Senior Leadership Fellow in Ambulatory Medicine

Oxford University Hospitals NHS Foundation Trust; Oxford; On-site; GBP 65,000 - 74,000; Full time

Job summary

A leading NHS teaching hospital in Oxford is seeking a Senior Leadership Fellow in Ambulatory Medicine. The role involves significant clinical practice and opportunities for leadership in quality improvement and service development. Candidates should have full GMC registration and experience in acute medicine, and will enjoy a competitive salary ranging from £65,048 to £73,992 per annum with additional enhancements per rota.

Qualifications

• Experience in management of frailty syndromes.
• Evidence of skills in management of acute medical emergencies.
• Interest in and knowledge of the delivery of safe, effective healthcare services.

Responsibilities

• Develop a job plan with a senior Fellowship supervisor.
• Contribute 80% of time to clinical work including ambulatory experience.
• Engage in 20% leadership research and quality improvement activities.

Skills

Clinical competency in own medical specialty

Ability to prioritize clinical need

Demonstrable experience in ambulatory care

Effective team working and leadership skills

Clarity in written and spoken communication

Education

Full GMC registration and licence to practise

Experience in Acute medicine

Should be ST4 and above

Job description

Senior Leadership Fellow in Ambulatory Medicine

The closing date is 04 December 2025

Applications are invited for a Clinical Fellowship programme embedded within a well‑established, innovative Departments of Ambulatory Care. The applicant would be one of a team of twelve ambulatory and general medicine fellows working in a well‑resource­d unit led by a team of 44 consultants and a large experienced multidisciplinary team. This is an exciting opportunity for an energetic, forward‑thinking trainee who wishes to develop core clinical skills in ambulatory care in one of the leading ambulatory care units in the country. The role would involve a mixture of banded clinical practise but also has one non‑clinical day per week set aside where the candidate would be expected to gain experience in service development and quality improvement. If clinical needs are extremely high fellow might be asked to work clinical on specific weeks.

The post is aimed at senior medical doctors in training (ST3+) or equivalent experience if not on training programme. It is designed around the needs of the modern medical registrar. It can be performed Out of Programme or recognised as training (contingent on Deanery approval).

Main duties of the job

The post is aimed at senior medical doctors in training (ST3 to ST8) and is designed around the needs of the modern medical registrar.

About us

Oxford University Hospitals NHS Foundation Trust (OUH)

OUH is one of the largest NHS teaching trusts in the UK and a renowned centre of clinical excellence. Each year, OUH has over one million patient contacts including nearly 100,000 emergency admissions. The Trust has a strong collaboration with the University of Oxford, which underpins the quality of care that is provided to patients, from the delivery of high‑quality research – bringing innovation from the laboratory bench to the bedside – to the delivery of high‑quality education and training for doctors.

OUH delivers acute emergency care on two of its four hospital sites (the John Radcliffe Hospital in Oxford and the Horton General Hospital in Banbury), supports the urgent care pathway across distributed community settings, and is working towards comprehensive application of the Future Hospitals Commission principles.

Job responsibilities

Successful applicants will develop a job plan in conjunction with a senior Fellowship supervisor which will compose:

80% (0.8 WTE) Clinical Work: to include ambulatory experience across the John Radcliffe (mainly) / and subject to discussion with supervisor may involve activity in other acute and ambulatory medicine settings in the Trust. This will include short days, long days on call, out of hours weekend work. Specifically, within a < 48 hour average working week, it is currently proposed that the fellow will contribute to the weekend rota and to one late evening / long day per week, but not to overnight care (beyond midnight or before 7 am).

The clinical role gives a great opportunity to work with a wide range of excellent consultants with special skills in ambulatory care. Also will allow the candidate to collaborate and familiarise with pathways team such as Acute Hospital at Home.

20% (0.2 WTE) leadership / research / quality improvement: this would give a great opportunity to the candidate to develop leadership skills and to become involved in projects on service development. Those days ambulatory fellow will work close with the AAU clinical lead/matron and the rest of the team to design and complete projects with impact on ambulatory care.

