Resident Doctor (ST3), Care of Elderly | West Hertfordshire Teaching Hospitals NHS Trust

West Hertfordshire Hospitals NHS Trust; Watford; On-site; GBP 37,000 - 50,000; Full time

Job summary

A leading NHS hospital is seeking a full-time medical registrar to join their Medicine Division in Watford. This role includes coordinating ward rounds, providing middle grade supervision, and ensuring the delivery of high-quality inpatient care. Ideal candidates will have a medical degree and experience in acute care settings. The hospital promotes staff wellbeing and offers flexible working options.

Benefits

Flexible working options

Professional development opportunities

Commitment to staff wellbeing

Qualifications

• Full registration with the UK Medical Licensing Authority.
• Experience working in medical teams.
• Understanding of acute medical care principles.

Responsibilities

• Lead and coordinate consultant ward rounds.
• Review and escalate acutely unwell patients.
• Provide middle grade supervision and clinical support.

Skills

Leadership skills

Clinical decision-making

Effective communication

Education

Medical degree (MBBS)

Job description

This is a full-time (9am–5pm) appointment working within the Medicine Division team, with additional participation in themed medical registrar on-call rota to provide acute medical take and out-of-hours ward cover.

Working alongside Specialty Doctors, Consultants, and the wider multidisciplinary team (MDT), the post holder will provide high-quality care for general inpatients on the Care of the Elderly wards. These wards are well supported with daily consultant-led ward rounds and a team of junior doctors.

The Registrar will play a key role in organising ward rounds, reviewing unwell patients, identifying those fit for discharge, and leading the MDT in the absence of the Consultant. The role includes providing middle grade supervision and clinical support to junior doctors, active participation in decision-making, and ensuring safe, effective, and patient-centred care both during normal hours and while on call.

Responsibilities

• Lead and coordinate consultant ward rounds, ensuring effective prioritisation of patients.
• Review acutely unwell patients promptly and escalates as necessary.
• Identify patients fit for discharge and support timely discharge planning.
• Lead the MDT in the consultant’s absence, ensuring collaborative working and effective communication.
• Provide middle grade cover for junior doctors, offering guidance, supervision, and teaching.
• Participate in themed medical registrar on-call rota, including acute medical take and ward cover for general medical patients.
• Liaise with MDT members, attend and lead family meetings, and provide patient and relative updates.

Working for Your Organisation

With a new hospital planned for Watford and upgrades underway at St Albans City Hospital, this is an exciting time to join us. We are building on the success of our award‑winning virtual hospital, reimagining models of care, and embracing digital healthcare innovations.

We are committed to staff wellbeing, professional development, and fostering an environment that encourages innovation to improve clinical care, patient outcomes, and experience.

Our vision is excellent patient care, together, underpinned by our values of being empowered, compassionate, professional, and inclusive. We offer a range of flexible working options to support work‑life balance.

For more information about flexible working at West Herts, visit: https://www.westhertshospitals.nhs.uk/flexibleworking/

Leadership & Decision‑Making

• Act as the medical team lead during on‑call periods, coordinating patient flow from admission to transfer or discharge.
• Work closely with nursing, allied health professionals, and other specialties to ensure patient safety and continuity of care.
• Contribute to clinical governance, morbidity and mortality reviews, and root cause analyses where applicable.

Quality Improvement & Audit

• Participate in and, where appropriate, lead audits and service improvement projects in rotation specialties.
• Engage in evidence‑based practice, applying up‑to‑date clinical guidelines in decision‑making.

Administrative Duties

• Ensure accurate and timely clinical documentation in both paper and electronic records.
• Complete discharge summaries, clinic letters, and investigation requests promptly.
• Manage clinic follow‑up arrangements and inter‑specialty referrals.

If you have a disability, long‑term health condition, or are part of the Armed Forces community, please indicate this in your application so we can provide appropriate support.

If you do not hear from us within 3 weeks of your application, please assume you have been unsuccessful on this occasion.

This advert closes on Wednesday 22 Oct 2025