Best EM job in the world? Sustainable and flexible – you too can do it and have a life!

“I loved A&E but hated the shifts”. “Best hospital job I did but I want a life” is what the usual feed back is from doctors who have worked in the ED.

But it can be different in Brighton which is a major trauma centre with 24h consultant cover you hear….

” I work here and at a refugee centre”. “I’m paid to teach students and do clinical sessions as a non-trainee.” “Haven’t missed a school performance and get all the school holidays off with regular shifts.” “I’ve enrolled in a masters and know I will have the time to prepare for exams plus attend the teaching in London.” “I’m paid to develop new projects within the department in addition to interesting clinical sessions”.


A message from Rob Galloway

Brighton and Sussex NHS Trust A&Es (a major trauma centre) are using innovative staffing models to help recruit new SHOs and middle grades – including GPs who want to do some A&E sessions as part of the A&E team

We have developed a new system of working with annualised and flexible rotas with guaranteed bank holidays, study leave and annual leave incorporated into the rota. For middle grades there is a large degree of self rostering.

Rotas are what traditionally put people off wanting to do A&E jobs. We have no fixed commitments and no continuity of care and with a different mind set and different attitudes to arranging rosters, then actually it can be the most flexible place to work in the NHS.

We are looking for full time people, part time people and also people who just want to do couple of sessions a week as part of a portfolio career.

We are looking to expand our numbers to help manage increasing demand and do this not by employing locums, but by employing substantive posts who are well supported and have sustainable jobs.

Please see job advert and contact us for any queries.

Thanks, Rob A&E Consultant Brighton and Sussex NHS Trust.


Clinical Fellow (ST1-ST7) – Emergency Departments; Full time, part time posts and sessional posts allowing maximum flexibility for post holder.


Applications are invited for a number of posts at ST 1-2 (SHO) and ST 3+ Registrar level working at Brighton and Sussex University NHS Trust in our A&E departments both at the Royal Sussex County Hospital, Brighton (a major trauma centre) and our district general hospital Princess Royal Hospital in Haywards Heath.

The post are available to start as soon as possible and ideally until August 2017. We can be flexible with start and finish dates and if you would prefer a longer or permanent contract this can be considered. These are new and novel posts, working to a new annualised system of rostering, which supports our juniors and allows sustainability and job satisfaction. Full allowance of annual leave, study leave and bank holidays (whether worked or not) are included in the annualisation calculations. This calculates a set number of clinical shifts, which have to be worked over the period of employment, and leave is taken when you are not working your clinical shifts.

The registrar rota has significant elements of self-rostering and follows the Royal College of EM best practice for sustainability. This allows great flexibility with clinical shifts and allows periods of time to pursue other interests.

The weekend requirements will be no more than 1 in 2.4 for SHOs and 1 in 3 for registrars.

We encourage any candidates who want to work less than full time. This may especially be of interest to applicants who can work at ST3+ and would be interested in A&E being part of a portfolio career. This may suit GPs with an interest in A&E or current registrars who want to work some sessions in a major trauma centre.

Full time post consists of 48 hours per week (45 for clinical departmental time and 3 hours for study/audit). Part time posts have the same proportional split as full time staff. We are happy to consider any requests for those that wish to pursue specific aims (such as leadership projects) during their posts and are happy to negotiate flexibility and reduce clinical hours, to facilitate these projects.

The posts are great training opportunities and educational mentors and appraisal will be part of the job. We have a supportive and friendly consultant body of 15 consultants who work 24/7 at RSCH and currently have 18 Registrars/Specialty Doctors and 41 ST1-3, F2 and F1s. We are a teaching hospital with years 2-5 students in A&E and encourage all post holders to take part in education.

We have a great cohort of GPs and ENPs in the urgent care centre, working alongside the A&E Doctors and a very friendly supportive nursing team. Our new management team have a shared vision and are helping us to develop the service.

We are not the finished article by any stretch of the imagination, but progressing to develop a great new service to provide first class care to our patients in a supportive environment for our team.

Come and join our team in Brighton and Sussex; “life is better by the sea”

For more information

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