Job summary
- Main area
- Addictions and Emergency Medicine
- Grade
- NHS Medical & Dental Clinical Fellow
- Contract
- 12 months (1 Year Fixed Term Contract)
- Hours
- Full time - 40 hours per week
- Job ref
- 196-MED4833
- Employer
- Guy's and St Thomas' NHS Foundation Trust
- Employer type
- NHS
- Site
- St Thomas Hospital
- Town
- London
- Salary
- £49,909 - £61,825 per annum excl LZ
- Salary period
- Yearly
- Closing
- Today at 23:59
Employer heading

Clinical Fellow in Addictions Medicine & Emergency Medicine
NHS Medical & Dental Clinical Fellow
Guy’s and St Thomas’ is among the UK’s busiest and most successful NHS foundation trusts. We provide a full range of hospital and community services for people in south London and as well as specialist care for patients from further afield including cancer, renal, orthopaedic, respiratory and cardiovascular services.
Guy’s is home to the largest dental school in Europe and a £160 million Cancer Centre opened in 2016. As part of our commitment to provide care closer to home, in 2017 we also opened a cancer centre and a kidney treatment centre at Queen Mary’s Hospital in Sidcup. St Thomas’ has one of the largest critical care units in the UK and one of the busiest emergency departments in London. It is also home to Evelina London Children’s Hospital.
Evelina London cares for local children in Lambeth and Southwark and provides specialist services across south east England including cardiac, renal and critical care services. We lead a number of specialist service networks aiming to ensure children are treated locally where possible, but have access to specialist expertise when they need it. Our community services include health visiting, school nursing and support for families of children with long-term conditions.
Our adult community services teams deliver care at the heart of the local communities we serve, working in partnership with GPs, local authorities and other healthcare and voluntary sector organisations. Working with our partners in Lambeth and Southwark, we are focusing on new ways of working to improve care for local patients.
In February 2021 the Royal Brompton and Harefield joined Guy’s and St Thomas’ NHS Foundation Trust, bringing together world-leading expertise in the care and research of heart and lung disease. Our merger provides a once in a generation opportunity to build a lasting, world-renowned heart and lung centre, providing the highest quality care for patients and conducting world-leading research.
We have a reputation for clinical excellence and high quality teaching and research. We are part of King’s Health Partners, one of eight accredited UK academic health sciences centres. In partnership with King’s College London we have dedicated clinical research facilities including an MHRA accredited Phase I clinical trials unit.
Patients are at the heart of everything we do and we pride ourselves on ensuring the best possible patient experience as well as safe, high quality care. We are proud to have one of the lowest mortality rates in the NHS. Following a comprehensive Care Quality Commission (CQC) inspection in 2019 we maintained our overall rating of ‘good’. Our adult community services achieved a rating of ‘outstanding’.
The commitment of our 23,500 staff is key to our success. We are one of the largest local employers and we aim to develop and support all our staff so they are able to deliver high quality, safe and efficient care. The 2019 NHS staff survey results show that we have one of the most engaged and motivated workforces in the NHS. We know this has a positive impact on the care provided to our patients.
We have one of the most ambitious capital investment programmes anywhere in the NHS.
Job overview
This role comprises of a 12 month period of employment with 6 month rotations in the Addictions Clinical Care Suite and the Emergency Department at St Thomas’ Hospital.
Toxicology
As a new initiative the successful candidate has an exciting opportunity to work as an integral part in the early development of the ACCS unit. The candidate will be the Clinical Fellow taking part in the daily medical care of patients admitted to the London Addictions Care Pathway (ACCS).
This post is designed for an FY3 level trainee to:
We are looking for doctors to join our large friendly team and contribute ideas about improving patient care. This post will give you non shop floor time. You will have the equivalent of 2 days a fortnight to follow the special interest or boost your CV depending on personal career needs/interest/development of training). It is useful for those wishing to take some time out of training from anytime after F2 to those wanting a break before continuing into higher specialty training.
Main duties of the job
Toxicology
The ACCS 11 bedded unit will be located on a general medical ward at St Thomas’ Hospital. When on duty for the ACCS the post holder will be supervised by the consultants in Clinical Toxicology/ General Medicine and Addictions Psychiatry. They will have the opportunity to join the daily consultant led ward rounds on the ACCS and deliver ongoing care to in-patients on the unit. The post-holder will receive training and gain clinical experience in acute assessment of patients with alcohol/drug withdrawal states in context of serve medical comorbidities. They will also have the opportunity to join specialist Addiction Nurse led rounds, support psychosocial interventions and attend dedicated outpatient clinics for those with addiction requiring medical follow up e.g. Liver assessment and fibroscan clinics.
Emergency Medicine
These posts are useful for doctors needing competencies in ACCS /Emergency Medicine training. We consider them developmental so encourage work-based assessments, enrolling for an e-portfolio or doing exams. When on duty the Clinical Fellow, with other more senior Emergency Medicine speciality trainees, assists the Consultants in direct patient management and supervising the work of the junior (FY2) medical staff. We all work hard but are very supportive and keen to help progress careers.
Working for our organisation
Guy’s and St Thomas’ is one of the largest hospital trusts in the country, with a staff of almost 11,000, a turnover of over £600 million and 900,000 patient contacts a year
The Trust comprises two of London’s oldest and best known teaching hospitals. The hospitals have a long history, dating back almost 900 years, and have been at the forefront of medical progress and innovation since they were founded. Both hospitals have built on these traditions and continue to have a reputation for excellence and innovation.
Detailed job description and main responsibilities
Please see the attached JD and Person specification for the detailed description of the roles in both Toxicology and Emergency Medicine.
*** Please be advised that this vacancy may close early should we receive sufficient number of applications ***
Person specification
Education/Qualifications
Essential criteria
- Foundation training year 1 and 2
- Full GMC Registration
Desirable criteria
- BSc, BMedSci (or other intercalated degree), other degrees/qualifications
- ALS
- MRCP Part I
Previous experience
Essential criteria
- 1 year in general medicine or associated specialties at Foundation Level including acute admissions, continuing care in general medicine, emergency medicine
- Prove track record of hospital medicine in the NHS, with experience in EM Short term locums & clinical attachment are not acceptable and will not be considered. This is ONLY suitable as a first UK post IF the candidate has worked for a minimum of 12 months in EM fulltime. Candidates will not be shortlisted unless they fulfil the criteria above
Desirable criteria
- Additional experience in one or more of other related specialties (acute medicine, orthopaedics, cardiology, ITU, anaesthetics, plastics or primary care).
- Previous research projects with abstract and/or full paper publications.
- Previous FY experience in Psychiatry, Addiction Medicine, Clinical Toxicology and/or EM
Skills/Knowledge/Ability
Essential criteria
- Clear, logical thinking, analytical/scientific approach
- Appropriate level of clinical knowledge Shows knowledge of evidence-informed practice
- Ability to work as part of a multidisciplinary team
- Evidence of experience in performing procedures relevant to emergency medicine: venous cannulation, phlebotomy, fracture manipulation
Desirable criteria
- Evidence of a quality improvement or audit project involvement
- Committed to personal development Clear decision-making ability Understanding of Clinical Governance
Applicant requirements
You must have appropriate UK professional registration.
This post is subject to the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (Amendment) (England and Wales) Order 2020 and it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service.
Documents to download
Further details / informal visits contact
- Name
- Dr John Archer
- Job title
- Consultant in Toxicology
- Email address
- [email protected]
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