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Job overview
Applications are invited for the position of Junior Clinical Fellow (previously known as Trust Doctor, SHO/FY2+ grade) in Acute Medicine, at the North Middlesex University Hospital, Royal Free London NHS Foundation Trust in North Central London (NCL).
This is an exciting time to join the department as we recently joined the Royal Free group and have the opportunity to realign our services to the needs of our patients.
The successful applicant will work in the Same Day Emergency Care Unit (SDEC), providing medical care in an ambulatory setting to patients presenting with a variety of medical conditions referred via multiple pathways (general practice, London ambulance service, emergency department, NHS 111, acute medicine department).
The SDEC team is currently expanding to accommodate increased activity throughout the week, in line with the expansion of admission avoidance pathways. We have both condition-specific pathways (for high volume conditions, such as DVT, cellulitis, pyelonephritis, etc) and inclusion and exclusion criteria, allowing us to maximise the number of patients seen in SDEC thus reducing the number of hospital admissions and the number of patients seen in the emergency department.
Main duties of the job
- CLINICAL RESPONSIBILITIES
- Keeps professional knowledge & skills up to date, follows infection control standards.
- Able to discuss treatment options with patients in a way they can understand.
- Able to prioritise according to clinical need.
- Competent in basic bedside medical procedures, physical examination, history taking.
- Competent in formulating investigation and treatment plans, managing complex scenarios and deteriorating patients.
- The appointee will be expected to fulfil the relevant Royal College’s requirements for Continuing Medical Education (CME) or Continuing Professional Development (CPD) as a minimum.
Detailed job description and main responsibilities
The applicant will work on a rota following a three-week pattern, i.e. Monday to Friday 9 am - 5 pm for two weeks and 12 pm - 8 pm for one week, alongside the rest of the Team, composed by two consultants, two registrars, several SHOs, ACPs, and nurses.
For more information regarding the main responsibilities of the role, please refer to the attached Job Description.
Person specification
Skills
Essential
- Able to prioritise clinical need
- Aware of own limitations, consults senior colleagues appropriately
- Understands the principles of clinical governance – ensures patients are not put at risk
Experience
Essential
- Competent in basic procedures, physical examination, history taking, formulating investigation and management plans
- Evidence of completion of foundation programme competencies
Desirable
- NHS experience
- Knowledge of UK health systems and practices including the relationship between primary and secondary care and inter-professional relationships
- Knowledge of current issues in the NHS
Qualifications
Essential
- GMC Registration
- MBBS or equivalent
Desirable
- Working towards a postgraduate qualification (e.g. MRCP or equivalent)
- ILS or equivalent
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Applying for this NHS job
This advert is for Junior Clinical Fellow - SDEC with Royal Free London NHS Foundation Trust in London, London, England. It is listed as a Junior Medical doctor Acute Medicine role. The advertised salary is £54499.00. The contract type is Permanent. The application deadline is 27 Jul 2026.
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