Job summary
An exciting internal opportunity has arisen for a motivated and enthusiastic Neonatal Doctor to join our dynamic team at the Royal Bolton Hospital as a Senior Clinical Fellow (Tier 2/Registrar Equivalent).Royal Bolton Hospital operates a highly respected, state-of-the-art Level 3 Neonatal Intensive Care Unit (NICU). As a vital tertiary hub within the Greater Manchester Neonatal Network, our unit features 16 Intensive Care / High Dependency (ITU/HDU) cots and 19 Special Care (SC) cots. This role offers a fantastic opportunity for an internal clinician to gain deep, broad-based experience in advanced neonatal critical care, work with cutting-edge equipment, and step up into a middle-grade leadership framework.

Please note that Clinical Fellows are paid on a local pay scale that mirrors Doctors in Training pay scales. Basic salary offered for this role is fixed at £67,325 and will not be uplifted beyond that salary point. Where the role requires out of hours working, evening, weekend and on call enhancements will be added according to a work schedule. It is Trust practice that we offer a set salary for this role and variations will not be considered.

Main duties of the job

• NICU Inpatient Management: Conduct daily ward rounds, delivering and implementing comprehensive acute care plans across Intensive, High Dependency, Special, and Transitional Care.
• Delivery Suite Response: Act as the senior resident medical responder leading resuscitation and immediate stabilization efforts for extremely premature neonates and high-risk deliveries.
• Tier 1 Clinical Leadership: Directly assist, mentor, and supervise Tier 1 doctors (ST1-2/FY2), and work alongside Advanced Neonatal Nurse Practitioners (ANNPs).
• Procedural Autonomy: Competently perform advanced neonatal procedures under regional guidelines, including UVC/UAC line placement, lumbar punctures, and PICC lines.
• Family Liaison & System Tracking: Maintain compassionate, transparent communication with parents
• Out-of-Hours & Rota Cover: Complete resident shifts on a fully compliant rolling Tier 2 rota (days, long days, nights) and provide prospective cover for unexpected short-term internal sickness.

About us
We have a long and proud history of caring for generations of local people and can trace our roots all the way back to 1814 with the first hospital in Bolton - the Bolton Dispensary in the town centre.

Bolton NHS Foundation Trust was formed in 2008 and, in 2011, we became an integrated provider with community health services joining the trust. Covering a catchment area that also incorporates parts of Bury, Wigan and Salford, we deliver hospital and community based services from the Royal Bolton Hospital in Farnworth and from 20 health centres across Bolton, to a catchment population of 310,000+ people.

The Royal Bolton Hospital is a major hub within Greater Manchester for women's and children's services and is the busiest single ambulance-receiving site in Greater Manchester. We're structured in four clinical divisions - Community Services, Families and Diagnostics, Medicine, and Surgery and are led by a Board of Directors. As an NHS Foundation Trust we're accountable to our members and have a Council of Governors to represent the views of patients, public, staff and partners.

Buildings, names and models of care have changed over the centuries, but one thing has remained constant and is prevalent among our 6,718 staff members: the enduring commitment to providing the best health and care for the people of Bolton.

Details
Date posted: 11 August 2026
Pay scheme: Hospital medical and dental staff
Grade: Doctor - other
Salary: £67,325 a year
per annum plus on call enhancement
Contract: Fixed term
Duration: 12 months
Working pattern: Full-time
Reference number: 241-502FD-26
Job locations: Royal Bolton Hospital, Minerva Road, Bolton, BL4 0JR, United Kingdom

Job responsibilities
The Senior Clinical Fellow (Tier 2) is a pivotal middle-grade role. You will provide expert, resident clinical care for highly complex neonates, lead resuscitation efforts on the delivery suite, and actively supervise Tier 1 junior doctors (ST1-2/FY2) and work alongside Advanced Neonatal Nurse Practitioners (ANNPs).The post allows dedicated Supporting Professional Activity (SPA) time to develop sub-speciality interests.

Person Specification
Education/Qualifications
Essential

• Primary Medical Qualification (MBBS or equivalent) / Full GMC Registration with a license to practice at the start of employment / Valid Newborn Life Support (NLS) certificate

Desirable

• MRCPCH Part 1, 2 or full membership or equivalent / Advanced Resuscitation of Newborn

Experience
Essential

• Minimum 24 months in Paediatrics/Neonatology, with at least 6/12 months within level 2/3 Neonatal Unit / Competency in basic and advanced neonatal technical skills: intubation, UVC/UAC line placement, lumbar puncture etc. / Capability to lead medical management across NICU, High Dependency (HDU), Special Care (SCU) and transitional care settings / Experience leading resuscitation efforts at extremely premature and high-risk deliveries.

Desirable

• Prior experience working at Tier 2 (Registrar/Middle Grade) level in a UK NHS framework / Knowledge of advanced ventilation modes (e.g. HFOV, Nitric Oxide therapies) / Experience with neonatal surgical emergencies

Governance, Audit & Academic
Essential

• Understanding of clinical risk management, medical errors and the learning loops in patient safety / Evidence of completing at least one clinical audit cycle or Quality Improvement Project (QIP) / Experience providing bedside teaching and informal clinical skills training to junior medical staff (Tier 1)

Desirable

• Completed projects that led to local guideline or protocol updates / Formal teaching qualification

Skills
Essential

• Team working Fluent written and spoken English. Ability to break down highly complex medical diagnoses to parents under severe distress. / Ability to coordinate a shift, delegate tasks effectively, and supervise Tier 1 doctors, Advanced Neonatal Nurse Practitioners (ANNPs) / High commitment to the core trust principles: Compassion, Excellence, Openness, and Integrity. / Emotional capability to handle highly acute situations. / Willingness to work a fully EWTD-compliant shift pattern (days, long days, and nights).

Desirable

• Experience using electronic patient record systems (such as Badgernet) / Active championing of family-centered developmental care methodologies

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: Bolton NHS Foundation Trust
Address: Royal Bolton Hospital, Minerva Road, Bolton, BL4 0JR, United Kingdom
Employer's website: http://www.boltonft.nhs.uk/ (Opens in a new tab)

Employer contact details
For questions about the job, contact:
Clinical Lead - Neonatalogy
Dr Dinakar Seshadri
dinakar.seshadri@boltonft.nhs.uk
01204390390

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.
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.
Applicants must have current UK professional registration.