Trac proudly powers the recruitment for
Royal Free London NHS Foundation Trust
About
On 1 January 2025 Royal Free London NHS Foundation Trust became one of the largest trusts in the UK following the acquisition of North Middlesex University Hospital.
Our trust has over 17,000 staff serving 2 million patients every year. It comprises Barnet Hospital, Chase Farm Hospital, the Royal Free Hospital, North Middlesex University Hospital and more than 30 services in the community. This larger scale organisation provides an unprecedented opportunity for us to continue our pioneering work, particularly in finding ways to deliver even better care to our patients.
Our mission is to deliver world class care and expertise in our clinical services, underpinned by world class teaching and research and we will continue to measure our progress against our five governing objectives: excellent outcomes, excellent patient and staff experience, excellent value for taxpayers’ money, being safe and meeting our external duties, and building a strong organisation. Welcome to the Royal Free
Consultant in Acute Medicine
Accepting applications until: 09-Sep-2026 23:59
Vacancy status: Open
Accepting applications until: 09-Sep-2026 23:59
Key details
Location
- Gwefan
- North Middlesex University Hospital
- Cyfeiriad
- Sterling Way
- Tref
- London
- Cod post
- N18 1QX
- Major / Minor Region
- London
Contract type & working pattern
- Contract
- Permanent
- Oriau
- Full time - 10 sessions per week (Annualised Rota)
Salary
- Cyflog
- £113,565 - £150,569 + £2162 London weighting, per annum
- Cyfnod cyflog
- Yearly
- Gradd
- (NHS Medical & Dental: Consultant)
Specialty
- Prif leoliad
- Acute Medicine
Our trust has over 17,000 staff serving 2 million patients every year. It comprises Barnet Hospital, Chase Farm Hospital, the Royal Free Hospital, North Middlesex University Hospital and more than 30 services in the community. This larger scale organisation provides an unprecedented opportunity for us to continue our pioneering work, particularly in finding ways to deliver even better care to our patients.
Our mission is to deliver world class care and expertise in our clinical services, underpinned by world class teaching and research and we will continue to measure our progress against our five governing objectives: excellent outcomes, excellent patient and staff experience, excellent value for taxpayers’ money, being safe and meeting our external duties, and building a strong organisation.
Everyone is welcome at Royal Free London NHS Foundation Trust. We're proud of our diversity and we continue to undertake new initiatives to advance equality for LGBT+, BME, gender equality, staff carers and people with disabilities and lived experiences to promote good relations and understanding between our staff.
Artificial intelligence (AI) is a set of technology that can perform various tasks that typically required human intelligence. Your application is your opportunity to demonstrate to us how you meet the requirements of the role. We recognise that AI tools can support accessibility, equity and confidence for applicants. However, it’s important that examples and responses genuinely reflect your own experience and abilities, as these will be explored further during the selection process. AI must not be used to provide misleading or false information during any stage of the application journey. Further guidance can be found in the NLPSS Applicant Toolkit https://royalfree.pagetiger.com/cuuomnr/1.
Click here to view our video Welcome to the Royal Free
Royal Free London NHS Foundation Trust is committed to ensuring that its recruitment processes are carried out with integrity, transparency, and fairness for all applicants. To help maintain these standards, we ask candidates to provide accurate and truthful information throughout the recruitment process.
If incorrect or misleading information is identified, this may affect the progression of an application, any employment offer, or continued employment. As part of our due diligence, the company may verify the information provided by applicants and take appropriate action where necessary.
We do not charge applicants any fees at any stage of the recruitment process, including applications, interviews, sponsorship arrangements, pre-employment checks, or employment offers. All vacancies are advertised through TRAC/NHS Jobs and candidates are assessed solely on their skills, qualifications, experience, and suitability for the role. If you are asked to make a payment in connection with an NHS job opportunity, please treat this as suspicious and contact the organisation directly using the details published on our official career's website
Applicants can refer to the Fraud Act 2006 for further information: https://www.legislation.gov.uk/ukpga/2006/35/contents
Trosolwg o'r swydd
The following is a non-exhaustive list of the duties of a consultant. The appointee is expected to:
· Deliver day-to-day clinical care and leadership in the acute medicine wards, SDEC and on the medical take in ED.
· Look at current acute medicine practice and patient pathways within North Middlesex Hospital and in conjunction with the Clinical Director further develop the service in line with best practice.
