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Senior Clinical Fellowship in Emergency Medicine and Patient Safety

Nottingham University Hospitals NHS Trust
£51,017 to £58,398 a year If ACP, will be band 8a/8b
Closing date
27 May 2023

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Job summary

Are you an Emergency Physician or ACP with an interest in Patient Safety?

Are you passionate about reducing risk, improving quality of care and making the emergency department a place where we deliver safe, effective care?

We are excited to have created a novel Tier 4 (middle grade) Senior Clinical Fellow (SCF) post in 2022 and are now looking for a new SCF to join our dynamic and friendly Emergency Medicine team, as part of a large investment expanding our medical workforce. You will pursue a special interest and also work clinically whilst working in Nottingham University Hospitals (NUH) Emergency Department . NUH is the East Midlands Major Trauma Centre.

The Fellowship in Patient Safety would be an ideal post for someone looking to develop their skills in investigating incidents, understanding the factors underpinning error and managing risk. In this post, you will spend 50% of your time participating in learning opportunities in different settings across the Trust and within the ED, as well as undertaking activities to improve the management of patients in the department. The remaining 50% will be spent working clinically out of hours (including nights, weekends and evenings) to gain clinical experience in a busy Emergency Department.

Main duties of the job

This post is a full time post in Emergency Medicine, in which:
  • 50% of your time will be spent pursuing you interest in Patient Safety, undertaking a range of activities across the ED and NUH to support improvements in patient safety.
  • 50% will be clinical, on the Tier 4 registrar rota providing cover in all the different areas of our Emergency Department (Majors Unit, Urgent Treatment Unit, Resuscitation Area and Paediatric ED)

You will also be expected to take a leadership role in our Clinical Governance and Clinical Effectiveness Committee, supporting quality improvement, research and educational innovations allied to their area of interest. You will also link with our established NUH Trust Patient Safety fellow.

Full registration with the GMC is essential OR with the relevant registered body (if an ACP). Medical applicants will have passed the MRCEM (or equivalent) and all applicants will be competent to work to Tier 4 (middle grade) level with at least six months' experience in Emergency Medicine at registrar/ senior ACP level.

About us

Our Emergency Department

Our forward thinking, research active Emergency Department is one of the busiest in Europe with 179,000 new attendances annually. The Children's ED sees 44,000 children and young people and has recently benefitted from a transformation to expand the department with major investment.

The multi-professional ED team is key to achieving our vision of delivering 'excellent care without exception'. A new leadership and governance structure, incorporating distributive leadership and 'shared governance' principles, aims to engage all staff to achieve this aspiration.

The Department has 24 hour Consultant cover, and the recent workforce investment will support an increase across the entirety of our clinical establishment. The appointee will join our team of 40 Tier 4 (middle grade) clinicians, (Higher Specialist Trainees, CESRs and senior Advanced Clinical Practitioners).

The nine bayed Resuscitation Area includes two adult and one paediatric major trauma bays, and the Majors Area has 30 monitored bays. The Urgent Treatment Unit (UTU) is a co-located area where ambulatory illness and injury patients are assessed and treated by primary care and ED clinicians. The expansion and rebuild of our new paediatric emergency department will include a new purpose built paediatric resuscitation area.

The ED also runs a Clinical Decisions Unit alongside the main department.

Job description

Job responsibilities

The post is open to all applicants with a demonstrable interest in Patient Safety, Clinical Governance and Quality Improvement, who meet the essential criteria detailed in the person specification and wish to gain further experience in the management of a wide range of medical and surgical conditions presenting to all areas of the Emergency Department.

The Fellowship will support you to develop an attractive portfolio of non-technical skills, knowledge and experience, by working closely with the senior leadership of one of the largest and most complex NHS Trusts in the United Kingdom, within one of the busiest Emergency Departments in Europe. This opportunity is for those who aspire towards significant medical leadership positions and/or roles with a significant patient safety/clinical governance element in the future.

You will be allocated clinical supervisors for Emergency Medicine and Patient Safety who will support you to develop clinical and non-clinical skills. The Emergency Department Clinical Supervisor will carry overall responsibility. You will have agreed SMART objectives for the Fellowship. These objectives will be signed off within two weeks of the start of the Fellowship by all partners and will form the basis of the Fellows learning agreement.

There will also be an opportunity to undertake a funded PGCert to develop the academic foundations underpinning quality and safety in Healthcare and their applications in the clinical environment, as well as additional funding on an individual basis to represent the department and trust at conferences.

This post would suit an experienced Emergency Medicine ST4+ (or equivalent) doctor or Post CCT clinician wishing to develop their skills and knowledge of Patient Safety and Improvement in the Emergency Medicine setting eitheras an out of programme postor before taking up a consultant post. It would also be suited to an ACP with the required post qualification experience.

The responsibilities and duties of the Emergency Department element of the post include:
  • The assessment and provision of treatment to patients attending ED and liaising with appropriate specialties for ongoing management
  • Acting as resuscitation team leader for seriously ill or injured patients, including children presenting to ED.
  • Liaising with the shop floor consultant in charge for clinical and administrative advice as appropriate.
  • Working with the nurse in charge and the wider multi-professional team to ensure effective running of the department, supporting the delivery of safe, timely, quality care, in line with the National Emergency Care Standards
  • Contributing to the provision of an effective emergency medicine service in collaboration with colleagues in the multi-professional team.
  • The supervision and training of junior doctors, Advanced Practitioners, Physicians Associates, Urgent Care Practitioners and Emergency Nurse Practitioners .
  • Attendance and presentation at departmental and Trust Governance meetings

Post holders will have opportunities to develop experience in:
  • Theoretical and practical applications of Patient Safety, Human Factors and Quality Improvement methodologies to the Emergency Department setting
  • Leadership and Management Styles
  • Serious Incident investigations to support learning and improvement and use of emerging national patient safety investigation tools and techniques
  • Lead or support a patient safety improvement project that is aligned to ED service priorities
  • Presentation, report writing skills and publication of key aspects of work
  • Corporate decision making and governance functions
  • Patient and family liaison
  • Education of clinical colleagues in their field of interest

Person Specification

Training and Qualifications


  • MB ChB or equivalent. OR MSc and ACP qualification
  • GMC registration with licence to practise or equivalent OR if ACP, registered with relevant professional body
  • Evidence of completion of life support courses: ATLS or equivalent; ALS or equivalent; APLS or equivalent.


  • Full FRCEM or Certificate of Completion of Training (CCT)
  • Level 1 Ultrasound competency
  • A Postgraduate qualification in medical education OR a recognised teaching qualification



  • 6 months previous Emergency Medicine experience at ST4+ level (or equivalent) OR as qualified ACP in the NHS or a comparable healthcare system.
  • Completion of Foundation training plus 2 years of post-Foundation training in acute specialties (Anaesthesia, Acute Medicine, Emergency Medicine or Intensive Care Medicine) or equivalent OR significant experience working as a qualified ACP


  • 3 months anaesthetic experience (including certificate of Initial anaesthetic Competency).

Quality/Service Improvement


  • Evidence of involvement in quality improvement, audit, formal research project or other activity which focuses on patient safety and clinical improvement or exhibits innovation in challenging situations


  • Evidence of continuous career development including evidence of attendance at meetings / conferences and engagement in Quality Improvement methodology
  • Other evidence of academic achievement including additional qualifications, prizes

Any attachments will be accessible after you click to apply.


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