Consultant Physician with an interest in Renal Medicine in Wrexham

Applications are invited for this post based at the Wrexham Maelor District General Hospital. The appointee will make up a team of five Consultant Nephrologists contributing to a one in five renal on call rota. This post has arisen from plans to strengthen and improve our existing services and replace a colleague who has moved. The post holder would be part of the team providing a comprehensive renal service except for acute transplantation. We are responsible for around 130 haemodialysis in three dialysis units and in the region of 50 home therapies patients and 190 transplant patients. The Renal Ward has 25 beds including a four bed high care area. Acute dialysis and plasma exchange can be provided on the ward. As a Specialty training site with two specialty trainees we are keen that the post holder be actively involved in training and there is an opportunity to take on the practical skills lead within the department. Candidates with special interests in dialysis access, transplantation, and haemodialysis would be particularly welcomed. Other sub-specialty interests would also be considered and we would like to emphasise the indicative job plan can be modified to suit the successful applicant. There is no GIM on call component but the post holder would be involved in the care of GIM inpatients.

Main duties of the job

• Deliver a consultant-led Nephrology service at Wrexham Maelor Hospital for the diagnosis and management of both outpatients and inpatients and maintenance renal replacement therapy patients.
• Work within a multidisciplinary team of healthcare professionals and managers to further develop local Nephrology Services, with a focus on improving in centre dialysis care.
• Management of the low clearance service along with the Chronic Kidney Disease (CKD) nursing staff.
• Take Consultant responsibility for allocated inpatients, with support from a designated team of junior doctors based on the Renal Ward.
• Contribute to the teaching and training of junior doctors and medical students.
• Partake in clinical governance meetings and processes.
• All Consultants are expected to be involved in regular clinical audit and quality improvement projects within their multidisciplinary team.
• Participation in an open, no-blame culture with patient safety incident reporting, serious incident reviews and morbidity/mortality meetings is also expected.
• Follow the policies of the Health Board and Hospital, and attend mandatory training.

Working for our organisation

Betsi Cadwaladr University Health Board (BCUHB) is Wales’s largest health organisation, with a budget of over £2.4 billion and a workforce of over 20,000 staff. BCUHB provides a full range of primary, community, mental health, acute and specialist hospital services for the population of North Wales, across 3 acute hospitals and a network of community hospitals, health centres, clinics, and mental health units. It also co-ordinates or provides the work of GP practices and NHS services provided by dentists, opticians, and pharmacists across the region. The Health Board is an integrated health system that strives for excellent, compassionate care delivered in partnership with the public sector and other statutory and third sector organisations.

Person specification

Qualifications And Experience

• Essential criteria

• MB BS or equivalent
• MRCP (UK) or equivalent
• Full GMC Specialist Registration with a license to practice or within six months of obtaining a CCT at the time of the interview

• Other Higher Degree or Diploma e.g MD or PhD
• Additional specialist skills or experience such as a fellowship in Home Therapies or transplant Management course / qualification
• Departmental administration experience.
• Experience of rostering.

Skills And Knowledge

• Essential criteria

• An understanding of the Strategic and Operational issues underpinning Clinical Governance and their application in daily practice and evidence of such.
• An understanding of NHS management practices and their application and evidence of such.
• A willingness to partake actively in the management of any specialist interest of the appointee within the job.
• A willingness to attend and actively participate in the departmental management meetings.
• Ability to apply knowledge.
• Ability to write relevant, legible clinical notes.
• Safe and effective oral communication skills.
• Willingness to involve patients in their management.
• Ability to handle difficult interviews with patients or relatives with tact and sensitivity.
• Basic IT skills.

• Advanced IT Skills.

Research and Audit

• Essential Criteria

• Ability to access published evidence.
• Evidence of participation.
• Evidence of completed audit projects.

• Research-based publications.
• Critical appraisal course / skills.

Teaching and Training

• Essential Criteria

• Evidence of a commitment to teaching trainees.
• Evidence of teaching trainees.
• Evidence of commitment to Life Long Learning and Continued Professional Development.
• Member of Work orientated Specialist Societies.

• Evidence of teaching Nursing and Paramedical staff, medical students.
• Teaching course / qualification.

Additional Requirements

• Essential criteria

• A team player who values the individual contributions of a multi-disciplinary team.
• Evidence of the ability to work in stressful situations and/or when under pressure.
• Able to work ‘flexibly’ to meet the needs of the service.
• A willingness to work outside working hours at short notice in times of need.

• Willingness to undertake professional responsibilities at local / regional / national level.
• Welsh speaker or willingness to acquire a basic knowledge of the language.
• Ability to make timely travel arrangements.