Senior Leadership Fellow in Ambulatory Care & Acute Medicine
The closing date is 21 May 2026.
Applications are invited for a Clinical Fellowship programme embedded within a well-established, innovative Departments of Ambulatory Care and Acute General Medicine. The applicant would be one of a team of twelve ambulatory and general medicine fellows working in a well-resourced unit led by a team of 44 consultants and a large experienced multidisciplinary team. They will also spend a block of their time working in Acute General Medicine, a unique firm-based model that includes experience in acute take and inpatient medical care, including out of hours work and hospital at night. Fellows will work across both acute medical sites, although the posts are predominantly based at the John Radcliffe site.
Main duties of the job
The post is aimed at senior medical doctors in training (ST3+) or equivalent experience if not on a training programme, and is designed around the needs of the modern medical registrar. It can be performed out of programme or recognised as training (contingent on Deanery approval).
About us
Oxford University Hospitals NHS Foundation Trust (OUH)
OUH is one of the largest NHS teaching trusts in the UK and a renowned centre of clinical excellence. Each year, OUH has over one million patient contacts including nearly 100,000 emergency admissions. The Trust collaborates closely with the University of Oxford, underpinning the quality of care through research, education and training for doctors.
OUH delivers acute emergency care on two of its four hospital sites (John Radcliffe Hospital in Oxford and Horton General Hospital in Banbury), supports the urgent care pathway across community settings, and works towards comprehensive application of the Future Hospitals Commission principles.
Job responsibilities
This is an exciting opportunity for an energetic, forward-thinking trainee who wishes to develop core clinical skills in ambulatory care in one of the leading units in the country. The role involves a mixture of banded clinical practice and one non-clinical day per week set aside for service development and quality improvement. Depending on clinical needs, fellows may be asked to work clinically during specific weeks.
Consideration will be given to applicants who have completed Core Medical Training or IMT but have not yet been accepted onto a speciality training programme. The Fellowship will be tailored to individual requirements.
Successful applicants will develop a job plan in conjunction with a senior Fellowship supervisor outlining:
* 80% (0.8 WTE) Clinical Work: Ambulatory experience mainly at John Radcliffe, with the possibility of activity in other acute and ambulatory settings in the Trust. This includes short days, long days on call and out of hours weekend work. Within a <48 hour average working week, fellows will contribute to the weekend rota and one late evening/long day per week, but not overnight care beyond midnight or before 7 am.
* 20% (0.2 WTE) Leadership, research and quality improvement: Opportunities to develop leadership skills and participate in projects on service development. Fellows will work closely with the AAU clinical lead, the matron and the team to design and complete projects that impact ambulatory care.
All activities embrace the Trust's vision of patient-centered service transformation and align with the Future Hospital Commission’s recommendations for ambulatory care, fostering vertical and horizontal integration of acute services. Activities complement Trust service improvement initiatives and focus on patient safety and high-quality, compassionate care.
The development and embedding of comprehensive ambulatory care pathways for:
* Common and less common discrete medical presentations
* Complex and/or frail patients, complementing existing services
* Conditions with existing dedicated pathways where further embedding, development or a complementary approach is needed to deliver best outcomes and resource use (e.g., DVT and TIA/minor stroke)
Other responsibilities include:
* Evaluating care through the development and embedding of relevant patient-centred outcome measures and useful measures of whole pathway resource use
* Developing systems to support clinicians outside hospital (GPs, ambulance teams) to deliver effective care in the home
* Introduction and evaluation of pragmatic telemedicine systems
* Resident Doctor Forum engagement
* Escalation of issues within Acute General Medicine and geriatology from the resident doctor workforce
The AAU is embedded within research and innovation infrastructure forming the Academic Health Sciences Centre (AHSC). Supervision and support are readily available for projects aimed at improving clinical outcomes through changes in service models.
Person Specification
Qualifications
* Full registration with GMC
* Fit to practice
* Experience in acute medicine
* ST3 or equivalent if not on a training programme and above
* Satisfactory progress throughout training, including ARCP outcomes
* Additional degree (intercalated, masters or doctorate)
Clinical Skills
* Clinical competency in one's medical 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
* Demonstrable experience in ambulatory care
* Experience in management of frailty syndromes
* Evidence of skills in management of acute medical emergencies (e.g., ALERT, IMPACT certification, ALS instructor)
Research
* Understanding of research, including awareness of ethical issues
* Understanding of research methodology
* Knowledge of evidence-based practice
* Evidence of involvement in a formal research project
* Evidence of relevant academic achievements, including publications/presentations
Leadership and management
* Effective team working and leadership skills, supported by MSF or WBAs
* Self-awareness, with knowledge of personal strengths and weaknesses, impact and areas for development
* Interest in and knowledge of the importance of leadership and management for clinicians
* Effective leadership skills in and outside medicine (e.g., evidence of leading innovations or improvements)
* Understanding of NHS management and resources
* Understanding of the local and national context in which the trust operates, including economic and political influences
Quality / Service improvement
* Understanding of clinical governance
* Active involvement in QIP/audit, research or other activity that focuses on patient safety and clinical improvement and innovation
* Interest in/knowledge of the delivery of safe, effective healthcare services
* Evidence of completed audit/quality improvement projects
* Evidence of learning about the principles of change management
Education and Teaching
* Interest in and experience of teaching
* Evidence of excellent feedback on teaching
* Development of teaching programmes
* Participation in teaching courses
Personal Skills
* Clarity in written and spoken communication
* Capacity to use logical/lateral thinking to solve problems and make decisions, indicating an analytical/scientific approach and where appropriate, creativity in problem solving
* Capacity to manage/prioritise time and information effectively
* Ability to work effectively under pressure
* Capacity to manage conflicting demands
* Self-motivation and resilience
* Initiative and ability to work autonomously
* Can build effective teams and partnerships
* Ability to work well in multidisciplinary teams
* Understands and values contributions of others
* Ability to show leadership, make decisions, organise and motivate other team members through, for example, quality improvement
* Leadership skills gained within the NHS or elsewhere
* Writing experience: clinical and/or non-clinical topics, peer-reviewed publications and/or communication
* Evidence of achievements outside medicine
* Evidence of altruistic behaviour (e.g., voluntary work)
Disclosure and Barring Service Check
This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and a Disclosure and Barring Service check will be required.
Oxford University Hospitals NHS Foundation Trust
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