Senior Clinical Fellow in Emergency Medicine (ST3+)

Job details

• Branch: Western Health & Social Care Trust
• Location: SWAH Southwest Hospital
• Salary: (See job details)
• Contract Type: Temporary
• Opening Date: 14/10/26
• Closes: Wed, 28 October 2026 @ 3:30 PM
• Interview Dates: To be confirmed

Job Description

Senior Clinical Fellow - Emergency Medicine

South West Acute Hospital - Enniskillen

SENIOR CLINICAL FELLOW IN EMERGENCY MEDICINE

SOUTH WEST ACUTE HOSPITAL, ENNISKILLEN

SEPTEMBER 2026

TITLE: Senior Clinical Fellow in Emergency Medicine

SPECIALTY: Emergency Medicine with opportunity to pursue a special interest

BASE: South West Acute Hospital, Enniskillen

DURATION: 6 months - 1 year in the first instance

RESPONSIBLE TO: Clinical Lead

JOB SUMMARY

The Clinical Fellow(s) are at the heart of the medical workforce in the Emergency Department at the South West Acute Hospital.

Our goal is to provide safe, effective, high quality emergency care in a timely, cost-effective and sustainable manner.

The Clinical Fellow(s) will undertake the initial assessment, resuscitation, diagnosis and treatment of all acutely ill or injured patients attending the ED and will be supervised and supported on a day to day basis by the middle grade doctors (if applicable) and the Consultants in Emergency Medicine.

The Clinical Fellow(s) will be supported by dedicated Educational and Clinical Supervisors who are GMC recognised trainers aligned with their special interest.

The job plan is a full shift rota with no on call commitment. The Clinical Fellow(s) will have up to 8 hours per week of dedicated time to pursue a CV enhancing special interest.

Special interests which can be supported include acute medicine, intensive care medicine and medical education / simulation. Other bespoke training opportunities may be available by mutual agreement. For example, 2 of our Clinical Fellows have been supported to apply for entry onto the General Medical Council's Specialist Register via the portfolio pathway (formerly known as CESR).

We aim to provide you with an excellent work life balance in a welcoming rural community where you may treat your neighbours, friends and colleagues.

We actually enjoy going to work and we enjoy ourselves while we’re there.

We encourage you to join us in our journey to be the best rural ED in the UK and beyond.

For further details or informal visits please contact Dr Ian Crawford, Clinical Lead for Unscheduled Care, at ian.crawford@westerntrust.hscni.net

THE WESTERN HEALTH AND SOCIAL CARE TRUST

The Western Health and Social Care Trust provides health and social care services across a geographical area extending to approximately 5,000 square kilometres in the west of Northern Ireland.

The Trust aims ‘to provide high quality patient and client-focused health and social care services through well trained staff with high morale’.

Further information can be found at http://www.westerntrust.hscni.net/

COUNTY FERMANAGH

The South West Acute Hospital is located in Enniskillen, the County town of County Fermanagh. County Fermanagh, in the South West of Northern Ireland, is an area of outstanding natural beauty that is often described as ‘Northern Ireland’s Lake District’. Enniskillen itself is set on an island between Upper Lough Erne and Lower Lough Erne and is less than 1 hours drive from the Donegal coast and less than 2 hours drive from both Belfast and Dublin.

Further information can be found at www.fermanaghlakelands.com

THE SOUTH WEST ACUTE HOSPITAL

The South West Acute Hospital, which opened in June 2012, is a new district general hospital with up to 312 inpatient and day case beds. It provides services to a widely dispersed population of approximately 132,000 people in a predominantly rural area that forms the southern sector of the Western Health and Social Care Trust.

The South West Acute Hospital is networked within the Western Health and Social Care Trust with Altnagelvin Area Hospital, located approximately 60 miles away in Londonderry, and also with regional centres located approximately 85 miles away in Belfast.

The South West Acute Hospital provides emergency medicine, acute medicine, general internal medicine, gastroenterology, cardiology, endocrinology and diabetology, respiratory medicine, geriatric medicine, stroke medicine, obstetrics and gynaecology, paediatric medicine, general surgery and critical care services. It has 24/7 biochemistry, haematology and blood bank services and radiology services including x-ray and ultrasound, CT and MRI scanning.

