{"id":42,"date":"2026-02-19T11:55:40","date_gmt":"2026-02-19T11:55:40","guid":{"rendered":"https:\/\/medicine.st-andrews.ac.uk\/stafcat\/?page_id=42"},"modified":"2026-05-21T16:04:22","modified_gmt":"2026-05-21T15:04:22","slug":"substantive","status":"publish","type":"page","link":"https:\/\/medicine.st-andrews.ac.uk\/stafcat\/career-path\/substantive\/","title":{"rendered":"Substantive"},"content":{"rendered":"<p>[et_pb_section fb_built=&#8221;1&#8243; admin_label=&#8221;Global Section &#8211; Main Menu&#8221; _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;default&#8221; background_color=&#8221;#0071b3&#8243; min_height=&#8221;38px&#8221; max_height=&#8221;150px&#8221; custom_margin=&#8221;||-20px||false|false&#8221; custom_padding=&#8221;5px||0px||false|false&#8221; saved_tabs=&#8221;all&#8221; locked=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_row _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;default&#8221; min_height=&#8221;81px&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_menu menu_id=&#8221;11&#8243; active_link_color=&#8221;#ffffff&#8221; _builder_version=&#8221;4.23.1&#8243; _module_preset=&#8221;default&#8221; menu_text_color=&#8221;#FFFFFF&#8221; menu_font_size=&#8221;16px&#8221; background_color=&#8221;#0071b3&#8243; background_layout=&#8221;dark&#8221; custom_margin=&#8221;||||false|false&#8221; global_colors_info=&#8221;{}&#8221;][\/et_pb_menu][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; admin_label=&#8221;WHITE SECTION &#8211; SPOTLIGHT&#8221; _builder_version=&#8221;4.27.5&#8243; _module_preset=&#8221;default&#8221; custom_margin=&#8221;0px||0px||false|false&#8221; custom_padding=&#8221;0px||25px||false|false&#8221; locked=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_row _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;default&#8221; custom_margin=&#8221;||||false|false&#8221; custom_padding=&#8221;||||false|false&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][lwp_divi_breadcrumbs home_text=&#8221;StAFCAT&#8221; font_icon=&#8221;&#x35;||divi||400&#8243; _builder_version=&#8221;4.27.5&#8243; _module_preset=&#8221;default&#8221; module_font=&#8221;||||||||&#8221; custom_margin=&#8221;-20px||||false|false&#8221; global_module=&#8221;95&#8243; saved_tabs=&#8221;all&#8221; locked=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221;][\/lwp_divi_breadcrumbs][et_pb_text admin_label=&#8221;Text &#8211; Heading&#8221; _builder_version=&#8221;4.27.5&#8243; _module_preset=&#8221;default&#8221; header_font=&#8221;|700|||||||&#8221; header_font_size=&#8221;45px&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<h1>Substantive<\/h1>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row column_structure=&#8221;2_3,1_3&#8243; _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;default&#8221; custom_margin=&#8221;||||false|false&#8221; custom_padding=&#8221;2px||||false|false&#8221; locked=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;2_3&#8243; _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_text _builder_version=&#8221;4.27.5&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<p>As a substantive post holder with the NHS, you&#8217;d probably say that you&#8217;re well qualified and experienced in the field by now. Maybe this experience has led to some areas of real interest where you think you can improve patient care? Perhaps there are things that you&#8217;ve learnt that you&#8217;d like to pass on to the next-generation of budding clinicians? Whatever your interest, there is room in Clinical Academia for you, your knowledge, and your experience &#8211; but there&#8217;s still so much more we can learn too!