Job overview

The Geriatric Medicine / Care of the Elderly (COTE) services in Glan Clwyd Hospital are based on two 24-bedded COTE wards (Wards 1 & 2). 12 beds in ward 14 offers all elements of acute stroke care, including 24/7 out-of-hours stroke thrombolysis and access to a thrombectomy service. Stroke rehabilitation is undertaken in the Stroke Specialist In-patient Rehabilitation Unit (SSIR) in the Llewelyn Ward in Llandudno General Hospital. The acute stroke service is facilitated by 3.5 Stroke Specialist Nurses. TIA clinics are held 4 days a week. The orthogeriatric service is supported by a consultant geriatrician and the specialist doctor in COTE in liaison with a middle-grade doctor and a Physician Associate working in liaison with the orthopaedic department. The Consultant Physicians in Geriatric Medicine in Glan Clwyd Hospital have responsibility for managing inpatient services at 3 community hospitals: Colwyn Bay Hospital, Denbigh Infirmary and Holywell Community Hospital

Main duties of the job

• Provide Consultant input to 10-12 beds in a 24-bedded COTE ward (Ward 1) in Glan Clwyd Hospital along with other consultant colleagues based in that ward. The ward is supported by 1 SpR, 1 GP trainee, 1 IMT and 2 FY doctors.
• Attend the ward’s Board Rounds to discuss patient’s management and discharge plans along with the junior doctors and multi-disciplinary team.
• Outpatient clinics / specialty clinic: A standard template will include 2 new and 5 follow-ups.
• Have continuing responsibility for the care of patients under their care in liaison with Consultant colleagues, allowing for proper delegation to, and training of staff. The post holder, in liaison with Consultant colleagues, will have responsibility for the proper functioning of the department in line with the operational policy/Strategic Plan of COTE and BCUHB. 
• Participate in a 1:18 acute medical on-call rota with prospective cover (1 additional DCC) and post-take ward rounds. The ward’s Consultant Physician teams look after medical patients admitted to the medical wards. The post holder will be expected to act as Educational or Clinical Supervisor for junior medical staff assigned to them, over seeing their training and offering advice for doctors regarding their careers, within the guidelines of the specialist bodies and the Royal Colleges

Working for our organisation

Betsi Cadwaladr University Health Board is the largest health organisation in Wales, providing a full range of primary, community, mental health and acute hospital services for a population of around 676,000 people, across the six counties of North Wales (Anglesey, Gwynedd, Conwy, Denbighshire, Flintshire and Wrexham). Some areas of Mid-Wales, Cheshire and Shropshire are also covered by the Health Board.

The Health Board employs around 16,500 staff and has a budget of around £1.4 billion. It is responsible for the operation of three district general hospitals (Wrexham Maelor Hospital, in Wrexham, Ysbyty Glan Clwyd near Rhyl, and Ysbyty Gwynedd in Bangor) as well as 22 other acute and community hospitals and a network of over 90 health centres, clinics, community health team bases and mental health units. The Heath Board also coordinates the work of 121 GP practices and NHS services provided by North Wales' Dentists, Opticians and Pharmacies.

Situated in the Northern most aspect of Wales, the Health Board lies at the edge of the beautiful Snowdonia National Park and spans a huge and diverse geographical area. North Wales also boasts some of the UKs most varied and spectacular coastline, offering unparalleled opportunities to engage with outdoor activities in an area of outstanding natural beauty.