Consultant in Intensive Care Medicine WSI in Toxicology

Sandwell & West Birmingham Hospitals NHS Trust; Smethwick; On-site; GBP 80,000 - 100,000; Full time

Job summary

A renowned NHS Trust in the UK is seeking a Consultant in Intensive Care Medicine with a focus on Clinical Toxicology. This role is pivotal in expanding critical care and emergency services at the Midland Metropolitan University Hospital, offering a unique opportunity to work within an Outstanding CQC-rated team. The successful appointee will engage in both clinical toxicology and critical care, with a commitment to professional development and multidisciplinary teamwork. Candidates must possess full GMC registration and relevant experience, as they will contribute to an essential service that supports patient care across multiple sites.

Benefits

Professional development support

Flexible job planning

Collaboration with a multidisciplinary team

Qualifications

• GMC Specialist Register or eligibility within six months of the interview date.
• Broad training and experience in both critical care and clinical toxicology.
• Ability to take independent responsibility for managing emergencies.

Responsibilities

• Contribute to daily operation of the ICU and participate in the on-call rota.
• Manage critically ill patients and deliver expert clinical toxicology services.
• Participate in educational activities and clinical governance.

Skills

Clinical Toxicology

Intensive Care Medicine

Teamwork

Quality Improvement

Teaching Clinical Skills

Education

Full GMC registration & license to practice

MRCP

FFICM

Postgraduate fellowship in clinical toxicology

Job description

We are seeking an enthusiastic, innovative and progressive Consultant in Intensive Care Medicine with a specialist interest in Clinical Toxicology to join our Outstanding CQC-rated Critical Care team. This is an exciting opportunity to contribute to one of only four specialist inpatient clinical toxicology services in the UK, closely aligned with the National Poisons Information Service (Birmingham Unit). The appointee will primarily work at MMUH but may provide services at other sites. Applicants must be on the GMC Specialist Register or be eligible within six months of the interview date, with broad training and experience in both critical care and clinical toxicology. We welcome candidates with additional clinical or diagnostic skills that will enhance our team. This is a substantive job, with flexibility in job planning, but is 75:25 in favour of ICM. The successful applicant will contribute to both the ICU and the West Midlands Poisons Unit on‑call rotas.

Closing date: 6th January 2026

Interview date: 15th January 2026 (within 10 days of closing date)

Main duties of the job

The successful candidate will have a senior medical role in our Outstanding CQC-rated Critical Care service. You'll contribute to the daily operation of our 24/7 consultant‑covered ICU, participating in the non‑resident on‑call rota. This involves managing critically ill patients, engaging in multidisciplinary teamwork, contributing to quality, safety and governance through active participation, as well as delivering and supervising educational activities. Alongside, you will provide expert clinical toxicology services as part of one of only four specialist inpatient services in the UK, closely aligned with the Birmingham Unit of the National Poisons Information Service. This includes day and on‑call cover for the West Midlands Poisons Unit, active involvement in the day‑to‑day activities of the clinical toxicology team, and contributing to policy, management, governance and staff training.

About us

Sandwell and West Birmingham NHS Trust is an integrated care organisation dedicated to improving lives, fostering education and pioneering innovation. We employ over 8,000 staff, caring for 530,000 local people across North‑West Birmingham and Sandwell. Annually, we welcome nearly 6,000 new babies, handle over 220,000 emergency attendances and conduct over 44,000 day‑case procedures. Our care spans the new Midland Metropolitan University Hospital, City Health Campus, Sandwell Health Campus and intermediate care hubs. We also host the Birmingham and Midland Eye Centre, Pan‑Birmingham Gynaecological Cancer Centre, Sickle Cell and Thalassaemia Centre and the regional base for the National Poisons Information Service. We boast significant academic departments and deliver integrated community care throughout Sandwell. The strategic objectives cover: 1. Our People – to cultivate and sustain happy, productive and engaged staff 2. Our Patients – to be outstanding in everything we do 3. Our Population – to work seamlessly with our partners to improve lives.

Job description

Job responsibilities

This is an exciting opportunity to join Sandwell and West Birmingham NHS Trust as a Consultant in Intensive Care Medicine with a specialist interest in Clinical Toxicology. This new post expands our critical care and emergency services at the Midland Metropolitan University Hospital (MMUH), though you may be asked to provide services at other sites. We particularly welcome candidates with additional clinical or diagnostic skills that will enhance our consultant team. Applicants must be on the GMC Specialist Register or be eligible within six months of the interview date, demonstrating broad training and experience in both critical care and clinical toxicology. We seek enthusiastic individuals eager to bring new skills, knowledge and techniques to our department. We are committed to developing and supporting our consultants, with a strong focus on leadership and management. Our Critical Care service is proudly rated Outstanding by the CQC, and our Clinical Toxicology service is one of only four specialist inpatient services in the UK, closely aligned with the National Poisons Information Service (Birmingham Unit) hosted at SWB. There is some flexibility in job planning, but the role is envisioned as 75% critical care and 25% clinical toxicology. The successful applicant will contribute to the non‑resident critical care on‑call rota and provide daytime and on‑call cover for the West Midlands Poisons Unit. We fully support professional development, allocating up to 2.5 programmed activities for this – in addition to study leave. Interest in education, governance, risk management, simulation training and supervising trainees is highly desirable.

Anaesthesia, Critical Care and Pain Management Directorate

You will join a well‑staffed Directorate comprising 46 Consultants, 18 SAS Doctors, 12 ACCPs, 1 APP and a robust team of resident doctors. We provide comprehensive anaesthetic services, excluding cardiac, neuro and inpatient vascular, and serve as a tertiary referral centre for ophthalmology and gynaecological oncology, with an excellent reputation for training.

