Consultant in Anaesthetics - Fixed Term

We are seeking recruit 2 Locum Consultants on a full-time basis in anaesthesia (with or without an interest in critical care or obstetrics) to join our dynamic and inclusive team at The Rotherham Hospital NHS Foundation Trust.

The post-holder will work alongside the existing team of 31 consultants and 19 Associate specialists, specialty doctors and clinical fellows as well as 12 doctors in training from Health Education England (HEE).

The Anaesthetic and critical care department serves a modern and recently expanded theatre and day surgery complex with adjacent ITU and HDU facilities. The department has an excellent reputation and enthusiasm for undergraduate and postgraduate teaching and would welcome applicants with a teaching interest. The Trust has Associate Teaching Hospital status within the University of Sheffield Medical School.

Main duties of the job

Surgical specialties in the Trust include: general surgery (including laparoscopic colorectal surgery), orthopaedics, Obs & Gynae, urology, ENT, maxillofacial, breast surgery and ophthalmology. We run a busy pre-operative assessment service including cardiopulmonary exercise testing. We specialise in day case surgery (led by recent BADS president) and regional anaesthesia.

The critical care unit consists of 6 funded ITU beds and 8 funded HDU beds. There are consultants with a special interest in critical care medicine. We have also appointed an Associate Specialist in intensive care to support the expanding department. We have FICE echo accreditation.

There are many research opportunities within the Anaesthetic department and the trust as a whole. A consultant colleague is a professor with an active research portfolio and we make a significant contribution in terms of recruitment to prominent trials. Successful applicants will be encouraged to have an active part in furthering projects and quality improvements within the department.

We have a wealth of managerial experience within the department with colleagues currently holding several senior roles within the Trust.

About us

The Rotherham NHS Foundation Trust (TRFT) is a combined acute and community Trust serving our local population of around 270,000 people. Our vision is to always act the right way and be proud to provide exceptional healthcare to the communities of Rotherham.

As a Trust we are on a journey to excellence and our people and culture are at the heart of everything we do for patients. In the latest NHS Staff Survey, we are the second most improved Trust in England for would you recommend the Trust as a place to work? and were one of the most improved for staff engagement overall.

But dont just take our word for it each year hundreds of colleagues receive nominations for our Excellence and Proud awards, showcasing our brilliant people and recognising their achievements. Our people make a difference to the lives of patients every day and we are proud of the improvements we are making.

All of our 5,100 colleagues are key to our improvement journey and we are continuing to improve our services by upholding the Trusts values of Ambitious, Caring and Together. If you are passionate about making a difference, then please apply to join us on our journey to excellence.

Details

Date posted

23 September 2026

Pay scheme

Hospital medical and dental staff

Grade

Consultant

Salary

£113,565 to £150,569 a year

Contract

Fixed term

Duration

12 months

Working pattern

Full-time,

Part-time,

Flexible working

Reference number

C9165-26-06-064

Job locations

The Rotherham NHS Foundation Trust

Moorgate Road

Rotherham

S60 2UD

United Kingdom

Job responsibilities

The

Department

We currently have

a 30 substantive Consultant Anaesthetists. In addition, there are 14

Anaesthetic Specialty Doctors and two Associate Specialists. The trainee

establishment consists of eight stage 1 trainees, together with four stage 2 or

3 trainees all rotating from the South Yorkshire Anaesthetic Training Rotation.

The department also has one Foundation Year 2 doctor on a 4-month rotation

within critical care.

Elective Surgery

Elective surgical

lists are either half or full day and run for either 4 or 8 hours.

Anaesthetists are allocated an extra hour per half day for pre-op assessment

and post-op care. Surgical specialties include: general surgery (including

laparoscopic colorectal surgery), orthopaedics and trauma, gynaecology,

urology, ENT, maxillofacial, breast surgery, ophthalmology. We have an

excellent Day Surgery Unit and one of our colleagues is the Past-President of

the British Association of Day Surgery (BADS).

We have an

excellent regional anaesthesia service with higher and advanced training

modules.

We have an

excellent Paediatric exodontia anaesthesia service and a community dental

sedation service. In addition to the above we are the referral centre for ECT

and we also provide a regular cardioversion service.

We have a

resident Professor and a strong anaesthesia and critical care research

portfolio participating in many international and national portfolio studies

with input from funded trust research nurses.

