Recruitment

information pack
WHO WE ARE
Join Imperial College Healthcare and become part of a community of 12,000 staff working
with a wide range of partners to offer ‘better heath, for life’.
Formed in 2007, we are one of the largest NHS trusts in the country – providing acute and
specialist care to over a million patients each year in central and north London and beyond.
With a global reputation for ground-breaking research and innovation as well as excellence in
education, we offer huge expertise across a wide range of clinical specialities.
Alongside our five hospitals – Charing Cross, Hammersmith, Queen Charlotte’s & Chelsea,
St Mary’s and the Western Eye – we have a growing number of community and digital
services, reflecting our commitment to developing more integrated care with our
partners. We also provide private healthcare at all of our hospitals (in dedicated facilities).
Together with Imperial College London and two other NHS trusts, we form one of six
academic health science centres in the UK – focussed on translating research into better
patient care. We also host one of 20 National Institute for Health Research biomedical
research centres in partnership with Imperial College London.
Our mission is to be a key partner in our local health system and to drive health and
healthcare innovation, delivering outstanding care, education and research with local,
national and worldwide impact.

Imperial College Academic Health Science Centre (AHSC)

The Imperial College Academic Health Science Centre (AHSC) is a partnership between our
Trust, Imperial College London, The Institute of Cancer Research (ICR), Royal Brompton &
Harefield NHS Foundation Trust and The Royal Marsden NHS Foundation Trust. The
partnership aims to improve the health and wellbeing of patients and populations by
translating research discoveries into new therapies and techniques as rapidly as possible.
Our AHSC is focussed on preventing disease wherever possible, detecting and diagnosing
diseases earlier, and developing targeted treatments for all diagnosed conditions. By working
together as partners, we capitalise on the academic strengths of Imperial College London,
combined with the clinical capabilities and critical mass of the NHS.
As an AHSC, all of our staff are actively encouraged to become involved with education and
research alongside their clinical role. We review job plans every year and there is the
potential to build in dedicated programmed activities (PAs) for education, training or
research.

Imperial College London

Imperial College London is one of the world’s leading universities. The College’s 17,000
students and 8,000 staff are expanding the frontiers of knowledge in science, medicine,
engineering and business, and translating their discoveries into benefits for our society.
Founded in 1907, Imperial builds on a distinguished past – having pioneered penicillin,
holography and fibre optics – to shape the future. Imperial researchers work across
disciplines to improve health and wellbeing, understand the natural world, engineer novel
solutions and lead the data revolution. This blend of academic excellence and its real-world
application feeds into Imperial’s exceptional learning environment, where students participate
in research to push the limits of their degrees.

OUR VALUES AND BEHAVIOURS

With our staff and partners, we have developed a clear and ambitious vision as well as a set
of core values that shape everything we do. Together they guide our organisational strategy
and our behaviours framework:
 Kind: we are considerate and thoughtful so everyone feels valued, respected and
included
 Collaborative: We actively seek others’ views and ideas so we can achieve more
together
 Expert: We draw on diverse skills, knowledge and experience so we provide the best
possible care
 Aspirational: We are receptive and responsive to new thinking, so we never stop
learning, discovering and improving

OUR HOSPITALS
Our hospitals and services
We have five hospitals on four sites, as well as a growing number of community and digital
services across central and west London:
Charing Cross Hospital, Hammersmith
Charing Cross Hospital offers outstanding day surgery and cancer care, award-winning
dementia services and medicine for the elderly, and is a renowned tertiary centre for
neurosurgery with a hyper-acute stroke unit. It is also a hub for integrated care in partnership
with local GPs and community providers.
Hammersmith Hospital, Acton
Hammersmith Hospital is a specialist hospital renowned for its strong research connections.
and haematology service. It is home to a dedicated heart attack centre and Europe’s largest
renal transplant centre.
Queen Charlotte’s & Chelsea Hospital, Acton
Queen Charlotte’s & Chelsea Hospital is a maternity, women’s and neonatal care hospital. It
is a tertiary referral centre and looks after women with high-risk, complicated pregnancies, as
providing a midwife-led birth centre.
St Mary’s Hospital, Paddington
St Mary’s Hospital is a large, acute hospital and hosts one of the four major trauma centres
in London, alongside a 24-hour A&E department. With one of the most renowned paediatric
services in the country, St Mary’s is also home to Imperial Private Healthcare’s Lindo Wing.
Western Eye, Marylebone
The Western Eye Hospital is a specialist hub for ophthalmic services in West London with a
24/7 eye A&E – providing emergency treatment for both adults and children. Facilities
include: outpatients, inpatients, day case and emergency services.
WHY JOIN US?
Reach your potential through outstanding learning and development
opportunities
Every year we welcome hundreds of doctors, nurses and other healthcare professionals to
train with us. We support staff to pursue formal education, conduct research and take part in
courses, seminars and training programmes – including giving study leave. Wherever you
are in your career, we offer opportunities for continuing professional development (CPD). If
you are starting in an entry-level role, we also offer NVQ level two and level three
qualifications. We also have a number of leadership development programmes to support
you as you progress, alongside cross-specialty and cross-profession clinical education.

Experience the rich heritage of hospitals that have made history

Some of our clinicians’ achievements continue to transform healthcare practice and make a
lasting impact on the world. In 1928, Alexander Fleming discovered the antibiotic penicillin at
St Mary’s revolutionising medicine and earning himself a Nobel prize – this is just one in a
long line of many discoveries and developments that have put us on the map as at the
forefront of innovation.

Draw on huge expertise as part of a strong international community

Get ready to work with colleagues from all over the world with a sense of community,
wellbeing and shared endeavour. We look after children, adolescents and adults – caring for
tiny babies through to patients who need end of life care. We have a global reputation for our
expertise in areas like: cardiology, haematology, renal and transplantation, infectious
diseases, neurology and trauma care – to name just a few. We are part of the
prestigious Shelford Group – the top ten NHS multi-specialty academic healthcare
organisations dedicated to excellence in research, education and patient care.

Feel supported by a positive culture

You can expect leadership and the chance to do your best in an open, respectful working
environment supported by a shared set of values. Our leadership team ensure they are
accessible – meeting staff at monthly CEO sessions and on ward walk rounds. Every
employee has an annual personal development review to discuss their progress and
development needs. We have a number of thriving staff networks at the Trust for you to join
including: the leadership network; the women’s network, the LGBT+ network and the nursing
and midwifery BAME network.

Recognition and career progression

We value our staff and recognise the unique contributions they make to their patients and
colleagues with our Make a Difference recognition scheme and annual awards ceremony.
We encourage patients, members of the public, visitors, carers as well as colleagues to
nominate our staff when they go the extra mile and celebrate the dedication of long-serving
staff. Every year you’ll have a personal development review where you’ll identify objectives
and development needs for the next year. Together you and your manager will establish a
plan to help you fast-forward your career and gain the experience and skill you need to
progress to the next level.
Conduct research here
Our clinicians work alongside biomedical scientists, chemists, physicists and engineers from
Imperial College London to develop new ways of diagnosing, treating and preventing
disease. As part of an academic health science centre, we aim to apply research discoveries
to healthcare as quickly as possible so we can improve the lives of NHS patients and
populations around the world. Our culture is about identifying research opportunities and
supporting our staff to pursue them. One of our goals is to encourage many more healthcare
professionals outside of medicine to pursue academic careers by providing research skills
training sessions, grant-writing support and access to fellowship opportunities. As of 2018/19
we have 600 active research projects.

