Job summary
This is a full-time (9am-5pm) appointment working within the Medicine Division team, with additional participation in the medical registrar on-call rota to provide acute medical take and out-of-hours ward cover.
Working alongside Specialty Doctors, Consultants, and the wider multidisciplinary team (MDT), the post holder will provide high-quality care for general inpatients on the Care of the Elderly wards. These wards are well supported with daily consultant-led ward rounds and a team of junior doctors.
The Registrar will play a key role in organising ward rounds, reviewing unwell patients, identifying those fit for discharge, and leading the MDT in the absence of the Consultant. The role includes providing middle grade supervision and clinical support to junior doctors, active participation in decision-making, and ensuring safe, effective, and patient-centred care both during normal hours and while on call.
Main duties of the job
Lead and coordinate consultant ward rounds, ensuring effective prioritisation of patients.
Review acutely unwell patients promptly and escalate as necessary.
Identify patients fit for discharge and support timely discharge planning.
Lead the MDT in the consultant's absence, ensuring collaborative working and effective communication.
Provide middle grade cover for junior doctors, offering guidance, supervision, and teaching.
Participate in the medical registrar on-call rota, including acute medical take and ward cover for general medical patients.
Liaise with MDT members, attend and lead family meetings, and provide patient and relative updates.
About us
Working for Your Organisation
With a new hospital planned for Watford and upgrades underway at St Albans City Hospital, this is an exciting time to join us. We are building on the success of our award-winning virtual hospital, reimagining models of care, and embracing digital healthcare innovations.
We are committed to staff wellbeing, professional development, and fostering an environment that encourages innovation to improve clinical care, patient outcomes, and experience.
Our vision is Excellent patient care, together, underpinned by our values of being empowered, compassionate, professional, and inclusive. We offer a range of flexible working options to support work-life balance.
For more information about flexible working at West Herts, visit: https://www.westhertshospitals.nhs.uk/flexibleworking/
If you have a disability, long-term health condition, or are part of the Armed Forces community, please indicate this in your application so we can provide appropriate support.
If you do not hear from us within 3 weeks of your application, please assume you have been unsuccessful on this occasion.
Job description
Job responsibilities
- Leadership & Decision-Making
Act as the medical team lead during on-call periods, coordinating patient flow from admission to transfer or discharge.
Work closely with nursing, allied health professionals, and other specialties to ensure patient safety and continuity of care.
Contribute to clinical governance, morbidity and mortality reviews, and root cause analyses where applicable.
- Quality Improvement & Audit
Participate in and, where appropriate, lead audits and service improvement projects in rotation specialties.
Engage in evidence-based practice, applying up-to-date clinical guidelines in decision-making.
Ensure accurate and timely clinical documentation in both paper and electronic records.
Complete discharge summaries, clinic letters, and investigation requests promptly.
Manage clinic follow-up arrangements and inter-specialty referrals.
Job description
Job responsibilities
- Leadership & Decision-Making
Act as the medical team lead during on-call periods, coordinating patient flow from admission to transfer or discharge.
Work closely with nursing, allied health professionals, and other specialties to ensure patient safety and continuity of care.
Contribute to clinical governance, morbidity and mortality reviews, and root cause analyses where applicable.
- Quality Improvement & Audit
Participate in and, where appropriate, lead audits and service improvement projects in rotation specialties.
Engage in evidence-based practice, applying up-to-date clinical guidelines in decision-making.
Ensure accurate and timely clinical documentation in both paper and electronic records.
Complete discharge summaries, clinic letters, and investigation requests promptly.
Manage clinic follow-up arrangements and inter-specialty referrals.
Person Specification
Education and qualifications:
Essential
- Eligible for GMC registration to cover the scope of employment
- Satisfactory completion of FH01 and FH02 (or equivalent certified evidence of competence) at the time of taking up post
- MRCP Part 1 + 2
Desirable
- Distinctions, Scholarships, prizes FRCS/MRCP PACES other Degrees eg. BSc. Masters, PhD (or equivalent
Knowledge:
Essential
- Keeps professional knowledge and skills up to date
- Potential to benefit from the training available ie fits with career aspirations
Desirable
- Demonstrates a critical and enquiring approach to knowledge acquisition
- Understands the purpose and process of basic professional training
Experience:
Essential
- Competent in basic procedures (which may be post specific) eg CPR, infection control, physical examination, history taking etc
- Able to prioritize clinical need
- Understands current clinical issues in specialty
- Aware of own limitations and knows when to ask for help from senior colleagues
- Understands the principles of patient confidentiality and data protection Understands the need for and appreciates the role of audit in clinical practice
- Understands the principles of clinical governance - ensures patients are not put at risk
Desirable
- Knowledge or UK health systems and practices including the relationship between primary and secondary care and inter-professional relationships
- Knowledge of current issues in the NHS
- Computer literate
- Understands the importance and impact of information systems in health care
- Has participated in clinical audit
Person Specification
Education and qualifications:
Essential
- Eligible for GMC registration to cover the scope of employment
- Satisfactory completion of FH01 and FH02 (or equivalent certified evidence of competence) at the time of taking up post
- MRCP Part 1 + 2
Desirable
- Distinctions, Scholarships, prizes FRCS/MRCP PACES other Degrees eg. BSc. Masters, PhD (or equivalent
Knowledge:
Essential
- Keeps professional knowledge and skills up to date
- Potential to benefit from the training available ie fits with career aspirations
Desirable
- Demonstrates a critical and enquiring approach to knowledge acquisition
- Understands the purpose and process of basic professional training
Experience:
Essential
- Competent in basic procedures (which may be post specific) eg CPR, infection control, physical examination, history taking etc
- Able to prioritize clinical need
- Understands current clinical issues in specialty
- Aware of own limitations and knows when to ask for help from senior colleagues
- Understands the principles of patient confidentiality and data protection Understands the need for and appreciates the role of audit in clinical practice
- Understands the principles of clinical governance - ensures patients are not put at risk
Desirable
- Knowledge or UK health systems and practices including the relationship between primary and secondary care and inter-professional relationships
- Knowledge of current issues in the NHS
- Computer literate
- Understands the importance and impact of information systems in health care
- Has participated in clinical audit
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).