Obstetric Anaesthesia and Analgesia

Rotherham has a

busy obstetric unit. In 2018 there were approx. 3000 deliveries. 15 sessions

per week are currently covered by nine Consultant Anaesthetists. Weekday

consultant cover is from 07:40 21:00. Overnight cover is provided by the

Registrar on-call and the General Anaesthetic Consultant on call. The weekend

days have anaesthetist covering Labour Ward and helping in theatres and ICU if

needed.

Acute Pain

An enthusiastic

and dynamic team of nursing staff run our nationally renowned acute pain

service throughout the Trust. There is a well-established ward-based epidural

service for Orthopaedics, General Surgery, Urology and Gynaecology with

on-going developments focusing on enhanced recovery, management of acute pain

in the patient with chronic pain and analgesia for fractured necks of femur.

The Pain team has particular expertise in the management of rib fractures and

our protocols have been published and presented nationally. The pain team also

provide an acupuncture service which has reduced the incidence of

post-operative nausea and vomiting (PONV).

Training & Teaching

In addition to

service commitments, there are excellent opportunities for the appointee to

become involved in anaesthetic training, module development, educational

supervision and appraisal. The Department has an excellent reputation for

teaching and training. The department offers training modules in all the

surgical specialities available at the Trust, as well as Critical Care

Medicine. All consultants are encouraged to participate in teaching and

tutorials, in addition to practical aspects of training in the operating

theatres and intensive care.

The Critical Care

Unit is recognised for basic, intermediate level RCoA training and Stage 1 of

the FICM training program. One of our ICU Consultants is FICE accredited and

all the remaining ICU Consultants are working towards FICE accreditation.

There is an

established teaching programme within the department, with an afternoon of

tutorials on topics relating to Anaesthetics and Critical Care Medicine. A

lunchtime ICU journal club and a mortality and morbidity meeting is held once

a month at the ICU Clinical Governance meeting.

Critical Care Unit

We admit around

630 patients a year, of which 35% are Level 3. Approximately 60% are emergency

medical admissions, and around 15% are elective surgical patients. Our mean

APACHE II score is 15.2, with a unit mortality of 12%, which is in keeping with

other similar units in the ICNARC Case Mix Programme, and we have a

risk-adjusted acute hospital mortality of 0.91 (2018-2019 ICNARC data).

There are

currently 6 funded Level 3 (ICU) bed spaces and 8 funded Level 2 (HDU) bed

spaces. The ICU and the HDU are co-located to make a Critical Care Unit. Theatres, radiology and the brand new Urgent

Care Emergency department are in close proximity.

There are

currently nine Consultants and one associate specialist, who have a special

interest in Critical Care and provide consultant cover for the unit. Two

Critical Care consultants cover the unit each weekday, providing a total of 20

clinical sessions. These new posts were approved to help meet the GPICS

standards for critical care.

Clinical Governance

The Anaesthetic

department also holds regular audit meetings (up to six meetings per annum).

These include combined meetings with surgical specialities, mandatory training

updates as well as mortality and morbidity reviews, case presentations and

discussing new developments.

We undertake a

regular morbidity and mortality review to share learning within the department

and more widely within the trust.

The successful

candidate will also be encouraged to become participate in the governance and

service development. Supporting Professional Activity (SPA) time will be

available in job plans to support involvement in these activities

Permanent Staff Meetings

Anaesthetic &

Critical Care permanent medical staff meetings are held bi-monthly on the day

of the audit meetings.

We have a weekly

departmental meeting on a Thursday Lunchtime, which is attended by all staff

including trainees and representatives from theatres (e.g.) ODPs and

management.

Out-of-hours emergency service

The emergency

on-call anaesthetic team consists of:

• A CT 1/2 who provides anaesthetic cover for the acute surgical specialties.
• An ST3+ whose duties include the provision of medical cover for the ICU or Labour Ward, Paediatric resuscitation, as well as supporting the CT1/2 anaesthetist.
• SAS doctor whose duties include the provision of medical cover for the ICU or Labour ward, Paediatric resuscitation, as well as supporting the CT1/2 anaesthetist.
• A Consultant Generalist anaesthetist with responsibility for theatres and obstetrics.
• A Consultant Intensivist is on call on weekend days (0800-2000) in addition to the Consultant General Anaesthetist
• Weekdays a Consultant Intensivist is resident until 21:30.

