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Junior Clinical Fellow - Critical Illness Rotation

Junior Clinical Fellow

Main area
Emergency Medicine, Intensive Care Medicine and Acute Medicine
Junior Clinical Fellow
Fixed term
Full Time
Job ref
Royal Gwent Hospital
Newport, SE Wales
£31,998 to £42,333 per annum/ pro rata
05/03/2020 23:59

If you are successful at interview for this post you will receive your conditional offer of appointment and information pack via email.


We reserve the right to close this vacancy at any time. Therefore we encourage early applications to ensure consideration for this post. If you are short listed for this post, you will be contacted via your email account you used to apply for this post, therefore please check your account regularly.


Applicants are invited to apply in Welsh, any application submitted in Welsh will not be treated less favourably than an application made in English


Please check your email account regularly. Successful applicants will receive all recruitment related correspondence via the email account registered on the application form.


Aneurin Bevan University Health Board support flexible working.



Closing Date for Applications: Midnight on 5th March 2020

Junior Clinical Fellow – Critical Illness Rotation

Full Time

Junior Clinical Fellow in Emergency Medicine, Intensive Care Medicine and Acute Medicine.

Based at the Royal Gwent Hospital, Newport, South East Wales or Grange University Hospital, Cwmbran, South East Wales

Fixed Term Contract of 12 months initially

Anticipated Start Date: August 2020

Do you want to work in a busy but supportive District General Hospital with an Emergency Department which has a great reputation for clinical experience and teaching and a critical care and Medical Assessment Unit with an equally great reputation?

Are you considering a career in one of the ACCS specialties? Or would you like to develop your skills in the management of acutely unwell patients before you begin your planned training programme in the future? Would you like to gain wider experience/clinical exposure/CV strengthening before deciding your career path? Perhaps you’re considering taking a year out between FP and Core Training and are looking for wider experience? Applications are invited for 5 Junior Clinical Fellow posts in Emergency Medicine, Intensive care Medicine +/- Acute Medicine for a period of 12 months initially, commencing August 2020.

During the period of this rotation the next phase of Aneurin Bevan University Health Board’s clinical futures programme culminates with the opening of the Grange University Hospital. This purpose built Critical Care centre will house the Type 1 Emergency Department, Critical Care Unit and interventional specialities. Depending on the clinical model of the department some cross-site working may be required.


This rotation offers 2 streams – applicants should apply for the rotation and then give preference at interview.

    • ‘‘Mini-ACCS’ – 4 months of Emergency Medicine, Intensive Care Medicine and Acute Medicine over 1year
    • Critical Illness – 6 months Emergency Medicine & 6 months Intensive Care Medicine over 1year The Emergency Unit is a busy urban department seeing 84,000 new patient attendances per year, the team working and friendly atmosphere ensures the efficacy of the department. 25% of attendances are within the paediatric age group. The co-location of the paediatric assessment unit with the paediatric emergency department enables close working with our Child Health colleagues. The department has an excellent reputation regionally for providing experience of most things you will find in the ‘Oxford Handbook’ in a year at the Royal Gwent Hospital – particularly in the cases that pass through our Resus room. There is an emphasis on teaching and an innovative scenario-based adult & paediatric resuscitation/simulation teaching is run by the Emergency Department/ Paediatrics /Anaesthetics with all relevant specialties attending.



The department functions well as a team, currently comprising 12 enthusiastic Consultants (increasing to 13 with future appointments), 2 Associate Specialists, 2 Specialty Doctors, 6 Specialist Registrars, 19 junior doctors including these posts.

Although these Clinical Fellow posts are not recognised for training, they are afforded the same training opportunities as our training posts, with access to in house training. Study leave is encouraged. You will have the opportunities to perform an audit cycle and take part in case presentations.

The Critical Care Unit is a 15-bedded unit with a 3-bedded PACU (post anaesthetic care unit) co-located within its clinical area. The unit admits more than 1000 patients per annum and is a combined medical / surgical critical care unit. The elective surgical throughput has increased with the presence of the PACU with minimal cancellations of high risk elective surgery.

The unit is staffed by 11 Consultant Intensivists with an intensivist on-call 24/7. There are 2 junior rota – one with an airway-trained junior and another non-airway-trained junior rota in which this post holder will be participating. There is also resident anaesthetic trainee on-call who may be called to support critical care work.

There is a weekly 3 hour teaching programme and the post-holder will have the same teaching and training opportunity as the trainees attached to the unit. There is also ample opportunity to learn Echo from BSE / ICS accredited trainers, Ultrasound chest and participation in simulation training.

The Medical Assessment Unit (MAU) is among the busiest in Wales dealing with an average of 40-50 new admissions in 24 hours, of which half are discharged the same day. We have 4 triage/assessment spaces and 14 trolleys (including 1 isolation area). Adjacent on D1W ward we have an additional 24 beds, which are primarily used for patients who can be discharged in 24-72 hours.

The team consists of 8 Consultants (ACPs), many of whom have specialty interests such as cardiology, respiratory medicine, gastroenterology, nephrology and palliative care. We have 2 Advanced Nurse Practitioners (ANPs) and we have daily inreach from the Emergency Frailty Unit (EFU) team which includes Physiotherapy, Occupational Therapy and Old Age Psychiatry.

We offer a Consultant Triage/Ambulatory care Service where all patients admitted are seen at the front door by an ACP, supported by a trainee or ANP. This has enabled us to meet Society of Acute Medicine audit targets (SAMBA) and over 90% of patients have a NEWS score within 30 minutes. Most patients suitable for same day discharged are dealt with within 4 hours.

The patients under the care of acute medicine are seen by an ACP along with an ST (usually year 5 or above), CT3 (ACCS), Clinical Fellow and FY2. From August 2019, we will also have a CT1 (CMT). This will allow our trainee team to have a better experience and variation in workload, such as time in ambulatory care and audit time (depending on staffing). The successful applicant will be on the medical on-call rota, but at present this does not include night shifts.

We have a monthly MAU team meeting and the team are also encouraged to attend the medical Grand Round held every Wednesday.

This position involves Regulated Activity with children and adults as defined by the Safeguarding Vulnerable Groups Act (amended by the Protection of Freedoms Act 2012) and the following checks will be undertaken following any conditional offer:


  • Enhanced check with barred list information, including   
  • - an adults and children’s barred list check

Applicants must hold or be eligible to hold full registration and a licence to practice with the GMC.

Free parking is available across all Aneurin Bevan University Health Board Sites.

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Applicant requirements

You must have appropriate UK professional registration.

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service.

Documents to download

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Apply online now

Further details / informal visits contact

Those wishing to discuss the post informally in the first instance or to visit the departments should contact Dr Alastair Richards, Emergency Medicine Consultant , Emergency Medicine on 01633 234066 or via email on

For information on critical care, please contact Dr Babu Muthuswamy, Consultant Intensivist & Anaesthetist on 01633 234164 or

For information on Acute Medicine Contact Dr Llifon Edwards