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Job overview
An exciting internal opportunity has arisen for a motivated and enthusiastic Neonatal Doctor to join our dynamic team at the Royal Bolton Hospital as a Senior Clinical Fellow (Tier 2/Registrar Equivalent). Royal Bolton Hospital operates a highly respected, state-of-the-art Level 3 Neonatal Intensive Care Unit (NICU). As a vital tertiary hub within the Greater Manchester Neonatal Network, our unit features 16 Intensive Care / High Dependency (ITU/HDU) cots and 19 Special Care (SC) cots. This role offers a fantastic opportunity for an internal clinician to gain deep, broad-based experience in advanced neonatal critical care, work with cutting-edge equipment, and step up into a middle-grade leadership framework.
Please note that Clinical Fellows are paid on a local pay scale that mirrors Doctors in Training pay scales. Basic salary offered for this role is fixed at £67,325 and will not be uplifted beyond that salary point. Where the role requires out of hours working, evening, weekend and on call enhancements will be added according to a work schedule. It is Trust practice that we offer a set salary for this role and variations will not be considered.
Main duties of the job
NICU Inpatient Management: Conduct daily ward rounds, delivering and implementing comprehensive acute care plans across Intensive, High Dependency, Special, and Transitional Care.
- Delivery Suite Response: Act as the senior resident medical responder leading resuscitation and immediate stabilization efforts for extremely premature neonates and high-risk deliveries.
- Tier 1 Clinical Leadership: Directly assist, mentor, and supervise Tier 1 doctors (ST1-2/FY2), and work alongside Advanced Neonatal Nurse Practitioners (ANNPs).
- Procedural Autonomy: Competently perform advanced neonatal procedures under regional guidelines, including UVC/UAC line placement, lumbar punctures, and PICC lines.
- Family Liaison & System Tracking: Maintain compassionate, transparent communication with parents
- Out-of-Hours & Rota Cover: Complete resident shifts on a fully compliant rolling Tier 2 rota (days, long days, nights) and provide prospective cover for unexpected short-term internal sickness.
Detailed job description and main responsibilities
The Senior Clinical Fellow (Tier 2) is a pivotal middle-grade role. You will provide expert, resident clinical care for highly complex neonates, lead resuscitation efforts on the delivery suite, and actively supervise Tier 1 junior doctors (ST1-2/FY2) and work alongside Advanced Neonatal Nurse Practitioners (ANNPs).The post allows dedicated Supporting Professional Activity (SPA) time to develop sub-speciality interests.
Applicant requirements
You must have appropriate UK professional registration.
This post is subject to the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (Amendment) (England and Wales) Order 2020 and it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service.
Person specification
Skills
Essential
- Team working Fluent written and spoken English. Ability to break down highly complex medical diagnoses to parents under severe distress. / Ability to coordinate a shift, delegate tasks effectively, and supervise Tier 1 doctors, Advanced Neonatal Nurse Practitioners (ANNPs) / High commitment to the core trust principles: Compassion, Excellence, Openness, and Integrity. / Emotional capability to handle highly acute situations. / Willingness to work a fully EWTD-compliant shift pattern (days, long days, and nights).
Desirable
- Experience using electronic patient record systems (such as Badgernet) / Active championing of family-centered developmental care methodologies
Experience
Essential
- Minimum 24 months in Paediatrics/Neonatology, with at least 6/12 months within level 2/3 Neonatal Unit / Competency in basic and advanced neonatal technical skills: intubation, UVC/UAC line placement, lumbar puncture etc. / Capability to lead medical management across NICU, High Dependency (HDU), Special Care (SCU) and transitional care settings / Experience leading resuscitation efforts at extremely premature and high-risk deliveries.
Desirable
- Prior experience working at Tier 2 (Registrar/Middle Grade) level in a UK NHS framework / Knowledge of advanced ventilation modes (e.g. HFOV, Nitric Oxide therapies) / Experience with neonatal surgical emergencies
Education/Qualifications
Essential
- Primary Medical Qualification (MBBS or equivalent) / Full GMC Registration with a license to practice at the start of employment / Valid Newborn Life Support (NLS) certificate
Desirable
- MRCPCH Part 1, 2 or full membership or equivalent / Advanced Resuscitation of Newborn
Governance, Audit & Academic
Essential
- Understanding of clinical risk management, medical errors and the learning loops in patient safety / Evidence of completing at least one clinical audit cycle or Quality Improvement Project (QIP) / Experience providing bedside teaching and informal clinical skills training to junior medical staff (Tier 1)
Desirable
- Completed projects that led to local guideline or protocol updates / Formal teaching qualification
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Applying for this NHS job
This advert is for Senior Clinical Fellow (Tier 2) with Bolton NHS Foundation Trust in Royal Bolton Hospital. It is listed as a Senior Medical doctor Paediatrics role. The advertised salary is £67,325 per annum plus on call enhancement. The contract type is Fixed term: 12 months (With view to extend). The application deadline is 25 Aug 2026.
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