Job summary
5 Junior Clinical Fellow posts (ST1-3 level) in the Paediatric Emergency Department for 6-12 months starting September 2026.
We are looking for doctors who have an interest in either Paediatrics or Emergency Medicine, and who want to gain experience in the assessment and management of acutely unwell and injured children. We have a very strong track record of fellows obtaining training posts in their chosen specialty. Candidates are expected to complete QI projects and to engage with the tailored education program, with dedicated education shifts.
St Mary's Hospital is a Major Trauma Centre in London, and has a range of paediatric medical and surgical specialities, including PID, Haematology, Neurology, Allergy, Renal and PICU. It is one of the key trusts in the North London Paediatric Specialist Network, and works closely with West London Children's Hospital.
It has an active and internationally respected academic and research unit, with current recruitment to several national significant research projects.
The department is staffed by dedicated paediatric nurses and led by a team of PEM consultants. Trainees come from both paediatric and emergency medicine backgrounds on a 2-tier rota, and a senior decision maker in the department 24/7.
Candidates MUST have completed their foundation training, and worked in the UK NHS for at least 12 months.
Main duties of the job
The posts are based entirely within the Paediatric Emergency Department. Doctors will provide the initial assessment and management of unwell and injured children who present to the Emergency Department, or who are referred by a primary care team. The post will also include exposure to critically ill children and emergency ambulance conveyances. Post-holders will hone both their clinical reasoning skills and their practical procedures, as well as their skills in verbal and written communication and patient notes.
They will be supported by registrars and consultants based in the PED, and the nursing and therapy staff. The post includes out of hours shifts, including late and night shifts, on a 9 person rota. There are medical and surgical specialties on site (including PICU), as well as the major trauma service (24/7 consultant led).
There is a 4 bedded, co-located Clinical Decision Unit that helps flow through the department, and the team manage these patients as well as those in the main department.
There is dedicated education shifts within the rota, and a weekly teaching rota including in situ simulation, journal club, lightning learning, and formal teaching sessions.
As a large teaching hospital, there are regular placements for medical students, and frequent opportunities to teach.
About us
The department is staffed with a dedicated PED team.
There are 11 consultants (8 WTE) who provide shop-floor cover until 10pm seven days a week, with on-call support at all other times. They all have subspecialty training in PEM (RCPCH or RCEM), and have interests and expertise in a wide range of areas, including research, POCUS, education, trauma, informatics and health policy.
There are 6 registrars and 9 junior fellows who make up the medical team, a mix of training posts and fellow posts, and including both paediatric and emergency medicine doctors. To mirror the pattern of attendances, the rota has both daytime and late shifts, as well as night shifts, and includes working 1 in 3 weekends.
There is a full cohort of paediatric nursing staff, led by the PED matron and the Band 7 team, ensuring senior nursing support on each shift. The majority are paediatric ED nurses, with both adult ED and general paediatric nurses on rotation through the department. There is a dedicated play specialist for the PED. There is also strong support from the paediatric safeguarding team and from Red Thread, a charity helping young people involved in violence and gangs.
The department had a long tradition of research and innovation, led by Dr Ruud Nijman. It is a leading member of PERUKI (Paediatric Emergency Research network for UK & Ireland) and has close ties with the Centre for Paediatrics and Child Health, Imperial College London.
Job description
Job responsibilities
Clinical Duties:
To provide safe and effective clinical care to children in the department, under the supervision of the Paediatric Emergency Medicine Consultant, in accordance with departmental and trust clinical guidelines and evidence.
To help provide on-going care for children on CDU, who are likely to go home within the next few hours, and to help treat and escalate if these children become more unwell.
To help with the resuscitation and stabilisation of significantly injured or sick children.
To help perform procedures including minor orthopaedic procedures, suturing etc
To be responsible for good safety netting and signposting on discharge, and ensuring the safety of children on discharge from the department.
To provide good communication with nursing staff and colleagues, and work cohesively as part of the team.
To liaise effectively with colleagues from different specialties, and with HCP in the community (GP, midwife, school nurses etc).
To effectively use the computerised system for patient records, ordering, results and communication (discharge letters).
To ensure all safeguarding concerns are addressed and communicated.
Administration/ Managerial Responsibilities
To develop and hone the skills in working an Emergency Department prioritisation, safety, flow and efficient working.
