Barts Health NHS Trust
Royal London - ACCU


The Royal London ACCU is a busy 44-bed capacity unit offering invaluable clinical experience. The case-load of complex medical and surgical patients reflects that appropriate for a large tertiary referral centre. As a major trauma centre and recipient of cases from HEMS, the experience gained in the management of complex trauma is legion. This comprises not only visceral, thoracic and orthopaedic trauma, but also a significant proportion of severe traumatic brain injuries and their subsequent neurological and neurosurgical care. The unit is demanding and high-paced, but good fun and well supported. The trainee will benefit from exposure to state of the art techniques in artificial homeostasis, comprising all forms of organ support as well as some only available in a few units, for example alternative ventilation techniques, extra-corporeal CO2 removal and portable CT imaging. The unit is lead by a group of dedicated and leading Intensivists and is closely affiliated with the Royal London research department.


Clinical Leads, RA & College Tutor Details



Rota Details for Trainees


Number of trainees:


  • 30 over 4 rotas (2 x 1:7 and 2 x 1:8)


On-call commitments


  • Covering the ACCU, including outside trauma calls and cardiac arrest in the Royal London Hospital




  • 1A


Modules Available for Anaesthetic Training


  • ICM (Basic, Intermediate, Higher and Advanced)

  • Transfer

  • Sedation

  • Resuscitation


Special Training Opportunities / Fellowships


  • Advanced ICM

  • Research fellows

  • Education fellows


Local Education Opportunities


  • Weekly teaching

  • Journal Club

  • Mortality and Morbidity meetings

  • Trauma and Spinal injury MDMs

  • Grand Rounds


Research / Audit / Academic opportunities


  • There is an active research team present on the unit, headed up by Professor Rupert Pearse and Dr Michael O’Dwyer (Senior Lecturer), with a team of research nurses ensuring recruitment into multiple clinical trials.  There are plenty of opportunities for getting involved in local, national and international projects depending on need and time spent in the unit.


  • For more information about research opportunities visit the Critical Care and Perioperative Medicine Research Group website here.


Contact details for further information