Trust Doctor (eqv to ST4+) in Critical Care Unit

Job summary

Applications are invited for Trust Doctor posts in Critical Care Medicine at The Royal London Hospital (RLH), part of Barts Health NHS Trust, for trainees at ST4+ level or equivalent.

RLH is home to one of the busiest and most dynamic critical care units in London: a 44-bed general ICU/HDU on the 4th floor, alongside a further 12-bed post-operative surgical HDU on the 3rd floor. The unit manages a broad case-mix, including tertiary referrals in Neurology, Gastroenterology, Hepatology, Renal and Stroke Medicine, high-risk surgical patients, and major trauma, supported by London's HEMS base and a busy Emergency Department.

Successful candidates will gain excellent clinical exposure across level 2 and 3 care, with structured opportunities for education, audit and research. Within this programme, fellows are warmly encouraged to enquire about dedicated sub-specialty fellow posts currently available, including Critical Care Follow-Up, End-of-Life Care, and Trauma Governance - each offering protected time to develop expertise and a project portfolio in these areas.

This is an outstanding opportunity for trainees seeking varied, high-acuity critical care experience within a supportive and academically active department.

Main duties of the job

Duties of the role when working on the Critical Care Unit and Follow up Clinic

• The duties are not definitive and may be changed in accordance with the needs of the service.
• 1. Admitting emergency patients to the ACCU.
• 2. Involvement in day-to-day inpatient management under the direction of the Consultants and other senior trainees.
• 3. Fellows with extensive experience in Anaesthesia may also attend Cardiac Arrest calls throughout the hospital and Trauma calls in the Emergency department
• 4. Liaising with medical / surgical teams about patient's admission, progress, and discharge.
• 5. Liaising with nursing staff, physiotherapists, and other clinical staff about patient status.
• 6. Caring for patients on the ACCU. This includes prescribing and supervising treatment, instituting invasive monitoring, and gathering and interpreting results.
• 7. Explaining the patient's condition and progress clearly to patients and relatives.
• 8. Maintaining exact medical records, including data for audit purposes.
• 9. Providing and receiving pertinent handover at the start and at the end of shift.

About us

Barts Health is one of the largest NHS trusts in the country, and one of Britain's leading healthcare providers.

The Barts Health group of NHS hospitals is entering an exciting new era on our improvement journey to becoming an outstanding organisation with a world-class clinical reputation. Having lifted ourselves out of special measures, we now have the impetus and breathing space to chart a fresh course in which we are continually striving to improve all our services for patients.

Our vision is to be a high-performing group of NHS hospitals, renowned for excellence and innovation, and providing safe and compassionate care to our patients in east London and beyond. That means being a provider of excellent patient safety, known for delivering consistently high standards of harm-free care and always caring for patients in the right place at the right time. It also means being an outstanding place to work, in which our WeCare values and behaviours are visible to all and guide us in how we work together.

We strive to live by our WeCare values and are committed to promoting inclusion, where every staff member has a sense of belonging. We value our differences and fully advocate, cultivate and support an inclusive working environment.

Job responsibilities

The full job description provides an overview of the key tasks and responsibilities of the role, and the person specification outlines the qualifications, skills, experience and knowledge required. For both documents, please view the attachment/s below.

Person specification

Qualifications/Higher Qualifications:

Essential

• MB BS or equivalent
• Medical registration (GMC or equivalent depending on country)
• Advanced Life Support (ALS) certification or equivalent

Desirable

• MRCP, MRCS, MRCEM, FRCA, EDIC, FFICM or equivalent
• Advanced Trauma Life Support Certification (or equivalent)
• Postgraduate Qualification (eg: MSc, MD, PhD)
• Formal qualification in education

Knowledge & Experience

Essential

• A minimum of 12 months critical care experience
• Experience of working within a national health service or equivalent

Desirable

• A minimum of 24 months critical care experience
• Previous experience working on a Neurocritical care or neurosurgical unit
• Accreditation in Point of Care Ultrasound (POCUS)

Training Expected

Essential

• Post foundation training (Postgraduate years 1 and 2) or equivalent
• Additional postgraduate training to Core level (Acute Care Common Stem ACCS, Internal Medicine Training IMT, Core Anaesthetics training CAT, or equivalent)

Desirable

• Advanced airway skills including transfer of the critically ill and intubation skills
• Completion of stage 1 ICM training or equivalent Post CCT or equivalent
• Previous experience of managing or delivering governance-related activity

Academic Achievements

Essential

• Some evidence of postgraduate academic or educational work
• Participation in audit/ quality improvement project work

Desirable

• Any published peer reviewed abstract or paper
• Presentations at International conference(s)
• Previous experience in delivering education, ideally in an interprofessional setting

Personal Skills

Essential

• Flexible approach to work and evidence of team working
• Computer Literacy: MS Word, Excel, PowerPoint

Personal qualities

Essential

• Excellent communication skills
• Ability to work flexibly and under pressure
• Ability to interact well with all members of a multiprofessional team & at all grades of seniority
• Reliable work record