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Job overview
This post is based in the Imperial College Healthcare NHS Trust Same Day Emergency Care (SDEC) department at St Mary’s Hospital. Our service is one of the first emergency medicine-led SDEC units and forms part of a highly effective, collaborative urgent care system. The role offers excellent clinical exposure to a wide range of emergency presentations, with a particular focus on acute medical patients. Access to advanced diagnostics, specialist advice and follow-up services makes this a rewarding opportunity to deliver high-quality, patient-centred care. The post is well suited to doctors with at least one year of experience in emergency medicine or acute medicine following foundation training, and includes protected time for self-development, study and quality improvement work. Post holders will be supported by an educational supervisor or mentor and encouraged to set and achieve their own professional development objectives.
Main duties of the job
The post holder will work a varied shift pattern within Same Day Emergency Care, including at least one late shift each week and participation in a one-in-three weekend rota. Annualised working and self-rostering are available and actively encouraged, offering flexibility and greater control over work patterns. In addition, one educational development shift is provided every six weeks, creating protected time for quality improvement, research, teaching and personal professional development.
Detailed job description and main responsibilities
- Deliver comprehensive assessment, investigation and management for a broad range of patients suitable for Same Day Emergency Care, including diagnostics, infusion therapies and clear follow-up planning.
- Support the wider urgent and emergency care pathway by managing workload efficiently, reducing waiting times and using next-day review or alternative pathways to improve patient flow.
- Work in close partnership with specialty teams to secure timely advice within a single attendance, strengthening clinical decision-making and improving the patient experience.
- Contribute actively to the multidisciplinary team to provide safe, effective and high-quality care across the service.
- Lead or contribute to quality improvement, research and service evaluation projects that drive innovation and enhance patient care.
- Review investigation results promptly and ensure appropriate follow-up arrangements are in place for patients when needed.
Person specification
Probity
Essential
- Honesty, integrity, appreciation of ethical dilemmas.
- Must be able to demonstrate and model the key Trust values of kind, expert, collaborative and aspirational
Language
Essential
- Are able to speak and write English to the appropriate standard necessary to fulfill the job requirements
Qualifications
Essential
- On GMC’s register with a License to Practice
- Valid ALS certificate
Desirable
- Appropriate Royal College Membership
Audit/improvement
Essential
- Understanding of principles of clinical audit and improvement
Interpersonal skills
Essential
- Excellent written and spoken communications, ability to build rapport, work with others, persuade and negotiate
- Empathy, understanding, listening skills, patience, social skills appropriate to different types of client
- Self starter, able to change and adapt, respond to changing circumstances and to cope with setbacks or pressure
- Able to work as part of a team Punctuality, attendance and sense of responsibility
Physical requirements
Essential
- Occupational health clearance for the role specified
Teaching and training
Desirable
- Experience of teaching and training undergraduates/postgraduates and junior medical staff
Academic achievements including research/publications
Essential
- Evidence of achievement at postgraduate level including postgraduate examinations and publications.
Knowledge/skills Clinical expertise in Specialty/sub specialty
Essential
- Experience in Emergency Medicine and acute medicine at FY2/ST1/2 level with a minimum of two years post Foundation training and six months UK experience, 6 months experience in Emergency care Can demonstrate previous experience in clinical assessment and management of those conditions amenable to ambulatory care pathways and the necessary practical skills required for those conditions
- IT Skills and computer literacy
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Applying for this NHS job
This advert is for Registrar in Same day emergency care ST3+ with Imperial College Healthcare NHS Trust in London, London, England. It is listed as a Senior Medical doctor Emergency Medicine role. The advertised salary is £45,715 - £59,406 per annum +LDN Weighting + 1A banding (50%). The contract type is 12 months (fixed term). The application deadline is 13 Jul 2026.
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