Access brilliant benefits and enjoy a new social life

Join the NHS pension scheme – one of the most generous schemes in the UK. Have the
opportunity to work flexibly. Benefit from on-site accommodation and employee travel.
Voluntary benefits include: season ticket loan, on-site nurseries, childcare vouchers, cycle to
work scheme, fitness facilities and well-being initiatives including yoga and meditation
classes. Join the Trust’s choir or orchestra, running club or football club, or become a
member of the Charity’s Arts Club to receive exclusive access to free exhibitions at the Tate
Modern and shows. You can even enter the Royal Albert Hall ballot and win tickets to music
events! Experience the best that London can offer on your doorstep – benefit from generous
London weighting supplements that will help you make the most of it!
JOB DESCRIPTION

Job title FY3 (ST1 Equivalent) Trust Doctor (Locally Employed Doctor Programme)

Directorate/
Trust wide – dependent on role selected
department

Division Trust wide – dependent on role selected

Main site of
Trust wide – dependent on role selected
activity
Responsible
Department Clinical Director
to
Accountable
Head of Specialty/LED TPD
to
As per rota,
On call Trust Grade Doctor - 2002 pay scales (ST1)
(to include
Rota banding is dependent on the post/posts in the selected.
frequency
and details of The post is advertised and appointed under the 2002 Junior Doctors’
supplements) contract with a ST1 starting salary plus London weighting and any
applicable rota banding.

1. Background to the post

Imperial College Healthcare NHS Trust has a programme of F3 posts across a number of
specialities. Posts will be suitable for those doctors that have completed Foundation
Training or equivalent. Excellent teaching opportunities will be provide, the post holders
will be encouraged to attend local teaching in departments and will have study leave time
and funding of £400 and 10 days per annum. The post holder will be encouraged to
undertake small projects and present at conferences as appropriate. Whilst individual
posts will vary in the content – duties will generally include ward work, participation in
ward rounds and multidisciplinary meetings as well as time in theatre (where relevant)
and outpatient clinics. Posts will usually (but not always) include out of hours and are full
shift rotas with senior medical supervision available at all times.

2. Job purpose
More detailed descriptions of expectations in each area will be given to candidates prior
to interview. An outline of those posts currently included is as below:
Title of Post: F3 in Cardiology
Main site of activity: Hammersmith Hospital
Accountable to: Professor Jamil Mayet, Clinical Lead

The Department of Cardiology:

Within the Cardiothoracic Division, the Cardiology department spans across the St
Mary’s, Charing Cross and Hammersmith Hospital sites. The Hammersmith site provides
a full range of tertiary centre cardiology facilities including cardiac catheterization,
invasive electrophysiology and cardiothoracic surgery. The St Mary’s and Charing Cross
sites provide an acute cardiology service and works in close collaboration with other
regional specialist medical and surgical units on the site.

The department is involved in teaching undergraduates and postgraduates from Imperial

College Faculty of Medicine, as well as general practitioners, and organises regular
postgraduate courses. It has strong academic interests and all of the senior members of
staff are involved in basic science, translational or clinical research.

There is a 24/7 primary angioplasty service in place; patients with symptoms and signs of
acute coronary syndromes presenting to the London Ambulance Service in a large
regional catchment area or presenting to Hammersmith, St Mary’s, Central Middlesex,
Northwick Park, Charing Cross, Ealing or West Middlesex Hospitals are conveyed
directly to Hammersmith Hospital Cardiac Catheter Laboratory for emergency
angioplasty and ongoing cardiac care.

Role Summary
The post-holder will be one of several appointments working in a rota of junior doctors
who vary from foundation training 2 (F2) to pre-ST3 trainees who have completed core
training and hold relevant college membership (e.g. MRCP).
This post will involve the day-to-day management of patients admitted to the
Hammersmith Hospital cardiology wards (coronary care unit, cardiology wards, heart
assessment centre, cardiac day ward) under the supervision of Cardiology Consultants.
In addition, post-holders will gain experience of multidisciplinary care and also be offered
experience in the out-patient setting, in both general cardiology and specialist clinics (e.g.
electrophysiology, pulmonary hypertension, structural intervention, syncope). This post
benefits from being situated in a tertiary Cardiology centre, with a diverse patient
population. Moreover, the post-holder will be working under the supervision of world-
leading academic Cardiologists in a centre of research excellence. There may be
opportunity to undertake short projects for presentation and/or publication.
The post-holder will gain exposure to echocardiography and cardiac catheterization and
those that display sufficient proficiency in management of acute cardiology presentations
and emergency echocardiography will be given the opportunity to ‘act up’ as the
Cardiology Registrar, under the supervision of senior trainees and consultants for further
experience.
Development of the following procedural skills will be encouraged and facilitated: central
vascular catheterization and peripheral arterial cannulation of haemodynamically
compromised patients, ultrasound-guided vascular access, temporary pacing wire
insertion of bradyarrhythmic patients and, in particular, echocardiography. The post-
holder with no prior experience of echocardiography will be offered the opportunity to
complete their FEEL (Focused Echocardiography in Emergency Life Support)
accreditation under the supervision of Cardiology consultants specializing in
echocardiography. Those with echo experience will be offered the opportunity to start
their British Society of Echocardiography logbook.
The post-holder will work closely with all Consultants in the care of routine and
emergency clinical problems. The post-holder will see all patients admitted to the
Cardiology wards and be involved daily ward rounds with the Specialist Registrars and
Consultants. The post-holder will join part of a 1 in 10 on-call rota covering the
Cardiology service, including nights and weekends.
Detailed protocols for clinical management are available in the department, to which the
post-holder is expected to adhere at all times.
The duties of the post are performed at Hammersmith Hospital, but clinics are
occasionally held at Charing Cross and St Mary’s Hospitals.

Educational objectives:
To develop the post-holder's clinical expertise in Cardiology and experiences suitable for
other acute medical specialties; however, this is not a deanery training post.

Title of Post: F3 in Emergency Medicine

Main site of activity: Charing Cross Hospital
Accountable to: Head of Specialty, Emergency Medicine

Do you have a passion for Emergency Medicine (EM)? Then you will appreciate the
reasons why EM is an attractive career choice for so many, and why it provides such a
variety of opportunities for career development? At Imperial EM we are committed to
producing a medical workforce that is motivated, happy, healthy and diverse.
This post is suited to a number of potential applicants. Primarily a doctor who is
interested in a career in Emergency Medicine or one of the other acute specialties, but
also:
- Someone looking to fill a career break whilst deciding on options: ‘FY3’ year or
between Core and Higher training
- A doctor who is building their own ‘portfolio’ career, taking in a range of different
specialties
- A doctor who has a special interest in e.g., education, ultrasound, simulation,
quality improvement etc., and would benefit from training and qualification in that
area

Clinical Responsibilities
F3s will provide full shift cover for the Emergency Department, 7 days per week,
supported and supervised by ED registrars who also work a full shift 24 hour pattern 7
days per week. They will be supervised by EM Consultants for 12-14 hours a day on
weekdays and 6 -12 hours a day on weekends.
As a F3, you will join the junior doctor rota and be responsible for seeing and assessing
your own patients under the direct supervision of the ED consultants and registrars.

Education and Training

You will have regular weekly teaching sessions delivered by consultants, including
mortality and morbidity meetings. You will be expected to participate in quality
improvement projects. You will have access to a study leave budget and allocation of
study leave. You will be supported in ensuring that you have an annual appraisal meeting
and submission of portfolio.

Named Supervisor
You will be allocated an educational supervisor at the start of your time in the ED, with
whom you will have the opportunity to complete Structured Learning Events in line with
your training contemporaries. The educational supervisor will have expertise in your SPA
role which will enable you to work together to set objectives in that area, for your time
with us.
We will endeavour to help you with career planning, whether to obtain exams or in
support of training applications for any Specialty.

