Great Western Hospitals NHS Foundation Trust

CF (ST4+) in Pre-Hospital Emergency Medicine (50/50)

The closing date is 24 March 2026

Job summary

We are looking to recruit a motivated Senior Clinical Fellow in Pre-Hospital Emergency Medicine (PHEM).

This post is available from 5th August 2026 for 12 months and is not recognised for PHEM subspecialty training. The role may be eligible to count towards emergency medicine higher specialty training time as an OOP-T in negotiation with your own training deanery if applicable.

This exciting new post is aimed at providing training and experience in pre-hospital emergency medicine, alongside working as a Senior Clinical Fellow in Emergency Medicine within a DGH Emergency Department.

The job is designed to be an enjoyable, CV-enhancing post attracting high calibre candidates.

The Emergency Department and Urgent Treatment Centre sees approximately 200,000 attendances per year.

The department has a 6-bay resuscitation area, a 16-bay majors trolley area, an ambulatory majors area, a minor theatre, a plaster room and a 4 bedded observation area. Recently the integrated front door project has delivered a newbuild Urgent Treatment Centre, Emergency Department and Children's Emergency Unit with a dedicated Resus, High Care, and Majors and Ambulatory areas.

Main duties of the job

50% of the post will be in-hospital Emergency Medicine allowing an opportunity for doctors wanting to gain experience and responsibility in not just managing patients but managing a busy department.

Emergency Medicine (50%):

50% of the post will be Emergency Medicine clinical care allowing doctors to develop in not just managing patients, but managing the department.

Great Western Hospital is a busy DGH Emergency Department and Trauma Unit that sees a wide variety of presentations (in both adult and paediatric). We deal with medical, surgical, orthopaedic, paediatric and trauma patients. These patients can present and be assessed in resus, majors, minors or paediatric ED. The successful applicant will be expected to see patients across these areas as required.

Ensure safe and timely emergency patient care

Prescribe safely

Keep an accurate and relevant medical record (electronic notes)

Manage time and clinical priorities effectively

Communicate effectively with patients, relatives and colleagues

Use evidence, guidelines and audit to benefit patient care

Teach peers and junior colleagues, as well as medical students attached to the department.

Act as Emergency Physician in Charge (EPIC) in the Emergency Department, including overnight supported by a consultant non-resident oncall.

Engage in Quality Improvement activity to improve processes and patient care within the department.

About us

We are proud to be part of BSW Hospitals Group - a formal partnership between Great Western Hospitals NHS Foundation Trust, Royal United Hospitals Bath NHS Foundation Trust and Salisbury NHS Foundation Trust. With a combined workforce of over 17, 600 colleagues, and budget of 1.6 billion the Group is united by a common purpose to deliver the best possible care to over 1 million people.

We are creating a heath and care system that works with the people we care for, reducing the differences people currently face in access, experience and outcomes, improving the experience of our colleagues and tackling shared challenges like sustainability and finances. Every improvement we make across our Group will be guided by what creates the greatest benefit for our colleagues, our patients, our communities and our partners.

Details

Date posted

10 March 2026

Pay scheme

Hospital medical and dental staff

Grade

Doctor - other

Salary

£65,048 to £73,992 a year Per annum

Contract

Fixed term

Duration

12 months

Working pattern

Full-time, Part-time

Reference number

249-7830973

Job locations

The Great Western Hospital

Marlborough Road

Swindon

SN3 6BB


Job description

Job responsibilities

Pre-Hospital Emergency Medicine (50%):

Main duties and responsibilities:

To work as a trainee Critical Care Doctor at WABA (and on an Honorary basis for SWAST) providing pre-hospital emergency medical care including weekends/bank-holidays/night shifts

To engage with trainers, educational supervisor(s) and medical director

Attend regional training days for EM and regional/national training days in PHEM

Comply with training requirements that mirror the IBTPHEM national training programme

Maintain a portfolio in line with the IBTPHEM curriculum requirements

Complete the DipIMC examination (if not already held)

Progress towards the FIMC eligibility certificate and subsequent examination

Attend and participate in WABAs clinical governance meetings

Contribute to WABAs organisational development through audit, quality improvement and project work

Comply with all policies and procedures of WABA and SWAST respectively

Support the ongoing development of SWAST seconded APCCs at WABA

Work in conjunction with SWAST personnel under the auspices of WABA to deliver education, training and mentoring.

Work as part of a multidisciplinary team

Participate in and support SWASFT clinical governance.

Where appropriate, provide enhanced medical skills.

Actively participate in the delivery of education and development of enhanced pre-hospital care.

Maintain an understanding JRCALC and SWASFT clinical guidelines and be aware when operating out side of these guidelines.

Should you have any further queries regarding the PHEM component of this SCF post, please contact:

Dr Shah M. Rahman (shah.rahman@wbairambulance.org.uk) or Dr Maria Smith (maria.smith@wbairambulance.org.uk), Medical Director

Further details can be found on the attached job description.

