditation.

There is an

established teaching programme within the department, with an afternoon of

tutorials on topics relating to Anaesthetics and Critical Care Medicine. A

lunchtime ICU journal club and a mortality and morbidity meeting is held once

a month at the ICU Clinical Governance meeting.

We admit around

630 patients a year, of which 35% are Level 3. Approximately 60% are emergency

medical admissions, and around 15% are elective surgical patients. Our mean

APACHE II score is 15.2, with a unit mortality of 12%, which is in keeping with

other similar units in the ICNARC Case Mix Programme, and we have a

risk-adjusted acute hospital mortality of 0.91 (2018-2019 ICNARC data).

There are

currently 6 funded Level 3 (ICU) bed spaces and 8 funded Level 2 (HDU) bed

spaces. The ICU and the HDU are co-located to make a Critical Care Unit. Theatres, radiology and the brand new Urgent

Care Emergency department are in close proximity.

There are

currently nine Consultants and one associate specialist, who have a special

interest in Critical Care and provide consultant cover for the unit. Two

Critical Care consultants cover the unit each weekday, providing a total of 20

clinical sessions. These new posts were approved to help meet the GPICS

standards for critical care.

department also holds regular audit meetings (up to six meetings per annum).

These include combined meetings with surgical specialities, mandatory training

updates as well as mortality and morbidity reviews, case presentations and

discussing new developments.

We undertake a

regular morbidity and mortality review to share learning within the department

and more widely within the trust.

The successful

candidate will also be encouraged to become participate in the governance and

service development. Supporting Professional Activity (SPA) time will be

available in job plans to support involvement in these activities

Critical Care permanent medical staff meetings are held bi-monthly on the day

of the audit meetings.

We have a weekly

departmental meeting on a Thursday Lunchtime, which is attended by all staff

including trainees and representatives from theatres (e.g.) ODPs and

management.

Out-of-hours emergency service

The emergency

Staffing

The post-holder

will work alongside the existing Consultant Anaesthetists.

Relationships with other

The Department

serves all the major specialities appropriate to a District General Hospital,

with the exception of Plastic Surgery, Vascular surgery, Cardiac, specialised

Paediatric and Neurosurgery.

Office Accommodation

Shared office

accommodation and shared secretarial support will be available within the

Anaesthetic Department and Critical Care Unit.

The successful

candidates will share responsibilities within the department of Anaesthesia and

Critical Care Medicine. The successful candidate will be required to provide

8.0 PA per week of DCC, plus 1.0 PA for on call, and a minimum of 1.5 PA per week of SPA. Additional clinical PAs may be

available dependent upon the needs of the anaesthetic department, and the

appointee will be encouraged to take on additional SPA roles determined by

their interests and the needs of the department.

Medicine cover is provided by two consultants on weekdays. One Consultant

provides cover from 0800 to 2100 on the Intensive Care Unit (ICU), and the

other provides cover between 0800 and 1800 on the High Dependency Unit (HDU).

On call during the week is shared between the Critical Care and General

Consultants. The Critical Care Consultants provide a weekend on call service

which will be on a 1 in 9 basis with prospective cover. There is a resident

session on the Critical care unit from 0800-1300, followed by on call till

2000hr. (Consultants will be expected to cross cover colleagues leave in order

to cover the Critical Care Medicine service). These are new posts to facilitate

a departmental restructure, providing separate rotas for critical care and

other duties. The aim is to separate out the ITU and General rotas in time.

There are currently 9 Consultant Anaesthetists with sessions in Critical Care.

We have recently appointed a trust associate specialist to increase clinical

cover in critical care.

Each theatre

session is 1.33 PAs or 5 hours, which includes 1 hour for pre-operative

assessment and post-operative care. The theatre start time for the morning list

is 0830 and for afternoon list is 1345. Several theatre lists may be all Day

and the trauma list starts at 13:45 and finishes at 20:30.

The list of

activities included in SPA is not limited to activities to support continuing

professional development (CPD), but includes mandatory training, appraisal,

revalidation, audit, job planning, departmental and personal administration,

governance, education and training etc.

All of the SPA activities will be required to support revalidation and

professional development.

The expected

anaesthetic related activities of the job plan, should occur at regular times

in the week. Mutual agreement will be reached between the appointee and their

Clinical Lead, with regard to scheduling, including SPA.

An example

timetable is indicated in this job description, and we are very willing to

discuss alternative arrangements with suitable candidates who have a specialist

area of interest that complements their primary role.

The post holder

will participate in the General Anaesthesia & Critical Care on call rota

for out of hours emergency work. The on call is Category A attracting a pay

supplement of 3% and tariffed at 1.0 PA per week on average.

The Rotherham NHS Foundation Trust (TRFT) is a combined acute and community Trust serving our local population of around 270,000 people. Our vision is to always act the right way and be proud to provide exceptional healthcare to the communities of Rotherham.

As a Trust we are on a journey to excellence and our people and culture are at the heart of everything we do for patients. In the latest NHS Staff Survey, we are the second most improved Trust in England for would you recommend the Trust as a place to work? and were one of the most improved for staff engagement overall.

But dont just take our word for it each year hundreds of colleagues receive nominations for our Excellence and Proud awards, showcasing our brilliant people and recognising their achievements. Our people make a difference to the lives of patients every day and we are proud of the improvements we are making.

All of our 5,100 colleagues are key to our improvement journey and we are continuing to improve our services by upholding the Trusts values of Ambitious, Caring and Together. If you are passionate about making a difference, then please apply to join us on our journey to excellence.

All Consultant interviews will be performed in person (face to face). If there are any exceptional circumstances as to why a candidate cannot attend in person then a possible virtual interview will be considered by the Executive panel but is not guaranteed.

Experience

Essential: - Satisfactory completion of ARCP process or equivalence; - Subspecialty training Advanced ICM training or equivalent if applying for ITU post

Research and Audit

Essential: - Trained in research methodology; - Committed to evidence-based practice; - Evidence of audit and the implementation of change following the audit

Desirable: - Relevant research published in peer review journal

Clinical Skills

Essential: - Further experience in specialist areas pertinent to post applied for; - Some knowledge of the utilisation of IT in clinical practice

Education and Teaching

Essential: - Demonstrates a commitment to the delivery of high-quality teaching and training to Resident colleagues and multidisciplinary team

Desirable: - A qualification in teaching or instructor status relevant to anaesthesia e.g. ATLS, APLS

Qualifications

Management Skills