Middle Grade Resident on Intensive Care Unit

London North West University Healthcare NHS Trust

Middle Grade Resident on Intensive Care Unit

Closing date is 10 April 2026

We are seeking a highly motivated and skilled Middle Grade ICU Doctor to join our dynamic Intensive Care Unit. The successful candidate will play a pivotal role in providing high quality critical care services, working closely with the multidisciplinary ICU team to manage and treat critically ill patients. This is an excellent opportunity for a doctor with a strong interest in critical care medicine who is looking to develop their skills and knowledge in a fast paced, challenging environment, whilst also providing opportunities to develop anaesthesia competencies.

The successful appointee will work in a major NW London NHS trust. The post is ideal for candidates who have a minimum of 4 years' broad experience in anaesthesia and critical care and have a postgraduate qualification equivalent to the FRCA (Royal College of Anaesthetists, UK).

This post provides excellent training and development opportunities for a career intensivist or anaesthetist who wishes to gain further experience in a busy Northwest London teaching Trust. Similar posts have been used in the trust as a route to either applying for a Specialist Training number or following an alternative path, such as the CESR/portfolio pathway route for Anaesthesia and/or Intensive Care.

Main duties of the job

Provide comprehensive care to critically ill patients, including initial assessment, diagnosis, and ongoing management under the supervision of the ICU Consultants.

• Perform advanced clinical procedures including intubation, central line insertion, arterial lines, and chest drains following the appropriate local and national standards.
• Collaborate with the multidisciplinary team (consultants, nurses, respiratory therapists, physiotherapists) to ensure integrated patient care.
• Participate in daily ICU ward rounds and contribute to decision making processes regarding patient care plans. Opportunity to lead the ICU ward round as an upskilling or acting up role.
• Manage and respond to medical emergencies in the ICU and hospital wide, including cardiac arrests and trauma cases.
• Supervise and provide guidance to resident medical staff and contribute to their education and training.
• Ensure accurate documentation of patient care, treatment plans, and progress in line with hospital policies.
• Engage in continuous professional development, including attending teaching sessions and participating in research or quality improvement projects where relevant.

Work within the rota system, which includes night shifts, weekends, and on call duties, ensuring 24/7 patient care coverage.

About us

London North West University Healthcare NHS Trust (LNWH) cares for the people of Brent, Ealing, Harrow and beyond. Our team of more than 8,200 clinical and support staff serve a diverse population of almost one million people.

• Northwick Park Hospital: home to one of the busiest emergency departments (A&E) in the country. The hospital provides a full range of services including the country's top rated hyper acute stroke unit and one of only three hyper acute rehabilitation units in the UK.
• St Mark's Hospital: an internationally renowned specialist centre for bowel disease.
• Ealing Hospital: a busy district general hospital providing a range of clinical services, as well as 24/7 emergency department and urgent care centre, and specialist care at Meadow House Hospice.
• Central Middlesex Hospital: our planned care site, hosting a range of surgical and outpatient services and collocated with an urgent care centre.

We are a university teaching NHS trust, in recognition of the important role we play in training clinicians of the future and bringing the benefits of research to the public.

Job responsibilities

The rota is full shift and compliant with EWTD and New Deal requirements. An example of the rota template is shown in Appendix A. The rota is an average of 48 hours per week, across an 8 week rota cycle. Successful candidates will work 7 nights (20 30), 7 long days (08 30), 13 standard days (07 30) and will have 4 days for SPA (Supporting Professional Activity) which includes teaching, audit activity, Clinical Governance meetings, maintaining Trust mandatory training and other professional activities in keeping with BMA national guidance.

Person Specification Qualifications

• Possession of a basic medical qualification (e.g. MBBS or Equivalent Registerable Medical Qualification) acceptable to the GMC for registration.
• Provision of evidence of good standing from the applicant's local medical regulatory council.
• Demonstrate knowledge of English by obtaining an overall score of 7.5, with minimum scores of 7.0 in speaking, listening, reading and writing, in the Academic test of the IELTS.
• Eligibility for PLAB exemption.
• Provision of two structured, supportive references from supervising consultants, both of whom must have worked with the applicant within the last 2 years.
• Provision of evidence of a postgraduate qualification acceptable to the RCoA (e.g. primary FRCA).
• Final FRCA, FFICM, EDIC or CICM.

CLINICAL EXPERIENCE, KNOWLEDGE AND EFFECTIVENESS

• Minimum of 4 years of critical care training (including current practice), equivalent to UK ST4+ level, including anaesthetic experience.
• Minimum of 6 months of work in the NHS.
• Advanced Life Support certification (UK or equivalent).
• Appropriate knowledge, practical skills and attitude to independently assess critically ill patients in the referral areas.
• Ability and attitude to recognise a deteriorating patient and when to call for help.
• Familiarity with core critical care and anaesthetic national guidance.
• Further experience in anaesthetics or intensive care or acute medical specialties.
• Awareness of specialty developments.
• IT skills including use of databases, spreadsheets, Word, PowerPoint etc. and willingness and aptitude to learn how to use CERNER (electronic patient record system).

Communication/Teaching

• Confident, clear and diplomatic.
• Effectively communicates with theatre team, patients and their families.
• Experience of teaching (formal/informal).
• Demonstrable presentation skills in educational or scientific settings.
• Formal teaching experience.

Management, Audit and Research

• Ability to manage own workload/time and train medical staff.
• Participation in clinical audit.
• Understanding of audit principles and commitment to its use as a tool for raising and maintaining standards.
• Able to appraise scientific publications and perform literature searches.
• Evidence of ability to lead a team.
• Ability to develop and lead on audit project.
• Evidence of research undertaken, presentations at meetings, publications in peer reviewed journals.

Personal Skills

• Good communication and interpersonal skills.
• Enthusiasm and commitment to the specialty.
• Ability to work effectively and in harmony with medical, nursing and allied health professionals.
• Flexibility, punctuality and reliability.
• Ability to cope with stressful situations.

Motivation

• Initiative and drive.
• Able to conduct self directed learning.

Disclosure and Barring Service Check

This 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.