Staffing

The post-holder

will work alongside the existing Consultant Anaesthetists.

Relationships with other

Departments:

The Department

serves all the major specialities appropriate to a District General Hospital,

with the exception of Plastic Surgery, Vascular surgery, Cardiac, specialised

Paediatric and Neurosurgery.

Office Accommodation

Shared office

accommodation and shared secretarial support will be available within the

Anaesthetic Department and Critical Care Unit.

The Post

The successful

candidates will share responsibilities within the department of Anaesthesia and

Critical Care Medicine. The successful candidate will be required to provide

8.0 PA per week of DCC, plus 1.0 PA for on call, and a minimum of 1.5 PA per week of SPA. Additional clinical PAs may be

available dependent upon the needs of the anaesthetic department, and the

appointee will be encouraged to take on additional SPA roles determined by

their interests and the needs of the department.

Critical Care Unit

Critical Care

Medicine cover is provided by two consultants on weekdays. One Consultant

provides cover from 0800 to 2100 on the Intensive Care Unit (ICU), and the

other provides cover between 0800 and 1800 on the High Dependency Unit (HDU).

On call during the week is shared between the Critical Care and General

Consultants. The Critical Care Consultants provide a weekend on call service

which will be on a 1 in 9 basis with prospective cover. There is a resident

session on the Critical care unit from 0800-1300, followed by on call till

2000hr. (Consultants will be expected to cross cover colleagues leave in order

to cover the Critical Care Medicine service). These are new posts to facilitate

a departmental restructure, providing separate rotas for critical care and

other duties. The aim is to separate out the ITU and General rotas in time.

There are currently 9 Consultant Anaesthetists with sessions in Critical Care.

We have recently appointed a trust associate specialist to increase clinical

cover in critical care.

Anaesthetics

Each theatre

session is 1.33 PAs or 5 hours, which includes 1 hour for pre-operative

assessment and post-operative care. The theatre start time for the morning list

is 0830 and for afternoon list is 1345. Several theatre lists may be all Day

and the trauma list starts at 13:45 and finishes at 20:30.

Supporting Professional Activities (SPA)

The list of

activities included in SPA is not limited to activities to support continuing

professional development (CPD), but includes mandatory training, appraisal,

revalidation, audit, job planning, departmental and personal administration,

governance, education and training etc.

All of the SPA activities will be required to support revalidation and

professional development.

The expected

anaesthetic related activities of the job plan, should occur at regular times

in the week. Mutual agreement will be reached between the appointee and their

Clinical Lead, with regard to scheduling, including SPA.

An example

timetable is indicated in this job description, and we are very willing to

discuss alternative arrangements with suitable candidates who have a specialist

area of interest that complements their primary role.

On Call Availability

The post holder

will participate in the General Anaesthesia & Critical Care on call rota

for out of hours emergency work. The on call is Category A attracting a pay

supplement of 3% and tariffed at 1.0 PA per week on average.

Job responsibilities

The

Department

We currently have

a 30 substantive Consultant Anaesthetists. In addition, there are 14

Anaesthetic Specialty Doctors and two Associate Specialists. The trainee

establishment consists of eight stage 1 trainees, together with four stage 2 or

3 trainees all rotating from the South Yorkshire Anaesthetic Training Rotation.

The department also has one Foundation Year 2 doctor on a 4-month rotation

within critical care.

Elective Surgery

Elective surgical

lists are either half or full day and run for either 4 or 8 hours.

Anaesthetists are allocated an extra hour per half day for pre-op assessment

and post-op care. Surgical specialties include: general surgery (including

laparoscopic colorectal surgery), orthopaedics and trauma, gynaecology,

urology, ENT, maxillofacial, breast surgery, ophthalmology. We have an

excellent Day Surgery Unit and one of our colleagues is the Past-President of

the British Association of Day Surgery (BADS).

We have an

excellent regional anaesthesia service with higher and advanced training

modules.

We have an

excellent Paediatric exodontia anaesthesia service and a community dental

sedation service. In addition to the above we are the referral centre for ECT

and we also provide a regular cardioversion service.

We have a

resident Professor and a strong anaesthesia and critical care research

portfolio participating in many international and national portfolio studies

with input from funded trust research nurses.

