UNIVERSITY HOSPITALS OF LEICESTER NHS TRUST CONSULTANT IN INTENSIVE CARE MEDICINE and ANAESTHESIA Leicester Royal Infirmary Job Title: Location: Accountable to: Responsible to: CONSULTANT in Intensive Care Medicine and Anaesthesia Leicester Royal Infirmary Site within University Hospitals of Leicester NHS Trust (This may change as a result of service reconfiguration) Medical and Management Leads for Intensive Care, Theatres, Anaesthetics and Pain (ITAPS) Clinical Management Group (CMGs), Heads of Service for Adult Intensive Care Medicine and Anaesthesia ABOUT UHL, OUR VALUES AND BEHAVIOURS UHL s purpose is to deliver Caring at its best for all the people who visit Leicester s hospitals, either as patients, the public or as staff. As one of the largest and busiest teaching hospitals, our vision is to move from where we are now to where we want to be. Locally known as the journey from Good to Great. In undertaking this role you are expected at all times to behave in accordance with our Trust values which demonstrate your commitment to the delivery of high quality services to patients. This will be in accordance with agreed objectives, targets, quality standards, controls and resource constraints. Our values are: 1.We treat people how we would like to be treated 2. We do what we say we are going to do 3. We focus on what matters most 4. We are one team and we are best when we work together 5. We are passionate and creative in our work
Our strategic objectives. Underpinning our vision, purpose and values are our strategic objectives. By delivering these we will fulfil our purpose to provide Caring at its best. They place quality and safety at the heart of our hospitals; they show that timely, effective emergency care is crucial; they recognise that we want people to choose to come to us when they require planned care and they underline the importance of research and teaching in the development of our specialist services. MAIN DUTIES AND RESPONSIBILITIES This is a replacement post in Intensive Care Medicine within ITAPS at the Leicester Royal Infirmary (LRI) Hospital site. It is expected that the post holder will take part in the day-time cover and on-call rota for Intensive Care at this site. This is an exciting time for UHL critical care. The Trust is committed to a 5 year strategy which will consolidate acute services from 3 to 2 acute sites. The first step of this, transfer of vascular surgery to Glenfield Hospital, has been completed. There is a planned expansion of LRI ICU beds to accommodate further reconfiguration of services in UHL including transfer of all emergency general surgery to the LRI site. This post will be suitable for either full-time in ICM or with a commitment to Anaesthesia. It is expected that the post holder will take part in the day-time cover and on-call rota for Intensive Care at this site.
PRINCIPAL ELEMENTS OF THE POST WILL BE:- To provide Consultant cover for the Intensive Care Unit at the LRI. This currently has 19 level 3 beds used flexibly in a physical space for 22 beds. Help with the expansion into a temporary satellite unit and ultimately the move into a new build ICU. Deliver a high quality anaesthetic service, supporting the department with a positive attitude towards flexible working. Supervise and train junior anaesthetic and intensive care medical staff. Work with the acute pain team to provide safe and effective postoperative analgesia to patients. Take part in multidisciplinary case conferences. Teaching, research and administration. Develop the Critical Care Service along with the other Consultants at UHL. Work with the Clinical Governance team to enhance patient safety. The appointment will be whole time. Any consultant who is unable, for personal reasons, to work whole time will be eligible to be considered for the post. If such a person is appointed, modification of the job content will be discussed on a personal basis in consultation with consultant colleagues. WORK PROGRAMME The work programme will vary from week to week. Intensive Care Medicine The ICU will covered by a team of thirteen consultants working a rolling shift pattern ensuring continuity of care and prospective cover. The rota allows for continuity of care by having a consistent team on during the week but with the afternoon off as compensatory rest after an on call. Weekends are partially split and so occur 1 in 6.5. Prospective candidates are encouraged to discuss the working patterns and rota with the head of service and current consultants. No leave will be taken in ICU weeks, attracting a payment for prospective cover. Anaesthesia Candidates dual trained in anaesthesia will be offered flexible anaesthesia sessions in non-icu weeks, currently 10 weeks out of 13.
