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Consultant in Acute Medicine

Wye Valley NHS Trust
£88,364 to £119,133 a year Dependent on experience
Closing date
20 Oct 2023

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Job Details

Want to help shape our department?

We are seeking a talented clinician to join our existing team of Acute Physicians, who can help drive forward our new department, whilst enjoying all the benefits of living and working in this fabulous corner of England. The Acute Medical Service has enjoyed considerable investment in recent years with the construction of an AMU in 2018 and a Same Day Emergency Care Unit completed in May of 2021.

Wye Valley Trust is always looking to improve services and our current focus is Early Senior Decision Making. We provide an environment where clinicians are supported and encouraged to try different ways of working to improve patient outcomes.

Want to be valued as a colleague?

We welcome specialty interests and skills and can accommodate flexible working. There are opportunities for management and education development. We offer 7.5 DCC and 2.5 SPA (for a 10PA job plan). In order to drive clinical improvement 1 DCC can be substituted for a development PA. We are fully supported by our Executive team in implementing innovative measures to promote excellent patient care.

Want to enjoy a better work-life balance?

Herefordshire is a beautiful county with excellent schools, affordable housing and good transport links to the rest of the country. The Trust recognises the importance of a good work-life balance and is keen to promote this.

This advert with close on October 18th 2023

Interviewdate will be confirmed

Main duties of the job

Principle Duties

  • To effectively manage those patients attending with medical conditions following attendance to the Emergency Department and those ambulatory patients on the SDEC Unit in conjunction with the other Emergency teams.
  • To work closely with Emergency Department Consultants to ensure assessment of emergency patients by a senior clinician within 1 hour of arrival.
  • To provide clinical leadership for development and delivery of a Blended Model of Emergency and Acute Physicians across teams sharing tasks, reducing duplication and improving the patient experience.


  • To share responsibility for the organisation and delivery of high-quality care to the people of Herefordshire and to work with other healthcare providers in this delivery.
  • To ensure timely and effective communication with all colleagues, including using the Trust's electronic discharge summary system.
  • The diagnosis, management and treatment of patients within the hospital
  • To provide responsibility for those patients within your realms of responsibility
  • To work in partnership with the wider medicine team for the clinical management of all the patients under the Consultant's care.
  • To contribute to the effective use of the inpatient beds including engaging in consultations regarding the admission and discharge processes of patients.
  • Special clinical interests: The post holder may in conjunction with the agreement of the Clinical Lead develop any other services or aspects of a service.

About us

Wye Valley NHS Trust is a member of an NHS Foundation Group with South Warwickshire NHS FT , the George Eliot Hospital NHS Trust and Worcestershire Acute Hospitals NHS Trust.

Located on the border with Wales in the shadow of the Black Mountains, we provide acute and community services across Herefordshire and into parts of Powys and run Hereford County Hospital and the community hospitals in Bromyard, Leominster and Ross-on-Wye.

Worcestershire is our neighbouring county. The post holder will be required to travel between sites.

We are a progressive and forward looking trust with ambitious plans to improve quality and integrate patient pathways through close collaborative working with our partners to deliver the quality of care we'd want for our family and friends.

More than 3,500 people work for the Trust - they tell us it's a great place to work, blending the busyness of a DGH with the benefits of working in a beautiful rural and unspoilt county like Herefordshire.

We can offer a great work-life balance and have a fine tradition of working with staff to help them achieve their full potential.

Russell Hardy, Trust Chairman: The strength of the Trust is its amazing staff a great place to work, a great place to develop your career and a great place to reach your potential.

Our values -Care, Accountability, Respect and Excellence - are at the heart of all we do. We believe in providing the right care in the right place at the right time...all the time.

Job description
Job responsibilities

The Acute Medicine team provide 12 hour cover Monday-Friday (0800-2000) and 7 day cover of the AMU. We are supported by an expanding team including two Acute Medicine Middle Grades, Clinical and Educational doctors, FY1s and a team of Advanced Clinical Practitioners.

