Chief Registrar

Transformationunitgm; Nottingham; On-site; GBP 74,000; Full time

Job summary

A leading healthcare institution in Nottingham is seeking a Senior Clinical Fellow in Adult Critical Care Medicine. This role is ideal for candidates with anaesthetic experience looking to enhance their skills and assume a leadership role. The position offers a comprehensive training program, mentorship, and the chance to influence quality improvement initiatives. With responsibilities split between clinical and leadership duties, this role promises professional growth and development in a supportive environment.

Benefits

Bespoke development programme

Opportunity for mentorship

Qualifications

• 2 years post foundation experience in acute specialities, including 12 months in Anaesthesia.
• Evidence of satisfactory training progress.
• Ability to prioritise clinical needs and work autonomously.

Responsibilities

• Lead clinical duties on the airway rota.
• Implement local initiatives in education and quality improvement.
• Act as a bridge between trainees and senior clinicians.

Skills

Anaesthetic experience

Leadership skills

Communication skills

Education

Full registration with General Medical Council

ST5 or above in Intensive Care Medicine or Anaesthesia

Relevant additional degree

Job description

Main area Critical Care/ Intensive Care Grade NHS Medical & Dental: Senior Clinical Fellow Contract Fixed term: 12 months (12 months)

• Full time
• Part time

Hours: 40 hours per week Job ref 164-7588889-VC

Employer Nottingham University Hospitals NHS Trust Employer type NHS Site QMC and City campus Town Nottingham Salary £73,992 per annum Salary period Yearly Closing 29/12/2025 23:59

Chief Registrar

NHS Medical & Dental: Senior Clinical Fellow

Job overview

Applications are invited for a Chief Registrar post in Adult Critical Care Medicine for a 6 or 12 month period commencing in August 2026.

This post would ideally suit candidates with anaesthetic experience who are aiming to advance their CV and develop their ICM and Acute Care Skills to a higher level within a tertiary teaching ICU and also gain experience within a leadership role. The applicant would work on the airway rota and therefore should have at least 2 years post foundation experience in any of the acute specialities (of which at least 12 months should be in Anaesthesia).

The chief registrar role is a leadership role for senior specialty trainees. The role provides 40% protected time to develop and implement local initiatives focusing on, for example, service improvement, engagement and morale, education and training, workforce and sustainability.

Chief registrars also benefit from access to a bespoke development programme provided by the RCP, and comprises five 2-day modules that chief registrars are expected to attend. The chief registrar will report to and be mentored by the Deputy Medical Director.

Main duties of the job

· The chief registrar role is a leadership role for senior specialty trainees. The role provides 40% protected time to develop and implement local initiatives focusing on, for example, service improvement, engagement and morale, education and training, workforce and sustainability.

· Previous Chief Registrars at NUH have become fully integrated into the medical and educational leadership at the Trust, been a key link between junior doctors and senior leaders, led divisional level quality improvement projects and been welcomed to Trust and divisional meetings.

· Chief registrars benefit from access to a bespoke development programme provided by the RCP, and comprises five 2-day modules that chief registrars are expected to attend.

· The chief registrar will report to and be mentored by the Deputy Medical Director.

· The chief registrar will also have a named educational supervisor for their role, who may or may not be the same as their clinical supervisor.

• There will be formal educational oversight of the role, with an induction, educational agreement, personal development plan and regular appraisals

Working for our organisation

Every day, our teams at Nottingham University Hospitals NHS Trust (NUH) make a difference. We save lives, we improve lives, and we usher in new life. We are proud to play a central role in supporting the health and wellbeing of people in Nottingham, Nottinghamshire and our surrounding communities.

With more than 20,000 colleagues, we are the largest employer in Nottinghamshire and one of the biggest and busiest NHS Trusts in the country, serving more than 2.5m residents of Nottingham, Nottinghamshire and a further four million people across the East Midlands and beyond. Our Trust spans over three sites including Queen’s Medical Centre (QMC), Nottingham City Hospital and Ropewalk House.

