Trust Grade / Clinical Fellow – Emergency Medicine (A&E) Nights

University Hospitals Birmingham NHS Foundation Trust (UHB)
Location: Birmingham, West Midlands
Department: Emergency Medicine
Hours: Primarily Night Shifts / Out-of-Hours Rota
Contract Type: Locum contract

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Key Responsibilities

Clinical Duties

• Assess, investigate, diagnose, and manage patients presenting to the Emergency Department overnight.
• Deliver immediate treatment and stabilisation for critically ill or injured patients.
• Prioritise patient care according to clinical urgency and departmental protocols.
• Request and interpret relevant investigations including blood tests, ECGs, and imaging.
• Maintain accurate and timely clinical documentation using electronic patient record systems.
• Escalate complex or deteriorating cases appropriately to senior clinicians.
• Participate in patient handovers to ensure continuity of care between shifts.

Teamworking & Communication

• Work collaboratively with consultants, specialty teams, nursing staff, paramedics, and allied health professionals.
• Communicate effectively and compassionately with patients and relatives during emergency presentations.
• Support junior colleagues and contribute positively to team morale during overnight operations.

Governance & Quality

• Adhere to GMC standards, Trust policies, and national clinical guidelines.
• Participate in clinical audits, quality improvement projects, and departmental governance activities where applicable.
• Ensure compliance with infection prevention, safeguarding, and patient safety procedures.

Training & Development

• Engage in ongoing professional development and mandatory training.
• Opportunities may be available for teaching, simulation training, and career progression within Emergency Medicine.

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Person Specification

Essential Criteria

• MBBS or equivalent medical qualification.
• Full GMC registration with licence to practise.
• Minimum NHS clinical experience in Emergency Medicine, Acute Medicine, or related specialties.
• Ability to work effectively in a fast-paced acute environment.
• Strong communication and decision-making skills.
• Ability to work independently overnight with appropriate senior support.

Desirable Criteria

• ALS/ATLS/APLS certification.
• Previous Emergency Department night-shift experience.
• Experience using NHS electronic patient record systems.
• Interest in Emergency Medicine training or acute care pathways.

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Working Pattern

• Predominantly night shifts including weekends and bank holidays.
• Rota compliant with EWTD and NHS contractual standards.
• Flexible shift arrangements may be considered depending on service needs.

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Application Process

Candidates should submit:

• CV/Application Form
• GMC registration details
• Supporting statement outlining relevant emergency medicine experience and suitability for night work

References and pre-employment checks will be required in line with NHS employment standards.

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