Imperial College Healthcare NHS Trust
Senior clinical fellow Trust Grade St5+ in Anaesthesia

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Senior Clinical Fellow (ST4–7 equivalent) in Anaesthesia
This is a Senior Clinical Fellow (ST4–7 equivalent) post in Anaesthesia intended for trainees with a specialist interest in cardiothoracic anaesthesia. The post is based at Hammersmith Hospital and will commence in February 2027 for an initial period of six months, with the possibility of extension to 12 months, subject to satisfactory assessments.
Requirements
- Minimum of 21 months of anaesthetic experience
- At least six months of cardiac anaesthesia training completed (or Stage 2 cardiac anaesthesia training completed)
Role Description
The post is designed as a split placement, with three months spent in cardiothoracic theatres and three months in the cardiothoracic intensive care unit, providing a broad exposure to the perioperative management of cardiothoracic patients.
The fellowship offers excellent opportunities to gain advanced experience in cardiothoracic anaesthesia and is particularly suited to those working towards transoesophageal echocardiography (TOE) accreditation. Fellows will be expected to participate in the perioperative management of patients through our high-risk cardiothoracic pre-assessment clinic, gaining experience in optimisation, risk stratification and shared decision-making.
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Theatre list allocations will allow the post holder to experience all of the anaesthetic subspecialties on offer at the Hammersmith Hospital under direct consultant supervision but preference will be given to cardiothoracic lists. Almost all Hammersmith operating lists are designated consultant-delivered training lists.
In addition to elective theatre work, the post holder will cover the registrar rota for theatres when on call, and will supervise a stage 1 anaesthetist. Emergency work at Hammersmith is mostly kidney transplants and anaesthetic support for the cardiac cath labs, although other emergencies include gynaecological cases, re-operation for surgical complications and cardiac and thoracic emergencies. Hammersmith is on call for acute aortic emergencies every Thursday and one in four weekends. Supervision is provided by two consultant anaesthetists on call: one for cardiothoracic emergencies and one for general emergencies.
The post holder will have the opportunity to spend three months on the cardiac intensive care unit, by mutual agreement. When attached to the intensive care unit, the candidate will spend their normal days working in theatres.


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About Imperial College Healthcare
At Imperial College Healthcare you can achieve extraordinary things with extraordinary people, working with leading clinicians pushing boundaries in patient care.
Become part of a vibrant team living our values - expert, kind, collaborative and aspirational. You’ll get an experience like no other and will fast forward your career.
Benefits
- Career development
- Flexible working and wellbeing
- Staff recognition scheme
- Optional benefits including Cycle to Work, car lease schemes, season ticket loan or membership options for onsite leisure facilities
Equal Opportunities
We are committed to equal opportunities and improving the working lives of our staff and will consider applications to work flexibly, part time or job share. Please talk to us at interview.
Contact
For further details / informal visits contact:
- Name: Joshua Singleton
- Job title: Doctor
- Email address: joshuasingleton@nhs.net
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