Obstetric Anaesthesia and Analgesia

Rotherham has a

busy obstetric unit. In 2018 there were approx. 3000 deliveries. 15 sessions

per week are currently covered by nine Consultant Anaesthetists. Weekday

consultant cover is from 07:40 21:00. Overnight cover is provided by the

Registrar on-call and the General Anaesthetic Consultant on call. The weekend

days have anaesthetist covering Labour Ward and helping in theatres and ICU if

needed.

Acute Pain

An enthusiastic

and dynamic team of nursing staff run our nationally renowned acute pain

service throughout the Trust. There is a well-established ward-based epidural

service for Orthopaedics, General Surgery, Urology and Gynaecology with

on-going developments focusing on enhanced recovery, management of acute pain

in the patient with chronic pain and analgesia for fractured necks of femur.

The Pain team has particular expertise in the management of rib fractures and

our protocols have been published and presented nationally. The pain team also

provide an acupuncture service which has reduced the incidence of

post-operative nausea and vomiting (PONV).

Training & Teaching

In addition to

service commitments, there are excellent opportunities for the appointee to

become involved in anaesthetic training, module development, educational

supervision and appraisal. The Department has an excellent reputation for

teaching and training. The department offers training modules in all the

surgical specialities available at the Trust, as well as Critical Care

Medicine. All consultants are encouraged to participate in teaching and

tutorials, in addition to practical aspects of training in the operating

theatres and intensive care.

The Critical Care

Unit is recognised for basic, intermediate level RCoA training and Stage 1 of

the FICM training program. One of our ICU Consultants is FICE accredited and

all the remaining ICU Consultants are working towards FICE accreditation.

There is an

established teaching programme within the department, with an afternoon of

tutorials on topics relating to Anaesthetics and Critical Care Medicine. A

lunchtime ICU journal club and a mortality and morbidity meeting is held once

a month at the ICU Clinical Governance meeting.

Critical Care Unit

We admit around

630 patients a year, of which 35% are Level 3. Approximately 60% are emergency

medical admissions, and around 15% are elective surgical patients. Our mean

APACHE II score is 15.2, with a unit mortality of 12%, which is in keeping with

other similar units in the ICNARC Case Mix Programme, and we have a

risk-adjusted acute hospital mortality of 0.91 (2018-2019 ICNARC data).

There are

currently 6 funded Level 3 (ICU) bed spaces and 8 funded Level 2 (HDU) bed

spaces. The ICU and the HDU are co-located to make a Critical Care Unit. Theatres, radiology and the brand new Urgent

Care Emergency department are in close proximity.

There are

currently nine Consultants and one associate specialist, who have a special

interest in Critical Care and provide consultant cover for the unit. Two

Critical Care consultants cover the unit each weekday, providing a total of 20

clinical sessions. These new posts were approved to help meet the GPICS

standards for critical care.

Clinical Governance

The Anaesthetic

department also holds regular audit meetings (up to six meetings per annum).

These include combined meetings with surgical specialities, mandatory training

updates as well as mortality and morbidity reviews, case presentations and

discussing new developments.

We undertake a

regular morbidity and mortality review to share learning within the department

and more widely within the trust.

The successful

candidate will also be encouraged to become participate in the governance and

service development. Supporting Professional Activity (SPA) time will be

available in job plans to support involvement in these activities

Permanent Staff Meetings

Anaesthetic &

Critical Care permanent medical staff meetings are held bi-monthly on the day

of the audit meetings.

We have a weekly

departmental meeting on a Thursday Lunchtime, which is attended by all staff

including trainees and representatives from theatres (e.g.) ODPs and

management.

Out-of-hours emergency service

The emergency

on-call anaesthetic team consists of:

• A CT 1/2 who provides anaesthetic cover for the acute surgical specialties.
• An ST3+ whose duties include the provision of medical cover for the ICU or Labour Ward, Paediatric resuscitation, as well as supporting the CT1/2 anaesthetist.
• SAS doctor whose duties include the provision of medical cover for the ICU or Labour ward, Paediatric resuscitation, as well as supporting the CT1/2 anaesthetist.
• A Consultant Generalist anaesthetist with responsibility for theatres and obstetrics.
• A Consultant Intensivist is on call on weekend days (0800-2000) in addition to the Consultant General Anaesthetist
• Weekdays a Consultant Intensivist is resident until 21:30.

Staffing

The post-holder

will work alongside the existing Consultant Anaesthetists.

