Junior Clinical Fellow in ICU

Lewisham and Greenwich NHS Trust; London; On-site; GBP 40,000 - 55,000; Full time

Job summary

Join the Critical Care Unit at a leading NHS Trust as a Junior Clinical Fellow. This full-time position offers an opportunity to work within a dynamic team, gaining valuable experience while treating acutely ill patients. Candidates are expected to have a medical degree and full GMC registration. Enjoy a supportive environment with access to continuing professional development and peer-to-peer training.

Qualifications

• Full GMC registration with licence to practice.
• Foundation Year 2 competencies or equivalent.
• Clear communication and interpersonal skills.

Responsibilities

• Assess patients daily, plan care under supervision.
• Participate in medical care and document management plans.
• Communicate effectively with the critical care consultant.

Skills

Good communication skills

Basic IT skills

Ability to work under pressure

Teamwork

Education

Medical Degree

Full Registration with GMC

Job description

Lewisham and Greenwich NHS Trust, (LGT), is a community-focused provider of local and acute care, delivering high-quality services to over one million people living across the London boroughs of Lewisham, Greenwich, and Bexley. We provide whole-life care and are here to support our communities to live healthier lives as well as taking care of them when they need us the most.

Employing almost 7,500 colleagues, affectionately known as Team LGT, we provide services at Queen Elizabeth Hospital in Woolwich, University Hospital Lewisham, and at over a dozen community settings in Lewisham. We also provide some services at Queen Mary's Hospital in Sidcup.

We have recently launched our new vision and values to mark the LGT10 - the tenth anniversary of our Trust forming in 2013. Our trust vision is to be exceptional. In the quality of our patient care; our support for colleagues; and in the difference we make through our partnerships and in our communities.

To achieve this we value Respect, Compassion, and Inclusion; Being accountable over staying comfortable; Listening over always knowing best; and Succeeding together over achieving alone. You can read more about our visions and values here

Our hospitals and community sites provide a wide range of inpatient and outpatient services, as well as emergency and planned care. The Trust is rated as "good" or "outstanding" in over three-quarters of the services inspected by the Care Quality Commission.

Every year our work includes performing 10,000 procedures in our theatres; bringing seven and a half thousand new lives into the world; carrying out 570,000 visits to patients in their homes or communities and providing emergency care for more than 300,000 patients arriving in our busy Urgent and Emergency Departments.

LGT is a centre for the education and training of medical students enrolled with King's College London's GKT School of Medical Education. We are a training centre for nurses, midwives and allied health professionals. We are pioneering new roles that will support the changing needs of our patients and are one of the largest employers of physician associates in the country.

We are committed to working with our partners to deliver the best outcomes for our local communities. This means playing an active role in the South East London Integrated Care System (ICS), and in formal partnerships including the South East London Acute Provider Collaborative, provider partnerships with our local mental health trusts and borough-based boards of the ICS in Bexley, Greenwich and Lewisham.

Job overview

Junior Clinical Fellow in Intensive Care Medicine (ICM)

Location(s): Queen Elizabeth Hospital, Woolwich

Start Date: August 2025

Contract: 6 months

Contact: Please email Hamza Noor, Consultant in ITU, on [e-mail]

Lewisham and Greenwich NHS Trust invite applicants to apply for a Junior Clinical Fellow Post within Critical Care.

Applicants are required to have full GMC registration with licence to practice.

We are looking for candidates who would be available to start in August 2025 to join one of two busy general hospitals treating a large range of acutely ill patients with organ failure.

The successful applicant will work a EWTD compliant, 1:6 rota with prospective cover of annual and study leave. Junior Clinical Fellows will work alongside HEE trainees. You will be eligible for study leave with a supporting budget to accommodate CPD alongside regular in-house peer-to-peer training.

To apply for this post, please complete the online application form. We request candidates include their first reasonable start date (taking into account visas and/or notice periods of current employment) in the additional information section.

We hold regular recruitment rounds throughout the year with a primary focus on February and August start dates. We are only able to appoint candidates available to start as above and cannot pre-appoint candidates to later recruitment rounds.

Main duties of the job

The post is full-time and is entirely within the Critical Care Unit for the contract duration. Rota pending, applicants who perform satisfactorily may be given a further period of six months within Critical Care or
Anaesthesia.

The successful applicant will work in a EWTD compliant, 1:6 rota with prospective cover of annual and study leave. There are at least 2 juniors on both LDs and nights.

The Critical Care Unit has 19 beds of which 6 are isolated. The unit admits approximately 900 patients per year. The unit subscribes to ICNARC.