Directorate of Urgent and Emergency Care - An overview

The Directorate aims to provide world class emergency care to patients presenting to the
Emergency Departments at its acute hospitals, Charing Cross and St Mary’s. There is an
emphasis on cross site integration with many consultants working on both sites as well
as significant collaboration with acute medicine. Research themes are shared across the
Directorate as is the delivery of teaching and education.

Charing Cross Emergency Department – An Overview

The Type 1 Emergency Department at Charing Cross provides facilities for 70,000
patients a year 24 hours a day. Only a small proportion of these are children as there are
no paediatric services on site. It receives a variety of undifferentiated adult patients.
Charing Cross also provides a Hyper Acute Stroke service for West London with 24/7
stroke thrombolysis, non-traumatic neurosurgical, ENT and oncological services. Patients
are registered on the Trust IT system (Cerner) and care is documented electronically.
This system is used to create GP communication and has a process for scanning pre-
hospital documentation (e.g. GP letters, Ambulance PRF) and a limited amount of
hospital documentation (ECGs, safeguarding referrals) into the system for storage and
archiving.
Charing Cross Hospital currently uses a streaming process performed by ED and UCC
staff. Patients are streamed into Critical Care, Assessment and Ambulatory streams. The
current percentage of each stream is:
- Critical Care (Resus) 5%
- Assessment 50%
- Ambulatory 45%

Streaming enables patients to be managed in the appropriate areas of the department;

Critical Care,
Assessment or the Urgent Care Centre (UCC).

The department has an eight-bedded Critical Care area (resuscitation room), 12

Assessment trolleys areas, an Urgent Care Centre for the ambulatory stream of patients,
and dedicated nursing assessment rooms.
The Emergency Department and UCC has recently undergone a£7.2m expansion project
over the course of 2018-19.
The Urgent Care Centre is open 24 hours per day. It is staffed by ENPs and GPs, but is
co-located with the main ED. It is operated by Partnership for Health.
The Emergency Department runs two clinics:
 The Soft Tissue Injury Management (STIM) clinic which is a consultant led
sports medicine service available every Wednesday.
 Ambulatory Emergency Care (AEC) Clinic run seven days a week for
those patients requiring next-day imaging e.g. Doppler USS for DVT etc.

Charing Cross ED has a 16 bedded Clinical Decision Unit, sharing a bed base with an 8-
bed Frailty Unit, both of which are for short term (less than 24 hour) admissions. This is
under the direction of the Emergency Medicine consultants with frailty patients reviewed
by Care of the Elderly (Frailty) Consultants. The unit has its own nursing and therapies
establishment. The Older Person’s Rapid Access Clinic (OPRAC) team hold their clinics
within the unit.

The department works closely with the Acute Medicine Team (AMT), led by an Acute
Medical Consultant of the Week, and works hard to continue these relationships to
streamline the patient journey through the ED. All Acute Medical admissions are received
into two admitting wards.
The department has close links with Pre-hospital Care. Three of the Consultants
regularly practice pre-hospital care of which two are also Consultants with The London
Air Ambulance (HEMS).
The department hosts FY1 and FY2 training posts for Imperial College Foundation
School as well as GP trainees, ACCS trainees and Sport & Exercise medicine trainees.
The department provides higher training for Emergency medicine trainees ST4 and
above.

Emergency Medicine Clinical Staffing

The number of attendances to the Charing Cross ED has continued to increase, as have
the number of admissions. In the last year there were 68,000 adult attendances, 2,000
paediatric attendances with a 20% admission rate. Providing high quality service to
patients requires a consultant led service. There is consultant presence from 8am to
10pm during the week in the ED, 08:00 – 16:00 on CDU and 6 hours per day on the
weekend. The middle grade doctors (ST4 and above) are present 24hrs a day and has
senior nursing staff (Band 7) 24hrs a day.
The breakdown of the staffing is detailed as follows:
Emergency Medicine Consultants
 Dr Chioma Ginigeme (Head of Specialty)
 Dr A Fey Probst - interests include, teaching, audit and Pre-hospital Emergency
Medicine (PHEM)
 Dr Alison Sanders – Clinical Director, interests include simulation & PHEM
 Dr Abosede Ajayi - interests include sports medicine & education
 Dr Anu Mitra (cross site), interests include research, quality improvement,
education
 Dr Barbara Cleaver (cross site), interests include trauma, mental health, high
intensity users
 Dr Lucy Bingham (cross site), interests include education and ambulatory care
 Dr Lombe Simpungwe (cross site) – interests include Urgent Care, organ
donation
 Mr Hugh Millington – (part time) interests include Primary Care liaison and Elderly
Medicine
 Dr Catherine Gant- interests include patient information
 Dr Ursula Edirisinghe – interests include positive reports, obstetrics and
gynaecology
Other Medical Staff
 2 Specialist Registrar Training posts
 8 Trust Senior Clinical Fellows – Registrar level
 2 Staff Grade
 3 Trust Junior Clinical Fellows – CT1/2 level
 10 FY2
 1 FY1
Nursing Staff/Care Workers (ED)
 Nursing Staff
 Matron x 1, Band 7 x 9, Band 6 19, Band 5 x 22
 HCA x 5
 Phlebotomist x 2
 Housekeeper x 1
Other Staff
 Business Manager x 1
 Secretarial x 1
 Reception x16
Senior Management Team Emergency Medicine Directorate
 Clinical Director (cross site) Dr Alison Sanders
 Lead Nurse (cross site) Paul Smith
 General Manager (cross site) Ben Pritchard-Jones
 CX ED Head of Speciality Dr Chioma Ginigeme
 CX ED Senior Nurse Manager Emma Tippins
Business Manager Christopher Hughes

Title of Post: F3 in ENT

Main site of activity: Charing Cross Hospital/St Mary’s Hospital
Accountable to: Clinical Lead

The ENT/ Head and Neck Department at Imperial Health Care Trust is on target to carry
out over 2000 elective cases, 1800 day cases and over 1000 emergencies cases in
2017/18. The Department also has an extremely busy outpatient service and is likely to
see over 15,000 new outpatients and 20,000 follow up outpatients this year. As well as
general ENT work in adults and children the department manages a significant majority
of the major complex head and neck cases in West Central London and North West
Thames.
The ENT/ Head and Neck department serves a population of approximately 2.8 million
people living in the North West Thames Region, and beyond.
The complex Head and Neck element of the service is based on the Charing Cross
Hospital Site and provides both an emergency and elective inpatient service, and an
outpatient service. This tertiary referral Department for Head and Neck provides a regional
service for West London. Inpatient services for ENT Head and Neck on the Charing cross
site are provided from wards 10 South Charing Cross Hospital (Level one, complex ENT,
Head and Neck and reconstructive surgery), and the Riverside wing opened in August
2006 (elective day case and short stay centre). The Airway reconstruction centre is based
at Charing Cross Hospital run by Mr Guri Sandhu receiving referrals from a national and
international footprint. Care is provided via an MDT of Consultant surgeons, Clinical nurse
specialists, speech and language therapists and a planned expansion into psychological
services for patients with chronic conditions. There are excellent oncology, radiology (CT,
MRI, PET/CT and angiography as well as interventional USS), pathology and speech
therapy departments.
Adult ENT services are based at Charing Cross Hospital, and form part of the specialist
surgery directorate. Some of the paediatric outpatient and in-patient services are carried
out under a Service Level Agreement at Chelsea & Westminster Hospital, The Royal
Brompton Hospital, and the Department also provides emergency adult ENT cover. The
department provides on call cover and specialist paediatric and rhinology services for the
Royal Brompton Hospital. All aspects of modern ENT surgery are carried out and there is
particular expertise in the management of head and neck cancer, rhinology, otology,
craniofacial and skull base surgery, airway surgery, as well as paediatric ENT surgery. The
post holder will be expected to provide general ENT emergency and ward cover but will
also have the opportunity to assist in elective clinics and theatre lists.

