Job summaryThe department of anaesthetics works across the Trust, although all Consultants have a site base for their on-call. There is an expectation that all anaesthetists will be willing and able to work sessions in both hospitals to enable all to maintain a full range of anaesthetic skills.The case mix and anaesthetic on-calls are different at both sites and consequently are described separately below.Main duties of the jobThe Anaesthetic department provides a service for elective and emergency surgery, intensive and high dependency care, maternity, acute and chronic pain, pre-assessment and resuscitation described in more detail below.TheatresThe anaesthetic department at CIC provides anaesthetic services for elective surgery in 6 inpatient, and 3 day surgery theatres, as well as a separate "NCEPOD" theatre and obstetric theatre.In terms of emergency cover the department provides anaesthetic services for 24/7 emergency operating theatre, A&E, obstetrics, and intensive care, as well as ventilated patient transfers as required, most commonly to the North East.ICUThere are 9 bed spaces, including a cubicle, with current staffing for up to 8 patients, admitting approximately 750 patients per year.The unit has 10 consultants with daytime and on call sessions in ICU. Senior nursing is provided at band 7 and there is a Nurse Educator. Trainee resident staffing is provided by 8 anaesthesia trainees and 2 ACCS trainees from the Northern Deanery. Further expansion will involve recruitment of 2 trust grade doctors at CT1-2 level working similar patterns to the ACCS trainees. Trainees work a shift system and the additional two trainees will provide dedicated resident cover for the ICU from 0800 hours to 2030 hours seven days a week. Night-time cover is provided by an anaesthetic trainee.About usAt NCIC, we have an ambition to deliver outstanding healthcare services to the population of North Cumbria. The Trust is committed to creating a centre of excellence in providing rural and remote healthcare and provides a wide range of community and acute services throughout our county.Our 5 key principles demonstrate our belief in the delivery of 'safe, high quality care every time':Being a clinically led organisationQuality and safety at the heart of our TrustA positive patient experience every timeA great place to workManaging our money wellAs an organisation we are serious about supporting a diverse workforce that reflects our local community and are very much focused on being an inclusive and compassionate place to work.Across the North East and North Cumbria we are working together to deliver our ambition to be the greenest region in England by 2030. All staff are expected to support sustainability.Job descriptionJob responsibilitiesThe Anaesthetic department provides a service for elective and emergency surgery, intensive and high dependency care, maternity, acute and chronic pain, pre-assessment and resuscitation described in more detail below.The anaesthetic department currently works a flexible rota; however areas of clinical interest, in terms of clinical theatre sessions, can be agreed. Fixed days of working can be agreed through the Trusts Flexible working policy.TheatresThe anaesthetic department at CIC provides anaesthetic services for elective surgery in 6 inpatient, and 3 day surgery theatres, as well as a separate NCEPOD theatre and obstetric theatre.In terms of emergency cover the department provides anaesthetic services for 24/7 emergency operating theatre, A&E, obstetrics, and intensive care, as well as ventilated patient transfers as required, most commonly to the North East.ICUThere are 9 bed spaces, including a cubicle, with current staffing for up to 8 patients, admitting approximately 750 patients per year.The unit has 10 consultants with daytime and on call sessions in ICU. Senior nursing is provided at band 7 and there is a Nurse Educator. Trainee resident staffing is provided by 8 anaesthesia trainees and 2 ACCS trainees from the Northern Deanery. Further expansion will involve recruitment of 2 trust grade doctors at CT1-2 level working similar patterns to the ACCS trainees. Trainees work a shift system and the additional two trainees will provide dedicated resident cover for the ICU from 0800 hours to 2030 hours seven days a week. Night-time cover is provided by an anaesthetic trainee.The unit is approved by the FICM for all levels of intensive care training and has a Faculty Board Tutor. The ICU also has a 24/7 band 7 critical care outreach service to facilitate both admission to and discharge