Main area Transplant Medicine (Cardiology and Respiratory Medicine) Grade NHS Medical & Dental: Junior Clinical Fellow Contract Fixed term: 6 months (6 months in the first instance, extendable by mutual agreement to 24 months) Hours Full time - 40 hours per week (Shifts - 1:4 rota - Long Day and weekends) Job ref 196-MED5022
Employer Guy's and St Thomas' NHS Foundation Trust Employer type NHS Site Harefield Hospital Town Harefield Salary £52,656 per annum Salary period Yearly Closing 28/12/2025 23:59
Junior Clinical Fellow in Transplant Medicine - Cardiology Respiratory
NHS Medical & Dental: Junior Clinical Fellow
Guy’s and St Thomas’ is among the UK’s busiest and most successful NHS foundation trusts. We provide a full range of hospital and community services for people in south London and as well as specialist care for patients from further afield including cancer, renal, orthopaedic, respiratory and cardiovascular services.
Guy’s is home to the largest dental school in Europe and a £160 million Cancer Centre opened in 2016. As part of our commitment to provide care closer to home, in 2017 we also opened a cancer centre and a kidney treatment centre at Queen Mary’s Hospital in Sidcup. St Thomas’ has one of the largest critical care units in the UK and one of the busiest emergency departments in London. It is also home to Evelina London Children’s Hospital.
Evelina London cares for local children in Lambeth and Southwark and provides specialist services across south east England including cardiac, renal and critical care services. We lead a number of specialist service networks aiming to ensure children are treated locally where possible, but have access to specialist expertise when they need it. Our community services include health visiting, school nursing and support for families of children with long-term conditions.
Our adult community services teams deliver care at the heart of the local communities we serve, working in partnership with GPs, local authorities and other healthcare and voluntary sector organisations. Working with our partners in Lambeth and Southwark, we are focusing on new ways of working to improve care for local patients.
In February 2021 the Royal Brompton and Harefield joined Guy’s and St Thomas’ NHS Foundation Trust, bringing together world-leading expertise in the care and research of heart and lung disease. Our merger provides a once in a generation opportunity to build a lasting, world-renowned heart and lung centre, providing the highest quality care for patients and conducting world-leading research.
We have a reputation for clinical excellence and high quality teaching and research. We are part of King’s Health Partners, one of eight accredited UK academic health sciences centres. In partnership with King’s College London we have dedicated clinical research facilities including an MHRA accredited Phase I clinical trials unit.
Patients are at the heart of everything we do and we pride ourselves on ensuring the best possible patient experience as well as safe, high quality care. We are proud to have one of the lowest mortality rates in the NHS. Following a comprehensive Care Quality Commission (CQC) inspection in 2019 we maintained our overall rating of ‘good’. Our adult community services achieved a rating of ‘outstanding’.
The commitment of our 23,500 staff is key to our success. We are one of the largest local employers and we aim to develop and support all our staff so they are able to deliver high quality, safe and efficient care. The 2019 NHS staff survey results show that we have one of the most engaged and motivated workforces in the NHS. We know this has a positive impact on the care provided to our patients.
We have one of the most ambitious capital investment programmes anywhere in the NHS.
Job overview
Junior Clinical Fellow in Transplant Medicine (Cardiology and Respiratory)
Harefield Hospital Site
The Harefield Hospital, part of Guy's and St Thomas’ NHS Foundation Trust is renowned nationally and internationally for excellence in diagnosis, treatment and research of patients with cardiothoracic diseases. It is the largest postgraduate specialist heart and lung centre in the United Kingdom, along with our other Clinical Group site in Chelsea, London. We strive to develop our staff both personally and professionally to ensure our patients get the first-class service they deserve.
The Harefield Hospital are seeking to appoint a Junior Clinical Fellow in Transplant Medicine for 6 months in the first instance, with a possible extension for up a maximum of 2 years by mutual agreement.
This is a truly unique opportunity to gain experience in Transplant medicine.
The appointee is expected to undertake the admission and day to day care of Cardiology and Respiratory patients. This includes a number of patients admitted for short term investigation and also patients requiring longer term treatment. Emergency cases are admitted daily incorporating all aspects of tertiary centre cardiology. The successful candidate will be expected to participate in an on-call rota.
This post may close early if a sufficient number of applications have been received.
Main duties of the job
To work alongside the existing Junior doctors and wider Multi Disciplinary team at the Harefield Hospital. To undertake clinical work within the Transplant Service. Clinical activity will include in-patient and out-patient care, audit and quality assurance.
Working for our organisation
Guy’s and St Thomas’ NHS Foundation Trust comprises five of the UK’s best known hospitals – Guy’s, St Thomas’, Evelina London Children’s Hospital, Royal Brompton and Harefield – as well as community services in Lambeth and Southwark, all with a long history of high quality care, clinical excellence, research and innovation.
We are among the UK’s busiest, most successful foundation trusts. We provide specialist care for patients including heart and lung, cancer and renal services as well as a full range of local hospital and community services for people in Lambeth and Southwark.