Blended Acute and Emergency Workforce

As a Trust we are working towards a blended model comprising junior doctors and Advanced Clinical Practitioners to ensure safe and effective flow of patients and seamless working across the Emergency Department, SDEC and acute medicine. As a Senior Leader within the Trust we are looking for motivated and forward thinking engaging Clinical staff to work within the teams to develop and encourage this new way of working


The post holder will be expected to contribute along with his/her Consultant colleagues to the smooth running of the hospital services as a whole. This will include appropriate interaction with the management structures of the Directorate, the wider Trust and external stakeholders as necessary.

The successful applicant will provide expertise for Wye Valley NHS Trust and across the wider community to develop new clinical models of care for acute medical patients. This will include influencing the Herefordshire Public Health strategy.

Additionally, there will be an expectation to:

  • Participate in departmental consultant and senior staff meetings whilst remaining within the framework of the agreed strategy of the Trust and the Department
  • Attend other departmental, Divisional and Trust meetings as necessary

Supervision and Training

Educational and clinical supervision of doctors in Training and other Allied Health professionals is encouraged.

The post holder will be expected to take an active part in the training programme and teaching sessions. There is the opportunity to contribute to training events within the Directorate, and wider across the Trust and other services.

Continuing Professional Development, Mentorship, Induction

Continuing Professional Development is a requirement for all Trust consultants and Consultants are expected to maintain good standing with the Royal College CPD programme. The post holder will attend meetings, audit and academic events. He/she will maintain ongoing professional development and undergo annual appraisal.

Consultants new to the Trust are helped to identify a mentor and suitable mentors will be nominated.

Induction is arranged for all staff new to the Trust, both through the Trusts regular induction programme and in relation to the service with which they will work.

The consultant will participate in annual job planning with the Departments Clinical Lead and annual appraisal under the Trust appraisal process. The Consultant will ensure they are fit for revalidation.

Research & Audit

It is expected that the post holder will contribute to service-related audit and quality improvement projects with the support of the multi-disciplinary team and Trust audit department. Research interests will be encouraged. Post holders may wish to become involved in clinical trials if opportunities are available.

On-Call Responsibilities

On call responsibilities will move towards a 1:14 non-resident out of hours on call. The transition to this state will be subject to recruitment of new consultants.

Clinical Governance

To undertake all work in accordance with Wye Valley NHS Trusts procedures and operating policies

  • To adhere to the Trusts Adverse Clinical Incident Policy
  • To respond appropriately to complaints and critical incidents


The post holder will be immediately accountable to the Department Clinical Lead and subsequently the Divisions Associate Medical Director.

The post-holder has a general duty of care for their own health, safety and well-being and that of work colleagues, visitors and patients within the hospital. This statutory duty is in addition to any specific risk management or clinical governance accountabilities associated with the post.

Finally, the post-holder is expected to:

  • Observe the rules, policies, procedures and standards of Wye Valley NHS Trust together with all relevant statutory and professional obligations
  • Observe and maintain strict confidentiality of personal information relating to patients and staff
  • Be responsible, with management support, for their own personal development and to actively contribute to the development of colleagues

Person Specification

  • Full GMC registration with licence to practise, and on the specialist register in Acute Medicine or GIM with proven skills and up-to-date experience in acute medicine
  • Or CCT or CESR (CP) (proposed CCT/CESR (CP) date must be within 6 months of interview
  • CESR
  • European Community Rights


  • Additional degrees, diplomas or postgraduate thesis relevant to the specialty.


  • Acute G(I)M experience through most or all of training.


  • Acute G(I)M experience through most or all of training.
  • Experience in a specialist interest that will complement those of other staff
  • A dedicated period of training working in a community setting, including leadership and organisation


  • Evidence of participation in Audit and Clinical Governance Programmes
  • Ability to manage and lead a clinical team


  • Evidence of formal management training
  • IT skills including database management and word processing skills




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