Relationships with other

Departments:

The Department

serves all the major specialities appropriate to a District General Hospital,

with the exception of Plastic Surgery, Vascular surgery, Cardiac, specialised

Paediatric and Neurosurgery.

Office Accommodation

Shared office

accommodation and shared secretarial support will be available within the

Anaesthetic Department and Critical Care Unit.

The Post

The successful

candidates will share responsibilities within the department of Anaesthesia and

Critical Care Medicine. The successful candidate will be required to provide

8.0 PA per week of DCC, plus 1.0 PA for on call, and a minimum of 1.5 PA per week of SPA. Additional clinical PAs may be

available dependent upon the needs of the anaesthetic department, and the

appointee will be encouraged to take on additional SPA roles determined by

their interests and the needs of the department.

Critical Care Unit

Critical Care

Medicine cover is provided by two consultants on weekdays. One Consultant

provides cover from 0800 to 2100 on the Intensive Care Unit (ICU), and the

other provides cover between 0800 and 1800 on the High Dependency Unit (HDU).

On call during the week is shared between the Critical Care and General

Consultants. The Critical Care Consultants provide a weekend on call service

which will be on a 1 in 9 basis with prospective cover. There is a resident

session on the Critical care unit from 0800-1300, followed by on call till

2000hr. (Consultants will be expected to cross cover colleagues leave in order

to cover the Critical Care Medicine service). These are new posts to facilitate

a departmental restructure, providing separate rotas for critical care and

other duties. The aim is to separate out the ITU and General rotas in time.

There are currently 9 Consultant Anaesthetists with sessions in Critical Care.

We have recently appointed a trust associate specialist to increase clinical

cover in critical care.

Anaesthetics

Each theatre

session is 1.33 PAs or 5 hours, which includes 1 hour for pre-operative

assessment and post-operative care. The theatre start time for the morning list

is 0830 and for afternoon list is 1345. Several theatre lists may be all Day

and the trauma list starts at 13:45 and finishes at 20:30.

Supporting Professional Activities (SPA)

The list of

activities included in SPA is not limited to activities to support continuing

professional development (CPD), but includes mandatory training, appraisal,

revalidation, audit, job planning, departmental and personal administration,

governance, education and training etc.

All of the SPA activities will be required to support revalidation and

professional development.

The expected

anaesthetic related activities of the job plan, should occur at regular times

in the week. Mutual agreement will be reached between the appointee and their

Clinical Lead, with regard to scheduling, including SPA.

An example

timetable is indicated in this job description, and we are very willing to

discuss alternative arrangements with suitable candidates who have a specialist

area of interest that complements their primary role.

On Call Availability

The post holder

will participate in the General Anaesthesia & Critical Care on call rota

for out of hours emergency work. The on call is Category A attracting a pay

supplement of 3% and tariffed at 1.0 PA per week on average.

Person Specification

Experience

Essential

• Satisfactory completion of ARCP process or equivalence
• Subspecialty training Advanced ICM training or equivalent if applying for ITU post

Research and Audit

Essential

• Trained in research methodology
• Committed to evidence-based practice
• Evidence of audit and the implementation of change following the audit

Desirable

• Relevant research published in peer review journal

Clinical Skills

Essential

• Further experience in specialist areas pertinent to post applied for
• Some knowledge of the utilisation of IT in clinical practice

Education and Teaching

Essential

• Demonstrates a commitment to the delivery of high-quality teaching and training to Resident colleagues and multidisciplinary team

Desirable

• A qualification in teaching or instructor status relevant to anaesthesia e.g. ATLS, APLS

Qualifications

Essential

• Full registration and a licence to practise with the GMC.
• Please confirm your GMC Registration number
• Eligible to be included on the Specialist register - CCT expected within 6 months of interview date
• Or
• Evidence of CESR application submission and within 6 months of obtaining Specialist Registration via CESR
• MBBS or equivalent primary medical qualification
• FRCA specialist qualification or equivalent
• For applicants applying with an interest in Critical Care FFICM by examination and/or a CCT in Critical Care must be confirmed

Management Skills

Essential

• Demonstrate effective team working skills
• Time management and organisational ability. An example may be they have developed and run training programmes
• Proven knowledge of systems and process of NHS or equivalent
• Sense of understanding and commitment to corporate responsibility
• Commitment to and understanding of their responsibility to the organisation. Examples may include previous involvement in management roles, management courses

