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Job Description New Hall Hospital - 37.5 hours per week The role At Ramsay Health Care UK, we know our people are our most important asset. Join our Theatre department as an Orthopaedic Scrub Nurse and support on our journey of ‘people caring for people’. You’ll have the best facilities – many of our theatres have laminar airflow systems and state of the art integrated theatre technology. You’ll also have access to the Ramsay Academy, with potential to gain your SFA, and the chance to develop your career across our 30+ network of independent hospitals across the UK. Like us, you have a can do attitude, and you’re committed to delivering the highest quality clinical outcomes in a supported environment, where you will be valued for your skills and expertise. What you’ll bring with you * NMC/HCPC registration * Surgical scrub experience within orthopaedics including but not limited to hip arthroplasty, knee arthroplasty and anterior cruciate ligaments * Surgical First Assist Qualification (SFA) would be desirable, but not essential * Spinal scrub experience would be desirable * Anaesthetic experience would be desirable but not essential * Proven ability to work effectively in a team environment as well as independently * Flexible and positive attitude * A warm, considerate and empathetic character Benefits * • 25 Days Leave + Bank Holidays, • Buy & Sell Flexi Leave Options, • Private Pension where Ramsay will match up to 5% after a qualifying period, • Flexible shift patterns available where possible, • Enhanced Competitive Parental Leave Policies, • Private Medical Cover with option to add partner & dependants, • Life Assurance (Death in Service) x3 base salary, • Free Training and Development via the Ramsay Academy, • Free Parking on site (where possible), • Subsidised staff restaurant (where possible), • Concerts for Carers, • Employee Assistance Programme, • Cycle2Work scheme available, in partnership with Halfords, • The Blue Light Card Scheme About Us Ramsay Health Care UK is a well-established global hospital group with over 60 years’ experience. It is well respected within the healthcare industry and is one of the leading providers of independent hospital services in England. We love people with a positive, “can do” attitude who want to make a difference in their work. "Our employees are Ramsay." The skills and commitment of our employees forms the basis for our success. “The Ramsay Way” culture recognises that people – staff and doctors – are Ramsay Health Care’s most important asset and this has been key to our ongoing success. For further information or an informal conversation about the role, please contact Mathew Marskell via email- We care. It’s more than what we do, it’s who we are. Everything we do is about striving to deliver the best care. And it's a belief that's as true today as it was when we welcomed our first patients in 1964. “The Ramsay Way” culture recognises that our people are our most important asset and this has been key to our ongoing success. We are proud to support the UK’s Armed Forces and Reservists and have already achieved the Silver Award as part of the MOD’s Armed Forces Covenant Employer Recognition Scheme. The scheme recognises employers who actively support Defence while encouraging other organisations to adopt the same behaviours in their workplace. As a company we are committed to supporting the wider Armed Forces community and this includes our staff as well as our patients. We are committed to equality of opportunity for all. This position is subject to background and DBS checks.

Senior Veterinary Surgeon, Animed Veterinary Hospital, Shedfield Hampshire.Are you a Senior veterinary surgeon seeking an exciting new opportunity in a dynamic and supportive environment?.We're a thriving small animal hospital with a large and varied caseload, and we're currently seeking a talented

