Senior Clinical Fellow: Weaning, Rehab, Complex Home Ventilation

Guy's and St Thomas' NHS Foundation Trust
£33,790 to £53,132 a year pa
Closing date
7 Jun 2023

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We seek a Senior Clinical Fellow to work on multiple sites to gain experience of specialist management of chronic respiratory failure. The post will be split between the Lane Fox service ( St Thomas's Hospital and satellite Remeo unit at Redhill) and the Royal Brompton sleep and ventilation service (based at Sydney Street and Fulham road sites).

The Lane Fox Respiratory Service is currently involved in many exciting initiatives, including the establishment in 2014 of the Lane Fox Remeo centre, a 20-bed unit that complements the 14-bed Lane Fox Unit at St Thomas' Hospital. We are keen to appoint an individual with appropriate respiratory and critical care skills to support the in-patient and out-patient management of weaning and chronic respiratory failure. The service is at the forefront of clinical and academic excellence and will expect the appointed individual to work within the existing academic structure to deliver clinically relevant research.

The Lung failure Care Group at RBH manages 6000 patients on CPAP and 2000 on home mechanical ventilation, and has an outreach team of 4 AHPs, lead by a nurse consultant who supervises the most dependent patients in their own homes. Clinical duties within the care group include inpatient care of patients with end stage lung disease, face to face and video review of these patients and review and management of patients undergoing both home sleep studies and more complex sleep investigations including non-respiratory sleep disorder.

Main duties of the job

The post-holder will undertake in-patient cover at both the Lane Fox Unit at St Thomas's Hospital and the Lane Fox Remeo unit supporting patients weaning from invasive ventilation. Out-patient work will include home NIV setup clinic and outreach and community reviews. The successful applicant will be expected to take an active role in education and research within the Lane Fox Respiratory Service. This is an excellent opportunity to join a first class team in an active and progressive central London teaching hospital environment.

At the Royal Brompton Campus site, clinical duties within the care group includes inpatient care of patients with end stage lung disease, face to face and video review of these patients and review and management of patients undergoing both home sleep studies and more complex sleep investigations including non-respiratory sleep disorder.

About us

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.

Royal Brompton and Harefield hospitals joined Guy's and St Thomas' in February 2021 and is the largest specialist heart and lung centre in the UK and among the largest in Europe. Weprovide treatment for people with heart and lung disease, including rare and complex conditions, offering some of the most sophisticated treatment that is available anywhere in the world.

Our integrated approach to caring for patients from before birth, through childhood, adolescence and into adulthood and old age has been replicated around the world and has gained Royal Brompton and Harefield an international reputation as a leader in heart and lung diagnosis, treatment and research.

Job description

Job responsibilities

The post is fixed term post for 2 years.

The post holder must be medically qualified and maintain GMC specialist registration and hold a licence to practice.

The post-holder will undertake in-patient cover at the Lane Fox Unit at St Thomass Hospital, the Lane Fox Remeo unit and Royal Brompton Campus.

Out-patient work will include running outpatient clinics, home NIV setup clinics and outreach and community reviews.

Full details are in the attached job description.

General enquiries about the job, or for an informal discussion about this post should be directed to Dr Patrick Murphy, Clinical Lead for Lane Fox via his PA, Stephania Beljung on 02071886113 or, or to Professor Michael Polkey via

Person Specification

Professional Qualifications


  • Eligible for full UK GMC registration and a Licence to Practice
  • On GMC Specialist Register or within six months of attaining CCT in Respiratory & General Internal Medicine.
  • MBBS or equivalent
  • MRCP or equivalent


  • BSc or equivalent
  • PhD or equivalent

Clinical Experience


  • ICU experience as a specialist registrar
  • Acute and home mechanical ventilation (non-invasive and invasive ventilation)
  • Respiratory sleep studies
  • Management of patients with chronic respiratory failure


  • Anaesthetic experience including tracheostomy ventilation experience
  • Limited respiratory polygraphy and full polysomnography interpretation
  • Clinical period outside the UK

Clinical Skills


  • Experience of weaning from mechanical ventilation
  • Sleep study interpretation
  • Management of home mechanical ventilation

Audit Management & IT


  • Track record of clinical governance, audit, management and IT skills required
  • Management experience


  • Database design

Research, Teaching skill & experience


  • Track record of research, publications / understanding / knowledge of Research ethics
  • Experience of teaching and training undergraduates, postgraduates and junior medical staff

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.

Certificate of Sponsorship

Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab) .

From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab) .

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).

Employer details

Employer name

Guy's and St Thomas' NHS Foundation Trust


St Thomas Hospital. Remeo Centre East Surrey and Royal Brompton Campus sites

Westminster Bridge Road



Any attachments will be accessible after you click to apply.

196 - MED4031

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