Desirable

• Ability to consolidate and organise change
• Knowledge of the implementation of Clinical Governance within the directorate
• Familiarity with issues of service

Person Specification

Experience

Essential

• Satisfactory completion of ARCP process or equivalence
• Subspecialty training Advanced ICM training or equivalent if applying for ITU post

Research and Audit

Essential

• Trained in research methodology
• Committed to evidence-based practice
• Evidence of audit and the implementation of change following the audit

Desirable

• Relevant research published in peer review journal

Clinical Skills

Essential

• Further experience in specialist areas pertinent to post applied for
• Some knowledge of the utilisation of IT in clinical practice

Education and Teaching

Essential

• Demonstrates a commitment to the delivery of high-quality teaching and training to Resident colleagues and multidisciplinary team

Desirable

• A qualification in teaching or instructor status relevant to anaesthesia e.g. ATLS, APLS

Qualifications

Essential

• Full registration and a licence to practise with the GMC.
• Please confirm your GMC Registration number
• Eligible to be included on the Specialist register - CCT expected within 6 months of interview date
• Or
• Evidence of CESR application submission and within 6 months of obtaining Specialist Registration via CESR
• MBBS or equivalent primary medical qualification
• FRCA specialist qualification or equivalent
• For applicants applying with an interest in Critical Care FFICM by examination and/or a CCT in Critical Care must be confirmed

Management Skills

Essential

• Demonstrate effective team working skills
• Time management and organisational ability. An example may be they have developed and run training programmes
• Proven knowledge of systems and process of NHS or equivalent
• Sense of understanding and commitment to corporate responsibility
• Commitment to and understanding of their responsibility to the organisation. Examples may include previous involvement in management roles, management courses

Desirable

• Ability to consolidate and organise change
• Knowledge of the implementation of Clinical Governance within the directorate
• Familiarity with issues of service

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.

Certificate of Sponsorship

Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).

From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).

UK Registration

Applicants must have current UK professional registration. For further information please see

NHS Careers website .

Additional information

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.

Certificate of Sponsorship

Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).

From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).

UK Registration

Applicants must have current UK professional registration. For further information please see

NHS Careers website .

Employer details

Employer name

The Rotherham NHS Foundation Trust

Address

The Rotherham NHS Foundation Trust

Moorgate Road

Rotherham

S60 2UD

United Kingdom

Employer's website

https://www.therotherhamft.nhs.uk/ (Opens in a new tab)

Employer details

Employer name

The Rotherham NHS Foundation Trust

Address

The Rotherham NHS Foundation Trust

Moorgate Road

Rotherham

S60 2UD

United Kingdom

Employer's website

https://www.therotherhamft.nhs.uk/ (Opens in a new tab)

Job responsibilities

The

Department

We currently have

a 30 substantive Consultant Anaesthetists. In addition, there are 14

Anaesthetic Specialty Doctors and two Associate Specialists. The trainee

establishment consists of eight stage 1 trainees, together with four stage 2 or

3 trainees all rotating from the South Yorkshire Anaesthetic Training Rotation.

The department also has one Foundation Year 2 doctor on a 4-month rotation

within critical care.

Elective Surgery

Elective surgical

lists are either half or full day and run for either 4 or 8 hours.

Anaesthetists are allocated an extra hour per half day for pre-op assessment

and post-op care. Surgical specialties include: general surgery (including

laparoscopic colorectal surgery), orthopaedics and trauma, gynaecology,

urology, ENT, maxillofacial, breast surgery, ophthalmology. We have an

excellent Day Surgery Unit and one of our colleagues is the Past-President of

the British Association of Day Surgery (BADS).

We have an

excellent regional anaesthesia service with higher and advanced training

modules.

We have an

excellent Paediatric exodontia anaesthesia service and a community dental

sedation service. In addition to the above we are the referral centre for ECT

and we also provide a regular cardioversion service.

We have a

resident Professor and a strong anaesthesia and critical care research

portfolio participating in many international and national portfolio studies

with input from funded trust research nurses.

Obstetric Anaesthesia and Analgesia

Rotherham has a

busy obstetric unit. In 2018 there were approx. 3000 deliveries. 15 sessions

per week are currently covered by nine Consultant Anaesthetists. Weekday

consultant cover is from 07:40 21:00. Overnight cover is provided by the

Registrar on-call and the General Anaesthetic Consultant on call. The weekend

days have anaesthetist covering Labour Ward and helping in theatres and ICU if

needed.

