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 a UK National Training Number in Anaesthesia, Emergency Medicine or 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 Oriel. You will need to register on the 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 UK 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 2027-2028. The Fitness Test can also be found in the documents section below; it must be emailed to england.recruitment.eoe@nhs.net by 15 November 2026 if not attached to your PHEM application.
Upload all documents at the time of submitting your application, with the exception of the Fitness Test and the applicant's declaration, which must be emailed to england.recruitment.eoe@nhs.net at the latest by 15 November 2026. If you have your Fitness Test and/or Applicant's Declaration and wish to attach them to your application before this date, please use the Upload Document feature, select Supporting Information, and name each document accordingly.

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

If invited to interview for 2027 applications, you will only be required to email your last multi-source feedback from your Personal Portfolio Documents to england.recruitment.eoe@nhs.net by 9 November 2026 (latest).

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 PHEM Recruitment" in the subject heading.

NHS England, East of England has a strict application policy and will not accept applications submitted after the submission 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 2027, 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.

Less Than Full Time

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. If you intend to apply for less than full time training, we would recommend that you get in contact with the PHEM Training Programme Director in the regions that you would like to work in, to establish whether they would be able to support your preferred working pattern. Programmes will be confirmed directly with the candidate by the appropriate Deanery should candidates be successful at selection centre.

Competition Ratio

In 2026 recruitment for posts commencing in August 2026, there were 5.9 applicants for every post.

Deanery/Region	Number of Posts
Health Education England, East of England	3
Health Education England, Kent, Surrey & Sussex	1
Health Education England, London	0
Health Education England, North East	1
Scotland Deanery	1
Health Education England, South West	2
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.

Applications Open	10 September 2026
Applications Close	24 September 2026, 12 noon
Invites to Interview by	w/c 9 November 2026
Selection Centre date	19 November 2026
Interview venue	Online Selection Centre
Preferencing Opens	w/c 9 November 2026
Preferencing Closes	22 November 2026
Selection Centre Outcome	From 25 November 2026, from 14:00 onwards
Acceptance or decline of Offered Posts	By 27 November 2026 — 48 hours from offer

Selection Process

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

Document checking: Please refer to page 8 and page 16 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 the scenario, 5 minutes to allow for calm time and a question.
Interview — 20-minute station with 8 questions asked.

A review of the applicant's MSF will take place in the Interview station of the Selection Centre.

Offers

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

Please see the documents at the bottom of this page for the latest information on Pre-Hospital Emergency Posts for 2027/2028.

When asked to rank, please 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, see the National Terms and Conditions.

Enquiries

Further information on PHEM can be found on the IBTPHEM website.

During the recruitment cycle, please visit the NHS England East of England website regularly to access up-to-date information relating to this vacancy and the recruitment process.

For any queries that cannot be answered by the methods above, please contact england.recruitment.eoe@nhs.net.