Job overview

This post is designed to provide clinical experience in Acute Medicine with a focus on Same Day Emergency Care (SDEC). The Junior Clinical Fellow will contribute to the safe and efficient assessment, investigation, and management of acutely unwell patients suitable for ambulatory pathways, working as part of a multidisciplinary team to improve patient flow and reduce unnecessary admissions.

The role also offers opportunities for professional development, teaching, quality improvement, and research in line with the Trust’s strategic priorities.

Our Same Day Emergency Care (SDEC) service provides rapid assessment, investigation, and treatment for patients with a wide range of acute medical conditions, including:

·         Infections

·         Pulmonary embolism

·         Deep vein thrombosis

·         Chest pain

·         Other ambulatory acute medical presentations

The unit is staffed by a dedicated SDEC Consultant, supported by a Physician Associate (PA), Advanced Nurse Practitioner (ANP), and an experienced nursing and administrative team.

Medical SDEC plays a key role in supporting the Emergency Department, Urgent Treatment Centre (UTC), and acute inpatient services, helping reduce unnecessary admissions and improve patient flow across the Trust.

The service operates 7 days a week (08:00–20:00 weekdays, 08:00–16:00 weekends). This role will not involve overnight or weekend on-calls. Shift patterns range from 08:00 – 16:00 and 10:00 – 18:00.

Main duties of the job

Clinical Duties

• Provide timely assessment, investigation, and management of patients referred to SDEC
• Review patients and formulate management plans under consultant supervision
• Participate in ambulatory pathways including VTE, chest pain, infection, and frailty where relevant
• Ensure timely documentation and safe handover of care
• Work collaboratively with ED, UTC, community teams and ward colleagues to support early supported discharge and admission avoidance
• Participate in SDEC safety huddles, board rounds and MDT discussions

Professional & Educational

• Attend clinical and educational meetings
• Undertake supervised learning and skills development relevant to urgent and ambulatory care
• Participate in simulation training, acute deterioration training and other in-house programmes
• Participate in teaching junior trainees, medical students, and other learners

Quality & Governance

• Participate in audit, service evaluation and quality improvement projects
• Contribute to patient safety processes, incident reporting, and reflection activities
• Support development of pathways and innovation within SDEC

General Responsibilities

• Maintain accurate, timely and legible clinical records
• Demonstrate adherence to GMC Good Medical Practice
• Participate in appraisal and PDP planning

Working for our organisation

We have over 3,500 members of staff that are proud to care for nearly half a million people across the Borough of Hillingdon, with a vision to be an outstanding provider of healthcare - our mission is to provide high quality, safe and compassionate care, improving the health and wellbeing of the people we serve.

This post is designed to provide clinical experience in Acute Medicine with a focus on Same Day Emergency Care (SDEC). The Junior Clinical Fellow will contribute to the safe and efficient assessment, investigation, and management of acutely unwell patients suitable for ambulatory pathways, working as part of a multidisciplinary team to improve patient flow and reduce unnecessary admissions.

The role also offers opportunities for professional development, teaching, quality improvement, and research in line with the Trust’s strategic priorities.

This is an exciting opportunity to join us as the Junior Clinical Fellow (JCF) in Same Day Emergency Care (SDEC).