Critical Care

Our Outstanding rated Critical Care service at MMUH is dynamic and patient‑centred, fostering exceptional multidisciplinary teamwork. The new 30‑bed unit across three zones features a new ventilator fleet, advanced patient monitoring, dialysis systems and a comprehensive electronic patient record with bedside device integration. The ICU operates a closed system with a dedicated consultant roster providing 24/7 cover. We aim for a 1 in 16 non‑resident on‑call frequency. Weekday cover involves two duty consultants (alternating standard or evening shifts) and an additional consultant for outlier support and on‑site/off‑site on‑call. Weekends are covered by two duty consultants until 1400h, then one. Experienced ST/SAS doctors, ACCPs and resident doctors provide continuous unit coverage. We have a 24‑hour outreach service and a developed nursing education programme. Regular multidisciplinary team meetings focus on safety, quality and governance, including ICU Morbidity and Mortality reviews. Our ICU team actively participates in simulation teaching sessions, including a dedicated simulation bed space.

Clinical Toxicology

You will be involved in the day‑to‑day activities of the clinical toxicology team at MMUH. This includes direct clinical care for patients with acute or chronic poisoning and acute drug/alcohol withdrawal syndromes, with on‑call duties for the West Midlands Poisons Unit typically on a no‑more‑frequent‑than 1:6 rota. This involves telephone advice out‑of‑hours, with occasional in‑person attendance for complex cases. Weekend and public holiday on‑call duties include face‑to‑face reviews of toxicology patients on the ward and in‑reach reviews across the hospital. You will contribute to policy, management and governance activities, including staff training, research and audit. If NPIS‑accredited, you will contribute to providing written and verbal clinical toxicological advice to healthcare professionals throughout the UK and to TOXBASE, the online information database of the NPIS. This service is a regional base for the National Poisons Information Service. While the current job plan does not include outpatient sessions, the service offers rapid‑access outpatient assessments for drug and alcohol addiction. You will support the Drug and Alcohol Care Team (DACT) in delivering direct clinical care and advising on alcohol and drug‑related health issues.

Person Specification

Other Requirements

Essential

• Appropriate Immigration Status (where appropriate)
• An understanding of the current NHS environment, particularly in relation to reforms, initiatives, and issues.

Desirable

• Additional postgraduate qualifications
• Advanced Training in intensive care medicine

Qualifications

Essential

• Full GMC registration & license to practice
• Eligible to work in the UK
• MRCP
• FFICM
• Postgraduate fellowship in clinical toxicology or evidence of equivalent experience

Desirable

• Additional postgraduate qualifications
• Advanced Training in intensive care medicine

Clinical Experience

Essential

• CCT in Intensive Care Medicine
• Clinical training and experience equivalent to that required for gaining CCT in Clinical Toxicology
• Ability to take full and independent responsibility for the management of emergencies in Critical care and toxicology.
• Ability to take full and independent responsibility for the care of patients
• Demonstrates a clear, logical approach to clinical problems and an appropriate level of clinical knowledge
• Able to prioritise clinical need

Desirable

• Other experience relevant to needs of the department e.g., Training in Transoesophageal Echocardiography
• Special interests that complement the existing consultants

Professional and Multi‑disciplinary team working and communication

Essential

• Ability to work well with colleagues and within a team
• Good spoken and written English language skills
• Communicates effectively with patients, relatives, colleagues, nurses and allied health professionals
• Information technology skills

Desirable

• Evidence of ability to work with multi‑professional teams and to establish good professional relationships
• Evidence of patient and colleague feedback
• Excellent presentation skills engages audience

Clinical Effectiveness

Essential

• Demonstrates clear understanding of quality improvement and clinical governance within the NHS
• Experience of conducting clinical audit or QIPs
• Ability to use the evidence base and clinical audit to support decision‑making.
• Enthusiasm to embrace developments in ICM and parent specialty

Desirable

• Evidence of innovative development and implementation of guidanceEvidence of involving patients in practice
• Experience in risk management

Teaching and Training experience

Essential

• Ability to teach clinical skills to medical and nursing staff and other disciplines
• The ability to appraise junior doctors and other staff

Desirable

• Formal training in teaching Defined educational roles or qualifications
• Higher qualification in medical education
• Experience in Simulation Training

Research, Innovation and Service Improvement Experience

Essential

• Ability to apply research outcomes to clinical problems
• An awareness of current specialty developments, initiatives and issues

Desirable

• Knowledge and experience of the application of information technology to anaesthetics
• Publications in relevant peer‑reviewed journals in the last five years.
• Evidence of having undertaken original research
• Higher Degree e.g., MSc/MD/PhD
• Current Certificate of Good Clinical Practice (GCP) in Research

Personal Attributes

Essential

• Energy and enthusiasm and the ability to work under pressure
• An enquiring and critical approach to work
• Caring attitude to patients
• Ability to communicate effectively with colleagues, patients, relatives, GPs, nurses, other staff and agencies.
• Commitment to Continuing Medical Education and Professional Development
• Flexible and adaptive attitude
• Punctual and reliable

Desirable

• Demonstrates initiative in personal practice.
• Willingness to undertake additional professional responsibilities at a local level.

Personal Circumstances

Essential

• Residence within a reasonable distance of Midland Metropolitan University Hospital
• Ability to undertake clinical commitments at any of the Trust’s sites

Management, Leadership and Administrative Experience

Essential

• Ability to organise and prioritise workload effectively
• Ability to plan strategically and to exercise sound judgements when faced with conflicting pressures
• Ability to motivate and develop the multi‑disciplinary team, balancing departmental and personal objectives

Desirable

• Experience in rota management
• Defined leadership or quality improvement qualifications

381-SS-7517985