Job summary
There are 9 bed spaces, including a cubicle, with current staffing for up to 8 patients, admitting approximately 840 patients per year. There is executive approval for a 13 bedded rebuild. The unit has 9 consultants with daytime and on call sessions in ICU all of whom have ICU as a major element of their job plan. Thus a consultant rota of 1 in 9 with prospective cover operates. The unit has 24/7 cover by consultants with daytime sessions in ICU, with 2 consultants per day - a 'hot week' consultant (to provide continuity) and a 24hour consultant, who is on call.
There is specific clerical time allocated for ICNARC data collection and the unit has a clinical information system (Metavision) which integrates patient observations, medical and nursing notes, prescribing and results systems at the bedside. This has ongoing customisation which has provided the ICU with a wealth of data capture opportunities. The ICU also has a 24/7 band 7 critical care outreach service to facilitate both admission to and discharge from the ICU as well as numerous educational and audit initiatives.
Main duties of the job
An active Critical Care Outreach Service which is delivered by a team of experienced nursing staff. Lead for outreach is Dr Mark Holliday.
As stated above there will be increased cross site working between the 2 ICUs with contribution from CIC consultants to WCH staffing to reflect the high medical demand of the ICU plus the increased need for patient transfer for major surgery at CIC. The provision of 24/7 intensive care consultant led service is a high priority for WCH and is reflected in the move to cross site working and in this advertisement. Resident staffing has been supported by recruitment of Advanced Critical Care nurse Practitioners and the long term strategy is for a dedicated ICU resident on the WCH site.
About us
At NCIC, we have an ambition to deliver outstanding healthcare services to the population of North Cumbria. The Trust is committed to creating a centre of excellence in providing rural and remote healthcare and provides a wide range of community and acute services throughout our county.
Our 5 key principles demonstrate our belief in the delivery of 'safe, high quality care every time':
- Being a clinically led organisation
- Quality and safety at the heart of our Trust
- A positive patient experience every time
- A great place to work
- Managing our money well
As an organisation we are serious about supporting a diverse workforce that reflects our local community and are very much focused on being an inclusive and compassionate place to work.
Across the North East and North Cumbria we are working together to deliver our ambition to be the greenest region in England by 2030. All staff are expected to support sustainability.
Job description
Job responsibilities
Anaesthetic Services
All anaesthetic consultants at CIC work flexibly in time and theatre location, with rotas published 6 weeks in advance. This enables consultants to maintain their skills across a wide range of specialities. For more complex areas for example ICU, vascular, upper g-i, and major ENT a smaller pool within the body of Consultants with special interests will work flexibly to provide cover for elective lists. This flexible working enables the department to provide a high quality out-of-hours service across the full range of specialities, including paediatric anaesthesia as required, despite there being only 2 Consultants on-call.
Surgical specialities: We provide anaesthetic services for a wide range of surgical specialities from day-case to complex surgery. Surgical specialities include general surgery, vascular, urology, ophthalmology, obstetrics and gynaecology, trauma and orthopaedics, maxillo-facial, ENT, and community dentals. Cumberland Infirmary is a vascular centre. There has been a recent expansion of vascular services, now with 5 full day vascular lists.
Obstetrics. There are approximately 1800 deliveries a year at CIC, with a Caesarean section rate of about 28%. There are 3 elective LSCS lists per week that are staffed by a Consultant anaesthetist. There is an antenatal anaesthetic assessment service, with a clinic once a fortnight. Currently there is also an established obstetric epidural service at CIC. The Consultant Lead for obstetric anaesthesia is Dr Chris Dickson.
Paediatrics. Anaesthetic services are provided for straightforward paediatric surgery, mainly ENT and dentals down to an age of 1 year, or 10kg. This along with ongoing CPD enables members of the department to maintain their skills for management of paediatric emergencies that inevitably present.
Person Specification
Qualifications
Essential
- Valid Registration with the General Medical Council.
- Fellow of Royal College of Anaesthetists or equivalent
- Completed Higher Specialist Training in Anaesthetics or evidence of equivalent competency (approved by PMETB/GMC).
- On the Specialist Register for the above, or be within 6 months of being admitted to the Register at the time of interview.
- Stage 1, intermediate ICM training or eligibility for affiliate fellowship or equivalent.
- Completion of basic, intermediate and higher training in ICU as per RCOA modules, or equivalent
- Evidence of recent and on-going CPD in intensive care
Desirable
- Other relevant medical and non-medical training/degree.
- Other relevant postgraduate qualification.
- Instructor status in either ATLS/APLS/ALS
- FFICM and/or advanced level training in ICM
- CCT in intensive care medicine
Skills
Essential
- Excellent communication skills with patients, colleagues, managers and other staff
- Knowledge of Audit process & Clinical Governance
- Ability to organise workload efficiently
- A special interest to complement that of the existing post-holders
Desirable
- A commitment to, and experience of teaching
Experience
Essential
- High level of clinical experience and competence in a wide variety of fields of anaesthesia and intensive care
Desirable
- Experience and understanding of District General Hospital practice
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.
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 .
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 .
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website .
Employer details
Employer name
North Cumbria Integrated Care NHS Foundation Trust
Address
Cumberland Infirmary
Carlisle
CA27HY