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Specialist in Anaesthesia

Leeds Teaching Hospitals
£83,945 to £95,275 a year
Closing date
2 Jul 2024

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Other Health Profession
Contract Type
Full Time
These are 10 PA specialist anaesthetist posts. Two posts will be available as soon as possible.

The posts will deliver 10 PAs supporting the anaesthetic team at the Leeds General Infirmary and St Jamess University Hospital Leeds.

The successful applicants should hold accreditation in FRCA in the Royal College of Anaesthetists or equivalent and should be on the Specialist Register or within six months of being admitted to the Register for trainees if currently in a training programme within the UK at the time of interview or have references which have been authorised by the Deputy Medical Director and Clinical Director.

Applicants should have established skills in anaesthesia, excellent communication and team working skills, a strong commitment to teaching and service development are essential.

Consideration will be given to applicants who wish to work full or part time and those wishing to job share. Prospective applicants are encouraged to visit the hospital, which can be arranged by contacting:

Dr Sharmeen Lotia Clinical Director Theatres & Anaesthetics -

Dr Claire Tordoff Lead Clinician Theatres & Anaesthetics SJUH -

Dr Marelize Van-Gruenen Lead Clinician Theatres & Anaesthetics LGI - (01133926672)

Dr Oliver Martin Lead Clinician Theatres & Anaesthetics LGI -

Main duties of the job

Service Delivery


The Trust expects specialists in anaesthesia to deliver clinical services as agreed with commissioners and other stakeholders. This will include:

meeting the objectives of the post (see above)

continuously improving the quality and efficiency of personal and team practice

working with other staff and teams to ensure that the various criteria for service delivery are met, such as -

oachieving the best clinical outcomes within the resources available

o waiting times

o infection control standards

Specialists in Anaesthesia in LTHT are line managed by their specialty Lead Clinician working in conjunction with a Business Manager. This specialty team is then managed alongside a number of other specialties in a Clinical Service (or Support) Unit (CSU) led by a Clinical Director as the responsible person and supported by a full time General Manager and a full time Head of Nursing.

The Clinical Director and their team report operationally to the Chief Operating Officer (COO). The Clinical Director will work closely with the Chief Operating Officers team which includes three Medical Directors for Operations, Nurse Directors for Operations, Deputy Chief Operating Officer, Directors of Operations (DOP) and a Performance Team, with each DOP aligned to specific CSUs.

Professionally, Specialists in Anaesthesia report to Dr Sharmeen Lotia, Clinical Director of T& A and in turn to the Chief Medical Officer

Please see enclosed JD for details.

About us

Leeds Teaching Hospitals is one the largest teaching hospital trusts in Europe, with access to leading clinical expertise and medical technology. We care for people from all over the country as well as the 780,000 residents of Leeds itself. The Trust has a budget of �1.1 billion. Our 20,000 staff ensure that every year we see and treat over 1,500,000 people in our 2,000 beds or out-patient settings, comprising 100,000 day cases, 125,000 in-patients, 260,000 A& E visits and 1,050,000 out-patient appointments. We operate from 7 hospitals on 5 sites all linked by the same vision, philosophy and culture to be the best for specialist and integrated care.

Leeds Teaching Hospitals is committed to our process of redeploying 'at risk' members of our existing workforce to new roles. As such, all our job adverts are subject to this policy and we reserve the right to close, delay or remove adverts while this process is completed. If you do experience a delay in the shortlisting stage of the recruitment cycle, please bear with us while this process is completed, and contact the named contact if you have any questions.

Job description

Job responsibilities

Our vision is based on The Leeds Way, which is a clear statement of who we are and what we believe, founded on values of working that were put forward by our own staff. Our values are to be:






We believe that by being true to these values, we will consistently achieve and continuously improve our results in relation to our goals, which are to be:

1. The best for patient safety, quality and experience2. The best place to work

3. A centre of excellence for specialist services, education, research and innovation

4. Hospitals that offer seamless, integrated care

5. Financially sustainable

Leeds Teaching Hospitals NHS Trust is part of the West Yorkshire Association of Acute Trusts (WYAAT), a collaborative of the NHS hospital trusts from across West Yorkshire and Harrogate working together to provide the best possible care for our patients.

By bringing together the wide range of skills and expertise across West Yorkshire and Harrogate we are working differently, innovating and driving forward change to deliver the highest quality care. By working for Leeds Teaching Hospitals NHS Trust this is your opportunity to be a part of that change.

WYAAT is the acute sector arm of the West Yorkshire and Harrogate Health and Care Partnership, one of the largest integrated care systems in the country. The Partnerships ambition is for everyone to have the best possible health and wellbeing, and the work of WYAAT, and each individual trust, supports that ambition.


1. To work with trainees and Consultant colleagues in the provision of a comprehensive

anaesthetic service in the Leeds Teaching Hospitals NHS Trust.

2. To develop and/or consolidate expertise in anaesthesia.

3. To maintain and expand the excellence of teaching and research already established

within the Trust.

4. To develop services for the specialty, taking account of the changes in clinical practice and

new technologies available.

5. To participate in and progress Clinical Governance.


3.2 Quality

The Trust has a programme of activities that are designed to help Specialists improve the quality of the service they offer. This includes a range of activities shown below as examples not all activities can be undertaken every year! Specialists are expected to routinely engage in relevant activities in their specialty that are focussed on quality improvement. This participation should be reflected at annual appraisal and job planning and will be discussed in specialties as part of clinical governance programmes and meetings.