JOB PLAN The job plan will be made up of the following elements:- Intensive Care including day-time cover and on-call, prospective cover and clinical administration (DCC) 5.5 Theatres, including pre and postoperative visiting (DCC) *If the appointed candidate has a single ICM CCT, these DCC PAs will be in ICM 2.0* Supporting Professional Activity (SPA) 2.5 TOTAL PROGRAMMED ACTIVITIES 10 There may be the opportunity to increase programmed activities to a maximum of 12PAs by mutual agreement. It is expected that there will be the need from time to time to make changes to the job plan. The successful candidate will be expected to negotiate such changes for the benefit of clinical service delivery and the department as a whole. Consultants wishing to carry out private practice may be asked to undertake an additional clinical programmed activity. Cover for annual and study leave is by mutual arrangement with colleagues and is included within the PA allocation. The job plan will be subject to annual review, with any revisions sought by mutual agreement but it is expected that the successful candidate will work with the CMG management team to ensure that services are delivered efficiently and reflect best practice with processes and governance to match - this may require new and flexible ways of working in the future. Supporting Professional Activity (SPA) 1.5 PA s are allocated as a minimum to all consultants for SPA in order to support the requirements of revalidation, which include activities such as participating in audit, CPD and mandatory training and to support Clinical supervision of undergraduates and postgraduate speciality trainees. This post includes a further 1 SPA for appropriate verifiable SPA by mutual agreement as part of the job planning process. Where a consultant decides not to undertake additional SPA over and above 1.5 PA s, suitable alternative clinical work will be offered to bring the job plan up to 10 PA s. On Call The Intensive Care will be worked flexibly to provide continuous cover with colleagues on the 1 in 13 rota. When a consultant is scheduled to work on the ICU their duties are exclusively to ICU. The on call PAs are included in the ICU DCC PAs in the outline job plan above. The on call supplement will be Category A, low frequency at 3%.
Theatres job plan (sample) if dual trained in ICM and Anaesthesia Theatre sessions will be undertaken during non-icu weeks and will average 2.0 PA per week over the year. Non-ICU weeks (currently 9 weeks in 13): AM PM Mon Tues Wed Thurs Fri Flexible theatre 1.25 PA Flexible theatre 1 per month 0.4 PA SpA 1.5 SpA 1.0 Flexible theatre 1.25 PA OTHER DUTIES The successful candidate will be required to undertake clinical audit, teaching and managerial duties associated with the care of their patients and the running of their Clinical Department. It is expected that these duties will be undertaken in non-clinical time. They will have an understanding of the wider health agenda and modern NHS. The successful candidate will be required to work in a multidisciplinary team and supervise junior doctors. Adequate office space and secretarial support will be made available. THE CLINICAL MANAGEMENT GROUP OF INTENSIVE CARE, THEATRES, ANAESTHESIA, PAIN MANAGEMENT AND SLEEP (ITAPS) The ITAPS CMG is led by the Clinical Management Group Medical Lead, Dr Christopher Allsager and CMG General Manager Mrs Gaby Harris. It has a Departments of Anaesthesia and Critical Care at Leicester Royal Infirmary, Leicester General Hospital and Glenfield Hospital. LEICESTER ROYAL INFIRMARY The LRI provides a comprehensive range of clinical services including one of the busiest Emergency departments in the country. The Department of Critical Care provides General Intensive Care support to the following services: Elective and emergency general surgery colorectal surgery, upper GI and baratric surgery, trauma and orthopaedics, specialised surgical specialities, acute medicine, hepatology and gastroenterology and haematology. Intensive Care Service at LRI There is a general adult Intensive Care Unit with funding for 19 level 3 beds used flexibly in a physical space of 22 beds.
The unit admits over 1200 patients per year of which up to 85% are emergency or non-elective admissions. Day-time and out-of-hours cover is provided by dedicated Intensive Care Consultants. The ICU is recognised for stage 1, stage 2 and stage 3 (Basic, Intermediate and Advanced) training as specified by the FICM. There is an Intensive Care Outreach service 24/7, providing specialist nursing support to the wards. Within the department there is office space, managerial and secretarial support and a small research laboratory. There is a dedicated resuscitation and simulation training room and seminar rooms for teaching. Consultants in the department have a strong input into post-graduate and undergraduate teaching. MEDICAL STAFF - INTENSIVE CARE Dr Rakesh Vaja Head of Service ICU (based at Glenfield Hospital) Dr Gareth Williams Lead Clinician ICU Dr Neil Flint Dr Chris Bouch Prof Jonathan Thompson Dr John Parker Dr Iain McLaren Dr Daniel O Neil Dr Alex Keeshan Dr Simon Scott Dr Mike Little Dr Matt Woods Vacancy Vacancy JUNIOR MEDICAL STAFF All training levels of junior staff from FY1 up to ST 7 are allocated training attachments of 3-6 months to the Leicester Royal Infirmary Hospital by the Leicester School of Anaesthesia. Compliant resident rotas are run covering General Duties, Intensive Care and Obstetric Anaesthesia. Out of hour cover is for ICU is provided by 2 ICU residents (one ST and one CT) supported by an anaesthesia ST and supervised by the non-resident consultant in Intensive Care. DETAILS OF OFFICE/AUDIT/SECRETARIAL STAFF/ SUPPORT The Leicester Royal Infirmary Anaesthetic Co-Ordinator is Mrs Lisa Laywood Secretarial Support is from Mrs Leslie Martin.
