Job summary The chief registrar role is a leadership role for senior specialty trainees. The role provides 40% protected time to develop and implement local initiatives focusing on, for example, service improvement, engagement and morale, education and training, workforce and sustainability.Previous Chief Registrars at NUH have become fully integrated into themedical and educational leadership at the Trust, been a key link betweenjunior doctors and senior leaders, led divisional level quality improvementprojects and been welcomed to Trust and divisional meetings.Chief registrars benefit from access to a bespoke development programme provided by the RCP, and comprises five 2-day modules that chief registrars are expected to attend. Main duties of the job The chief registrar role may be undertaken in programme or out ofprogramme. There are various options including less than full time training, OOPT, OOPE and OOPP. We will work with you to find the working and training arrangements that suit you and your department best. Any necessary extension to certificate of completion of training (CCT) date is also negotiated and approved locally, with involvement of the Head of School where appropriate. Approval of the relevant specialist advisory committee will be required for OOP requests.Trainees must discuss applications for chief registrar roles with theireducation supervisor and TPD in advance of applying. Permission to apply for the role must be obtained from the TPD.You will be based at Nottingham University Hospitals NHS Trust. About us Adult Critical Care at NUH is a highly supportive, friendly, cohesive, ambitious and energetic team led by a group of consultants devoted to delivering excellent care to our patients. We invest in every member of team, are positive about well-being and have an accommodating approach to the rota. There are an abundance of educational opportunities and on-site is the well regarded Trent Simulation Centre. Our juniors consistently secure their preferred training posts through competitive selection. Our 66 critical care beds are split between the Queen's Medical Centre and Nottingham City Hospital, admitting in excess of 4500 patients per year. We accept patients from all of the major medical and surgical specialties and are a tertiary referral centre for many subspecialties. Of note we are a neurosurgical centre, burns centre and are one of the busiest major trauma centres in Europe. Among our staff are the National Lead for Organ Donation and the Vice Chair of NIHR's Critical Care Group. Date posted 01 April 2025 Pay scheme Hospital medical and dental staff Grade Specialty registrar Salary £61,825 to £70,425 a year Per Annum Contract Fixed term Duration 12 months Working pattern Full-time Reference number 164-7107715 Job locations Queens Medical Centre Derby Road Nottingham NG7 2UH Job description Job responsibilities The chief registrar job description is broad in scope. Chief registrars should focus on addressing key local challenges and priorities, which may include some or all of the following: Providing a bridge between senior clinical leaders, managers andthe wider trainee workforce to improve communication, engagementand morale. Service improvement, for example redesigning pathways,implementing new technology and establishing new services toimprove flow and outcomes for patients. Improving the quality of clinical and non-clinical education andtraining activities, and supporting/mentoring other trainees toengage in quality improvement. Involvement in workforce planning and improving the deployment oftrainees to meet service needs and improve morale.Improving efficiency and reducing waste. Working across teams and boundaries to engage stakeholders inquality improvement and influence change. The chief registrar should attend departmental, directorate and divisional management meetings to gain an understanding of management and the wider social, political and economic influences on healthcare delivery. Divisional Specific Roles and Responsibilities include: Acting as a bridge between the Trainees/Fellows and the Critical Care Leadership Team and the Trust. Plan appropriate personal objectives for the year which can be broador focused on a specific project in one of the above areas. Ample opportunity will be granted to gain an understanding of howthe department, division and wider hospital operates through arange of experiences such as attending relevant meetings and hands on experience with progressing business cases. Depending on the candidates interests we can tailor the role toward projects in focused areas such as improving staff wellbeing, service user experience as well as patient safety to name but a few areas. Job description Job responsibilities The chief registrar job description is broad in scope. Chief registrars should focus on addressing key local challenges and priorities, which may include some or all of the following: Providing a bridge between senior clinical leaders, managers andthe wider trainee workforce to improve communication, engagementand morale. Service improvement, for example redesigning pathways,implementing new technology and establishing new services toimprove flow and outcomes for patients. Improving the quality of clinical and non-clinical education andtraining activities, and supporting/mentoring other trainees toengage in quality improvement. Involvement in workforce planning and improving the deployment oftrainees to meet service needs and improve morale.Improving efficiency and reducing waste. Working across teams and boundaries to engage stakeholders inquality improvement and