Senior Clinical Fellow - Adult Critical Care

Nottingham University Hospitals NHS Trusts

Senior Clinical Fellow - Adult Critical Care The closing date is 01 November 2025

Applications are invited for Senior Clinical Fellow posts in Adult Critical Care Medicine for a 6 or 12 month period commencing in February 2026.

This post would ideally suit candidates with anaesthetic experience who are aiming to advance their CV and develop their ICM and Acute Care Skills to a higher level within a tertiary teaching ICU. The applicant would work on the airway rota and therefore should have at least 2 years post foundation experience in any of the acute specialities (of which at least 12 months should be in Anaesthesia).

1 day per week of paid CPD time is allocated for the successful applicant to pursue their clinical and non-clinical interests, this may also be used for postgraduate exam preparation.

You will build a well-rounded portfolio of clinical experience, service development/audit, teaching and management. We have an excellent track record of SCFs gaining entry into competitive training programs in Anaesthesia, Critical Care and other specialties.

Main duties of the job

• The successful candidate will participate in the 1 in 8 airway rota across both QMC and NCH campus critical care units to maximise the clinical experience you gain during this post.
• Clinical Responsibilities will include (not exhaustive):
• Perform daily reviews on ICU patients and present findings on the MDT ward round
• In conjunction with the consultant support the clinical decision making of junior medical and nursing staff as the senior member of the critical care team
• Review critically unwell patients outside of critical care Admit, stabilise and formulate an initial management plan for critically unwell adults
• Competently initiate ventilation, use vasopressors, insert CVC and Arterial Lines and be able to transfer the critically unwell patient.
• During your time in post you will also
• Support the learning and development of other members of the critical care team (inc undergraduates)
• Participate in clinical governance and quality improvement.

About us With over 19,000 staff, we are one of the biggest employers in the city with a central role in supporting the health and wellbeing of our local population. We play a leading role in research, education and innovation.

Come and join our wonderful team at NUH. We are big believers in diversity and welcome new ideas to help develop our team in order to deliver world class healthcare to the vast patient populations we serve. With endless personal development opportunities available, at NUH we will endeavour to turn your job into a career!

We particularly welcome applications from people who identify as Black, Asian and Minority Ethnic, or Disabled, as we are striving to be better represented at NUH.

Duties will be based at both campuses.

On the QMC campus the critical care area is divided into a 29-bedded intensive care (level 3 beds) and a 20-bedded level 2 HDU. The critical care area at the City campus has 17 beds that are used flexibly for level 2 and 3 care. Between the three units we see approximately 4500 admissions per year. NUH is the East Midlands Major Trauma Centre and is one of the busiest trauma units in Europe. ( During the covid pandemic we were able to increase our capacity significantly).

We are fortunate to have a large and skilled MDT to support the medical team in delivery of critical care to Nottingham and the wider catchment area.

Job responsibilities The post is open to all applicants who meet the essential criteria as detailed in the person specification below. It is open to all doctors who hold Full/limited registration with the GMC and successfully completed foundation year 2 training and a further 2 years in acute specialities (of which 12 months should be in anaesthesia) who wish to gain further experience in the management of critically unwell patients with a wide range of medical and surgical conditions and enhance their CV for application to specialist training.

This post is whole time and is covered by the Medical and Dental Staff Terms and Conditions of Service. Doctors applying for this post from overseas should note that prior NHS experience is a prerequisite and we would recommend applying for one of our Trust Grade posts in the first instance.

The post is EWTD compliant and is paid at MT04 or MT05 depending on prior experience.

This post is not recognised for training by the Postgraduate Dean, the Faculty of Intensive Care Medicine or by the Royal College of Anaesthetists.

All successful applicants are allocated a clinical supervisor who will support the individual to develop their clinical and non-clinical skills and offer advice on how to achieve any specific individual goals the fellow may wish to achieve. We recommend that the appointee maintain a logbook of experience, complete appropriate assessments and participates in the wide range of non-clinical opportunities detailed below.