DEPARTMENTAL RESEARCH ANAESTHESIA, CRITICAL CARE & PAIN MANAGEMENT AT THE UNIVERSITY OF LEICESTER Research in the ITAPS Clinical Management Group encompasses several areas, including clinical and laboratory based projects, and led by the CMG research Lead, Professor J.Thompson. There are close links with researchers in the University of Leicester via Professor D Lambert and Professor J Thompson, Honorary Professor (Department of Cardiovascular Sciences). Other members of the research group are three Honorary Lecturers (StR), four research nurses, and a number of NHS consultants. NHS Specialist Registrars may be seconded to undertake research for a period of six months during their training. Both clinical and laboratory-based research is performed. Areas of current clinical research include: the treatment of acute pain after surgery or injury and chronic pain of malignant or non-malignant origin; evaluation of the effectiveness of new general and local anaesthetic techniques; the evaluation of new analgesic drugs; and the assessment of non-invasive monitoring modalities in acute illness and critical care. The group is also very active in recruiting to clinical multicentre trials in Critical and Emergency Care, Perioperative Medicine, and Pain Management, under the auspices of the Clinical Research Networks. Translational and laboratory research is co-ordinated by Professor David Lambert and Professor Jonathan Thompson, whose current research focuses on investigating the cellular action of novel mediators involved in sepsis and cardiovascular disease, analgesic and anaesthetic agents, particularly receptor function, signal transduction and neurotransmitter release. Our laboratories have expertise in a variety of analytical techniques including quantitative PCR, and active collaborations within the University of Leicester, nationally and internationally. Research has impacted upon local and national practice in several areas. The group pioneered the use of patientcontrolled analgesia for postoperative pain relief and was involved intimately in the production of a national report which was instrumental in the introduction of acute pain teams in the UK. It is expected that the successful applicant would be actively involved in the ongoing research activities in the Department, under the guidance of the CMG research Lead. This may include the supervision of research nurses, Specialty Trainees and Medical Students as appropriate. Individual research interests consistent with the ongoing research priorities of the group will be encouraged, as will research presentations, publications and grant applications. Education: Teaching and Training All Consultants are expected to contribute to teaching and training of undergraduate students and postgraduate trainees as part of their role as a Consultant in UHL. Consultants will normally have undergraduate medical students placed with them during clinical duties and are expected to teach alongside clinical service work. Similarly, Consultants will normally be involved in clinical supervision of postgraduate trainees working within UHL. Medical students based at the University of Leicester follow a standard 5 year programme. The teaching of undergraduate students in UHL reflects the Divisional structure of the Trust. Undergraduate medical students are taught by UHL throughout the medical course from years 1 to 5. Both ward and outpatient based clinical teaching, as well as tutorial and lecture style teaching is undertaken.
