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Chief Registrars in Emergency Medicine & Acute/General Medicine

Gloucestershire Hospitals NHS Foundation Trust
£51,017 to £58,398 a year per annum
Closing date
4 Jun 2022
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Gloucestershire Hospitals NHS Foundation Trust Royal College of Physicians Chief Registrars in Acute/General Medicine X2 & Emergency Medicine X2

An exciting opportunity is being offered for enthusiastic and motivated senior trainees (ST4 or above) with an interest in leadership management and quality improvement to join Gloucestershire Hospitals NHSFT. Continuing our successful Chief Registrar Scheme we are looking to appoint Chief Registrars in Acute/General Medicine/Emergency Medicine for 2022-2023

Please state on application which one of the three specialties you are applying for.

The role provides senior trainees with 50% protected time to develop skills and confidence in leadership management and quality improvement Learning that Chief Registrars gain from the Royal College of Physicians' bespoke development programme will be put into practice in a supported environment that provides autonomy flexibility and support to develop projects that address key local challenges and priorities This may include improvement in services, engagement and morale education and training, workforce, and sustainability.

Main duties of the job

The Chief Registrar role will suit trainees who:

  • Want to learn about leadership and gain senior leadership experience
  • Are comfortable working in uncertain environments and across traditional boundaries
  • Relish the opportunity to develop their own ideas and initiatives
  • Are committed to and passionate about improving the NHS.

The Chief Registrar will be mentored by a senior clinical leader within the organisation and gain a unique insight into NHS leadership and management processes, as well as deeper knowledge of NHS structures and stakeholders.

The Chief Registrar will be expected to attend modules delivered as part of the RCP's bespoke development programme, which will cover, for example, change management, team culture and development, quality improvement, leadership, influencing and personal resilience.

About us

Gloucestershire Royal Hospital provides general hospital services predominantly to people living in the west of the county Some services such as renal and haemodialysis, inpatient paediatrics, paediatric oncology inpatient neurology rheumatology dermatology and ENT are provided for the whole county

Cheltenham General Hospital provides general hospital services predominantly to people living in the east of the county and parts of south Worcestershire. Some services, such as ophthalmology are provided for the whole county The Oncology Centre at Cheltenham General Hospital is the hub of the Three Counties Cancer Network being a centre of excellence for Gloucestershire, Herefordshire Worcestershire and parts of Wales

Both Cheltenham General and Gloucestershire Royal Hospitals have Emergency Departments with heli-pad access at GRH

Job description
Job responsibilities

The chief registrar job description is broad in scope in order to allow chief registrars and recruiting organisations to have autonomy and flexibility over the work the chief registrar undertakes Chief registrars should focus on addressing key local challenges and priorities which may include some or all of the following:

  • Providing a bridge between senior clinical leaders managers and the wider trainee workforce to improve communication engagement and morale
  • Service improvement for example redesigning pathways implementing new technology and establishing new services to improve flow and outcomes for patients
  • Improving the quality of clinical and non-clinical education and training activities and supporting/mentoring other trainees to engage in quality improvement
  • Involvement in workforce planning and improving the deployment of trainees to meet service needs and improve morale
  • Improving efficiency and reducing waste
  • Working across teams and boundaries to engage stakeholders in quality improvement and influence change

Involvement in and exposure to senior management and organisational decision-making

The chief registrar should attend departmental and divisional management meetings to gain an understanding of management and the wider social political and economic influences on healthcare delivery

Where possible and appropriate they should attend Board meetings They should lead any sessions on service development improvement and transformation for which they have direct responsibility

50% protected time for chief registrar role

50% clinical practice

On call commitments may vary and should be determined locally

Please see attached Job description/person specification for further information

Person Specification
Skills, Knowledge and Experience

  • Full registration with General Medical Council
  • Be fit to practice
  • Hold a national training number
  • Should be ST4 or above
  • Should not already hold a CCT or be within 12 months (ideally not within 18 months) of completion of training on intended start date
  • Must have approval of TPD to apply
  • Evidence of satisfactory / more than satisfactory progress through training, including annual review of competence progression (ARCP) outcomes
  • Evidence of clinical competencies in their specialty appropriate for their stage in training
  • An 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
  • Understanding of research, including awareness of ethical issues
  • Understanding of research methodology and ability to use basic qualitative and
  • Knowledge of evidence-based practice
  • Understanding of research, including awareness of ethical issues
  • Understanding of research methodology and ability to use basic qualitative and quantitative methods
  • Knowledge of evidence-based practice
  • Evidence of effective team working and leadership, supported by multi-source feedback or workplace-based assessments
  • 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
  • Understanding of clinical governance, including the basic principles of audit, clinical risk management, evidence-based practice, patient safety and quality improvement initiatives
  • Evidence of active involvement in quality improvement, 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 interest in and experience of teaching
  • Evidence of positive feedback on teaching approaches


  • Additional relevant degree (intercalated, masters or doctorate)
  • Evidence of relevant academic achievements, including publications / presentations
  • Evidence of involvement in local management systems
  • Evidence of effective leadership (e.g. evidence of leading innovations or improvements)
  • Understanding of the local and national context of the NHS, including economic and political influences
  • Evidence of a portfolio of audit / quality improvement projects, including evidence that the audit loop has been closed and evidence of learning about the principles of change management
  • Evidence of publications / presentations / prizes in quality improvement or audit
  • Good knowledge of the UK healthcare system, including education, research, service provision, regulation, career structures, medical politics and ethics
  • Clear insight into issues facing UK healthcare services
  • Development of teaching programmes
  • Participation in teaching courses

BMJRef: BMJ-66032/318-22-RCPCR


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