Specialty Doctor - Anaesthetics

He / she will cover the High Dependency Unit and attend cardiac arrests and critically ill patients on the ward. He / she will participate in the inter-hospital transfer of the critically ill patients. The candidate will ensure that he / she follow up the patient in the post-operative period and has understanding of and practiced regional anaesthesia.

There are also seven Anaesthetic Associates (AA) working in our department. They work under the supervision of a consultant anaesthetist in line with RCOA recommendations in a ratio of 1:1 or 1:2. Twin theatre working is embedded in our rota.

The Anaesthetic Department provides anaesthesia services for all orthopaedic surgical procedures being carried out in the hospital including interventional radiology. We currently also have consultants contributing to pre-assessment, HDU, acute and chronic pain and perioperative medicine. We are also in the process of developing an acute pain service to complement the critical care outreach service already in place.

Anaesthesia Pre op Clinical Lead Dr Egidio da Silva

The hospital has a well-established Nurse-led Pre-Operative Assessment Clinic. Recently this has been expanded and is now staffed daily by a consultant anaesthetist. Consultant Anaesthetists are also involved in the Preoperative assessment of children, ensuring that appropriate patients are selected for their procedures at the Royal Orthopaedic Hospital. As part of our SLA with a local cardiology department, we also host an echocardiography clinic for our patients every fortnight.

There are ten operating theatres in our theatre suite. All theatres have modern anaesthetic machines (GE Healthcare). There are four ultrasound machines (sonosite) and one BK machine used for regional anaesthesia and vascular access. TIVA is widely used and BIS monitoring available. Cell salvage is widely used. Our current difficult airway equipment includes the Glidescope, disposable fibre optic scopes and ET view tubes. The theatres will be increased in number this year with plans for a modular theatre build.

Speciality Doctor Lead - Dr Anil N Rao

In order to provide clinical continuity our consultant group has nine members at any given time that will provide Monday to Friday daytime cover of the high dependency unit in a five-day stretch. Membership of this group is anticipated to change bi-annually, in order for us all to maintain clinical skill in critical care. All consultants cover the HDU and theatre out of hours.

The High Dependency Unit (HDU) has 6 beds in line with CQC requirements. The HDU is equipped with invasive monitoring equipment, TEG and other bedside tests for clotting and a blood gas analyser. Non-invasive ventilatory support is available. However, elective post-operative ventilation is not carried out.

Any patient who may require post-operative ventilation is transferred to the parent unit from where the patient was referred or a local hospital with level three care available. Careful assessment of cases reduces this to a minimum. On occasion surgeons carry out surgery in the other hospitals if the condition of the patient demands elective post-operative ventilation.

The hospital has an established chronic pain management service with new appointments of two consultant anaesthetists who will also be part of the anaesthesia team and the acute pain service being created. The service is completed with input from a multi-disciplinary team comprising of psychology, nursing, physiotherapy and occupational therapist.

Hand and Elbow Surgery: Most hand surgery is carried out using regional techniques with only a very low percentage of patients having general anaesthesia.

Spinal Service - There are eleven spinal surgeons. Their work includes anterior and posterior stabilisation of cervical, thoracic and lumbar spine within deformity, degenerative and spinal oncology surgery. Children under the age of five and those with a predicted requirement for post-operative ventilation are treated at the Birmingham Childrens Hospital.

Paediatric Surgery - Paediatric surgery is run jointly with the Birmingham Childrens Hospital. Younger and more challenging children are treated at the Birmingham Childrens Hospital.

Joint Replacement Surgery - Arthroplasty involves primary and revision surgery. There is an extensive rheumatoid practice, which is supported by on-site rheumatologist. The successful candidates should be proficient in performing regional blocks for extremity surgery.

Foot and Ankle Surgery - General and regional techniques are used for adult and paediatric patients, some of whom may have global musculoskeletal morbidity.

Oncology Surgery - Covers adult and paediatric patients who may require diagnostic or treatment operative procedures, which can therefore be extensive in duration. The catchment area is very wide and patients can be at any stage in their overall treatment plan.

The post holders will be expected to undertake continuing medical education along the lines recommended by the Royal College of Anaesthetists. As a standalone surgical facility, all anaesthetists have current ALS and APLS certification. We also undertake regular CPD at Birmingham Childrens Hospital or on paediatric anaesthesia related courses as well as updates in adult critical care.

The Specialty Doctor will practice within the framework of clinical governance and infection control; participate in clinical audit, morbidity and mortality meetings and report critical incidents. There is an active audit program at the ROH and the candidate is expected to participate in departmental audit.

Teaching & Audit

The candidate will be expected to take part in departmental teaching and audit activity.

The Royal Orthopaedic Hospital NHS Foundation Trust is one of the largest specialist orthopaedic units in Europe. We offer planned orthopaedic surgery to people locally, nationally and internationally.

Our Trust is a very special hospital; big enough to deliver world class services and small enough to offer exceptional patient and staff experience. We offer a working experience unique in the West Midlands and we're always on the lookout for passionate people to join our award-winning team.

The ROH is an equal opportunities employer. We employ people of difference and are committed to growing an inclusive culture, where difference is celebrated, and people feel able to bring their whole and authentic self to work.

We are a Disability Confident Leader and offer a range of inclusive, family friendly and flexible working arrangements and policies, to support our people in the workplace. Flexible working requests will be considered.

The Trust is committed to the Disability Confident Interview Scheme and will offer an interview to disabled applicants who meet the minimum criteria for a vacancy and consider them on their abilities.

If you have a disability and need any support with your application or require any reasonable adjustments to be implemented please do get in touch with the Recruiting Manager for this position so that the team can support you.

For more information

To find out more about us, our work and our inspiring team, please visit www.roh.nhs.uk

Qualifications

Essential: - Full registration with the GMC

Experience

Desirable: - Experience in working as part of a team; - Experience/exposure in Spinal surgeries or post op care

Skills

Desirable: - Leadership skills appropriate to participating in and leading a multidisciplinary team