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Clinical Fellow ST4+ - Critical Care

Mid and South Essex NHS Foundation Trust
£33,790 to £53,132 a year Pro rata for part time
Closing date
1 Jun 2023

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Job summary

An exciting opportunity has arisen for an enthusiastic and motivated senior trainee (ST4 or above) with an interest in leadership, management and quality improvement to join Mid and South Essex NHS Foundation Trust as a Chief Registrar in Critical Care.

The Chief Registrar role provides senior trainees with protected time to develop skills and confidence in leadership, management and quality improvement. Learning that chief registrars gain from the Royal College of Physicians' (RCP's) bespoke development programme will be put into practice in a supported environment that provides autonomy, flexibility and support to develop and support projects that address key local challenges and priorities. This may include service improvement, engagement and morale, education and training, workforce, and sustainability.

The Chief Registrar role is a leadership role for senior specialty trainees. The role provides 40-50% protected time to develop and implement local initiatives focusing on, for example, service improvement, engagement and morale, education and training, workforce and sustainability.

Chief Registrars benefit from access to a bespoke development programme provided by the RCP, which runs from September 2023 to June 2024 and comprises five 2-day modules that chief registrars are expected to attend.

Main duties of the job

The Chief Registrar job description is broad in scope in order to allow chief registrars and recruiting organisations to have autonomy and flexibility over the work the chief registrar undertakes. Chief registrars should focus on addressing key local challenges and priorities, which may include some or all of the following:

Your role will involve providing a bridge between senior clinical leaders, managers and the wider trainee workforce to improve communication, engagement and morale, ensuring service improvement, for example redesigning pathways, implementing new technology and establishing new services to improve flow and outcomes for patients and improving the quality of clinical and non-clinical education and training activities, and supporting/mentoring other trainees to engage in quality improvement.

You will be involved in workforce planning and improving the deployment of trainees to meet service needs and improve morale, improving efficiency and reducing waste and working across teams and boundaries to engage stakeholders in quality improvement and influence change and involvement in and exposure to senior management and organisational decision-making.

As Chief Registrar you should attend departmental and divisional management meetings to gain an understanding of management and the wider social, political and economic influences on healthcare delivery.

About us

Mid and South Essex NHS Foundation Trust is now one of the largest in the country, with a workforce of approximately 15,000 who serve a population of 1.2 million people.

We work together, and in conjunction with MSE Health and Care Partnership, to deliver excellent local and specialist services, to improve the health and wellbeing of our patients in a compassionate way, and provide a respectful, but vibrant place for staff to develop, innovate and build careers.

From facilities through to consultant specialists we want to be the best, to achieve this we need to recruit not just those who are the finest in their field but also those who have the potential to be. Yes, experience is important but so is outlook - if you are dynamic, forward-thinking and enthusiastic we want you to join us.

We not only offer you a good working environment with flexible working opportunities, but also the opportunity to develop your career with access to appropriate training for your job and the support to succeed and progress.

Job description

Job responsibilities

Where possible and appropriate, they should attend Board meetings. They should lead any sessions on service development, improvement and transformation for which they have direct responsibility.
Person Specification Qualifications / training Essential
  • Full registration with General Medical Council
  • Be fit to practice
  • Hold a national training number
  • Should be ST4 or above
  • Should not already hold a CCT or be within 12 months (ideally not within 18 months) of completion of training on intended start date
  • Must have approval of TPD to apply
  • Evidence of satisfactory / more than satisfactory progress through training, including annual review of competence progression (ARCP) outcomes
  • Additional relevant degree (intercalated, masters or doctorate)
Clinical skills Essential
  • Evidence of clinical competencies in their specialty appropriate for their stage in training
  • An 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
Research Essential
  • Understanding of research, including awareness of ethical issues
  • Understanding of research methodology and ability to use basic qualitative and quantitative methods
  • Knowledge of evidence-based practice
  • Evidence of relevant academic achievements, including publications / presentations
Leadership and management Essential
  • Evidence of effective team working and leadership, supported by multi-source feedback or workplace-based assessments
  • Evidence of involvement in local management systems
  • Evidence of effective leadership (e.g. evidence of leading innovations or improvements)

Person Specification



  • Full registration with General Medical Council
  • Be fit to practice
  • NTN ST4 or above


  • Valid post-graduate qualification in ALS, ATLS, IMPACT or other relevant acute care course
  • Post-graduate qualification in critical care (e.g., EDIC, UK Diploma, FFICM)

Knowledge and experience


  • Evidence of clinical competencies in their specialty appropriate for their stage in training
  • Ability to prioritise clinical need
  • Ability to maximise safety and minimise risk


  • 6 months experience working in adult general critical care
  • FICE and/or CUSIC accreditation or equivalent accreditation in ultrasound

Education and Teaching


  • Evidence of interest in and experience of teaching
  • Evidence of positive feedback on teaching approaches


  • Development of teaching programmes
  • Participation in degree or diploma courses in education
  • Action learning sets / simulation instructor



  • Capacity to adapt language to the situation, as appropriate
  • Ability to build rapport and communicate effectively with others
  • Ability to communicate effectively under pressure
  • Ability to show leadership, make decisions, organise and motivate other team members through, for example, quality improvement


  • peer-reviewed publications and/or other communication (e.g. blog, letters to journals)



  • Understanding of clinical governance
  • Evidence of active involvement in quality improvement, audit, research
  • Knowledge of evidence-based practice


  • Evidence of a portfolio of audit / quality improvement projects
  • Evidence of publications / presentations / prizes in quality improvement or audit
  • Clear insight into issues facing UK healthcare services

Any attachments will be accessible after you click to apply.


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