Senior Clinical Fellow in Paediatric Cardiac Anaesthesia and PICU

Guy's and St Thomas' NHS Foundation Trust; City Of London; On-site; GBP 71,000 - 83,000; Full time

Job summary

A leading NHS Foundation Trust is seeking a Senior Clinical Fellow in Paediatric Cardiac Anaesthesia and PICU. This role involves managing PICU patients, attending surgical lists, and engaging in both anaesthesia and intensive care practices. Ideal candidates are nearing the end of their anaesthetic training, possess a Full GMC Registration, and have training in Paediatric Anaesthesia. Competitive salary and long-term career development opportunities available.

Qualifications

• Proven record of formal anaesthetic pathway.
• Minimum 6 months of Paediatric Anaesthesia training or equivalent.
• Experience in Cardiac or Paediatric Intensive Care.

Responsibilities

• Manage PICU patients under supervision.
• Attend cardiac anaesthesia lists and meetings.
• Participate in the PICU and retrieval service on-call rota.

Skills

Leadership skills

Excellent written and oral communication skills

Able to work under pressure

Education

Full GMC Registration

Final FRCA or equivalent

APLS, EPLS, MEPA courses

Job description

Senior Clinical Fellow in Paediatric Cardiac Anaesthesia and PICU

The closing date is 01 December 2025

The post is designed for individuals who wish to pursue a career in paediatric cardiac anaesthesia and/or paediatric cardiac intensive care. This job would suit senior trainees nearing the end of their anaesthetic training or post CCT. It is a combined paediatric cardiac anaesthesia and paediatric intensive care fellowship with equal and simultaneous exposure to both specialties.

Main duties of the job

• To manage PICU patients under the supervision of the Chief PICU Fellow and Consultant on Duty.
• To attend cardiac anaesthesia lists including cardiac theatre, MRI, interventional cath lab, echo lists, etc.
• To attend the cardiac surgical planning meetings.
• To take part in a full‑shift PICU rota which will include being resident when on the night shift.
• To undertake teaching and guideline development within the fixed rota.
• To participate in the Paediatric Retrieval rota.
• To participate in the training of the Retrieval Nurse Practitioners.
• To undertake a PALS or APLS Course if not already completed.

About us

Guy's and St Thomas' NHS Foundation Trust comprises five of the UK's best known hospitals – Guy's, St Thomas', Evelina London Children's Hospital, Royal Brompton and Harefield – as well as community services in Lambeth and Southwark, all with a long history of high quality care, clinical excellence, research and innovation.

We are among the UK's busiest, most successful foundation trusts. We provide specialist care for patients including heart and lung, cancer and renal services as well as a full range of local hospital and community services for people in Lambeth and Southwark.

Job responsibilities

The out of hours on‑call commitment is to PICU. This post is for an initial 12‑month period with a potential to extend. Anaesthesia commitments will include theatre lists in paediatric cardiac surgery, cardiac MRI, TOE, interventional cardiac catheter lab lists, and any list involving cardiac patients having non‑cardiac surgery including patients with adult congenital heart disease. The fellow is also expected to be available for 6 weekend general paediatric surgical lists over the 12 month period in the new children’s day surgery unit (CDSU). PICU commitments include the management of all admitted patients with an aim of increased allocation in managing paediatric cardiac surgical and medical patients. Participation in the PICU and retrieval service on‑call rota, participation in teaching and clinical governance activity in both specialties is expected.

Key Relationships

Patients and their parents/families/carers on PICU and in theatre; Clinical Staff on PICU and in theatre; Other Consultant staff in ECH and GSTT; Senior management team in ECH; Clinical teams in DGHs in the South Thames region when on retrievals.

Person Specification

Qualifications

• Full GMC Registration (obtained by start date)
• Final FRCA or equivalent
• Courses: APLS, EPLS, MEPA

Experience / Knowledge

• Proven record of formal anaesthetic pathway
• Paediatric Anaesthesia training or equivalent (minimum 6 months)
• Previous experience in Cardiac or Paediatric Intensive Care
• Previous experience in Cardiac Anaesthesia
• Registration with the Intercollegiate Board for Training in P.I.C.M

Communication and relationship skills

• Able to work under pressure as part of a multi‑disciplinary team
• Excellent written and oral communication skills
• Leadership skills

Education

• Evidence of teaching at undergraduate level or post graduate level including allied healthcare professionals

Audit/Quality Improvement

• Understands principles of clinical governance
• Experience in medical audit and quality improvement

Research

• Understanding of research methodology
• Evidence of interest
• Medical publications in peer reviewed journals

Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and, as such, it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

Address

Evelina London Children's Hospital – St Thomas's Hospital