EMERGENCY MEDICINE

The ED at the South West Acute Hospital has in the region of 41,500 attendances per year. Due to its rural location it receives the full spectrum of adult and paediatric patients with undifferentiated acute illness and injury including those with medical and surgical presentations, mental health presentations, obstetrics & gynaecological presentations and major trauma.

In general terms the ED consists of a triage room, a 4-bay resuscitation room and 17 single room treatment cubicles.

The radiology department, the Same Day Emergency Care (SDEC) area and the Acute Medical Unit (AMU) are located adjacent to the ED. Patients who have been referred and accepted from the community via GP for admission or assessment bypass the ED and go directly to the SDEC area or the AMU, hospital bed capacity permitting. Protocols are in place to allow patients to be referred directly from triage to the GP out of hours service.

The clinical decision maker workforce comprises 8 Consultants in Emergency Medicine, supported by Trust doctors, 1 GP trainee, locum medical staff, 3 Advanced Clinical Practitioners and 4 Emergency Nurse Practitioners.

There are currently 8 Consultants who provide the senior tier of medical cover. These are

Dr Campbell Brown (formerly Consultant with NI HEMS with a special interest in pre-hospital care)

Dr Louise Burrows (special interest in medical education)

Dr Ian Crawford - Clinical Lead (special interests in academic emergency medicine and intensive care medicine)

Dr Lynn Cromie (special interest in sports medicine)

Dr Caroline Gallagher

Dr Alison Little (special interest in ultrasound)

Dr Stephen McKenzie (special interest in medical education)

Dr Michael Murphy

In line with Royal College of Emergency Medicine recommendations, there is extended Consultant cover on the ‘shop floor’ until 10pm weekdays and from 10am until 4pm at weekends. There is a Consultant on call at all other times who is available for telephone advice and to attend the ED if required.

ROLES AND RESPONSIBILITIES

To undertake the initial assessment, resuscitation, diagnosis and treatment of all acutely ill or injured patients attending the ED.

To participate in the supervision and training of medical students and nursing staff.

To participate in the multidisciplinary teaching programme in the ED.

To maintain a close and supportive working relationship with medical, nursing, paramedical, allied health professional and management colleagues.

To participate in clinical governance activity in line with ED and Western Health and Social Care Trust requirements.

To participate in CPD activity, appraisal and revalidation in line with Royal College of Emergency Medicine, Western Health and Social Care Trust and General Medical Council requirements.

SUPERVISION AND SUPPORT

The Clinical Fellow(s) will be supervised and supported on a day-to-day basis by the middle grade doctors (if applicable) and the Consultants in Emergency Medicine.

The Clinical Fellow(s) will be will be supported by dedicated Educational and Clinical Supervisors who are GMC recognised trainers aligned with their special interest.

JOB PLAN / OPPORTUNITIES

The job plan is a full shift rota including daytime, evening, weekend and night shifts. The frequency of weekend and night shifts will be 1 in 8. There is no on call commitment. This CT/ST level post attracts a 50% pay banding supplement.

The Clinical Fellow(s) will have up to 8 hours per week of dedicated time to pursue a CV enhancing special interest.

Additional opportunities with the Western Health and Social Care Trust include participating in the STEPWest quality improvement and leadership programme or becoming a MedEdWest Education Fellow and completing a funded Postgraduate Certificate in Clinical Education through the Queen’s University of Belfast.

WHY YOU SHOULD JOIN US

We are a friendly, enthusiastic and progressive rural ED, where you will be able to enhance your clinical skills by practicing emergency medicine in a well-supported environment. Additionally, bespoke training opportunities will be available dependent upon your requirements.

EMPLOYING AUTHORITY

The Western Health and Social Care Trust

TERMS AND CONDITIONS

The National Terms and Conditions of Service for Hospital Medical and Dental Staff will apply.

As per the current salary scale under National Terms and Conditions of Service for Hospital Medical and Dental Staff.

The appointee will maintain registration and Licence to Practice with the General Medical Council (London).