About the Role We are seeking Locum Pharmacists to provide safe, effective, and patient-focused pharmacy services in Southampton. Locum assignments may be available in community pharmacies, hospital settings, GP practices, and primary care services, supporting clinical care, dispensing operations, and medicines optimisation. This is a flexible opportunity for pharmacists who enjoy variety, can adapt quickly to new teams and systems, and maintain high standards of professional practice. Key Responsibilities • Provide pharmacy services in line with GPhC standards, SOPs, and contractual requirements, • Clinically check prescriptions for appropriateness, interactions, contraindications, and dosing, • Dispense and supervise dispensing activity accurately and safely, • Provide patient counselling on medication use, side effects, adherence, and self-care, • Support and supervise pharmacy teams (technicians, dispensers, counter staff) and maintain efficient workflow, • Manage controlled drugs and ensure safe storage, record-keeping, and regulatory compliance, • Provide NHS and private services where commissioned and trained (site dependent), such as:, • New Medicine Service (NMS), • Medicines Use Reviews (where applicable/commissioned), • Vaccinations (e.g., flu/COVID, where authorised), • Minor ailments advice and signposting, • Liaise with prescribers, GP surgeries, and other healthcare professionals to resolve prescribing queries, • Maintain accurate documentation and use pharmacy PMR systems confidently, • Promote good governance, safeguarding awareness, and patient confidentiality Essential Requirements • MPharm degree (or equivalent), • Current GPhC registration (in good standing), • Recent experience in a relevant pharmacy setting (community/hospital/primary care—depending on shifts), • Strong communication skills and a professional, patient-centred approach, • Ability to work independently, prioritise effectively, and adapt to different systems and teams, • Up-to-date compliance documents as required for locum work (e.g., right to work, DBS where applicable) Desirable (Nice to Have) • Experience with common PMR systems (e.g., ProScript, Nexphase, Titan, Pharmacy Manager—varies by employer), • Vaccination accreditation and anaphylaxis training, • Experience delivering NHS clinical services and supporting medicines optimisation, • Independent Prescriber (IP) qualification (where relevant to GP/primary care roles), • Experience in high-volume community settings or multi-branch operations Working Arrangements • Flexible shifts: ad hoc, short-term cover, or longer placements, • Weekday and weekend availability may be required depending on site needs, • Rates vary by location, setting, and shift urgency What We Offer • Competitive locum rates, • Flexible scheduling and a variety of sites, • Fast onboarding support and compliance guidance, • Opportunities for repeat bookings and longer-term placements About Flexzo AI Flexzo AI is a specialist healthcare talent partner dedicated to connecting exceptional clinicians with forward-thinking NHS and independent healthcare services across the UK. We combine deep sector expertise with advanced AI-driven matching technology to ensure a seamless, personalised recruitment experience for both candidates and employers. By applying through Flexzo AI, you will benefit from: • A dedicated consultant guiding you through every stage of the process, • AI-assisted role matching to ensure the post aligns with your skills, career goals, and preferred working style, • Streamlined onboarding support, including assistance with compliance, documentation, and relocation (if applicable), • Exclusive access to roles across multiple NHS Trusts and specialist mental health services Flexzo AI is committed to supporting your long-term career development and ensuring you find a post where you can thrive clinically, professionally, and personally.

Responds to general maintenance duties and operates hospital/building equipment and systems to include building engineer/technician operational duties as assigned. Performs general preventive maintenance, repair, testing, installation, and troubleshooting of plumbing and mechanical systems, water, m

Adults Social Worker - Hospital Discharge Team.

Compass Associates are delighted to be working with a leading healthcare provider in their search for a Clinical Pharmacist for their local private hospital. The hospital are currently searching for an experienced Pharmacist to provide their pharmaceutical knowledge and experience in ensuring the ca

We are currently hiring a Dietician in our clients new state of the art hospital in the beautiful Caribbean. This is an exciting opportunity to provide top-tier dietary care while enjoying the tropical paradise lifestyle. Earning a tax-free salary along with an attractive relocation package Responsibilities • Conduct nutrition assessments on patients within 3 days of admission when a positive nutrition trigger is indicated on the initial nursing intake assessment; Implement nutrition plan for patients following an assessment; Evaluates the nutrition care plan within 48 hours., • Provide nutrition counseling to patients in OPD; this includes nutrition assessment, planning, monitoring and, • evaluation., • Order relevant nutrition supplies (such as food models) and work with Pharmacy to ensure appropriate nutrition, • supplements are stocked., • Consult with the Kitchen to ensure patient meals are nutritionally adequate; provides support and education to, • dietary services (kitchen) staff. Requirements • Undergraduate degree in nutrition with accredited internship and/or accredited Master’s Degree in Nutrition or Health Sciences with 3 years’ experience working as a dietitian; previous work experience in a hospital setting and/or primary care facility preferred., • Minimum 3 or more years of experience in relevant field., • Fluent English communication (oral and written) required. Spanish proficiency is advantageous but not mandatory., • Current licensure in country of origin and with local authority license to practice Package on Offer • Tax Free Salary 0f $5,000 - $6,000 Per Month DOE, • Relocation Package, • Other benefits discussed at interview stage If you are interested, feel free to apply. If you would like to know more information, call our office +353 64 66 70001 and ask for Liam

