Job summary
- Main area
- Critical Care
- Grade
- NHS Medical & Dental: Specialty Registrar
- Contract
- Fixed term: 12 months (60% clinical commitments)
- Hours
- Full time - 10 sessions per week
- Job ref
- 164-7107715
- Employer
- Nottingham University Hospitals NHS Trust
- Employer type
- NHS
- Site
- Queens Medical Centre
- Town
- Nottingham
- Salary
- £61,825 - £70,425 Per Annum
- Salary period
- Yearly
- Closing
- 10/04/2025 23:59
Employer heading
Chief Registrar, Adult Critical Care
NHS Medical & Dental: Specialty Registrar
Job overview
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.
Main duties of the job
The chief registrar role may be undertaken in programme or out of
programme. There are various options including less than full time training, OOPT, OOPE and OOPP. We will work with you to find the working and training arrangements that suit you and your department best. Any necessary extension to certificate of completion of training (CCT) date is also negotiated and approved locally, with involvement of the Head of School where appropriate. Approval of the relevant specialist advisory committee will be required for OOP requests.
Trainees must discuss applications for chief registrar roles with their
education supervisor and TPD in advance of applying. Permission to apply for the role must be obtained from the TPD.
You will be based at Nottingham University Hospitals NHS Trust.
Working for our organisation
Adult Critical Care at NUH is a highly supportive, friendly, cohesive, ambitious and energetic team led by a group of consultants devoted to delivering excellent care to our patients. We invest in every member of team, are positive about well-being and have an accommodating approach to the rota. There are an abundance of educational opportunities and on-site is the well regarded Trent Simulation Centre. Our juniors consistently secure their preferred training posts through competitive selection.
Our 66 critical care beds are split between the Queen’s Medical Centre and Nottingham City Hospital, admitting in excess of 4500 patients per year. We accept patients from all of the major medical and surgical specialties and are a tertiary referral centre for many subspecialties. Of note we are a neurosurgical centre, burns centre and are one of the busiest major trauma centres in Europe. Among our staff are the National Lead for Organ Donation and the Vice Chair of NIHR’s Critical Care Group.
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 divisional management meetings to gain an understanding of management and the wider social, political and economic influences on healthcare delivery.
Divisional 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, division 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.
Person specification
Qual
Essential criteria
- Full registration with General Medical Council
- Be fit to practice
- Should be ST5 or above in Intensive Care Medicine
- 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
Desirable criteria
- Additional relevant degree (intercalated, masters or doctorate)
Clinical Skills
Essential criteria
- Evidence of clinical competencies in Intensive Care Medicine 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
Essential criteria
- 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
Desirable criteria
- Evidence of relevant academic achievements, including publications / presentations
Leadership and Management
Essential criteria
- 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
Desirable criteria
- 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 and Service Improvement/ Audit
Essential criteria
- 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
Desirable criteria
- 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
- Clear insight into issues facing UK healthcare services
Education/ Teaching
Essential criteria
- Evidence of interest in and experience of teaching
- Evidence of positive feedback on teaching approaches
Desirable criteria
- Development of teaching programmes
- Participation in teaching courses
- Participation in degree or diploma courses in education
- Action learning sets / simulation instructor
Personal Skills
Essential criteria
- 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
- Capacity to use logical / lateral thinking to solve problems / make decisions, indicating an analytical / scientific approach and, where appropriate, creativity in problem solving
- 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
- 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
- Quick to understand new information and adapt to new environments
- Clarity of thought and expression
- Flexible and adaptable to change
- Self-starter, motivated, shows curiosity, initiative and enthusiasm)
- Demonstrates probity (displays honesty, trustworthiness, integrity, awareness of ethical dilemmas, respect for confidentiality)
- Takes responsibility for own actions
- Commitment to personal and professional development
- Excellent computer literacy
Desirable criteria
- Leadership skills gained within the NHS or elsewhere
- Writing experience: - clinical and/or non-clinical topics - peer-reviewed publications and/or other communication (e.g. blog, letters to journals) Evidence of altruistic behaviour, e.g. voluntary work
Employer certification / accreditation badges
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Applicant requirements
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.
Documents to download
Further details / informal visits contact
- Name
- Dr Mark Elhers
- Job title
- Consultant
- Email address
- [email protected]
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