Specialty Doctor in Orthogeriatric Medicine

Job summary

Working Full time: 40 hours per week

The Orthogeriatric Specialty Doctor will deliver high-quality, patient-centred medical care to older adults admitted with hip and other fragility fractures. as part of the Orthogeriatric and Trauma & Orthopaedic teams, the post holder will provide comprehensive geriatric assessment, peri-operative medical optimisation, management of frailty and complex comorbidities, and support rehabilitation and discharge planning.

The post holder will contribute to the delivery of the orthogeriatric service, helping to improve patient outcomes, reduce length of stay, and ensure effective multidisciplinary working across acute and community care pathways for orthogeriatric patient.

Main duties of the job

Working across both the Division of Medicine and the Division of Planned Care, working hours 8-4am to support MDT working and attendance at trauma meeting participating in hip fracture MDTs.

Provide high-quality pre/post-operative medical care for older adults with fragility and periprosthetic fractures under consultant supervision.

Undertake Comprehensive Geriatric Assessments (CGA) to optimise frailty, comorbidities and geriatric syndromes throughout the patient pathway.

Work with Trauma & Orthopaedic, Anaesthetic and multidisciplinary teams to support timely surgery and improve patient outcomes.

Participate in consultant-led ward rounds, assessing, investigating and managing orthogeriatric patients.

Assess and manage falls risk, polypharmacy, cognitive impairment, delirium, osteoporosis and other age-related conditions in line with national guidance. Contribute to rehabilitation, discharge planning and care coordination, supporting safe and timely discharge in accordance with NHFD standards. Provide specialist medical advice to Trauma & Orthopaedic colleagues and contribute to secondary fracture prevention initiatives.

See other orthopaedic patients requiring medical input upon referral.

Drive proactive family discussions regarding ceilings of care and emergency health care planning

About us

The Trust's services are provided from three locations:

o The Countess of Chester Hospital: providing 473 general and acute beds.o Ellesmere Port Hospital: providing 60 beds as a rehabilitation, intermediate and outpatient facility.o Tarporley War Memorial Hospital: a base for community services which serve the local rural population.

The Countess of Chester Hospital NHS Foundation Trust employs 5,964 staff (headcount) to provide care and treatment to a population of over 400,000 people living in Chester and West Cheshire which includes Ellesmere Port and Neston as well as the Deeside area of Flintshire.

The Trust works collaboratively within the wider Cheshire and Merseyside Integrated Care System. Due to its location on the border with North Wales, the Trust also works closely with the Betsi Cadwaladr University Health Board.

The Trust treats patients from England and some parts of Wales. During 2024/2025, there were approximately 643,000 patient attendances (inpatient, A&E, outpatient and diagnostic) ranging from a simple outpatient appointment to major cancer surgery

Job responsibilities

See Job Description for further details.

Recruitment selection processes are based on competence (see Person specification) and values. An applicant guide to help and support you through your recruitment journey can be accessed at the bottom of this page.

If you have a disability that meets the definition set out in the Equality Act 2010, and you can show that you meet the essential criteria described in the person specification for an available position, please answer YES to the question: Do you wish to be considered under the Guaranteed Interview Scheme?

Please inform the team if you have any special support needs to be considered as part of the interview and selection processes.

The trust offers a Guaranteed Interview Scheme to any armed forces community applicants who meet the essential criteria for the post.

If a DBS is required for your role, you are encouraged to enrol for the DBS Update Service. A small annual fee applies which is payable to the DBS Service.Please note applicants will be required to pay for their DBS check. Costswill be deducted from their salary over the first three months of employment.

New entrants to the NHS will commence on the minimum of the scale stated above.

Applicants requiring sponsorship may wish to determine the likelihood of obtaining sponsorship for this position by assessing themselves against the criteria on the gov.uk website - https://www.gov.uk/check-uk-visa.

The Trust will not sponsor where the starting salary does not meet immigration rules

Applicants are advised to apply early as if a large number of applications are received for this post, we reserve the right to close the vacancy prior to the advertised date.

Good luck with your application.

Person specification

Experience

Essential

• Minimum 4 years post graduate medical training including at least two years specialty training in relevant post
• Experience in the Care of the Elderly

Qualifications

Essential

• Essential qualification is MBChB or equivalent
• MRCP Part 1 (UK) or equivalent
• Full Registration with the GMC at time of appointment and hold a current licence to practice
• Valid ALS

Desirable

• MRCP Part 2
• MRCP PACES