influence change. The chief registrar should attend departmental, directorate and divisional management meetings to gain an understanding of management and the wider social, political and economic influences on healthcare delivery. Divisional Specific Roles and Responsibilities include: Acting as a bridge between the Trainees/Fellows and the Critical Care Leadership Team and the Trust. Plan appropriate personal objectives for the year which can be broador focused on a specific project in one of the above areas. Ample opportunity will be granted to gain an understanding of howthe department, division and wider hospital operates through arange of experiences such as attending relevant meetings and hands on experience with progressing business cases. Depending on the candidates interests we can tailor the role toward projects in focused areas such as improving staff wellbeing, service user experience as well as patient safety to name but a few areas. Person Specification Qual Essential Full registration with General Medical Council Be fit to practice Should be ST5 or above in Intensive Care Medicine Should not already hold a CCT or be within 12 months (ideally not within 18 months) of completion of training on intended start date Must have approval of TPD to apply Evidence of satisfactory / more than satisfactory progress through training, including annual review of competence progression (ARCP) outcomes Desirable Additional relevant degree (intercalated, masters or doctorate) Clinical Skills Essential Evidence of clinical competencies in Intensive Care Medicine appropriate for your stage in training An appropriate knowledge base, and ability to apply sound clinical judgement to problems Ability to prioritise clinical need Ability to maximise safety and minimise risk Ability to work without supervision where appropriate Research Essential Understanding of research, including awareness of ethical issues Understanding of research methodology and ability to use basic qualitative and quantitative methods Knowledge of evidence-based practice Desirable Evidence of relevant academic achievements, including publications / presentations Leadership and Management Essential Evidence of effective team working and leadership, supported by multi-source feedback or workplace-based assessments Self-awareness, with knowledge of personal strengths and weaknesses, impact and areas for development Interest in and knowledge of the importance of leadership and management for clinicians Desirable Evidence of involvement in local management systems Evidence of effective leadership (e.g. evidence of leading innovations or improvements) Understanding of the local and national context of the NHS, including economic and political influences Quality and Service Improvement/ Audit Essential Understanding of clinical governance, including the basic principles of audit, clinical risk management, evidence-based practice, patient safety and quality improvement initiatives Evidence of active involvement in quality improvement, audit, research or other activity that focuses on patient safety and clinical improvement and innovation Interest in / knowledge of the delivery of safe, effective healthcare services Desirable Evidence of a portfolio of audit / quality improvement projects, including evidence that the audit loop has been closed and evidence of learning about the principles of change management Evidence of publications / presentations / prizes in quality improvement or audit Good knowledge of the UK healthcare system, including education, research, service provision, regulation, career structures, medical politics and ethics Clear insight into issues facing UK healthcare services Education/ Teaching Essential Evidence of interest in and experience of teaching Evidence of positive feedback on teaching approaches Desirable Development of teaching programmes Participation in teaching courses Participation in degree or diploma courses in education Action learning sets / simulation instructor Personal Skills Essential Clarity in written / spoken communication Capacity to adapt language to the situation, as appropriate Active listening and empathy Ability to build rapport and communicate effectively with others Ability to persuade, influence and negotiate Ability to communicate effectively under pressure Capacity to use logical / lateral thinking to solve problems / make decisions, indicating an analytical / scientific approach and, where appropriate, creativity in problem solving Capacity to manage / prioritise time and information effectively Evidence of thoroughness (well prepared, self-disciplined / committed, punctual and meets deadlines) Capability to work with long timescales for delivery within agencies with differing priorities Ability to work effectively under pressure Capacity to manage conflicting demands Self-motivation, and resilience Initiative and ability to work autonomously Can build effective teams and partnerships Ability to work well in multidisciplinary teams Understands and values contributions of others Ability to show leadership, make decisions, organise and motivate other team members through, for example, quality improvement Quick to understand new information and adapt to new environments Clarity of thought and expression Flexible and adaptable to change Self-starter, motivated, shows curiosity, initiative and enthusiasm) Demonstrates probity (displays honesty, trustworthiness, integrity, awareness of ethical dilemmas, respect for confidentiality) Takes responsibility for own actions Commitment to personal and professional development Excellent computer