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Papworth Hospital NHS Trust JOB DESCRIPTION LOCUM CONSULTANT in CARDIOTHORACIC ANAESTHESIA & INTENSIVE CARE Contents Section Page 1 Summary and Key Responsibilities 2 Papworth Hospital NHS Foundation Trust 3 Cardiothoracic Anaesthesia - Staffing, Facilities and Activity 4 Duties of the Post and Proposed Clinical Timetable 5 Research Activities 6 Terms and Conditions 7 Brief Terms of Appointment 8 General Information 9 Informal Visits 10 Person Specification SECTION 1 SUMMARY This post provides anaesthetic support for cardiothoracic surgical and Critical Care services at Papworth Hospital. The post holder will contribute to the provision of anaesthetic services for cardiothoracic surgery, transplant surgery, interventional cardiology, critical care and extra-corporeal membrane oxygenation (ECMO). In addition, the post holder will be required to attend pre-assessment clinics and to participate in early evening elective operating sessions as well as Saturday elective operating sessions. The post includes a commitment to the theatre, critical care and ECMO out of hours rotas on a rotational basis. The post- holder will contribute to the training of medical students, foundation, core and specialist trainees and allied health professionals. In addition the post-holder is expected to initiate and participate in clinical audit, quality improvement and academic activities. The post-holder will be employed full time at Papworth Hospital. KEY RESPONSIBILITIES The day-to-day provision and development of cardiothoracic and transplant anaesthesia, critical care and ECMO at Papworth Hospital. KEY TASKS Shared responsibility with other colleagues for the cardiothoracic anaesthetic service, Critical Care, ECMO and on-call duties as outlined above. Teaching, training and clinical supervision of trainees. Participation in the research, audit and quality improvement activities of the Department of Anaesthesia and Intensive Care. Maintenance of the highest clinical standards in the management of patients and compliance with clinical governance initiatives. Participation in continuing professional development and appraisal. 2 SECTION 2 Royal Papworth Hospital Royal Papworth Hospital is the UK’s leading heart and lung hospital, treating more than 100,000 patients each year from across the UK. Since carrying out the UK’s first successful heart transplant in 1979, the hospital has established an international reputation for excellence in research and innovation. Ninety-eight per cent of patients say they would recommend Royal Papworth Hospital to their friends and family. As well as performing more heart and lung transplants than any other UK centre, Royal Papworth Hospital has the UK’s largest Respiratory Support and Sleep Centre (RSSC). It is the only centre in the UK for a number of specialist services including Pulmonary Endarterectomy and Balloon Pulmonary Angioplasty (BPA). In addition, the hospital is one of only five UK centres for the provision of ECMO services for respiratory failure. Royal Papworth Hospital is a member of Cambridge University Health Partners (CUHP), a partnership between one of the world's leading universities and three NHS Foundation Trusts. CUHP delivers world-class excellence in healthcare, research, clinical education and improves the health of people across Cambridgeshire and the wider regions. We have a reputation for being one of the best performing hospitals in the country - a status that we are determined to maintain. Throughout the hospital, there is a pioneering spirit and a willingness to embrace new ideas in all aspects of healthcare, combined with meticulous monitoring and review of clinical outcomes, both in established and novel treatment modalities. We have been at the core of the COVID-19 response in Mach 2020, and provided immediately support to other critical care units in the region. We successfully increased our ECMO capacity from 3 to over 20 beds within a couple of weeks. More information can be found on the hospital’s website. (www.royalpapworth.nhs.uk). Management of staff Royal Papworth Hospital has several clinical divisions. 