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We are seeking a Specialty Doctor to join our middle grade rota. The appointee will be expected to provide anaesthesia for elective and emergency cases in all the surgical specialities represented on the Island and also contribute to the resident on call speciality doctor rota. The on call speciality doctor rota provides anaesthetic cover for intensive care, anaesthetic support to labour ward and anaesthesia for emergency surgery. Speciality doctors may choose to work either 12 or 24 hour shift when assigned to the on call rota. The speciality doctor job plan is based on a 10 session (PA) contract. The job plan includes 1.5 PA for continuing professional development to facilitate revalidation. All the standard modern equipment and drugs are available., The appointee will be expected to provide anaesthesia for elective and emergency cases. The department provides services for general, ophthalmic, maxilla-facial, ENT, urological, orthopaedic and gynaecological surgery. We also provide anaesthetic services to obstetrics, paediatrics, radiology, ECT and the ED. The relative geographical isolation means that all anaesthetists must maintain a wide range. The main theatre complex consists of 4 operating theatres and 2 separate day case operating theatres. There is a dedicated obstetric theatre and ophthalmologic theatre., We are a friendly, genuinely supportive and active department looking to recruit an enthusiastic individual who will take part in the high quality delivery and development of the anaesthetic services on the Isle of Wight. Many of our current specialty doctors have trained overseas and successfully undertaken their first NHS post with us. We are committed to providing all new staff a safe and well supported settling in period. We are keen to support development in anaesthetic sub specialities the applicant may be less confident in. We are seeking applicants to join our middle grade rota. The appointee will be expected to provide anaesthesia for elective and emergency cases in all the surgical specialties represented on the Island and also contribute to the resident on call speciality doctor rota. The on call specialty doctor rota provides anaesthetic cover for intensive care, anaesthetic support to labour ward and anaesthesia for emergency surgery. Specialty doctors may choose to work either 12 or 24 hour shift when assigned to the on call rota. The Specialty doctor job plan is based on a 10 session (PA) contract. Applicants wishing to work less than full time are welcomed. The job plan includes 1.5 sessions for continuing professional development to facilitate revalidation. Further professional responsibilities will receive appropriate SPA remuneration when agreed at annual job planning. The anaesthetic rota is organised 6 weeks in advance so duties are known well ahead of time. SAS support & development. This Trust values its SAS doctors and is keen to support & engage them, the role is well developed in all specialities and excellent opportunities exist for education and personal development. The Trust Board supports and is actively implementing the SAS charter. There is an active SAS Committee, SAS Chair, SAS Advocate & SAS Tutor. All SAS staff have the same core SPA for revalidation & annual leave accrual as their consultant colleagues. All newly appointed Specialty doctors will be appointed a Consultant mentor to allow familiarisation with local ways of working and to act as a point of contact for any settling in issues. There is also a well organised CESR programme linked with PUHT & many other development opportunities., We have 6 operating theatres (4 main, 2 in a separate day case unit) and a dedicated obstetric theatre. Pre Assessment The nurse led pre assessment process of all elective patients is well established at St Marys Hospital. There is a daily consultant anaesthetic clinic available to review anticipated difficult cases and to communicate potential problems to colleagues. We run an Enhanced Recovery Program for orthopaedic, colorectal and gynaecological surgery. Obstetrics The Maternity unit has about 1200 deliveries per year with an epidural rate of approximately 25% and a caesarean section rate of around 17%.The Anaesthetic department provides Consultant cover in hours to the labour ward. Out of hours there is a dedicated specialist doctor to provide anaesthesia for obstetrics. This role would be included in the applicants regular work once they had been assessed as being competent to work on labour ward with distant supervision. Acute Pain Service (APS) The APS is provided by a consultant anaesthetist and a full-time acute pain nurse, supported by ward based link nurses. Apart from the clinical service, it provides teaching and education for medical and nursing staff. Post-operative pain is managed in a variety of ways including PCA and PCEA. Ultrasound guided nerve and plexus blockade are also commonly employed techniques. We have recently invested in several state of the art ultrasound machine and developed a protocol for local anaesthetic wound/nerve catheter infiltration postoperatively. Intensive Care Unit (ICU) The unit admits about 400 patients a year. The majority (70%) are critically ill adult medical patients. Paediatric ICU services and the regional neurological unit are based in Southampton. Initial assessment and resuscitation of these patients involves the anaesthetic team. Critical care outreach is well established and this nurse delivered service also lead the hospital at night team. In hours the medical staffing of the unit consists of one of six dedicated ICU consultants supported by a resident specialty doctor. Out of hours the resident speciality doctor staffs the unit (included in this post) and is supported by the general on call consultant in anaesthesia. Weekend ICU ward rounds are undertaken by dedicated ICU consultants. CPD, Teaching, Revalidation and Leave CPD The post-holder will need to undertake CPD to develop their own learning in line with the needs of the department. These aims should be discussed and documented during the appraisal process. The trust supports 30 days study leave /3 years and allocates each doctor a £800 study leave budget a year. Appraisal and revalidation The Trust has the required arrangements in place to ensure that all doctors have an annual appraisal with a trained appraiser and supports doctors going through the revalidation process. Annual appraisal is currently undertaken by senior medical colleagues with the Medical Director as Responsible Officer for revalidation. The trust actively supports senior (consultant and speciality doctor) medical staff who wish to undertake appraisal training so that they may act as appraisers for their colleagues, this attracts a separate SPA remuneration. Teaching and training The post-holder will be expected to play his/her part in postgraduate activities with responsibility for carrying out teaching for junior medical and nursing staff. The anaesthetic department runs monthly educational meetings for teaching, M and M and QI work. All anaesthetic staff are expected to attend and contribute. We have close links with the Medical School at Southampton. Acute care students (4th year) are allocated three times a year to the anaesthetic department and final year students often choose to undertake a specialty block in anaesthesia at SMH.