Some Consultants will choose to take on additional undergraduate and/or postgraduate education and training responsibilities. This activity will be specific, identifiable, evidenced, recognised and appraised. Such additional teaching and training activity will be recognised within their SPA allowance. Those undertaking specifically agreed undergraduate teaching duties within their SPA allowance are recommended to the University for the Conferment of the title of Clinical Teacher. Clinical teachers normally make a 0.5SPA contribution to undergraduate teaching. This teaching can occur in different settings. The clinical teacher will be expected to show evidence of satisfactory performance in this role at appraisal. Principal Elements: To support and oversee the placement of students in the department and act as a clinical teacher To facilitate delivery of undergraduate teaching as directed by the departmental undergraduate education lead Enhanced undergraduate duties will include acting as examiners in medical school assessments, providing occasional seminar and small group teaching, lecturing & other Phase 1 teaching within the medical curricula, in addition to individual supervision of clinical students attached to them. Those who have an additional significant responsibility as a block or clinical education lead within their DCC time are also considered for the award of the title of honorary senior lecturer. Enhanced postgraduate duties will include acting as an Educational supervisor for Foundation or Specialty trainee, UHL Divisional Education governance lead, Contributing to recognised postgraduate-teaching courses in UHL, e.g. Specialty Training programmes or involvement in recruitment of trainees, e.g. interviews for Specialty training, recruitment to Foundation programmes. UNIVERSITY OF LEICESTER College of Medicine, Biological Sciences and Psychology http://www2.le.ac.uk/colleges/medbiopsych Pro-Vice-Chancellor, Head of College & Dean of Medicine: Professor Philip Baker BM BS, DM, FMedSci The University of Leicester, with University Hospitals of Leicester NHS Trust, is committed to enhancing the partnership between academia and the NHS in Leicester. A strong synergy between our organisations is the key to success. The College s mission is to pursue the highest standards of research, education and training in biomedical and related subjects, and to apply this knowledge and expertise to enhance the quality of life and economic prosperity of populations, both locally and in the wider world. Its considerable academic resources mean that it is widely recognised for the international impact of its research and the quality of its undergraduate and postgraduate teaching. This is an exciting time to join a dynamic academic enterprise and contribute to its development. The College is creating the academic and physical environment to enable scientists and clinicians to work together across traditional boundaries to address some of the key outstanding questions in
biomedical research and to engage with increasing effectiveness with commercial and public bodies. The College currently brings together 8 academic departments: Cancer Studies, Cardiovascular Sciences, Genetics, Health Sciences, Infection, Immunity and Inflammation, Medical Education, Molecular and Cell Biology and Neuroscience, Psychology and Behaviour; these together with the Diabetes Research Centre reflect the College s research strengths. In July two research institutes were established: the Leicester Institute of Structural and Chemical Biology and the Leicester Precision Medicine Institute. From 1 April 2017 College will be part of the NIHR Biomedical Research Centre (BRC), which is a collaboration between the University of Leicester, the University of Loughborough and the University Hospitals of Leicester NHS Trust. The BRC will bring together the work of Respiratory medicine, Cardiovascular science and Diet, Lifestyle and Physical Activity. There is also an interest in research which underpins teaching & learning. Valuable academic benefits derive from close collaboration with the MRC Toxicology Unit, housed in the Hodgkin building linked to the College. (http://www2.le.ac.uk/colleges/medbiopsych/research) The College s central provision in support of research and teaching includes a Core Biotechnology Service (covering bioinformatics, imaging technologies and protein and DNA facilities); a Central Technical Service (supporting teaching laboratories); a Clinical Trials Unit, Leicester Drug Discovery and Diagnostics Centre and a Central Research Facility accommodating new medical research technologies and housing, thereby providing the best conditions for the animals (mostly rats and mice) used in medical research. Major contributions made by consultant colleagues to the academic mission through research, teaching and education, clinical leadership, enterprise and innovation are recognised by the award of a range of honorary titles from Honorary Fellow through to Honorary Professor. CONDITIONS OF SERVICE The appointment will be made on Trust terms and conditions, which presently reflect the terms and conditions of service for Consultants (England) 2003, as amended from time to time. Residence The successful candidate will be required to maintain his/her private residence in contact with the public telephone service and to reside within 10 miles and a maximum of 30 minutes travel time by road to base hospital unless specific approval for greater distance is given by the Trust. Medical Excellence The Trust is committed to providing safe and effective care for patients. To ensure this, there is an agreed procedure for medical staff that enables them to report quickly and confidentially, concerns about the conduct, performance or health of medical colleagues (Chief Medical Officer, December 1996). All medical staff, practising in the Trust, should ensure that they are familiar with the procedure. Annual Leave The postholder will be entitled to 32 days annual leave per year. After 7 years service 2 additional days are awarded. The trust would normally require 6 weeks notice for leave booked.
