Trust Grade SHO in Acute Medicine
Closing date: 24 April 2026
We would like to invite you to apply for an exciting opportunity that has arisen in our division of Urgent & Emergency Care. We are seeking enthusiastic and motivated candidates for the Trust Grade SHO post (equivalent to FY2‑3, salary experience dependent). This role is not recognised as a formal training post, however the training opportunities will be similar to those at the same level training posts.
The post holder will gain a wide range of experience in all aspects of work within the Acute Medicine Department. During this time, the post holder will work primarily in the Same Day Emergency Care (SDEC) unit and the Clinical Assessment Unit (CAU).
Applicants should ideally have at least 6 months experience working in the UK.
In Ashford & St. Peters we have a talented team of dedicated consultants working in a friendly, flexible, and cohesive group who are enthusiastic, welcoming, and proactive in supporting resident doctors educationally and clinically.
We believe that the key to improved patient and staff experience is a high quality, efficient and patient‑centred pathway, in which the patient sees the ‘right person, first time’.
For an informal discussion please contact:
Dr Visalakshi Subbian, Acute Consultant and Specialty Lead, via email: visalakshi.subbian@nhs.net
Main duties of the job
The post holder will be part of the medical team, supporting acute medical units. The service is multi-disciplinary, and the post holder is expected to work as part of a health professional team under the supervision of a Consultant Physician.
You will be appointed an Educational/Clinical Supervisor and are able to fill in a portfolio. There is an in‑house training programme for resident doctors as well as grand rounds and specialty training.
* Be mainly based in SDEC (Same Day Emergency Care) and occasionally on CAU (Clinical Assessment Unit)
* When on CAU, attend morning board rounds and daily ward rounds
* Professional development through attendance at Acute Medicine and local speciality teaching, core medical training and grand rounds
* Undertake audit and quality improvement projects
* Develop interests in Acute Medicine specialty
* Work closely within the multidisciplinary teams to provide a high quality daily and general medicine services to patients in the local area and to support the Trust in achieving all national targets
About us
Ashford and St. Peters Hospitals NHS Foundation Trust is the largest provider of acute hospital services to Surrey residents, serving a population of 410,000 people and employing approximately 4,800 staff.
Our vision is to provide an outstanding experience and best outcomes for patients and the team. We are committed to providing continuous professional development and flexibility to deliver our workforce plan.
We are part of a collaborative Group with the Royal Surrey NHS Foundation Trust. As part of this partnership, colleagues may occasionally work across both organisations to support shared services, development opportunities and patient care.
St. Peter’s Hospital delivers complex medical and surgical care, maternity and emergency services. Day and orthopaedic surgery, ophthalmology and outpatient services are delivered at Ashford Hospital. Additional services are delivered at Woking Community Hospital.
Our values guide us in building a stronger, more resilient, forward‑thinking organisation to achieve success and make a positive impact on how we deliver our services.
We can offer you the full range of NHS benefits and discounts.
Please note that adverts may close early, so early application is encouraged.
For more information about careers at ASPH please visit: www.asph-careers.org
Job responsibilities
In order to ensure the smooth running of the service, the post holder will:
* Provide both in‑patient and out‑patient care for patients in accordance with the Trust’s contractual obligations.
* Participate in the supervision and training of resident medical staff (FY1s on CAU) and offer guidance and advice to the wider MDT.
* Maintain accurate record keeping for every patient seen and communication made with GPs and other agencies.
* Keep up to date in advances in current knowledge and practice.
* Work with and implement service policies, guidelines and protocols.
* Participate in Trust training programmes to improve the quality‑of‑service provision.
* Work within and demonstrate an understanding of the Clinical Governance agenda.
* Conduct or participate in regular audit projects.
* Undertake other duties as may be considered reasonable and appropriate.
* Attend and participate in staff and group meetings as required.
It is the duty of all doctors to practice and conduct themselves within the standards framework provided by the GMC.
The post holder will provide support to less experienced medical staff and nursing staff and be approachable when sought to provide advice on the clinic floor.
The post holder is expected to liaise with colleagues in providing internal cover for annual leave and sick leave and this may require some flexibility in the post holder’s hours.
The post holder will be allocated a CS/ES from amongst the Consultant body and there is a robust system of appraisal.
You must have experience in General (Internal) Medicine and be comfortable in the initial assessment and on‑going treatment of acutely ill adult medical patients with a wide variety of pathologies. You will work under Consultant and middle‑grade supervision and within a dedicated team at all times. As a hospital and a major secondary centre, we offer a large variety of sub‑specialty services providing an excellent learning environment.
Person Specification
Qualifications
* MBBS or equivalent medical qualification
* Full Registration with GMC
* MRCP1
Experience
* Evidence of experience in a range of acute medical specialties, with experience of managing patients on unselected medical take during core training or equivalent.
* Completion of FY1 training of equivalent and minimum 3 months experience in Medicine at SHO level.
* 6 months in Medicine at SHO level.
Clinical Skills, knowledge & expertise
* Demonstrates awareness of the basics of managing acute medical conditions, including emergencies, inpatients and outpatients—appropriate knowledge base, and ability to apply sound clinical judgement to problems.
* Proficiency in a range of medical procedures (as defined by the core curriculum) as an indication of manual dexterity and hand‑eye coordination.
* Able to work without direct supervision where appropriate; able to prioritise clinical need and maximise safety while minimising risk.
* Evidence of some competences in the specialty as defined by the relevant curricula, evidence of skills in the management of acute medical emergencies (e.g. ALERT, IMPACT certification), and evidence of procedural skills relevant to medical patients (clinical independence in central venous cannulation, chest drain insertion, joint aspiration, DC cardioversion, abdominal paracentesis).
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.
Ashford & St. Peter's Hospitals NHS Foundation Trust.
Salary: £44,439 to £52,656 a year plus £149 HCAS and additional rota payments.
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