CESR Fellow in Acute Medicine

Nottingham University Hospital NHS Trust seeks applications for a substantive CESR Fellow in Acute Medicine based at the Queens Medical Centre Campus. Our CESR workforce currently has 5 fellows in the programme and we are looking to increase the team.
The CESR, or Certificate of Eligibility for Specialist Registration, is the route to specialist registration for doctors who have not completed a GMC-approved deanery training programme but who are able to demonstrate that their specialist training, qualifications and experience are equivalent to the requirements for the award of the CCT in the UK. It is a competency-based programme that enables the trainee to provide a portfolio of evidence of their training, qualifications and experience, meeting the requirements of the Acute Medicine CCT curriculum. Successful completion of the CESR process results in entry onto the Specialist Register and doctors with CESR can apply for substantive consultant posts in the UK.
The post is ideal for doctors who wish to pursue a career in Acute Medicine in one of the largest and busiest Acute Medicine Departments in the country. The post affords an excellent training opportunity for an experienced post CT SHO / Clinical Fellow / Registrar who wishes to pursue a career in Acute Medicine outside a deanery based training programme., A full range of adult patients attend Nottingham University Hospitals NHS Trust and, under the supervision of a consultant, post-holders will be responsible for the management of those patients who are referred to the Acute Medicine department.
The Acute Medicine middle grade rota is largely split into three different roles:
· B3 SpR - Responsible for the senior review of new admissions, support of junior doctors, undertaking of clinical procedures and having an overall oversight of the take as well as expediting discharges and maintaining patient flow through the department.
· AMRA SpR - Responsible for the senior review of new GP admissions and Same Day Emergency Care patients. Support fellow junior doctors, undertake any clinical procedures and maintain patient flow through the department.
· AMRAT SpR - Receive referrals to Acute Medicine from the Emergency Department to ensure that correct pathways are adhered to and patients are seen by the right person, in the right place and at the right time. This role also offers support for advice to our Emergency Department colleagues.
· On-call duties cover both campuses and include GIM on-call, stroke thrombolysis, supporting the medical level 1 unit, and Level 1/Level 2 care for respiratory patients., The post holders will work under the clinical direction of the Consultants in the Acute Medicine Department across all clinical areas.
The post is ideal for doctors who wish to pursue a career in Acute Medicine in one of the largest and busiest Acute Medicine Departments in the country. It affords an excellent training opportunity for an experienced post CT SHO / Clinical Fellow / Registrar who wishes to pursue a career in Acute Medicine outside a deanery based training programme.
The CESR posts will include out of hours working on the General Internal Medicine registrar rota. Average weekly hours are expected to be circa 46 - 42 clinical and 4 hours for CPD. Once a postholder is considered to be competent they may be moved to the consultant on call rota.
During rotations to other specialties the post holder may remain on the QMC GIM rota or may work on the rota of the specialty they have rotated into. This will be discussed and agreed before the rotation starts.
Successful applicants will join a happy and enthusiastic multi-disciplinary team including consultant and junior medical staff, nursing staff, ACPs, prescribing pharmacists and Physician Associates. We are a dedicated, forward thinking and high functioning team. We strive to deliver the very best care for our patients, but we are also passionate about providing high quality training and support for our team.
Our Acute Medicine Unit is being ambitiously and innovatively restructured, expanded and modernised both in terms of physical estate and in the way we work. NUH has one of the busiest Acute Medicine takes in the country with approximately 60% of patients being referred from the Emergency Department (ED) and 40% from Primary Care.
Acute Medicine is made up of three clinical areas, all consultant led between 08.00 and 22.00 7 days per week:
+ Acute Medicine Receiving Area (AMRA) - a 20 bedded ambulatory area to treat and assess patients directly from the community, or the Emergency Department.
+ Acute Medicine Assessment Unit - ward B3 - currently a 64 bedded short stay unit providing assessment to patients admitted from AMRA and the Emergency Department
+ Acute Medicine Level 1 Unit - 12 beds for the initial care of higher acuity medical admissions. The unit has enhanced nurse to patient ratios, monitoring and increased senior support
We also provide an innovative consultant led Telephone Triage, Advice and Navigation service primarily for GPs which has significantly improved "Right Place, First time" navigation, improved access to alternative ambulatory pathways, reduced unnecessary admissions, delays and length of stay and allowed many patients to be safely managed in the community with advice.
Physicians in our team enjoy a great breadth and depth of clinical experience and a fulfilling and varied clinical portfolio. Our assessment areas are superbly supported by our Medical and other specialty teams and we enjoy a good working relationship with our Emergency Department. Acute Medicine provides dedicated 24 hour in-reach and advice via the AMRAT service.