Study Leave A maximum of 30 days study leave with pay and expenses can be taken over a three year period, or ten days each year. Relocation Where applicable, removal expenses will be paid to the successful candidate in accordance with the trust policy. It is advised that you seek advice before making any commitments. Notice Period The employment is subject to three months notice on either side, subject to the provisions of schedule 19 of the Terms and Conditions of Service for Consultants (England) 2003. Disclosure and Barring Service Clearance (formerly known as the Criminal Records Bureau CRB) This post requires an enhanced disclosure by the criminal records bureau as it is regulated by statute. Failure to disclose details if you are currently / or in the future the subject of police investigation / proceedings which could result in a conviction, caution, bind over order or charges is a disciplinary matter, and may result in dismissal. The cost of undertaking a CRB disclosure at the required level and associated processing costs will be met by the individual. To expediate the process the Trust will meet the initial costs of the disclosure which will be deducted from the individuals salary over a three month period commencing on their first months payment. Salary The starting salary of the appointment (exclusive of any distinction and meritorious service award payable to you) will be the appropriate threshold on the Consultant pay scale (MC72) ranging from 76,761-103,490 (or the appropriate transition scale threshold on MC51). On call supplement will be at the appropriate Category A level. The starting salary is normally set at the minimum of the scale unless dual accreditation or previous consultant service rules apply Infection Control The prevention of hospital-acquired infection is a vital concern for the Trust. Infections harm patients. Infections also harm the Trust. The post holder is required to ensure, as an employee, that his/her work methods do not endanger other people or themselves.
All staff must be aware of infection prevention and control policies and guidelines, and follow them at all times. Any breach of infection control policies is a serious matter and may result in disciplinary action. Consultant Medical staff are the clinical leaders of their team and as such have a responsibility to provide and maintain a culture of vigilance across the team through their role in supervising and educating other staff. All Consultant Medical staff are expected to lead by example and comply fully with the Trust s infection prevention and control policies and to challenge non compliance when observed. Consultant Medical staff and Heads of Service have a particular role in persuading colleagues to change behaviour when this is not in line with infection control policies and procedures. Safeguarding The post holder is responsible for safeguarding the interests of children and adults who they come into contact with during their work. To fulfil these duties post holders are required to attend training and development to recognise the signs and symptoms of abuse or individuals at risk, to follow local and national policy relating a safeguarding practice and to report and act on concerns that they may have. Health and Safety The University Hospitals of Leicester NHS Trust recognises its duties under the Health and Safety at Work Act 1974 to ensure, as far as is reasonably practicable, the health, safety and welfare at work of all its employees and, in addition, the business of the Trust shall be conducted so as to ensure that patients, their relatives, contractors, voluntary workers, visitors and members of the public having access to hospital premises and facilities are not exposed to risk to their health and safety. HEPATITIS B The duties of this post may require the postholder to carry out exposure prone invasive procedures on patients of the University Hospitals of Leicester NHS Trust. In order to protect its patients from acquiring blood borne viral infections from staff the Trust requires that the following conditions be met before appointment to the post is made: 1. The candidate must provide acceptable documentary evidence to the Occupational Health Service as part of pre-employment screening of non-infectivity and/or immunity to Hepatitis B infection and non-infectivity with Hepatitis C if appropriate. If the candidate is non-immune to Hepatitis B the University Hospitals of Leicester NHS Trust will require a blood test to be carried out for Hepatitis B markers before appointment. The duties of this post are such that no candidate with positive blood borne viral infectious markers in accordance with the latest DOH/GMC guidelines could be appointed. 2. Any appointee who is not immune to Hepatitis B, but is currently carrying out exposure prone invasive procedures, accepts that regular checks on Hepatitis B markers may need to be carried out by the Occupational Health Service appointed by the University Hospitals of Leicester NHS Trust.
