Job summary
Powys Teaching Health Board is delighted to offer new substantive Specialty Doctor posts within the developing Clinical Oversight Medical Model for community inpatient and interface services. These posts provide a unique opportunity to work in one of the most beautiful and distinctive parts of Wales, supporting patients across community hospital, inpatient rehabilitation, frailty, urgent-care and care-closer-to-home pathways.

The successful candidates will join dynamic, supportive multidisciplinary teams based in Powys, with posts aligned to the South Powys hub at Brecon

Although these are community-facing and multidisciplinary posts, they offer a unique and well-balanced mix of clinical duties. The post holders will have regular commitments across community inpatient care, frailty, rehabilitation, urgent-care interfaces and acute-sector liaison, including opportunities to develop cross-border working skills with acute providers in Wales and England.

Working as part of a consultant-led medical team, the post holders will contribute to daily inpatient review, MDT working, discharge coordination, repatriation from acute hospitals, community-facing care and the development of safe local alternatives to unnecessary acute escalation.

Main duties of the job

• Responsibility for inpatient admission, day-to-day management, co-ordination of inpatient management under the supervision of the Consultant and/or in close liaison with community teams.
• Key role in discharge planning and co-ordinating approaches with relatives and other agencies.
• Liaison with patients and relatives/carers and members of the multi-disciplinary team to ensure the patients receive a high-quality service and are all kept informed of progress as appropriate.
• Responsibility for contemporaneous record keeping, identifying progress and plans in patients' case notes.
• Participation in Consultant rounds and facilitating multidisciplinary meetings.
• The completion of accurate and timely discharge summaries, progress reports ensuring General Practitioners are informed of any impending discharges, changes of medication and death.
• To assist Consultants in the development of inpatient, outpatient and community-based services.
• The completion of e-discharge summaries on a timely basis via the Clinical Workstation system.
• To actively participate in multi-disciplinary audit, clinical effectiveness/health gain initiatives and clinical governance, taking a lead in local clinical audit activities and developing research projects, as appropriate.

About us
Being the smallest Heath Board in Wales means that you won't get lost in the crowd. Everybody at Powys Teaching Health Board is valued for the contribution they make to our varied and diverse portfolio of community-based services. Together, we can continue to make a real difference to our patients and build on our unrivalled reputation.

As a supportive and progressive employer, we actively encourage you to carve out a career with us, through a range of development pathways. We're also lucky enough to be situated in one of the most beautiful rural counties in Britain, let alone Wales! Achieving a healthy 'life work' balance is essential, and something we recognise by prioritising your well-being.

To start your journey with us, and to learn more about what we can offer you please visit: https://pthb.nhs.wales/working-for-us/. There you will find information about our benefits and values, read staff experiences and more about what our beautiful county has to offer.

Job responsibilities

• These are exciting posts for doctors who want to work in clinically meaningful roles, contribute to the development of a new service model, and be part of a team improving care for rural communities.
• We would particularly welcome applications from Welsh speakers; but even if you dont speak any Welsh, or want to develop your skills, dont worry: the health board will support you with training.
• You will be able to find a full Job description and Person Specification attached within the supporting documents or please click Apply now to view in Trac.
• We reserve the right to close this advert early if suitable and sufficient applications have been received. Please ensure you complete your application at your earliest convenience

Person Specification
Qualifications

• MBBS or equivalent medical qualification.

Desirable

• MRCP(UK), Diploma in Geriatric Medicine or other relevant postgraduate qualification.

Eligibility

• Full GMC registration with a licence to practise at time of appointment. At least 4 years full-time postgraduate training or equivalent, with at least 2 years in relevant specialty training or equivalent experience / competencies. Eligibility to work in the UK.

Desirable

• Previous Specialty Doctor / SAS experience in medicine for older people, rehabilitation or community medicine.

Clinical Skills

• Safe clinical practice, sound clinical judgement, risk awareness, ability to prioritise clinical need and recognise when to seek consultant support. ALS or willingness to maintain relevant acute care competencies.

Desirable

• Experience of community hospital, rehabilitation, frailty, stroke, palliative care, delirium, falls, Parkinsons disease, syncope or complex discharge planning.

MDT & Communication

• Effective communication with patients, families and colleagues. Proven ability to work with nursing, therapy, pharmacy, mental health, primary care and operational colleagues.

Desirable

• Experience of family meetings, best-interest processes, remote advice or multi-agency discharge planning.

Clinical Governance & Quality

• Commitment to clinical governance, audit, quality improvement, incident learning, documentation and safe escalation.

Desirable

• Evidence of completed audit / QI project or service development work.

Teaching & Development

• Commitment to CPD, appraisal and professional development. Willingness to support teaching of junior, nursing, ACP, AHP and MDT colleagues within competence.

Desirable

• Teaching experience or interest in simulation / frailty education.

Pwesonal Atrributes

• Reliable, flexible, compassionate, organised, able to work autonomously within agreed supervision and aware of own limitations.

Desirable

• Welsh language skills or commitment to supporting bilingual service standards.

Disclosure and Barring Service Check
This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

Certificate of Sponsorship
Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).

From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).

UK Registration
Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.
Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).
From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).
Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).