• Core competencies and at least 4 years experience in General Anaesthesia. Core competencies in Obstetric Anaesthesia Core competencies in Intensive Care Medicine. Practical skills commensurate with the above. ALS Provider Widespread broad based knowledge in all aspects of Anaesthesia & Intensive Care Medicine.
Desirable
• Advanced specialty training in Obstetric Anaesthesia or Intensive Care Medicine. ATLS/ EPLS/ APLS Provider Widespread broad based knowledge in all aspects of Intensive Care Medicine
Knowledge and Skills Essential
• Demonstrate evidence of robust clinical audit practice and clinical governance Commitment to medical education.
Desirable
• Ability to teach in clinical settings.
Qualifications Essential
• MBChB or equivalent Full GMC Registration Licence to practise
Desirable
• Primary FRCA or equivalent
  
  The Isle of Wight NHS Trust is the only integrated acute, community, mental health and ambulance health care provider in England. We serve a population of approximately 150,000 residents, making the services we offer variable and personalised with a flexible approach to our service users.
Working for our Trust brings a variety of benefits, including an onsite day nursery, cycle-to-work scheme, discounts at local businesses and gyms, and the opportunity to hire Trusts beach hut in Ryde. We offer flexible working opportunities, speak to us about how we might be able to accommodate a flexible working arrangement for you and if it works for the service, we will do our best to make it work for you. The Isle of Wight is a unique and stunning gem located off the South Coast of England, a short ferry journey from Portsmouth and Southampton, with journey times taking from as little as 10 minutes. London can be reached in 90 minutes by rail from Southampton or Portsmouth. The island offers an amazing coastline with beautiful countryside, year-round events, festivals and award-winning attractions. Our 2020-2025 strategy sets out to ensure that we continue to be a provider of excellent and compassionate care. As part of this strategy, we are proactively taking steps to ensure that we recruit and retain the highest quality of talent to provide CARE and we would welcome applications from under-represented groups to ensure our Trust is an inclusive and diverse employer.

The Resuscitation department runs APLS, ALS, NLS and EPALS courses throughout the year. Anaesthetic involvement is encouraged and supported by the department. Leave Specialty Doctors are entitled to 5.4 weeks (27 working days) holiday per year plus 8 Bank Holidays. This increases to 6.4 weeks (32 working days) after 2 years service for the NHS. Holiday must be requested at least six weeks but not more than a year in advance. It is expected that the majority of the leave is taken in week or longer blocks. A calendar week shall remove 5 days holiday from the total allocated and no weekend work shall be allocated to the weekends either side of the requested 5 working days. The leave year is 1 April to 31 March. All authorised absence must be taken in accordance with departmental leave protocols. Appointment and Selection Process