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Chief Registrar

University Hospitals Bristol and Weston NHS Foundation Trust
£55,329 to £63,152 a year Pa pro rata
Closing date
9 Apr 2024

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Specialist doctor
Specialty registrar
Full Time

Two exciting opportunities have arisen for two, enthusiastic and motivated senior trainees (ST4 or above) with an interest in leadership, management and quality improvement to join University Hospitals Bristol and Weston NHS Foundation Trust as a Chief Registrar within the Division of Medicine, based at the BRI Bristol site.

The chief registrar role provides senior trainees with 40% protected time to develop skills and confidence in leadership, management and quality improvement. Learning that chief registrars gain from the Royal College of Physicians' (RCP's) bespoke development programme will be put into practice in a supported environment that provides autonomy, flexibility and support to develop and support projects that address key local challenges and priorities. This may include service improvement, engagement and morale, education and training, workforce, and sustainability.

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

Applications are open to senior trainees:

  • At ST4 level or above
  • Working full time or less-than-full-time
  • Who have full GMC registration

Main duties of the job

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.

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.

About us

University Hospitals Bristol & Weston NHS Foundation Trust (UHBW) is one of the largest acute Trusts in the country, with a workforce of over 13,000 staff and 100+ different clinical services across 10 sites, serving a population of over 500,000 people across Bristol and Weston.UHBW has been rated by the CQC as 'Good' overall and our staff are proud to deliver excellent care to patients. As a forward-thinking multi-award winning Trust,committed to improving patient care, our world-leading research and innovations are having a positive local and global impact.

Join us and you can enjoy city living, be in the countryside or by the seaside, with easy access to all the South West offers. 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 create a workforce that represents the diversity of our community and are committed to designing our services around the needs of patients and their loved ones. Anonymous information will be used from your application in order to ensure we're meeting our pledge.

Job description
Job responsibilities

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

This is a fixed-term role for minimum of 12 months. The role can be undertaken in programme or out of programme (training or experience).

In the first instance, applications must be discussed with your educational supervisor and training programme director (TPD), and permission to apply must be granted by the TPD.

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 job description is broad in scope. Find attached detailed job description, person specification and main responsibilities

Person Specification
Qualifications & Training

  • Full registration with General Medical Council
  • Be fit to practice
  • Should be NTN ST4 or above
  • Can include Locally Employed Doctors at experience equivalent to ST4 or above
  • Should not already hold a CCT or expected to complete training during the programme
  • Must have approval of TPD to apply (NTNs)
  • Evidence of satisfactory / more than satisfactory progress through training, including annual review of competence progression (ARCP) outcomes or appraisal


  • Additional relevant degree (intercalated, masters or doctorate)


  • 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 relevant academic achievements, including publications / presentations

Clinical Skills

  • Evidence of clinical competencies in their specialty appropriate for their stage in training (or equivalent)
  • 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

Leadership & Management

  • 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


  • 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
  • Development of teaching programmes
  • Participation in teaching courses
  • Participation in degree or diploma courses in education
  • Action learning sets / simulation instructor

Education & Teaching

  • Evidence of interest in and experience of teaching
  • Evidence of positive feedback on teaching approaches


  • Development of teaching programmes
  • Participation in teaching courses
  • Participation in degree or diploma courses in education
  • Action learning sets/simulation instructor

Quality Service Improvement/Audit:

  • 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 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

Personal Skills: Communication

  • Clarity in written / spoken communication
  • Capacity to adapt language to the situation, as appropriate
  • Active listening and empathy
  • Ability to build rapport and communicate effectively with others
  • Ability to persuade, influence and negotiate
  • Ability to communicate effectively under pressure

Personal Skills: Problem solving and decision making

  • Capacity to use logical / lateral thinking to solve problems / make decisions, indicating an analytical / scientific approach and, where appropriate, creativity in problem solving

Personal Skills: Organisation and planning

  • Capacity to manage / prioritise time and information effectively
  • Evidence of thoroughness (well prepared, self-disciplined / committed, punctual and meets deadlines)
  • Evidence of thoroughness (well prepared, self-disciplined / committed, punctual and meets deadlines)

Personal Skill: Coping with pressure and managing uncertainty

  • Ability to work effectively under pressure
  • Capacity to manage conflicting demands
  • Self-motivation, and resilience
  • Initiative and ability to work autonomously

Personal Skills: Computer skills

  • Excellent computer literacy

Appropriate personal attributes

  • Quick to understand new information and adapt to new environments
  • Clarity of thought and expression
  • Flexible and adaptable to change
  • Self-starter, motivated, shows curiosity, initiative and enthusiasm)
  • Demonstrates probity (displays honesty, trustworthiness, integrity, awareness of ethical dilemmas, respect for confidentiality)
  • Takes responsibility for own actions
  • Commitment to personal and professional development

Personal Skills: Team working, leading and managing others

  • Can build effective teams and partnerships
  • Ability to work well in multidisciplinary teams
  • Understands and values contributions of others
  • Ability to show leadership, make decisions, organise and motivate other team members through, for example, quality improvement

Any attachments will be accessible after you click to apply.




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