• Job Description

  Req#: C9391-25-1329?language=en&page=237&sort=publicationDateDesc

  Job summary

  Applications are invited for the position of Senior Clinical Fellow (previously known as Trust Registrar) in Acute Medicine, at the North Middlesex University Hospital, Royal Free London NHS Foundation Trust in North Central London (NCL).

  This is an exciting time to join the department as we recently joined the Royal Free group and have the opportunity to realign our services to the needs of our patients.

  The successful applicant will work in the Same Day Emergency Care Unit (SDEC), providing medical care in an ambulatory setting to patients presenting with a variety of medical conditions referred via multiple pathways (general practice, London ambulance service, emergency department, NHS 111, acute medicine department).

  The SDEC team is currently expanding to accommodate increased activity throughout the week, in line with the expansion of admission avoidance pathways. We have both condition-specific pathways (for high volume conditions, such as DVT, cellulitis, pyelonephritis, etc) and inclusion and exclusion criteria, allowing us to maximise the number of patients seen in SDEC thus reducing the number of hospital admissions and the number of patients seen in the emergency department.

  Main duties of the job

  MAIN DUTIES AND RESPONSIBILITIES 1. CLINICAL RESPONSIBILITIES

  1.1 Keeps professional knowledge & skills up to date, follows infection control standards.

  1.2 Able to discuss treatment options with patients in a way they can understand.

  1.3 Able to prioritise according to clinical need.

  1.4 Competent in bedside medical procedures, physical examination, history taking.

  1.5 Competent in formulating investigation and treatment plans, managing complex scenarios and deteriorating patients, leading cardiac arrest teams.

  1.6 Provides senior medical support and supervision to resident doctors and junior clinical fellows, including assessment, management, and review of acutely unwell patients.

  1.7 Provides timely and appropriate escalation to consultants for complex or deteriorating patients.

  For further details, please see attached Job Description.

  About us

  ABOUT THE HOSPITAL:

  North Middlesex Hospital, Royal Free London NHS Foundation Trust is a medium-sized District General Hospital based in Edmonton in Enfield, North London. We serve a diverse multicultural population largely from the London boroughs of Enfield and Haringey. Many of our patients live in wards that are within the 5% most deprived in the UK and a large proportion of our patients were born abroad. This makes it both a fascinating and a challenging hospital to work in.

  Over the last decade we have rebuilt most of the hospital and now have facilities that we are proud to work in. We employ over 3,500 staff, more than half of whom live locally. We encourage apprenticeships from the local community and work closely with our local Health Watch.

  We are primarily an acute hospital with more than 90% of our bed days being used for patients admitted via our emergency and SDEC units. As well as offering everything you would expect from a major acute hospital, we have a number of tertiary services treating patients with HIV and Sickle Cell Disease and a large cancer and radiotherapy service. We also run our local community Sexual Health Clinics.

  We are proud of our staff and want to ensure their training allows them to provide excellent clinical care. We are also a training unit for medical students from UCL and St George's University Grenada, and for nursing and midwifery students from Middlesex and City Universities.

  Details

  Date posted

  04 July 2025

  Pay scheme

  Hospital medical and dental staff

  Grade

  Doctor - other

  Salary

  £61,825 a year per annum plus London Weighting

  Contract

  Permanent

  Working pattern

  Full-time

  Reference number

  391-NMUH-7308145

  Job locations

  North Middlesex University Hospital

  Sterling Way

  London

  N18 1QX

  
  

  Job description

  Job responsibilities

  Further Details of roles and responsibilities for this vacancy can be found within the attached Job Description

  Job description

  Job responsibilities

  Further Details of roles and responsibilities for this vacancy can be found within the attached Job Description

  Person Specification

  Education & professional Qualifications

  Essential

  • Eligible for full GMC registration and licence to practice
  • Postgraduate qualification (e.g. MRCP or equivalent)
  • MBBS or equivalent

  Experience

  Essential

  • Competent in bedside medical procedures, physical examination, history taking, formulating investigation and management plans
  • Provides senior medical support and supervision, including assessment and management of acutely unwell patients

  Desirable

  • Knowledge of current issues in the NHS

  Skills and aptitudes

  Essential

  • Aware of own limitations, consults senior colleagues appropriately and know s when to ask for help
  • Understands the principles of patient confidentiality and data protection
  • Keeps professional knowledge & skills up to date

  Person Specification

  Education & professional Qualifications

  Essential

  • Eligible for full GMC registration and licence to practice
  • Postgraduate qualification (e.g. MRCP or equivalent)
  • MBBS or equivalent

  Experience

  Essential

  • Competent in bedside medical procedures, physical examination, history taking, formulating investigation and management plans
  • Provides senior medical support and supervision, including assessment and management of acutely unwell patients

  Desirable

  • Knowledge of current issues in the NHS

  Skills and aptitudes

  Essential

  • Aware of own limitations, consults senior colleagues appropriately and know s when to ask for help
  • Understands the principles of patient confidentiality and data protection
  • Keeps professional knowledge & skills up to date

  Disclosure and Barring Service Check

  This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

  Certificate of Sponsorship

  Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).

  From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).

  UK Registration

  Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).

  Additional information

  Disclosure and Barring Service Check

  This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

  Certificate of Sponsorship

  Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).

  From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).

  UK Registration

  Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).

  Employer details

  Employer name

  Royal Free London NHS Foundation Trust

  Address

  North Middlesex University Hospital

  Sterling Way

  London

  N18 1QX

  
  

  Employer's website

  https://www.royalfreelondonjobs.co.uk/ (Opens in a new tab)

  Employer details

  Employer name

  Royal Free London NHS Foundation Trust

  Address

  North Middlesex University Hospital

  Sterling Way

  London

  N18 1QX

  
  

  Employer's website

  https://www.royalfreelondonjobs.co.uk/ (Opens in a new tab)

• About the company

  National Health Service (NHS) is the umbrella term for the publicly-funded healthcare systems of the United Kingdom (UK). The founding principles were that services should be comprehensive, universal and free at the point of delivery—a health service based on clinical need, not ability to pay. Each service provides a comprehensive range of health services, free at the point of use for people ordinarily resident in the United Kingdom apart from dental treatment and optical care.

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