What is a trust doctor job?

A trust doctor job is a non-training doctor post employed directly by an NHS trust. It can be advertised as trust grade, clinical fellow, locally employed doctor, LED, or resident doctor. The work can be similar to a trainee post, but it does not usually come with a national training number or automatic ARCP progression.

Are trust doctor jobs the same as locally employed doctor jobs?

They are very close in practice. Trust doctor and locally employed doctor are both common labels for trust-employed non-training posts. Some employers prefer LED, while others use trust grade or clinical fellow. Always read the advert for grade equivalence, supervision, rota, and whether the role is designed for portfolio development.

Do trust doctor roles count towards specialty training?

Trust doctor experience can strengthen a specialty application and may provide evidence for portfolio domains, but it does not automatically count towards CCT. If training credit matters, ask whether the post has a named educational supervisor, study leave, workplace-based assessments, and CESR or portfolio support.

What grade are trust doctor jobs?

Trust doctor roles can sit at FY2, SHO, CT, ST, registrar, or post-CCT equivalent levels. Job Clerk groups these under junior and senior doctor grades because NHS adverts use inconsistent titles. Check each advert for the exact equivalent grade and expected independence.

Trust Doctor Jobs in the NHS

Trust doctor jobs are NHS doctor posts employed directly by a trust rather than through a national training programme. They are often advertised as trust grade doctor, locally employed doctor, clinical fellow, LED, or resident doctor roles. Most sit at junior or senior resident doctor level, with specialty, rota, supervision, and contract length varying by department.

332 live vacancies across 142 NHS employers · updated hourly

332

Open Positions

£40k - £750k

Salary Range

142

NHS Trusts

142

New This Week

Latest live Trust Doctor jobs

Recent trust doctor vacancies from this role hub, with employer, location, and closing-date context.

Planning a Trust Doctor job search in the NHS

Job Clerk tracks live trust doctor vacancies across NHS employers so you can compare role level, employer mix, location, salary, contract type, and closing date before deciding where to spend time on an application.

There are currently 332 live trust doctor roles across 142 NHS employers in this index. Use the band and city links below to move from the broad profession market into pages with tighter salary, seniority, and local employer context.

Recent salary data for trust doctor roles ranges from about £39,959 to £750,000 per year, depending on band, employer, rota pattern, and high-cost area supplements.

Evidence to prepare

Assessing acute and elective patients under consultant supervision
Ward rounds, clerking, documentation, discharge summaries, and safe handover
On-call, evening, weekend, or rota commitments depending on the specialty
Portfolio evidence through audit, quality improvement, teaching, or research

Common requirements

GMC registration with licence to practise, or eligibility by the advertised start date
Foundation competences or equivalent evidence for junior-level trust doctor roles
Relevant NHS or equivalent specialty experience for senior trust doctor roles
ALS or specialty-specific certificates where required by the person specification

Employer mix

Recent listings include employers such as HCA Healthcare UK, Guy's and St Thomas' NHS Foundation Trust, Mid and South Essex NHS Foundation Trust, and Royal Free London NHS Foundation Trust. Check each source advert for person-spec wording and early-close warnings.

Where Trust Doctor Jobs Are Hiring Right Now

London, London55 jobs

Westcliff-on-Sea, East10 jobs

Preston, North West9 jobs

Aylesbury, South East6 jobs

Oxford, South East6 jobs

Leicester, East Midlands6 jobs

Carshalton, London6 jobs

Weston-super-mare, South West6 jobs

Cardiff, Wales5 jobs

Birmingham, West Midlands4 jobs

Manchester, North West4 jobs

Edinburgh, Scotland4 jobs

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