The Royal College of Emergency Medicine has collated information and guidance on the Emergency Department workforce. In this section you will find resources for service delivery, recommendations on expanding the consultant workforce, medical and practitioner workforce guidance and relevant toolkits. Use the navigation tool below to explore the information available.

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Medical and Practitioner Workforce Guidance

RCEM Workforce Recommendations 2018: Consultant Staffing in Emergency Departments in the UK

Find below the Royal College of Emergency Medicine'sRCEM Workforce Recommendations 2018 / Consultant Staffing in Emergency Departments in the UK:

* Please note that the references to Consultant staffing in the remainder of the historic RCEM guidance has been superseded by the above publication. *

Workforce guidance tools and resources

Find below the Royal College of Emergency Medicine's workforce guidance tools and resources:

Employing locum doctors

The following resources are designed to provide guidance around locum posts:

As part of the wider workforce strategy launched by The Royal College of Emergency Medicine (RCEM) in 2017, its recommendations for the requirements for appointment to the post of Locum Consultant in Emergency Medicine have been reviewed and updated. The chief reasons for this action are to ensure safety for patients and maintenance of training standards for trainees in Emergency Medicine who might be supervised by individuals in such posts.

We would strongly suggest that, in trusts where individuals who do not comply with this guidance are employed in the role of Locum Consultant in Emergency Medicine, the posts should be reviewed by the Clinical Director, Medical Director and Human Resources Lead. Consideration should be given to the title and grading of the posts so as to reflect the fact that the RCEM requirements have not been met.

The RCEM workforce strategy supports and promotes the development of alternative training routes in Emergency Medicine such as the CESR pathways. This enables the development of doctors who aspire to meet the criteria for appointment as a locum or substantive Consultant in Emergency Medicine whilst expanding the senior workforce in a safe and quality-assured manner.

  • NHS Employers: Guidance on the appointment and employment of NHS locum doctors - A quick summary (Oct 2012) - Read the College's quick summary highlighting the key information about employing and appointing locums.
  • Full guidance is on the NHS Employers website.

Associate Specialist Grade Position Statement

The Royal College of Emergency Medicine (RCEM) believes that there is a role for the grade of associate specialist. It is important for the maintenance of senior cover within emergency departments and the College believes that it will assist in the retention of senior doctors within the specialty. As such, RCEM strongly supports the principle of its reinstatement in a similar form as before or as an alternatively named grade of senior specialist.

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