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Specialty Doctor or ST4+ in A&E

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North West EnglandAccident & EmergencyFixed TermMiddle Grade£59,175 to £95,400 a year
An exciting opportunity has arisen for experienced Speciality Doctors and ST4+ level Emergency Medicine clinicians to join a dynamic and expanding Emergency Medicine team in North West England. This role offers the opportunity to work as part of a Senior Decision Maker (SDM) rota alongside Higher Specialist Trainees and experienced Advanced Clinical Practitioners, delivering high-quality emergency care across a broad and diverse patient population.
The successful candidate will be actively involved in clinical leadership, departmental management, quality improvement, governance, teaching, and workforce development while gaining exposure to a varied case mix including major trauma, acute illness, paediatrics, and emergency presentations.

Main Duties & Responsibilities

• Participate in the initial assessment, diagnosis, treatment, and management of patients attending the Emergency Department
• Independently manage the department overnight as an experienced ST4+ clinician, ensuring safe and effective patient care
• Assess and manage critically ill and injured patients requiring resuscitation and emergency interventions
• Provide care for adult and paediatric emergency presentations
• Manage complex cases, major trauma, acute medical emergencies, and minor injuries
• Support Consultants and Senior Nursing staff in coordinating clinical activity on the shop floor
• Ensure timely assessment and treatment of patients while maintaining patient flow through the department
• Supervise junior doctors, clinical fellows, advanced practitioners, medical students, and nursing staff
• Participate in observation ward rounds within the Emergency Department
• Review radiology and pathology results and undertake associated administrative responsibilities
• Contribute to achieving national quality indicators and performance targets
• Participate in clinical governance, audit, and quality improvement projects
• Maintain professional standards in accordance with GMC guidance and Trust policies
• Participate in departmental teaching, simulation training, and educational activities
• Support the development and training of the multidisciplinary workforce
• Undertake annual appraisal and continuing professional development activities

Emergency Department Services

The department provides comprehensive emergency care services, including:
• Adult Emergency Medicine
• Paediatric Emergency Medicine
• Major Trauma Care
• Resuscitation Services
• Acute Medical Emergencies
• Minor Injury Management
• Observation Ward Services
• Same Day Emergency Care Pathways
• Emergency Imaging Access, including 24-hour CT Services
• Critical Care and Intensive Care Support
• Emergency Surgical and Speciality Referrals

The service manages a broad spectrum of emergency presentations and offers exposure to both high-acuity and complex emergency medicine cases.

Senior Decision Maker Role

As part of the Senior Decision Maker rota, successful candidates will:
• Work alongside Emergency Medicine Higher Specialist Trainees and Senior Advanced Clinical Practitioners
• Lead emergency department activity during out-of-hours periods
• Make independent clinical decisions in complex and high-pressure environments
• Coordinate multidisciplinary teams during emergencies
• Access consultant support when required
• Play a key role in maintaining patient safety and departmental efficiency

This role provides significant autonomy and leadership opportunities for experienced Emergency Medicine clinicians.

Teaching, Education & Career Development

The department has a strong commitment to professional development and education.

Opportunities include:
• Regular simulation training sessions
• Table-top exercises and case-based discussions
• Journal clubs and departmental teaching programmes
• ALS and ATLS training opportunities
• Medical student teaching
• Postgraduate doctor training and supervision
• Advanced practitioner education
• Educational supervision opportunities
• Support towards GMC-recognised trainer status
• Quality improvement and research involvement
• Leadership and management development

The organisation actively supports doctors pursuing Portfolio Pathway (CESR) routes, Specialist roles, educational leadership positions, and broader SAS career progression opportunities.

 

Person Specification

Requirements

Essential

• MBBS or equivalent medical qualification
• Full GMC Registration with Licence to Practise
• Current ALS/ACLS certification
• Current ATLS/ETC certification
• Current APLS/EPALS certification
• Minimum 4 years post-registration experience
• Minimum 36 months Emergency Medicine experience
• Minimum 12 months NHS experience
• Minimum 3 months Anaesthesia and/or Intensive Care Medicine experience
• Experience in Paediatrics, General Paediatrics, or Paediatric Emergency Medicine
• Demonstrated completion of Foundation Competencies or equivalent
• Excellent clinical decision-making abilities
• Strong communication and organisational skills
• Ability to work independently and recognise limitations appropriately
• Experience teaching and supporting multidisciplinary teams
• Commitment to patient safety, governance, and professional development


Desirable

• MRCEM or evidence of progression towards MRCEM/FRCEM
• Royal College postgraduate qualification
• POCUS experience
• Wilderness, expedition, or humanitarian medicine qualifications
• Experience in audit and research projects
• Clinical governance experience
• Leadership and management experience
• Staff management experience
• Budget management experience
• Educational qualification
• Teaching experience with undergraduate and postgraduate learners
• Presentation skills and IT proficiency
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