Medical Registrar for acute medicine | Imperial College Healthcare NHS Trust

IMPERIAL COLLEGE HEALTHCARE NHS TRUST; City of Westminster; On-site; GBP 60,000 - 80,000; Full time

Job summary

A prominent healthcare provider in the City of Westminster is seeking a senior trainee as a chief registrar. This role includes 40% protected time for leadership, management, and quality improvement projects. Candidates will work closely with senior clinical leaders and engage in significant service improvement initiatives. Benefits include flexible working and a supportive development program. Ideal for trainees aiming to enhance leadership skills while continuing clinical training.

Benefits

Career development

Flexible working

Wellbeing initiatives

Recognition scheme

Access to leisure facilities

Qualifications

• Enthusiastic and motivated individual.
• Interest in leadership, management, and quality improvement.

Responsibilities

• Join the RCP Chief Registrar Programme.
• Work on clinical and managerial projects.
• Attending departmental and divisional management meetings.

Skills

Leadership

Management

Quality Improvement

Job description

Overview

An exciting opportunity has arisen for an enthusiastic and motivated senior trainee (ST4 or above or equivalent) with an interest in leadership, management and quality improvement to join Imperial College Healthcare NHS Trust as a chief registrar on the RCP Chief Registrar Programme.

The medical chief registrar will be attached to the Division of Medicine and Integrated Care (MIC), which operates Trust-wide, and the acute medicine team at St Mary’s Hospital – contributing to the medical take, care of medical inpatients and same day emergency care (SDEC).

The chief registrar will have 40% protected time to develop skills and confidence in leadership, management and quality improvement. Projects will be tri-site within MIC and may also extend to other divisions. Projects may include service improvement, engagement and morale, workforce wellbeing, and sustainability.

Chief registrars benefit from access to a bespoke development programme provided by the RCP, which runs from October 2025 to June 2026 and comprises five 2-day modules that post holders are expected to attend.

The duration of the post is 1 year initially, with the possibility of extending.

This post is 60% clinical within the department of Acute Medicine at St Mary’s and 40% managerial within the MIC division.

The medical division chief registrar will work with the divisional director of medicine and the head of operations for the medical division on a number of projects. These will include:

• Providing a bridge between senior clinical leaders, managers and the wider trainee workforce to improve communication, engagement and morale
• Involvement in workforce planning and improving the deployment of trainees to meet service needs and improve morale
• Service improvement projects to improve patient flow and safety within acute medicine
• Developing and maintaining up-to-date project documentation, and producing periodic progress reports

The chief registrar will also attend departmental, divisional management and executive meetings to understand the infrastructure and running of the Trust and how wider social, political and economic factors influence health care delivery.

Role and environment

At Imperial College Healthcare you can achieve extraordinary things with extraordinary people, working with leading clinicians pushing boundaries in patient care. Become part of a vibrant team living our values - expert, kind, collaborative and aspirational. You’ll get an experience like no other and will fast forward your career. Benefits include career development, flexible working and wellbeing, staff recognition scheme. Make use of optional benefits including Cycle to work, car lease schemes, season ticket loan or membership options for onsite leisure facilities.

The statutory requirement to be fully Covid-19 vaccinated as a condition of employment from April 2022 is subject to legislative review. At Imperial College Healthcare NHS Trust, we strongly encourage and support vaccination uptake as this remains the best line of defence against COVID19. The successful applicant may have contact with patients and service users and as part of our pre-employment checks and risk assessments, we will ask all candidates to confirm whether or not they have been fully vaccinated or have a medical exemption.

As part of our continued response to Covid19 we are still conducting the majority of our interviews virtually.

We are committed to equal opportunities and improving the working lives of our staff and will consider applications to work flexibly, part-time or job share. Please talk to us at interview.

Development, support and training

The post provides opportunity for significant development of project management and leadership skills. Post holders will be supported by a designated consultant who will oversee their development as an educator during the placement and co-ordinate opportunities for personal development. A customised programme of training and educational experience will be designed around the needs of the individual. The chief registrar will also be supported to undertake a formal leadership course provided by the Royal College of Physicians.

Hot-desk space and computer access is provided, with access to the Internet, PubMed and medical journals via Imperial College London library services. NB:No study leave funding is attached, but a bursary may be available to assist with postgraduate study.

The clinical aspects of the role are based at St Mary’s Hospital where candidates will look after acute medical inpatients and take part in the acute medical on-call rota. They will work with a team of junior doctors and wider multidisciplinary team, under the supervision of consultant physicians. There will be opportunities for additional experience/training in Same Day Emergency Care and/or specialty clinics according to the post holder’s interests.

The post is ideal for trainees in a specialty training programme who are keen to develop their leadership skills whilst continuing to develop their medical skills.

This advert closes on Tuesday 30 Sep 2025