Job overview
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We are seeking seven enthusiastic, experienced and highly motivated Trust Grade Registrars to join our Anaesthesia and Critical Care departments at London North West University Healthcare NHS Trust (LNWHT). These are exciting new posts created by the merger of our previously separate Ealing Hospital and Northwick Park/Central Middlesex rotas into a single unified, three-site rota. This change represents a significant expansion in clinical breadth for post holders, and a unique opportunity to work across one of the largest and most diverse Intensive Care and Anaesthesia departments in North West London.
The posts are primarily designed for doctors with established experience in Intensive Care Medicine who are capable of functioning as the senior resident registrar within a consultant-led critical care service. Successful applicants will participate in resident on-call rotas covering Intensive Care and Enhanced Care services across all three hospital sites. During out-of-hours periods, post holders will frequently act as the most senior resident doctor within the Critical Care service, supported at all times by an on-call Intensive Care Consultant.
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Main duties of the job
The post holder will be expected to participate fully in the provision of a comprehensive Intensive Care and Anaesthetic service across all three hospital sites, accountable to the Clinical Directors?.
Critical Care Responsibilities
- Participate in the resident on-call rota covering Intensive Care and Enhanced Care services across Northwick Park, Ealing and Central Middlesex Hospitals.
- Function as the senior resident registrar within the Critical Care service, supported at all times by an on-call Intensive Care Consultant.
- Assess, investigate and initiate management of critically ill patients presenting with respiratory, cardiovascular, neurological, renal, metabolic and infectious pathologies.
Anaesthetic Responsibilities
- Provide anaesthesia and analgesia for patients undergoing elective and daytime CEPOD surgery across all Trust sites, exclusively under the direct, immediate supervision of an allocated Anaesthetic Consultant.
- Post holders will not hold an anaesthetic on-call bleep. Out-of-hours commitments are entirely within Intensive Care and Enhanced Care services.
- Undertake pre-operative assessments and provide post-operative care in the recovery room.
- Advise surgical and pre-operative assessment teams on the preparation of patients for surgery.
Detailed job description and main responsibilities
Anaesthetic Responsibilities
- Provide anaesthesia and analgesia for patients undergoing elective and daytime CEPOD surgery across all Trust sites, exclusively under the direct, immediate supervision of an allocated Anaesthetic Consultant.
- Post holders will not hold an anaesthetic on-call bleep. Out-of-hours commitments are entirely within Intensive Care and Enhanced Care services.
- Undertake pre-operative assessments and provide post-operative care in the recovery room.
- Advise surgical and pre-operative assessment teams on the preparation of patients for surgery.
- planned daytime rota commitments together with eventual progression to oncall work on the maternity unit as part of the Obstetric Anaesthetic service.
- Provide opportunities to help develop anaesthetic competencies appropriate to previous experience and career aspirations, supported by the allocated Educational Supervisor.
Critical Care Responsibilities
- Participate in the resident on-call rota covering Intensive Care and Enhanced Care services across Northwick Park, Ealing and Central Middlesex Hospitals.
- Function as the senior resident registrar within the Critical Care service, supported at all times by an on-call Intensive Care Consultant.
- Assess, investigate and initiate management of critically ill patients presenting with respiratory, cardiovascular, neurological, renal, metabolic and infectious pathologies.
- Lead the resident medical response to deteriorating patients referred from wards, emergency departments, theatres and recovery areas.
- Participate in consultant-led ward rounds and contribute to the formulation of management plans. There will be opportunity to lead ward rounds in an acting-up or upskilling capacity.
Person specification
Teaching
Essential
- • Experience of teaching junior colleagues (formal or informal)
Desirable
- • Formal teaching qualification or experience • Experience of simulation-based teaching
Motivation
Essential
- Initiative and drive. Able to conduct self-directed learning
Desirable
- Project management skills.
Communication
Essential
- ••• Coherent, confident, diplomatic and decisive in verbal and written communication • Communicates effectively with the multidisciplinary team, patients and their families • Awareness of own limitations, need to ask for help and escalate as necessary
- Experience of teaching (formal/informal)
Desirable
- Demonstrable presentation skills in educational or scientific settings
- Formal teaching experience
Qualifications
Essential
- • • Primary medical qualification acceptable to the GMC (MBBS, MBChB or equivalent) • Full GMC registration with Licence to Practise • Evidence of good standing from current medical regulatory body (where applicable) • Advanced Life Support (ALS) provider certificate or equivalent
Desirable
- Final FRCA, FFICM, EDIC or CICM
Personal Skills
Essential
- • Appropriate knowledge and practical skills to recognise and manage high-risk patients in the ICU and perioperative environment • Ability to prioritise workload and make sound clinical decisions in a busy acute environment
Desirable
- • Point-of-care ultrasound or critical care echocardiography skills • IT skills including use of electronic health records • Awareness of current developments in Intensive Care Medicine and Anaesthesia
Management, Audit and Research
Essential
- Ability to manage own workload/time and train medical staff.
- Participation in clinical audit Understanding of audit principles and commitment to its use as a tool for raising and maintaining standards.
- Able to appraise scientific publications and perform literature searches.
Desirable
- Evidence of ability to lead a team.
- Ability to develop and lead on audit project.
- Evidence of research undertaken, presentations at meetings, publications in peer reviewed journals.
CLINICAL EXPERIENCE, KNOWLEDGE AND EFFECTIVENESS
Essential
- • • Minimum of 4 years postgraduate clinical experience • Minimum of 2 years experience working in an Intensive Care Unit, with the clinical capability to function as the senior resident registrar in a consultant-led ICU, in conjunction airway management experience set out below, which is required to carry the outreach and ICU resident bleeps • Experience managing critically ill patients with respiratory failure, septic shock, multi-organ dysfunction and major perioperative complications • Experience managing patients requiring invasive and non-invasive ventilation • Experience managing patients with circulatory failure requiring vasopressor or inotropic support, including the ability to recognise, initiate and titrate vasopressor and inotropic therapy • Experience of advanced airway management including tracheal intubation, including the ability to independently lead and manage induction and intubation of a critically unwell patient • Experience of arterial and central venous catheter insertion • Experience of intra-hospital and inter-hospital transfer of critically ill patients • Experience managing tracheostomised patients • Experience managing patients receiving renal replacement therapy • Experience supervising junior medical staff
Desirable
- Further experience in anaesthetics or intensive care or acute medical specialties Awareness of specialty developments. IT skills including use of databases, spread sheets, Word, PowerPoint etc. and willingness and aptitude to learn how to use CERNER (electronic patient record system).
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Applying for this NHS job
This advert is for Trust Registrar in Anaesthetics with London North West University Healthcare NHS Trust in Harrow, London, England. It is listed as a Senior Medical doctor Anaesthesia and Intensive Care role. The advertised salary is £45,715 - £69,976 per annum. The contract type is Permanent: Dr Matthew Clayton [Via Latha Kumar]. The application deadline is 31 Jul 2026.
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