Substantive Consultant in Intensive Care Medicine

A Vacancy at Chelsea and Westminster Hospital NHS Foundation Trust.

Provide High Quality Care to Patients

1.1. The post holder must be medically qualified and maintain GMC specialist registration.

1.2. Develop and maintain the competencies required to carry out the duties required of the post.

1.3. Ensure prompt attendance at agreed direct clinical care Programmed Activities.

1.4. Ensure patients are involved in decisions about their care and to respond to their views.

1.5. Adhere to the Trust Customer Service Commitment and adopt a professional approach to customer care at all times.

1.6. Develop clinical practice through self-reflection and learning from experience, application of research into practice and active contribution within the multi-disciplinary team.

2. Research, Teaching and Training

2.1. Provide high quality teaching to medical undergraduates and members of other health care professions as required by the Service Lead. To contribute to training and teaching of medical trainees, medical students, other doctors in training and other staff groups.

2.2. Responsible for teaching and training non-Consultant postgraduate colleagues.

2.3. Where possible to collaborate with academic and clinical colleagues to enhance the Trust's translational research/audit portfolio, at all times meeting the full requirements of Research Governance.

Performance Management

3.1.Work with medical, nursing, other clinical and managerial colleagues to ensure high performance in the following areas:

- Clinical efficiency e.g. Length of Stay (LOS) reductions, admission on day of surgery, reducing cancelled operations and DNA rates.

- Quality of outcomes e.g. infection control targets, reducing re-admission rates

- Financial management e.g. identification, implementation and achievement of cost improvement programmes and participating in efforts to ensure services are provided cost effectively e.g. managing locum agency spend, monitoring and managing the drug budget to target, ensuring accuracy of clinical data for the team

- Operational efficiency e.g. day-case rates, waiting list activity and demand management.

Chelsea and Westminster Hospital NHS Foundation Trust is proud to be one of the top performing and safest trusts in England.

We have two main acute hospital sites-Chelsea and Westminster Hospital and West Middlesex University Hospital, plus our award-winning clinics across North West London and beyond.

· We employ over 7,000 staff and 500 volunteers

· We treat someone in A&E every 90 seconds

· We deliver a baby every 50 minutes

· We operate on a patient every 16 minutes

· We do 50 imaging procedures each hour

· We serve a diverse population of 1.5 million from the beginning to the end of life
Our values
Our PROUD values demonstrate to staff, patients and the public the standards of care and experience they should expect from our services:

· Putting patients first

· Responsive to patients and staff

· Open and honest

· Unfailingly kind

· Determined to develop

Our Critical Care Centre is a thirteen bedded unit catering for patients requiring level 2 and 3 care. Three beds are within side rooms. All beds are funded

We offer organ support including respiratory, renal and cardiovascular systems using state of the art Philips, LidCo and PICCO monitoring. Up to ten patients may be haemofiltered. We admit between 700 to 750 patients/year: 70% are medical and 30% surgical. The surgical patients consist mainly of patients admitted after major emergency colorectal or trauma/orthopaedic procedures. High level care is also provided throughout the hospital by our 24 hour nurse-run, consultant-supported Critical Care Outreach Team.

Regular audit data is collected on the MediCUS and we participate in ICNARC. The trust uses CERNER EPR system.

The intensive care consultant rota is 1:8.

The consultant is supported by a team of junior doctors. There is an 1:8 registrar/speciality doctors rota and an 1:8 SHO/clinical fellows rota.

The unit is recognised for training in intensive care medicine by the Intercollegiate Board.

There is regular ICU teaching every Friday, MM meetings every 3 months, Speciality Mortality Review meetings every 2 weeks.

There is a multidisciplinary meeting every Tuesday afternoon where all complex ICU patients are discussed. The meeting is attended by all members of the multidisciplinary team: microbiology, pharmacist, OT, physiotherapist, psychologist.

We work closely together with our colleagues from Chelsea and Westminster ICU. There are 2 cross site Clinical Governance Meetings every year.
NWL Critical Care Network

WMUH Intensivists, nurses and allied professionals are all closely involved with and supportive of the North-West London Critical Care Network which is the most active network in London. Our protocols are all concordant with network policy.