Senior Clinical Fellow in Neonatology

Registrar-level posts on the Neonatal Unit, with responsibility for the first- and second-line medical care of babies admitted to the Neonatal Unit. Role will be tailored to clinical experience. Seniority level will be assessed based on the candidates' on-line application and interview performance.
Senior Fellow/case loading doctor: equivalent to ST4-5 (Nodal Point 4). Providing direct care to babies in the different areas of the unit (ITU, HDU, SCBU, PNW, labour ward), working as part of the team in the neonatal unit.
Senior Fellow/coordinator: equivalent to ST6-7 or post-CCT (Nodal Point 5). This role includes more expectation of leadership, supervision, teaching, independent working, while still supported by the consultant body. The candidates will need to prove ability in leading resuscitation and stabilisation at birth of complex patients, coordinating intensive care, and managing referrals from other hospitals, providing teaching and supervision for the junior members of the team, offering antenatal counselling and supporting families, taking part in multidisciplinary meetings. The role also includes a high level hands-on activity, especially in the most complicated cases, where full confidence in technical skills will be required.
Ability to fulfil the criteria of case loading doctor or coordinator will be determined by the level of seniority demonstrated during the interview process., The post holder will, together with colleagues, be responsible for the provision of services to the Guy's & St Thomas' NHS Foundation Trust to include:
(a) Diagnosis and treatment of patients of the trust in such hospitals, health centres or clinics or other premises as required.
(b) Continuing clinical responsibility for the patients in your charge, allowing for all proper delegation to, and training of, your staff.
Case Loading Doctors: to provide direct clinical care for inpatients in Intensive Care, High Dependency, Special Care, Labour Ward and Postnatal Ward. To work at an appropriate level within a 3-tier junior medical team. To develop knowledge and experience in straightforward and complex neonatal problems, including subspecialty neonatology (particularly in neonatal cardiology and surgery). To develop antenatal and postnatal counselling skills. To develop skills in follow-up assessment in outpatient clinic. To develop practical skills including: neonatal stabilisation and resuscitation, airway management, central lines insertion, POCUS (particularly lung ultrasound, cranial ultrasound and line ultrasound for tip position identification).
Coordinators: all the above, plus provide leadership in the junior doctors' team on the clinical floor. To develop, teach and supervise practical skills including: neonatal resuscitation, airway management, line insertion under ultrasound guidance, POCUS, lung ultrasound. To undertake independent antenatal and postnatal counselling for parents. To confidently arrange discharge planning and to liaise with other teams for transfer to and from other units. To develop skills in follow-up assessment in outpatient clinic.
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.
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We have positions available starting in March 2025 and September 2025. We operate a rolling rota that complies fully with the European Working Time Directive (EWTD) and the current contract guidelines (42 hours/week, with a maximum of 1:3 weekends). This position is suitable for candidates with previous registrar-level experience in a level three neonatal unit. Senior candidates meeting the criteria outlined in the Job Description and Person Specification will be appointed at a Nodal point 4 or 5 level, depending on the experience demonstrated in their application and interview, as well as their ability to fulfil the specific roles described in this advert.
In accordance with the seniority required for this role, MTI candidates who are in their first experience in the UK will not be considered for appointment.

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., The Neonatal Unit at Guy's & St Thomas' Hospital is the largest in the South Thames Region and one of the largest in the UK, with 20 Intensive Care, 12 High Dependency and 14 Special Care beds. There are over 6,500 yearly births on-site, and the majority are from a high risk, inner city local population. There is an academic Obstetrics and Fetal Medicine Department. A substantial number of antenatal referrals and in-utero transfers occur due to a wide range of Maternal Medicine tertiary services, including Diabetes, Lupus, Cardiology and Renal Medicine. Fetal Medicine and Fetal Cardiology services also account for many of these.
There is a close working relationship with subspecialties including the departments of Fetal and Paediatric Cardiology, Paediatric Cardiothoracic Surgery, Paediatric General Surgery, Paediatric Anaesthesia, Paediatric Neurology, Paediatric Nephrology & Urology, Paediatric Metabolic Medicine, Paediatric ENT, Plastic Surgery (including the Regional Cleft Lip & Palate Service), Orthopaedic Surgery and Genetics.
A 3T MRI scanner is located on the unit as part of the Kings College London academic department of Perinatal Imaging. This large, world-class research team is integrated within the clinical service and we are able to facilitate exceptionally high-quality research and clinical scans.
There is a large throughput of complex tertiary cases on the unit, and this post offers considerable opportunities for education and advanced clinical training.