from the ICU as well as numerous educational and audit initiatives. ICU consultants and trainees also attend the Anaesthetic division monthly audit meetings.StaffingThe department currently comprises 24 full time Consultant anaesthetists, of who 20 participate in 2 separate on-call rotas to cover ICU, and theatres and maternity combined.There are 8 anaesthetic trainees on rotation from the Northern Deanery across the full range of their training from CT1 to ST6, these trainees participate in an on-call rota to provide one resident anaesthetist in the hospital.The department currently has 2 ACCS trainees, who are able to provide some additional cover for ICU some evenings and day-time at weekends. We hope to expand the numbers of ACCS.Anaesthetic ServicesAll anaesthetic consultants at CIC work flexibly in time and theatre location, with rotas published 6 weeks in advance. This enables consultants to maintain their skills across a wide range of specialities. For more complex areas for example ICU, vascular, upper GI, and major ENT a smaller pool within the body of Consultants with special interests will work flexibly to provide cover for elective lists. This flexible working enables the department to provide a high quality out-of-hours service across the full range of specialities, including paediatric anaesthesia as required, despite there being only 2 Consultants on-call.Surgical specialitiesWe provide anaesthetic services for a wide range of surgical specialities from day-case to complex surgery. Surgical specialities include general surgery, vascular, urology, ophthalmology, obstetrics and gynaecology, trauma and orthopaedics, maxillo-facial, ENT, and community dentals.ObstetricsThere are approximately 1800 deliveries a year at CIC, with a Caesarean section rate of about 28%. There are 3 elective LSCS lists per week that are staffed by a Consultant anaesthetist. There is an antenatal anaesthetic assessment service, with a clinic once a fortnight. There is a 24/7 obstetric epidural pain relief service.PaediatricsAnaesthetic services are provided for straightforward paediatric surgery, mainly ENT and dentals down to an age of 1 year, or 10kg, this, along with CPD enables members of the department to maintain their skills for management of paediatric emergencies that inevitably present.Pre-assessmentThe department staffs and supports an active anaesthetic pre-assessment service, with a combination of nurse and Consultant led clinicsEmergency Theatre and TraumaThere is a staffed emergency list Monday to Friday 08:00-18:00, with a separate staffed trauma list all day 7 days a week.Person SpecificationQualificationsEssentialValid Registration with the General Medical Council.Fellow of Royal College of Anaesthetists or equivalentCompleted Higher Specialist Training in Anaesthetics or evidence of equivalent competency (approved by PMETB/GMC).On the Specialist Register for the above, or be within 6 months of being admitted to the Register at the time of interview.Evidence of day time and/or on call experience in ICU and maternity during the last 2 years, either at ST6-7 or consultant level.DesirableOther relevant medical and non-medical training/degreeOther relevant postgraduate qualification.Instructor status in either ATLS/APLS/ALSEvidence of recent and on-going CPD in intensive careSkillsEssentialExcellent communication skills with patients, colleagues, managers and other staffKnowledge of Audit process & Clinical GovernanceAbility to organise workload efficientlyA special interest to complement that of the existing post-holdersA commitment to, and experience of teachingDesirableQualifications in teaching/instructing.Experience of development of teaching resources.ExperienceEssentialHigh level of clinical experience and competence in a wide variety of fields of anaesthesiaAbility to apply research outcomes to clinical problemsCommitment to continuing medical education, appraisal and clinical governance.DesirableExperience and understanding of District General Hospital practicePublications in peer reviewed journals.Experience of teaching to undergraduates and postgraduates.Disclosure and Barring Service CheckThis 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.Certificate of SponsorshipApplications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).UK RegistrationApplicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).Employer detailsEmployer nameNorth Cumbria Integrated Care NHS Foundation TrustAddressCumberland InfirmaryCarlisleCA2 7HYEmployer's websitehttps://www.ncic.nhs.uk/ (Opens in a new tab)