Nottingham University Hospitals (NUH) is one of the biggest and busiest NHS Trusts in the country with a budget of over £1billion and over 19,000 staff. We provide services to over 2.5 million residents of Nottinghamshire., Come and join our wonderful team at NUH. We are big believers in diversity and welcome new ideas to help develop our team in order to deliver world class healthcare to the vast patient populations we serve. With endless personal development opportunities available, at the NUH we will endeavour to turn your job into a career!
We particularly welcome applications from people who identify as Black, Asian and Minority Ethnic, or Disabled, as we are striving to be better represented at NUH.
Applicants are kindly requested to refrain from using AI at any stage during the recruitment process.
Closing Dates: Please submit your application form as soon as possible to avoid disappointment; we reserve the right to close vacancies prior to the published closing date if we receive a sufficient number of completed application forms.
Communication: All communication related to your application will be via the email address you have provided. Please ensure you check your email account including your junk email regularly.
Easy read application: if you have a disability and find it difficult to complete our online application form, you can apply via our easy read application which you can find on the intranet https://www.nuh.nhs.uk/easy-read-job-application
NUH are now able to offer application completion support and interview preparation support. Please follow the link to book onto our sessions: Support for NUH Job Applications
If you are aged 16 or 17 and applying for a role that is more than 20 hours a week, please be aware that you will be asked to commence an Apprenticeship within the Trust alongside your role, as long as there is a suitable apprenticeship standard available. This is in line with the current guidance in England that whilst young people under the age of 18 can leave school (on the last Friday in June) they must then do one of the following:
+ Stay in full-time education, for example at a college
+ Start an Apprenticeship
+ Spend 20 hours of more a week working or volunteering, while in part-time education or training

NUH has a national and international reputation for the quality of our patient care and for research, education and innovation.
We offer a wide range of staff benefits including:
+ Access to the Staff Wellbeing programme including our free 24 hour staff advice and emotional support service, financial advice service, a staff physiotherapy service and staff support networks
+ On site day nursery
+ Amazon parcel collection points
+ Secure cycle facilities
+ Access to Spiritual and Pastoral Care Services
+ Salary sacrifice schemes
+ Cycle to work and travel passes
+ NHS discounts
We have recently been featured as the new home to Channel 4's '24 Hours in A+E' television show. The show is currently being broadcast on Channel 4., Salary: The quoted salary will be on a pro rata basis for part time workers.
Disability Confidence: All applicants who have declared a disability and who meet the essential criteria for the post will be shortlisted.
At Risk of redundancy: NHS employees within the East Midlands who are 'at risk' of redundancy will be given a preferential interview where they meet the essential criteria of the person specification.
International Recruitment: If you are applying for a role with us from outside of the UK then please read the guidance on applying for a health or social care job in the UK from abroad.
ID and Right to work checks: NUH authenticate ID and right to work documentation including passports and driving licenses through a system called Trust ID. NUH will scan your ID and right to work documentation in to the Trust ID system at your face to face ID appointment. The system will run a check against the key security features within your documentation. The system will provide us with an outcome of your check which will be stored securely on your personal file along with all other pre-employment check documentation.
Consent:
+ Transfer of information: If I have previous NHS service - I consent to the transfer of my Electronic Staff Record (ESR) data between this and other NHS Trusts. I also consent to the Occupational Health Department confidentially accessing my occupational health records from my current or previous employer in order to check the status of my vaccinations, immunisations s and screening tests as relevant to the post. I understand this is an automated process and the information will only be used for these purposes prior to me taking up the position at NUH.
+ Disclosure and Barring Service: Your post maybe subject to a DBS check which incur a cost dependent on the level of check required (£49.50 for enhanced and £21.50 for standard). I agree to reimburse Nottingham University Hospitals NHS Trust the cost of a Disclosure and Barring Service (DBS) check if it is required (by deduction from first month's pay). Should I decide to withdraw from my job offer, I agree to reimburse Nottingham University Hospitals NHS Trust the cost of the DBS check undertaken by cheque or other agreed method.
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