<\/p>\n<p>[\/et_pb_text][et_pb_button button_text=&#8221;Open all&#8221; button_alignment=&#8221;right&#8221; module_id=&#8221;open-close-button&#8221; module_class=&#8221;open-all-btn&#8221; _builder_version=&#8221;4.27.5&#8243; _module_preset=&#8221;default&#8221; custom_button=&#8221;on&#8221; button_text_size=&#8221;16px&#8221; button_text_color=&#8221;#0C71C3&#8243; button_bg_color=&#8221;#FFFFFF&#8221; button_border_width=&#8221;0px&#8221; button_font=&#8221;|300|||on||||&#8221; button_use_icon=&#8221;off&#8221; custom_margin=&#8221;||13px||false|false&#8221; custom_padding=&#8221;||0px||false|false&#8221; locked=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221; button_bg_color__hover_enabled=&#8221;on|hover&#8221; button_bg_color__hover=&#8221;#FFFFFF&#8221; button_bg_enable_color__hover=&#8221;on&#8221;][\/et_pb_button][et_pb_accordion open_toggle_text_color=&#8221;#0071b3&#8243; closed_toggle_text_color=&#8221;#0071b3&#8243; toggle_icon=&#8221;&#x33;||divi||400&#8243; icon_color=&#8221;#00539b&#8221; use_icon_font_size=&#8221;on&#8221; icon_font_size=&#8221;45px&#8221; admin_label=&#8221;Accordion &#8211; Questions&#8221; module_id=&#8221;open-close-accordion&#8221; module_class=&#8221;pa-add-accordion-icon&#8221; _builder_version=&#8221;4.27.6&#8243; toggle_text_color=&#8221;#0071b3&#8243; toggle_level=&#8221;h3&#8243; toggle_font=&#8221;|700|||on||||&#8221; background_color=&#8221;#FFFFFF&#8221; hover_enabled=&#8221;0&#8243; custom_css_toggle=&#8221;margin-bottom: 0 !important;&#8221; border_width_all=&#8221;0px&#8221; border_color_all=&#8221;#FFFFFF&#8221; border_width_top=&#8221;0px&#8221; global_colors_info=&#8221;{}&#8221; sticky_enabled=&#8221;0&#8243;][et_pb_accordion_item title=&#8221;Dummy Item&#8221; open=&#8221;on&#8221; _builder_version=&#8221;4.21.0&#8243; _module_preset=&#8221;default&#8221; custom_css_main_element=&#8221;display: none;&#8221; global_colors_info=&#8221;{}&#8221;][\/et_pb_accordion_item][et_pb_accordion_item title=&#8221;Am I too late for Clinical Academia?&#8221; title_tablet=&#8221;Download the ScotGEM Launchpad checklist&#8221; title_phone=&#8221;Download the ScotGEM Launchpad checklist&#8221; _builder_version=&#8221;4.27.5&#8243; background_color=&#8221;#FFFFFF&#8221; background_enable_color=&#8221;on&#8221; background_size=&#8221;initial&#8221; background_position=&#8221;top_left&#8221; background_horizontal_offset=&#8221;0px&#8221; background_vertical_offset=&#8221;0px&#8221; background_repeat=&#8221;repeat&#8221; background_pattern_horizontal_offset=&#8221;0px&#8221; background_pattern_vertical_offset=&#8221;0px&#8221; vertical_offset_tablet=&#8221;0&#8243; vertical_offset_phone=&#8221;0&#8243; horizontal_offset_tablet=&#8221;0&#8243; horizontal_offset_phone=&#8221;0&#8243; background_color_gradient_direction_tablet=&#8221;180deg&#8221; background_color_gradient_direction_phone=&#8221;180deg&#8221; background_color_gradient_stops_tablet=&#8221;#2b87da 0%|#29c4a9 100%&#8221; background_color_gradient_stops_phone=&#8221;#2b87da 0%|#29c4a9 100%&#8221; background_color_gradient_start_position_tablet=&#8221;0%&#8221; background_color_gradient_start_position_phone=&#8221;0%&#8221; background_color_gradient_end_position_tablet=&#8221;100%&#8221; background_color_gradient_end_position_phone=&#8221;100%&#8221; background_image_width_tablet=&#8221;auto&#8221; background_image_width_phone=&#8221;auto&#8221; background_image_height_tablet=&#8221;auto&#8221; background_image_height_phone=&#8221;auto&#8221; background_horizontal_offset_tablet=&#8221;0px&#8221; background_horizontal_offset_phone=&#8221;0px&#8221; background_vertical_offset_tablet=&#8221;0px&#8221; background_vertical_offset_phone=&#8221;0px&#8221; background_pattern_style_tablet=&#8221;polka-dots&#8221; background_pattern_style_phone=&#8221;polka-dots&#8221; background_pattern_width_tablet=&#8221;auto&#8221; background_pattern_width_phone=&#8221;auto&#8221; background_pattern_height_tablet=&#8221;auto&#8221; background_pattern_height_phone=&#8221;auto&#8221; background_pattern_horizontal_offset_tablet=&#8221;0px&#8221; background_pattern_horizontal_offset_phone=&#8221;0px&#8221; background_pattern_vertical_offset_tablet=&#8221;0px&#8221; background_pattern_vertical_offset_phone=&#8221;0px&#8221; background_mask_style_tablet=&#8221;layer-blob&#8221; background_mask_style_phone=&#8221;layer-blob&#8221; background_mask_width_tablet=&#8221;auto&#8221; background_mask_width_phone=&#8221;auto&#8221; background_mask_height_tablet=&#8221;auto&#8221; background_mask_height_phone=&#8221;auto&#8221; background_mask_horizontal_offset_tablet=&#8221;0px&#8221; background_mask_horizontal_offset_phone=&#8221;0px&#8221; background_mask_vertical_offset_tablet=&#8221;0px&#8221; background_mask_vertical_offset_phone=&#8221;0px&#8221; z_index_tablet=&#8221;1&#8243; z_index_phone=&#8221;1&#8243; hover_transition_duration_tablet=&#8221;300ms&#8221; hover_transition_duration_phone=&#8221;300ms&#8221; hover_transition_delay_tablet=&#8221;0ms&#8221; hover_transition_delay_phone=&#8221;0ms&#8221; border_width_top=&#8221;1px&#8221; border_color_top=&#8221;#000000&#8243; global_colors_info=&#8221;{}&#8221; toggle_font_size=&#8221;18px&#8221; open=&#8221;off&#8221;]<\/p>\n<p>Certainly not. Clinical Academia can be a career option at any time, and with your vast experience you could be invaluable to the field!<\/p>\n<p>Of course, what you want to do here is entirely your choice, but whether it&#8217;s finally putting your interests and curiosities to the test through extensive research within the School, or furthering the learning of our many Medical students here at St Andrews by sharing your experiences and lessons, there is a place for you here, and a place for you in Clinical Academia.<\/p>\n<p>&nbsp;<\/p>\n<p>[\/et_pb_accordion_item][et_pb_accordion_item title=&#8221;What happens to my current post and my contract?&#8221; _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; background_color=&#8221;#FFFFFF&#8221; background_enable_color=&#8221;on&#8221; background_size=&#8221;initial&#8221; background_position=&#8221;top_left&#8221; background_horizontal_offset=&#8221;0px&#8221; background_vertical_offset=&#8221;0px&#8221; background_repeat=&#8221;repeat&#8221; background_pattern_horizontal_offset=&#8221;0px&#8221; background_pattern_vertical_offset=&#8221;0px&#8221; hover_enabled=&#8221;0&#8243; border_width_top=&#8221;1px&#8221; border_color_top=&#8221;#000000&#8243; border_color_bottom=&#8221;#000000&#8243; global_colors_info=&#8221;{}&#8221; toggle_font_size=&#8221;18px&#8221; open=&#8221;off&#8221; sticky_enabled=&#8221;0&#8243;]<\/p>\n<p>At this level, we anticipate that the University would become your primary host institution, and therefore you would receive a new contract from ourselves, with input from NHS Scotland to determine your clinical role and responsibilities. In special circumstances, we may be able to reverse this, however this would first need to be discussed with the <a href=\"https:\/\/www.scotlanddeanery.nhs.scot\/\">NHS Scotland Deanery<\/a>.<\/p>\n<p>[\/et_pb_accordion_item][et_pb_accordion_item title=&#8221;What will this entail, and what am I signing up to?&#8221; title_tablet=&#8221;Read essential documents: School of Medicine Handbook \/ScotGEM section &#8221; title_phone=&#8221;Read essential documents: School of Medicine Handbook \/ScotGEM section &#8221; _builder_version=&#8221;4.27.6&#8243; background_color=&#8221;#FFFFFF&#8221; background_enable_color=&#8221;on&#8221; background_size=&#8221;initial&#8221; background_position=&#8221;top_left&#8221; background_horizontal_offset=&#8221;0px&#8221; background_vertical_offset=&#8221;0px&#8221; background_repeat=&#8221;repeat&#8221; background_pattern_horizontal_offset=&#8221;0px&#8221; background_pattern_vertical_offset=&#8221;0px&#8221; vertical_offset_tablet=&#8221;0&#8243; vertical_offset_phone=&#8221;0&#8243; horizontal_offset_tablet=&#8221;0&#8243; horizontal_offset_phone=&#8221;0&#8243; hover_enabled=&#8221;0&#8243; background_color_gradient_direction_tablet=&#8221;180deg&#8221; background_color_gradient_direction_phone=&#8221;180deg&#8221; background_color_gradient_start_position_tablet=&#8221;0%&#8221; background_color_gradient_start_position_phone=&#8221;0%&#8221; background_color_gradient_end_position_tablet=&#8221;100%&#8221; background_color_gradient_end_position_phone=&#8221;100%&#8221; z_index_tablet=&#8221;1&#8243; z_index_phone=&#8221;1&#8243; hover_transition_duration_tablet=&#8221;300ms&#8221; hover_transition_duration_phone=&#8221;300ms&#8221; hover_transition_delay_tablet=&#8221;0ms&#8221; hover_transition_delay_phone=&#8221;0ms&#8221; border_width_top=&#8221;1px&#8221; border_color_top=&#8221;#000000&#8243; global_colors_info=&#8221;{}&#8221; toggle_font_size=&#8221;18px&#8221; open=&#8221;off&#8221; border_width_bottom=&#8221;1px&#8221; border_color_bottom=&#8221;#000000&#8243; sticky_enabled=&#8221;0&#8243;]<\/p>\n<p>This