Trust Grade Registrar in Critical Care and Anaesthesia


Company:	London North West Healthcare NHS Trust
Salary:	£45,715 - £69,976 per annum plus 1A Banding
Hours:	Full-time
Location:	Harrow, HA1 3UJ
Job type:	Permanent
Posting date:	3 Nov 2026
Closing date:	3 Dec 2026

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Summary

A Vacancy at London North West University Healthcare NHS Trust.

We are seeking seven enthusiastic, experienced and highly motivated Trust Grade Registrars to join our Anaesthesia and Critical Care departments at London North West University Healthcare NHS Trust (LNWHT). These are exciting new posts created by the merger of our previously separate Ealing Hospital and Northwick Park/Central Middlesex rotas into a single unified, three-site rota. This change represents a significant expansion in clinical breadth for post holders, and a unique opportunity to work across one of the largest and most diverse Intensive Care and Anaesthesia departments in North West London.

The posts are primarily designed for doctors with established experience in Intensive Care Medicine who are capable of functioning as the senior resident registrar within a consultant-led critical care service. Successful applicants will participate in resident on-call rotas covering Intensive Care and Enhanced Care services across all three hospital sites. During out-of-hours periods, post holders will frequently act as the most senior resident doctor within the Critical Care service, supported at all times by an on-call Intensive Care Consultant.

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The post holder will be expected to participate fully in the provision of a comprehensive Intensive Care and Anaesthetic service across all three hospital sites, accountable to the Clinical Directors?.

Critical Care Responsibilities

· Participate in the resident on-call rota covering Intensive Care and Enhanced Care services across Northwick Park, Ealing and Central Middlesex Hospitals.

· Function as the senior resident registrar within the Critical Care service, supported at all times by an on-call Intensive Care Consultant.

· Assess, investigate and initiate management of critically ill patients presenting with respiratory, cardiovascular, neurological, renal, metabolic and infectious pathologies.

Anaesthetic Responsibilities

· Provide anaesthesia and analgesia for patients undergoing elective and daytime CEPOD surgery across all Trust sites, exclusively under the direct, immediate supervision of an allocated Anaesthetic Consultant.

· Post holders will not hold an anaesthetic on-call bleep. Out-of-hours commitments are entirely within Intensive Care and Enhanced Care services.

· Undertake pre-operative assessments and provide post-operative care in the recovery room.

· Advise surgical and pre-operative assessment teams on the preparation of patients for surgery.

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.

We run major acute services at:

• 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.

Anaesthetic Responsibilities

· Post holders will not hold an anaesthetic on-call bleep. Out-of-hours commitments are entirely within Intensive Care and Enhanced Care services.

· Undertake pre-operative assessments and provide post-operative care in the recovery room.

· Advise surgical and pre-operative assessment teams on the preparation of patients for surgery.

· planned daytime rota commitments together with eventual progression to oncall work on the maternity unit as part of the Obstetric Anaesthetic service.

· Provide opportunities to help develop anaesthetic competencies appropriate to previous experience and career aspirations, supported by the allocated Educational Supervisor.

Critical Care Responsibilities

· Participate in the resident on-call rota covering Intensive Care and Enhanced Care services across Northwick Park, Ealing and Central Middlesex Hospitals.

· Function as the senior resident registrar within the Critical Care service, supported at all times by an on-call Intensive Care Consultant.

· Assess, investigate and initiate management of critically ill patients presenting with respiratory, cardiovascular, neurological, renal, metabolic and infectious pathologies.

· Lead the resident medical response to deteriorating patients referred from wards, emergency departments, theatres and recovery areas.

· Participate in consultant-led ward rounds and contribute to the formulation of management plans. There will be opportunity to lead ward rounds in an acting-up or upskilling capacity.

This advert closes on Tuesday 17 Nov 2026

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