literacy Desirable Leadership skills gained within the NHS or elsewhere Writing experience: -clinical and/or non-clinical topics -peer-reviewed publications and/or other communication (e.g. blog, letters to journals) ?Evidence of altruistic behaviour, e.g. voluntary work Person Specification Qual Essential Full registration with General Medical Council Be fit to practice Should be ST5 or above in Intensive Care Medicine Should not already hold a CCT or be within 12 months (ideally not within 18 months) of completion of training on intended start date Must have approval of TPD to apply Evidence of satisfactory / more than satisfactory progress through training, including annual review of competence progression (ARCP) outcomes Desirable Additional relevant degree (intercalated, masters or doctorate) Clinical Skills Essential Evidence of clinical competencies in Intensive Care Medicine appropriate for your stage in training An appropriate knowledge base, and ability to apply sound clinical judgement to problems Ability to prioritise clinical need Ability to maximise safety and minimise risk Ability to work without supervision where appropriate Research Essential Understanding of research, including awareness of ethical issues Understanding of research methodology and ability to use basic qualitative and quantitative methods Knowledge of evidence-based practice Desirable Evidence of relevant academic achievements, including publications / presentations Leadership and Management Essential Evidence of effective team working and leadership, supported by multi-source feedback or workplace-based assessments Self-awareness, with knowledge of personal strengths and weaknesses, impact and areas for development Interest in and knowledge of the importance of leadership and management for clinicians Desirable Evidence of involvement in local management systems Evidence of effective leadership (e.g. evidence of leading innovations or improvements) Understanding of the local and national context of the NHS, including economic and political influences Quality and Service Improvement/ Audit Essential Understanding of clinical governance, including the basic principles of audit, clinical risk management, evidence-based practice, patient safety and quality improvement initiatives Evidence of active involvement in quality improvement, audit, research or other activity that focuses on patient safety and clinical improvement and innovation Interest in / knowledge of the delivery of safe, effective healthcare services Desirable Evidence of a portfolio of audit / quality improvement projects, including evidence that the audit loop has been closed and evidence of learning about the principles of change management Evidence of publications / presentations / prizes in quality improvement or audit Good knowledge of the UK healthcare system, including education, research, service provision, regulation, career structures, medical politics and ethics Clear insight into issues facing UK healthcare services Education/ Teaching Essential Evidence of interest in and experience of teaching Evidence of positive feedback on teaching approaches Desirable Development of teaching programmes Participation in teaching courses Participation in degree or diploma courses in education Action learning sets / simulation instructor Personal Skills Essential Clarity in written / spoken communication Capacity to adapt language to the situation, as appropriate Active listening and empathy Ability to build rapport and communicate effectively with others Ability to persuade, influence and negotiate Ability to communicate effectively under pressure Capacity to use logical / lateral thinking to solve problems / make decisions, indicating an analytical / scientific approach and, where appropriate, creativity in problem solving Capacity to manage / prioritise time and information effectively Evidence of thoroughness (well prepared, self-disciplined / committed, punctual and meets deadlines) Capability to work with long timescales for delivery within agencies with differing priorities Ability to work effectively under pressure Capacity to manage conflicting demands Self-motivation, and resilience Initiative and ability to work autonomously Can build effective teams and partnerships Ability to work well in multidisciplinary teams Understands and values contributions of others Ability to show leadership, make decisions, organise and motivate other team members through, for example, quality improvement Quick to understand new information and adapt to new environments Clarity of thought and expression Flexible and adaptable to change Self-starter, motivated, shows curiosity, initiative and enthusiasm) Demonstrates probity (displays honesty, trustworthiness, integrity, awareness of ethical dilemmas, respect for confidentiality) Takes responsibility for own actions Commitment to personal and professional development Excellent computer literacy Desirable Leadership skills gained within the NHS or elsewhere Writing experience: -clinical and/or non-clinical topics -peer-reviewed publications and/or other communication (e.g. blog, letters to journals) ?Evidence of altruistic behaviour, e.g. voluntary work 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. Certificate of Sponsorship 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. Certificate of Sponsorship 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). Employer details Employer name Nottingham University Hospitals NHS Trusts Address Queens Medical Centre Derby Road Nottingham NG7 2UH Employer's website https://www.nuh.nhs.uk/ (Opens in a new tab)