A team ICU consultants provide 24-hour supervision, lead all ward rounds and support the junior doctors.

Working models for the consultants include single and cross-site activity (QEH and QEH/UHL).

Working for our organisation

Lewisham and Greenwich NHS Trust is a community focused provider of local and acute care, providing high quality services to over one million people living across the London boroughs of Lewisham, Greenwich and Bexley. With a turnover of around £700 million, we provide services at Queen Elizabeth Hospital in Woolwich, University Hospital Lewisham and a range of community settings in Lewisham. We also provide some services at Queen Mary's Hospital in Sidcup.

As an organisation, we have made significant improvements for patients and staff in the last two and a half years. This is reflected in our most recent Care Quality Commission (CQC) inspection (from February 2020), which found improvements across the organisation and gave us an improved rating of "Good" in the Well-Led and Effective domains, in addition to the rating of "Good" that we had already achieved in the caring domain. Our staff culture change programme has been key to the Trust's improvement journey, as we've stabilised our workforce by reducing vacancy rates and improving staff retention. We've also significantly increased the representation of minority ethnic leaders across our clinical and corporate teams.

Detailed job description and main responsibilities

Duties of the post:

Assess each patient every day on the ward round and plan patient care under the supervision of the critical care consultant.
Participate with the other members of the team in the ongoing medical care of all the patients on the unit.
Attend and present patients every morning at the handover round and again each evening at the handover round to the critical care resident doctor on night shift.
Document and execute a clinical management plan with the critical care consultant on the unit during the day or on-call at night regarding the care of all patients on the unit.
Communicate effectively with the critical care consultant regarding all new referrals for admission.
Work effectively with trainees from other specialties (most commonly anaesthetics) to provide safe out of hours care to critically ill patients.
Follow all Trust and Critical Care Unit policies at all times, including policies for the clinical management of patients, Infection Control policy and reporting of accidents and incidents according to the Trust's Clinical Risk Management policy.
Participate in the ongoing Clinical Audit programme on the unit as well as any clinical research projects that are in progress.
Participate in the teaching and education program for all trainees on the unit.

Person specification

Qualifications

Essential criteria

• Medical Degree
• Full Registration with GMC with license to practice

Competencies

Essential criteria

• ALS provider (Advanced Life Support)

Desirable criteria

• Airway management skills
• Competency in vascular access, including central venous catheter insertion

Experience

Essential criteria

• Foundation Year 2 competencies or equivalent

Desirable criteria

• At least one year post foundation year experience in Medicine, Emergency Medicine or Anaesthesia
• Experience in Intensive Care Medicine
• Experience in Anaesthesia
• Evidence of participation in research and/or clinical audit projects

General skills

Essential criteria

• Good communication skills in verbal and written English
• Basic IT (information technology skills) and familiar with software applications such as Word, Excel and PowerPoint
• Good interpersonal skills
• Working with colleagues as part of a multi-disciplinary team

Personal qualities

Essential criteria

• Able to work under pressure
• Aware of own limitations and when to ask for help
• Ability to prioritise tasks and show effective time management
• Enthusiastic learner with good time keeping, reliable

Physical Requirements

Essential criteria

• Physically/Mentally fit to pass occupational health assessment
• New work permit rules apply to this post

Administration

Essential criteria

• Familiar with current structure of health service and knowledgeable about recent initiatives and changes

Desirable criteria

• Some understanding of clinical risk management

Audit

Essential criteria

• Thorough understanding of principles of medical audit

Desirable criteria

• Evidence of participation in audit project

We reserve the right to close the post before the stated closing date, please apply early. We do not contact applicants with the outcome of the shortlisting. If you have been shortlisted, you will receive an invite to an assessment day or interview.

As a local employer and anchor institution we work closely with our community to recruit locally and we welcome applications from the widest variety of people to ensure our workforce are reflective of the local communities which we serve. We encourage all suitable candidates to apply including if you are Black, Asian or other ethnic minorities, live with a disability (visible or not) or are LGBT+. We have a number of active staff networks including Disability, LGBT+, Multicultural Inclusion and Women's staff networks to bring staff together and celebrate diversity across our whole workforce.

Please note, not all roles will meet the criteria for a skilled worker visa.

Employer certification / accreditation badges

Applicant requirements

You must have appropriate UK professional registration.

This post is subject to the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (Amendment) (England and Wales) Order 2020 and it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service.

Documents to download

• Candidate information pack (PDF, 454.6KB)
• Working at LGT (PDF, 4.2MB)