Junior Doctor opportunities (SHO tier)



Junior posts - the old “SHO-tier”

Most of our junior doctor posts are part of Welsh Deanery training schemes:

3 x F2

1 x ACCS

3 x GPST

1 x Academic F2

1 x CT3 EM

If you aren’t on a rotation with Wales deanery, there are two ways to join our junior tier:

  1. 1.Standalone “F3” posts

  2. We have dramatically increased the number of junior-tier posts in the ED. Prior to August 2018, we only had one, but since August 2018 we are aiming to increase the size of our junior tier by 50-100% via creation of additional F3 posts. 

  3. These “F3” posts don’t have educational approval by the deanery but it is otherwise identical to the educationally-approved SHO posts - and, from August 2018, include an SPA and from Feb 2019 will have an annualised rota.

  4. These are the only SHO-tier post that we know we always have to offer twice a year.

  5. We successfully recruited to our first goal of 50% more juniors from August 2018 (up from 8 to 12) but we can squeeze more in - email Helen.Salter@wales.nhs.uk if you are interested and we can open applications up again on NHS Jobs. Also get in touch ASAP if you are interested in posts starting between Feb 2019 and Feb 2020.

  6. Whilst we prefer August/February starts, it isn’t essential and we can consider out-of-synch dates. It’s also easy to arrange a LTFT post.

2.  Unfilled Deanery posts

  1. It’s quite common for us to have one or two of the GPST slots unfilled, due to gaps in the GP training scheme. Unfortunately, these posts are not available for local recruitment until after Wales Deanery have held a 2nd or 3rd round of GPST recruitment, so - when available - we usually cannot advertise them until very late.

  2. Aug 2018 - full

Who is eligible for the “F3” posts?

You basically need to have completed the UK Foundation programme: you must have worked in the UK before in a substantive post (Clinical Attachments alone are not enough). But don’t worry if you have no EM experience - we are perfectly used to looking after EM beginners! 

What’s the junior-tier rota like?

From August 2018

It’s a full shift, Band 1A rota (there is no imposition of the new contract in Wales) that has been carefully designed to fit in with circadian rhythms in order to minimise fatigue as much as possible whilst still meeting what juniors told us was a priority to have flexible leave. 

From Feb 2019

We plan to switch to an annualised rota system for our junior tier by Feb 2019.

Are there any less than full time opportunities on the SHO tier?

Yes: we can offer LTFT junior-tier posts from August 2018, and from Feb 2019 the planned annualised rota will make this even more attractive.


Our main recruitment season for Feb 2019 - Feb 2010 is is in full swing.

  1. To find out more or ask any questions, contact Dr Helen Salter, our Consultant who manages SHO-tier recruitment or contact @HelenSalter5 on Twitter


Updated 11th November 2018

We try very hard to provide a supportive and enjoyable introduction to Emergency Medicine for our “old SHO-tier” doctors, and it seems we succeed: our juniors consistently say they have a great time with us, and the Welsh Deanery has even visited to see what our secrets are!

We think it’s quite simply: friendly and approachable consultants, fantastic and supportive middle grades (and lots of them), a rota that is designed to minimise fatigue (though sadly, we can’t fix anti-sociability as well) and interesting case-mix.

More about the ED

Information on our workload, facilities, case-mix, staffing and the hospital itself
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Life in North Wales &  Leisure Activities

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