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Oxford University Hospitals NHS Foundation Trust

About

The Oxford University Hospitals NHS Foundation Trust (OUH) is one of the largest acute teaching Trusts in the UK, with a national and international reputation for the excellence of its services and its role in teaching and research.

Find out more about the Trust on their web-site at www.ouh.nhs.uk

Watch how OUH goes about delivering compassionate excellence on the ouhnhs YouTube channel

Contact

Address: Oxford Univ Hosps NHS Foundation Trust; OUHC HR Department,; 3rd Floor Unipart House Business Centre; Garsington Road; Oxford; Oxfordshire; OX4 2PG
Contact Number: 01865 741186

Find out more

Jobs Website

Closed

Ref: 321-MRC-MS-7129011-S6 Vacancy ID: 7129011

Chief Registrar in Ambulatory Medicine

Closed for applications on: 11-May-2025 00:00

Vacancy status: Closed

Closed for applications on: 11-May-2025 00:00

Location

Site: Acute Medicine Med Staff 153200
Address: Headley Way
Town: Oxford
Postcode: OX3 9DU
Major / Minor Region: Oxfordshire

Contract type & working pattern

Contract: 12 months (Fixed Term)
Hours: Full time - 40 hours per week (+ Out of Hours)

Salary

Salary: £70,425 + Enhancements for Out-of-Hours
Salary period: Yearly
Grade: (ST6 - ST8)

Specialty

Main area: Acute General Medicine/Emergency Department

The Oxford University Hospitals NHS Trust is one of the largest NHS teaching trusts in the country. It provides a wide range of general and specialist clinical services and is a base for medical education, training and research.

The Trust comprises of four hospitals - the John Radcliffe Hospital, Churchill Hospital and Nuffield Orthopaedic Centre in Headington and the Horton Hospital in Banbury.

Our values, standards and behaviours define the quality of clinical care we offer and the professional relationships we make with our patients, colleagues and the wider community. We call this Delivering Compassionate Excellence and its focus is on our values of compassion, respect, learning, delivery, improvement and excellence. These values put patients at the heart of what we do and underpin the quality healthcare we would like for ourselves or a member of our family. Watch how we set out to deliver compassionate excellence via the OUH YouTube channel.

Many of our recruitment programmes use values-based interviewing to identify those who have the skills we seek, who share our values and who are able to deliver compassionate excellence from the outset. We know that this makes a significance difference to your job satisfaction and above all the outcomes and experience of our patients and their families.

For more information about our Values and Value Based Interviewing please visit http://www.ouh.nhs.uk/about/vision-and-values/default.aspx

Detailed job description and main responsibilities

Clinical

60% of ‘basic’ time will focus on delivering and leading clinical care that is ‘ambulatory by default’ at the John Radcliffe and Horton Hospital sites. This input, focused on extending the reach and application of contemporary ambulatory care, will complement the current senior- and middle-grade input to ambulatory services.

The ‘additional hours’ (beyond basic) commitment will focus on delivery of ‘leadership in ambulatory care’ support peak periods. Typically, urgent care pathways see sustained surges in demand from lunchtime until late evening; Chief Registrar leadership of early, rapid assessment, treatment and pathway determination during this period will be a vital component in delivering better patient outcomes and ensuring that every appropriate patient is ‘home by midnight’.

Specifically, within a < 48 hour average working week, it is currently proposed that the Chief Registrar will contribute to the weekend rota and to one late evening /long day per week, but not to overnight care (beyond midnight or before 7am).

Service Transformation

In aggregate, 40% of ‘basic’ time will be allocated to supporting service transformation towards an ‘ambulatory by default’ model: delivered in all assessment settings, 24-7, with exceptional patient-centred outcomes and inclusive use of innovative pathways that minimise use of traditional inpatient settings and optimise value. Delivering this will require close work with management teams, to initiate and develop projects including those identified by the Chief Registrars.

All activities will embrace the Trust’s vision of patient-centered service transformation and be aligned with the Future Hospital Commission’s recommendations for ambulatory care: with greater vertical and horizontal integration of acute services transcending traditional hospital-community and intra-hospital barriers. Such activities will complement Trust service improvement initiatives, and will have patient safety and the delivery of high-quality, better safe, compassionate care at their core.

Please refer to attached job description for further information.

COVID-19: The COVID-19 vaccination remains the best way to protect yourself, your family, your colleagues and of course our patients from the virus when working in our healthcare settings. Whilst COVID-19 vaccination is not a condition of employment at this time, we do encourage our staff to get vaccinated. We will be checking the vaccination status of all new starters so that we can manage individual and environmental risks and so that we can support those who may be undecided about vaccination. If you are unvaccinated there is helpful advice and information at Oxfordshire County Council Website where you can also find out more about how to access vaccination. There is a current Government consultation underway which will determine whether some new starters may need to be vaccinated.

No unsolicited recruitment agency telephone calls or emails.

Please make sure that you read the job description and person specification attached below, and that your statement in support reflects this as your application will be judged against these criteria.

All candidates will be contacted with an update on the application. The majority of correspondence will be via the e-recruitment system, therefore you should check your emails regularly including junk mail folders in web-based email products.

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.

Person specification

GMC

Essential criteria

Full GMC registration and licence to practise

Qualifications

Essential criteria

Be fit to practice
• Hold NTN in training programme including G(I)M, and be actively participating in (or very recent experience of) acute medical take
Should be ST4 and above
Should not hold a CCT
Have approval from TPD for this OOPE
More than satisfactory progress throughout training, including ARCP outcomes

Desirable criteria

Additional degree (intercalated, masters or doctorate)

Clinical Skills

Essential criteria

Clinical competency in own medical specialty appropriate for their stage in training
Evidenced experience in Point-of-Care Ultrasound, and a clear timeline and plan to achieve independent competence
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

Desirable criteria

Demonstrable outcomes in ambulatory care
Experience in management of frailty syndromes
Evidence of skills in management of acute medical emergencies (eg ALERT, IMPACT certification, ALS Instructor)

Research

Essential criteria

Understanding of research, including awareness of ethical issues
Understanding of research methodology
Knowledge of evidence-based practice

Desirable criteria

Evidence of involvement in a formal research project
Evidence of relevant academic achievements, including publications / presentations

Leadership and management

Essential criteria

Effective team working and leadership skills, supported by MSF or WBAs
Involvement in local management systems
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

Effective leadership skills in and outside medicine (eg evidence of leading innovations or improvements)
Understanding of leadership theory and practice
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

Essential criteria

• Awareness of the RCP Future Hospital Programme and understanding of the policy arena in relation to the implementation of the Future Hospital Commission’s recommendations
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

Desirable criteria

Evidence of completed audit/Quality improvement projects
Evidence of learning about the principles of change management
Prizes in QIP/audit
Insight into issues facing UK healthcare services

Education and Teaching

Essential criteria

Interest in and experience of teaching
Evidence of excellent feedback on teaching

Desirable criteria

Teaching diploma or degree
Development of teaching programmes
Participation in teaching courses

Personal Skills

Essential criteria

Clarity in written and 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, negotiate and influence others
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
• Ability to show leadership, make decisions, organise and motivate other team members through, for example, quality improvement
Can build effective teams and partnerships
Ability to work well in multidisciplinary teams
Quick to understand new information and adapt to new environments
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)
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 communication
Evidence of achievements outside medicine
Evidence of altruistic behaviour (e.g. voluntary work)