Job description

Job responsibilities

Pre-Hospital Emergency Medicine (50%):

Main duties and responsibilities:

To work as a trainee Critical Care Doctor at WABA (and on an Honorary basis for SWAST) providing pre-hospital emergency medical care including weekends/bank-holidays/night shifts

To engage with trainers, educational supervisor(s) and medical director

Attend regional training days for EM and regional/national training days in PHEM

Comply with training requirements that mirror the IBTPHEM national training programme

Maintain a portfolio in line with the IBTPHEM curriculum requirements

Complete the DipIMC examination (if not already held)

Progress towards the FIMC eligibility certificate and subsequent examination

Attend and participate in WABAs clinical governance meetings

Contribute to WABAs organisational development through audit, quality improvement and project work

Comply with all policies and procedures of WABA and SWAST respectively

Support the ongoing development of SWAST seconded APCCs at WABA

Work in conjunction with SWAST personnel under the auspices of WABA to deliver education, training and mentoring.

Work as part of a multidisciplinary team

Participate in and support SWASFT clinical governance.

Where appropriate, provide enhanced medical skills.

Actively participate in the delivery of education and development of enhanced pre-hospital care.

Maintain an understanding JRCALC and SWASFT clinical guidelines and be aware when operating out side of these guidelines.

Should you have any further queries regarding the PHEM component of this SCF post, please contact:

Dr Shah M. Rahman (shah.rahman@wbairambulance.org.uk) or Dr Maria Smith (maria.smith@wbairambulance.org.uk), Medical Director

Further details can be found on the attached job description.

Person Specification

Qualifications

Essential

  • oFully registered with the GMC with licence to practice
  • oALS provider status
  • oMRCEM or equivalent
  • oAPLS/EPLS provider status
  • oATLS/ETC provider status

Desirable

  • oFull FRCEM
  • oInstructor status in ETC/ATLS, APLS/EPALS/MIMMS/PHTLS (or equivalent)
  • oDiploma in Immediate Medical Care (DipIMC)
  • oDiploma in Retrieval and Transfer Medicine (DipRTM)
  • oFormal qualification in medical education

Clinical Experience

Essential

  • oUK Emergency Medicine Experience
  • oExperience of running an emergency department as Emergency Physician in Charge (EPIC).
  • oCompletion of the Initial Assessment of Competence (IAC) as per the Royal College of Anaesthetists (minimum 3 months full time equivalent anaesthetic experience)
  • oMinimum 3 months full time equivalent in Intensive Care Medicine

Desirable

  • oCompletion of ST3 level in UK Emergency Medicine training (by the time of job start)
  • oExperience of working in low resource or pre-hospital care or retrieval systems (or equivalent)
Person Specification

Qualifications

Essential

  • oFully registered with the GMC with licence to practice
  • oALS provider status
  • oMRCEM or equivalent
  • oAPLS/EPLS provider status
  • oATLS/ETC provider status

Desirable

  • oFull FRCEM
  • oInstructor status in ETC/ATLS, APLS/EPALS/MIMMS/PHTLS (or equivalent)
  • oDiploma in Immediate Medical Care (DipIMC)
  • oDiploma in Retrieval and Transfer Medicine (DipRTM)
  • oFormal qualification in medical education

Clinical Experience

Essential

  • oUK Emergency Medicine Experience
  • oExperience of running an emergency department as Emergency Physician in Charge (EPIC).
  • oCompletion of the Initial Assessment of Competence (IAC) as per the Royal College of Anaesthetists (minimum 3 months full time equivalent anaesthetic experience)
  • oMinimum 3 months full time equivalent in Intensive Care Medicine

Desirable

  • oCompletion of ST3 level in UK Emergency Medicine training (by the time of job start)
  • oExperience of working in low resource or pre-hospital care or retrieval systems (or equivalent)

Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

Certificate of Sponsorship

Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).

From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).

Additional information

Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

Certificate of Sponsorship

Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).

From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).

Employer details

Employer name

Great Western Hospitals NHS Foundation Trust

Address

The Great Western Hospital

Marlborough Road

Swindon

SN3 6BB


Employer's website

https://www.gwh.nhs.uk/ (Opens in a new tab)


Employer details

Employer name

Great Western Hospitals NHS Foundation Trust

Address

The Great Western Hospital

Marlborough Road

Swindon

SN3 6BB


Employer's website

https://www.gwh.nhs.uk/ (Opens in a new tab)


Employer contact details

For questions about the job, contact:

Emergency Department Clinical Lead

Dr Peter Dobinson

pdobinson@nhs.net

Details

Date posted

10 March 2026

Pay scheme

Hospital medical and dental staff

Grade

Doctor - other

Salary

£65,048 to £73,992 a year Per annum

Contract

Fixed term

Duration

12 months

Working pattern

Full-time, Part-time

Reference number

249-7830973

Job locations

The Great Western Hospital

Marlborough Road

Swindon

SN3 6BB


Supporting documents

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