Trust Specialty Registrar in Anaesthetic and Intensive Care

Job overview

Buckinghamshire Healthcare NHS Trust are seeking Anaesthetic and ICM Trust registrars to join our rapidly expanding ACSA-accredited Anaesthetic and Critical Care department. It is anticipated that the post holder will have a minimum of 2 years anaesthetic experience, including basic competency in ICM. These posts are available from 04/02/2026 for a Fixed Term of 12 months.  The post is designed to give invaluable experience especially in Intensive Care and Obstetric Anaesthesia and the programme can be arranged to suit the requirements of the applicant. It would be suitable for those aiming to ‘top-up’ skills and knowledge prior to commencing Specialty Training in Anaesthesia or Intensive Care Medicine.

Buckinghamshire Healthcare NHS Trust is a split site NHS Trust which provides anaesthetic and critical care services at Wycombe and Stoke Mandeville Hospitals. The successful applicants will be expected to work across both sites for daytime activity, although out-of-hours work will be based at either site for the duration of the 12-month post.

These are replacement posts which have been created to meet the increasing demands upon the Anaesthetic and Critical Care Department in recent years and to accommodate a 1:10 person out-of-hours rota. Applicants must hold a FULL GMC Registration with a Licence to Practice in the UK.  We anticipate these to be a popular posts, therefore applicants are encouraged to apply early as this vacancy may close sooner than the advertised end date.

Main duties of the job

The department provides clinical anaesthesia and intensive care services for all the surgical specialties to be expected in a large district general hospital.  Programmes can be developed to suit individual requirements. Trust Doctors can continue with preparation for the FRCA examination, if necessary. Attendance at FRCA teaching can be supported where possible.

Successful candidates with the fellowship can expect to contribute to the teaching and supervision of less experienced colleagues.                              There is an academic half day each month when no elective surgery takes place; these feature audit presentations, clinical governance, presentations by visiting lecturers and meetings with other departments.

Detailed job description and main responsibilities

Daily Commitment:

Trust Doctors assist with the provision of the clinical services for elective and emergency surgical and other procedures, and related investigations, requiring general and regional anaesthesia, sedation, resuscitation, etc. They are on-call for emergencies in accordance with full shift rotas published each week in advance approximating to a 1:10 with prospective cover. 1:10 for long days (8am – 9pm) and 1:10 for night duties (8pm – 9am). Supervision, assistance or advice appropriate to the candidate’s level of experience is available at all times.

The daily commitment also includes pre-operative assessment and postoperative care, including the provision of acute pain relief.

Description of Working Pattern

The post complies with the hours limitations of the Agreement on Junior Doctors’ Hours. The department operates work patterns according to the expected workload. Out of hours responsibilities involve covering either the obstetric or the intensive care units and giving supervision to the Core trainees in the operating department. The Trust may require you to work at any of the hospital sites, although we avoid the need to work across two sites in 1 day wherever possible. Supervision (Immediate, Local or Distant) is provided by the ‘starred’ Anaesthetic Consultant of the Day for theatres and the Duty Consultant(s) for ICU on each site. The department uses the CLWRota management system, and supervising/mentoring consultants are clearly indicated via this system during ‘solo’ anaesthetic lists.