We are seeking dedicated and experienced Consultant Paediatrician from the United Kingdom to join our client’s private hospital on a beautiful Caribbean island. The ideal candidate will provide expert Paediatric to a diverse patient population in a fast-paced environment, upholding the highest standards of clinical excellence and patient safety. Responsibilities • Deliver specialist paediatric care for acute and chronic conditions, • Perform comprehensive assessments and develop treatment plans, • Supervise junior doctors and nursing staff, • Collaborate with allied health teams and external partners, • Provide family-centred education and support, • Contribute to quality improvement initiatives and clinical audits, • Participate in on-call rota and emergency paediatric care Requirements • MRCPCH or equivalent paediatric specialist qualification, • Full GMC registration required, • Minimum 5 years of consultant-level experience preferred, • Strong leadership and communication skills, • Commitment to child safeguarding and family-focused care, • Ability to work in a multicultural environment Package on Offer • Tax free salary of $260,000 Per Annum, • Relocation support, • Excellent professional development opportunities If you are interested, feel free to apply. If you would like to know more information, call our office +353 64 66 70001 and ask for Liam or email

The Jersey Mental Health and Capacity Review Tribunal offers a rare and rewarding opportunity for medically qualified professionals to serve as Medical Members, making a real and lasting difference to people’s lives. Applications should be sent to and include a copy of your CV and covering letter addressing, in no more than two pages, how you believe you meet each of the qualities, skills and areas of experience. In this role, your psychiatric expertise will be central to the Tribunal’s consideration of applications and referrals made under the Mental Health (Jersey) Law 2016 and the Capacity and Self-Determination (Jersey) Law 2016. You will contribute to the determination of applications for discharge from detention, challenges to decisions relating to leave from hospital and restrictions on communications, and reviews of decisions concerning transfer for treatment outside Jersey. In addition, you will assist the Tribunal in reviewing applications under Part 5 of the Capacity and Self-Determination (Jersey) Law 2016, concerning capacity and significant restrictions on an individual’s liberty. Your clinical insight will support fair, lawful, and rigorous decision-making, ensuring that statutory criteria are properly applied and that individuals’ rights are safeguarded. The panel comprises of a legally qualified Chair, a medical member and lay members. This position provides an excellent career development opportunity, allowing you to broaden your experience and continue growing your skills in a role where your expertise truly contributes. Our Medical Members usually take part in around twenty-five hearings each year where remote working arrangements are possible. Hearings are remunerated at a half-day rate of £400 for 3.5 hours, while the pre-hearing examinations where required typically lasting around one hour is paid at £201, with reasonable expenses also reimbursed. Together, these elements create a role that offers both meaningful contribution and professional enrichment. Applicants must be fully registered with the General Medical Council, and meet one of the following requirements: • be a member or fellow of the Royal College of Psychiatrists, • be a member of the Royal College of General Practitioners on the National Performers List with including substantial experience in the diagnosis or treatment of mental disorder and at least four months in a supervised psychiatric training post recognised by the Royal College of Psychiatrists; or, • Have a minimum of three years’ full-time experience in a psychiatric training post or non-consultant career grade post with substantial experience in the diagnosis or treatment of mental disorder. If you want to make a meaningful contribution, see the impact of your work, and feel proud of the difference you make, contact Tracey Pearce for further information and job description.

