Surgery, Anaesthetics and Imaging Directorate. The Magill Academic Clinical Fellow ICM JOB DESCRIPTION

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1 Surgery, Anaesthetics and Imaging Directorate The Magill Academic Clinical Fellow ICM JOB DESCRIPTION 1.0 Chelsea & Westminster Hospital The Chelsea and Westminster Healthcare NHS Foundation Trust comprises the Chelsea & Westminster Hospital, and a number of services and clinics provided on the Charing Cross Hospital site and at the South Westminster Centre. The Chelsea & Westminster Hospital is an acute general hospital with a large A&E Department and a total capacity of 550 beds. Surgical specialities include general, urological, orthopaedic, ophthalmic, plastic, paediatric/ neonatal, gynaecological surgery, and obstetrics. There is a dedicated Treatment Centre (incorporating a Hand Management Unit), Endoscopy Unit and a self-contained regional Burns Unit. It is a teaching hospital and provides clinical facilities for medical student education in association with Imperial College Faculty of Medicine. 2.0 The Magill Department of Anaesthesia, Intensive Care & Pain Management The Magill Department of Anaesthesia is a combined NHS and academic department, named after Sir Ivan Whiteside Magill, who was a pioneer of British anaesthesia and is best known for developing tracheal intubation and pulmonary anaesthesia. The NHS Magill Department is led by Dr Jackie Durbridge. There are 30 NHS consultants within the department with separate consultant rotas covering Intensive Care, General Surgical/Obstetric anaesthesia and Paediatric/Neonatal Anaesthesia. The Medical Simulation Centre is an integral component of this multi-disciplinary training unit. Some of the NHS anaesthetic staff have a sessional commitment to the Centre. The academic Magill Department is now part of the Section of Anaesthetics, Pain Medicine and Intensive Care (APMIC) at Imperial College London, led by Prof Masao Takata who is the Magill Chair in Anaesthetics at Chelsea and Westminster Hospital. The Section brings together clinical and basic scientists with a wide range of research interests and an emphasis on producing high-quality, high impact basic and translational research. The Section s strengths are derived from the wide range of members; from basic scientists, immunologists and physiologists, BSc, MSc, MD and PhD students to clinical academic foundation trainees, academic clinical fellows (ACFs), clinical lecturers and consultant anaesthetists, intensivists and pain doctors. The Section is mainly located at the Chelsea & Westminster (C&W) Campus (adjacent to the clinical department) but also has members at South Kensington (SK), Harefield (HF), Hammersmith (HH) and Charing Cross (CX) campuses. 2.1 The Post The post will commence in August 2014 and is designed for an anaesthetic trainee who is at least at the end of their CT2 and has obtained their Primary FRCA exam. Those in higher training (ST3 and above) will need to seek the approval of their Training Programme Director / Regional Advisor before applying. The post is appropriate for those who have a strong interest in and outstanding potential for a career in academic anaesthesia, pain medicine and intensive care, wishing to receive a solid research training and obtain data for a competitive, peer-reviewed research training fellowship application. The successful candidate is clinically based in the NHS Magill Department at the Chelsea & Westminster