Annual leave entitlement is 5 weeks (25 days) per year.

He/She will be expected to be flexible and to co-operate with reasonable requests to cover for their colleagues’ absences where they are safe and competent and where it is practicable to do so. Where doctors undertake duties in accordance with this paragraph and such duties take place outside of their contracted hours, they will receive either an equivalent off duty period or remuneration.

The post will be subject to termination at any time, by one month’s notice in writing given on either side.

MAIN CONDITIONS OF SERVICE

REGISTRATION AND DEFENCE

Registration with the GMC must be maintained. Health and Social Services Employers have assumed responsibility for claims of Medical/Dental negligence against Practitioners occurring in the course of their health service employment. Practitioners are advised to maintain their defense body membership in order to ensure that they are covered for any work, which does not fall within the scope of the indemnity scheme.

SUPERANNUATION

Trust staff will be automatically enrolled on the Health & Social Care Pension Scheme. Further information may be obtained from the HSC Pension Service website at www.hscpensions.hscni.net

OCCUPATIONAL HEALTH

The successful candidate will be required to undergo a pre-employment medical by the Occupational Health Department before taking up the post. The candidate shall be required to produce a Certificate of Medical Fitness for Exposure Prone Employment.

General Duties

1 Employees of the Trust will be required to promote and support the mission and vision of the service for which they are responsible.

2 Develop and maintain good communication with all levels of management and build partnerships with the wider HPSS, NHS and external organisations in the promotion of the Trust.

3 Carry out their duties and responsibilities in compliance with health and safety policy and statutory regulations.

4 Participate in grievance and disciplinary processes as required.

5 Promote equality of opportunity through his/her own actions and ensure this policy is adhered to by staff within your area of responsibility.

GENERAL RESPONSIBILITIES

HSC Code of Conduct for Employees

The Code sets out the standards of conduct expected of all staff in the Western Health & Social Care Trust and presents standards of conduct and behaviours required during and after employment with the Trust. Professional staff are expected to follow the code of conduct for their own professions as well as this code.

Service Quality

Western Health and Social Care Trust is committed to providing the highest possible quality of service to all patients, clients and community through supporting and contributing to Trust quality initiatives. Employees are expected at all times to provide a caring service and to treat those with whom they come into contact in a courteous and respectful manner.

Personal & Public Involvement

Staff members are expected to involve patients, clients, carers and the wider community were relevant, in developing, planning and delivering our services in a meaningful and effective way, as part of the Trust’s ongoing commitment to Personal and Public Involvement (PPI).

Please use the link below to access the PPI standards leaflet for further information.

http://www.publichealth.hscni.net/sites/default/files/PPI_leaflet.pdf

Conduct

Employees must at all times abide by Trust policies and procedures and the terms of their contract of employment. They must conduct themselves with impartiality, integrity, objectivity and honesty and maintain high standards of personal and professional accountability.

Performance

Employees are expected to demonstrate commitment to the Trust by ensuring regular attendance at work and efficient completion of duties.

Risk Management

Employees must ensure that they comply with any risk management responsibilities specific to their post, and as set out in the Trust’s Risk Management Strategy.

Governance

The Trust is committed to the development and implementation of systems under Integrated Governance to ensure continuous improvement in the quality of services provided. Employees will be expected to co-operate and work with such systems.

Records Management

All employees of the Trust are legally responsible for all records held, created or used as part of their business within the Trust including patient/client, corporate and administrative records whether paper based or electronic and also including emails. All such records are public records and are accessible to the general public, with limited exceptions, under Freedom of Information Act 2000, the Environmental Information Regulations 2004 and Data Protection legislation. Employees are required to be conversant with the Trust’s policy and procedures on records management and to seek advice if in doubt.

Confidentiality

All information concerning patients and staff must be held in the strictest confidence and may not be divulged to any unauthorized person.

Equality & Human Rights

Employees must ensure that equality and human rights issues are addressed within the post holder’s area of responsibility in accordance with the Trust’s Equality Scheme.