Clinical Use Case Specialist – Digital Health Permanent | UK‑wide | Remote with NHS site travel Confidential Employer | Fast‑Growth SME (30+ headcount) Are you an experienced NHS Acute clinician with a passion for digital transformation? This rapidly scaling digital health SME (70–80% year‑on‑year growth) is expanding its clinical product team and is seeking a Clinical Use Case Specialist to help shape the future of clinical communication and digital workflows across UK hospitals. The Opportunity In this role, you will evaluate how digital clinical communication tools are used in real‑world NHS settings, identify workflow pain points, and develop new clinical use cases that improve safety, efficiency, and patient outcomes. You’ll work directly with frontline clinicians, informatics teams, product, and engineering to refine and evolve digital pathways used across large Acute trusts. Key Responsibilities • Evaluate real‑world clinical usage, uncovering gaps, inefficiencies and opportunities within hospital workflows, • Refine existing digital pathways and shape new use cases across different clinical areas, • Ensure clinical safety, compliance, governance and alignment with NHS policy and standards, • Work across clinical, product, and technical teams to influence roadmap and feature prioritisation, • Conduct clinical and user research to understand needs, behaviours and pain points, • Use data and analytics to measure success, adoption, and clinical benefit ✔ Must have worked within a large NHS Acute Hospital ✔ Strong understanding of NHS clinical workflows, clinical risk, governance and safety ✔ Experience digitising clinical pathways or delivering digital transformation in healthcare ✔ Health informatics, clinical informatics, or digital clinical workflow experience ✔ Experience working with multi‑disciplinary clinical and technical teams ✔ Understanding of interoperability standards (FHIR, HL7), data governance and NHS policy ✔ Product, programme or service improvement experience in a clinical‑digital environment Nice to Have • Clinical background (doctor, nurse, AHP), • Experience with clinical decision support, EPR integration or safety‑critical tools, • Work with a high‑growth, mission‑driven SME shaping the future of clinical communication, • Be part of a tight‑knit team of 30+ with huge scope for influence and progression, • Opportunity to improve real clinical outcomes at regional and national scale, • Work closely with former NHS leaders and digital innovators If you’re passionate about improving the way clinicians work and want to contribute to meaningful digital change, we’d love to hear from you. Please contact Sophie Peters at for further information.

Are you a passionate and dedicated pharmacist looking for an exciting new opportunity? We are currently seeking a Clinical Pharmacist to join our dynamic healthcare team in Jersey. Whether you are newly qualified, have experience in community pharmacy, or come from a hospital pharmacy background with a clinical diploma, we want to hear from you. Read more about our Pharmacy Department and moving to Jersey here - ___ Main duties of the job Provide specialist Clinical Pharmacy Services to HCJ to help ensure the safe, clinically effective, and economical use of medicines. Job responsibilities • Support the Lead Pharmacists and Clinical Pharmacy Manager in the delivery of a high quality, patient-focused medicines optimisation service for patients in line with nationally approved standards, within a designated area., • Monitor and review therapeutic programmes for patients and provide specialist information, advice and guidance on the safe, effective and economical use of medicines, so that patients receive the best pharmaceutical treatment with minimal adverse effects., • Undertake medication reviews, including medicines reconciliation for newly admitted patients and pharmaceutical care planning prior to discharge, to minimise risks with medication associated with transfers between care settings. LFiaise with medical and nursing staff over any clinical issues, to ensure that each patient is receiving the most appropriate medication., • Work as a member of the multi-professional health and care teams including attendance at ward rounds, providing highly complex clinical pharmacy advice and expertise to peers, patients and management to ensure that best practice is promoted and delivered to patients., • Advise on complex prescribing issues to medical and nursing staff to ensure that legislative requirements and best practice standards are met in the delivery of pharmacy service., • Support the Clinical Pharmacy Manager in the development of local clinical pharmacy guidelines and policies. Implement national and local policies and guidelines related to medicines., • Provide specialist information to support formulary decisions by the Drugs and Therapeutics Committee., • Provide planned sessional clinical and professional supervision with the pharmacy dispensary., • Develop and deliver medicines related training programmes to medical, nursing and pharmacy staff., • Identify and participate in areas of research including audits of medicines use to assist with medicines optimisation throughout the department., • On-call involvement and participation in the weekend rota are an essential requirement for the role. Person Specification Essential qualifications: • Registered pharmacist with the GPhC. Essential experience: • Vocational (four year) masters degree in pharmacy., • Registration with the General Pharmaceutical Council (obtained by completing one-year post-graduate pre-registration training with final examination)., • Post-graduate MSc or Diploma in Clinical Pharmacy (desirable but not essential different salary schemes), • Specialist knowledge of therapeutics of common disease states and frequently used therapeutic regimes., • Well-developed knowledge of pharmaceutical technical and clinical procedures acquired through training and experience., • Knowledge of checking dispensed prescriptions and supervising staff within the Pharmacy., • Good understanding of medicines governance, safety and management, including relevant legislation., • Understanding of clinical governance, medication incidents and risk management., • Up to date knowledge of national guidelines and legislation relating to medicines use and pharmacy practice., • Practical knowledge of maintaining records according to confidentiality and data protection protocols., • Excellent communication; verbal and written., • Communicates effectively across all levels., • Ability to adapt personal style in order to influence others and gain support for ideas., • Supports the development of and shares learning with other members of staff., • Able to remain professional and effective under pressure., • Committed to continuous service improvement and also continued professional development for themselves and their team. 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 ___. 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. ___. UK Registration Applicants must have current UK professional registration. For further information please see ___ Employer details Health and Care Jersey Address Government Of Jersey Union Street St. Helier Jersey JE2 3DN Employer's website: ___ For more information please email