Clinical Staffing (to include key research/practice interests)

The centre is staffed by the following:
ENT/Head and Neck surgeons:
Prof Neil Tolley (clinical lead), Mr Chad Al-Yaghchi, Mr Zaid Awad, Mr Jonathan
Bernstein, Mr Elliot Benjamin, Mr Chiti-Batelli, Mr Peter Clarke, Mr Mark Ferguson, Mr
William Grant, Mr Johnny Harcourt, Dr Mohamed Hariri, Miss Romana Kuchai, Mr
Alasdair Mace, Mr Abhi Parikh, Miss Catherine Rennie, Mr Matthew Rollin, Mr Guri
Sandhu, Mr Hesham Saleh and Mr Ali Taghi
Role Summary
The post-holder will work as part of the ENT department and will be based at one of the
main ENT sites, Charing Cross or St Mary’s. In addition, the appointee is expected to
maintain good medical practice when dealing with patients and relatives, electively or as
emergencies. The SHO’s rotate firms frequently to cover all aspects of ENT care, below
is an example timetable which would be followed when not on call.
Monday Tuesday Wednesday Thursday Friday
07:45- Ward Round Ward Round Ward Round Ward Round Ward Round
08:30 10S 10S 10S 10S 10S
AM Emergency Theatre Airway Clinic Ward Cover Ward Cover
Clinic CXH Airway CXH CXH 10s / Paeds
Theatres
C&W
PM Ward Cover Theatre Airway Clinic Head and Theatre
10S Airway CXH CXH Neck Clinic RBH/
CXH Personal
Study and
Audit
Duties and responsibilities
a) General:
The Fellow will be responsible, as part of the ENT team to participate in the on-call rota,
attend ward round, manage emergency cases and participate in educational activities in
the unit.

b) Specific:
The post holder is expected to actively participate and lead on research projects,
namely data collection for the post holders allocated firm. Based on the appointee’s
expertise, further academic roles will be encouraged including data analysis, literature
search, article writing, submission and presentation. The post offers the opportunity to
register for a post graduate degree at Imperial College London.
On call: The post holder will be based at Charing Cross Hospital but will be part of the
shared rota with St Mary’s Hospital. All adult in patients are managed at Charing Cross
Hospital. Children are managed at Chelsea & Westminster and at St Mary’s hospitals.
Teaching
Medical students mainly on the ward. Also nursing and other paramedical staff.
Administrative
To help with ward administration and admissions and to keep thoroughly up to date with
summaries for coding – a responsibility shared with the specialist registrars.
Clinical Audit
To take part in ENT teams’ audit programme, and to attend the CEPOD meetings held by
the surgical teams.

Title of Post: F3 in Gastroenterology (SMH, un-banded)

Main site of activity: St Mary’s Hospital
Accountable to: Clinical Lead

The Department
At St. Mary’s Hospital, there are six Consultant Physicians who lead the
Gastroenterology / General Medical team. They work closely with administrative staff,
clinical nurse specialists, a gastrointestinal physiologist and the staff of the endoscopy
unit. The hospital is part of the wider Imperial College Healthcare NHS Trust, along with
the Hammersmith and Charing Cross Hospitals – there are close links between the
gastroenterology, hepatology and hepatopancreatobiliary teams within the Trust. There
are also particularly close links with the radiology and histopathology departments, as
well as the surgical teams and the department of nutrition and dietetics.

The type of work to expect and learning opportunities

The Gastroenterology team is one of five medical firms that participate in the acute
medical take and manage admitted patients. The F3 will manage patients with acute and
chronic gastrointestinal disease (such as inflammatory bowel disease, gastrointestinal
haemorrhage, gastrointestinal infection and cancer, motility and functional disorders)
along with patients with general medical problems.
They will be expected to take an active role in education, audit and research. This will
involve teaching medical students and completing one or more audits / research projects.
They will have opportunities to present at departmental meetings, and potentially at the
hospital Grand round.

The overall educational objectives of the F3 year are to provide the trainee with the
knowledge, skills and attitudes to be able to:
 Take a history and examine a patient in the elective and emergency setting
 Gain experience in an HDU setting
 Identify and synthesise problems
 Prescribe safely
 Keep an accurate and relevant medical record
 Manage time and clinical priorities effectively
 Communicate effectively with patients, relatives and colleagues
 Use evidence, guidelines and audit to benefit patient care
 Act in a professional manner at all times
 Cope with ethical and legal issues which occur during the management of
patients with general medical problems
 Educate patients effectively
 Become life-long learners and teachers.

In this post, the F3 will have opportunities to build on skills and experiences developed in
their F1 and F2 years and will lead independent ward rounds and be supported in the
transition into a more senior medical role. In addition, the F3 will gain further experience
of performing procedures under supervision such as lumbar puncture, arterial
cannulation, central venous line insertion, intercostal aspiration and drainage and the use
of non-invasive ventilation.
Clinical Supervisor(s) for the placement
Consultant Physicians: Dr. Jonathan Hoare, Dr Horace Williams, Dr Simon Peake, Dr
Natalie Direkze, Dr Evangelos Russo and Dr Lucy Hicks

Main duties of the placement

As part of the Gastroenterology team, along with the F1, F2, CT2 and SpRs (STs), the F3
will be responsible for the care of patients with acute and chronic gastrointestinal disease
and patients with other general medical problems requiring inpatient care.
They will be expected to ensure that the medical records of these patients are accurately
maintained. The F3 will be expected to attend the structured teaching programmes
provided. They will participate in the acute medical take and provide ward cover
according to the on-call rota.
The F3 will be responsible for other specific clinical duties as allocated by consultants
including performing other duties in occasional emergencies and unforeseen
circumstances.

Typical working pattern in this placement

The F3 will participate in daily ward rounds of the in-patients, including at least two
Consultant ward rounds per week of downstream inpatients and twice-daily Consultant
ward rounds of patients on the first floor. Timings of Consultant ward rounds will vary
depending on which Consultant is leading the ward team. Ward work will be carried out
with the other team members.
They will attend the weekly departmental radiology / histopathology meeting (08:00am on
Mondays), as well as weekly Journal Club (12.30pm on Thursdays) and the IBD MDT
(1pm on Fridays).
On call requirements:
The post holder will not have a regular post on the on-call rota and therefore will not be
required to partake on the acute medical on call shifts.
However, if desired, they can join the Gastroenterology team when on-call to gain
experience of the acute medical takes +/- night shifts. This can be discussed at the
beginning of their post with the Unit Training Lead.

Title of Post: F3 in Gastroenterology (HH, 1B rota banding)

Main site of activity: Hammersmith Hospital
Accountable to: Clinical Lead

The Department
Our gastroenterology team is based at Charing Cross, Hammersmith and St Mary’s
hospitals. We offer specialist inflammatory bowel disease and hepato-pancreatobiliary
clinics and a specialist small bowel service offering capsule and balloon enteroscopy. We
provide a comprehensive service for the diagnosis and care of patients with a wide range
of gastroenterological conditions.