All activities will embrace the Trust’s vision of patient‑centred service transformation and be aligned with the Future Hospital Commission’s recommendations for ambulatory care: with greater vertical and horizontal integration of acute services transcending traditional hospital‑community and intra‑hospital barriers. Such activities will complement Trust service improvement initiatives and will have patient safety and the delivery of high‑quality, better safe, compassionate care at their core.

The development and embedding of comprehensive ambulatory care pathways for

• common and less common discrete medical presentations
• complex and/or frail patients, complementing existing services
• conditions with existing dedicated pathways but where further embedding, development or a complementary approach is needed to deliver best outcomes and resource use (eg DVT and TIA/minor stroke).

Evaluating care through the development and embedding of relevant patient‑centred outcome measures, and useful measures of whole pathway resource use.

Developing systems to support clinicians outside hospital (GPs, ambulance teams) to deliver effective care in the home.

Introduction and evaluation of pragmatic telemedicine systems.

Resident Doctor Forum and engagement.

Be a point of escalation of issues within Acute General Medicine and Geratology from the resident doctor workforce.

The AAU is embedded within the research and innovation infrastructure forming the Academic Health Sciences Centre (AHSC). Supervision and support is readily available to support projects that are aimed at improving clinical outcomes through changes in service models.

Person Specification

GMC

• Full GMC registration and licence to practise

Qualifications

• Be fit to practice
• Experienced in Acute medicine
• Should be ST4 and above
• Should not hold a CCT
• Satisfactory progress throughout training, including ARCP outcomes
• Additional degree (intercalated, masters or doctorate)

Clinical Skills

• Clinical competency in own medical specialty appropriate for their stage in training
• Appropriate knowledge base, and ability to apply sound clinical judgement to problems
• Ability to prioritise clinical need
• Ability to maximise safety and minimise risk
• Ability to work without supervision where appropriate Demonstrable experience in ambulatory care
• Demonstrable outcomes in ambulatory care
• Experience in management of frailty syndromes
• Evidence of skills in management of acute medical emergencies (eg ALERT, IMPACT certification, ALS Instructor)

Research

• Understanding of research, including awareness of ethical issues
• Understanding of research methodology
• Knowledge of evidence‑based practice
• Evidence of involvement in a formal research project
• Evidence of relevant academic achievements, including publications / presentations

Leadership and management

• Effective team working and leadership skills, supported by MSF or WBAs
• Self‑awareness, with knowledge of personal strengths and weaknesses, impact and areas for development
• Interest in and knowledge of the importance of leadership and management for clinicians
• Effective leadership skills in and outside medicine (eg evidence of leading innovations or improvements)
• Understanding of NHS management and resources
• Understanding of the local and national context in which the trust operates, including economic and political influences

Quality / Service improvement

• Understanding of clinical governance
• Active involvement in QIP/audit, research or other activity that focuses on patient safety and clinical improvement and innovation
• Interest in / knowledge of the delivery of safe, effective healthcare services
• Evidence of completed audit/Quality improvement projects
• Evidence of learning about the principles of change management

Education and Teaching

• Interest in and experience of teaching
• Evidence of excellent feedback on teaching
• Development of teaching programmes
• Participation in teaching courses

Personal Skills

• Clarity in written and spoken communication
• Capacity to use logical/lateral thinking to solve problems/ make decisions, indicating an analytical/scientific approach and where appropriate, creativity in problem solving
• Capacity to manage/prioritise time and information effectively
• Ability to work effectively under pressure
• Capacity to manage conflicting demands
• Self‑motivation, and resilience
• Initiative and ability to work autonomously
• Leadership skills gained within the NHS or elsewhere
• Writing experience: - clinical and/or non‑clinical topics - peer‑reviewed publications and/or communication
• Evidence of achievements outside medicine
• Evidence of altruistic behaviour (e.g. voluntary work)

Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

Oxford University Hospitals NHS Foundation Trust

£65,048 to £73,992 a yearper annum + enhancements per rota