Aneurin Bevan University Health Board

Specialty Doctor in Frailty/Intermediate Care

The closing date is 02 December 2025

Job summary

An exciting opportunity exists as part of the Health Board's Clinical Futures model and redesign work within Frailty/Intermediate Care. The Frailty Service is a multi-disciplinary service within the Primary Care and Community Division, centred on providing people with care and/or treatment close to home, promoting independence via reablement teams. The aim of the service is to reduce unnecessary hospital admission by providing safe alternate pathways and minimising hospital stay by facilitating early and safe discharge.

The redesign of services for older and/or frail people means that you will be joining the Primary Care and Community Services Division at a once in a generation era, helping to develop a 'best in class' Frailty/Intermediate Care service model.

ABUHB is an innovative Health Board, packed with ambition and is an excellent place to continue developing yourself professionally. These posts allow for training opportunities in Medicine and Community Medicine within the Gwent locality.

At ABUHB we are extremely proud of our workforce, a large number of whom are International Medical Graduates. Supporting our medical workforce is paramount and we have exciting plans, some of which are dedicated to specifically targeting the needs and concerns of the IMG but all events are open to any doctor who wishes to attend.

Main duties of the job

All posts are based in the community and flexible working plans afford aspirants the opportunity to participate in the management of community inpatients, Same Day Emergency Services, community wards and community Frailty Units.

Further training can be developed depending on your specific needs including palliative care, mental health and specialty clinics.

The opportunity to expand your skills and knowledge of the community through rotation across the boroughs is also advocated and encouraged.

ABUHB is highly flexible in respect of career progression, for example the MRCP(UK). We actively support doctors who may wish to pursue a CESR route for specialist registration. Audit and QI projects are a requirement of the post and we have close links with Cardiff University should you want to be involved in research.

About us

Aneurin Bevan University Health Board is a multi-award winning NHS organisation with a passion for caring. The Health Board provides an exceptional workplace where you can feel trusted and valued. Whatever your specialty or stage in your career, we have opportunities for everyone to start, grow and build your career. The health board provides integrated acute, primary and community care serving a population of 650,000 and employing over 16,000 staff.

We offer a fantastic benefits package and extensive training and development opportunities with paid mandatory training, excellent in-house programmes, opportunities to complete recognised qualifications and professional career pathways including a range of management development programmes. We offer flexible working and promote a healthy work life balance, provide occupational health support and an ambitious plan for a Wellbeing Centre of Excellence to support you at work.

Our Clinical Futures strategy continues to enhance and promote care closer to home as well as high quality hospital care when needed. Join us on our journey to pioneer new ways of working and deliver a world-class healthcare service fit for the future.

Details

Date posted

18 November 2025

Pay scheme

Hospital medical and dental staff

Grade

Specialty Doctor

Salary

Depending on experience £62,117 - £99,216 per annum, pro rata for part time

Contract

Permanent

Working pattern

Full-time

Reference number

040-SD315

Job locations

Monmouthshire Community Resource Team

Chepstow Community Hospital, Tempest Way

Chepstow

NP16 5YX


Job description

Job responsibilities

  • To support the Frailty/Intermediate Care team on a day-to-day operational basis and carry a clinical caseload
  • To focus on providing a 'hospital at home' model of care, 7 days a week, 12 hours a day, as part of the Monmouthshire integrated service
  • To be responsible for the co-ordination and management of patients in the community and in community hospitals under the supervision of the Consultants and/or in close liaison with General Practitioners
  • To provide medical support for health and social care services that make up the Frailty/Intermediate Care service.
  • To work closely with the Consultants and the Directorate Manager to deliver effective and appropriate intermediate care services to residents of the borough
  • To play a key role in discharge planning, co-ordinating approaches with relatives and other agencies
  • To liaise with patients and relatives/carers and members of the multi-disciplinary team to ensure patients receive a high-quality service and are kept informed of progress as appropriate
  • To be responsible for contemporaneous record-keeping, identifying progress and plans in the patient's case notes
  • To participate in virtual ward rounds, facilitating Falls multidisciplinary meetings and Consultant ward rounds
  • To participate in Frailty initiatives, rapid access and co-geriatric clinics
  • To actively use the Direct Admission pathway to community hospitals to avoid unnecessary acute admissions to emergency departments.
  • To complete accurate and timely discharge summaries, progress reports and ensure General Practitioners are informed of any impending discharges, changes of medication and death.
  • To assist the Consultants in the development of community, in-patient (step-up/step-down) and outpatient-based services
  • To actively participate in multi-disciplinary audit, clinical effectiveness/health gain initiatives, clinical governance, local clinical audit activities and develop research projects, as appropriate
  • To support the pan Gwent clinical model of the Gwent Frailty programme.

