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Job summary

Main area
Acute Medicine
Grade
NHS Medical & Dental: Local Appointment nodal point 4 (MT04)
Contract
Fixed term: 4 years (4 year contract)
Hours
  • Full time
  • Part time
40 hours per week (full time or part time considered)
Job ref
164-7157751
Employer
Nottingham University Hospitals NHS Trust
Employer type
NHS
Site
QMC Campus
Town
Nottingham
Salary
£61,825 - £70,425 OOH enhancements will apply. MT05 pay point (£70,425) only applicable if in last year of Uk National Training programme or in final months of CESR programme (evidence to be provided)
Salary period
Yearly
Closing
09/05/2025 23:59

Employer heading

Nottingham University Hospitals NHS Trust logo

CESR Fellow in Acute Medicine

NHS Medical & Dental: Local Appointment nodal point 4 (MT04)

Job overview

Nottingham University Hospital NHS Trust seeks applications for a substantive CESR Fellow in Acute Medicine based at the Queens Medical Centre Campus. Our CESR workforce currently has 5 fellows in the programme and we are looking to increase the team. 

The CESR, or Certificate of Eligibility for Specialist Registration, is the route to specialist registration for doctors who have not completed a GMC-approved deanery training programme but who are able to demonstrate that their specialist training, qualifications and experience are equivalent to the requirements for the award of the CCT in the UK. It is a competency-based programme that enables the trainee to provide a portfolio of evidence of their training, qualifications and experience, meeting the requirements of the Acute Medicine CCT curriculum. Successful completion of the CESR process results in entry onto the Specialist Register and doctors with CESR can apply for substantive consultant posts in the UK.

      The post is ideal for doctors who wish to pursue a career in Acute Medicine in one of the largest and busiest Acute Medicine Departments in the country.  The post affords an excellent training opportunity for an experienced post CT SHO / Clinical Fellow / Registrar who wishes to pursue a career in Acute Medicine outside a deanery based training programme.

Main duties of the job

A full range of adult patients attend Nottingham University Hospitals NHS Trust and, under the supervision of a consultant, post-holders will be responsible for the management of those patients who are referred to the Acute Medicine department.

The Acute Medicine middle grade rota is largely split into three different roles: 

·    B3 SpR – Responsible for the senior review of new admissions, support of junior doctors, undertaking of clinical procedures and having an overall oversight of the take as well as expediting discharges and maintaining patient flow through the department.

·     AMRA SpR – Responsible for the senior review of new GP admissions and Same Day Emergency Care patients.  Support fellow junior doctors, undertake any clinical procedures and maintain patient flow through the department.

·  AMRAT SpR – Receive referrals to Acute Medicine from the Emergency Department to ensure that correct pathways are adhered to and patients are seen by the right person, in the right place and at the right time.  This role also offers support for advice to our Emergency Department colleagues.

·  On-call duties cover both campuses and include GIM on-call, stroke thrombolysis, supporting the medical level 1 unit, and Level 1/Level 2 care for respiratory patients. 

 

 

 

 

 

 

Working for our organisation

Nottingham University Hospitals (NUH) is one of the biggest and busiest NHS Trusts in the country with a budget of over £1billion and over 19,000 staff.  We provide services to over 2.5 million residents of Nottinghamshire.

NUH has a national and international reputation for the quality of our patient care and for research, education and innovation. 

We offer a wide range of staff benefits including:

  • Access to the Staff Wellbeing programme including our free 24 hour staff advice and emotional support service, financial advice service, a staff physiotherapy service and staff support networks
  • On site day nursery
  • Amazon parcel collection points
  • Secure cycle facilities
  • Access to Spiritual and Pastoral Care Services
  • Salary sacrifice schemes
  • Cycle to work and travel passes
  • NHS discounts

We have recently been featured as the new home to Channel 4's  '24 Hours in A+E' television show. The show is currently being broadcast on Channel 4.

Detailed job description and main responsibilities

The post holders will work under the clinical direction of the Consultants in the Acute Medicine Department across all clinical areas.

