Guy's and St Thomas' NHS Foundation Trust
Locum Consultant in Intensive Care
The closing date is 25 November 2025
* The post holder must be medically qualified and maintain GMC specialist registration and hold a licence to practice.
* To develop and maintain the competencies required to carry out the duties required of the post.
* To ensure prompt attendance at agreed direct clinical care Programmed Activities.
* To ensure patients are involved in decisions about their care and to respond to their views.
* To work with the multidisciplinary team, valuing all team members and to provide care in an agreed team structure.
Research, Teaching and Training
* To collaborate with academic and clinical colleagues to enhance the Trust's translational research portfolio, always meeting the full requirements of Research Governance.
* To provide high quality teaching to medical undergraduates, postgraduates and members of other health care professions as required by the Clinical Director.
* To undertake appropriate training and act as an educational and clinical supervisor and appraiser as delegated by the Clinical Director to ensure external accreditation of training post.
More information can be found on the job specification
Main duties of the job
Your job plan is anticipated to contain 10 Programmed Activities per week on average to be carried out on Guy's & St Thomas' sites and includes on-call commitments. This may be increased to 11 or 12 by mutual consent. Less than whole time working is supported by the department. Work at other Trusts, especially partner Trusts, is supported by the department. This an outline job plan and it is expected that you will discuss and agree a more detailed job plan, including your personal and professional objectives with the Service Lead within 3 months of your start date.
More information can be found on the job specification
About us
The Department of Critical Care is seeking a Consultant Intensivist to join a dynamic, ambitious and highly motivated clinical team dedicated to delivering first class, state of the art therapy to the critically ill. Specifically, locum consultant cover is required for a twelve-month period. As well as providing critical care to our patients, the successful candidate would have the opportunity to maintain specialty skillsets. The Department is particularly interested in recruiting team members who can offer, or wish to develop, specialist skills and contribute to key areas such as undergraduate/postgraduate educational management, simulation, ECMO, peri-operative critical care, HDU, outreach for the critically ill and critical care follow-up.
Job responsibilities
Provide High Quality Care to Patients
* The post holder must be medically qualified and maintain GMC specialist registration and hold a licence to practice.
* To develop and maintain the competencies required to carry out the duties required of the post.
* To ensure prompt attendance at agreed direct clinical care Programmed Activities.
* To ensure patients are involved in decisions about their care and to respond to their views.
* To work with the multidisciplinary team, valuing all team members and to provide care in an agreed team structure.
Research, Teaching and Training
* To collaborate with academic and clinical colleagues to enhance the Trusts translational research portfolio, always meeting the full requirements of Research Governance.
* To provide high quality teaching to medical undergraduates, postgraduates and members of other health care professions as required by the Clinical Director.
* To undertake appropriate training and act as an educational and clinical supervisor and appraiser as delegated by the Clinical Director to ensure external accreditation of training post.
Performance Management
* To work with medical, nursing and managerial colleagues to ensure high performance in the following areas:
o Clinical efficiency e.g., LOS reductions, reducing cancelled operations and improved patient flow.
o Quality of outcomes e.g., infection control targets, reducing re‑admission rates.
o Financial management e.g., identification, implementation and achievement of cost improvement programmes and participating in efforts to ensure services are provided cost effectively e.g. managing locum agency spend, monitoring and managing the drug budget to target, ensuring accuracy of clinical data for the team.
o Operational efficiency e.g., day‑case rates, waiting list activity and demand management, enabled through appropriate data collection for the evaluation of the service.
Medical Staff Management
* To work with colleagues to ensure junior doctors hours are compliant in line with junior doctor contracts.
* To ensure compliance with systems and procedures that have been put in place to control and monitor leave for junior medical staff and to ensure that there is appropriate cover within the clinical areas, including on‑call commitments.
* To participate in educational supervision of junior doctors as required by the faculty tutors and clinical lead.
