Job overview
We are seeking a Specialty Doctor to join our established and supportive Emergency Department team at York Hospital
As a senior member of the Emergency Department team, postholders will provide senior on‑site clinical leadership during out‑of‑hours periods, delivering high‑quality care to acutely unwell patients.
The role includes senior clinical decision‑making, supervision and support of junior medical staff and Advanced Clinical Practitioners, and working collaboratively with the multidisciplinary team to support patient flow within the department, with support available from the on‑call Emergency Department Consultant.
Main duties of the job
The rota is compliant with the Specialty Doctor 2021 contract and includes a minimum of 1.25 PAs per week of protected core SPA time, some of which may be worked flexibly. Postholders will be encouraged to participate in quality improvement activity and to adopt leadership or lead roles within the department, in line with service need and individual interests.
Working for our organisation
York Hospital is a large, busy acute hospital providing a comprehensive range of medical and surgical services to the local population and surrounding areas, with close links to regional tertiary centres where required. The Emergency Department manages a high and varied case mix, including adult and paediatric patients, and works closely with specialty teams across the Trust to deliver timely, high‑quality emergency care.
The Trust has a well‑established and active postgraduate medical education department on site and is closely involved in the training and development of learners across multiple professional groups, including undergraduate students from Hull York Medical School and postgraduate trainees from a wide range of specialties.
York Hospital is a designated Trauma Unit and works in partnership with the regional Major Trauma Centre, ensuring patients receive the right care in the right place. The department benefits from strong multidisciplinary working, senior clinical presence, and access to a wide range of diagnostic and support services.
York is a historic city with a strong cultural identity, offering an excellent quality of life. It combines the benefits of a vibrant city with easy access to outstanding countryside, including the North York Moors, Yorkshire Dales and coastline. The city is well connected by road and rail, with direct train services to London and other major UK cities, making it an attractive place to live and work.
In joining the Trust, you will have access to a wide range of staff benefits including health and wellbeing support, finance schemes and discounts. There is also a competitive relocation package of up to £18,000. To support your learning and development you will be entitled to a study leave budget of £3,000 across three years, along with support from our learning and development team. More information can be found on the Trust’s website in the ‘Working for Us’ section.
Detailed job description and main responsibilities
The postholder will work as a senior clinician within the Emergency Department at York Hospital, providing high‑quality, safe and timely emergency care to adult and paediatric patients presenting with a wide range of conditions and levels of acuity.
As a Specialty Doctor in Emergency Medicine, the postholder will be expected to demonstrate a high level of clinical competence, professional judgement and leadership, working autonomously within their scope of practice and with appropriate consultant support.
Clinical Responsibilities
1. Provide senior clinical assessment, diagnosis and management of patients presenting to the Emergency Department, including those who are acutely unwell or deteriorating.
2. Act as the responsible on‑site emergency physician during out‑of‑hours periods, delivering senior decision‑making and leadership with support from the on‑call Emergency Department Consultant.
3. Undertake independent clinical decision‑making, including initiating investigations, treatment plans, admission, discharge and referral to specialty teams.
4. Contribute to the effective management of patient flow within the Emergency Department, working collaboratively with nursing staff, site teams and specialty services.
5. Participate in the resuscitation and management of critically ill and injured patients, in line with departmental policies and national guidance.
6. Ensure high standards of clinical documentation, communication and handover at all times
Please see attached Job Decription for further details
Person specification
Qualifications & Experience
Essential criteria
7. MBBS or equivalent
8. Minimum of 4 years postgraduate training.
9. Minimum of 2 years exposure to Emergency Medicine (A&E) in a specialist training programme or equivalent.
10. ATLS, ALS & EPALS
Desirable criteria
11. MRCEM, FRCEM
12. 12 months NHS experience
Eligibility
Essential criteria
13. Eligible for full registration with the GMC at time of starting the post
Knowledge & Skills
Essential criteria
14. Competence in basic clinical procedures
Desirable criteria
15. Knowledge of UK health systems, practices and values; awareness of current issues in the NHS