Role Summary
This is a valuable opportunity for those wishing to broaden their experience or pursue a
career in hospital medicine. The FY3 will work alongside the Gastroenterology FY2
doctor on Christopher Booth Ward. There are 12 Gastro/HPB medicine beds, as well as
some cross cover of gastroenterology patients using the adjacent planned investigation
unit. The unit manages all aspects of HPB medicine and acts as a regional referral
centre. Duties will involve day-to-day management of the complex HPB patients, under
the supervision of the SpRs, Post-CCT Fellow and a named Ward Consultant. Regular
OPD exposure will be made available in General Gastroenterology, Hepatology and HPB
Clinics. The FY3 will attend MDT meetings. If appropriate, initial exposure to endoscopy
may be arranged. There will be opportunities for Quality Improvement and Clinical Audit
This post is based at the Hammersmith Hospital site. The FY3 will be involved in all
aspects of patient care, with duties on the wards, and in outpatient clinics as well as our
specialist Multi-Disciplinary Team and departmental meetings. The FY3 will benefit from
consultant-led education and supervision, and will be keenly supported in their
professional development. On joining the department, there will be opportunities for
teaching and training.
The successful candidate will join the SHO on-call rota for General Medicine, of which
Gastroenterology contributes towards ward cover out-of-hours with a 1B banding. There
is no requirement to work night shifts and the out-of-hours’ work will be ward based only.

Title of Post: F3 in Haematology

Main site of activity: Hammersmith Hospital
Accountable to: Clinical Lead

Role Summary
The Clinical Haematology service covers the whole range of blood diseases, including
malignancies, stem cell transplantation (autologous, sibling, family mismatched and
unrelated allogeneic procedures), haemostasis and thrombosis, immune haematology,
anaemias, haemoglobinopathies and haemolytic disorders. The clinical haemato-
oncology service is internationally renowned for the management of patients with chronic
myeloid leukaemia and our bone marrow transplant programme, for which we are one of
the leading centres. We are also a leading centre for immune haematology,
haemoglobinopathies and coagulation disorders. The department is predominately based
on the Hammersmith Hospital site and has 58 inpatient beds over three wards, and a
dedicated haematology centre in the Catherine Lewis Building housing a busy outpatient
department, and an expanding Day Care and Ambulatory Care Unit.

The F3 within Clinical Haematology will join our SHO rota, which is comprised of 4
deanery trainees and 5 trust grade positions from FY2-ST2. The successful candidate
will be involved in all aspects of patient care, rotating between the three inpatient wards
and the day care unit, and will have the opportunity to attend outpatient clinics and
morphology sessions. The post holder will also participate in a 1:9 resident on-call rota at
night, alongside a resident SpR.

The successful candidate will benefit from consultant-led education and supervision, and
will be keenly supported in their professional development. On joining the department,
there will be opportunities for teaching and training, as well as to be involved in research
or a service improvement project depending on the successful candidate’s interests and
motivations. This role would be an excellent opportunity to gain experience across a
broad range of haematology services and would be well suited to those specifically
interested in a career in haematology, as well those seeking to broaden their experience
more generally.

Title of Post: F3 in Intensive Care Medicine

Main site of activity: St Mary’s Hospital
Responsible to: Clinical Lead
Accountable to: Clinical Director

Background to the Post

The post will provide services to the critical care department at St Mary’s Hospital (SMH).
We have recently expanded our intensive care ward to a 32 bedded fully integrated
critical care unit. SMH is a major London teaching hospital and a busy top performing
major trauma unit. It provides excellent clinical experience in a variety of specialties.
These posts would suit those preparing for anaesthesia specialty application or wishing
to gain critical care experience as part of core training in emergency and acute medicine.

The Department an Overview

The directorate of Critical Care Medicine sits within the division of Surgery and Cancer.
The critical care directorate manages critical care services on 3 sites (Charing Cross
Hospital 24 beds, St Mary’s Hospital 32 beds and Hammersmith Hospital 16 beds). The 3
units have a close working relationship and together provide critical care services to
support local tertiary level specialist centres as well as providing general critical care
services to the local populations. The throughput between all units is almost 2000
admissions per year. The facilities at all 3 sites are very modern.

These posts are based at St Mary’s Hospital. The unit comprises a 32 bedded modern
facility on the 9th floor. Every bed is fully equipped with standardized modular monitoring
and with information technology (ICCA/ICIP) allowing access to pathology and radiology
results and patient documentation.
St Mary’s is a busy tertiary referral and teaching centre as well as the top performing UK
major trauma centre (TARN data). Tertiary specialties include major trauma, major upper
and lower GI surgery, vascular surgery in addition to general surgery and medicine.

Service Activity
The ICU is expected to admit over 1000 patients per year after a recent expansion. The
case-mix is a varied mixture of complex trauma, surgical and acute medical patients. The
patient case mix is level 2 and level 3. Consistently low standardized mortality ratios in
ICU reflect a focus on high quality care. The ICU was rated as “good” by the CQC
inspection of 2014.

Clinical Staffing
The ICU is run by 11.5 WTE senior intensive care specialists (consultants) based on a
consultant of the week model. Nights on call are covered by consultants on a rostered
basis.

Consultants supervise and support a team of junior doctors working on the unit. We are
fully accredited for training in Intensive Care Medicine (ICM) and receive trainees from
ICM, anaesthesia, ACCS and emergency medicine specialty training rotations (currently
total of 27). Two rosters of junior doctors work within the unit at Registrar/Senior clinical
fellow and core trainee/clinical fellow levels. These posts will form part of the clinical
fellow/core trainee rota. All rotas are European Working Time Directive compliant and
will be new junior doctor contract compliant. The work pattern amounts to an average of
less than 48 hours per week (including weekends) for all grades.
The unit has considerable camaraderie and therefore we would be looking for a dynamic
candidate who will be a team player and eager to take advantage of learning
opportunities.

Consultant Staff
Dr Simon Ashworth – Lead clinician for SMH AICU
Dr Richard Leonard
Dr Maribel Manikon
Dr Carlos Gomez
Dr Martin Stotz
Dr Vanessa Garnelo Ray
Professor Anthony Gordon
Dr Ahmed El Haddad
Dr Stephanie Cattlin – Unit training lead and faculty tutor
Dr Chris Lambert
Dr Mireia Cuartero Sala
(Dr Roseanne Meacher – Clinical director for ICM based at CXH)

Research Activities
We are proud to have been rated as the top performing UK academic critical care
department in 2017 by the Centre for World University Rankings.

http://cwur.org/2017/subjects.php#Critical Care Medicine

This follows the development of an active research programme within the directorate
funded by numerous awards and supported by a dedicated research team. This is led by
Professor Anthony Gordon who runs the clinical research programme and holds an NIHR
professorship. He leads the “Emergency & Critical Care” theme within the Imperial
Clinical Trials Unit and is Director of Research in the Intensive Care Foundation. As such
our directorate has led a number of major clinical trials within the UK, including a double
blind randomised controlled trial of vasopressin in septic shock, LEOPARDS investigating
the use of Levosimendan in septic shock and CALORIES looking at nutritional support
within ICU.

Intensive care is part of the Stratified Medicine theme within the Imperial NIHR BRC. We
are undertaking a number of ground-breaking studies developing novel diagnostic tests
for sepsis in the ICU using NMR and mass spectrometry. Recent trainees have gone on
to become clinical research fellows undertaking MD/PhD studies with us. There are
strong links with the academic section of Anaesthetics, Pain Medicine and Intensive Care
within Imperial College as well as the world leading basic scientists within the
Department of Surgery & Cancer at Imperial.

