Trust Grade / Clinical Fellow – Emergency Medicine (A&E) Nights

University Hospitals Birmingham NHS Foundation Trust (UHB)
Location: Birmingham, West Midlands
Department: Emergency Medicine
Hours: Primarily Night Shifts / Out-of-Hours Rota
Contract Type: Locum contract

Key Responsibilities

Clinical Duties

• Assess, investigate, diagnose, and manage patients presenting to the Emergency Department overnight.


• Deliver immediate treatment and stabilisation for critically ill or injured patients.


• Prioritise patient care according to clinical urgency and departmental protocols.


• Request and interpret relevant investigations including blood tests, ECGs, and imaging.


• Maintain accurate and timely clinical documentation using electronic patient record systems.


• Escalate complex or deteriorating cases appropriately to senior clinicians.


• Participate in patient handovers to ensure continuity of care between shifts.

Teamworking & Communication

• Work collaboratively with consultants, specialty teams, nursing staff, paramedics, and allied health professionals.


• Communicate effectively and compassionately with patients and relatives during emergency presentations.


• Support junior colleagues and contribute positively to team morale during overnight operations.

Governance & Quality

• Adhere to GMC standards, Trust policies, and national clinical guidelines.


• Participate in clinical audits, quality improvement projects, and departmental governance activities where applicable.


• Ensure compliance with infection prevention, safeguarding, and patient safety procedures.

Training & Development

• Engage in ongoing professional development and mandatory training.


• Opportunities may be available for teaching, simulation training, and career progression within Emergency Medicine.

Person Specification

Essential Criteria

• MBBS or equivalent medical qualification.


• Full GMC registration with licence to practise.


• Minimum NHS clinical experience in Emergency Medicine, Acute Medicine, or related specialties.


• Ability to work effectively in a fast-paced acute environment.


• Strong communication and decision-making skills.


• Ability to work independently overnight with appropriate senior support.

Desirable Criteria

• ALS/ATLS/APLS certification.


• Previous Emergency Department night-shift experience.


• Experience using NHS electronic patient record systems.


• Interest in Emergency Medicine training or acute care pathways.

Working Pattern

• Predominantly night shifts including weekends and bank holidays.


• Rota compliant with EWTD and NHS contractual standards.


• Flexible shift arrangements may be considered depending on service needs.

Application Process

Candidates should submit:

• CV/Application Form


• GMC registration details


• Supporting statement outlining relevant emergency medicine experience and suitability for night work

References and pre-employment checks will be required in line with NHS employment standards.