The Critical Care department at GSTT has an international reputation for clinical excellence and a prominent research profile. As well as serving the local population we provide tertiary critical care to the region. The critical care directorate comprises six clinical areas and totals 75 beds at the St Thomas' site. There are 39 level 3 beds in the East Wing of the hospital (15 on EW1 ICU, 13 on EW2 ICU and 11 on EW6 ICU), an overnight intensive recovery unit (11 level 3 beds staffed by anaesthetists), a medical/surgical HDU on East Wing level 10 (15 level 2 beds) and cardiovascular surgical HDU (10 level 2 beds) on East Wing level 8. At the Guy's site, there are 13 level 2/3 beds on the Guys Critical Care Unit (GCCU). Our case mix is challenging with a large proportion of complex medical and cardiothoracic patients. We manage a wide spectrum of medical and surgical emergencies. We are one of the largest severe respiratory failure centres in Europe by case load. The service was commissioned in 2012. This includes a 24/7 consultant-led ECMO/severe respiratory failure retrieval service. We conduct around 100 ECMO retrievals annually. There is also exposure to extra-corporeal CO2 removal. There is ongoing going development of a VA programme for the management of reversible cardiogenic shock and eCPR. The post holder will also have significant exposure to general ITU patients and complex vascular, general surgery and cardiac surgery patients, This post will provide the post-holder with unrivalled clinical experience and many opportunities for portfolio development including audit and research. The role occupies a central position in the Trust's delivery of high class clinical care and carries significant responsibility. ST 3-7 level trainees are required to provide direct clinical care in all of the Critical Care areas in the trust, namely:

• East Wing 1 and 2 Intensive Care Units
• Guy's Critical Care Unit
• Victoria High Dependency Unit (EW10 Medical/Surgical HDU)
• Doulton High Dependency Unit (EW8 Surgical HDU)
In addition to providing direct clinical care the ST3-7 trainee is responsible for:
• Providing assistance and supervision for the ST1-2 trainees in critical care and their continuous assessment
• Timely assessment of critically ill patients within the hospital, including the Emergency Department (ED), Overnight Intensive Recovery (OIR) and ward areas.
• Leading the Clinical Response Team (CRT) with support from senior nursing and physiotherapy colleagues
• Safe transportation of critically ill patients within the Trust - this includes to and from the CT/MRI scanners and between the Guy's and St Thomas' sites.
• Transportation of critically ill patients to other hospitals.
• The ST3-7 trainee may be asked to provide clinical support in the Overnight Intensive Recovery Area (OIR) or the Lane-Fox Unit (chronic respiratory failure)
  
  Guy's and St Thomas' NHS Foundation Trust comprises five of the UK's best known hospitals - Guy's, St Thomas', Evelina London Children's Hospital, Royal Brompton and Harefield - as well as community services in Lambeth and Southwark, all with a long history of high quality care, clinical excellence, research and innovation.
We are among the UK's busiest, most successful Foundation Trusts. We provide specialist care for patients including heart and lung, cancer and renal services as well as a full range of local hospital and community services for people in Lambeth and Southwark. We have a long tradition of clinical and scientific achievement and - as part of King's Health Partners - we are one of England's eight academic health sciences centres, bringing together world-class clinical services, teaching and research. We have one of the National Institute for Health Research's biomedical research centres, established with King's College London in 2007, as well as dedicated clinical research facilities. We have around 22,700 staff, making us one of the largest NHS Trusts in the country and one of the biggest employers locally. We aim to reflect the diversity of the communities we serve and continue to develop new and existing partnerships with local people, patients, neighbouring NHS organisations, local authorities and charitable bodies and GPs.