An exciting opportunity has arisen for an enthusiastic and motivated senior trainee (ST4 or above) with an interest in leadership, management and quality improvement to join Buckinghamshire Healthcare NHS Trust as a chief registrar. This post is Fixed Term for 12 months from 05/08/2026 until 03/08/2027.
Main duties of the job
The chief registrar role will suit trainees who:
* Want to learn about leadership and gain senior leadership experience
* Are comfortable working in uncertain environments and across traditional boundaries
* Relish the opportunity to develop their own ideas and initiatives
* Are committed to and passionate about improving the NHS.
The chief registrar will be mentored by a senior clinical leader within the organisation and gain a unique insight into NHS leadership and management processes, as well as deeper knowledge of NHS structures and stakeholders.
The chief registrar will be expected to attend modules delivered as part of the RCP's bespoke development programme, which will cover, for example, change management, team culture and development, quality improvement, leadership, influencing and personal resilience.
Eligibility
* ST4 level or above
* Working full time or less‑than‑full‑time
* Have a national training number
* Have full GMC registration
Responsibilities
40% protected time for the chief registrar role; 60% clinical practice. This is an essential requirement.
The chief registrar job description is broad in scope to allow autonomy and flexibility over the work undertaken. The role will focus on key local priorities, which may include:
* Providing a bridge between senior clinical leaders, managers and the wider trainee workforce to improve communication, engagement and morale.
* Service improvement through redesigning pathways, implementing new technology and establishing new services to improve flow and outcomes for patients.
* Improving the quality of clinical and non‑clinical education and training activities, and supporting/mentoring other trainees to engage in quality improvement.
* Involvement in workforce planning and improving trainee deployment to meet service needs and morale.
* Improving efficiency and reducing waste.
* Working across teams and boundaries to engage stakeholders in quality improvement and influence change.
* Involvement in and exposure to senior management and organisational decision‑making, including attendance at departmental, divisional, and where appropriate, board meetings.
* The chief registrar may lead sessions on service development, improvement and transformation for which they have direct responsibility.
Qualifications / Training
* Full registration with the General Medical Council
* Hold a national training number
* Should not already hold a CCT or be within 12 months (ideally not within 18 months) of completing training on the intended start date
* Must have approval of the Training Programme Director to apply
* Evidence of satisfactory or higher progress through training, including annual review of competence progression (ARCP) outcomes
* Should be ST4 or above
* Additional relevant degree (intercalated, masters or doctorate) is an advantage
Clinical skills
* Evidence of clinical competencies in the trainee’s specialty appropriate for their stage in training
* Appropriate knowledge base and ability to apply sound clinical judgement to problems
* Ability to prioritise clinical need
* Ability to maximise safety and minimise risk; ability to work without supervision where appropriate
Research
* Understanding of research, including awareness of ethical issues
* Understanding of research methodology and ability to use basic qualitative and quantitative methods
* Knowledge of evidence‑based practice
* Evidence of relevant academic achievements, including publications or presentations
Leadership and management
* Evidence of effective team working and leadership, supported by multi‑source feedback or workplace‑based assessments
* Self‑awareness of strengths and weaknesses, impact and areas for development
* Interest in and knowledge of the importance of leadership and management for clinicians
* Evidence of involvement in local management systems
* Evidence of effective leadership, e.g. leading innovations or improvements
* Understanding of the local and national NHS context, including economic and political influences
Quality / service improvement
* Understanding of clinical governance, including audit, clinical risk management, evidence‑based practice, patient safety and quality improvement initiatives
* Evidence of active involvement in quality improvement, audit or research focusing on patient safety and clinical improvement
* Interest in and knowledge of delivering safe, effective healthcare services
* Evidence of a portfolio of audit or quality improvement projects, including closing the audit loop and learning about change management principles
* Evidence of publications, presentations or awards in quality improvement or audit
* Good knowledge of the UK healthcare system, including education, research, service provision, regulation, career structures, medical politics and ethics
Education and teaching
* Evidence of interest in and experience of teaching
* Evidence of positive feedback on teaching approaches
* Experience in developing teaching programmes
* Participation in teaching courses
* Participation in degree or diploma courses in education
* Experience as an action learning sets or simulation instructor
Personal skills
* Communication: clarity in written and spoken communication, capacity to adapt language to the situation, active listening and empathy.
* Problem solving and decision making: capacity to use logical and lateral thinking, analytical or scientific approach, and creativity when appropriate.
* Organisation and planning: capacity to manage and prioritise time and information effectively, thoroughness, self‑discipline, punctuality and meeting deadlines.
* Managing pressure and uncertainty: ability to work effectively under pressure, manage conflicting demands, self‑motivation and resilience, initiative and autonomy.
* Team working, leadership and management: ability to build effective teams and partnerships, work well in multidisciplinary teams, value contributions of others, show leadership and motivate team members through quality improvement.
* Personal attributes: quick to understand new information, clarity of thought and expression, flexibility and adaptability, self‑starter, curiosity, initiative and enthusiasm, probity, honesty, trustworthiness, integrity, awareness of ethical dilemmas, confidentiality, responsibility, and commitment to personal and professional development.
* Leadership skills gained within the NHS or elsewhere.
* Writing experience: clinical and/or non‑clinical topics, peer‑reviewed publications and/or other communication such as blogs or letters to journals.
* Evidence of altruistic behaviour, e.g. voluntary work.
Trust Values
* Communicate openly, honestly and professionally; actively promote team working and build strong working relationships.
* Always put patients first and drive service improvements; strong self‑awareness with a desire to grow.
* Treat everyone with compassion and kindness; ensure everyone feels valued.
* Consult others and listen to their views; enable others to take initiative.
Disclosure and Barring Service Check
This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and will require a submission for Disclosure to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.
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