· Lead in on-going development of clinical guidelines in acute medicine, audit and other key aspects of the clinical governance agenda.
· Show flexibility and undertake different appropriate clinical tasks at the request of the clinical manager, as the need arises.
· Actively participate in the Unit’s Teaching Programme and undertake supervision, teaching and training of medical trainees and other multi-professional staff, in line with guidance from the relevant Royal Colleges or specialty bodies.
· The successful applicant, as per trust policy, will take part in an active mentoring programme within the trust. The appropriate mentor/mentors will be discussed and decided by the Divisional Director and Speciality lead, in conjunction with the successful applicant.
· SPA activities will include:
o Service Development – Acute medicine protocols and guidelines.
o Developing joint protocols/pathways and clinical governance with ED and other specialties.
o Teaching/Training including clinical and educational supervision.
o Individual CME/CPD.
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CLINICAL RESPONSIBILITIES
- Participate in clinical governance activities.
- Provide senior clinical leadership and expert management for patients.
- Contribute to safe discharge planning in partnership with community and primary care services.
- Provide clinical supervision and training to resident medical staff.
- Show flexibility to undertake different appropriate clinical tasks at the request of the clinical manager.
RESPONSIBILITY FOR PATIENTS
- Support discharge planning and follow-up care in collaboration with primary care and community services.
- Ensure patients are fully informed about their conditions and treatment options, supporting shared decision making.
- Respond promptly to changes in patient condition, clinical risk or safeguarding concerns.
RESPONSIBILITY FOR POLICY AND SERVICE DEVELOPMENT
- Support the development of care pathways with community services and speciality teams
- Participate in the development of acute medicine services to improve patient flow and quality of care.
RESPONSIBILITY FOR FINANCIAL AND PHYSICAL RESOURCES
- Participate in the management and utilisation of clinical areas and resources.
- Support cost-effective prescribing treatment in line with the Trust’s and national guidelines.
RESPONSIBILITY FOR LEADING AND MANAGING
- Support the development and supervision of resident doctors and other team members.
- Assist in managing performance against key targets and standards, including patient flow.
Gweithio i'n sefydliad
North Mid is part of North Central London integrated care system – consisting of the NHS and Local authority organisations in Camden, Islington, Barnet, Enfield and Haringey. As with other ICS’s, we are working increasingly closely with partners and indeed many of our financial and performance objectives are measured at this system level. Whilst all organisations remain as standalone, statutory bodies we have an ICS infrastructure for making shared decisions and agreeing shared approaches.
We are proud of our staff and want to ensure their training allows them to provide excellent clinical care. We are also a training unit for medical students from UCL and St George’s University Grenada, and for nursing and midwifery students from Middlesex and City Universities.
Take a tour of our hospital here
Swydd-ddisgrifiad a phrif gyfrifoldebau manwl
Indicative job plan
An indicative job plan/timetable for this post with indicative Programmed Activities (PAs) is provided in the document attached, but this will normally be re-assessed after 3 months of appointment to ensure it meets the needs of the service.
For a whole-time 10 PA contract: the baseline split is:
· Direct Clinical Care: 8.0 PAs on average per week (Clinical activity, clinically related activity, predictable & unpredictable emergency work)
· Supporting Professional Activities: 1.5 core SPAs (CPD, audit, teaching & training) and 0.5 Quality and Service SPAs to be agreed with appointee (assumed to be educational supervision).
An additional 0.5 SPA is available to all Consultant Staff subject to review and agreement for quality and service roles which must be approved prospectively by the Clinical Service Lead, or by the Medical Director for Trust-wide roles.
Job plans are reviewed annually, and applicants are encouraged to study the provisions of the Consultant Contract for England 2003 under which this post is offered.
Supporting Professional Activities (SPAs):
Delivery of the highest quality service possible is the main priority of this department. This means integrating evidence-based practice, research, audit, and other aspects of clinical governance, particularly the delivery of quality training and risk management.
There are a number of different shifts within the annualised acute medicine consultant rota: the following description covers the shifts duties, the average workload and the shift frequency.
· AMU: 0800-1700 (1.75 DCC PAs + 0.5 SPA PAs Mon-Thu, 2 DCC PAs + 0.25 SPA PAs Fri): 8-12am AMU ward round (up to 16 patients), 12-13 MDT, 13-15 SPA, 15-17 board round and afternoon reviews [frequency: 65 shifts per year].
