Senior Fellow in Neuro Intensive Care

at  University Hospital Southampton NHS Foundation Trust

University Hospital Southampton NHS Foundation Trust is delighted to offer a fantastic opportunity to work with us.
Please see below for detailed job description of the role.
Applications are invited for Senior Clinical Fellow posts in the Wessex Neurological Intensive Care Unit at University Hospital Southampton NHS Foundation Trust, to start February 2025. This post is for 6 months or 1 year. The post is suitable for those who wish to enhance their knowledge and clinical experience in neurocritical care and neuroanaesthesia. The Senior Clinical Fellow post holders participate in a 1 in 9 full shift rota. The post is well supported by dedicated Consultant input. The 13 Neuro ICU Consultants have varying backgrounds or interests in a number of fields: pre-hospital emergency medicine, trauma, aeromedical transfers, anaesthesia, intensive care, general internal medicine, rehabilitation medicine, research and academia.
The Neuro ICU is a 13-bed dedicated Neurological Intensive Care Unit. The Unit admits approximately 800 patients per annum, usually comprising in the region of: 300 severe neurological trauma injuries (brain and/or spinal injuries with complex polytrauma), 150 subarachnoid haemorrhages, 100 emergency neurosurgical cases, 200 elective neurosurgical cases, approximately 50 acute neurological cases (demyelinating polyneuropathies, autoimmune encephalitis etc) as well as some general medical and surgical cases.

Successful applicants will have preliminary competence in the airway management of the critically unwell patient as well as prior experience working in anaesthesia and/or critical care for a minimum of at least 6 months. Demonstration of attainment of the anaesthetic “Initial Assessment of Competence” (IAC) or equivalent is essential. Applicants with training backgrounds in anaesthesia, critical care and any Acute Care Common Stem speciality training will be considered.

Full support for study leave will be given. Senior fellows are encouraged to participate in the many ongoing clinical research trials within the Wessex Neurological Centre and present at relevant regional, national and international meetings with full funding available for this. Our sub-speciality team have recently been named Team of the Year at the Intensive Care Society Awards 2023 and we are proud to have a hugely talented multidisciplinary group of individuals who contribute to our excellent patient outcomes. The Unit is recognised nationally by the UK Intensive Care Medicine speciality training committee for training in Intensive Care Medicine. Previous fellows have gone on to gain successful training posts in anaesthesia, intensive care, medicine, neurosurgery, academia and emergency medicine, ultimately leading to successful CCT or CESR accreditation. Our feedback in providing training and development in these areas is consistently excellent.

• Step up into a senior leadership role, including leading daily ward rounds on Neuro ICU and being part of the senior decision making in the role of “acting up Consultant”.
• Further training in practical procedures relevant to Neuro Intensive Care: arterial and central venous cannulation including subclavian, jugular and femoral line insertions, bedside ECHO and lung ultrasound.
• Specific training in neuro ICU procedures and monitoring such as external ventricular drains and their cerebrospinal fluid sampling, analysis and intrathecal drug administration, lumbar puncture and management of lumbar drains, intracranial pressure monitoring and parenchymal brain tissue oxygenation monitoring and its management as well as participation in brain stem death testing procedure and subsequent liaison with our specialist organ donation teams (for both DCD and DBD).
• Active participation in Unit and Departmental teaching in the subjects of critical care, neuroanaesthesia, neurosurgery and acute neurology, as well as general medicine and infectious diseases relevant to the neurocritical care patient.
• Opportunities for neurology, neuroanaesthesia, neurosurgery and neuro intensive care research with the aim of presentation at local, national and international meetings such as the annual NACCS (neuroanaesthesia and critical care society) UK conference, EuroNeuro 2025 and the LIVES meetings for the European Intensive Care Society.