Tell us whether you accept cookies

We use cookies to collect information about how you use the NHS Jobs website. We use this information to make the website work as well as possible.

Return to search

NB: This vacancy closed to applications on 26/01/2020.

Fellowships in Physician Response Unit & Emergency Medicine

Job Reference: 259-MED00287RLH

Barts Health NHS Trust
Physician Response Unit & Emergency Medicine
Royal London Hospital, London
£31,841 - £50,068 per annum

Barts Health is one of the largest NHS trusts in the country, and one of Britain’s leading healthcare providers.

The Barts Health group of NHS hospitals is entering an exciting new era on our improvement journey to becoming an outstanding organisation with a world-class clinical reputation. Having lifted ourselves out of special measures, we now have the impetus and breathing space to chart a fresh course in which we are continually striving to improve all our services for patients.

Our vision is to be a high-performing group of NHS hospitals, renowned for excellence and innovation, and providing safe and compassionate care to our patients in east London and beyond. That means being a provider of excellent patient safety, known for delivering consistently high standards of harm-free care and always caring for patients in the right place at the right time. It also means being an outstanding place to work, in which our WeCare values and behaviours are visible to all and guide us in how we work together.

Fellowships in Physician Response Unit & Emergency Medicine (12 months)

ST4-ST6+ Level - 5 posts – commencing August 2020 for 12 months


Department of Emergency Medicine and Pre-hospital Care

Division of Emergency Care and Trauma


Royal London Hospital


The Physician Response Unit has been operated by London’s Air Ambulance since 2001. It is a rapid response vehicle that is staffed by a doctor and a clinician from London Ambulance Service, and responds to 999 calls in North-East London. The clinical focus of the PRU is to ‘take the Emergency Department to the patient’, providing high quality care for patients where they need it. It attends a broad range of clinical presentations including illness and injury in adults and children, and where possible enables diagnosis and treatment of patients in the community without the need for subsequent ED attendance or hospital admission. The car is equipped with a range of diagnostic equipment and treatments enabling many conditions to be managed in the community. The service works closely with London Ambulance Service and community health providers to ensure that high quality care and patient experience are prioritised.


These fellowship positions provide an opportunity for appointees to work in an innovative model of care providing Emergency Medicine to patients in the community on the Physician Response Unit. They will gain clinical and operational Pre-hospital Emergency Medicine experience and skills by working as part of an emergency response team, and will gain eligibility to undertake the Diploma of Immediate Medical Care (RCSEd). They will be part of a small team working to make a large difference to local patients, looking to enhance clinical care and experience through accessing community-based pathways and stream-lining emergency care. Alongside work on the Physician Response Unit they will also gain experience by working in the RLH Emergency Department, and will have protected development opportunities in other related areas (Supported Professional Activity).


Fellows will undergo a period of training and supervised clinical working for several weeks followed by sign-off to work on the Physician Response Unit. They will then be responsible for the delivery of clinical care of patients that they attend, and will be supported at all times by telephone access to a duty consultant in pre-hospital care. They will be expected to practice within their own level of competence and training. They will also be expected to participate in clinical audit and governance work relating to the PRU, and will be afforded opportunities to represent the service at local management and development fora.


The Fellows will cover a rota which provides clinical cover for the Physician Response Unit (early and late shifts) and ED shifts (whole shift pattern). The Emergency Department component of the fellowship will be split across two of the three Barts Health sites (six months / six months). There will also be protected non-clinical days and it is anticipated that these will vary between supported professional activity (governance, audit) and focussed relevant clinical training opportunities.


The proportion of shifts will be approximately. 50:50 between prehospital care and emergency department work. All rotas will be compliant with trust junior doctor contracting requirements.



For further details / informal visits contact:


  • Dr Tony Joy, Consultant in Emergency Medicine and Clinical Lead for Physician Response Unit


  • Dr Karim Ahmad, Consultant in Emergency Medicine and Clinical Lead for Emergency Department, Royal London Hospital

We strive to live by our WeCare values and are committed to promoting inclusion, where every staff member has a sense of belonging. We value our differences and fully advocate, cultivate and support an inclusive working environment where staff treat one another with dignity and respect. We aim to create an equitable working environment where every individual can fulfil their potential.

Our people strategy for 2019-2022 sets out our priorities and an action plan to meet our ambition. In this strategy, we set out the deal we are offering to you in return for living and breathing our values so that they shape everything that you do every single day.

As an Equal Opportunities Employer we actively support applications from individuals’ who apply under the Guaranteed Interview Scheme and will process your application as appropriate.

We reserve the right to expire vacancies prior to the advertised closing date once a sufficient number of applications has been received and we regret that we are unable to provide notification if your application is unsuccessful.

After applying via NHS Jobs, your submitted application will be imported into our preferred Third party recruitment system. All subsequent information regarding your application will be generated from

By applying for this post you are agreeing to Barts Heath NHS Trust transferring the information contained in this application to its preferred applicant management system. If you are offered a job, information will also be transferred into the national NHS Electronic Staff Records system.

Barts Health is committed to safeguarding the welfare of children and to child protection. The Trust aims to ensure as far as is possible that anyone, paid or unpaid, who seeks to work in our organisation and who gains access to children, is safe to do so. As such, you may be required to undertake a Disclosure and Barring Check as part of the recruitment process if appointed to a post with direct access to children or vulnerable adults.

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.

Tier 2 Certificate of Sponsorship

Applications from job seekers who require current Tier 2 sponsorship to work in the UK are welcome and will be considered alongside all other applications. However, non-EEA candidates may not be appointed to a post if a suitably qualified, experienced and skilled EU/EEA candidate is available to take up the post as the employing body is unlikely, in these circumstances, to satisfy the current Resident Labour Market Test which will be in place until the end of December 2020. UK Visas and Immigration requires employers to complete this test to show that no suitably qualified EEA or EU worker can fill the post. For further information please visit the UK Visas and Immigration website.

From 6 April 2017, Tier 2 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

UK Registration

Applicants must have current UK professional registration. For further information please see applying from overseas.

SAFERJobs To stay safe in your job search we recommend that you visit SAFERjobs (, a non-profit, joint industry and law enforcement organisation working to combat job scams. Visit the SAFERjobs website for information on common scams and to get free, expert advice for a safer job search.

  • Investors in People Gold Logo
  • Disability Confident Employer
  • Positive about Disabed People Logo
  • Improving Working Lives Logo
  • Mindful Employer Logo
  • Smoke Free Logo
  • Age Positive Logo
  • Stonewall Logo
  • Apprenticeships Logo