To comply with trust and department rules and professional behaviours.
To complete a Quality improvement project or audit
To ensure outstanding results and actions are completed.
Job description
Job responsibilities
Clinical Duties:
To provide safe and effective clinical care to children in the department, under the supervision of the Paediatric Emergency Medicine Consultant, in accordance with departmental and trust clinical guidelines and evidence.
To help provide on-going care for children on CDU, who are likely to go home within the next few hours, and to help treat and escalate if these children become more unwell.
To help with the resuscitation and stabilisation of significantly injured or sick children.
To help perform procedures including minor orthopaedic procedures, suturing etc
To be responsible for good safety netting and signposting on discharge, and ensuring the safety of children on discharge from the department.
To provide good communication with nursing staff and colleagues, and work cohesively as part of the team.
To liaise effectively with colleagues from different specialties, and with HCP in the community (GP, midwife, school nurses etc).
To effectively use the computerised system for patient records, ordering, results and communication (discharge letters).
To ensure all safeguarding concerns are addressed and communicated.
Administration/ Managerial Responsibilities
To develop and hone the skills in working an Emergency Department prioritisation, safety, flow and efficient working.
To comply with trust and department rules and professional behaviours.
To complete a Quality improvement project or audit
To ensure outstanding results and actions are completed.
Person Specification
Qualifications
Essential
- On GMC registered/ licensed Medical Practitioner
- MB ChB or equivalent
Desirable
- Membership of Royal College exams (e.g. MRCPCH, MRCEM, MRCP, MRCS etc)
- Higher Degree (MSc etc)
- Higher training qualifications (FCEM, diploma etc)
Quality Improvement and Research
Essential
- Evidence of participation in Quality Improvement projects
Desirable
- Completion of QI project / audit cycle.
- Publication in peer review journal
Language and communication
Essential
- Ability to speak and write English to IELTS level 7 or above (IELTS completed if required.)
Clinical Skills
Essential
Desirable
- Advanced resuscitation skills (e.g. APLS / EPLS)
- Advanced Trauma skills (e.g. ATLS / ETC)
Relevant experience
Essential
- Completion of Foundation Training (or equivalent)
- 1 year previous experience in the UK / NHS
Desirable
- Experience in paediatric / Emergency Medicine
Personal attributes
Essential
- Show empathy and listening skills
Physical requirements
Essential
- Meets occupational health requirements
- Ability to deal with people from differing cultures and backgrounds
- Ability to work well in a team
Professional attributes
Essential
- Punctual, reliable and flexible.
- Resilient and committed.
- Have honesty and integrity.
- Excellent communication skills with patients, families and colleagues
- Ability to write clear and relevant notes and discharge / referral letters.
- Be able to demonstrate the key Trust values - Kind, collaborative, expert and aspirational
Person Specification
Qualifications
Essential
- On GMC registered/ licensed Medical Practitioner
- MB ChB or equivalent
Desirable
- Membership of Royal College exams (e.g. MRCPCH, MRCEM, MRCP, MRCS etc)
- Higher Degree (MSc etc)
- Higher training qualifications (FCEM, diploma etc)
Quality Improvement and Research
Essential
- Evidence of participation in Quality Improvement projects
Desirable
- Completion of QI project / audit cycle.
- Publication in peer review journal
Language and communication
Essential
- Ability to speak and write English to IELTS level 7 or above (IELTS completed if required.)
Clinical Skills
Essential
Desirable
- Advanced resuscitation skills (e.g. APLS / EPLS)
- Advanced Trauma skills (e.g. ATLS / ETC)
Relevant experience
Essential
- Completion of Foundation Training (or equivalent)
- 1 year previous experience in the UK / NHS
Desirable
- Experience in paediatric / Emergency Medicine
Personal attributes
Essential
- Show empathy and listening skills
Physical requirements
Essential
- Meets occupational health requirements
- Ability to deal with people from differing cultures and backgrounds
- Ability to work well in a team
Professional attributes
Essential
- Punctual, reliable and flexible.
- Resilient and committed.
- Have honesty and integrity.
- Excellent communication skills with patients, families and colleagues
- Ability to write clear and relevant notes and discharge / referral letters.
- Be able to demonstrate the key Trust values - Kind, collaborative, expert and aspirational
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.
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.
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).
