Senior Leadership Fellow in Ambulatory Medicine | Oxford University Hospitals NHS Foundation Trust

Oxford University Hospitals NHS Foundation Trust; Oxford; On-site; GBP 30,000 - 40,000; Full time

Job summary

A leading NHS teaching trust in the UK is inviting applications for a Clinical Fellowship program. This role offers the chance to develop core clinical skills in a dynamic ambulatory care environment, engaging in both hands-on clinical work and leadership projects focused on service development and quality improvement. Candidates should be energetic and ready to collaborate in an innovative healthcare setting.

Qualifications

• Energetic and forward-thinking trainee with a desire to develop core clinical skills in ambulatory care.
• Experience in service development and quality improvement.
• Willingness to work in clinical settings and assist in leadership roles.

Responsibilities

• Develop and embed comprehensive ambulatory care pathways.
• Evaluate care through relevant patient-centered outcome measures.
• Support clinicians outside hospital to deliver effective care in the home.

Job description

Overview

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 practice 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 clinically on specific weeks.

Employer

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.

Role context

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

Job plan

80% (0.8WTE) 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 7am).

20% (0.2WTE) 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 closely with the AAU clinical lead/matron and the rest of the team to design and complete projects with impact on ambulatory care.

Responsibilities and activities

• 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

Additional information

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.

Application closing

This advert closes on Tuesday 4 Nov 2025