Acute Pain

An enthusiastic

and dynamic team of nursing staff run our nationally renowned acute pain

service throughout the Trust. There is a well-established ward-based epidural

service for Orthopaedics, General Surgery, Urology and Gynaecology with

on-going developments focusing on enhanced recovery, management of acute pain

in the patient with chronic pain and analgesia for fractured necks of femur.

The Pain team has particular expertise in the management of rib fractures and

our protocols have been published and presented nationally. The pain team also

provide an acupuncture service which has reduced the incidence of

post-operative nausea and vomiting (PONV).

Training & Teaching

In addition to

service commitments, there are excellent opportunities for the appointee to

become involved in anaesthetic training, module development, educational

supervision and appraisal. The Department has an excellent reputation for

teaching and training. The department offers training modules in all the

surgical specialities available at the Trust, as well as Critical Care

Medicine. All consultants are encouraged to participate in teaching and

tutorials, in addition to practical aspects of training in the operating

theatres and intensive care.

The Critical Care

Unit is recognised for basic, intermediate level RCoA training and Stage 1 of

the FICM training program. One of our ICU Consultants is FICE accredited and

all the remaining ICU Consultants are working towards FICE accreditation.

There is an

established teaching programme within the department, with an afternoon of

tutorials on topics relating to Anaesthetics and Critical Care Medicine. A

lunchtime ICU journal club and a mortality and morbidity meeting is held once

a month at the ICU Clinical Governance meeting.

Critical Care Unit

We admit around

630 patients a year, of which 35% are Level 3. Approximately 60% are emergency

medical admissions, and around 15% are elective surgical patients. Our mean

APACHE II score is 15.2, with a unit mortality of 12%, which is in keeping with

other similar units in the ICNARC Case Mix Programme, and we have a

risk-adjusted acute hospital mortality of 0.91 (2018-2019 ICNARC data).

There are

currently 6 funded Level 3 (ICU) bed spaces and 8 funded Level 2 (HDU) bed

spaces. The ICU and the HDU are co-located to make a Critical Care Unit. Theatres, radiology and the brand new Urgent

Care Emergency department are in close proximity.

There are

currently nine Consultants and one associate specialist, who have a special

interest in Critical Care and provide consultant cover for the unit. Two

Critical Care consultants cover the unit each weekday, providing a total of 20

clinical sessions. These new posts were approved to help meet the GPICS

standards for critical care.

Clinical Governance

The Anaesthetic

department also holds regular audit meetings (up to six meetings per annum).

These include combined meetings with surgical specialities, mandatory training

updates as well as mortality and morbidity reviews, case presentations and

discussing new developments.

We undertake a

regular morbidity and mortality review to share learning within the department

and more widely within the trust.

The successful

candidate will also be encouraged to become participate in the governance and

service development. Supporting Professional Activity (SPA) time will be

available in job plans to support involvement in these activities

Permanent Staff Meetings

Anaesthetic &

Critical Care permanent medical staff meetings are held bi-monthly on the day

of the audit meetings.

We have a weekly

departmental meeting on a Thursday Lunchtime, which is attended by all staff

including trainees and representatives from theatres (e.g.) ODPs and

management.

Out-of-hours emergency service

The emergency

on-call anaesthetic team consists of:

• A CT 1/2 who provides anaesthetic cover for the acute surgical specialties.
• An ST3+ whose duties include the provision of medical cover for the ICU or Labour Ward, Paediatric resuscitation, as well as supporting the CT1/2 anaesthetist.
• SAS doctor whose duties include the provision of medical cover for the ICU or Labour ward, Paediatric resuscitation, as well as supporting the CT1/2 anaesthetist.
• A Consultant Generalist anaesthetist with responsibility for theatres and obstetrics.
• A Consultant Intensivist is on call on weekend days (0800-2000) in addition to the Consultant General Anaesthetist
• Weekdays a Consultant Intensivist is resident until 21:30.

Staffing

The post-holder

will work alongside the existing Consultant Anaesthetists.

Relationships with other

Departments:

The Department

serves all the major specialities appropriate to a District General Hospital,

with the exception of Plastic Surgery, Vascular surgery, Cardiac, specialised

Paediatric and Neurosurgery.

