Surgery, Anaesthetics and Imaging Directorate
The Magill Academic Clinical Fellow ICM
JOB DESCRIPTION
1.0
Chelsea & Westminster Hospital
The Chelsea and Westminster Healthcare NHS Foundation Trust comprises the Chelsea &
Westminster Hospital, and a number of services and clinics provided on the Charing Cross Hospital
site and at the South Westminster Centre. The Chelsea & Westminster Hospital is an acute general
hospital with a large A&E Department and a total capacity of 550 beds. Surgical specialities include
general, urological, orthopaedic, ophthalmic, plastic, paediatric/ neonatal, gynaecological surgery, and
obstetrics. There is a dedicated Treatment Centre (incorporating a Hand Management Unit),
Endoscopy Unit and a self-contained regional Burns Unit. It is a teaching hospital and provides
clinical facilities for medical student education in association with Imperial College Faculty of
Medicine.
2.0
The Magill Department of Anaesthesia, Intensive Care & Pain Management
The Magill Department of Anaesthesia is a combined NHS and academic department, named after Sir
Ivan Whiteside Magill, who was a pioneer of British anaesthesia and is best known for developing
tracheal intubation and pulmonary anaesthesia.
The NHS Magill Department is led by Dr Jackie Durbridge. There are 30 NHS consultants within the
department with separate consultant rotas covering Intensive Care, General Surgical/Obstetric
anaesthesia and Paediatric/Neonatal Anaesthesia. The Medical Simulation Centre is an integral
component of this multi-disciplinary training unit. Some of the NHS anaesthetic staff have a sessional
commitment to the Centre.
The academic Magill Department is now part of the Section of Anaesthetics, Pain Medicine and
Intensive Care (APMIC) at Imperial College London, led by Prof Masao Takata who is the Magill
Chair in Anaesthetics at Chelsea and Westminster Hospital. The Section brings together clinical and
basic scientists with a wide range of research interests and an emphasis on producing high-quality,
high impact basic and translational research. The Section’s strengths are derived from the wide range
of members; from basic scientists, immunologists and physiologists, BSc, MSc, MD and PhD students
to clinical academic foundation trainees, academic clinical fellows (ACFs), clinical lecturers and
consultant anaesthetists, intensivists and pain doctors. The Section is mainly located at the Chelsea &
Westminster (C&W) Campus (adjacent to the clinical department) but also has members at South
Kensington (SK), Harefield (HF), Hammersmith (HH) and Charing Cross (CX) campuses.
2.1
The Post
The post will commence in August 2015 and is designed for an anaesthetic trainee who is at least at
the end of their CT2 and has obtained their Primary FRCA exam. Those in higher training (ST3 and
above) will need to seek the approval of their Training Programme Director / Regional Advisor before
applying. The post is appropriate for those who have a strong interest in and outstanding potential for
a career in academic anaesthesia, pain medicine and intensive care, wishing to receive a solid research
training and obtain data for a competitive, peer-reviewed research training fellowship application. The
successful candidate is clinically based in the NHS Magill Department at the Chelsea & Westminster
Hospital, and academically based in the academic Magill Department of Imperial College London.
Overall responsibility for the post will lie with Dr Michelle Hayes.
The post would be for 6 months (renewable), but is expected to be extended by mutual agreement to
12 months; extension beyond this in order to undertake/register for a higher degree would be
considered and could be arranged if deemed appropriate. Clinical duties will be based in burns
theatres, the burns and general intensive care units and there will be a 1:8 on-call commitment with
internal cover (full shift system). The remainder of the week will be dedicated to research. Training in
data presentation and publication is readily provided within the department.
2.2
Research
The Magill Department has a proven international reputation for producing high quality basic science,
translational and clinical research. It participates in an increasing array of NIHR portfolio studies and
clinical trials.