Our clinical research interests include ARDS, nutritional support in ICU, trauma and peri-
operative care and genetic studies in sepsis, as well as drug trials in septic shock. The
unit also participates in a number of other external academic and industry sponsored
randomised controlled trials.

We have team of full-time research nurses to help recruitment into clinical trials. In
addition the Intensive Care databases provide electronic data on ICU admissions,
suitable for observational studies. This allows junior staff, supervised by a consultant, to
perform clinical audit and to develop their own projects.

Training Opportunities
Both postgraduate and undergraduate teaching activity take place in the unit. The unit is
fully accredited for training in intensive care medicine and receives trainees from
schemes in anaesthetics, ACCS and EM as well as senior trainees in ICM. All junior staff
are allocated an educational supervisor. We encourage juniors to take study leave and
will enable attendance at appropriate events provided adequate notice is given.

All juniors are required to attend twice weekly teaching (including journal club) on
intensive care topics. Other learning opportunities include

- BASIC and beyond BASIC courses in the directorate both of which have received
excellent feedback.
- Clinical courses provided by the trust e.g. NIV and tracheostomy study days
- Free transfer training courses run by the North West London critical care
network.
- Simulation training - St Mary’s has led the development of simulation training
within our trust and trainees are strongly encouraged to attend these to improve crisis
management and situational skills.
- ALS and ATLS, APLS
- Grand rounds take place weekly on all sites
- Schwartz rounds
- Imperial College provide free teaching courses to those engaged with teaching
undergraduates

Relationship with other Directorates/Staff

The unit is staffed by more than 100 nurses and a full multi-disciplinary team of
therapists. A dedicated team of data collectors, audit and research nurses administer our
critical care specific databases. St Mary’s Hospital also has a nurse led critical care
outreach team which is supported by the Intensive Care consultants and registrars. This
service has been expanded to a 7 day service. The intensive care unit works on the
recommended principle of a closed unit with close involvement of referring clinicians and
specialist teams. All decision making regarding admissions is channeled through the
consultant intensivist to ensure a consistent patient focused strategy. It is expected that
consultant ward rounds are conducted at least twice a day.

Main Duties and Responsibilities

Provide High Quality Care to Patients in Critical Care Medicine
 As part of a team including consultants, trainees and registrars provide day to day
care to adult ICU patients
 Take part in daily multi-specialty ward rounds with neuro / trauma surgeons.
 Attend microbiology ward rounds and MDT meetings.
 Liaise with referring teams and other specialists
Research, Teaching and Training
 Take part in teaching and research opportunities provided by the department
 Enter patients into research trials as appropriate and assisted by the research team
 Develop teaching skills as required and assist with bed side teaching of
undergraduates
Clinical Governance
 Participate in department quality and M&M meetings.
 Participate in clinical audit and act on findings
 Work with medical, nursing and managerial colleagues to ensure high
performance and quality
 Attend daily safety briefings and act on concerns raised
 Comply with trust infection control policies as relevant to the ICU
 Improve patient experience by communicating effectively with patients and
families
Other responsibilities
 To comply with systems to control and monitor hours, leave and sickness for junior
doctors so that rotas are EWTD and new junior doctor contract compliant.
Outline Timetable
Monday Tuesday Wednesday Thursday Friday
AM Handover Handover Handover Handover Handover
Ward round Ward round Ward round Ward round Ward round
Teaching
PM M&M MDT Micro WR Micro WR Micro WR
Micro WR Micro WR
Teaching
Regular meetings: Weekly ICU consultant led teaching
Weekly ICU trainee led teaching
Monthly M&M meeting
Monthly quality meeting
On call: full shift rota, currently 1 in 7 nights.

Title of Post: F3 in Medical Oncology

Main site of activity: Charing Cross Hospital
Responsible to: Dr Waqar Saleem
Accountable to: Dr Danielle Power

Role Summary
This post holder will be based primarily on CXH site, working with in a team of oncology
trainees to deliver daily care for oncology patients coming through assessment unit,
clinics or community referrals and inpatients on dedicated oncology wards. Post holder
will partake in OOH care primarily for oncology patients and will be part of hospital team
(Gen. Medicine) when covering night. We have a dedicated team of consultants leading
this AOS and inpatient service.

This would be ideally suited for someone applying to core medical training or interested
in considering specialist training in medical or clinical oncology. It can also be of use as
general medical experience working towards MRCP. The rota is new contract compliant.
The applicant would be expected to avail of training and clinical opportunities in line with
their development needs. They will have educational and clinical supervision.
Maintenance and completion of clinical logs of structured learning events to provide
appraisal/ revalidation and training evidence would be expected.

Title of Post: F3 in Neurosurgery

Main site of activity: Charing Cross Hospital
Responsible to: Head of Specialty, Neurosurgery
Accountable to: Chief of Service, Stroke & Neurosciences

The F3 has the responsibility for the day to day care of inpatients on the Neuroscience
wards, in the private wing and on the Intensive Care Unit as directed by the consultants.
These duties involve the routine admission and organisation of investigations of both
elective and emergency admissions as well as coordinating the discharge of patients
either to home or the referring hospitals, ensuring that the relevant information such as
discharge letters and x-rays are appropriately organised. The duties are performed
mainly at Charing Cross Hospital, but with rostered weeks at St Mary’s for exposure to
non-vascular acute neurosurgery. The post holder will be expected to partake in teaching
sessions with preparation of case presentations as dictated by the teaching rota. The
post provides excellent experience in acute Neurosurgery and is suitable for those
considering a career in Neurosurgery, for trainees in other surgical specialities where
Neurosurgical experience would be an advantage. Seminars are organised for further
postgraduate teaching at Charing Cross Hospital and there are opportunities for taking
study leave. There are weekly MDT meetings with Neuroradiology, Pathology, Neuro-
oncology and Neurosurgery.

The West London Neurosciences Centre serves a population of approximately 2.2 million
people living in the North West Thames region and beyond and forms part of Imperial
College Healthcare NHS Trust and now encompasses three sites (Charing Cross, St.
Mary’s and Hammersmith Hospitals). We offer a full range of neurological and
neurosurgical services supported by a neurophysiology service and specialist
neuroradiology support, including interventional neuroradiology. Our services are closely
integrated with the Major Trauma Centre at St. Mary’s Hospital, and with the Hyper-Acute
Stroke Unit at Charing Cross Hospital.

Clinical expertise includes neuro-oncology, craniofacial reconstruction, neuro-endoscopy,

neurovascular, skull base-pituitary, skull base-neurovascular, movement disorder,
functional neurosurgery, spine and neuro-trauma. Inpatient services at Charing Cross
Hospital are currently provided from 27 neurosurgery L1 beds, 12 neurology beds, 16
neuro-rehabilitation beds plus a video telemetry facility and a Programmed Investigation
Unit for day cases (investigating and treating 70-80 patients per week).

Title of Post: F3 in Obstetrics and Gynaecology

Main site of activity: Queen Charlottes & Chelsea Hospital
Responsible to: Miss Shyamaly Sur/ Miss Charity Khoo
Accountable to: Miss Mandish Dhanjal
Role Summary

SHO duties in both obstetrics and gynecology, covering antenatal, postnatal and
gynaecology wards, antenatal and gynaecology outpatient clinics, the Day Assessment
and Triage Units and the Early Pregnancy Unit. Basic ultrasound training is available and
encouraged. Participation in theatre, rotation through the gynecology oncology team and
active participation in audit are expected. There is the opportunity to participate in the
specialist interest clinics in the department including Obstetric Medicine, Fetal Medicine,
Rapid Access Clinic and Outpatient Hysteroscopy Clinics. You will also have an
opportunity to attend some of the teaching sessions which take place on a weekly basis
and the Departmental monthly post graduate forums.

