Senior Clinical Fellow in Adult Pulmonary Hypertension

The post holder will have the opportunity to have dedicated adult pulmonary hypertension training including a full understanding of investigations, treatment and follow up of all forms of PH. This will include in-patient care, day-case review, and out-patient work, both virtual and increasingly face-to-face. The post-holder will gain experience in right heart catheterisation and cardiopulmonary exercise testing. They will also participate in regular MDT meetings and teaching ward rounds. They will work as a team with the consultants, clinical nurse specialists and junior doctors in the department. The post-holder will be expected to participate in audit, service improvement and clinical governance. There will be no on call commitment. The RBH PH Service places a strong priority on clinical research. The unit has also been successful in attracting funding from industry, charitable bodies and from the Department of Health. The Royal Brompton Hospital is a postgraduate teaching hospital which is closely associated with the National Heart and Lung Institute Division of Imperial College School of Medicine., Clinical responsibilities + To assist in the clinical services of the unit under direct consultant supervision + To participate in in-patient, day-case and outpatient care of adults with PH + To participate in the pre- and post-procedure care of adults with PH undergoing right heart catheterisation + To supervise more junior members of medical staff and assist with their ongoing education + To contribute to the weekly joint multidisciplinary clinical meetings + To assist in the accurate collection of clinical data necessary for assessment and maintenance of service standards and the national PH Audit. Research responsibilities Research is a fundamental component of patient care. The postholder will have the opportunity to initiate and carry out research. This may continue from and build on previous research themes of the appointee. Clinical Governance The postholder will be expected to participate in clinical audit and comply with Clinical Governance as appropriate. Managerial Responsibility The post-holder will be expected to contribute to the education and training of peers and junior doctors. Education and Training There are weekly teaching ward rounds and excellent educational opportunities in the weekly MDT meetings. There will be opportunities for training in echocardiography, right heart catheterisation, cardiopulmonary exercise testing and other imaging modalities (including CMR). There are weekly general Cardiology registrar/Fellow training sessions.Working for our organisation The Royal Brompton Pulmonary Hypertension (PH) unit is one of seven nationally commissioned centres in the UK. It was developed alongside the ACHD unit and maintains very close links, with shared patients and clinical team members. However, the PH service manages a full range of patients with PH with referrals from all over the South East and South of England with around 1000 patients, 800 of which are on specialist medications for PH. However, we also see patients from outside these areas. The service has recently expanded as the Royal Brompton Hospital has become part of GSTT Trust, with their PH service merging with ours. The service has an active and growing network of shared care centres, including: The John Radcliffe Hospital, Oxford: University Hospitals Southampton; St George's Hospital, London; The Royal Berkshire Hospital, Reading; East Surrey Hospital and Frimley Park Hospital, Surrey. It fulfils all specifications of a commissioned centre for the management of PH and has a full range of comprehensive tertiary facilities. The unit has an active interventional programme. There is excellent access to other specialist respiratory and cardiology services. There are multiple specialist clinics covering all aspects of tertiary PH care. These include high-risk pregnancy, electrophysiology and transplantation., + To assist in the clinical services of the unit under direct consultant supervision + To participate in in-patient, day-case and outpatient care of adults with PH + To participate in the pre- and post-procedure care of adults with PH undergoing right heart catheterisation + To supervise more junior members of medical staff and assist with their ongoing education + To contribute to the weekly joint multidisciplinary clinical meetings + To assist in the accurate collection of clinical data necessary for assessment and maintenance of service standards and the national PH Audit. Research responsibilities Research is a fundamental component of patient care. The postholder will have the opportunity to initiate and carry out research. This may continue from and build on previous research themes of the appointee. Clinical Governance The postholder will be expected to participate in clinical audit and comply with Clinical Governance as appropriate. Timetable

