Consultant Geriatrician

Hereford, County of Herefordshire
27 Sep 2019
21 Oct 2019
Career Level
Clinical assistant
Contract Type
Full Time

We are a small but close-knit department who are keen to provide excellent care for the older patients within our catchment area. We have been developing systems and strategies for implementing and improving evidence-based practice relating to: acute admissions, stroke, dementia, and fractured neck of femur. We are keen to expand on this as personnel allow.

We have recently been awarded £23 million to build a bespoke frailty unit which will accommodate all of our frailty services in one centre. This will include our successful front door frailty team, ambulatory frailty pathway, short and long stay beds and ortho-geriatric service. This is an exciting development for our Trust and we would be looking for colleagues that are passionate about frailty, and developing our services for the benefit of our patients and their carers.

We are recruiting to increase the number of consultant geriatricians from 3 to 6 and are keen to appoint and support the right colleagues to continue this work. We are consequently prepared to be flexible about the departmental arrangements in accommodating the appointee’s sub-specialty interests and expertise. Both substantive consultants are aware of the challenges of balancing family life with working in the NHS.

The department is actively involved in research and has launched a collaboration with UCL (DELPHIC - Hereford) to develop a large population cohort of elderly people (currently 300, aiming > 1000) to determine the impact of delirium on cognitive and functional outcomes. Having a large study cohort gives our department a unique opportunity to conduct additional studies and would give the prospective candidate an opportunity to develop a genuine research interest whilst enjoying the benefits of working in a rural district general hospital.

The trust has participated/is participating in PDMED, PDGEN, PDCOMM and PDREHAB.

These new posts will participate in the overnight medical on-call rota on a 1:13 basis Monday to Thursdays only, daytime on calls are provided by the Acute Medicine department until 8pm. Specialty weekend working will be incorporated into the job plan with Saturday and Sunday working (8-5) on 1 in 6 weekends. After working at the weekend the consultant will have 1 day in lieu off which can be taken flexibly if desired. There is no overnight on-call commitment on Fridays, Saturdays or Sundays. On week days post-take review of new admissions to geriatric medicine beds will be part of the role. Annual leave will need to be coordinated within the department to ensure all roles can be covered with the expectation that all consultants would be able to have a 2 week holiday in the summer.

Herefordshire has the advantage of having one acute provider and one CCG. This allows close working relationships. The CCG is very supportive of Geriatric Medicine as Herefordshire has higher than average number of elderly. There is a Herefordshire Frailty Forum and we were in cohort 4 of the Acute Frailty Network. The trust has 1 PFI central DGH and 4 locality-based community hospitals.

Wye Valley NHS Trust is set in the heart of Herefordshire, a county which offers a unique quality of life combining the benefits of city living with a country lifestyle. Nestling in the shadow of England’s border with Wales, within Herefordshire’s varied landscape you can discover a bustling cathedral city, fine market towns, picturesque villages, ancient castles and churches, areas of woodland and agricultural areas that include cider apple orchards and hop yards. There are excellent schools, both state and independent. The major towns and cities close to Herefordshire, such as London, Birmingham, Oxford, Bristol, Cheltenham, Cardiff, Malvern and Stratford, as well as the two neighbouring cathedral cities of Worcester and Gloucester, are all easily accessible by road and rail.

To discuss this further or arrange a visit please contact:

Dr Emma Wales, Consultant Geriatrician and Clinical Lead, tel. 01432 355444 extn 5478

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