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The closing date is 06 January 2026

We are seeking a Trust Registrar in Diabetic and Endocrinology medicine to join our active and growing team here at the Princess Alexandra Hospital. The successful candidate will be part of an enthusiastic and forward‑thinking team, driving forward service improvements.

The purpose of the role is to co‑ordinate high quality person‑centred care for the patients on the ward, ensuring that all patients admitted have a diagnosis and treatment plan, and receive a daily medical review. The post holder will work closely with the medical team and wider multidisciplinary clinical team to deliver excellent patient care and developments and improvements to service provision.

The Princess Alexandra Hospital NHS Trust (PAHT) is proud to care for the communities of West Essex, delivering safe, compassionate, and high‑quality services. We are part of the Neighbourhood Wave; a national programme that is changing how care is delivered by focusing on prevention, early support, and more joined‑up services across health, social care, and the voluntary sector. This means we are working more closely with local partners to bring care closer to home and support people to live healthier, more independent lives. We’re a supportive and inclusive organisation that values its people. We offer development opportunities, flexible working, and a strong focus on wellbeing. As a Disability Confident and equal opportunities employer, we welcome applicants from all backgrounds and experiences. Join us and help shape the future of care in West Essex.

The diabetes and endocrine service allows adequate exposure to subspecialist interests whilst also providing exposure to general medicine. The support of the consultant colleagues in the department allows rotation between inpatient specialist diabetes and diabetes foot care services and general medicine cover. The general medicine cover is split between colleagues and involves ward rounds of 14 inpatients on our dedicated ward.

The post holder will conduct ward rounds with the junior doctors, ensuring all patients are seen daily. This will develop leadership and supervision skills as the Registrar is a key link in co‑ordinating junior doctor leave on the ward and ensuring that all patients are safely reviewed when shortfalls occur.

The post‑holder will help develop the diabetes and endocrinology services appropriate to the need of the population, in partnership with the other colleagues in the department and with support from Clinical Director. We run a busy diabetes service and see approximately 120 new patients and 300 follow‑up patients per year. Our endocrinology service sees approximately 320 new patients and 800 follow‑up patients per year. The post will have mentorship support from the Diabetes and Endocrinology consultant lead. The Trust is seeking a clinician committed to service development and interested in taking on active leadership roles within the department.

A key role of the post will be in the provision of new sub‑specialist multidisciplinary diabetes foot care clinics. The post will also help develop the endocrine service and support in patient diabetes and endocrine care. We are happy to support the development of subspecialist interests, including development of an insulin pump service.

The post holder will also work closely with the Diabetes Inpatient Specialist Nurse team. The inpatient service is designed to deliver improved measurable diabetes outcomes—notably enhanced patient safety, reduced admissions, readmissions and reductions in length of stay.

The Registrars play a key role in ensuring medical team input into the Red2Green meeting, which takes place twice daily on each ward. This is a ward‑based Mini MDT in which the treatment and discharge plan for each patient on the ward is reviewed with a view to eliminating bottlenecks and non‑treatment related delays.

The post holder will assist in teaching and supervising the FY2 and FY1 and CMT1/2 in practical procedures and in their clinical learning.

This new post has arisen in order to maintain high quality local services in diabetes and endocrinology and to deliver commissioned clinical activities in line with NICE guidelines and the National Service Framework for Diabetes. Our NHS trust has been successful in introducing new diabetes services as part of the NHS transformation project. This includes a new multidisciplinary diabetes foot care service and a diabetes in‑patient service. The successful applicant will assist with these new services. This will improve outcomes and patient experience for patients with diabetes treated at our hospital trust.

• To co‑ordinate high quality person‑centred care of the patients on the ward, ensuring that all patients admitted have a diagnosis and treatment plan, and receive a daily medical review. To participate in outpatient clinics where required.
• To provide senior medical leadership on the ward by supporting and supervising more junior staff and delegating duties appropriately.
• To ensure the appropriate discharge of patients, including providing timely paperwork to the General Practitioner ensuring a continuation of care following discharge.
• To actively participate in any appropriate steering or project groups.
• To build and maintain excellent relationships with all members of the multidisciplinary team, working with them and communicating effectively to deliver high quality patient care.
• To engage fully in development of services, driving forward innovations to meet the anticipated future challenges of the ageing population.
• The post holder will be a member of the Medical Healthcare Group and will be expected to participate in the activities of the directorate as indicated.

This job description may be subject to change according to the varying needs of the service. Such changes will be made after discussion between the post holder and the manager. All duties must be carried out under supervision or within Trust policy and procedure.

• GMC registration with licence to practice
• PACES or equivalent
• MBBS or Equivalent
• ALS certificate
• MRCP Part 1 or FRCEM Primary

• Experience of working in multi‑specialty teams in hospital
• Evidence of personal practice in all areas described by the RCP curriculum
• Ability to demonstrate personal continuing personal development
• Ability to interpret and apply clinical research
• Participation in relevant audits

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.

The Princess Alexandra Hospital NHS Trust