Office Accommodation

Shared office

accommodation and shared secretarial support will be available within the

Anaesthetic Department and Critical Care Unit.

The Post

The successful

candidates will share responsibilities within the department of Anaesthesia and

Critical Care Medicine. The successful candidate will be required to provide

8.0 PA per week of DCC, plus 1.0 PA for on call, and a minimum of 1.5 PA per week of SPA. Additional clinical PAs may be

available dependent upon the needs of the anaesthetic department, and the

appointee will be encouraged to take on additional SPA roles determined by

their interests and the needs of the department.

Critical Care Unit

Critical Care

Medicine cover is provided by two consultants on weekdays. One Consultant

provides cover from 0800 to 2100 on the Intensive Care Unit (ICU), and the

other provides cover between 0800 and 1800 on the High Dependency Unit (HDU).

On call during the week is shared between the Critical Care and General

Consultants. The Critical Care Consultants provide a weekend on call service

which will be on a 1 in 9 basis with prospective cover. There is a resident

session on the Critical care unit from 0800-1300, followed by on call till

2000hr. (Consultants will be expected to cross cover colleagues leave in order

to cover the Critical Care Medicine service). These are new posts to facilitate

a departmental restructure, providing separate rotas for critical care and

other duties. The aim is to separate out the ITU and General rotas in time.

There are currently 9 Consultant Anaesthetists with sessions in Critical Care.

We have recently appointed a trust associate specialist to increase clinical

cover in critical care.

Anaesthetics

Each theatre

session is 1.33 PAs or 5 hours, which includes 1 hour for pre-operative

assessment and post-operative care. The theatre start time for the morning list

is 0830 and for afternoon list is 1345. Several theatre lists may be all Day

and the trauma list starts at 13:45 and finishes at 20:30.

Supporting Professional Activities (SPA)

The list of

activities included in SPA is not limited to activities to support continuing

professional development (CPD), but includes mandatory training, appraisal,

revalidation, audit, job planning, departmental and personal administration,

governance, education and training etc.

All of the SPA activities will be required to support revalidation and

professional development.

The expected

anaesthetic related activities of the job plan, should occur at regular times

in the week. Mutual agreement will be reached between the appointee and their

Clinical Lead, with regard to scheduling, including SPA.

An example

timetable is indicated in this job description, and we are very willing to

discuss alternative arrangements with suitable candidates who have a specialist

area of interest that complements their primary role.

On Call Availability

The post holder

will participate in the General Anaesthesia & Critical Care on call rota

for out of hours emergency work. The on call is Category A attracting a pay

supplement of 3% and tariffed at 1.0 PA per week on average.

Experience

Essential

• Satisfactory completion of ARCP process or equivalence
• Subspecialty training Advanced ICM training or equivalent if applying for ITU post

Research and Audit

Essential

• Trained in research methodology
• Committed to evidence-based practice
• Evidence of audit and the implementation of change following the audit

Desirable

• Relevant research published in peer review journal

Clinical Skills

Essential

• Further experience in specialist areas pertinent to post applied for
• Some knowledge of the utilisation of IT in clinical practice

Education and Teaching

Essential

• Demonstrates a commitment to the delivery of high-quality teaching and training to Resident colleagues and multidisciplinary team

Desirable

• A qualification in teaching or instructor status relevant to anaesthesia e.g. ATLS, APLS

Qualifications

Essential

• Full registration and a licence to practise with the GMC.
• Please confirm your GMC Registration number
• Eligible to be included on the Specialist register - CCT expected within 6 months of interview date
• Or
• Evidence of CESR application submission and within 6 months of obtaining Specialist Registration via CESR
• MBBS or equivalent primary medical qualification
• FRCA specialist qualification or equivalent
• For applicants applying with an interest in Critical Care FFICM by examination and/or a CCT in Critical Care must be confirmed

Management Skills

Essential

• Demonstrate effective team working skills
• Time management and organisational ability. An example may be they have developed and run training programmes
• Proven knowledge of systems and process of NHS or equivalent
• Sense of understanding and commitment to corporate responsibility
• Commitment to and understanding of their responsibility to the organisation. Examples may include previous involvement in management roles, management courses

Desirable

• Ability to consolidate and organise change
• Knowledge of the implementation of Clinical Governance within the directorate
• Familiarity with issues of service