The post is ideal for doctors who wish to pursue a career in Acute Medicine in one of the largest and busiest Acute Medicine Departments in the country.  It affords an excellent training opportunity for an experienced post CT SHO / Clinical Fellow / Registrar who wishes to pursue a career in Acute Medicine outside a deanery based training programme. 

The CESR posts will include out of hours working on the General Internal Medicine registrar rota. Average weekly hours are expected to be circa 46 – 42 clinical and 4 hours for CPD. Once a postholder is considered to be competent they may be moved to the consultant on call rota. 

During rotations to other specialties the post holder may remain on the QMC GIM rota or may work on the rota of the specialty they have rotated into.  This will be discussed and agreed before the rotation starts. 

Successful applicants will join a happy and enthusiastic multi-disciplinary team including consultant and junior medical staff, nursing staff, ACPs, prescribing pharmacists and Physician Associates. We are a dedicated, forward thinking and high functioning team.  We strive to deliver the very best care for our patients, but we are also passionate about providing high quality training and support for our team.

Our Acute Medicine Unit is being ambitiously and innovatively restructured, expanded and modernised both in terms of physical estate and in the way we work.  NUH has one of the busiest Acute Medicine takes in the country with approximately 60% of patients being referred from the Emergency Department (ED) and 40% from Primary Care. 

Acute Medicine is made up of three clinical areas, all consultant led between 08.00 and 22.00 7 days per week: 

  • Acute Medicine Receiving Area (AMRA) – a 20 bedded ambulatory area to treat and assess patients directly from the community, or the Emergency Department.
  • Acute Medicine Assessment Unit - ward B3 – currently a 64 bedded short stay unit providing assessment to patients admitted from AMRA and the Emergency Department
  • Acute Medicine Level 1 Unit - 12 beds for the initial care of higher acuity medical admissions. The unit has enhanced nurse to patient ratios, monitoring and increased senior support

We also provide an innovative consultant led Telephone Triage, Advice and Navigation service primarily for GPs which has significantly improved “Right Place, First time” navigation, improved access to alternative ambulatory pathways, reduced unnecessary admissions, delays and length of stay and allowed many patients to be safely managed in the community with advice.  

Physicians in our team enjoy a great breadth and depth of clinical experience and a fulfilling and varied clinical portfolio. Our assessment areas are superbly supported by our Medical and other specialty teams and we enjoy a good working relationship with our Emergency Department. Acute Medicine provides dedicated 24 hour in-reach and advice via the AMRAT service.

Person specification

Training and Qualifications

Essential criteria
  • MBBS
  • Full GMC registration with Licence to Practise
  • MRCP parts 1 and 2 (at least)
  • ALS
Desirable criteria
  • Higher professional degree
  • Full MRCP
  • Formal teaching qualification

Experience

Essential criteria
  • Four years post-graduation experience with minimum one year experience in Acute Medicine
  • Twelve months experience at SHO or above level in Medicine in a NHS hospital setting.
  • Experience in management of unselected acute medical conditions at SHO level or above.
  • Able to supervise junior colleagues
Desirable criteria
  • Experience in other specialties allied to Acute Medicine – e.g. ED, HCOP, Respiratory, Critical Care
  • Previous experience at SpR level both in hours and out of hours in a large hospital setting in General Medicine

Analytical and Judgement Skills

Essential criteria
  • Demonstrate understanding of importance of Audit and Research.
Desirable criteria
  • Evidence of leading a QIP or Audit
  • Evidence of closing the audit loop

Employer certification / accreditation badges

Trust IDApprenticeships logoNo smoking policyAge positiveDisability confident leaderArmed Forces Covenant Gold AwardMindful employer.  Being positive about mental health.NHS Rainbow badgeadded for NUH

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

Apply online now

Further details / informal visits contact

Name
Dr Nanda Nalla
Job title
Consultant in Acute Medicine and CESR Lead
Email address
[email protected]
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