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Chief Registrar in Ambulatory Medicine

Oxford University Hospitals NHS Foundation Trust
£58,398 a year + Enhancements for Out-of-Hours
Closing date
1 Jun 2023

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Job summary

This is an exciting opportunity for an energetic, forward thinking trainee who wishes to develop higher level skills in the acute setting in a teaching hospital.

The Trust is looking to appoint a Chief Registrar to follow on from its very successful previous cohorts of Chief Registrars. These posts are supported by the Royal College of Physicians and Health Education England and are aimed to help trainees develop key skills that will equip them for their career as a consultant.

Main duties of the job

The Royal College of Physicians (RCP) Chief Registrar Programme is a healthcare management and leadership training programme for senior trainees as emergent healthcare leaders, developed as a key component of the Future Hospital Programme established to implement the recommendations of the 2012 Future Hospital Commission.[1] A key recommendation was to establish the Chief Registrar - a new senior role focused on leading and prioritising the optimal coordination of medical care, 24-7, to deliver best patient and service outcomes from available healthcare resources.

The 'Chief Registrar role combines the role of senior clinical trainee with a healthcare leadership and management development role, providing a unique personal development opportunity. Across all participating organisations, the RCP envisages that the Chief Registrar role will contribute to one or more of the following activities within a Trust: managing services; coordination of medical care; quality and service improvement; education and training; service re-design; and workforce transformation.

We are seeking a Chief Registrar to join our progressive team that has a clear vision to deliver patient-centred, contemporary care in innovative ways. There will be a total of two chief registrars within Acute General Medicine (one post has been appointed to already).

About us

Oxford University Hospitals NHS Foundation Trust is one of the largest NHS teaching trusts in the country. It provides a wide range of general and specialist clinical services and is a base for medical education, training and research. Find out more here

The Trust comprises four hospitals - the John Radcliffe Hospital, Churchill Hospital and Nuffield Orthopaedic Centre in Headington and the Horton General Hospital in Banbury.

Our values, standards and behaviours define the quality of clinical care we offer and the professional relationships we make with our patients, colleagues and the wider community. We call thisDelivering Compassionate Excellenceand its focus is on our values of compassion, respect, learning, delivery, improvement and excellence. These values put patients at the heart of what we do and underpin the quality healthcare we would like for ourselves or a member of our family. Watch how we set out to deliver compassionate excellence via theOUH YouTube channel

Job description

Job responsibilities


60% of basic time will focus on delivering and leading clinical care that is ambulatory by default at the John Radcliffe and Horton Hospital sites. This input, focused on extending the reach and application of contemporary ambulatory care, will complement the current senior- and middle-grade input to ambulatory services.

The additional hours (beyond basic) commitment will focus on delivery of leadership in ambulatory care support peak periods. Typically, urgent care pathways see sustained surges in demand from lunchtime until late evening; Chief Registrar leadership of early, rapid assessment, treatment and pathway determination during this period will be a vital component in delivering better patient outcomes and ensuring that every appropriate patient is home by midnight.

Specifically, within a not to overnight care (beyond midnight or before 7am).

Service Transformation

In aggregate, 40% of basic time will be allocated to supporting service transformation towards an ambulatory by default model: delivered in all assessment settings, 24-7, with exceptional patient-centred outcomes and inclusive use of innovative pathways that minimise use of traditional inpatient settings and optimise value. Delivering this will require close work with management teams, to initiate and develop projects including those identified by the Chief Registrars.

All activities will embrace the Trusts vision of patient-centered service transformation and be aligned with the Future Hospital Commissions recommendations for ambulatory care: with greater vertical and horizontal integration of acute services transcending traditional hospital-community and intra-hospital barriers. Such activities will complement Trust service improvement initiatives, and will have patient safety and the delivery of high-quality, better safe, compassionate care at their core.

Please refer to attached job description for further information.

Person Specification



  • Full GMC registration and licence to practise



  • Be fit to practice
  • oHold NTN in training programme including G(I)M, and be actively participating in (or very recent experience of) acute medical take
  • Should be ST4 and above
  • Should not hold a CCT
  • Have approval from TPD for this OOPE
  • More than satisfactory progress throughout training, including ARCP outcomes


  • Additional degree (intercalated, masters or doctorate)

Clinical Skills


  • Clinical competency in own medical specialty appropriate for their stage in training
  • Evidenced experience in Point-of-Care Ultrasound, and a clear timeline and plan to achieve independent competence
  • Appropriate knowledge base, and ability to apply sound clinical judgement to problems
  • Ability to prioritise clinical need
  • Ability to maximise safety and minimise risk
  • Ability to work without supervision where appropriate Demonstrable experience in ambulatory care


  • Demonstrable outcomes in ambulatory care
  • Experience in management of frailty syndromes
  • Evidence of skills in management of acute medical emergencies (eg ALERT, IMPACT certification, ALS Instructor)



  • Understanding of research, including awareness of ethical issues
  • Understanding of research methodology
  • Knowledge of evidence-based practice


  • Evidence of involvement in a formal research project
  • Evidence of relevant academic achievements, including publications / presentations

Leadership and management


  • Effective team working and leadership skills, supported by MSF or WBAs
  • Involvement in local management systems
  • Self-awareness, with knowledge of personal strengths and weaknesses, impact and areas for development
  • Interest in and knowledge of the importance of leadership and management for clinicians


  • Effective leadership skills in and outside medicine (eg evidence of leading innovations or improvements)
  • Understanding of leadership theory and practice
  • Understanding of NHS management and resources
  • Understanding of the local and national context in which the trust operates, including economic and political influences

Quality / Service improvement


  • oAwareness of the RCP Future Hospital Programme and understanding of the policy arena in relation to the implementation of the Future Hospital Commission's recommendations
  • Understanding of clinical governance
  • Active involvement in QIP/audit, research or other activity that focuses on patient safety and clinical improvement and innovation
  • Interest in / knowledge of the delivery of safe, effective healthcare services


  • Evidence of completed audit/Quality improvement projects
  • Evidence of learning about the principles of change management
  • Prizes in QIP/audit
  • Insight into issues facing UK healthcare services

Education and Teaching


  • Interest in and experience of teaching
  • Evidence of excellent feedback on teaching


  • Teaching diploma or degree
  • Development of teaching programmes
  • Participation in teaching courses

Personal Skills


  • Clarity in written and spoken communication
  • Capacity to adapt language to the situation as appropriate
  • Active listening and empathy
  • Ability to build rapport and communicate effectively with others
  • Ability to persuade, negotiate and influence others
  • Ability to communicate effectively under pressure
  • oCapacity to use logical/lateral thinking to solve problems/ make decisions, indicating an analytical/scientific approach and where appropriate, creativity in problem solving
  • Capacity to manage/prioritise time and information effectively
  • Evidence of thoroughness (well prepared, self-disciplined/committed, punctual and meets deadlines
  • Capability to work with long timescales for delivery within agencies with differing priorities
  • Ability to work effectively under pressure
  • Any attachments will be accessible after you click to apply.


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