Betsi Cadwaladr University Health Board
Consultant Physician with an interest in Acute Medicine

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Consultant Physician with an interest in Acute Medicine
Job Opportunity: Acute Consultant (General Medicine) – Wrexham Maelor Hospital
Job Overview
The Acute Consultants at Betsi Cadwaladr University Health Board (BCUHB) play a vital role in delivering coordinated acute care across Wrexham Maelor Hospital, including the Acute Medical Unit (AMU), Emergency Department (ED), Ambulatory Emergency Care (AEC), Trolley Bay, and Assessment/Short Stay Wards. Their responsibilities encompass:
- Providing clinical oversight for acutely unwell patients.
- Ensuring continuity of care across post-take, day-take, and ED accreditation processes.
- Offering senior cover across the Acute Medicine footprint through a flexible, weekly rotation (ensuring variety and patient continuity).
- Collaborating with a specialist frailty team, ED department, and multidisciplinary team (MDT) to optimise patient pathways.
- Supporting medical training, audit activities, clinical governance, and service developments.
The team comprises six substantive Acute Physicians (with subspecialty interests in Respiratory Medicine, Nephrology, General Practice, Clinical Pharmacology, and Diagnostics) and two long-term locums, including an accredited FAMUS trainer.
Core Responsibilities
- Provide Acute Clinical Consultant services across Wrexham Maelor Hospital, covering inpatients, post-take, and ED.
- Lead ambulatory care pathway development, in-reach services, and admission avoidance initiatives with Primary Care.
- Participate in GIM out-of-hours rotations for cover.
- Attend departmental meetings, QIP/audits, and Clinical Governance activities (including appraisals/applications for revalidation).
- champion teaching/supervisory roles for undergraduate/postgraduate medical staff.
- Deliver high-level senior leadership for trainees and healthcare professionals.
- Offer clinical care at the "front door" (AEC, Trolley Bay) while enhancing multidisciplinary collaboration.
- Contribute to service development, including process efficiencies and training.
About Our Organisation
Betsi Cadwaladr University Health Board (BCUHB) is Wales’ largest health organisation, delivering a comprehensive services portfolio covering:
- Primary care, community, mental health, acute, and specialist services across 3 acute hospitals, clinics, GP practices, dentistry, and pharmacy networks.
- Below £2.4bn budget and over 20,000 staff dedicated to integrated, patient-centred care in partnership with public and third-sector allies.
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Position Details
Main Duties
- Frontdoor-AMC-Dedicated service delivery (AEC, Rapid Assessment)
- AMCA Care emergency assessments (AMC support).
- Thats to day/night (take), rapid assessment.
- A breakdown of whole service responsibilities.
Job Duties
Administrative and Clinical Governance
- Provide an Acute Consultant service at Wrexham Maelor Hospital.
- Develop ambulatory care pathways, in-reach, and community/primary care liaison to reduce avoidable admissions.
- Actively contribute to GIM out-of-hours services.
- Attend departmental meetings, audit cycles (QIP/QA), and governance obligations (e.g. revalidation).
- Lead appointments preparation for the appropriateness board.
- Support staff/patient handover documentation and smooth transitions between ED and AMU.
Trainee and Professional Development
- Rapid, concise written and verbal feedback for role model program reports.
- Supervise and mentor medical students and foundation/specialty trainees alongside "EMBS"–style med school assessments.
- Host ground tours or corridor management to foster team working and communication skills.
Education and Teaching
- Deliver academic studies such as revalidation portfolio portfolios component, research papers, evidence-based reviews, and present quality improvement initiatives or service developments.
- Aid in harmonizing patient pathways from ED to AMU/Sub-Acute Provider Offices.
Team Collaboration and Leadership
- Liaise with MDT members (ED, frailty team, primary, medical subspecialists).
- Participate in pecha-kucha and formal quality discussions.
Qualifications
Esential
- Primary Medical Qualification: MBBS or equivalent.
- MRCP or equivalent.
- Full GMC Registration in General Internal Medicine (GIM) or Acute Medicine (AIM)/Target Firm of Entry.
- Must hold substantive GMS/AM equivalent registration at the time of interview (with candidates applying CESR pathway not eligible).
- Applicants eligible for full GMC like MUST hold ** Specialist Registration prior to interview stage **if listed right standards.
Desirable
- Postgraduate qualifications (e.g. *MD/PhD).
Experience


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Essential
- Experience within an NHS setting.
- Effective collaboration in a multidisciplinary team/scenario setting.
- Appreciation of clinical audit, QIP, or pathway development equivalents.
- Proven assessment capacity (e.g. End of Placement Toolkits, ward experience, formal ARCPs).
Desirable
- Professional sub-specialty involvement in areas like Cardiology, Stroke, Frailty, Gastroenterology, Critical Care, GIMs.
Knowledge and Skills
Essential
- Strong leadership, people-management (junior healthcare teams) and professional development skills.
- Demonstrated ability to work collaboratively in a multidisciplinary environment.
- Exceptional oral and written communication skills.
- Organisational skills proven through optimal supervisory structures/relationship.
- Evidence of CPD, research reports, pathway support, and educational contributions to Acute Medicine teaching programs.
- Commitment to ** NHS Wales national reforms /'right place' availability** and organisational goals.
- Enthusiasm for innovative clinical improvements.
- Strong interpersonal communication with ability to influence designs.
Desirable
- Peer-reviewed manuscripts or medical education qualifications.
- Trainee educators network leadership or evidence-based reviews/resource sharing credits (e.g. national presentations).
- Clinical active research or funded projects.
Additional Requirements
Essential
- Ability to work under stress/urgency demand/chaotic environments.
- Tolerant, supportive, professional ambassador/external advance.
- Demonstrates ethos of BCUHB culture (e.g. visibility, proactive questioning).
- Ethics compliant with principles of human-subjects Organisational Values and Timely Compliance (benefits alignment).
Desirable
- Basic Welsh language capability or cultural/foreign language skills.
- Existing knowledge or commitment to NHS integrated care models.
Professional Development and Support
- Opportunities for career growth, teaching, supervision and collaboration.
- Regular performance discussions.
Contact for Informational Discussion
For informal inquiries on the role responsibilities, please reach out to:
- Dr James Kilbane, Chair: **Absolute Patient Core Mb ()
- Email: James.Kilbane@wales.nhs.uk
- Tel: 0300 847106
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