Trust Registrar in General Surgery

Uhleicester; Leicester; On-site; GBP 67,000 - 77,000; Full time

Job summary

University Hospitals of Leicester NHS Trust is inviting applications for a Trust Registrar in General Surgery / SDEC at Leicester Royal Infirmary. The role combines senior clinical responsibility with consultant support, focusing on ambulatory care, safe discharge and admission avoidance.

The post offers leadership of resident doctors and collaboration with multidisciplinary teams to deliver timely, patient-centred emergency surgical care. Closing date 25 November 2026.

Qualifications

• Full GMC registration with a license to practice.
• Full MRCS qualification.
• Completion of ALS and BSS courses.
• Evidence of commitment to surgical training.
• ATLS, CCRISP courses.

Responsibilities

• Undertake senior clinical assessment, investigation, diagnosis and management of acute GI and general surgical presentations in the Surgical Triage/SDEC service.
• Make timely decisions about treatment, admission, discharge and specialist review, supporting ambulatory pathways and admission avoidance.
• Recognise deteriorating or clinically unstable patients and elevate promptly to the SDEC or on-call consultant team.
• Assess and manage emergency surgical patients admitted directly to the surgical admissions ward from the Emergency Department.
• Ensure safe discharge planning, appropriate safety-netting and follow-up, supported by accurate clinical documentation.
• Provide clinical leadership and day-to-day supervision for resident doctors, and support the development of Advanced Clinical Practitioners and medical students.

Skills

GMC registration

MRCS

ALS & BSS

ATLS

CCRISP

Education

GMC Licence to practice

MRCS

ALS & BSS courses

Surgical training commitments

ATLS & CCRISP courses

Job description

Go back University Hospitals of Leicester NHS Trust

Trust Registrar in General Surgery

The closing date is 25 November 2026

Ready to take the next step in your surgical career? Join University Hospitals of Leicester NHS Trust as an ST3+ Trust Grade Registrar in General Surgery / Same Day Emergency Care (SDEC) at Leicester Royal Infirmary. This role offers the opportunity to combine senior clinical responsibility with consultant support, develop your decision-making skills and help deliver timely, patient-centred emergency surgical care.

You will be part of a supportive multidisciplinary team, working alongside a dedicated SDEC Consultant, resident doctors, Advanced Clinical Practitioners and nursing colleagues. In a busy service managing approximately 30-40 patients per weekday, you will assess and manage acute gastrointestinal and general surgical presentations, with a focus on ambulatory care, safe discharge and avoiding admission where clinically appropriate.

We are looking for an experienced surgical doctor who is keen to develop their clinical leadership and emergency surgical expertise.

Main duties of the job

Undertake senior clinical assessment, investigation, diagnosis and management of acute GI and general surgical presentations in the Surgical Triage/SDEC service.

Make timely decisions about treatment, admission, discharge and specialist review, supporting ambulatory pathways and admission avoidance where clinically appropriate.

Recognise deteriorating or clinically unstable patients and elevate promptly to the SDEC or on-call consultant team.

Assess and manage emergency surgical patients admitted directly to the surgical admissions ward from the Emergency Department.

Ensure safe discharge planning, appropriate safety-netting and follow-up, supported by accurate clinical documentation.

Provide clinical leadership and day-to-day supervision for resident doctors, and support the development of Advanced Clinical Practitioners and medical students.

Work collaboratively with nursing colleagues, Emergency Department teams, primary care, community providers and specialist services to support safe patient flow and coordinated care.

Participate in the SDEC/triage rota and morning and evening handovers, as well as ward rounds, outpatient clinics and theatre activity according to service requirements.

Contribute to clinical audit, quality improvement, service development, undergraduate and postgraduate teaching, and research, while maintaining professional development and mandatory training.

About us

Our new strategy, developed with the support and feedback of colleagues, patients, and partners, is our compass for the next seven years (2023-2030).

We have four primary goals:

• high-quality care for all,
• being a great place to work,
• partnerships for impact, and
• research and education excellence

And we will embed health equality in all we do - taking active steps to reduce the avoidable differences in healthcare that some people face, working in partnership with communities.

Our strategy is underpinned by new values and we will work to ensure they are an everyday reality for all:

• we are compassionate,
• we are proud,
• we are inclusive,
• we are one team

This is an exciting moment as we look to the future with clarity on what we already do well and where we need to focus our energies to make an even bigger difference for the people we serve.

About the University Hospitals of Leicester NHS Trust:

Job responsibilities

Service Delivery & Development

The ability to work well in a multidisciplinary team is essential to this post.

Promote the high performance of colleagues, teams and the department to ensure the correct utilisation of resources in optimising patient care delivery.

Promote fundamentals of quality improvement within the service and highlight areas of potential improvement initiatives for care, performance or cost saving improvement to senior management.

Maintain continuous learning and reflection in practice to supplement the team learning environment in place. Identify case studies and learning opportunities for junior staff to assist them in their development.

Governance

Ensure compliance with clinical and operation governance to ensure delivery of safe and quality patient care in line with professional standards.

Ensure escalation of unmet standards to senior colleague to promote best practice working and compliance with national standards.

Ensure correct governance processes are undertaken when implementing significant change to ways of working to enable a validated approach to change management.

Comply with any service reviews or audits being undertaken on service provision to maintain high standards of operational performance.

Patient/Customer Service

Responsible for ensuring that consistently high standards of clinical service are delivered, including patient communication and treatment.

Ensure good communication channels are developed with all grades of staff, both clinical and operational in order to promote a culture of team working and collaboration.

Ensure patient queries are dealt with in a timely, respectful and appropriate manner to enhance the patient experience at UHL and align with Trust values.

Research

Have understanding of research principles and methodology, show interest in participating in research and an ability to critically analyse published research.

Person Specification

Training and Qualifications

• Full GMC registration with a license to practice
• Full MRCS qualification
• Completion of ALS and BSS courses
• Evidence of commitment to surgical training
• ATLS, CCRISP courses

Experience

• At least 5-years experience as a doctor
• Evidence of continuing professional education
• Over 2 years surgical experience including oncall work

Communication and relationship skills

• Demonstrable skills in written and spoken English that are adequate to enable effective communication with patients and colleagues.
• Empathic and sensitive; capacity to take others perspectives and treat others with understanding.

Analytical and judgement skills

• Understanding and ability to analyse clinical research.

Skills

• Ability to cope in stressful situations and work in a fast paced environment.
• Possess excellent communication skills and the ability to function as a member of a multi-disciplinary clinical team.
• Possess a high degree of motivation and personal self-discipline.
• Ability to keep good medical records and communicate with other hospital departments and external healthcare providers.
• Ability to remain flexible in working.
• Teaching capability
• Ability to appraise research critically

Planning and Organisation skills

• Ability to demonstrate good time management and capacity to organise own workload and work to deadlines.
• Willingness to work as a member of the team and to share administrative responsibilities.
• Able to work in multidisciplinary teams and supervise resident doctors.
• Knowledge and experience of clinical governance issues.

Equality, Diversity and Inclusion

• Able to demonstrate a commitment to and understanding of the importance of treating all individuals with dignity and respect appropriate to their individual needs.
• All staff are expected to engage in compassionate and inclusive leadership in the provision of high quality care and interactions with others

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.

University Hospitals of Leicester NHS Trust

£67,325 to £77,348 a yearPer annum, depending on experience