2 Hospital, and academically based in the academic Magill Department of Imperial College London. Overall responsibility for the post will lie with Dr Michelle Hayes. The post would be for 6 months (renewable), but may be extended by mutual agreement; extension in order to undertake/register for a higher degree would be considered and could be arranged if deemed appropriate. Clinical duties will be based in burns theatres, the burns and general intensive care units and there will be a 1:8 on-call commitment with internal cover (full shift system). The remainder of the week will be dedicated to research. Training in data presentation and publication is readily provided within the department. 2.2 Research The Magill Department has a proven international reputation for producing high quality basic science, translational and clinical research. It participates in an increasing array of NIHR portfolio studies and clinical trials. The areas of particular expertise and interest include: Critical Care Research Inflammatory mechanisms of acute lung injury Leukocyte-endothelial interactions in organ injury Organ protection Innate immune system functions in perioperative, critical care and trauma patients Metabolic/molecular phenotyping and biomarkers Clinical trials in sepsis Anaesthesia and Neuroscience Research Molecular basis of anaesthesia Neurotoxicty/neuroprotection by anaesthetic agents Anaesthetics and cancer Organ injury in cardiothoracic surgery and transplantation Postoperative cognitive dysfunction and Alzheimer s disease Metabolic diseases and brain function Pain Research Mechanisms and treatment of neuropathic pain Inflammatory and burn pain and neuronal processing Further details about the research of the academic Magill Department are available at: and individual research interests in our academic dept booklet found here: The post holder will receive a solid research training under the umbrella of the Section of Anaesthetics at Imperial College London with a close collaboration with Chelsea and Westminster Hospital, and undertake a preliminary research project toward an application for a competitive, peerreviewed research training fellowship leading to the award of PhD or MD(Res) degrees. Research training/project will be organised by Prof Masao Takata, in a similar way to that for the current Walport NIHR-funded academic clinical fellows. Academic and/or clinical supervisors will be allocated to the post holder depending on the main emphasis of the project. It is anticipated that the project supervisor will meet with the post holder weekly and that a monthly meeting will take place with Prof Takata for academic guidance.

3 2.3 Education and Teaching The post holder will be an integral part of the team at the Hospital and expected to contribute to the teaching of doctors in training, midwives, medical students and other staff groups. Hospital medical staff have use of the main Library Unit at Imperial College. Hospital medical staff also have the use of the Medical School Library in the Reynolds Building, Charing Cross Hospital in addition to the Medical School Library situated on the lower ground floor of the Chelsea and Westminster Hospital. An inter-library loan facility is also available. Study Leave is provided in accordance with the appropriate Chelsea and Westminster Healthcare NHS Foundation Trust and National Handbooks. 2.3 Clinical Governance The post holder will be required to participate in the Trust s and Directorate s Clinical Governance activities. All staff have a responsibility to report all clinical and non-clinical accidents or incidents promptly and when requested to co-operate with any investigations undertaken. 2.4 Enquiries Enquires about the post can be made via or to Dr M Hayes at michelle.hayes@chelwest.nhs.uk or Dr J Handy at j.m.handy@imperial.ac.uk. Further details about the department are available at the Magill Dept. Website:

4 CHELSEA AND WESTMINSTER HOSPITAL NHS FOUNDATION TRUST Anaesthetics & Imaging Directorate Personal specification form Magill Academic Clinical Fellow Dept: Anaesthesia Factors Essential Desirable Physical requirements Eligibility Occupational Health approval for the role specified. Eligible for full registration with the GMC at time of appointment Education/qualifications. Completion (or near completion) of 2 years minimum core training in approved professional training posts for UK trained applicants, recognised by the Royal College of Anaesthesia. MBBS or equivalent medical qualification. Primary FRCA APLS/ATLS or equivalent Previous clinical experience ALS certification Completion (or near completion) of 2 year core training programme in anaesthetics/intensive care. Expectation of basic level training certificate by post commencement date Previous research experience Strong interests in basic, translational or clinical science Aptitudes Career aspirations in academic medicine in anaesthesia and critical care Flexible, objective and assertive. Excellent communication skills Able to work within a multidisciplinary team. Well organised, conscientious; ability to complete projects Language skills All applicants to have demonstrable skills in written and spoken English. Experience in Intensive Care Experience teaching/simulation Experience in research in

