Consultant Anaesthetist with special interest in Regional Anaesthesia

Consultant Anaesthetist post at the Robert Jones and Agnes Hunt Orthopaedic Hospital NHS Foundation Trust, with a special interest in regional anaesthesia for orthopaedic surgery. The work centres on ultrasound-guided nerve blocks and neuraxial techniques, with perioperative care, acute pain and enhanced recovery pathways for major orthopaedic cases, plus teaching trainees. It is full-time, with 8.5 clinical PAs and low-frequency on-call, and welcomes interest in paediatric or oncology orthopaedics. Entry on the GMC Specialist Register for Anaesthesia, or within six months of CCT, is needed by interview.

What the job involves

• Provide anaesthesia and perioperative care before, during and after inpatient and day case orthopaedic and spinal surgery
• Support delivery and development of regional anaesthesia for orthopaedic surgery, including acute pain management and enhanced recovery pathways
• Take part in the anaesthetic on-call rota, currently 1:16 and subject to change, covering out-of-hours cases and the Critical Care Unit
• Assess patients’ fitness for surgery in pre-op clinic, directly and by supervising nursing colleagues
• Provide in-theatre and formal training for rotating specialist registrars, Anaesthetic Fellows, nurses, ODPs and colleagues
• Communicate effectively with anaesthetic and surgical colleagues
• Work flexibly in line with a consultant-based service

What’s required

Registration & licences

• Full GMC registration with licence to practise
• Entry on the GMC Specialist Register for Anaesthesia, or within 6 months of CCT (or equivalent) at interview

Experience

• Broad training and experience in elective and emergency anaesthesia across surgical specialties, including adult orthopaedic surgery
• Experience in anaesthesia for major orthopaedic surgery, such as arthroplasty, limb, spinal, deformity or complex reconstruction surgery
• Regular practice of ultrasound-guided peripheral nerve blocks and neuraxial techniques, evidenced by logbook, fellowship, rota role or portfolio
• Experience in perioperative assessment and management of major orthopaedic patients with significant co‑morbidity and frailty
• Understanding of the perioperative needs of children undergoing orthopaedic surgery, including assessment, consent, analgesia and communication
• Understanding of the perioperative needs of orthopaedic oncology patients, including major tumour resection, reconstruction, blood conservation and multidisciplinary planning

Skills & knowledge

• Ability to practise independently as a consultant, safely and effectively, including on-call
• Ability to teach in theatre, perioperative settings, simulation, courses or departmental programmes
• Experience of teaching medical students and/or postgraduate trainees
• Evidence of clinical audit or quality improvement with a full cycle or measurable change
• Understanding of clinical governance, patient safety, incident review and risk management within the NHS
• Evidence of reflective practice and engagement with appraisal, revalidation and CPD

Other

• Expected to live within a reasonable distance of the hospital

Nice to have

• Fellowship or equivalent focused training in regional anaesthesia
• FCICM or equivalent recognised qualification
• Experience providing anaesthesia for paediatric orthopaedic surgery in a specialist setting
• Experience of orthopaedic oncology anaesthesia, including limb salvage, pelvic surgery or complex reconstruction
• Experience in acute pain services, block room working, enhanced recovery or orthopaedic regional anaesthesia pathway development
• Demonstrable interest in perioperative critical care, such as ICU, enhanced care, outreach or high‑risk pathway work
• Formal medical education training, or experience as an educational or clinical supervisor, simulation faculty or course faculty
• Leading audit, QI or pathway development with sustained improvement, or publications and presentations in relevant fields

What’s offered

• Outstanding professional development opportunities
• Access to state‑of‑the‑art facilities
• Staff benefits package
• Opportunity to increase SPA from 1.5 to 2.5 PAs for agreed activities
• Possible sessions in other specialties or acute surgery at neighbouring trusts, subject to service need

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