Clinical Audit and standard setting

Clinical audit projects

Development and application of agreed clinical guidelines

Ensuring compliance against relevant national specifications, e.g. NICE guidelines

External Peer review and relevant national audits

Implement improvements identified in GIRFT reviews

Clinical outcome review

Mortality and morbidity reviews

Structured Judgement Reviews

Monitoring of outcomes reflected in routinely collected data

Participation in clinical coding review and improvement

Improving patient safety

Participation in Trust-wide programmes, including mandatory learning

Respond to national patient safety alerts

Implementation of local improvements, including actions from serious incident investigation reports, following clinical review

Promptly record patient safety incidents on Datix and immediately escalate potential serious incidents to the CSU management team

Ensure Duty of Candour requirements are met

Improving service effectiveness and efficiency

Service or system improvement projects, including small scale change, lean or other recognised improvement methods

Conducting or considering reviews of the evidence to plan better service delivery

Where agreed, working with commissioners to match service delivery with requirements of relevant populationsImproving the patient experience

Implementing service improvements based on individual or service feedback from patients or carers

Raising the profile and impact of patient participation in decisions about their own care

Involvement in understanding and improving the ethical basis of care provided, utilising where necessary the trusts clinical ethics committee

Respond to complaints in a timely and open manner and ensure lessons are learned for future patient care

3.3 Research

The Trusts Research Strategy encourages all clinicians to participate in high quality, nationally recognised clinical research trials and other well-designed studies, with a particular emphasis on work supported by the National Institute for Health Research. The Trust has several major programmes in experimental medicine and applied health research, developed in partnership with the University of Leeds, which reflect strengths described in the Strategy and clinicians are encouraged to participate in these programmes.

The Trust also supports bespoke academic development and participation programmes linked to the Research Strategy, including academic mentoring, and embedding of clinicians within the major research programmes.

Sessional time required for any participation in research activity will be agreed on commencement and kept under review, but not all consultants will require such sessional time.

3.4 Teaching

The Trust is a Teaching Hospital and therefore considers the active participation of specialists and other medical staff in teaching and training to be part of our core activities. Not all specialists will have regular and substantial teaching commitments, but all will be involved in related activities from time to time, if only through informal opportunities, for example as part of service quality improvement (see above). It is therefore expected that all specialists will be familiar with the principles of effective teaching and will enable the service and colleagues to fulfil their obligations to learn and teach about effective care.

The remainder of this section concentrates on teaching and training for medical colleagues, but the Trust actively supports and encourages medical staff to participate in and deliver teaching and training to any colleagues, within and outside of the Trust, where this is agreed as an appropriate time commitment.

Undergraduate medical teaching

The Trust actively promotes links with the University of Leeds, School of Medicine for teaching medical undergraduates and all clinical medical staff are required to participate to the level agreed within their service.

Where it is agreed by the Clinical Director that the postholder will be significantly involved in delivering undergraduate medical teaching, the following requirements have been agreed with School of Medicine, University of Leeds.

Postgraduate medical teaching

As with undergraduate teaching, specialists are expected to contribute to overall programmes of postgraduate teaching in their service. Where there is a lead or significant role agreed as part of the specialists job plan, the following expectations apply:

Specialists will be expected to act as a clinical supervisor for any or specified junior doctors working with them. All Specialists must undergo clinical/educational supervisor training. Training is envisaged as needing renewal every 5 years.

Specialists may take up specific educational roles in the speciality which includes educational supervisor. The core 1.5 SPA includes 0.25 SPA for educational supervision of 2 trainees. If the Specialist is not an educational supervisor, then alternative activities (e.g. specialty audit lead etc.) should be substituted instead.

If the Specialists have a role in either under- or post-graduate medical education, the GMC expects that evidence of the quality of this education is presented at annual appraisals.

3.5 Continuing Professional Development (CPD)

In the discharge of their responsibilities, the specialist in anaesthesia will be expected to maintain and update their skills and knowledge through appropriate continuing professional development.

The Trust fully supports the requirement for CPD by the relevant Royal College and the GMC. This essential component of a specialist in anaesthesia professional activities will be reviewed during the appraisal process. Time and financial support for these activities will be allowed in accordance with the Trust policy.


All Specialists in anaesthesia are senior members of the Trusts staff and are therefore seen by colleagues as leaders. Specialists in anaesthesia are expected to make allowance for this, given that the most powerful leadership influence they exert is the example they set.

In addition, the Trust places great emphasis on the role of doctors in leading service improvement and change, both in their normal daily role of delivering care and in relation to specific issues. It is expected that a Specialist in anaesthesia will lead on specific areas of priority for their service from time to time, as part of their duties. Such departmental or Specialty leadership roles would be agreed, for example, in respect of leading or co-ordinating:

clinical governance

quality improvement




The Trust supports these activities as part of the normal job plan commitments of any Specialist in anaesthesia. On appointment, all Specialists will be encouraged to participate in the activities established by the Trust to support doctors in their new role, a mentor will be assigned.

JOB PLAN AND WORKING ARRANGEMENTS - 10 PAsThe job plan review will take place annually, normally with the Lead Clinician / Clinical Director. Any job plan review may result in a revised prospective job plan where duties, responsibilities, accountability arrangements or objectives have changed or need to change significantly within the area..

Please see enclosed JD for details.

Person Specification



  • Ability to lead diverse teams within all areas of the hospital
  • Understands own leadership style and its impact on others
  • Demonstrated ability to develop effective relationships across teams, contributing to their successful working
  • Demonstra
    Any attachments will be accessible after you click to apply.


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