5 PROFILE OF CHELSEA AND WESTMINSTER HOSPITAL NHS FOUNDATION TRUST Chelsea and Westminster Hospital NHS Foundation Trust aims to be a hospital of choice for patients and an employer of choice for staff. The Trust is also a main teaching centre for Imperial College School of Medicine. The Trust provides a full range of general medical and surgical services for the local community, and specialist services for people wherever they live. St Stephen s Centre, next door to the hospital, houses most of the Trust s specialist HIV and sexual health services. Sexual health outreach services are also provided at the Victoria Clinic, SW1, the West London Centre for Sexual Health at Charing Cross Hospital and in a range of community settings. Chelsea and Westminster Hospital, which was opened by the Queen in 1993, offers a uniquely modern hospital environment. Its light and airy modern design is built around a vast atrium - one of the largest in Europe - and incorporates a stunning array of visual arts, which help create a healing and uplifting atmosphere enjoyed by patients, staff and visitors. The Trust has enhanced its reputation for high quality care and good management by gaining Foundation Trust status in October 2006 and earning a rating of Excellent for quality of Services and use of resources in the Healthcare Commission s annual performance ratings, published in October Chelsea & Westminster also prides itself on being a clean, safe hospital the Trust was rated Good for both hospital hygiene and standards of hospital food in the national Patient Environment Action Team (PEAT) statistics published in November 2007 and rates of healthcare associated infections are almost half the national average. Our services are often recognised nationally in 2006 our recruitment and retention strategy to reduce midwife vacancy rates was short-listed for the Health Service Journal Awards, a scheme to allow sexual health patients to request clinic appointments via the Trust website was short-listed for the NHS Innovators Awards, and we were rated as one of the top 26 hospitals in England for the care of patients aged 50+ according to research by Saga/Dr Foster. Our reputation as a good place to work has been reinforced by our achievement of Improving Working Lives Practice Plus status in 2005 this is only awarded to NHS trusts that demonstrate high standards in areas including flexible working, and training and development. The Trust is committed to developing staff in order to improve patient care a Trust-wide customer service programme was launched in autumn 2006 to enhance the level of customer care we provide.

6 ADDITIONAL INFORMATION Health and Safety at work The post holder is required to take reasonable care for the health and safety of himself/herself and other persons who may be affected by their action or omission at work Co-operate with the employer in ensuring that all statutory and other requirements are complied with. Confidentiality The post holder has a responsibility to comply with the Data Protect Act 1998 and maintain confidentiality of staff, patients and the trust business. Conflict of Interest The Trust is responsible for ensuring that the services for patients in its care meet the highest standards. Equally, it is responsible for ensuring that staff do not abuse their official position, gain or benefit their family or friends. Equal Opportunities Chelsea and Westminster Hospital NHS Foundation Trust is an equal opportunities employer. We are committed to promoting equal opportunities in employment and will keep under review our policies and procedures to ensure that the job related needs of all staff working in Chelsea and Westminster Hospital NHS Foundation Trust are recognised. The Trust will aim to ensure that all job applicants, employees or clients are treated fairly and valued equally regardless of sex, marital status, domestic circumstances, age, race, colour, disablement, ethnic or national origin, social background or employment status, sexual preferences, religion, beliefs, HIV status, gender reassignment, political affiliation or trade union membership. Selection for training and development and promotion will be on the basis of the individual s ability to meet the requirements of the job. Data Protection If you are required to obtain, process or use information held on computer or word processor, you should do it in a fair and lawful way, ensuring accurate data is maintained. You should hold data only for the specific registered purpose and not use or disclose it in any way incompatible with such a purpose. You should disclose data only to authorised persons or organisations as instructed. Breaches of confidentiality in relation to data will result in disciplinary action which may include dismissal. Employees are expected to comply with all Trust data management processes and procedures. For those posts where there is management or supervision of other staff it is the responsibility of that employee to ensure that their staff receive appropriate data training (e.g. HISS induction, organising refresher sessions for staff when necessary).

7 Patient and Public Involvement The Trust has a statutory duty to involve service users, carers and the public in the work of the organisation. We consider that Patient and public involvement is the responsibility of every individual working for our Trust. All staff have a responsibility to listen to the views of patient and to contribute to service improvements based on patient feedback. You will be expected to support the Trust in this aim through your working practice. Infection Prevention and Control It is the duty of every employee to comply with The Health Act (2006): Code of Practice for the Prevention and Control of Healthcare Associated Infections (also known as The Hygiene Code ). Effective prevention and control of healthcare-associated infections has to be embedded into everyday practice and applied consistently by everyone. Failure to do so may result in disciplinary action. The hospital is a partner in the cleanyourhands campaign. It is the responsibility of every staff member to be aware of and comply with the hand hygiene policy and campaign in all patient areas, and promote the ethos of the policy and campaign to all hospital users.