Senior Clinical Fellow Emergency department

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Senior Clinical Fellow Emergency department

NHS Medical & Dental: Local Appointment nodal point 4a (MT04)

Main area Emergency Medicine Grade NHS Medical & Dental: Local Appointment nodal point 4a (MT04) Contract Fixed term: 12 months (N/A) Hours Full time - 40 hours per week (N/A) Job ref 391-NMUH-8275809

Site North Middlesex University Hospital Town London Salary £67,325 Per Annum +£2,162 London weighting Salary period Yearly Closing 23/11/2026 23:59

Our trust has over 17,000 staff serving 2 million patients every year. It comprises Barnet Hospital, Chase Farm Hospital, the Royal Free Hospital, North Middlesex University Hospital and more than 30 services in the community. This larger scale organisation provides an unprecedented opportunity for us to continue our pioneering work, particularly in finding ways to deliver even better care to our patients.

Our mission is to deliver world class care and expertise in our clinical services, underpinned by world class teaching and research and we will continue to measure our progress against our five governing objectives: excellent outcomes, excellent patient and staff experience, excellent value for taxpayers’ money, being safe and meeting our external duties, and building a strong organisation.

Everyone is welcome at Royal Free London NHS Foundation Trust. We're proud of our diversity and we continue to undertake new initiatives to advance equality for LGBT+, BME, gender equality, staff carers and people with disabilities and lived experiences to promote good relations and understanding between our staff.

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The Emergency Department at the North Middlesex University Hospital has an annual attendance of 190,000 new patients. 27% of attendances are under the age of 16.
The department comprises of 4 streaming rooms, a dedicated initial assessment and treatment area for ambulance arrivals, a 6-bay resuscitation unit, an 18-bay majors’ area, a separate treatment area for sitting patients, an urgent care centre
and a paediatric emergency department with a separate waiting area. The department had been redesigned and restructured recently to further optimise patient care.
Acute Medical and Assessment Units are in proximity to the department. There is an emergency Radiography Department adjacent to the ED which is staffed 24 hours a day. There is always A CT scanner available with excellent consultant-based radiology support.
Full emergency laboratory facilities including a well-resourced point of care testing room are available.
There is a significant trauma workload; the department is part of the London trauma network.
The department receives nearly 20% of its workload as ambulance borne. The department has a philosophy of comprehensive patient care where the initial management of the patient is undertaken in the ED and the patient then handed over to in-patient teams. There is an excellent relationship with the in-patient teams with seamless referrals. The case mix has the highest acuity in the Northeast Thames region with preponderance towards medically unwell patients.

Main duties of the job

These exciting senior posts in Emergency Medicine are aimed at doctors (ST3+ equivalent) who have at least 12 months experience working in Emergency Medicine.

The post holder will work on the Middle Grade rota and if on the senior tier will be responsible for running the Department in the late evenings and nights. This will include leading Trauma calls and Cardiac arrests. There is consultant presence onsite from 0800 – Midnight each day, and a consultant on-call from midnight to 0800.

Whilst in ED you will work as part of the Middle Grade rota. This is split into a senior and junior tier. The post-holder will move between these 2 tiers as experience allows. The Middle Grade rota is self- rostered giving great flexibility to the doctors to choose their shifts and opportunity to improve work-life balance to the applicant.

The posts are designed to allow the post holder to develop essential competences and to progress towards Article 14. We are committed to provide secondment/s in specialist area/s in the hospital according to a personal development plan. These may include 3 months in the following areas (ITU/Anaesthetics/Acute Medicine/Paediatrics).

All post-holders encouraged to participate in departmental audit and Quality Improvement Projects.

Working for our organisation

The Royal Free London NHS Foundation Trust is one of the UK’s biggest and most innovative trusts. Across three main hospitals, our dedicated army of staff care for over 1.6million patients, treat more than 200,000 in A&E, deliver over 8,000 babies and carry out more than 17million tests.

Our size, scale and influence offer you unrivalled career opportunities and a forward-thinking approach to working that works around your lifestyle. From flexible hours and generous benefits, to next level training, we make it easier to take your career to the top

Detailed job description and main responsibilities

The successful candidates will be expected to be fully involved in all aspects of the work of the Accident & Emergency Department under the supervision of the consultant in charge, to whom he/she will be responsible.

The Specialty Registrar/Doctor will:

Provide and maintain a high standard of care for all patients in the
Emergency Department
Communicate effectively with medical and nursing staff of other disciplines, ancillary workers and paramedics in the interest of achieving efficient management of patients

Provide intermediate level supervision for the ACCS, GPVTS, FY2 and Trust SHO doctors.
Participate in audit activity meetings
Facilitate education of his/her juniors, including the nursing staff of the
department
Assist the ED consultants in promoting health care to the department’s
patients in a friendly and caring way.
Lead resuscitation and trauma calls
Middle grade doctors are at the centre of service provision and supervision in the department. They work closely with the specialities in the hospital to ensure best care for the patients. The Trust is fully committed to national targets of care including patient flow through the ED department.