Background to the Post

1 SHO equivalent level post involving on call for both Obstetrics and gynecology. Total of
15 SHO posts on current rota. Rota banding is 1B.
The hospital is covered at night by a consultant (resident until 11pm then from home
thereafter), a Senior Registrar (Specialist trainee 6/7), Registrar (Specialist Trainee 3-5)
and SHOs (Specialist trainee 1/2).

Duties and responsibilities

Regular morning ward rounds of in-patients in both obstetrics and gynecology.
Assessment of patients in Day Assessment / Triage in Obstetrics, The Early Pregnancy
and Acute Gynecology Unit is required during the day and Labour Ward cover is also
integral. Elective Caesarean Section lists occur daily during the week when junior
trainees are supervised operating on cases suitable for their level of training by
consultants and senior trainees. Trainees are expected to participate in regular
appropriate handovers to their colleagues and follow up patients with abnormal results.
There are opportunities for supervised scanning in both Obstetrics and Gynecology and
to learn basic surgical skills.

Outline Timetable
Timetable will vary depending on the clinical commitments requiring cover
Regular meetings
Monday lunchtime: Neonatal meeting (weekly)
Tuesday am: Maternal Medicine meeting (weekly)
Wednesday am: Fetal Medicine meeting (weekly)
Thursday am: Junior Doctor teaching (weekly)
Friday pm: monthly departmental teaching to incorporate various compulsory skills
training including safeguarding / CTG teaching among others
Post Graduate forum (monthly varying days): departmental teaching

On call: 15 person SHO rota with on calls on a rolling basis.

Title of Post: F3 in Renal Medicine

Main site of activity: Hammersmith Hospital
Accountable to: Clinical Lead

Role Summary
This is a valuable opportunity for those wishing to broaden their experience or pursue a
career in hospital medicine. The post is based at the Imperial College Renal and
Transplant Centre at Hammersmith Hospital, which is the largest renal and transplant
centre in Europe. We cover kidney care across north-west London, and have extensive
experience in managing patients with complex glomerulonephritis, renal transplantation
and dialysis.

Successful applicants will join a rota of IMT and foundation doctors. Inpatient clinical
duties involve rotating through day and night shifts covering our renal high dependency
unit (with acute renal transplantation), three acute nephrology wards, our renal
admissions unit and acute dialysis unit. We work closely with our surgical colleagues in
renal transplantation and vascular access. The rota also provides significant exposure to
renal outpatient clinics including general nephrology, low clearance, transplant, lupus,
and vasculitis. The post-holder will acquire broad experience of specialist renal medicine,
and also of general / acute medical problems occurring in patients with renal disease. All
clinical work is under consultant supervision.

Education & Training

The post-holder will have a named educational supervisor to support their professional
development. Our department provides numerous training opportunities on a weekly
basis. These include renal radiology and histopathology meetings, a renal grand round,
and a foundation / IMT renal teaching programme. These are incorporated into the F3
rota to facilitate attendance. There are also opportunities to attend subspecialty
multidisciplinary meetings for complex cases in transplantation, glomerulonephritis,
dialysis and frailty. Furthermore, we have close alliances with a number of other
specialties with whom we provide specialist joint care through established
multidisciplinary meetings and outpatient clinics. These include rheumatology,
haematology, cardiology, diabetes, HIV, obstetrics, and genetics.

We are an academic unit closely integrated with Imperial College London, including the
medical school. There is great opportunity to participate in audit, quality improvement,
research and teaching. We run several national postgraduate courses in renal
histopathology, glomerulonephritis, renal transplantation, dialysis, and nephrology for the
acute physician. Study leave is encouraged, and a study budget will be provided.

Title of Post: F3 in Rheumatology

Main site of activity: Hammersmith Hospital
Accountable to: Clinical Lead

This is a great post to develop a good understanding of key presentations, investigations

and management of Rheumatological conditions. There is a lot of opportunity to attend
both general and specialist clinics with excellent consultant supervision and teaching.

Clinics
Monday AM
Dr Carulli/ Dr Youngstein / Dr Carlucci General Rheumatology clinics
Tuesday AM
Dr Youngstein / Dr Carlucci General Rheumatology clinics
Tuesday PM: specialty clinics:
Prof Pickering/Botto Lupus clinic,
Prof Mason Vasculitis clinic
Dr Carulli Scleroderma clinic
Wednesday AM
Dr Carulli/ Dr Youngstein general Rheumatology clinics
Thursday AM
Dr Youngstein, Dr Carulli, Dr Ellis General Rheumatology clinics
Thursday PM: Early Arthritis clinic
Educational Opportunities
 Timetabled weekly Rheumatology departmental meeting (1 hour per week)
 Timetabled weekly Radiology/Rheumatology MDT departmental meeting (1 hour per
week)
 Grand Round (weekly, 1 hour)
 Two-monthly cross site/hospital Rheumatology meeting including audit and clinical
updates (3 hours)
 Fortnightly Vasculitis meeting
 Weekly Lupus meeting
 Mandatory local CMT Programme teaching
 Weekly morning report 8am
 Opportunity to teach medical students on Rheumatology attachment (weekly)
 Private personal development time for research and audit purposes (half day per
week)
 Opportunity to take part in Schwartz rounds

Regional teaching attendance:

Three monthly regional West London forum
Six monthly Vasculitis Forum
Six monthly SLE Forum
Yearly Frontiers In rheumatology Course (1 day)

Management acute back pain and joint swelling which are specifically mentioned in the
curriculum. Management common rheumatic diseases including GCA, Reactive arthritis,
crystal arthritis, osteoarthritis and Rheumatoid arthritis. Knee aspiration, knowledge of
DMARDS and biologics including safe monitoring and common side effects. How to
manage an outpatient clinic. In addition Rheumatology trainees will be able to enjoy vast
amount of training and educational opportunities offered at Hammersmith, through
attendance to the many MDTs and educational meetings as well as from exposure to a
varied case mix of patients. The clinical commitment offers training opportunities in the
sense the Spr are attached to consultant and work in clinic in supernumerary capacity.
They can therefore discuss each case when appropriate with the supervising Consultant
and have ample time to teach medical student in clinic on a regular basis.
Most areas of the curriculum are covered in this post including:
 Inflammatory arthritis (RA, Psa , As etc)
 In particular management of Early Inflammatory arthritis, management of IA with
biologics,
 SLE, and Large vessels Vasculitis with clinical experience gained attending in
particular the SLE and LVV specialty clinics, as well as dedicated MDTs
 Scleroderma and CTD, associated PAH.

Hammersmith is a tertiary referral centre for Rheumatology so the trainees will be gain
experience in the management and care of patient with Complex Rheumatic diseases
often admitted to the ward as in patients.

