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Senior Clinical Fellow in Emergency Medicine 80:20 Frailty

University Hospitals Bristol and Weston NHS Foundation Trust
£49,036 a year pa pro rata
Closing date
21 Jan 2022

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Hospital, Emergency medicine
Career Level
Contract Type
Fixed Contract
Full Time
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The following could be offered individuallyor a combination of the three:

  • 20% Frailty - working alongside the new acute frailty service assessing frail older people in ED and AMU
  • 20% Orthogeriatrics - working alongside the team to assess elderly trauma patients and contribute to their ongoing management (silver trauma)
  • 20% Stroke - working on the acute stroke unit and being part of the team performing assessments for thrombolysis / thrombectomy.

In addition to this Frailty Fellowship opportunity we can also consider your own interests related to Frailty 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 in a specialist interest of the successful candidate's choice. The posts are open as OOPT/E for EM HSTs and as stand-alone posts for non-trainees, and can be 100% EM if required. We are also open to SAS and Specialty Doctors if that suits.

Ongoing recruitment cycles and flexible start dates

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

Main duties of the job

The post will be a combination of service provision including out of hours and paid time to develop a specialist interest. The candidate to combine a job in Emergency Medicine with a 20% time allowance for a specialist interest. Specialist interests may include but are not limited to education (SIM/FOAMed), global health, expedition medicine, leadership and management, advanced airway management, research (with Professor Jonathon Benger), ultrasound, resuscitation, toxicology and paediatrics. If an applicant has a particular specialist interest they would like to pursue not listed above then we will accommodate. Open to trainees and non-trainees. For those trainees who already have a UK National Training Number in Emergency Medicine, these posts are eligible for OOPT or OOPE.

About us

University Hospitals Bristol and Weston NHS Foundation Trust (UHBW) is one of the largest acute Trusts in the country, bringing together a combined workforce of over 13,000 staff and over 100 different clinical services across 10 different sites, serving a core population of more than 500,000 people across South West England. UHBW has been rated by the CQC as 'Good' overall and our staff are proud to deliver excellent care to the people of Bristol, Weston and beyond. As a forward-thinking multi-award winning Trust and a digital exemplar committed to improving patient care, our world-leading research and innovations are having a positive local and global impact. Our hospitals are spread across Bristol and Weston, join us and you can enjoy the very best of both worlds; city living within a stone's throw of the countryside or beside the seaside, both with easy access to all that the South West has to offer. UHBW is committed to safeguarding and promoting the welfare of children, young people and vulnerable adults. As an equal opportunities employer actively working towards a diverse workforce we aim to recruit and retain a workforce which represents the rich diversity of the local population at all levels and are committed to designing our services around the needs of individual patients and those around them. Anonymous information will be used from your application in order to ensure we're meeting our pledge.

Job description
Job responsibilities


The reception, diagnosis and emergency treatment of patients presenting to the adult Emergency Department. The successful candidate will be given supervision and support from senior medical staff to develop competency in the autonomous clinical management of these patients whilst ensuring patient safety. This post is based in the adult Emergency Department and no sessions will be undertaken in the paediatric Emergency Department.

There is close liaison between ED and ICU at BRI. Patients referred to Specialist Units within the hospital are the responsibility of that specialist team, who will see the patient in the Emergency Department and arrange appropriate care. However, medical and nursing staff in the ED are responsible for any emergency care necessary. This shared care is seamless and collaborative.


The management responsibility of the post holder will be to the Clinical Director who is responsible to the Chief Executive and Trust Board.

.Clinical Audit and Clinical Governance

The post holder must be aware of clinical governance and clinical risk management and take an active part in their implementation, including audit. Clinical audit is established at the BRI. They will participate in at least one supervised audit project during the 12 month post and will be encouraged to attend interdisciplinary clinical governance meetings

On-Call Commitment

In ED the roster is a full shift system. Shifts are a balanced mix of earlies, mids, lates, and nights. The posts pay will be calculated by HR and will be compliant with the new regulations set in Aug 2017.

Person Specification
Education and Qualifications


  • Registered with General Medical Council (UK)
  • At least 24 months full-time hospital service as a trainee in the Foundation Medicine and a further 36 months full time equivalent hospital work (ideally EM based). No unexplained career gaps
  • Advanced Life Support provider
  • Previous experience of working in critical care in the British Healthcare system (not observing)
  • Specialist Interest intent and evidence of interest



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

Knowledge and Experience


  • Able to assess, resuscitate and stabilise acutely sick patients
  • Able to participate as key member of cardiac arrest team
  • Demonstrates good clinical judgement
  • Completed specialist skills courses (e.g. difficu BMJRef: BMJ-58463/387-M-1837-RM-9-C


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