Senior Clinical Fellow in Emergency Medicine 80:20 Patient Safety

University Hospitals Bristol and Weston NHS Foundation Trust (UHBW); Bristol; On-site; GBP 45,000 - 60,000; Full time

Job summary

A leading NHS trust is seeking a Senior Clinical Fellow in Emergency Medicine to enhance patient safety and offer specialty interests. Candidates will work 80% in the emergency department, gaining practical exposure and developing critical leadership skills. The role involves service provision, clinical management, and collaboration with senior staff to ensure comprehensive patient safety measures.

Qualifications

• ST4+ or equivalent, completed at least 3 years in relevant acute specialties.
• Experience in British Healthcare critical care required.
• Entitlement to live and work in the UK.

Responsibilities

• Manage reception, diagnosis, and emergency treatment of adult ED patients.
• Participate in audits and attend interdisciplinary clinical governance meetings.
• Develop specialist interests during allocated 20% paid time.

Skills

Good clinical judgment

Organize and prioritize workload

Good communication

Work effectively in a team

Education

Registered with GMC (UK)

Minimum 24 months hospital service as a trainee

Advanced Life Support provider

Job description

Senior Clinical Fellow in Emergency Medicine 80:20 Patient Safety

Employer: University Hospitals Bristol and Weston NHS Foundation Trust (UHBW)
Location: Bristol, United Kingdom
Salary: Competitive
Closing date: 18 Jun 2025

Job summary

Senior Clinical Fellow in Emergency Medicine (ST4+) - 80:20 Patient Safety
If your interest lies in safety, you will:

• Be offered formal Root Cause Analysis training
• Have the opportunity to undertake RCA and see the process through trust procedures
• Attend department, division, trust, region, and national safety meetings
• Join AHSN work on mortality and ME
• Attend college safer care committee

In addition to this Safety Fellowship, we consider your own interests related to Safety that you may wish to pursue.

The senior clinical fellow posts include 80% time working in the adult emergency department and 20% paid time to develop a specialist interest of the candidate's choice. The posts are open as OOPT/E for EM HSTs and as stand-alone posts for non-trainees, with options for 100% EM if required. We are also open to SAS and Specialty Doctors.

The posts offer an excellent opportunity for candidates to develop their own specialist interests while working in a busy inner city university hospital, with teaching and research responsibilities, based in the adult emergency department.

Applicants should hold a relevant postgraduate qualification (MRCEM, MRCP, MRCS, FRCA, or equivalent), and be ST4+ or equivalent, having completed at least 3 years in approved SHO posts (Post Foundation Medicine) or equivalent in relevant acute specialties, including at least 1 year in Emergency Medicine.

Main duties of the job

The role involves service provision, including out-of-hours work, and 20% paid time for developing a specialist interest. Interests may include education (SIM/FOAMed), global health, expedition medicine, leadership, advanced airway management, research, ultrasound, resuscitation, toxicology, and paediatrics. We accommodate other interests upon request. Open to trainees and non-trainees. For UK National Training Number holders, these posts are eligible for OOPT or OOPE.

About us

University Hospitals Bristol & Weston NHS Foundation Trust (UHBW) is among the largest acute trusts in the UK, with over 13,000 staff and 100+ clinical services across 10 sites, serving over 500,000 people. Rated 'Good' by CQC, we are committed to excellent patient care, research, and innovation, with a positive local and global impact.

Join us for city living, countryside, or seaside options, with easy access to the South West. We are dedicated to safeguarding and promoting the welfare of children, young people, and vulnerable adults. As an equal opportunities employer, we aim for a diverse workforce reflecting our community's diversity, using anonymous application data to monitor our progress.

Job description

Job responsibilities

Clinical

Manage reception, diagnosis, and emergency treatment of adult ED patients, with supervision and support from senior staff to develop autonomous clinical management skills while ensuring patient safety. No sessions are undertaken in paediatric ED. Liaison with ICU is close; patients referred to specialist units are managed by those teams, with ED staff responsible for emergency care. This shared care is seamless and collaborative.

Managerial

The post holder reports to the Clinical Director, who reports to the Chief Executive and Trust Board.

Clinical Audit and Governance

The post holder must understand clinical governance and risk management, participate in audits, and attend interdisciplinary clinical governance meetings. At least one supervised audit project is expected during the 12 months.

On-Call Commitment

Full shift system with a balanced mix of early, mid, late, and night shifts. Pay will be calculated by HR in line with regulations from August 2017.

Person Specification

Education and Qualifications

• Registered with GMC (UK)
• Minimum 24 months hospital service as a trainee in Foundation Medicine plus 36 months in relevant acute specialties, including at least 1 in Emergency Medicine
• Advanced Life Support provider
• Experience in British Healthcare critical care (not observational)
• Evidence of specialist interest

Desirable Qualifications

• Previous Anaesthetic experience, ideally with RCoA basic sign-off
• Intermediate EM/MRCP/MRCS (Part 1) or equivalent
• Other memberships, fellowships, diplomas

Knowledge and Experience

• Ability to assess, resuscitate, and stabilize acutely ill patients
• Key member of cardiac arrest team
• Good clinical judgment
• Completion of specialist skills courses (e.g., difficult airways, ATLS, ultrasound)
• Understanding of audit and governance

Skills and Abilities

• Organize and prioritize workload
• Good communication
• Honesty and reliability
• Work effectively in a team
• Flexibility
• Critical and inquisitive approach
• Initiative
• Assertiveness
• Confidence with staff and patients

Other

• Entitlement to live and work in the UK

Additional Information

This post is subject to the Rehabilitation of Offenders Act 1975 (Exceptions Order) 1975. Disclosure via the DBS is required for criminal record checks. Applicants requiring Skilled Worker sponsorship are welcome; further info available. UK registration is mandatory.