* To participate in the recruitment of junior medical staff as and when required.
* To participate in team objective setting as part of the annual job planning cycle.
* To participate in the annual appraisal of all doctors in training, Trust doctors, Clinical Fellows and non‑consultant grades as delegated by the Clinical Director/General Manager.
Governance
* To review clinical outcomes in designated area using external benchmarking data where appropriate, to identify and advise variances to the Clinical Director.
* Participate in clinical audit, incident reporting and analysis and to ensure resulting actions are implemented.
* To work closely with the Directorate, Patient and Public Involvement panels in relation to clinical and services developments as delegated by the Clinical Director.
* Participate in ensuring NICE requirements are reviewed and implemented and monitored in the speciality areas.
* To ensure clinical guidelines and protocols are adhered to by junior medical staff and updated on a regular basis.
* To keep fully informed about best practice in the speciality areas and ensure implications for practice changes are discussed with the Clinical Director.
* To role model good practice for infection control to all members of the multidisciplinary team.
* To respond in a timely manner to request for reports (eg Coronial reports) and responses to complaints
Strategy and Business Planning
* To participate in the business planning and objective setting process for the directorate and Trust where appropriate.
* To represent the Trust at appropriate clinical networks/other external clinical meetings, as delegated by the Clinical Director.
Leadership and Team Working
* To demonstrate excellent leadership skills with regard to individual performance, clinical teams, the Trust and when participating in national or local initiatives.
* To work collaboratively with all members of the multi‑disciplinary team and Kings Health Partners as required.
* To chair regular meetings for the specialties.
* To resolve conflict and difficult situations through negotiation and discussion, involving appropriate parties.
* Adhere to Trust/departmental guidelines on leave including reporting absence.
Person Specification
Professional Qualifications
* Full GMC Registration.
* Entry on the Specialist Register with CCT in ICM (or equivalent) or within 6 months of CCT.
* FFICM (or equivalent)
* A higher degree (PhD, MD or equivalent).
Clinical Experience
* Comprehensive clinical experience in Intensive Care.
* Training in accordance with requirements of FICM
* Expertise in undergraduate education, simulation, outreach, pulmonary hypertension, echocardiography, human factors, transport, major incident planning or ECMO.
Clinical Skills
* Ability to work as an effective member of a multidisciplinary team.
* Ability to think strategically for service improvement.
Audit Management & IT
* Understanding of the principles and applications of clinical audit.
* Ability to improve clinical elements of EHR systems
Research, Teaching skill & experience
* Understanding of the principles and applications of clinical research.
* Experience of undergraduate teaching and post graduate training.
* Ability to attract funding for research projects, as part of the overall ICU research strategy an advantage.
* Teaching qualification. Simulation module leadership and curriculum development, human factors, undergraduate training.
* Evidence of understanding of the role of clinical management.
* Evidence of leadership in the development of clinical services.
Other
* Evidence of understanding of and adherence to the principles of Good Medical Practice set out by the GMC.
* Evidence of contribution to effective clinical audit and clinical risk management.
* Ability to communicate with clarity and intelligently in written and spoken English; ability to build rapport, listen, persuade/ negotiate.
* Ability to take responsibility, lead, make decisions and exert appropriate authority.
* Empathy, understanding, listening skills, patience and ability to work co‑operatively with others.
* Able to change and adapt, respond to changing circumstances and to cope with setbacks or pressure.
* Ability to work as part of a team
* Experience of performance management, developing and motivating staff.
* Knowledge of finance and budgets.
Data Management
* Understanding and interpretation of complex clinical datasets
* Ability to use data-driven insights to inform clinical decision-making
* Experience with statistical analysis and data visualization tools
* Advanced skills in leveraging electronic health record systems for data management and analysis
Disclosure and Barring Service Check
This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.
Guy's and St Thomas' NHS Foundation Trust
Address
Intensive Care Unit, St Thomas' Hospital
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