• Monday - AM - WR Monday - PM - PH Day Cases & PH Research Meeting (2:30pm) Tuesday - AM - WR / PH Clinic RHC List Tuesday - PM - RHC List Ward work Wednesday - AM - Teaching WR (weekly) CPET List Wednesday - PM - PH Day Cases Thursday - AM - WR / PH Day Cases Thursday - PM - SHO Teaching PH Clinic Friday - AM - 8AM: PH Clinic Friday - PM - PH MDT Managerial Responsibility and On Call The post-holder will be expected to contribute to the education and training of peers and junior doctors. There is no on call responsibility with this post., There are weekly teaching ward rounds and excellent educational opportunities in the weekly MDT meetings. There will be opportunities for training in echocardiography, right heart catheterisation, cardiopulmonary exercise testing and other imaging modalities (including CMR). There are weekly general Cardiology registrar/Fellow training sessions. Conditions of Service The post is covered by the Terms and Conditions of Service for Hospital Medical & Dental Staff (England & Wales) and General Whitley Council conditions of service. The Contract of Employment will be held with Guys and St Thomas's NHS Foundation Trust Full registration with the General Medical Council will be required. This job description sets out the key tasks and responsibilities of the post. It is essential that it be regarded with a degree of flexibility, so that changing needs of the service can be met. Trust mission To be the leading national and international centre for the diagnosis, treatment and care of patients with heart and lung disease, creating and disseminating knowledge through research and education Patient care To serve our patients by working with them to determine their needs, viewing the quality of care as being of paramount importance Research To translate the outcomes of research into improved patient care by evaluating new ideas and being innovative in how they are applied Education To provide education and training for our staff, while encouraging teamwork and valuing each member of the team for their involvement and specialist expertise Guy's and St Thomas' celebrates, respects and values the diversity of its staff and patients. We review our policies, procedures and practices to ensure that all employees, patients and carers are treated equitable according to their needs. We are actively committed to ensuring that no one who applies for a job, works or study's at the Trust, or accesses our services is discriminated against on the grounds of race, ethnicity, nationality, disability, religion or belief, age, gender identity , gender reassignment, sexual orientation, pregnancy and maternity/paternity, or marital/civil partnership. Applications are welcomed from applicants with a disability. We can make reasonable adjustments and offer support and advice in a variety of ways throughout the application process. Equality of opportunity is our policy. As an organisation we are committed to developing our services in ways that best suit the needs of our patients. This means that some staff groups will increasingly be asked to work a more flexible shift pattern so that we can offer services in the evenings or at weekends. Flexible working We are committed to supporting all employees to achieve a healthy work life balance and to work in a way that is best for them and our patients. We will consider all requests to work flexibly, taking in to account the individual's personal circumstances as well the needs of the service. We encourage all prospective applicants to discuss their individual circumstances with the recruiting manager as part of the on-boarding process. Your e-mail address is important to us - We communicate to all job applicants via the e-mail address which has been provided on the application form. Please ensure that you check your e-mail on a regular basis. Please apply for this post by clicking "Apply Online Now." Guy's and St Thomas' celebrates, respects and values the diversity of its staff and patients. We review our policies, procedures and practices to ensure that all employees, patients and carers are treated equitable according to their needs. We are actively committed to ensuring that no one who applies for a job, works or study's at the Trust, or accesses our services is discriminated against on the grounds of race, ethnicity, nationality, disability, religion or belief, age, gender identity , gender reassignment, sexual orientation, pregnancy and maternity/paternity, or marital/civil partnership. Applications are welcomed from applicants with a disability. We can make reasonable adjustments and offer support and advice in a variety of ways throughout the application process. Equality of opportunity is our policy. As an organisation we are committed to developing our services in ways that best suit the needs of our patients. This means that some staff groups will increasingly be asked to work a more flexible shift pattern so that we can offer services in the evenings or at weekends. Flexible working We are committed to supporting all employees to achieve a healthy work life balance and to work in a way that is best for them and our patients. We will consider all requests to work flexibly, taking in to account the individual's personal circumstances as well the needs of the service. We encourage all prospective applicants to discuss their individual circumstances with the recruiting manager as part of the on-boarding process. Your e-mail address is important to us - We communicate to all job applicants via the e-mail address which has been provided on the application form. Please ensure that you check your e-mail on a regular basis. Please apply for this post by clicking "Apply Online Now."
  
  Guy's and St Thomas' is among the UK's busiest and most successful NHS foundation trusts. We provide a full range of hospital and community services for people in south London and as well as specialist care for patients from further afield including cancer, renal, orthopaedic, respiratory and cardiovascular services. Guy's is home to the largest dental school in Europe and a £160 million Cancer Centre opened in 2016. As part of our commitment to provide care closer to home, in 2017 we also opened a cancer centre and a kidney treatment centre at Queen Mary's Hospital in Sidcup. St Thomas' has one of the largest critical care units in the UK and one of the busiest emergency departments in London. It is also home to Evelina London Children's Hospital. Evelina London cares for local children in Lambeth and Southwark and provides specialist services across south east England including cardiac, renal and critical care services. We lead a number of specialist service networks aiming to ensure children are treated locally where possible, but have access to specialist expertise when they need it. Our community services include health visiting, school nursing and support for families of children with long-term conditions. Our adult community services teams deliver care at the heart of the local communities we serve, working in partnership with GPs, local authorities and other healthcare and voluntary sector organisations. Working with our partners in Lambeth and Southwark, we are focusing on new ways of working to improve care for local patients. In February 2021 the Royal Brompton and Harefield joined Guy's and St Thomas' NHS Foundation Trust, bringing together world-leading expertise in the care and research of heart and lung disease. Our merger provides a once in a generation opportunity to build a lasting, world-renowned heart and lung centre, providing the highest quality care for patients and conducting world-leading research. We have a reputation for clinical excellence and high quality teaching and research. We are part of King's Health Partners, one of eight accredited UK academic health sciences centres. In partnership with King's College London we have dedicated clinical research facilities including an MHRA accredited Phase I clinical trials unit. Patients are at the heart of everything we do and we pride ourselves on ensuring the best possible patient experience as well as safe, high quality care. We are proud to have one of the lowest mortality rates in the NHS. Following a comprehensive Care Quality Commission (CQC) inspection in 2019 we maintained our overall rating of 'good'. Our adult community services achieved a rating of 'outstanding'. The commitment of our 23,500 staff is key to our success. We are one of the largest local employers and we aim to develop and support all our staff so they are able to deliver high quality, safe and efficient care. The 2019 NHS staff survey results show that we have one of the most engaged and motivated workforces in the NHS. We know this has a positive impact on the care provided to our patients. We have one of the most ambitious capital investment programmes anywhere in the NHS.