This innovative, fixed term post is designed for a Higher Specialist Trainee (or equivalent) in Internal Medicine/Acute Medicine or an existing Palliative Medicine Trainee to: Develop their skills in the holistic assessment of patients Gain experience in service development, audit and quality improvement. Gain a qualification in Palliative Medicine or Medical Education subject to approval Applications from post CCT trainees will also be considered. The successful candidate will work for Marie Curie REACT reviewing patients in the Emergency Department and the community. The postholders role within the REACT service will involve working closely with medical and nursing colleagues within Palliative and Emergency Medicine to identify and support patients presenting to ED with unmet palliative care needs as well as reviewing patients in the community as part of the REACT virtual ward. The community virtual ward will involve working closely with Clinical Nurse Specialists, Specialty Doctors and Health Care Assistants. The postholder will be encouraged to take an active role in audit and service development where there will be opportunities to present this work both locally and regionally. Depending on the skills of the postholder there may be opportunities to be involved in undergraduate and postgraduate medical education and the education of allied health professionals. The candidate will be expected to help deliver Medical Education within Emergency Medicine and Marie Curie REACT. The successful applicant will work up to 1 in 4 weekends (daytime shifts) for REACT. This is an innovative new post working in the Emergency Department providing Palliative Medicine in reach, and reviewing patients in the community as part of the Marie Curie REACT virtual ward. Marie Curie REACT launched in June 2022 and to date it has successfully supported over 1000 patients. It is part of a national innovation programme which aims to improve outcomes for people at the end of life. This service was selected out of 40 applications to be awarded transformation funding and support from The End of Life Integrator. The End of Life Care Integrator was set up in 2016 following partnership work with organisations including the Department of Health and the NHS Confederation. There is currently 1 LTFT consultant within Marie Curie REACT at BTHFT, Dr Clare Rayment (Clinical Lead for Palliative Medicine). The community arm of the service is a virtual ward delivered from Marie Curie Hospice, Bradford. The team consists of a Nurse Manager, clinical nurse specialists, health care assistants, 2 LTFT specialty doctors and a physiotherapist. A new consultant post is being advertised to support the development of the virtual ward.