We have a long tradition of clinical and scientific achievement and – as part of King’s Health Partners – we are one of England’s eight academic health sciences centres, bringing together world-class clinical services, teaching and research. We have one of the National Institute for Health Research’s biomedical research centres, established with King’s College London in 2007, as well as dedicated clinical research facilities.
Royal Brompton and Harefield hospitals joined Guy’s and St Thomas’ in February 2021 and is the largest specialist heart and lung centre in the UK and among the largest in Europe. Weprovide treatment for people with heart and lung disease, including rare and complex conditions, offering some of the most sophisticated treatment that is available anywhere in the world.
Detailed job description and main responsibilities
Job Purpose
To provide clinical services in the Heart Transplant and Mechanical Circulatory Support Programme as well as the general Cardiology/ Heart Failure, Respiratory Medicine service at Harefield Hospital.
Clinical Responsibilities
To ensure good communication is maintained within the Transplant service at Harefield Hospital, working in collaboration with medical and surgical colleagues, other departments and services.
To take history, examine and record all findings of all patients admitted under the Transplant Service, including those in the Intensive Care Unit.
To assist in Out-patient sessions when required.
To arrange for the transfer of patients to/from other hospitals or discharge home; including a transfer/discharge summary.
To perform minor surgical procedures such as chest aspiration, chest drain insertion, central venous lines and arterial blood gases etc. Under the supervision of a Specialist Register if necessary.
To dictate / input all urgent discharge summaries only and ensure that these are forwarded to the patients General Practitioner or hospital of transfer as soon as possible after the patient is discharged.
Supervise and train junior staff allocated to the Transplant Service.
To work as a full member of the multi-disciplinary team, including participation and presentation at weekly Multi-Disciplinary Team Meetings and other meetings in the Division and Trust.
To undertake regular ward rounds to ensure effective management during the in-patient stay.
To keep the Ward Sister, Specialist Registrar and Consultant informed of any patient who is giving cause for concern.
To communicate to patients relative the progress of that patent.
Participate in the Medical Audit Programme and update relevant patient database programmes.
Participate fully in the service and training programme of the Transplant Service and Heart Division.
To accept that occasional emergencies and unforeseen circumstances may occur, and to respond to the needs of the service when they arise.
Professional Responsibilities
To seek and maintain professional qualifications.
To maintain current knowledge of cardiology / heart failure, respiratory medicine and transplantation, and related areas appropriate to carrying out these duties, and to participate in a recognised programme of continuing medical education and professional development.
To set and maintain high professional standards.
Person specification
Qualifications
* Full GMC registration
* Must have at least 6 months experience in the UK in a substantive post or equivalent experience
* Advanced life support training
* Participation in a recognised scheme of continuing medical education
* MRCP, or equivalent
* Teaching experience at of medical students and FY1/2 or ST1/2 or similar posts.
* Ability to contribute to research and teaching at national level
Experience
* Experience of the long-term follow up of heart and lung transplant patients including the management of immunosuppression
* Research experience with significant publication record and contributions to major professional conferences.
* Experience of the pre and post-operative management of medical care of patients undergoing heart and lung transplantation or VAD insertion.
* Teaching experience at of medical students and FY1/2 or ST1/2 or similar posts
Skills, Knowledge and ABILITIES
* Sound knowledge of Heart and Lung Failure, and Transplantation
* Proficient and efficient handling medical problems
* Evidence of safe sound practical procedures
* Proven ability to work as a member of a team
* Ability to contribute to research and teaching at national level
Guy’s and St Thomas’celebrates, respects and values the diversity of its staff and patients. We review our policies, procedures and practices to ensure that all employees, patients and carers are treated equitable according to their needs. We are actively committed to ensuring that no one who applies for a job, works or study’s at the Trust, or accesses our services is discriminated against on the grounds of race, ethnicity, nationality, disability, religion or belief, age, gender identity, gender reassignment, sexual orientation, pregnancy and maternity/paternity, or marital/civil partnership.
Applications are welcomed from applicants with a disability. We can make reasonable adjustments and offer support and advice in a variety of ways throughout the application process. Equality of opportunity is our policy.
As an organisation we are committed to developing our services in ways that best suit the needs of our patients. This means that some staff groups will increasingly be asked to work a more flexible shift pattern so that we can offer services in the evenings or at weekends.
We are committed to supporting all employees to achieve a healthy work life balance and to work in a way that is best for them and our patients. We will consider all requests to work flexibly, taking in to account the individual’s personalcircumstances as well the needs of the service. We encourage all prospective applicants to discuss their individual circumstances with the recruiting manager as part of the on-boarding process.
Due to recent changes inthe UK immigration rules which affect Skilled Worker Visas, Global Business Mobility, Higher Skill Level and Increased Salary Thresholds, please ensure that you are able to meet the requirements to live and work in the UK before applying. Further informationabout eligibilityis available on the UK Government website.
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Employer certification / accreditation badges
You must have appropriate UK professional registration.
This post is subject to the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (Amendment) (England and Wales) Order 2020 and it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service.
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