Betsi Cadwaladr University Health Board
Specialty Registrar in Paediatrics.
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Specialty Registrar in Paediatrics.
Clinical Fellow (Tier 1) in Acute Paediatrics and Neonatology – Wrexham Maelor Hospital
Job Overview
Applications are invited for the post of Clinical Fellow (Tier 1) in Acute Paediatrics and Neonatology, based at the Wrexham Maelor Hospital. As part of a busy and dynamic department, this role offers a mission to deliver high-quality care to local children and young people, with strong collaboration between consultants, specialist paediatric nurses, and tertiary centres like Alder Hey Children’s Hospital, Liverpool.
The post is available immediately.
Department & Facilities
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Paediatric Ward:
- ~5,000 annual admissions (2,600 emergency)
- 22 beds, including 1 high-dependency bed and 2 en-suite oncology cubicles
- Assessment Unit operational:
- 0700–2100 (weekdays)
- 0900–1800 (weekends)
- Manages ENT, trauma/orthopaedics, urology, and general surgical cases (elective and emergency)
- Joint care with surgical teams for paediatric emergencies
-
Neonatal Unit:
- Self-sufficient for premature babies ≥27 weeks gestation
- Transfers infants <27 weeks to higher care
-
Additional Support:
- Regular teaching sessions
- Joint Radiology meetings
- Proactive coverage of annual leave, study leave, and statutory days
Team Composition
The Paediatric team at Wrexham consists of:
- 10 consultants
- 11 Tier 2 Fellows
- 13 Tier 1 Fellows (total)
Main Responsibilities
Clinical Duty Scale
- Daily & Ongoing Care (ward admissions + outpatient follow-up)
- Consultant-level responsibility for patients, shared across 13 Tier 1 Fellows (2 supporting neonatal unit, 11 guiding paediatric/outpatient duties)
- On-call structure:
- Night duty: 1 Fellow on shift
- Day cover: 2 Fellows on-call
- Regular rotation ensures fair coverage
- Out-of-hours structure:
- 1:8 on-call model (covered)
- Weekday/weekend nights and long shifts
- Shift length: ~12.5 hours (on-call)
- Day shifts: 8 hours
- 1:8 on-call model (covered)
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Person Specification
Qualifications (Essential Criteria)
- Fully GMC-registered Medical Practitioner
Desirable Qualifications
- MRCPCH (Parts 1A+1B)
Experience (Essential Criteria)
- minimum 1 year of full-time working experience in:
- General Paediatrics
- Neonatal care
- Relevant background must be clearly documented in applications; assessed during interviews
Desirable Experience
- UK practice experience
- ST-level (post-Foundation) paediatric/neonatal experience
- Completed/remain committed to:
- Advanced Paediatric Life Support (APLS)
- Newborn Life Support (NLS)
- Child Protection Courses
Skills & Abilities (Essential Criteria)
- Clinical competence:
- Examine normal children while rapidly recognising illness signs
- Manage sick paediatric cases without immediate supervision (with safety self-awareness)
- Communication skills: oral and written (e.g., clear report drafting)
- Time management
- Collaborative working across multi-disciplinary teams
Desirable Skills
- Independence: Proven ability to lead decisions unsupervised
- Reporting: Professional writing experience
- How to stand out:
- Motivation to audit, research, or teach
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Audit & Continuing Professional Development (CPD)
Essential Criteria:
- Understanding of the audit cycle
- Commitment to participate in research/audit activities
- Willingness to tackle teaching (e.g. trainees)
- Evidence of directed CPD efforts
Desirable:
- Published/reported audit or research projects
- Formal training in audit/research design, or teaching methods
Organisational Fortunes
About Working With Betsi Cadwaladr University Health Board (BCUHB) North Wales
If you thrive on challenges, have a passion for patient care, or simply crave a fresh start, BCUHB (the largest NHS provider in Wales) is looking for energetic professionals like you.
- Serving ~700,000 people across North Wales
- Empowered through engaged leadership and a commitment to equality & diversity
- Part of the Disability Confident Employer scheme
Key benefits:
- Dynamic support structures to align with our Organisational Values and ‘Proud to Lead’ competence framework
- Culture that welcomes diversity and provides world-class development opportunities
Application Notes
- Applications can be in Welsh or English
- Correspondence via the submitted email address
- Successful candidates will receive all recruitment communications email-only (regulate your inbox!)
Proud to Contribute (Key Values)
✔ Delivering exceptional healthcare ✔ Promoting dignity, rights, and inclusion ✔ Ethical practices in audit/research (cohort adoption!)
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