Title of Post: F3 in Transplant Surgery and Vascular Access

Main site of activity: Hammersmith Hospital
Accountable to: Mr Paul Herbert, Specialty Lead
Mr Jeremy Crane Unit Training Lead/Educational Supervisor

This is a very exciting opportunity to be part of a friendly, very cohesive and dynamic
surgical department comprising of 6 consultant surgeons, two ST deanery trainees, four
clinical fellows and a foundation year 2 doctor.
We do kidney and pancreas solid organ transplantation, roughly 200 per year, and have
the largest vascular access programme in the UK.
This is an excellent opportunity for a potential surgical trainee, particularly as the majority
of the work load involves “hands-on” theatre time. There is also an opportunity to join the
on-call rota (subject to further discussion). The vascular access surgical component of
the job lends itself to fine needle clinical skills training, and is a good introduction to the
core vascular competencies required in later surgical training. There is also a general
surgical component involving hernia repairs, laparoscopic PD catheter insertions,
cystoscopy, central venous catheter insertion, and nephrectomies giving a broad surgical
experience. There is huge opportunity for audit, research, and Quality Improvement
Projects with dedicated time for such activity.
We also work very closely with renal physicians, anaesthetics and radiology in a multi-
disciplinary environment.
We have a weekly education time, with teaching ward rounds, journal clubs and morbidity
and mortality meetings. Additionally there is scope for this role to involve teaching
undergraduate medical students from Imperial College on an ongoing basis.
The F2 transplant/vascular access job running alongside is considered to be one of the
most coveted placements at Imperial College Healthcare NHS Trust and continues to
receive outstanding feedback.
PERSON SPECIFICATION
Directorate/ Divisional
Job title TPD
department directorate

FY3 (ST1 Equivalent) Trust Trust wide Trust wide

Doctor (Locally Employed dependent on role dependent on
Dr Rose Dhesi
Doctor Programme) (s) appointed role (s) appointed
to/selected to/selected

Criteria relevant to
Essential Desirable
the role

Education/  MBBS or equivalent  Additional related

qualifications medical qualification qualifications such as
post graduate
 Full GMC Registration with
degree, BSc
a license to practice
 ALS/ATLS/APLS (or
 Completion of Foundation
Higher qualifications equivalent) within
level training or equivalent
two years of
by commencement of post
application
 Have graduated from
Medical School in the last 5
years

Relevant experience  Demonstrates an

in specialty/Sub interest in one or
specialty more of the
specialties as
outlined by the job
description

Clinical skills  Demonstrates ability to carry  Experience of

out clinical skills appropriate teaching junior
to job description medical colleagues
 Experience of/ aptitude for and/or
clinical activity appropriate undergraduates
to the role
 At least 12 months’ relevant
experience following award
of medical qualification

Audit  Able to demonstrate an  Previous experience

understanding of the of involvement in
 principles of clinical audit,
clinical quality improvement
initiatives and research
including an awareness of
ethics
undertaking clinical
audit, formal
research or clinical
quality improvement
initiative

Academic  Evidence of
achievements academic
including involvement and
research/publications achievement, e.g.
presentations,
publications or post
graduate degree

Language  Able to communicate in spoken

and written English to the
standard necessary to fulfil the
job requirements

Communication skills  Demonstrates IT skills

appropriate for the job
description

Patient focused skills  Demonstrates patient focused

skills of empathy,
understanding, listening skills,
social skills appropriate to
different kinds of patients

Reliability  Punctuality, attendance, sense

of responsibility.
 Preparedness, commitment

Flexibility  Ability to apply required clinical

knowledge and judgement to
situations and prioritise workload
based on clinical need
Resilience  Capacity to cope with pressure
and ability to adapt and respond
to changing circumstances

Thoroughness  Ability to prioritise and manage

own workload effectively

Drive/enthusiasm  Self-starter, motivated, shows

interest

Probity  Honesty, integrity, appreciation

 of ethical dilemmas.
 Must be able to demonstrate
and model the key Trust values
of kind, collaborative, expert
and aspirational.

Physical  Occupational health clearance

requirements for the role specified

Team work  Capacity to work effectively with  Ability to work in a multi

others. professional team.
 Evidence of academic
and clinical teamwork

Additional information
1. Health and safety
All staff are required to make positive efforts to maintain their own personal safety and that of
others by taking reasonable care, carrying out requirements of the law while following
recognised codes of practice and Trust policies on health and safety.
2. Medical examinations
All appointments are conditional upon prior health clearance. Failure to provide continuing
satisfactory evidence if required, e.g. of immunization, will be regarded as a breach of
contract.
3. Equal opportunities
The Trust aims to promote equal opportunities. A copy of our Equality Opportunities Policy is
available from the Human Resources department. Members of staff must ensure that they
treat other members of staff, patients and visitors with dignity and respect at all times and
report any breaches of this to the appropriate manager.
4. Safeguarding children and vulnerable adults
Post holders have a general responsibility for safeguarding children and vulnerable adults in
the course of their daily duties and for ensuring that they are aware of specific duties relating
to their role.
5. Disclosure & Barring Service/safeguarding children and vulnerable adults
Applicants for many posts in the NHS are exempt from the Rehabilitation of Offenders Act
1974. Applicants who are offered employment for such posts will be subject to a criminal
record check from the Disclosure & Barring Service before appointment is confirmed. This
includes details of cautions, reprimands and final warnings, as well as convictions. Find out
more about the Disclosure & Barring Service. Post holders have a general responsibility for
safeguarding children and vulnerable adults in the course of their daily duties and for
ensuring that they are aware of specific duties relating to their role. Staff are obliged to
disclose to the Trust during employment any pending criminal convictions, including cautions,
and any other information relevant to the safeguarding of children or vulnerable adults.
6. Professional registration
Staff undertaking work which requires professional registration are responsible for ensuring
that they are so registered and that they comply with any codes of conduct applicable to that
profession. Proof of registration must be produced on appointment and at any time
subsequently on request.
7. Work visa/ permits/Leave to remain
If you are a non-resident of the UK or EEA you are required to have a valid work visa and
leave to remain in the UK, which is renewed as required. The Trust is unable to employ or
continue to employ you if you require but do not have a valid work visa and/or leave to
remain in the UK.
8. Conflict of interests
You may not, without the consent of the Trust, engage in any outside employment and in
particular you are disqualified from an appointment as a chair or Non-Executive Director of
another NHS Trust while you are employed by this Trust. In accordance with the Trust’s
Conflict of Interest Policy you must declare to your manager all private interests which could
potentially result in personal gain as a consequence of your employment position in the
Trust. The NHS Code of Conduct and Standards of Business Conduct for NHS Staff require
you to declare all situations where you or a close relative or associate has a controlling
interest in a business or in any activity which may compete for any NHS contracts to supply
goods or services to the Trust. You must therefore register such interests with the Trust,
either on appointment or subsequently.
9. Infection control
It is the responsibility of all staff, whether clinical or non-clinical, to familiarise themselves
with, and adhere to, current policy in relation to the prevention of the spread of infection and
the wearing of uniforms.
Clinical staff – on entering and leaving clinical areas, and between contacts with
patients, staff should ensure that they apply alcohol gel to their hands and wash their
hands frequently with soap and water. In addition, staff should ensure the appropriate
use of personal protective clothing and the appropriate administration of antibiotic
therapy. Staff are required to communicate any infection risks to the infection control
team and, upon receipt of their advice, report hospital-acquired infections in line with the
Trust’s Incident Reporting Policy.
Non clinical staff and sub-contracted staff – on entering and leaving clinical areas and
between contacts with patients all staff should ensure they apply alcohol gel to their
hands and be guided by clinical staff as to further preventative measures required. It is
also essential for staff to wash their hands frequently with soap and water.
Flu vaccination – All patient-facing staff are required to have the flu vaccination on an
annual basis, provided free of charge by the Trust. Staff have a responsibility to
encourage adherence with policy amongst colleagues, visitors and patients and should
challenge those who do not comply. You are also required to keep up to date with the
latest infection control guidance via the documents’ library section on the intranet.
10. No smoking
The Trust operates a smoke free policy.
11. Professional association/trade union membership
The Trust is committed to working in partnership with trades unions and actively encourages
staff to join any trade union of their choice, subject to any rules for membership that the
Trade Union may apply.