· HOT SDEC: 0800-1700 (2.0 DCC PAs + 0.25 SPA PAs/day): named consultant for SDEC (new patients) supporting ANPs and resident doctors, holding referral & advice hot phone [frequency: 16 shifts per year].
· COLD SDEC: 0800-1700 (2.0 DCC PAs + 0.25 SPA PAs/day): 8-10 am Post-Take Round in ED, 10-17 named consultant for SDEC (follow-up patients) and Virtual follow-up clinic [frequency: 16 shifts per year].
· PTWR & Day Take: 0800-1700 (2.25 DCC PAs): 8-10 am Post-Take Round in ED then named consultant for the medical take; 11am and 3:30pm MDT huddles. The average medical take is 50-70 patients/24h. [frequency: 33 shifts per year].
· Additional standalone SPA activity (up to 2.25 SPA PAs/day), or otherwise combined with the Adult Hospital at Home shifts (0.75 DCC PAs + 1.5 SPA PAs/day).
· Weekday Evening Take: 1700-2000 (0.83 DCC PAs) [frequency: 1 shift per month (on a fixed evening between Monday and Thursday), plus 1 in 14 Fridays].
· AMU weekend:
o Saturday 0800-2000 (4 DCC PAs) and Sunday 0800-1700 (3 DCC PAs) alternate with:
o Saturday 0800-1700 (3 DCC PAs) and Sunday 0800-2000 (4 DCC PAs).
o Post-take round in ED then responsible for half of AMU (up to 16 patients), medical take in the afternoon until the end of the shift. AMU A consultant supporting SDEC.
o 1.75 of SPA PAs for the rest of the week, on a day of own choice.
o Compensatory time off/zero hours is included following a weekend displacing normal clinical activity.
o [The weekend frequency is 1 in 8].
We have adopted annualised job plans and the exact timetable of shifts are allocated to take account of annual leave requests and other agreed specialty activities whilst maintaining cover in all clinical areas. There are opportunities to swap with colleagues where the need arises after the rota is written. The exact allocation of shifts on the rota also takes into account individual skills and preferences across the Consultants contributing to the Acute Medicine Rota, eg some consultants contributing to a higher proportion of SDEC or take shifts. Acute Medicine covers 50% of the Adult Hospital at Home weekday rota: the workload is shared between interested consultants.
Dedicated time for DCC admin duties (reviewing results, attending MDT meetings, dictating letters, virtual clinics, etc) is included in the AMU and SDEC shifts (0.25 PA per shift).
On Call Duties
There is evening and weekend scheduled working as per above shifts description.
Applicant requirements
Person specification
Qualifications, Training and Experience
Meini prawf hanfodol
- MRCP or Equivalent
- CCST/CCT or equivalent in Acute Medicine / General Internal Medicine and on the specialist register, or otherwise within 6 months of CCT date at the time of interview, or CESR application submitted Experience of working in acute medicine
- Ability to take full and independent responsibility for clinical care of patients
- Ability to take full and independent responsibility for the management of acute emergencies
Meini prawf dymunol
- Post Graduate degree
- Experience in Ambulatory Emergency Care / Same Day Emergency Care
Skills & Abilities
Meini prawf hanfodol
- Ability to communicate effectively with staff, patients, and relatives
- Potential to develop leadership skills
- Excellent interpersonal and organisational skills
- Experience of service development and quality improvement initiatives
- Ability to work in a pressurised environment
Meini prawf dymunol
- Training/qualification in leadership and management
- Posters/presentations at regional and national meetings Publications in peer-reviewed journals
Knowledge
Meini prawf hanfodol
- Knowledge and participation of clinical audit
- Understanding of Clinical Governance
- Experience on providing high quality training and education to undergraduates and postgraduates
Meini prawf dymunol
- Posters/presentations at regional and national meetings Publications in peer-reviewed journals
- Post graduate diploma in teaching
Other Requirements
Meini prawf hanfodol
- Excellent communication skills, both oral and written, and an ability to relate to staff and patients.
- Knowledge of resource management issues.
- Ability to stay calm under pressure. Computer literate
- Willingness to work flexibly as part of a team
- GMC Registration
Meini prawf dymunol
- Ability to support and motivate staff during periods of pressure
Further details / informal visits contact
- Enw
- Pietro Garbelli
- Teitl y swydd
- Clinical Lead - Acute Medicine
- Cyfeiriad ebost
- [email protected]
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