The role involves conducting outpatient clinics and participating in a supportive neurology team at Queen Alexandra Hospital.

A leading medical device company is seeking a driven Territory Manager to drive sales and market growth in the Southampton area.You will engage across all hospital levels and leverage your clinical knowledge to advance opportunities.The ideal candidate has a track record in the NHS environment and e

UPL is a wholly owned subsidiary of University Hospital Southampton NHS Foundation Trust, providing pharmacy services for hospital staff, outpatients, and visitors. Conveniently located in the main foyer of the hospital, the pharmacy offers a wide range of over-the-counter medicines and healthcare p

A leading hospital in the UK offers a Medical Retina Fellowship in Southampton aimed at enhancing your clinical skills and research experience.

A Research Technician position is available in the Centre for Cancer Immunology at Southampton General Hospital. It builds on a 40 year history of pioneering immunology and cancer research at Southampton, and represents the first dedicated cancer immunology centre in the UK. Working at the Universit

The position involves validating patient pathways, ensuring data quality, and supporting staff with training on RTT processes.

Neonatal Operational Delivery Network Manager. As the ODN Manager, you will: Provide strategic and operational leadership for the Neonatal ODN; Oversee delivery of key workplans aligned to all seven core network functions; Lead system-wide engagement with providers, commissioners, clinical leaders a

A leading NHS foundation trust in Southampton is seeking an experienced grants manager to provide essential support in research grant management. This full-time role involves assisting researchers from the conception to completion of research studies, ensuring alignment with national benchmarks and

Clinical Nursing Associate / Assistant Practitioner - Neonatal. You will be a NMC registered Nursing Associate or an Assistant Practitioner with a health‑related foundation degree. OR Assistant Practitioner with a health‑related Foundation Degree e.

We’re seeking an experienced Consultant Orthopaedic Surgeon (Bank) to support and strengthen the orthopaedic service at Practice Plus Group Hospital, Southampton. This bank role offers high-quality elective work, no routine out-of-hours commitment, and the opportunity to contribute to a service re

A leading NHS teaching hospital in Southampton is inviting applications for a 12-month position as a Senior Fellow in Paediatric Orthopaedic Surgery.

A leading security service provider in the UK is seeking a dedicated Security Officer to oversee the safety and security of University Hospital in Southampton.Duties include compliance with legal requirements and managing risks on-site.The ideal candidate should possess previous security experience

Are you passionate about transforming healthcare services and driving sustainable change? We are seeking an ambitious, forward-thinking Band 7 Transformation Manager to join the newly established Strategic Network for Critical Care (SNCC), a dynamic programme bringing together Adult and Neonatal Cri

The role offers a commitment to ongoing training and development in a diverse and inclusion-driven environment. A large healthcare institution in Southampton is seeking a Specialist Sonographer to join their imaging department.

A healthcare facility in Southampton is seeking a Maintenance Manager to lead the Building and Fabric Maintenance team. Responsibilities include managing planned and reactive maintenance, contract management, and ensuring compliance with statutory regulations.

A veterinary charity hospital in Southampton seeks RCVS-registered veterinary surgeons.

Consultant Anaesthetist | Part Time and Flexible Job Planning | Luxury Private Hospital. Are you a Consultant Anaesthetist looking to explore the. Flexible job planning with structured 4-day clinical weeks.