is your choice. Clinical Academia is a flexible role that can be tailored to the needs of the individual and their partner institutions. You may be asked to take on considerable teaching responsibilities, if this is something that interests you; or alternatively, you may be asked to head up a research lab group, division or centre. This can be discussed right from the start when you first begin considering Clinical Academia, and it can be adapted if desired &#8211; it&#8217;s your career to forge how you choose.<\/p>\n<p>[\/et_pb_accordion_item][\/et_pb_accordion][\/et_pb_column][et_pb_column type=&#8221;1_3&#8243; _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_image src=&#8221;https:\/\/medicine.st-andrews.ac.uk\/stafcat\/wp-content\/uploads\/sites\/90\/2026\/03\/derek.jpg&#8221; title_text=&#8221;derek&#8221; _builder_version=&#8221;4.27.5&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][\/et_pb_image][et_pb_button button_url=&#8221;https:\/\/medicine.st-andrews.ac.uk\/stafcat\/resources\/ourstories\/&#8221; button_text=&#8221;Case studies&#8221; _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; custom_button=&#8221;on&#8221; button_text_color=&#8221;#FFFFFF&#8221; button_use_icon=&#8221;off&#8221; locked=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221;][\/et_pb_button][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"<p><div class=\"et_pb_module lwp_divi_breadcrumbs lwp_divi_breadcrumbs_0\">\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t<div class=\"et_pb_module_inner\">\n\t\t\t\t\t<div class=\"lwp-breadcrumbs\"> <span class=\"before\"><\/span> <span vocab=\"https:\/\/schema.org\/\" typeof=\"BreadcrumbList\"><span property=\"itemListElement\" typeof=\"ListItem\"><a property=\"item\" typeof=\"WebPage\" href=\"https:\/\/medicine.st-andrews.ac.uk\/stafcat\/\" class=\"home\"><span property=\"name\">StAFCAT<\/span><\/a><meta property=\"position\" content=\"1\"><\/span> <span class=\"separator et-pb-icon\">5<\/span> <\/span><\/div>\n\t\t\t\t<\/div>\n\t\t\t<\/div>SubstantiveAs a substantive post holder with the NHS, you&#8217;d probably say that you&#8217;re well qualified and experienced in the field by now. Maybe this experience has led to some areas of real interest where you think you can improve patient care? Perhaps there are things [&hellip;]<\/p>\n","protected":false},"author":5583,"featured_media":0,"parent":242,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","_monsterinsights_skip_tracking":false,"footnotes":""},"class_list":["post-42","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/medicine.st-andrews.ac.uk\/stafcat\/wp-json\/wp\/v2\/pages\/42","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medicine.st-andrews.ac.uk\/stafcat\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/medicine.st-andrews.ac.uk\/stafcat\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/medicine.st-andrews.ac.uk\/stafcat\/wp-json\/wp\/v2\/users\/5583"}],"replies":[{"embeddable":true,"href":"https:\/\/medicine.st-andrews.ac.uk\/stafcat\/wp-json\/wp\/v2\/comments?post=42"}],"version-history":[{"count":0,"href":"https:\/\/medicine.st-andrews.ac.uk\/stafcat\/wp-json\/wp\/v2\/pages\/42\/revisions"}],"up":[{"embeddable":true,"href":"https:\/\/medicine.st-andrews.ac.uk\/stafcat\/wp-json\/wp\/v2\/pages\/242"}],"wp:attachment":[{"href":"https:\/\/medicine.st-andrews.ac.uk\/stafcat\/wp-json\/wp\/v2\/media?parent=42"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}