We provide a range of national and internationally renowned specialist services, and we are at the forefront of new surgical procedures and research programmes.

We are home to the East Midlands Major Trauma Centre, the Nottingham Children’s Hospital and in partnership with the University of Nottingham we host a Biomedical Research Centre carrying out vital research into hearing, digestive diseases, respiratory, musculoskeletal disease, mental health and imaging.

As a teaching hospital, we are instrumental in the education and training of doctors, nurses and other healthcare professionals. We are proud of our strong relationships with universities across the East Midlands.

Detailed job description and main responsibilities

The chief registrar job description is broad in scope. Chief registrars should focus on addressing key local challenges and priorities, which may include some or all of the following:

• Providing a ‘bridge’ between senior clinical leaders, managers and the wider trainee workforce to improve communication, engagement and morale.
• Service improvement, for example 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 the deployment of trainees to meet service needs and improve morale.
• Improving efficiency and reducing waste.
• Working across teams and boundaries to engage stakeholders in quality improvement and influence change.

The chief registrar should attend departmental, directorate and care group management meetings to gain an understanding of management and the wider social, political and economic influences on healthcare delivery.

Care Group Specific Roles and Responsibilities include:

• Acting as a bridge between the Trainees/Fellows and the Critical Care Leadership Team and the Trust.
• Plan appropriate personal objectives for the year which can be broad or focused on a specific project in one of the above areas.
• Ample opportunity will be granted to gain an understanding of how the department, Care Group and wider hospital operates through a range of experiences such as attending relevant meetings and hands‑on experience with progressing business cases.
• Depending on the candidate’s interests we can tailor the role toward projects in focused areas such as improving staff wellbeing, service user experience as well as patient safety to name but a few areas.

Clinical Responsibilities

The amount of time spent undertaking clinical commitments will be up to 60%.

Care Group specific clinical responsibilities to include any on‑call commitments:

The successful applicant is expected to take part in the Senior (Airway) Critical Care on call rota. You will have the opportunity to lead more junior resident doctors under the leadership and support of the Duty Critical Care Consultant. Clinical duties will be based at both QMC and City campuses and where possible will be tailored to the individuals training needs.

The post is on the MT04 (ST5)/MT05 (ST6+) pay scale and is compliant with the EWTD.

Person specification

Qualifications and Training

• Full registration with General Medical Council
• Be fit to practice
• Should be ST5 or above in Intensive Care Medicine or Anaesthesia
• Should not already hold a CCT or be within 12 months (ideally not within 18 months) of completion of training on intended start date
• Must have approval of TPD to apply
• Evidence of satisfactory / more than satisfactory progress through training, including annual review of competence progression (ARCP) outcomes
• Additional relevant degree (intercalated, masters or doctorate)

Clinical Skills

• Evidence of clinical competencies in Intensive Care Medicine/Anaesthesia appropriate for your stage in training
• An 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 / presentations

Leadership and Management

• Evidence of effective team working and leadership, supported by multi-source feedback or workplace‑based assessments
• 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
• Evidence of involvement in local management systems
• Evidence of effective leadership (e.g. evidence of leading innovations or improvements)
• Understanding of the local and national context of the NHS, including economic and political influences

Quality/service improvement and audit

• Understanding of clinical governance, including the basic principles of audit, clinical risk management, evidence-based practice, patient safety and quality improvement initiatives
• Evidence of active involvement in quality improvement, 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 a portfolio of audit / quality improvement projects, including evidence that the audit loop has been closed and evidence of learning about the principles of change management
• Evidence of publications / presentations / prizes 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 training

• Evidence of interest in and experience of teaching
• Evidence of positive feedback on teaching approaches
• Development of teaching programmes
• Participation in teaching courses
• Participation in degree or diploma courses in education
• Action learning sets / simulation instructor
• Clarity in written / spoken communication
• Capacity to adapt language to the situation, as appropriate
• Active listening and empathy
• Ability to build rapport and communicate effectively with others
• Ability to persuade, influence and negotiate
• Ability to communicate effectively under pressure
• Writing experience: clinical and/or non-clinical topics peer‑reviewed publications and/or other communication (e.g. blog, letters to journals)

