Pre - Hospital Emergency Medicine (PHEM)

Applications are invited for vacancies in Pre-Hospital Emergency Medicine

The Pre-Hospital Emergency Medicine (PHEM) Training Programme is a one year (whole-time equivalent) sub-specialty Training Programme commencing at ST5 or above. Applications are invited from those meeting the person specification who are eligible to work in the UK and hold either a National Training Number or CCT in Anaesthesia, Emergency Medicine and Intensive Care Medicine.

The PHEM curriculum comprises six themes: –

Working in emergency medical systems
Providing pre-hospital emergency care
Using pre-hospital equipment
Supporting rescue and extrication
Supporting safe patient transfer
Supporting emergency preparedness and response

In addition to cross-cutting themes: –

Good medical practice
Operational practice
Team resource management
Clinical governance

Approved programmes will provide training in all areas of the curriculum. This may involve rotating through several approved operations gaining exposure to other pre-hospital emergency services.

Training is divided into three phases: –

1a	Initial
1b	Development
2	Consolidation

More details on the structure of training and the curriculum can be found in the IBTPHEM Guide to Training and in the Training Programme descriptions from each approved Deanery.

Application Process

NHS England (formerly known as Health Education England) working across the East of England is co-ordinating the national process for recruiting trainees into Pre-Hospital Emergency Medicine posts, this is the only approved entry route into PHEM subspecialty training.

Before applying, please read the Applicant Guide and Person Specification carefully to assess your eligibility for the post. The Applicant Guide details important information on applying and the offers process, failure to follow the guidance provided may impact negatively on your application. It is the applicant's responsibility to complete the application form correctly and follow the processes.

All applications are made via the online application system New Oriel You will need to register on the New Oriel System (the link leads to this), to enable you to see the PHEM vacancy.

As part of the application you will be required to;

upload evidence of your national training number (NTN)
upload evidence of satisfactory completion of the IBTPHEM Fitness Test. Details of the test and the certificate can be found in the Applicant's Guide for PHEM 2025-2026. The Fitness Test can also be found in the documents section below, the fitness Test must be emailed to hilary.chambers4@nhs.net by 18 November 2024 - if not attached to your PHEM application.
upload all documents at time of submitting application - with the exception of the Fitness Test and the applicant's declaration which must be emailed to hilary.chambers4@nhs.net at the latest date, by 18 November 2024.

Do not send any extra information from your Personal Portfolio, you are only required to send Portfolio evidence if invited to interview.

If invited to interview you will be required to email your Personal Portfolio Documents to hilary.chambers4@nhs.net by 11 November 2024 (latest), this will include the following topics;

your last multi-source feedback
organisational/management skills
preparing for pre-hospital emergency medicine (PHEM)

We do not give any more specific advice with regard to the Portfolio. Please look at the person specification and applicants guide, it is the applicant’s decision as to what is included in their Portfolio.

If you have difficulties uploading evidence, please ensure you email the evidence by the application deadline to england.recruitment.eoe@nhs.net and put for the attention of Hilary Chambers in the subject heading.

NHS England, East of England has a strict application policy and will not accept applications submitted after the submissions deadline.

Please note that regarding ARCP outcomes, we allow applicants to have their ST4 ARCP prior to taking up the post and not necessarily by the time of interview. If your ST4 ARCP is prior to August 2024 you can apply in this round.

Please note that NHS England is governed by the UK Borders Agency regarding overseas applicants. If you are subject to immigration control, you will be required to provide evidence of your immigration status as at the closing date of the post to which you are applying.

Programmes

Pre-Hospital Emergency Medicine vacancies are listed below. You are strongly advised to read the Programme Information (provided below) carefully. This will give information on what training is provided within that programme, and the rotations (if applicable) between different providers. Details of the Training Programme Directors are within the information or on the IBTPHEM website if further information is required.

The Postgraduate Dean confirms that this placement and / or programme has the required educational and Dean’s approval. The Training Programme is equally open to those who may, either from the outset or subsequently, wish to train less than full time or job share. Programmes will be confirmed directly with the candidate by the appropriate Deanery should candidates be successful at selection centre.

Competition Ratio

In the autumn 2022 recruitment for posts commencing in August 2023, there were 5.3 applicants for every post.

DEANERY/REGION	Number of Posts
Health Education England, East of England	7
Health Education England, Kent, Surrey & Sussex	2
Health Education England, London	0
Health Education England, North East	1
Scotland Deanery	1
Health Education England, South West	3
Health Education England, Thames Valley	2
Wales Deanery	3
Health Education England, Wessex	1
Health Education England, West Midlands	2

Key Dates and Information

The information below is subject to change and also dependent on how the current Covid-19 situation is within the UK

Applications Open	12 September 2024
Applications Close	7th October 2024 12 noon * Please note change of closing date*
Invites to Interview by:	w/c 4 November 2024
Selection Centre date:	21 November 2024
Interview venue:	Online Selection Centre
Preferencing Opens	19 November 2024
Preferencing Closes	25 November 2024 10:00
Selection Centre Outcome:	From 25 November 2024 - from 14:00 onwards
Confirmation of Offered Posts	28 November 2024

Selection process

Following longlisting and shortlisting, successful applicants will be invited to attend the PHEM Selection Centre - This will be hosted online via Microsoft Teams.

Document checking: Please refer to Page 4 and Page 15 of the Applicant's Guide for further information on what you need to provide and when.

Length of selection process: 60 minutes

Selection Centre

The interview process will take place on Qpercom Vids
Clinical scenario/Communication - 20-minute station = 15 minutes for scenario - 5 minutes to allow for calm time and a question.
Interview/Portfolio - 20-minute station with 8 questions asked.

A review of the applicant’s portfolio will take place in the Portfolio section of the interview

Offers

Once posts have been offered and accepted please advise the Recruitment Unit england.recruitment.eoe@nhs.net if you are not able to commence training on the start date urgently.

Should you be offered a post and wish to train on a less than full time basis, please refer to the LTFT page for further information and the application form.

Please see documents at the bottom of this page the latest Information for the Pre-Hospital Emergency Posts for 2025/2026.

When you are asked to rank please can you ensure that you only select the Scheme, Base and Specialty you are eligible for. Only preference the regions you are willing to accept if offered a post.

Pay scales

All trainees should be paid monthly at the rates set out in the national terms and conditions of service for hospital medical and dental staff and doctors in public health medicine and the community health service (England and Wales), “the TCS”, as amended from time to time. The pay scales are reviewed annually. Part-time posts will be paid pro-rata.

Current rates of pay for junior doctors may be viewed on the NHS Employers website

National Terms and conditions

Whilst many training programmes offer training through NHS and charitable organisations, all posts are employed by NHS organisations. For information on National Terms and Conditions

Enquiries

Further information on PHEM can be found on the IBTPHEM website

During the recruitment episode please visit Health Education East of England Website regularly to access up-to-date information relating to this vacancy and information about the recruitment process.

For any queries that cannot be answered by the methods above please contact:

england.recruitment.eoe@nhs.net

Area Information

All information provided was correct for 2024/2025 recruitment round and will be updated for 2025/26. Please note information below is subject to change.