Acute medicine Trust Grade Registrar
The closing date is 23 January 2026
We are looking to appoint an Acute Medicine Registrar responsible for managing patients with urgent medical conditions and coordinating care within the Same Day Emergency Care Unit or on acute medical wards.
Main duties of the job
The postholder will be predominantly based at one of our SDEC areas and within our Acute Wards. They will be expected to be confident in assessing, investigating and managing patients at the level of a senior decision maker but will always have consultant support when needed. They will also be expected to provide support and advice to junior clinicians. This post is suitable for anyone who has full MRCP and appropriate experience working in a general medical specialty at registrar level. It would also be preferable for applicants to be fully independent in procedures such as lumbar puncture, pleural aspiration, ultrasound cannulation and ascitic drains. Our Acute medical units are supported by F1, F2, ACCS, GPST, PA and SpR colleagues.
About us
The Princess Alexandra Hospital NHS Trust (PAHT) is proud to care for the communities of West Essex, delivering safe, compassionate, and high-quality services. We are part of the Neighbourhood Wave; a national programme that’s changing how care is delivered by focusing on prevention, early support, and more joined‑up services across health, social care and the voluntary sector. This means we’re working more closely with local partners to bring care closer to home and support people to live healthier, more independent lives. We’re a supportive and inclusive organisation that values its people. We offer development opportunities, flexible working, and a strong focus on wellbeing. As a Disability Confident and equal opportunities employer, we welcome applicants from all backgrounds and experiences. Join us and help shape the future of care in West Essex.
Job responsibilities
Main area: Acute medicine
Grade: ST 3‑5
Contract: Permanent
Hours: Full time
Town: Harlow
Detailed job description and main responsibilities
As a service the acute medical responsibilities comprise the following:
* Running the medical take round the clock on shift basis
* Care of the patients in Acute Medicine Units on weekdays and weekends
* Attending to patients in our Same Day Emergency Care Unit which independently sees between 50 and 60 patients per day
* Supervision of junior medical staff and undertaking regular teachings
The Acute Medicine Department has recently undergone a number of changes. Currently we staff a 28‑bedded Adult Assessment Unit which aims to have a length of stay of less than 24 hours. Working in partnership with this area is a 28‑bedded Medical Short Stay Ward (Charnley Ward) which provides care for patients with a 72‑hour short stay in hospital. We are also responsible for a dedicated Same Day Emergency Care Unit co‑located to the Emergency Department.
Duties and Responsibilities
* To co‑ordinate high quality person‑centred care of the patients on the ward ensuring that all patients admitted have a diagnosis and treatment plan, and receive a daily medical review. To participate in outpatient clinics where required
* To provide medical leadership on the ward by supporting and supervising more junior staff and delegating duties appropriately
* To ensure the appropriate discharge of patients, including providing timely paperwork to the General Practitioner ensuring a continuation of care following discharge
* To build and maintain excellent relationships with all members of the multidisciplinary team, working with them and communicating effectively to deliver high quality patient care
* To engage fully in development of services, driving forward innovations to meet the anticipated future challenges of the ageing population
Qualifications
* Full General Medical Council registration
* MRCP Part 2
* ALS or equivalent
Experience
* Broad knowledge and experience of General Medicine and UK Acute Medicine and Ambulatory Care in UK
* Understanding of patient safety and risk management
* Experience in teaching at multiple levels and across disciplines
* Understanding of principles of clinical governance
* Ability to demonstrate personal continuing personal development
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.
Employer name
The Princess Alexandra Hospital NHS Trust
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