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Senior Clinical Fellow in General Medicine and Respiratory

Hywel Dda University Health Board
Depending on experience £35,408 - £55,674 pa
Closing date
8 Dec 2022

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Hospital, General internal medicine
Career Level
Contract Type
Fixed Contract
Full Time

Job Details

) Duties of the post

i) ClinicalOther then a fixed General Chest Clinic, there are no fixed inpatient commitments other than procedural, unless covering annual and study leave. The post-holder will be attached to the respiratory team covering the respiratory registrar when they are on annual and study leave.

When covering the middle-grade's leave, the post-holder will be required to be available for outpatient clinics, ward rounds and general ward duties. Supervision of all admissions to the Wards, Clinical investigation, diagnosis and treatment of all patients admitted to General Medical Ward and Central Treatment Suite as well as assisting the Consultants in running the Outpatient Clinics.

The post holder will be required to undertake clinical checking, maintain accurate patients clinical notes, with prompt completion of discharge summaries.

Assist in the teaching and training of Junior Medical Staff and undergraduate students and participate in regular audit meetings.

ii) Hours of Duty

The rota will be a 1:11 Full Shift EWTD compliant rota with1 in 11 weekends - 9am to 9.30pm1in 11 Night - 9pm to 9.30am (split Monday-Thursday and Friday-Sunday or week of nights)The post-holder will be required to provide cover for colleagues on annual leave and study leave.

Main duties of the job

The successful applicant will have the opportunity to gain invaluable hands on experience in Bronchoscopy, EBUS, Thorascopy, drain insertion.

The aim of the appointment is to provide 'intermediate' grade support to the consultant physicians with a special interest in Respiratory Medicine.Other then a fixed General Chest Clinic, The post-holder will be attached to the respiratory team covering the respiratory registrar when they are on annual and study leave being available for outpatient clinics, ward rounds and general ward duties. Supervision of all admissions to the Wards, Clinical investigation, diagnosis and treatment of all patients admitted to General Medical Ward as well as assisting the Consultants in running the Outpatient Clinics. The post will also support the GIM emergency medical on call and attract additional sessions or appropriate banding for a 1:11 rota basis.

Applicants must possess full registration with the GMC and should have completed at least four years full time postgraduate training at least two of which will be in a specialty training programme in a relevant specialty or as a FTSTA in a relevant specialty, or the candidate should have equivalent experience and competencies. Full MRCP is desirable). suitable applicants will be at least at level of expertise required for sitting PACES component of MRCP with evidence of prior NHS experience.

About us

In PPH, there are 163 medical beds and Day hospital plus a modern and fully monitored Coronary Care Unit of 4 beds under the care of the Physicians closely linked to a 5 bedded critical care unit under the joint operational control of a Consultant Anaesthetists and Consultant Physicians.

In April 2016 the new AMAU/MIU opened after 3 years development. This new unit is a modernisation of how emergency services are delivered in Llanelli. Patients with acute medical emergencies are seen directly by the medical team in a consultant-led approach to ensure earlier assessment and management. This has provided improved efficiency in seeing patients, and also training for the junior doctors. The post holder will have an integral part in the ongoing development of the new services.

Job description
Job responsibilities

The respiratory ward consists of 22 beds and a fully functional Clinical Procedure Room for pleural procedures. The procedure room also will be having Polysomnography installed soon. There is also the newly opened state of the art Clinical Research Unit. The post-holder will have the opportunity to develop interventional pulmonology skills including advanced bronchoscopy techniques such as electro-cautery tumour de-bulking, endo-bronchial stent / valve insertion, Endobronchial Ultrasound (EBUS), tunneled drain insertion, advanced USS techniques such as USS guided biopsies of lung masses / supra-clavicular nodes and medical thoracoscopy. The majority of this will be in Prince Philip Hospital, however, EBUS and Thoracoscopy are performed in Glangwili Hospital.

All clinical staff are accountable and responsible for their own clinical competence and should limit their actions to those for which they are deemed competent. Clinical staff are also required to comply with the requirements of their professional organisation regarding supervision.

You would work in both the acute, secondary care setting and in the community supporting the innovative and exciting work occurring outside the acute hospital. You would also take part in the acute medical in-patient service for all adult age groups and be part of the General Medical on-call rota (this role being currently 1 in 11)

Supervision and training of junior staff will be part of the role as well as mentoring medical students from both Swansea and Cardiff Medical Schools. Many of the current physicians in Hywel Dda have honorary roles within the post-graduate medical school at Swansea University.

We have an 8-room Clinical Research Facility in PPH, with state of the art facilities that was opened in 2012 and new initiatives involve Bio-Banking, EU Lead for tele-monitoring at scale and new Clinical Research Fellowships. For more details, please contact the Director of R&D and visit

Person Specification
  • Full GMC Registration with Licence to Practice
  • -Valid Certified Advanced Life Support Skills
  • 4 years full-time postgraduate training (or part-time equivalent), at least 2 of which in a specialty training programme in a relevant specialty Or as fixed term specialty trainee in a relelvant specialty
  • MBBS or recognised equivalent
  • MRCP 2 level, paces pending
  • MRCP
Clinical Experience
  • -Commitment to team approach and multi-disciplinary working
  • -Broad based experience in General Medicine
  • -Experience of NHS with knowledge of UK hospital systems (or equivalent)
  • -Knowledge and participation in CPD
  • -Competence in Acute General Medicine
  • -Wider experience, research and training in providing sub specialty service
  • -Additional clinical qualification(s)
Clinical Governance
  • -Evidence of participation in clinical audit and understanding role of audit in improving medical practice
  • -Knowledge of risk management
  • -Experience and knowledge of critical appraisal of evidence so as to improve clinical outcomes
  • -Evidence of initiating, progressing and concluding research projects with publication
  • -Research degree

BMJRef: BMJ-101528/100-MED-PPH-071-D


About Us

Hywel Dda University Health Board is one of seven acute Health Boards in Wales serving a population of 384,000 and right now we are building our Future, setting the Pace for Care. It is an integrated health body, ensuring the delivery of high quality primary, community, mental health and secondary care services, and it is responsible for the health and wellbeing of people across Carmarthenshire, Ceredigion and Pembrokeshire.

You will enjoy excellent conditions of employment, whilst building your future in one of the best locations in the UK. West Wales is beautiful, sharing rugged coastlines with misty mountains. Outdoor sports are easy to pursue, whilst the amenities of urban centres such as Swansea and Cardiff are not too far away. The pace of life can be fast or slow, with a diverse range of people sharing an envious work-life balance across the region, with excellent quality schools, and reasonable property prices contribute to low living costs and high quality of life. 

Career Development

Hywel Dda is committed to developing the leadership capability of medics and we pride ourselves on the suite of medical and multi-disciplinary leadership programmes we have created that promote, support and encourage continuous development and improvement.

Hywel Dda is an organisation that aims to deliver a healthcare system of the highest quality, with excellent outcomes for our patients and our population. We value our staff and the work that they do and want all staff, at all levels, in all roles, to feel competent and empowered to make the changes that they know will improve patient’s experience and outcomes of care.

To achieve this aim, Hywel Dda needs a community of doctors from across the organisation that can lead the development and delivery of excellent clinical services.

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