Job summaryThe post-holder will hold a science related degree prior to graduating from an accredited Physician Associate training programme. The post-holder will have a minimum of two years' experience in Emergency Medicine. He/she will work under the direction of the consultant Emergency Physicians, working collaboratively with other members of the clinical team within the Trust's policies and clinical guidelines. The job will principally be directed towards clinical and medical support in all areas of the Emergency Department.
The post-holder is expected:
- To manage patients in the Emergency Department under the supervision of the ED consultant
- To manage patients in all areas of the Emergency Department within their scope of practice
- To exercise a high degree of personal and professional autonomy when assessing, managing, and planning care for a variety of emergency presentations
- To develop extensive specialist knowledge and experience in emergency medicine
- To contribute to achieving and maintaining targets and standards for treatment in Emergency Medicine
- To support our work related to The Royal College of Emergency Medicine audit and quality improvement
Main duties of the jobTo manage a caseload of emergency department patients, exercising a high level of professional judgment and expertise when delivering clinical care, under the supervision of the Emergency Department Consultant. This will include taking medical histories, undertaking physical examinations, diagnosing, forming management plans, and explaining conditions during consultations.
- To contribute to supporting colleagues to meet the national performance targets and indicators.
- To communicate with GPs and other health professionals the outcome of ED attendances in a timely fashion
- To contribute to the development of efficient pathways of care in accordance with current best practice and national guidelines
- To fully document all aspects of patient care, and complete all required paperwork.
- Order and interpret diagnostic tests
- Discriminate between normal and abnormal findings to recognise early stages of health issues
- Establish differential diagnoses, making appropriate treatment plans and initiating emergency treatment where necessary
- Instruct and counsel patients regarding their health and wellbeing
- Refer and converse with the appropriate specialist teams in regard to patient management.
- Perform diagnostic, therapeutic procedures and clinical skills relevant to Emergency Medicine under appropriate supervision.
- Work to deliver national guidelines and objectives for emergency medicine
About usEmergency Medicine sits within the Acute and General Medicine Directorate at the Trust, which also includes the following services: Acute Assessment Unit, Ageing and Health, Respiratory Medicine and Sleep Services, Clinical Toxicology, Clinical Pharmacology, and Stroke Services.
The Emergency Department is located on the St Thomas' Hospital site, delivering a 24/7 service of high quality care to a variety of patient groups. Emergency medicine is a consultant led and delivered service, supported by training and non-training StR, ST1/2, Clinical Fellows and FY1/2 grade doctors. There is an active multi-disciplinary teaching and education programme, monthly morbidity/mortality and clinical effectiveness meetings, which all staff are encouraged to attend.
To support the existing staff, we have decide to expand our well-developed Physician Associate Team, to support the medical and nursing teams.
Job responsibilities- To manage a caseload of emergency department patients, exercising a high level of professional judgment and expertise when delivering clinical care, under the supervision of the Emergency Department Consultant. This will include taking medical histories, undertaking physical examinations, diagnosing, forming management plans, and explaining conditions during consultations.
In addition, the following are core components:
- To contribute to supporting colleagues to meet the national performance targets and indicators
- To communicate with GPs and other health professionals the outcome of ED attendances in a timely fashion
- To contribute to the development of efficient pathways of care in accordance with current best practice and national guidelines
- To fully document all aspects of patient care, and complete all required paperwork
- Order and interpret diagnostic tests
- Discriminate between normal and abnormal findings to recognise early stages of health issues
- Establish differential diagnoses, making appropriate treatment plans and initiating emergency treatment where necessary
- Instruct and counsel patients regarding their health and wellbeing
- Refer and converse with the appropriate specialist teams in regard to patient management
- Perform diagnostic, therapeutic procedures and clinical skills relevant to Emergency Medicine under appropriate supervision
- Work to deliver national guidelines and objectives for emergency medicine
Person SpecificationTraining and QualificationsEssential- BA/BSc Degree prior to undertaking PA program
- Graduate of an accredited Physician Associate training programme
- Evidence of post registration learning & development
- Registered on MVR
Desirable- Certified CPR, ALS & PALS
ExperienceEssential- Minimum two years experience in emergency medicine
- Ability to organise and prioritise workload effectively
- Ability to exercise sound judgements when faced with conflicting pressures
- Ability to implement and interpret policies and procedures
- Awareness of current developments and initiatives in emergency medicine services.
- Ability to assess patients and formulate/execute clinical management plans.
Desirable- Experience of conducting clinical audit
- Assist in the educational development of Physician Associate students through student shadowing and/or teaching
- Ability to manage and lead a working group
KnowledgeEssential- Knowledge of medical procedures and terminology
- Commitment to CME and professional development
- Ability to support Drs in decision making
- Advanced organisational skills
- IT literate
Desirable- Previous evidence of study in Emergency Medicine
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. 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).Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).Employer detailsEmployer name: Guy's and St Thomas' NHS Foundation Trust
Address: St Thomas Hospital, Westminster Bridge Road, London, SE1 7EH, United Kingdom
Employer's website: https://www.guysandstthomas.nhs.uk/careers/careers.aspx
Employer contact detailsFor questions about the job, contact: ED Consultant Laura Hunter, Laura.hunter35@nhs.net
DetailsDate posted: 01 September 2026
Pay scheme: Agenda for change
Band: Band 7
Salary: £58,133 to £65,261 a year per annum inc. H.C.A
Contract: Fixed term
Duration: 12 months
Working pattern: Full-time
Reference number: 196-LIS10776E
Job locations: St Thomas Hospital, Westminster Bridge Road, London, SE1 7EH, United Kingdom