In this lead role, you will manage a team of over 30 staff, including pharmacists, pharmacy technicians, and pharmacy assistants, delivering pharmacy services for more than 250 clinical trials across a wide range of clinical specialties. Leading the Clinical Trials Pharmacy team, you will work close

The Site Lead Pharmacist is the most senior pharmacist on site, leading, delivering, developing, managing and evaluating the clinical pharmacy services to Southampton hospital, UTC and affiliated departments. As the Site Lead Pharmacist, you will be expected to act as a role model in line with corpo

Amyloidosis Clinical Nurse Specialist – University Hospital Southampton NHS Foundation Trust. University Hospital Southampton NHS Foundation Trust invites applications for a 2‑year Band 7 Amyloidosis Clinical Nurse Specialist position funded by Pfizer. Clinical experience at Band 6 or equivale

A leading NHS Trust in Southampton is seeking a full‑time Head of Clinical Engineering to lead its Medical Physics & Clinical Engineering Department. The successful candidate will manage a significant portfolio of medical devices and contribute to safety and policy development. The position offers

Online applications are invited for a 12‑month post as a Senior Fellow in Paediatric Orthopaedic Surgery. The post holder will join a team of 10 Paediatric Orthopaedic Consultants and 3 other fellows to further develop their interests and skills in Paediatric Orthopaedic Surgery. Grades for Trust�

A leading UK teaching hospital is looking for a Head of Clinical Engineering to lead medical device governance and safety policies. This role involves strategic oversight of approximately 37,000 medical devices and requires strong leadership skills and compliance expertise. You'll work with a team o

A leading NHS Hospital in Southampton seeks a skilled clinician to join its neonatal intensive care team.This role offers valuable experience in managing high-risk deliveries and developing essential clinical skills.With a commitment to flexible working and a minimum of 35 days paid holiday, you wil

A leading NHS foundation trust is seeking a Head of Clinical Trials Pharmacy to lead an established team managing pharmacy services for over 250 clinical trials. Located in Southampton, the position offers a comprehensive benefits package and flexible working options.

A leading healthcare provider in Southampton seeks a Registered Nurse for the Neurosciences Intensive Care Unit.The ideal candidate will possess strong leadership and clinical skills, ensuring high-quality patient care.Responsibilities include managing daily operations and demonstrating clinical exp

A veterinary charity hospital in Southampton seeks RCVS-registered veterinary surgeons to perform routine surgeries and manage a busy caseload.Candidates should possess strong communication skills and a passion for learning in a collaborative environment.The role offers flexible working options and

A major UK healthcare provider seeks a part-time Clinical Psychologist in Neuropsychology in Southampton.

A leading NHS foundation trust in Southampton is looking for a Patient Administrator.

A prominent NHS teaching hospital in Southampton is seeking a Specialist Pharmacist to develop and deliver educational programmes.This part-time role involves working with multidisciplinary teams to enhance clinical practice and improve patient safety.Candidates must have a Masters in Pharmacy, be r

Biomedical Scientist | Pathology | Southampton | Private Hospital | Full Time, permanent. Spire Southampton is looking for a highly motivated Biomedical Scientist to join our dynamic team. As a Biomedical Scientist in Pathology, your role is to assist in the organisation, management and development

A major healthcare institution is looking for a Head of Pharmacy Clinical Trials to lead its Clinical Trials Pharmacy team. The ideal candidate will have significant experience in clinical research and hospital pharmacy.

This role involves implementing a maintenance program for building services and ensuring compliance with safety regulations. Candidates should have experience in building services and possess relevant electrical or mechanical qualifications.

You will act as a clinical role‑model for band seven cancer pharmacists and may manage a small team under the principal pharmacist for cancer services.

The Surgical Care Group are looking for an enthusiastic and motivated individual to join our team as an RTT validator.

In this lead role, you will manage a team of over 30 staff, including pharmacists, pharmacy technicians, and pharmacy assistants, delivering pharmacy services for more than 250 clinical trials across a wide range of clinical specialties. Leading the Clinical Trials Pharmacy team, you will work close

A regional healthcare provider in Southampton seeks a Clinical Lead for Adult Critical Care. This pivotal role will focus on delivering regional priorities in adult critical care services. Candidates must have significant experience as a senior clinician and a strong understanding of NHS systems.