The areas of particular expertise and interest include:
·
·
·
·
·
·
Critical Care Research
Inflammatory mechanisms of acute lung injury
Leukocyte-endothelial interactions in organ injury
Organ protection
Innate immune system functions in perioperative, critical care and trauma patients
Metabolic/molecular phenotyping and biomarkers
Clinical trials in sepsis
·
·
·
·
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·
Anaesthesia and Neuroscience Research
Molecular basis of anaesthesia
Neurotoxicty/neuroprotection by anaesthetic agents
Anaesthetics and cancer
Organ injury in cardiothoracic surgery and transplantation
Postoperative cognitive dysfunction and Alzheimer’s disease
Metabolic diseases and brain function
·
·
Pain Research
Mechanisms and treatment of neuropathic pain
Inflammatory and burn pain and neuronal processing
Further details about the research of the academic Magill Department are available at:
http://www.imperial-anaesthesia.org.uk/index.php?page=26#.VNO-52dybIU and individual research
interests
in
our
academic
dept
booklet
found
here:
www.imperialanaesthesia.org.uk/uploads/files/courses/APMICHandbook.pdf
The post holder will receive a solid research training under the umbrella of the Section of
Anaesthetics at Imperial College London with a close collaboration with Chelsea and Westminster
Hospital, and undertake a preliminary research project toward an application for a competitive, peerreviewed research training fellowship leading to the award of PhD or MD(Res) degrees.
Research training/project will be organised by Prof Masao Takata, in a similar way to that for the
current Walport NIHR-funded academic clinical fellows. Academic and/or clinical supervisors will
be allocated to the post holder depending on the main emphasis of the project. It is anticipated that
the project supervisor will meet with the post holder weekly and that a monthly meeting will take
place with Prof Takata for academic guidance.
2.3
Education and Teaching
The post holder will be an integral part of the team at the Hospital and expected to contribute to the
teaching of doctors in training, midwives, medical students and other staff groups.
Hospital medical staff have use of the main Library Unit at Imperial College. Hospital medical staff
also have the use of the Medical School Library in the Reynolds Building, Charing Cross Hospital in
addition to the Medical School Library situated on the lower ground floor of the Chelsea and
Westminster Hospital. An inter-library loan facility is also available.
Study Leave is provided in accordance with the appropriate Chelsea and Westminster Healthcare
NHS Foundation Trust and National Handbooks.
2.3
Clinical Governance
The post holder will be required to participate in the Trust’s and Directorate’s Clinical Governance
activities. All staff have a responsibility to report all clinical and non-clinical accidents or incidents
promptly and when requested to co-operate with any investigations undertaken.
2.4
Enquiries
Enquires about the post can be made via 020-8746-8026 or email to Dr M Hayes at
michelle.hayes@chelwest.nhs.uk or Dr J Handy at j.m.handy@imperial.ac.uk. Further details about
the department are available at the Magill Dept.
Website:
http://www.magill-department.com/Website/Welcome.html
CHELSEA AND WESTMINSTER HOSPITAL NHS FOUNDATION TRUST
Anaesthetics & Imaging Directorate
Personal specification form
Magill Academic Clinical Fellow
Dept: Anaesthesia
Factors
Essential
Desirable
Physical requirements
Occupational Health approval for
the role specified.
Eligibility
Eligible for full registration with
the GMC at time of appointment
Completion (or near completion)
of 2 years minimum core training
in approved professional training
posts for UK trained applicants,
recognised by the Royal College
of Anaesthesia.
Education/qualifications.
Previous clinical experience
MBBS or equivalent medical
qualification.
APLS/ATLS or equivalent
Primary FRCA
ALS certification
Completion (or near completion) Experience in Intensive Care
of 2 year core training
Experience
programme
in
teaching/simulation
anaesthetics/intensive care.
Expectation of basic
training certificate by
commencement date
Previous research experience
level
post
Strong
interests
in
basic, Experience in research
translational or clinical science
Career aspirations in academic
medicine in anaesthesia and
critical care
Aptitudes
Flexible, objective and assertive.
Excellent communication skills
Able to work within
multidisciplinary team.
Language skills
a
Well organised, conscientious;
ability to complete projects
All
applicants
to
have
demonstrable skills in written and
spoken English.
in
PROFILE OF CHELSEA AND WESTMINSTER HOSPITAL NHS FOUNDATION
TRUST
Chelsea and Westminster Hospital NHS Foundation Trust aims to be a hospital of choice for patients
and an employer of choice for staff.
The Trust is also a main teaching centre for Imperial College School of Medicine.
The Trust provides a full range of general medical and surgical services for the local community, and
specialist services for people wherever they live. St Stephen’s Centre, next door to the hospital, houses
most of the Trust’s specialist HIV and sexual health services. Sexual health outreach services are also
provided at the Victoria Clinic, SW1, the West London Centre for Sexual Health at Charing Cross
Hospital and in a range of community settings.
