Job overview
The post holder will work within the SDEC service, providing timely assessment, investigation and management of adult patients suitable for same day care pathways, supporting admission avoidance and improved patient flow. The role involves close multidisciplinary working with Emergency Department clinicians, acute medicine, nursing teams, and specialty services to ensure patients receive safe, effective care in the right setting.
This is a clinical role within an established SDEC service, contributing to high‑quality patient care, service delivery and continuous improvement. The post holder will be expected to work to agreed clinical protocols, participate in governance activity, and support the development of SDEC pathways in line with Trust priorities.
The post offers an excellent opportunity to work in a supportive team within a forward‑thinking Emergency and Acute Care service, with access to supervision, appraisal, and professional development.
Main duties of the job
Assess, investigate and manage adult patients attending Same Day Emergency Care (SDEC) in line with agreed pathways and protocols. Take clinical responsibility for patients managed within SDEC, including decision‑making around admission avoidance and discharge. Work closely with ED clinicians, nursing staff and specialty teams to support patient flow and safe same‑day care. Maintain accurate clinical records and comply with Trust, GMC and clinical governance requirements. Participate in audit, governance activity, appraisal and continuing professional development.
Working for our organisation
Our benefits
We offer a range of benefits to support our staff including:
1. Access to the NHS Pension Scheme, providing generous benefits upon retirement, as well as a lump sum and pension for dependants
2. 27 days holiday rising to 33 days (depending on NHS Trust service)
3. A variety of different types of paid and unpaid leave covering emergency and planned leave
4. Confidential advice and support on personal, work, family and relationship issues, 24/7, from our Employee Assistance Programme
5. NHS Car Lease scheme and Cycle to Work scheme
6. An extensive range of learning and development opportunities
7. Discounts on restaurants, getaways, shopping, motoring, cinema and finance from a range of providers
For further information on the fantastic range of benefits we offer please visit the Trust's dedicated Staff Benefits pages.
Detailed job description and main responsibilities
For more information please see the job description attached
Our Trust continues to strongly encourage our staff to be vaccinated against COVID19, this remains our best defence to protect our patients, ourselves and everyone else.
Armed Forces Friendly Employer
We are holders of the Gold Award from the Defence Employer Recognition Scheme, which is helping actively promote SaBRE - Supporting Britain’s Reservists and Employers. This means that York Teaching Hospital has provided its statement of intent to support all Defence personnel and we welcome their application to work for us.
Disability Confident and Mindful Employer
The Trust is committed to meeting the needs of employees and applicants with a disability or mental health condition. Our support for these schemes includes encouraging applications from people who are disabled or have a mental health condition, offering adjustments to make our application process accessible.
Person specification
Qualifications & Training
Essential criteria
8. Has achieved MBChB or equivalent medical qualification.
9. Eligible for full GMC registration with license to practice
10. European ALS
11. Completion of minimum 4-years’ full-time postgraduate training, or equivalent gained on a part-time or flexible basis, or other equivalent demonstrable experience and competencies
Desirable criteria
12. Substantive NHS experience. (12-month continuous experience)
13. Experience in designing & implementing audit programmes.
Experience & Knowledge
Essential criteria
14. Experience in the assessment and management of acutely unwell adult patients
15. Demonstrable experience of clinical decision making to support same day care, admission avoidance and safe discharge
16. Experience managing undifferentiated acute presentations suitable for same day pathways
17. Ability to work autonomously within agreed SDEC clinical pathways, recognising when to escalate appropriately
18. Understanding of patient flow, escalation processes and the operational pressures within an SDEC service
Desirable criteria
19. Experience of setting up and/or developing clinical services.
20. Experience of supervising SpRs/specialist trainees.