Senior Clinical Fellow - Paediatric Cardiorespiratory ICU and HDU

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Senior Clinical Fellow - Paediatric Cardiorespiratory ICU and HDU

The closing date is 12 November 2025

Applications are invited for Clinical Fellow posts in Paediatric Cardiorespiratory Intensive Care and High dependency Unit with start dates available in March 2026 and September 2026. This post is for 6 months in the first instance, with a possible extension for up to a maximum of 23 months, by mutual consent. This post is suitable for anaesthetists, paediatricians, paediatric cardiologists, or trainees with adult intensive care background wishing to gain further experience in the management of critically ill children with cardiorespiratory problems. Applicants for the Clinical Fellow post are expected to have at least 1 years' experience in Paediatric/adult intensive care and full MRCPCH or equivalent. Applications from Medical Training Initiative (MTI) applicants are welcome. The post may become a cross site role in the future, with some working at the Evelina site.

Main duties of the job

Working closely with other members of the clinical team (surgeons / cardiologists / respirologists / anaesthetists), the applicant will be expected to provide clinical care for all patients receiving intensive / high-dependency care at Royal Brompton Hospital. They will be fully involved with the investigation of patients by both invasive and non-invasive techniques. There will be opportunities for instruction and experience in paediatric intensive care, appropriate to the clinical fellow's prior experience. The Clinical Fellows are responsible for the supervision and teaching of the SHO's in their duties. They will normally be required to attend weekly meetings (see Timetable and Education for details).

Two consultant-led ward rounds are held daily and the Fellow shares the responsibilities for these business and teaching rounds.

About us

The Royal Brompton Hospital is the largest postgraduate specialist heart and lung centre in the United Kingdom. A fundamental strength is its close collaboration on basic science research with the National Heart and Lung Institute. The Paediatric Cardiothoracic ICU admits close to 700 children per year with over 400 postoperative cardiopulmonary bypass cases. The posts offer a wide range of experience within the specialised area of Cardiorespiratory Care including the management and follow up of critically ill children. There is an active integrated teaching programme, and post holders are strongly encouraged to attend the established teaching programmes in the Paediatric Cardiology and Respiratory departments. Specific training needs of candidates can be accommodated within the PICU and associated paediatric sub-specialities. Research and audit activity is strongly encouraged and supported.

Job responsibilities

Managerial Responsibility and On Call

The Clinical Fellow shares the managerial responsibility for their own rotas. The post is a full-shift working system which is European Working Time Directive compliant. The post attracts banding payment 1a which makes allowances for additional hours worked in the on call commitment as well as covering for colleagues in their absence.

Education and Training

There is an strong consultant led PICU teaching programme that fellows are actively encouraged to contribute to, as well as opportunities throughout the rest of the week for discussion of cases and subsequent management. All the PICU consultants have an active interest in teaching which is an integral part of their posts. PICU Fellows are expected to actively engage in the teaching process including preparing topics for presentation and leading review sessions of journal articles. Mentors will be assigned at the start of the post to guide specific education and training needs for the individual trainee.

The National Heart and Lung Institute has excellent facilities for studying and an extensive library with all the current journals and textbooks. The National Heart and Lung Institute is developing links with Imperial College, which will enhance the facilities available for studying and research.

Numerous postgraduate courses are held in the National Heart and Lung Institute and the Paediatric Department takes an active part. Postgraduate students are attached to the Department and receive tutorials and ward rounds from members of the Department.

Study leave funding is available and trainees are entitled to five days per six months subject to operational constraints and approval. Study leave may be granted to the maximum consistent with maintaining essential services. It may therefore not be available if it is inconsistent with patient care. PICU Fellows must always discuss this with the Educational Supervisor for PICU well in advance of considering the possibility of study leave. Study leave will not be granted if mandatory training has not been completed.

Teaching

The Clinical Fellow will be actively involved in the many teaching courses organised at Royal Brompton Hospital. In addition, they may be expected to teach SHOs and students attending the Royal Brompton Hospital or National Heart and Lung Institute either from abroad (elective students) or other NHS hospitals.

Audit

The Hospital is wholly committed to the ideals of continuous clinical audit as a means of identifying any weaknesses of care as early as possible, as a method of providing purchasers and others with accurate quantitative descriptions of the care we provide, and as an important element of modern medical education. In particular we are interested in the development of the patient-based measures of outcome that are appropriate to heart and lung medicine. For all these reasons we require all junior staff to commit themselves to these ideals of evidence-based medicine and to accept our audit needs as an essential element of their time here. As part of this remit, PICU Fellows are expected to maintain the PICU PICANET Database, a national and local dataset of all patients undergoing care in PICU. Additionally, there is a monthly academic half-day to cover clinical governance issues, morbidity and mortality for the directorate. PICU Fellows are actively encouraged to pursue and present audit projects during their post. There is additional junior doctor teaching in the afternoon segment of these half-days.

Research

Royal Brompton Hospital is a postgraduate teaching hospital which is closely associated with the National Heart and Lung Institute Division of Imperial College School of Medicine. The successful applicant will be strongly encouraged to undertake projects in conjunction with medical staff and it is anticipated that any established research interests of the appointee will be continued and developed.

Person Specification Qualifications / Training

• MB BS or equivalent
• MRCP/MRCPCH/FRCA or Equivalent
• Intensive Care experience
• Registration with GMC

Experience

• Paediatric and/or Neonatal Intensive care and resuscitation
• Paediatric Anaesthetics
• Respiratory medicine, cardiology or adult Intensive Care

Skills, Knowledge and Abilities

• Technical and clinical skills required for paediatric intensive care
• Teaching skills
• Shows an approach based on critical enquiry and evidence based medicine
• Ability to organise self and others
• ALS/PALS/APLS instructor

Other

• Builds a strong and effective relationship with patients, their parents and families and colleagues and gain in their confidence and trust
• Is able to cope with considerable pressure as well as adapt to constant change and new demands
• Demonstrates honesty, commitment and integrity
• Actively encourages, initiates and supervises research, or has published research

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.

Guy's and St Thomas' NHS Foundation Trust