# Junior Clinical Fellow Jobs in the NHS > NHS junior clinical fellow job landing page from Job Clerk. ## Canonical URLs - **HTML:** https://www.jobclerk.com/jobs/junior-clinical-fellow - **Markdown:** https://www.jobclerk.com/jobs/junior-clinical-fellow.md ## Live Market Snapshot - **Live vacancies:** 132 - **NHS employers:** 70 - **New vacancies this week:** 76 - **Observed salary range:** GBP 45,175 to GBP 115,341 ## Role Summary Junior clinical fellow (JCF) posts are non-training grade doctor roles, typically at SHO or registrar level. Trusts also advertise similar jobs as trust-grade doctor, locally employed doctor, junior doctor, or clinical fellow posts. Trusts use them to fill rota gaps, expand services, or offer experience in competitive specialties. JCFs do similar clinical work to trainees but are not on a nationally coordinated training programme. Posts are usually fixed-term (6-12 months) and advertised directly by trusts through NHS Jobs and Trac. ## Typical Responsibilities - Clerking, assessing, and managing acute admissions - Ward rounds and ongoing inpatient care under consultant supervision - Procedural skills relevant to the specialty (cannulation, lumbar puncture, chest drains, suturing) - On-call cover including nights and weekends on the department rota - Handover, documentation, and discharge summaries - Audit or quality improvement where the contract includes SPA time - Teaching medical students and foundation doctors where expected ## Typical Requirements - GMC registration with a licence to practise - Foundation competences or equivalent (ALS, basic procedural skills) - Evidence of previous NHS or equivalent clinical experience at SHO level or above - MRCP, MRCS, or equivalent postgraduate exams depending on specialty (desirable, not always essential) ## Employers Hiring - King's College Hospital NHS Foundation Trust (7 jobs) - Guy's and St Thomas' NHS Foundation Trust (7 jobs) - The Newcastle upon Tyne Hospitals NHS Foundation Trust (5 jobs) - Lewisham and Greenwich NHS Trust (4 jobs) - Imperial College Healthcare NHS Trust (4 jobs) - NHS Greater Glasgow and Clyde (4 jobs) - St George's University Hospitals NHS Foundation Trust (4 jobs) - Chelsea and Westminster Hospital NHS Foundation Trust (3 jobs) ## Locations Hiring - London, London (29 jobs) - Bristol, South West (6 jobs) - Newcastle upon Tyne, North East and Yorkshire (5 jobs) - Birmingham, Midlands (4 jobs) - Leeds, North East and Yorkshire (4 jobs) - Sheffield, North East and Yorkshire (3 jobs) - Cambridge, East of England (3 jobs) - Bradford, North East and Yorkshire (2 jobs) - Bournemouth, South West (2 jobs) - Cardiff, Cardiff (2 jobs) - Derby, Midlands (2 jobs) - LEWISHAM, London (2 jobs) ## FAQs ### What is a junior clinical fellow? A junior clinical fellow (JCF) is a doctor working in a non-training post, usually at SHO or middle-grade level. The role involves the same clinical duties as a specialty trainee but sits outside the deanery training programme. Some trusts use alternative titles including trust-grade doctor, clinical attachment, or locally employed doctor (LED). JCF posts are common in competitive specialties where doctors want to build experience before applying for training. ### How much do junior clinical fellows earn? JCF pay follows the same medical and dental pay circular as training grades, though individual trusts set the exact nodal point. Most SHO-level JCFs are paid at CT1-CT2 equivalent (approximately £46,000-£53,000 basic). Registrar-level JCFs are paid at ST3-ST5 equivalent (approximately £53,000-£58,000). On-call supplements, weekend frequency, and London weighting are added on top. ### Do junior clinical fellow posts count towards specialty training? JCF experience does not automatically count towards CCT. However, time spent in a JCF post can count towards portfolio evidence for specialty applications, and some posts are recognised for CESR (Certificate of Eligibility for Specialist Registration) purposes if the supervisor agrees to provide structured sign-offs. If training credit matters to you, clarify with the trust before accepting whether the post is CESR-compatible and whether a named educational supervisor will be assigned. ### Can I get visa sponsorship for a junior clinical fellow post? Many trusts sponsor Skilled Worker visas for JCF posts, and medical roles commonly use the Health and Care Worker route where the employer is an approved sponsor. Check the advert for sponsorship eligibility and confirm the visa route before accepting, because salary thresholds and fees depend on the current Home Office rules and the exact job code. Trusts that sponsor typically require an offer letter before starting the visa process, and lead times are usually 6-12 weeks. ### How long do junior clinical fellow contracts last? Most JCF contracts are fixed-term, typically 6 or 12 months, with some trusts offering extensions. A few trusts advertise substantive (permanent) JCF posts in departments with ongoing staffing needs. The fixed-term nature means you should plan ahead for your next role, especially if your visa is tied to the post. ### How does a JCF post compare to a specialty training post? Training posts come with a national training number, structured curriculum, ARCP assessments, and automatic rotation through subspecialties. JCF posts do not offer these, but they give you flexibility to choose your specialty, location, and employer. Some doctors prefer JCF posts for lifestyle, to build a portfolio in a competitive specialty, or to stay in a preferred location while applying for training. The clinical experience is comparable, but progression requires more self-direction. ## Agent Notes - This Markdown page is generated from the same Job Clerk SEO landing-page data as the HTML page. - Use the canonical HTML URL for user-facing references. - Live job counts change as source NHS adverts open and close.