3 Two consultant clinical directors and one divisional manager lead the division of Surgery, Transplant and Anaesthetics, with clinical business unit leads for individual services. There are further non-clinical directorates for Research and Development, Human Resources (including Education and Development), Clinical Governance and Risk Management, together with Central Corporate Services. Location and local facilities The hospital moved in 2019 to a brand new, state-of-the-art hospital on the Cambridge Biomedical Campus. A new Heart and Lung Research Institute is being built next to the hospital. Royal Papworth Hospital is situated in the Cambridge Biomedical Campus, just to the South of the city. There is a direct guided bus linking us to the train station and the city (5 minutes). There is easy access to London by road and rail. Sports and leisure facilities are available on the campus itself. Facilities include: • Five operating theatres, five catheter laboratories (for non-surgical procedure) and two hybrid theatres • Six inpatient wards • 310 beds, including a 46-bed critical care unit and 24 daycare beds • Mostly en-suite, individual rooms for patients • A centrally located outpatients unit offering a wide range of diagnostic and treatment facilities • A link corridor to Addenbrooke’s Hospital and one being built to link to the Research institute • An atrium on the ground floor with a restaurant, coffee shop and convenience store • Our building has been designed with infection control in mind, and we are currently optimising all pathways to respond to ensure we are prepared at best in relation to COVID-19. • We have rapidly deployed digital solutions to support new ways of working. Further information can be found on the hospital’s website ( (www.royalpapworth.nhs.uk). 4 Education and learning The hospital has always recognised that education and research are of fundamental importance in enabling continuing innovation in clinical services and the delivery of high- quality patient care. Both education and research are key priorities for the Trust’s Executive team and are supported by appropriate resources and facilities. The co-location with the Heart and Lung Research Institute will draw together the highest concentration of heart and lung researchers from academia, healthcare and industry in Europe. The Institute will be home to over 380 scientists and state-of-the-art laboratories in genomics, population sciences, research into cellular mechanisms of disease and translational science. It will include a special ten bed facility where the first-in-patient studies of new treatments can be conducted. 5 SECTION 3 Department of Anaesthesia and Intensive Care Consultant medical staff There are more than 25 consultants in anaesthesia and/or intensive care with sessional commitments at Royal Papworth. In addition, several positions are open for locum (short term) appointments; these are mostly used to allow senior trainees to progress to a consultant role before embarking on a firm consultant career. The Department of Anaesthesia and Intensive Care is part of the division of Surgery, Transplant and Anaesthetics. The Clinical Directors are Mr David Jenkins and Dr Alain Vuylsteke. The Clinical Business Lead for Anaesthetics and Theatre is Dr Kiran Salaunkey, and the Clinical Business Lead for Intensive Care is Dr Nicola Jones. Both represent their respective units at divisional level. TRAINEE MEDICAL STAFF There are typically at least 25 trainees working within the department of Anaesthesia and Critical Care. These include foundation, core and specialist trainees from the East of England Deanery as well as fellows from the UK and overseas, interested in gaining specialist experience in cardiothoracic anaesthesia, critical care, echocardiography and ECMO. Clinical facilities There are six operating theatres (one of which is a hybrid theatre/cath lab) with four adjacent recovery beds, six cardiac catheter laboratories and several pre-admission clinics. The critical care unit has 46 single rooms, all equipped to care for level 3 patients. These include 8 isolation rooms with negative pressure. The design of the unit allows for 6 cohorting of patients in response to severe infections such as COVID-19. The department was able to accommodate very rapidly over 20 patients on ECMO using the existing facilities. The unit has been fully computerised since 2006, and all multidisciplinary meetings are accessible remotely. Departmental workload The anaesthetic department has seen a steady increase in the number of operations over the last few years and has grown to accommodate this activity. We are a busy unit and thrive on delivering high-quality care to a large number of patients. The number of scheduled cardiac cases has increased to more than 2,000 per year. Evening and Saturday elective activity is enabled to accommodate this extra demand. It is our ambition to resume this despite the disruption caused by. the COVID-19 pandemic. Anaesthetic services are provided for heart and lung transplantation, ventricular assist device (VAD) implantation and pulmonary endarterectomy (PEA). There is a significant thoracic surgical workload. In addition, electrophysiology and device insertions by the cardiologists continue to increase. The Critical Care department has seen an increase in activity, including to support patients post cardiothoracic surgery as well as those requiring ECMO, or with advanced heart failure,
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