Health and Safety

Employees should note that under Health & Safety at Work Legislation they are required to take all reasonable steps while at work to ensure their own health and safety and the health and safety of those who may be affected by their acts or omissions at work.

Smoking, Alcohol & Health

The Trust operates policies on smoking, alcohol and health.

Environmental Cleanliness

The Trust promotes a culture of cleanliness and has adopted a partnership and collaborative approach that recognises cleanliness as the responsibility of everyone, cascading throughout every level of the organisation.

Infection Prevention & Control

The Trust operates a zero tolerance policy to preventable healthcare associated infections and the post holder is required to comply with all extant infection prevention policies, guidelines, protocols and procedures.

The Trust is an Equal Opportunities Employer.

The duties and responsibilities outlined in the above job description are not intended to be definitive nor restrictive, and may be amended to meet the changing needs of the Trust.

September 2026

PERSONNEL SPECIFICATION

Title of Post: Senior Clinical Fellow in Emergency Medicine

Department: Emergency Department

Location: South West Acute Hospital, Enniskillen

Notes to applicants

You must clearly demonstrate on your application form under each question, how you meet the required criteria as failure to do so may result in you not being shortlisted. You should clearly demonstrate this for both the essential and desirable criteria.

Shortlisting will be carried out on the basis of the essential criteria set out in Section 1 below, using the information provided by you on your application form.

Proof of qualifications and/or professional registration will be required if an offer of employment is made – if you are unable to provide this, the offer may be withdrawn.

CRITERIA

SECTION 1: The following are ESSENTIAL criteria which will initially be measured at shortlisting stage although may also be further explored during the interview / selection stage. You should therefore make it clear on your application form whether or not you meet these criteria. Failure to do so may result in you not being shortlisted. The stage in the process when the criteria will be measured is stated below.

Factor

Criteria

Method of Assessment

Experience

Qualifications / Registration

Have 2 years HSC / HSE / NHS service.

Have Full Registration with the General Medical Council (London) and a Licence to Practice at the date of commencing employment.

ESSENTIAL

Have successfully completed a UK Foundation Year 2 Programme or have equivalent experience and competencies, or expect to do so at the date of commencing employment.

Have at least 18 months emergency medicine experience a UK Foundation Year 2 Programme or equivalent.

Have successfully completed relevant life support courses including Advanced Life Support (ALS), Advanced Paediatric Life Support (APLS) and Advanced Trauma Life Support (ATLS) / European Trauma Course (ETC) or equivalent certification which is valid at the time of commencing employment.

Shortlisting by Application Form

SECTION 2: The following are ESSENTIAL criteria which will be measured during the interview / selection stage:

Knowledge

Specific skills or knowledge relevant to the specialty.

Aware of own limitations.

Interview

Skills / Abilities

Ability to develop effective working relationships on an individual and multi-disciplinary basis with all levels of staff.

Initiative.

Good record keeping.

Effective oral and written communication skills.

Demonstrate understanding of the importance of audit and research.

Appropriate knowledge base and ability to apply sound clinical judgement to the management of the full spectrum of patients with acute illness or injury.

Eligibility

Eligibility to work in the UK.

Fitness to practice

Is up to date and fit to practice safely.

Language skills

All applicants to have demonstrable skills in written and spoken English that are adequate to enable effective communication about medical topics with patients and colleagues which could be demonstrated by one of the following:

That applicants have undertaken undergraduate medical training in English;

OR

Have the following scores in the academic International English Language Testing System (IELTS) - Overall 7.5, Speaking 7, Listening 7, Reading 7, Writing 7.

However, if applicants believe that they have adequate communication skills but do not fit into one of the examples they need to provide evidence.

DESIRABLE CRITERIA

SECTION 3: The following will ONLY be used where it is necessary to introduce additional job related criteria and is dependent upon the number of applications received. You should therefore make it clear on your application form how you meet these criteria. Failure to do so may result in you not being shortlisted.

Qualifications

It is desirable that candidates

Hold a higher diploma, for example MRCEM.

Have previous experience in one of the following specialties – anaesthetics / intensive care medicine, paediatrics or acute medicine.

THE TRUST IS AN EQUAL OPPORTUNITIES EMPLOYER