Job overview
An exciting opportunity has arisen for an enthusiastic and motivated senior trainee (ST4 or above or equivalent) with an interest in leadership, management and quality improvement to join Imperial College Healthcare NHS Trust as a chief registrar on the RCP Chief Registrar Programme.
The medical chief registrar will be attached to the Division of Medicine and Integrated Care (MIC), which operates Trust-wide, and the acute medicine team at St Mary’s Hospital – contributing to the medical take, care of medical inpatients and same day emergency care (SDEC) services.
The chief registrar will have 40% protected time to develop skills and confidence in leadership, management and quality improvement. Projects will be tri-site within MIC and may also extend to other divisions. Projects may include service improvement, engagement and morale, workforce wellbeing, and sustainability.
Chief registrars benefit from access to a bespoke development programme provided by the RCP, which runs from September 2026 to June 2027 and comprises five 2-day modules that post holders are expected to attend.
The duration of the post is 1 year.
Main duties of the job
This post is 60% clinical within the department of Acute Medicine at St Mary’s and 40% managerial within the MIC division.
The chief registrar will work with the divisional director and head of operations for the MIC division on a number of projects. These will include:
•Providing a bridge between senior clinical leaders, managers and the wider trainee workforce to improve communication, engagement and morale
•Involvement in workforce planning and improving the deployment of trainees to meet service needs and improve morale
•Service improvement projects to improve patient flow and safety within acute medicine
•Developing and maintaining up-to-date project documentation, and producing periodic progress reports
The chief registrar will also attend departmental, divisional management and executive meetings to understand the infrastructure and running of the Trust and how wider social, political and economic factors influence health care delivery.
Working for our organisation
At Imperial College Healthcare you can achieve extraordinary things with extraordinary people, working with leading clinicians pushing boundaries in patient care. Become part of a vibrant team living our values - expert, kind, collaborative and aspirational. You’ll get an experience like no other and will fast forward your career. Benefits include career development, flexible working and wellbeing, staff recognition scheme. Make use of optional benefits including Cycle to work, car lease schemes, season ticket loan or membership options for onsite leisure facilities.
The statutory requirement to be fully Covid-19 vaccinated as a condition of employment from April 2022 is subject to legislative review. At Imperial College Healthcare NHS Trust, we strongly encourage and support vaccination uptake as this remains the best line of defence against COVID19. The successful applicant may have contact with patients and service users and as part of our pre-employment checks and risk assessments, we will ask all candidates to confirm whether or not they have been fully vaccinated or have a medical exemption.
As part of our continued response to Covid19 we are still conducting the majority of our interviews virtually.
We are committed to equal opportunities and improving the working lives of our staff and will consider applications to work flexibly, part-time or job share. Please talk to us at interview.
Detailed job description and main responsibilities
The Chief Registrar role combines 60% clinical work in Acute Medicine at St Mary’s Hospital with 40% protected leadership and management time within the Medicine and Integrated Care Division at Imperial College Healthcare NHS Trust.
Clinical duties
1. Deliver safe, effective patient care within Acute Medicine
2. Participate in the acute medical take, inpatient care and on-call rota
3. Work closely with junior doctors and the multidisciplinary team under consultant supervision
4. Support Same Day Emergency Care (SDEC) and specialty clinics as agreed
5. Maintain high standards of documentation, handover and patient safety
Leadership and management duties
6. Act as a link between senior leaders, managers and the trainee workforce
7. Lead and support service improvement and quality improvement projects
8. Contribute to workforce planning and trainee deployment
9. Support initiatives to improve patient flow, safety, wellbeing and morale
10. Develop and maintain project plans, documentation and progress reports
Education and professional responsibilities
11. Participate fully in the RCP Chief Registrar Programme
12. Maintain a leadership and learning portfolio
13. Attend departmental, divisional and executive meetings
Maintain GMC registration and uphold Trust values and professional standards
Person specification
Education and Qualifications
Essential criteria
14. On GMC Register with license to practice
15. MRCP or equivalent
Desirable criteria
16. Additional relevant degree (intercalated, masters or doctorate)
Relevant experience in specialty/Sub specialty
Essential criteria
17. Should be ST4 or above
18. Evidence of satisfactory / more than satisfactory progress through training, including annual review of competence progression (ARCP) outcomes
19. Must have approval of TPD to apply
20. Should not already hold a CCT or be within 12 months (ideally not within 18 months) of completion of training on intended start date
Clinical Skills
Essential criteria
21. Competent in basic clinical procedures
22. Aware of own limitations
23. Consults senior colleagues appropriately
Academic achievements including research/publications
Essential criteria
24. Evidence of achievement appropriate to level of appointment at ICHNT
Leadership and Management
Essential criteria
25. Evidence of effective team-working and leadership
26. Interest in and knowledge of the importance of leadership and management for clinicians
Desirable criteria
27. Evidence of involvement in local management systems
28. Evidence of effective leadership (e.g. evidence of leading innovations or improvements)
29. Understanding of the local and national context of the NHS, including economic and political influences
Language
Essential criteria
30. Are able to speak and write English to the appropriate standard necessary to fulfil the job requirements
Right to work
If you need sponsorship to work in the UK, please visit the Home Office website for information on sponsorship and visa status before you fill in your application form. Due to recent changes in the UK immigration rules which affect Skilled Worker Visas, Global Business Mobility, Higher Skill Level and Increased Salary Thresholds, please ensure that you are able to meet the requirements to live and work in the UK before applying. Further information about eligibility is available on
Please ensure you check your emails regularly as this is how we will communicate with you throughout the recruitment process. If you are shortlisted you will be contacted by email and text message (if you provide a mobile contact number).
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