Job description

Job responsibilities

  • To support the Frailty/Intermediate Care team on a day-to-day operational basis and carry a clinical caseload
  • To focus on providing a 'hospital at home' model of care, 7 days a week, 12 hours a day, as part of the Monmouthshire integrated service
  • To be responsible for the co-ordination and management of patients in the community and in community hospitals under the supervision of the Consultants and/or in close liaison with General Practitioners
  • To provide medical support for health and social care services that make up the Frailty/Intermediate Care service.
  • To work closely with the Consultants and the Directorate Manager to deliver effective and appropriate intermediate care services to residents of the borough
  • To play a key role in discharge planning, co-ordinating approaches with relatives and other agencies
  • To liaise with patients and relatives/carers and members of the multi-disciplinary team to ensure patients receive a high-quality service and are kept informed of progress as appropriate
  • To be responsible for contemporaneous record-keeping, identifying progress and plans in the patient's case notes
  • To participate in virtual ward rounds, facilitating Falls multidisciplinary meetings and Consultant ward rounds
  • To participate in Frailty initiatives, rapid access and co-geriatric clinics
  • To actively use the Direct Admission pathway to community hospitals to avoid unnecessary acute admissions to emergency departments.
  • To complete accurate and timely discharge summaries, progress reports and ensure General Practitioners are informed of any impending discharges, changes of medication and death.
  • To assist the Consultants in the development of community, in-patient (step-up/step-down) and outpatient-based services
  • To actively participate in multi-disciplinary audit, clinical effectiveness/health gain initiatives, clinical governance, local clinical audit activities and develop research projects, as appropriate
  • To support the pan Gwent clinical model of the Gwent Frailty programme.

Person Specification

Experience

Essential

  • As per person specification

Desirable

  • As per person specification

Qualifications

Essential

  • As per person specification

Desirable

  • As per person specification

Skills & Abilities

Essential

  • As per person specification

Desirable

  • As per person specification

Personal Attributes

Essential

  • As per person specification

Desirable

  • As per person specification
Person Specification

Experience

Essential

  • As per person specification

Desirable

  • As per person specification

Qualifications

Essential

  • As per person specification

Desirable

  • As per person specification

Skills & Abilities

Essential

  • As per person specification

Desirable

  • As per person specification

Personal Attributes

Essential

  • As per person specification

Desirable

  • As per person specification

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).

Additional information

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).

Employer details

Employer name

Aneurin Bevan University Health Board

Address

Monmouthshire Community Resource Team

Chepstow Community Hospital, Tempest Way

Chepstow

NP16 5YX


Employer's website

https://abuhb.nhs.wales/ (Opens in a new tab)

Employer details

Employer name

Aneurin Bevan University Health Board

Address

Monmouthshire Community Resource Team

Chepstow Community Hospital, Tempest Way

Chepstow

NP16 5YX


Employer's website

https://abuhb.nhs.wales/ (Opens in a new tab)

Employer contact details

For questions about the job, contact:

Clinical Director and Consultant Geriatrician

Dr Kathryn Davies

Kathryn.Davies@wales.nhs.uk

01443802246

Details

Date posted

18 November 2025

Pay scheme

Hospital medical and dental staff

Grade

Specialty Doctor

Salary

Depending on experience £62,117 - £99,216 per annum, pro rata for part time

Contract

Permanent

Working pattern

Full-time

Reference number

040-SD315

Job locations

Monmouthshire Community Resource Team

Chepstow Community Hospital, Tempest Way

Chepstow

NP16 5YX


Supporting documents

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