Overview
In this on-call role you provide strategic clinical leadership and medical assurance during major incidents and periods of high demand. You help the LAS Strategic Commander allocate and coordinate clinical resources across pre-hospital and hospital partners. You operate at the intersection of command cells, EOC, and partner agencies to shape the medical response and improve patient outcomes in London. This is a chance to apply senior clinical expertise to national-scale, time-critical challenges and public health events.
Pay / Benefits
- flexible working
- on-call payment (salary plus on-call %)
- leadership role in strategic response to incidents
- opportunity to contribute to NHS emergency preparedness
Responsibilities
- Provide expert medical advice and clinical assurance to the LAS Strategic Commander during major incidents and mass casualty events
- Support strategic decision-making to ensure appropriate clinical resources are available and used effectively
- Act as the senior clinical link between LAS, hospitals, NHS partners and other emergency services
- Provide strategic clinical oversight within command structures (Command Cell, EOC)
- Support management of clinical risk during major incidents and sustained operational pressure
- Contribute to incident debriefs, lessons learnt, and post-incident reporting
- Participate in a 24/7 on-call rota and provide timely clinical advice
- Attend training and exercises to maintain operational readiness
Key requirements
- Current UK professional registration
- Previous experience in emergency medicine, critical care, pre-hospital care or acute specialties with ambulance exposure
- Willingness to be available on-call and mobilise within 60 minutes of activation
- Ability to provide expert medical management in pre-hospital and mass casualty contexts
- Experience coordinating with multiple stakeholders (hospitals, NHS partners, other emergency services) during high-stakes incidents
- calm under pressure
- clear communication with cross-agency teams
- strong decision-making and prioritisation
- pre-hospital medical management
- mass casualty incident response
- clinical risk management during incidents
Strategic Medical Advisor (SMA) in London employer: National Health Service
Betsi Cadwaladr University Health Board is an exceptional employer, offering a supportive and collaborative work environment for healthcare professionals in North Wales. With a commitment to employee development and a focus on compassionate care, staff have access to continuous professional development opportunities and the chance to make a meaningful impact in both acute and community paediatrics. The Health Board's integrated approach ensures that employees are part of a dynamic team dedicated to improving health outcomes for the local population.
