Resident Doctor ST3/4 (MN37) - Virtual Hospital in Watford

Main area: Virtual Hospital

Grade: MN37

Contract: 12 months (Fixed Term/ Secondment Jan 2026-Jan 2027)

Hours: Full time, Flexible working, 40 hours per week

Salary: £52,291 - £67,610 Plus £149 HCA per annum

Salary period: Yearly

Closing: 22/01/ :59

Job overview: Clinical Fellow (ST3+ level) post in Digital Medicine, remote monitoring and Virtual Hospital Medicine. This is a full time, fixed term 12-month role. Full or part time applicants are invited to apply for this exciting clinical fellowship post in virtual hospital, digital technology and remote monitoring. This post is designed with either senior trainees (ST3+ level seeking to take an OOPE to develop advanced skills) or post CMT trainees (ST3+ level seeking to gain a firm foundation before applying for speciality training) in mind. Applications from colleagues across the full range of specialties are welcomed.

Main duties of the job:

• To deliver and maintain the various pathways running within the acute VH Hub.
• To clearly and concisely communicate complex and highly sensitive information.
• To overcome barriers to providing hospital at home services with key stakeholders.
• To support the follow up clinic for patients discharged from the VH.
• To support the identification, reviewing (in-patient), on-boarding and monitoring of patients.
• To attend, and participate in, board rounds, MDTs and other key VH meetings.
• To work as part of a multi-disciplinary team to deliver the best patient care.
• To take part in VH governance arrangements and morbidity and mortality meetings as required.

Working for our organisation: With a new hospital planned for Watford and work underway to update theatres at St Albans City Hospital, this is an exciting time to join us. We are building on the success of our award-winning virtual hospital and re-imagining models of care, working ever more closely with partners and making the most of advances in digital healthcare. Staff wellbeing and development are a priority at our Trust, as is the role of innovation in improving clinical care, outcomes and patient experience. Our vision is Excellent patient care, together and our values are to be empowered, compassionate, professional and inclusive. They capture an important balance across what we must all do as individuals and to support others. We offer a variety of flexible working options as we recognise the importance of a good work-life balance.

Detailed job description and main responsibilities: The VH clinical fellow will provide day-to-day support to all pathways in the virtual hub supporting the growing team of specialist nurses in the identification, review (in-patient), on-boarding and then monitoring of patients. The Clinical fellow will be expected to rotate between different pathways. The post holder for the VH Fellow role is expected to deliver and maintain the various pathways running within the acute VH Hub. As such, they must receive and communicate highly complex, sensitive, or contentious information (written and verbal) and will be expected to work to overcome barriers to understanding with senior colleagues, executives, and external stakeholders. You will be expected to participate in case finding, attending emergency department daily huddles, the daily board rounds, review patients remotely, and bring patients up to the hospital for in-person reviews. Take an active role in MDTs furthermore, you are expected to enhance the vital link between patients on outlier wards with the VH team and the specialist service, reviewing in-patients for potential onboarding to the virtual hospital. In addition, there’s an expectation that the fellows will link with industry partners to review our current technology and RPM solutions (remote patient monitoring) and look to the future to see how we can evolve. There are significant research opportunities for IT/data literate trainees as we’ve curated >1000 discharged patients data feeds. Within this there’s continuous monitoring streams for several key physiological parameters. Questions around identifying patterns to stratify at-risk patients remain to be answered. You will also be encouraged to pursue an affiliated post graduate qualification and to engage with the Faculty of Clinical Informatics (FCI welcome - Faculty of Clinical Informatics). The successful applicant will support the consultants in providing weekend cover for the virtual hospital.

Person specification:

• Education and qualifications: MRCP or Equivalent MBBS. IT literacy. GMC registration.
• Knowledge: Have completed IMT2 or equivalent. Higher degree: MSc or PhD.
• Experience: Involvement in audit/ Quality improvement.

West Hertfordshire Teaching Hospitals NHS Trust provides acute healthcare services to a core catchment population of approximately half a million people living in west Hertfordshire and the surrounding area. The Trust also provides a range of more specialist services to a wider population, serving residents of North London, Bedfordshire, Buckinghamshire and East Hertfordshire. As an employer of nearly 6,000 people the Trust is one of the biggest employers in the area and sees nearly a million patients each year.

This post is subject to the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (Amendment) (England and Wales) Order 2020 and it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service.