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National Emergency Medicine ST4 Recruitment | Health Education Yorkshire and Humber Creating a new NHS England
Workforce, training and education
Yorkshire and Humber

Round 2 National ST4 Emergency Medicine Recruitment

2026 Round 2

The National Recruitment Office for Round 2 ST4 Emergency Medicine is NHS England - Yorkshire. All posts have the required educational and Dean's approval. 

This recruitment round will run within the national Round 3 timeline. For details of this please see the "Recruitment Timeline" tab below.

NHS England - Yorkshire is co-ordinating national recruitment for vacancies in R2 ST4 Emergency Medicine and LAT posts across England, Scotland, Wales and Northern Ireland.  Applications open at 10am on the 28th July and the closing date is 4pm on the 13th August 2026.  Applicants submit one application electronically for all vacancies via the Oriel recruitment portal.  All interviews will be held online. 

In order to assess your suitability for ST4 Emergency Medicine please refer to the national Person Specifications on the Specialty Training website.

The 2026 Self-Assessment Guidance and Applicant Handbook can be found to the right of this page.

Please note to be eligible for ST4 Emergency Medicine you must have completed the core elements of ACCS Emergency Medicine training by the intended start date.  Please refer to the person specification for the full list of ACCS EM core elements.  You must also evidence your ACCS  Emergency Medicine Specialties by providing a letter on hospital letter headed paper confirming dates, grade and specialty for each ACCS post at the time of application. If you will not have these core elements you will be longlisted out of the ST4 EM process.

The Emergency Medicine ST4 Alternative Certificate of Competences is now available for applicants who's experience is from non GMC approved posts. 

The alternative certificate can be found in the Oriel Resource Bank:

https://www.oriel.nhs.uk/Web/ResourceBank

The above evidence must be uploaded at the time of application.

Further sources of information

 

Vacancies

For information about the posts in each region please follow the links below to view the Local Office / Deanery websites:

 NB Vacancy numbers are updated as they are submitted by the regional offices

Local Office / Deanery

ST4 Vacancies 

 East Midlands 2
 East of England 8
 London   0
 KSS 0
 North West - North West 0
 North West - Mersey 0
 North East 2
 Thames Valley 0

 Scotland

2
 South West (Severn) 0
 South West (Peninsular) 0
 Wales 0
 Wessex 3
 West Midlands 4
 Yorkshire and the Humber 0

All vacancy information is indicative and subject to change.

Recruitment Timeline

The recruitment process for 2026 ST4 Emergency Medicine will follow the timeline below:

 

Activity

Date(s)

Applications Open Tuesday 28th July 2026 @ 10am
Application Deadline
Thursday 13th August 2026 @ 4pm
Self-Assessment Evidence Upload Window

20th - 27th August 2026 (this window is subject to change)

Interviews 29th September 2026
Interview invites released  TBC
Initial Offers Released by No later than 20th October 2026
Holding Deadline 1pm on Tuesday 27th October 2026
Upgrade Deadline
Thursday 29th October @ 5pm
Eligibility & Longlisting

The eligibility criteria for ST4 Emergency Medicine are listed in the Person Specification.

Please note there have been changes made to the 2026 ST4 Person Specification in the eligibility section, please refer to this section to assess your eligibility.  It is an applicant’s responsibility to demonstrate that they meet the eligibility criteria. 

Please note to be eligible for ST4 Emergency Medicine you must have completed the core elements of Emergency Medicine training.  Please refer to the person specification for the full list of ACCS EM core elements.  If you will not have these core elements you will be longlisted out of the ST4 EM process.

The core elements section of the application form must be answered accurately:

Have you completed or will have completed (by intended start date) a UK ACCS Emergency Medicine training programme?

You should only be answering “yes” to this question if you have completed a UK ACCS Emergency Medicine training programme or are currently in a UK ACCS Emergency Medicine Programme

If you have gained experience via another route you need to answer “no” to this question and then complete the relevant fields that appear.

Failure to complete this section correctly may result in your application being removed from the process as we will be unable to assess your experience.

The Emergency Medicine ST4 Alternative Certificate of Competences is now available for applicants who's experience is from non GMC approved posts. 

The alternative certificate can be found in the Oriel Resource Bank:

https://www.oriel.nhs.uk/Web/ResourceBank

You must also evidence of your ACCS Specialtiies by providing a letter on hospital letter headed paper confirming dates, grade and specialty for each ACCS post

All evidence must be uploaded at the point of application.

All applications will be assessed against the eligibility criteria during longlisting. Any applications which do not meet the eligibility criteria will be longlisted out of the process and will not progress to the next stage.

If application numbers exceed interview capacity the self-assessment scores will be used to shortlist.

Please Note: If there is a significantly greater number of applications than the interview capacity, we will shortlist out candidates whose self-assessment score is too far away from the interview capacity cut off to have a chance of being shortlisted. Where this is the case, we will withdraw candidates at an early stage, usually soon after applications close once numbers can be assessed against capacity.

“By allowing applicants to progress to the interview stage, NHS England -Yorkshire HAS NOT accepted or confirmed that applicants meet all eligibility requirements.  This includes immigration status, evidence of achievement of Foundation competencies or equivalent, and requisite length of time in training as per the relevant national person specification.  This list is not exhaustive, and is applicable to all eligibility criteria.  Applicants may still be withdrawn from the application process at any stage, including after the interviews have taken place, if the evidence pertaining to an eligibility criterion is found to be unsatisfactory.”

Interviews

R2 2026 Interview Dates

29th September 2026

The interviews will be held online using the Qpercom VIDs system.

It is a candidate’s responsibility to ensure that they have access to equipment that is compatible with the platform, a strong Wi-Fi connection and have a contingency plan in place in case the original device or connection fails.

 

Interview Format

The interviews will consist of 3 x10 minute stations:

  • Prioritisation
  • Clinical/Ethical Scenario
  • Communication
Additional Information
Feedback

2025 Recruitment Results 

 

  Posts Applications Submitted Candidates Interviewed Lowest Rank to receive an offer       Posts Filled
Round 1

 

71

 

104 70 50 43

 

Round 3

 

TBC TBC TBC TBC TBC

 

Please note: the 2026 R1 results will be published once the embargo has been lifted by MDRS
 

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