Emergency Medicine Clinical Fellow CESR Pathway | Nottingham University Hospitals NHS Trust

Posting date:	27 July 2025
Salary:	Not specified
Additional salary information:	£52,656 - £65,048 For JCF the salary will be £52,656. For SCF it will be £65,048
Hours:	Full time
Closing date:	28 August 2025
Location:	Nottingham, NG7 2UH
Company:	Nottingham University Hospitals NHS Trusts
Job type:	Contract
Job reference:	7353850/164-7353850

Summary

The Emergency Department at Nottingham University Hospitals’ NHS Trust is excited to be recruiting to our CESR (Certificate of Eligibility of Specialist Registration ) Fellowship Training Programme, offering an opportunity for a motivated doctor to join our dynamic and friendly Emergency Medicine team. Our CESR workforce currently has 5 fellows in the programme and we are looking to increase the team.

Depending on your level, upon commencement, you may begin working on our Tier 3 rota and in your first year, you will aim to experience both adult and paediatric ED. After 12 months and a review of your achievements with the CESR Lead (which will include assessing your capacity to work as a senior decision maker) we can look to progress you to the Tier 4 rota and start to plan your placements in other specialities.

If you have achieved your IAC (anaesthesia rotation) elsewhere in the NHS and have been working in a Senior Clinical Fellow capacity then we can consider your commencement on the Tier 4 rota (which is our registrar rota). Please note this in your application

Initially, we would offer a 1 year contract and after this time and a review we will look to offer a further 2 year contract extension and entry onto the CESR pathway.



At NUH, we would employ you as a Junior or Senior Clinical Fellow for the first year in the role. This enables you to have time to settle in and acclimatise to the busy department. Towards the end of this period and after review and assessments, if mutually agreed you will be able to move into the CESR programme.

The CESR programme will be expected to require around 4 years for its completion. During this time, you will work through competencies to gain the necessary skills and knowledge and develop a portfolio of evidence to meet the requirement of the Emergency Medicine CCT curriculum. We will allocate rotations through Acute Medicine, Intensive Care, Anaesthesia and Paediatric Emergency Medicine to enable you to acquire specialist knowledge and skills in these areas. In the Emergency Department you will work under the clinical direction of EM Consultants who are present in the department 24/7.

This service provided by Emergency Medicine is based at the QMC campus of NUH. You will join a twenty-four hour a day, seven days a week roster, managing adult and paediatric emergency attendances.

Located in one of the friendliest and greenest cities in the UK, Nottingham University Hospitals Trust (NUH) is a Major Trauma Centre and our ED is one of the busiest in Europe, seeing 179,940 new patients a year across co-located adult and Childrens and Young People's departments.

NUH consists of the Queen’s Medical Centre (QMC) and the Nottingham City Hospital Campuses. QMC houses our Emergency Department which has co-located adult and children’s units. NUH is the Major Trauma Centre for the East Midlands region.

Our forward thinking, research active Emergency Department is one of the busiest in Europe with 195,000 new attendances annually. The Children’s ED sees 44,000 children and young people and has expanded its resuscitation capability with a major capital investment.

Nottingham is a haven for sports lovers and nature lovers. It is home to two famous football teams, an ice hockey team, an annual tennis open and boasts a test cricket ground and the National Ice and Water Sports Centres. Known for its high quality schools, the city has excellent rail and road links and an ultra-modern bus and tram service. A vibrant university city, the centre has an array of shops, restaurants, clubs and attractions to suit all ages and tastes.

Please read our job description for a more detailed in depth look at our Trust, we hope you would like to come and join us!

We have clearly set out in our job description and person specification the essential criteria for the roles (please see below and the attached Job Description and Person Specification for full details). You will be expected to meet all of the essential criteria in order to move to the shortlisting stage of the recruitment process.

The post would be ideal for those wishing to pursue a non-consultant career grade post in Emergency Medicine. The post would also be suitable for an experienced Clinical Fellow / Registrar who wishes to pursue a career in Emergency Medicine and would like to consolidate their experience and confidence or would like to work in a Major Trauma Centre.
• You MUST have completed MRCEM plus have your IAC sign off to be eligible for a Tier 4 Senior role OR full MRCEM to be considered for Tier 3 Junior role
• Hold valid ALS and ATLS life support qualifications (in date)
• You will have at least 5 years post MBBS (or equivalent)
• At least three years working in an ED in the NHS at CT3 (or above) level is essential

Once in the CESR role, the department not only will support the post holders with their application for Specialist Registration, but will also provide planned secondments to acute medicine, Intensive Care Medicine, Anaesthesia and Paediatric Emergency Medicine (in no particular order).

The Department has 24 hour Consultant cover, and the recent workforce investment has supported an increase across the entirety of our clinical establishment.

The CESR programme at NUH has run for 6 years and is extremely successful. We have already seen three of our NUH ED CESR graduates progress from trainee to Consultant here at the trust and two have become substantively employed at NUH.


Responsibilities and duties of the post include:

Working in our ED encompasses many management skills such as managing the shop floor, keeping to the four hour target and constant reprioritisation of tasks.

The assessment and provision of treatment to patients attending ED, liaising with appropriate specialties for ongoing management.

Acting as resuscitation team leader for seriously ill or injured patients, including children, presenting to ED.

Liaising with the shop floor consultant in charge for clinical and administrative advice as appropriate.

Working with the nurse in charge and the wider multi-professional team to ensure effective running of the department, supporting the delivery of safe, timely, quality care, in line with the National Emergency Care Standards.

Contributing to the provision of an effective emergency medicine service in collaboration with colleagues in the multi-professional team.

The supervision and training of junior doctors, Advanced Practitioners, Physicians Associates, Urgent Care Practitioners and Emergency Nurse Practitioners.

What we can offer you as a CESR Fellow in ED:

• Monthly teaching
• Work place based assessments
• Shop floor supervision
• Opportunities to get involved with teaching (medical student, junior SHOs)
• Audit work and QIPs,etc
• Towards the end of your final year, Acting Up to Consultant level
• Support and preparation towards your Consultant interview
• Support towards gaining administrative preparation skills


This advert closes on Tuesday 5 Aug 2025