Our Anaesthesia, Surgery, Critical Care and Renal Division

As a part of ASCR you'll develop your skills within regional specialist centres and centres of excellence.

Our teams are specialists in their fields; as a Major Trauma Centre for the South West England, we care for patients from across the region and are a regional specialist centre for major trauma, burns, vascular and renal care.

Our ASCR Education and Wellbeing teams provide tailored support and guidance for our multidisciplinary teams; from journal club to careers and wellbeing cafes, we are passionate about supporting staff seeking professional and personal development.

We are proud to have received many nominations for Team of the Year at the Director of Nursing Awards 2019, including nominations for our ASCR Matron Team and our ASCR Clinical Governance Team who went on to win the award. In the recent 2020 Director of Nursing Awards, we were excited to have winners in the following categories from our division - Inspirational Leader, Educator of the Year and Team of the Year.  

What specialties are available within the ASCR division?

Our ASCR division has a wide variety of exciting specialties, each with their own unique challenges and rewards. Our specialties include intensive care, renal, haemodialysis, surgical admissions, burns and plastics, vascular, general surgery and theatres.

Intensive Care

The Intensive Care Unit (ICU) at Southmead Hospital, Bristol is a purpose built 48-bedded Unit (incorporating 2 Simulation beds) which admits over 2,000 patients each year, making it one of the busiest ICUs in the country. Our intensive care unit achieves excellent outcomes including some of the highest trauma survival rates in the country, and has a strong focus on both medical and nursing education as well as an active and expanding set of Critical Care and Trauma research programmes.

Renal and Haemodialysis

Southmead Hospital has been at the forefront of the living kidney transplant programme for many years and has some of the best success rates in the country. We are also the UK’s largest referring unit for the pancreatic transplants – one of only six hospitals in England to provide islet transplantation. More than 430 patients receive dialysis at Southmead or one of our satellite units in Bath, Weston-super-Mare, Southmead, South Bristol, Taunton and Frome. A new unit has opened at Cossham Hospital in Kingswood. We are also leading the way in home dialysis treatment, offering patients the option of dialysing at home with a dedicated team of staff to support them.

Surgical Admissions

As a single point of entry for all emergency surgical admissions, our unit cares for patients from a range of exciting specialties including urology, vascular and general surgery. You'll get the chance to build a vast knowledge across all hospital specialties, helped by excellent mentoring, a strong preceptorship and working alongside surgical doctors.

Burns and Plastics

Our committed nursing team manages a busy 28 bedded burns, plastic surgery and urology ward; with 20 ensuite rooms and 2 four bedded bays along with an Adult Burns Clinic run on the ward. Our Trust is the Regional unit for Burns, and the major trauma centre for Plastic and reconstructive surgery for the South West of England.


Our Major Arterial Centre delivers the vascular service for the 1.12million people of Bristol, North Somerset, Bath, North East Somerset, South Gloucestershire and Wiltshire and we deliver both elective and emergency vascular care.
Vascular surgery has been recognised as a leading service at North Bristol NHS Trust, alongside our regional trauma, renal, neurosurgery and plastic units. We have a 33-bedded vascular ward in the Brunel building and both a dedicated operating theatre and hybrid theatre available for the vascular service.

General Surgery

General acute surgery at North Bristol NHS Trust treats patients with a range of general surgery conditions, especially hernia. You'll join a team of highly trained and dedicated staff, offering clinics and procedures at Southmead Hospital Bristol and Cossham Hospital.

Theatres and Medirooms

We're lucky enough to work within some excellent facilities here at  North Bristol NHS Trust. We were the first in the UK to adopt new generation software-based integrated theatres on such a large scale, allowing surgeons to call up data and images at the touch of a screen. Each of our theatre suites have a set of single patient rooms called medirooms, which are right next to the theatres. On average, there are 3 medirooms per theatre. We used computer modelling to test the timetable for the new theatres to ensure we always have enough medirooms available. 

Alongside your clinical shifts, you'll be supported by our perioperative development team for your induction and development. You'll gain support from your preceptor, as well as multidisciplinary colleagues. Regular inhouse training programmes are offered within theatres and medirooms, as well as a vibrant and friendly working environment where teamwork is highly valued.

What rotations are available within the division?

Our ASCR division supports each member of staff to choose a bespoke rotation packages across specialties, helping to develop your skills in several clinical areas. These specialties depend on your clinical interests, and can include surgery, medirooms, and renal. 

Can I learn more about the medirooms?

How do the medirooms enable nurses to strengthen clinical skills and give bespoke care?

Could I start my career within the medirooms, and how would I be supported?

What is it like to work within the medirooms?

Want to know more?

If you are looking to find out more about our careers within our NMSK division, or book an interview, please email Nursing@nbt.nhs.uk.