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Specialty Doctor in Geriatric Medicine

Cardiff and Vale University Health Board
£50,620 to £79,144 a year per annum
Closing date
7 Apr 2023

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Hospital, Geriatric medicine
Career Level
Specialty doctor
Contract Type
Full Time

Job Details

Lansdowne ward, together with Elizabeth and Rhydlafer wards, is based at St Davids Hospital which provides ongoing community hospital based in-patient care for frail older patients. Most of these patients will have experienced an acute admission at UHW or UHL hospitals but no longer require acute hospital in-patient care at transfer to St Davids hospital. The patient case mix largely consists of frail older people who have ongoing chronic disease management needs as well as recovery, rehabilitation, reconditioning and complex discharge planning needs. Working in partnership with the acute hospital sites and Rehabilitation liaison nurses and Consultant Geriatricians at both sites, patients are identified at the earliest point of their acute journey who no longer need acute hospital care. The aim of the wards at St Davids hospital is to provide a holistic, multidisciplinary, rehabilitation driven and ongoing care service to frail older patients, in order to maximise their functional independence, psychological wellbeing and discharge from hospital in the overall context of 'Chronic Disease Management'. In addition, the wards care for a cohort of severely frail patients whose needs often encompass an End of Life Care approach but who may have needs that are too complex, intense, unstable or unpredictable to be met at home or in a care home setting.

Main duties of the job

The ECAS multidisciplinary team aims to provide rapid-access assessment for people who are at risk of deteriorating, or who are deteriorating at home, in the community or in residential care and for whom early multidisciplinary input is likely to avert hospital admission.
  • To provide a community-based rehabilitation plan where appropriate.
  • To maintain close links with other Intermediate Care Services.
  • To provide a full (and written) multidisciplinary assessment to enable Social Services and Primary Care Teams to support older people in their own homes.
  • To recognise when admission to secondary care services is necessary and advise or arrange such admission.

Referrals are accepted from General Practitioners and other hospital-based services, particularly the Emergency Unit.

Both the in-patient wards and Intermediate Care services including Specialty Clinics are consultant lead. The wards operate a rotational consultant lead approach tailored around patient and service need.

About us

Cardiff and Vale University Health Board was established in October 2009 and is one of the largest NHS organisations in the UK. We have a responsibility for the promotion of health and well-being of around 475,000 people living in Cardiff and the Vale of Glamorgan, the provision of local primary care services, running of health centres, community health teams, hospitals - providing treatment and care when health and well-being isn't the best it could be.

We are increasingly focusing the planning and delivery of our care based on neighbourhoods and localities to help ensure people receive care as close to home as possible where it is safe and effective to do so. We also provide specialist services for people across South Wales and in some cases the whole of Wales.

The Health Board also serves a wider population of 2.5 million people across South and Mid Wales and manages a number of services of a regional and sub-regional nature namely cardiology, cardiac surgery, PICU, neurology, neurosurgery, medical genetics, bone marrow transplantation, renal transplant and toxicology. On-site services include 24/7 PCI, stroke thrombolysis, ophthalmology, maxillo-facial, trauma, general medicine, general surgery, urology and paediatrics. From September 2020, University Hospital of Wales was designated as the first Major Trauma Centre to launch in Wales.

Job description
Job responsibilities

The Elderly Care Assessment Service is an Intermediate Care service which plays a significant role in supporting patients to optimise their recovery and maintain their independence in the community to avoid an acute hospital admission. It provides rapid access community based Multidisciplinary Comprehensive Geriatric Assessment and ongoing Management for an ambulatory cohort of patients referred from both the Community and Acute Emergency Department settings.

The service is open Monday - Friday and has access to basic diagnostic services. The role of the Specialty Doctor is to complete initial assessment of all new patients and provide ongoing intervention as deemed necessary.

In addition to the ECAS service, specialty services encompassing Dementia and Continence Clinics are based at St Davids Hospital. The successful candidate will be encouraged to develop a sub-specialty interest in at least one of these. There is flexibility in the job plan for the successful candidate to undertake additional acute sessions with the frailty service in emergency unit or a regular slot within the acute medical on call rota at a suitable grade.

Person Specification
  • MB BS or recognised equivalent
  • Academic excellence (prizes, merits, distinctions etc.)
  • Four years full-time postgraduate training (or part-time equivalent), at least two of which will be in a specialty training programme in a relevant specialty or as fixed-term specialty trainee in a relevant specialty, OR equivalent experience / competencies
  • Assessment of emergencies
  • Commitment to team approach and multi-disciplinary working
  • Ability to take independent clinical decisions when necessary and to seek advice from senior doctors as appropriate

BMJRef: BMJ-116834/001-MP067.23



Cardiff and Vale University Health Board is one of the largest NHS organisations in Europe. We employ approximately 14,500 staff, and spend around £1.4 billion every year on providing health and wellbeing services to a population of around 472,400 people living in Cardiff and the Vale of Glamorgan. We also serve a wider population across South and Mid Wales for a range of specialties. 

Our vision is to create a community where healthy life choice does not depend on who you are or where you live.

We are a teaching Health Board with close links to the university sector, and together we are training the next generation of healthcare professionals, while working on research that will hopefully unlock the cures for today’s illnesses.

Our Services

The only tertiary centre for Wales offering a range of services for the whole nation including the only Children’s Hospital in Wales, Organ Donation and Transplant, Neuroscience, Genomics, Precision Medicine and Advanced Therapies, and more.

Public Health

Improving the health of our population and reducing inequalities. Providing preventative health care information and advice including access to health and well-being services.

Primary, Community and Intermediate Care

Offering first line health services at GP surgeries, dentists, optomtetrist and a range of therapy and community based services accessible as close to home as possible.

Acute and Tertiary Care

Providing unscheduled or emergency care. Elective care and specialist services to a wider population across Wales, including dignostics and theraputic services.

Corporate Services

Providing the support services required to run an integrated health system across Cardiff and Wales ensuring patient safety, governance, quality assurance, performance and excellent delivery of all services.

Our Structure

  • Our organisation is structured and designed into seven Clinical Boards which cover our four main service areas and much more. They are:
  • Children and Women’s Clinical Board
  • Clinical Diagnostics and Therapeutics
  • Medicine Clinical Board
  • Mental Health Clinical Board
  • Specialist Services Clinical Board
  • Surgery Clinical Board
  • Primary, Community and Intermediate Care Clinical Board

The Clinical Boards were created in June 2013 and have been successful in providing strong leadership in clinical areas and have resulted in the acceleration of operational decision making, greatly enhancing the outcomes for patients in their care. The Boards are held to account via the Executive Directors and a process of scrutiny is ensured through monthly performance boards and a robust authorisation process.  

A Great Place to Live and Work

Cardiff really is a city of contrasts. A castle with 1900 years of history stands alongside a modern shopping centre and a spectacular Civic Centre surrounded by acres of parkland.

The Cardiff Bay development has created eight miles of waterfront with a range of new apartments, bars and restaurants.

For those seeking more culture there is easy access to the National Museum and Gallery Cardiff, the Museum of Welsh Life and the Wales Millennium Centre, home of the Welsh National Opera.

Situated to the west of Cardiff, the Vale of Glamorgan offers a mixture of gentle rolling hills, charming towns and villages, and a dramatic natural coastline which includes part of the Glamorgan Heritage Coast.

Surrounded by areas of outstanding natural beauty, with the Brecon Beacons National Park, Swansea Gower Peninsula and the picturesque Vale of Glamorgan all nearby, Cardiff really does have it all.

Housing is reasonably priced, and our schools offer a high standard of education and facilities.

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