The tests can be arranged, if the candidate agrees, in confidence through a local consultant microbiologist or the occupational health physician. All costs for testing will be borne by the University Hospitals of Leicester NHS Trust. All employees are subject to the requirements of the Health & Safety at Work Act. The post holder is required to ensure that as an employee, his or her work methods do not endanger other people or themselves. All employees are subject to the requirements of the Data Protection Act and must maintain strict confidentiality in respect of patient s and staff s records. All employees must comply with the Trust s equality and diversity policies and must not discriminate against individuals or groups on the basis of their age, disability, gender, marital status, membership or non membership of a trade union, race religion, domestic circumstances, sexual orientation, ethnic or national origin, social and employment status, HIV status, or people who are undergoing or have undergone gender re-assignment, marriage and civil partnership, pregnancy and maternity or any other grounds which cannot be shown to be justifiable. This job description is not to be taken as an exhaustive list of duties and it may be reviewed in the light of changed service needs and development. Any changes will be fully discussed with the post holder. The post holder will be required to carry out the duties appropriate to the grade and scope of the post. In order to ensure the Trust s ability to respond to changes in the needs of the service, after appropriate consultation and discussion with you (including consideration of personal circumstances current skills, abilities and career development) the Trust may make a change to your location, duties and responsibilities that are deemed reasonable in the circumstances. Your normal place of work will be as discussed at interview and will be confirmed in Section 1 of your contract but you may be required to work in other locations of the Trust. In particular, flexibility is required across the three main Hospital sites (Leicester Royal Infirmary, Leicester General Hospital, Glenfield Hospital). If your initial location is based at one of these sites, excess travel reimbursement will not apply for a permanent/temporary change to base. VISITING Candidates are invited to visit the hospitals concerned and may make arrangements to do so through: Dr Gareth Williams, Lead clinician, Critical Care LRI. Tel 0116 2586474; Email: gareth.williams@uhl-tr.nhs.uk Dr Rakesh Vaja, Head of Service, Critical Care UHL Tel: 0116 2502315. Email: rakesh.vaja@uhl-tr.nhs.uk Dr Farah Ahmed, Head of Service, Anaesthesia LRI Tel: 0116 2586474. Email: farah.ahmed@uhl-tr.nhs.uk In addition to the key job responsibilities detailed in this job description all employees at UHL NHS Trust are expected to comply with the general duties detailed below:
UNIVERSITY HOSPITALS OF LEICESTER NHS TRUST PERSON SPECIFICATION Appointment of: CONSULTANT IN INTENSIVE CARE MEDICINE and ANAESTHESIA, LEICESTER ROYAL INFIRMARY CRITERIA FOR ESSENTIAL REQUIREMENTS SELECTION (Justifiable as necessary (A clear definition for the necessary for safe and effective criteria) performance) 1. Qualifications Full GMC Registration MB BS or equivalent FFICM or equivalent Eligible for entry/entered on the specialist register of the General Medical Council for Anaesthesia or Intensive Care Medicine. CCT in Intensive Care Medicine or within 6 months of CCT at date of interview or equivalent experience at consultant level Completed advanced ICM training or equivalent (Step 2/Stage 3) as specified by the FICM, or equivalent 2. Experience/ Clinical Demonstrable experience and Skills extended training in Adult Critical Care Medicine including extensive contemporary critical care experience in the last 2 years Demonstrable extensive recent Anaesthesia experience Clinical Knowledge and Expertise: Appropriate knowledge base and ability to apply sound clinical judgment to problems; demonstrates clear, logical thinking/analytical approach; understands evidence based practice ALS IT Skills, ability to use web browser, excel, word, etc. ADDITIONAL/DESIRABLE REQUIREMENTS (Elements that contribute to improved/ immediate performance in the job) Higher degree/diploma (e.g. FFICM, EDIC, DICM, MSc, MD) Dual or Joint CCT in Anaesthesia or other FRCA, MRCP or equivalent Evidence of relevant clinical specialty interest (eg.echocardiography) ATLS FICE accreditation Experience in transthoracic echocardiography 3. Motivation Personal integrity and reliability Willingness to learn new skills in relevant areas of interest Ability to motivate and develop both medical staff and non-medical staff Commitment to further develop the post and the service provided 4. Management Willingness to work as a member Awareness of local
of the team and to share administrative responsibilities Able to work in multidisciplinary teams and supervise juniors Understanding of wider health agenda and modern NHS Knowledge of clinical governance issues Capacity to manage/prioritise time and information effectively; capacity to organise own workload Flexible Service Development issues Evidence of management and administration experience Management training on an accredited course Willingness to undergo further management training 5. Audit Evidence of active participation in and commitment to clinical audit Willingness to undertake relevant audit activities 6. Research Understanding and interest in research Ability to appraise research critically 7. Communication Skills Demonstrable skills in written and spoken English that are adequate to enable effective communication with patients and colleagues Empathetic and sensitive; capacity to appreciate others perspectives and treat others with understanding Relates effectively with professional colleagues at all levels 8. Teaching Experience of, and commitment to, Undergraduate and Postgraduate teaching Appraisal and assessment skills Enthusiastic and able to inspire others 9. Employment Checks Satisfactory health clearance. Satisfactory enhanced Criminal Records Bureau check Evidence of ability to organise clinical audit and initiate change Completion of formal courses in audit Published audit Evidence of recent research and development activity Publications in nationally and internationally recognised peerreviewed journals relevant to Anaesthesia and/or Intensive Care Medicine Leadership skills Willingness to develop new approaches to teaching Post Graduate qualification in medical education