Person Specification: Senior Clinical Fellow in Adult Critical Care Medicine

Essential for the post:

A) MB ChB or equivalent & GMC registration with licence to practise

B) Successful completion of FY2 training in an NHS setting plus two years of post-foundation training in acute specialities (Anaesthesia, Acute Medicine, Emergency Medicine or ICM)

C) 12 months Anaesthesia and 3 months critical care experience within an NHS Setting

D) Ability to stabilise the deteriorating patient (including intubation and the initiation of organ support)

E) Evidence of continuous career development

F) Evidence of good written communication, successful team worker, sensitivity to needs of patients and colleagues

G) Punctuality, professional appearance and attitudes consistent with GMC guidelines. Values and behaviours aligned with NUHs

Desirable for the post:

H) Primary FRCA or equivalent higher qualification

I) ALS or equivalent accredited life support course

J) ATLS or other trauma course

K) Completion of Stage 1 Critical Care Training

L) Experience of senior on-call roles in the acute specialities in the UK

M) Completion of an Audit Cycle

N) Published Research

O) Evidence of academic achievement including additional qualifications, prizes

P) Competence in Bronchoscopy, Lung Ultrasound and Focused ECHO

Q) Attendance at meetings/ courses/ membership of professional bodies

R) Evidence of Human Factors Training

S) Demonstrates non-medical interests/ activities

The Speciality Critical care is part of the Clinical Support division.

There are 3 distinct adult critical care areas managed by clinical support across both QMC and City campuses. We aim to rotate you through both campuses so that you are exposed to a wide range of pathologies and speciality experience.

Location and campus information Queens Medical Centre Campus (QMC): 29-bedded ICU (level 3) and 20-bedded level 2 HDU. City campus: 17 beds for flexible level 2/3 care. NUH is the East Midlands Major Trauma Centre.

There is a well-established critical care outreach team on both campuses. Across NUH CCOT provide support to all medical and surgical areas, seven days a week 08:00-22:00.

Educational and non-clinical opportunities There is time for CPD (1 day per week) to pursue clinical and non-clinical interests, including simulation, teaching, governance and quality improvement. Educational meetings, protected teaching day, libraries, and IT facilities are available. FICE & FUSIC accreditation opportunities exist with mentors and experienced consultants. Research opportunities are available by special arrangement with encouraged participation in ongoing programmes.

Time for Continuing Professional Development CPD: CPD days are allocated on a 44 week year pro-rata basis and may be used toward postgraduate examinations (e.g., FRCA).

Applications and recruitment The department has a strong track record for recruiting into higher specialty training. Trainees are supported in portfolio development and interview preparation. Internal cover and locums arrangements are in place to manage leave and short periods of sickness.

Person specifications and criteria Training and Qualifications

• MB ChB or equivalent. Full GMC registration with licence to practice.
• Successful completion of FY2 training in an NHS setting
• Primary examination in Anaesthesia, Emergency Medicine or Medicine
• ALS or equivalent accredited life support course
• ATLS or equivalent trauma course

Experience

• Two years of post-foundation training in acute specialities (Anaesthesia, Acute Medicine, Emergency Medicine or ICM) in an NHS hospital.
• Completion of Stage 1 Anaesthesia or ICM training or equivalence formally signed off with ROCA / FFICM Stage Certificate.
• Two years' experience of anaesthesia in the UK
• Twelve months experience of internal medicine in the UK
• Twelve months of previous critical care medicine in the UK
• Stage 2 Anaesthesia or ICM Trainee
• Completion of Audit Cycle/ QIP
• Published research
• Other evidence of academic achievement including additional qualifications, prizes

Communication and relationship skills

• Evidence of good written communication, successful team-worker, sensitivity to needs of patients and colleagues
• Evidence of formal Human Factors training

Analytical and Judgement skills

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