Same Day Emergency Care (SDEC) Registrar

Imperial; Newport; On-site; GBP 46,000 - 59,000; Full time

Job summary

Imperial College Healthcare NHS Trust is seeking a Same Day Emergency Care (SDEC) Registrar at St Mary’s Hospital, London. The role offers expanded clinical exposure to acute medical presentations and access to advanced diagnostics with dedicated educational support.

The post requires GMC registration, ALS and Royal College membership. It offers a varied shift pattern, a one-in-three weekend rota, and annualised working with protected time for quality improvement and professional development.

Qualifications

• Must be on GMC Register with a Licence to Practice.
• Valid ALS certificate.
• Appropriate Royal College Membership.

Responsibilities

• Deliver comprehensive assessment, investigation and management for Same Day Emergency Care patients.
• Manage workload efficiently, reducing waiting times and improving patient flow.
• Work with specialty teams to secure timely advice within a single attendance.
• Contribute to quality improvement, research and service evaluation projects.
• Review investigations and ensure appropriate follow‑up arrangements are in place.

Skills

Emergency medicine

Acute medicine

Clinical assessment

Communication skills

Education

GMC Licence to practice

ALS certificate

Royal College Membership

Job description

Same Day Emergency Care (SDEC) Registrar

MN39

Main area Same Day Emergency Medicine Care Grade MN39 Contract 10 months (fixed term 1st September 2027) Hours Full time - 40 hours per week Job ref 290-TDPA-150

Site St Mary's Hospital Town London Salary £45,715 - £59,406 per annum +LDN Weighting + 1A banding (50%) Closing 04/11/2026 23:59

Fulfil your potential in hospitals that make history:

Charing Cross, Hammersmith, St Mary’s, Queen Charlotte’s & Chelsea and Western Eye.

With five world-renowned hospitals, Imperial College Healthcare NHS Trust is full of opportunity if you are looking to develop your healthcare career.

We are an NHS Trust of approximately 16,000 people, providing care for over a million and a half patients from north west London and beyond every year.

We have a rich heritage and an ambitious vision for the future of our patients and local communities.

With our partners, Imperial College London, and The Royal Marsden NHS Foundation Trust, we form Imperial College Academic Health Science Centre, one of 6 academic health science centres in the UK, working to ensure the rapid translation of research for better patient care and excellence in education.

We are proud of our heritage in innovation and we are early adopters of new insights in technologies, techniques and treatments for improving health.

Job overview

This post is based in the Imperial College Healthcare NHS Trust Same Day Emergency Care (SDEC) department at St Mary’s Hospital. Our service is one of the first emergency medicine-led SDEC units and forms part of a highly effective, collaborative urgent care system. The role offers excellent clinical exposure to a wide range of emergency presentations, with a particular focus on acute medical patients. Access to advanced diagnostics, specialist advice and follow-up services makes this a rewarding opportunity to deliver high-quality, patient-centred care. The post is well suited to doctors with at least one year of experience in emergency medicine or acute medicine following foundation training, and includes protected time for self-development, study and quality improvement work. Post holders will be supported by an educational supervisor or mentor and encouraged to set and achieve their own professional development objectives.

Main duties of the job

The post holder will work a varied shift pattern within Same Day Emergency Care, including at least one late shift each week and participation in a one-in-three weekend rota. Annualised working and self-rostering are available and actively encouraged, offering flexibility and greater control over work patterns. In addition, one educational development shift is provided every six weeks, creating protected time for quality improvement, research, teaching and personal professional development.

Working for our organisation

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.

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.

Detailed job description and main responsibilities

Deliver comprehensive assessment, investigation and management for a broad range of patients suitable for Same Day Emergency Care, including diagnostics, infusion therapies and clear follow-up planning.

• Support the wider urgent and emergency care pathway by managing workload efficiently, reducing waiting times and using next-day review or alternative pathways to improve patient flow.
• Work in close partnership with specialty teams to secure timely advice within a single attendance, strengthening clinical decision-making and improving the patient experience.
• Contribute actively to the multidisciplinary team to provide safe, effective and high‑quality care across the service.
• Lead or contribute to quality improvement, research and service evaluation projects that drive innovation and enhance patient care.
• Review investigation results promptly and ensure appropriate follow‑up arrangements are in place for patients when needed.

Person specification

Qualifications

• On GMC’s register with a License to Practice
• Valid ALS certificate
• Appropriate Royal College Membership

Language

• Are able to speak and write English to the appropriate standard necessary to fulfill the job requirements

Clinical skills

• Experience in Emergency Medicine and Acute medicine at FY2 / ST1/2 level, with a minimum of two years post Foundation Training, and six months experience in Emergency Care.
• Can demonstrate previous experience in clinical assessment and management of conditions amendable to ambulatory care pathways, and the necessary practical skills required for those conditions.

Audit

• Understanding of principles of clinical audit and improvement

Academic achievements including research/publications

• Evidence of achievement at postgraduate level including postgraduate examinations and publications.

Physical requirements

• Occupational health clearance for the role specified

Interpersonal skills

• Excellent written and spoken communications, ability to build rapport, work with others, persuade and negotiate
• Empathy, understanding, listening skills, patience, social skills appropriate to different types of client
• Self starter, able to change and adapt, respond to changing circumstances and to cope with setbacks or pressure
• Able to work as part of a team.

Probity

• Honesty, integrity, appreciation of ethical dilemmas.
• Must be able to demonstrate and model the key Trust values of kind, expert, collaborative and aspirational

Right to work

If you need sponsorship to work in the UK, please visit the Home Office website for information on sponsorship and visa status before you fill in your application form. Due to recent changes in the UK immigration rules which affect Skilled Worker Visas, Global Business Mobility, Higher Skill Level and Increased Salary Thresholds, please ensure that you are able to meet the requirements to live and work in the UK before applying. Further information about eligibility is available on UK Visas and Immigration - GOV.UK

We operate a joint recruitment hub across the North West London Acute Provider Collaborative Group. As part of this, your application and personal data may be shared with partner trusts within the group for recruitment and workforce purposes, in line with general data protection regulation (GDPR).

Vacancy Closing Date

This vacancy may close before the current listed closing date. You are advised not to delay submitting your completed application.

Please ensure you check your emails regularly as this is how we will communicate with you throughout the recruitment process. If you are shortlisted you will be contacted by email and text message (if you provide a mobile contact number).

Employer certification / accreditation badges

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.