Chelsea and Westminster Hospital, which was opened by the Queen in 1993, offers a uniquely modern
hospital environment. Its light and airy modern design is built around a vast atrium - one of the largest in
Europe - and incorporates a stunning array of visual arts, which help create a healing and uplifting
atmosphere enjoyed by patients, staff and visitors.
The Trust has enhanced its reputation for high quality care and good management by gaining Foundation
Trust status in October 2006 and earning a rating of ‘Excellent’ for quality of Services and use of
resources in the Healthcare Commission’s annual performance ratings, published in October 2007.
Chelsea & Westminster also prides itself on being a clean, safe hospital – the Trust was rated ‘Good’ for
both hospital hygiene and standards of hospital food in the national Patient Environment Action Team
(PEAT) statistics published in November 2007 and rates of healthcare associated infections are almost
half the national average.
Our services are often recognised nationally – in 2006 our recruitment and retention strategy to reduce
midwife vacancy rates was short-listed for the Health Service Journal Awards, a scheme to allow sexual
health patients to request clinic appointments via the Trust website was short-listed for the NHS
Innovators Awards, and we were rated as one of the top 26 hospitals in England for the care of patients
aged 50+ according to research by Saga/Dr Foster.
Our reputation as a good place to work has been reinforced by our achievement of Improving Working
Lives Practice Plus status in 2005 – this is only awarded to NHS trusts that demonstrate high standards
in areas including flexible working, and training and development.
The Trust is committed to developing staff in order to improve patient care – a Trust-wide customer
service programme was launched in autumn 2006 to enhance the level of customer care we provide.
ADDITIONAL INFORMATION
Health and Safety at work

The post holder is required to take reasonable care for the health and safety of himself/herself
and other persons who may be affected by their action or omission at work

Co-operate with the employer in ensuring that all statutory and other requirements are
complied with.
Confidentiality
The post holder has a responsibility to comply with the Data Protect Act 1998 and maintain
confidentiality of staff, patients and the trust business.
Conflict of Interest
The Trust is responsible for ensuring that the services for patients in its care meet the highest
standards. Equally, it is responsible for ensuring that staff do not abuse their official position, gain or
benefit their family or friends.
Equal Opportunities
Chelsea and Westminster Hospital NHS Foundation Trust is an equal opportunities employer. We are
committed to promoting equal opportunities in employment and will keep under review our policies
and procedures to ensure that the job related needs of all staff working in Chelsea and Westminster
Hospital NHS Foundation Trust are recognised.
The Trust will aim to ensure that all job applicants, employees or clients are treated fairly and valued
equally regardless of sex, marital status, domestic circumstances, age, race, colour, disablement,
ethnic or national origin, social background or employment status, sexual preferences, religion,
beliefs, HIV status, gender reassignment, political affiliation or trade union membership. Selection
for training and development and promotion will be on the basis of the individual’s ability to meet the
requirements of the job.
Data Protection
If you are required to obtain, process or use information held on computer or word processor, you should
do it in a fair and lawful way, ensuring accurate data is maintained. You should hold data only for the
specific registered purpose and not use or disclose it in any way incompatible with such a purpose.
You should disclose data only to authorised persons or organisations as instructed. Breaches of
confidentiality in relation to data will result in disciplinary action which may include dismissal.
Employees are expected to comply with all Trust data management processes and procedures. For those
posts where there is management or supervision of other staff it is the responsibility of that employee to
ensure that their staff receive appropriate data training (e.g. HISS induction, organising refresher
sessions for staff when necessary).
Patient and Public Involvement
The Trust has a statutory duty to involve service users, carers and the public in the work of the
organisation. We consider that Patient and public involvement is the responsibility of every individual
working for our Trust. All staff have a responsibility to listen to the views of patient and to contribute
to service improvements based on patient feedback. You will be expected to support the Trust in this
aim through your working practice.
Infection Prevention and Control
It is the duty of every employee to comply with The Health Act (2006): Code of Practice for the
Prevention and Control of Healthcare Associated Infections (also known as “The Hygiene Code”).
Effective prevention and control of healthcare-associated infections has to be embedded into everyday
practice and applied consistently by everyone. Failure to do so may result in disciplinary action.
The hospital is a partner in the cleanyourhands campaign. It is the responsibility of every staff
member to be aware of and comply with the hand hygiene policy and campaign in all patient areas,
and promote the ethos of the policy and campaign to all hospital users.