Problem solving and decision making skills

• Capacity to use logical / lateral thinking to solve problems / make decisions, indicating an analytical / scientific approach and, where appropriate, creativity in problem solving

Organisational and planning skills

• Capacity to manage / prioritise time and information effectively
• Evidence of thoroughness (well prepared, self‑disciplined / committed, punctual and meets deadlines)
• Capability to work with long timescales for delivery within agencies with differing priorities
• Ability to work effectively under pressure
• Capacity to manage conflicting demands
• Self‑motivation, and resilience
• Initiative and ability to work autonomously

Team working, leading and managing others

• 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

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Come and join our wonderful team at NUH. We are big believers in diversity and welcome new ideas to help develop our team in order to deliver world class healthcare to the vast patient populations we serve. With endless personal development opportunities available, at the NUH we will endeavour to turn your job into a career!

We particularly welcome applications from people who identify as Black, Asian and Minority Ethnic, or Disabled, as we are striving to be better represented at NUH.

Applicants are kindly requested to refrain from using AI at any stage during the recruitment process.

Closing Dates: Please submit your application form as soon as possible to avoid disappointment; we reserve the right to close vacancies prior to the published closing date if we receive a sufficient number of completed application forms.

Communication: All communication related to your application will be via the email address you have provided. Please ensure you check your email account including your junk email regularly.

NUH are now able to offer application completion support and interview preparation support. Please follow the link to book onto our sessions: Support for NUH Job Applications

If you are aged 16 or 17 and applying for a role that is more than 20 hours a week, please be aware that you will be asked to commence an Apprenticeship within the Trust alongside your role, as long as there is a suitable apprenticeship standard available. This is in line with the current guidance in England that whilst young people under the age of 18 can leave school (on the last Friday in June) they must then do one of the following:

• Stay in full‑time education, for example at a college
• Start an Apprenticeship
• Spend 20 hours of more a week working or volunteering, while in part‑time education or training

Salary: The quoted salary will be on a pro rata basis for part time workers.

Disability Confidence: All applicants who have declared a disability and who meet the essential criteria for the post will be shortlisted.

At Risk of redundancy: NHS employees within the East Midlands who are ‘at risk’ of redundancy will be given a preferential interview where they meet the essential criteria of the person specification.

ID and Right to work checks : NUH authenticate ID and right to work documentation including passports and driving licences through a system called Trust ID. NUH will scan your ID and right to work documentation in to the Trust ID system at your face to face ID appointment. The system will run a check against the key security features within your documentation. The system will provide us with an outcome of your check which will be stored securely on your personal file along with all other pre‑employment check documentation.

Consent:

• Transfer of information: If I have previous NHS service - I consent to the Transfer of my Electronic Staff Record (ESR) data between this and other NHS Trusts. I also consent to the Occupational Health Department confidentially accessing my occupational health records from my current or previous employer in order to check the status of my vaccinations, immunisations s and screening tests as relevant to the post. I understand this is an automated process and the information will only be used for these purposes prior to me taking up the position at NUH.
• Disclosure and Barring Service: Your post may be subject to a DBS check which incur a cost dependent on the level of check required (£49.50 for enhanced and £21.50 for standard). I agree to reimburse Nottingham University Hospitals NHS Trust the cost of a Disclosure and Barring Service (DBS) check if it is required (by deduction from first month’s pay). Should I decide to withdraw from my job offer, I agree to reimburse Nottingham University Hospitals NHS Trust the cost of the DBS check undertaken by cheque or other agreed method.

Employer certification / accreditation badges

You must have appropriate UK professional registration.

This post is subject to the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (Amendment) (England and Wales) Order 2020 and it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service.

Name Dr Thearina de Beer Job title Deputy Medical Director & Critical Care Consultant Email address [emailprotected] Telephone number 0115 9249924