Senior CF Perioperative Geriatric Medicine & Geriatric Major Trauma | North Bristol NHS Trust
| Posting date: | 07 January 2026 |
|---|---|
| Salary: | Not specified |
| Additional salary information: | £65,048 - £73,992 pa pro rata |
| Hours: | Full time |
| Closing date: | 06 February 2026 |
| Location: | Bristol, BS10 5NB |
| Company: | North Bristol NHS |
| Job type: | Contract |
| Job reference: | 7721088/339-MED6292-KC-B |
Summary
Ongoing development of perioperative geriatric medicine and trauma services is a strategic objective for the Trust. The post-holder will contribute actively to a modern model of shared medical and surgical care for all older patients admitted with major traumatic injuries. This will involve day-to-day medical care for older patients admitted with head, spinal, thoracic, pelvic, and long bone injuries.
Outpatient clinic opportunities will also exist to support development of skills in enhanced medical pre-assessment of older patients requiring elective colorectal, vascular, complex orthopaedic and urological surgery.
The post would suit trainees in Geriatric or Acute General Medicine seeking to broaden their perioperative medicine experience. Alternatively, applications would be welcomed from candidates able to perform at senior clinical fellow grade who are in possession of full MRCP(UK) or equivalent international qualification.
The post holder will be supervised in every aspect of their role by substantive consultants (listed below) working in Perioperative Geriatric Medicine. The post holder will not routinely participate in unselected medical admissions during their fellowship, unless specific training needs are required (subject to agreement).
The post-holder’s timetable will be subject to agreement at induction and job planning. Appointees will be rotationally based on 25a (Major Trauma), 25b (Femoral Fracture) or 6b (Neurosurgery). Each area will be supervised by substantive geriatric trauma consultants.
The following example timetable gives an indication of possible clinical, QI and research activity on a weekly basis:
Monday
Tuesday
Wednesday
Thursday
Friday
08.00 – 09.15
Trauma meeting and ward reviews
Trauma meeting and ward reviews
Trauma meeting and ward reviews
Trauma meeting and ward reviews
Trauma meeting and ward reviews
09.15– 09.45
Board round
Board round
Board round
Board round
Board round
09.45 – 12.00
Trauma ward round
Trauma ward round
Trauma ward round
Trauma ward round
Trauma ward round
12.00 -16.00
Perioperative medicine clinic
Perioperative medicine referrals
QI/research
Admin and ward check in
Perioperative medicine referrals
North Bristol NHS Trust is one of the largest NHS organisations in the Southwest of England. It is a progressive and ambitious teaching and research organisation, and a specialist regional centre for major trauma, neurosciences, plastics and burns, orthopaedics, urology and renal services.
Our trust Board is committed to creating a strong, vibrant organisation that is at the forefront of healthcare delivery in the West of England. Our acute services moved into the brand new, £430 million state of the art Brunel Building in May 2014 enabling us to work together to create the environment for exceptional healthcare. This 800+ bed hospital at the Southmead site offers some patients single rooms with ensuite facilities, greatly improving privacy and dignity and helping to control the spread of infections but most importantly of all, enabling each patient to be treated as a person. At the heart of what we do is a caring and compassionate workforce.
The post holder’s Supervising Consultant will be Dr Andrea Joughin, or other substantive consultant working in perioperative geriatric medicine.
Learning Objectives
• Demographics and political landscape relevant to the older trauma and surgical patient
• National reports and policy drivers relevant to the older trauma and surgical patient
• Models and pathways of care for older trauma and surgical patients
• Risk assessment of perioperative morbidity and mortality (including use of tools) and investigations e.g. Cardiopulmonary exercise testing))
• Modification of risk including the use of organ specific national and international guidelines (e.g. European Society Cardiology)
• Use of inter-disciplinary and cross-speciality interventions to improve postoperative outcome (e.g. therapy delivered prehabilitation)
• Clinical assessment with appropriate use of investigations and tools to preoperatively risk assess for perioperative morbidity and mortality.
• Communication of risk with health professionals and patients/relatives
• Timely medical optimisation of comorbidity and geriatric syndromes
• Appropriate allocation of postoperative resources (e.g. use of level 2 and 3 care)
• Decision making regards rehabilitation, and timely and effective discharge pertinent to the surgical patient.
• Liaison with patients, anaesthetists and surgeons to ensure shared decision making.
• Application of ethical and biomedical approaches to ensure appropriate ceilings for escalation of care.
Clinical experience
The post would suit trainees in Geriatric or Acute/General Medicine seeking to broaden their perioperative medicine experience. Alternatively, applications would be welcomed from candidates able to perform at senior clinical fellow-grade who are in possession of full MRCP(UK), or equivalent qualifications. International applications will be welcomed from individuals able to fulfil the role.
The appointee(s) will:
• Support a shared model of trauma care for older patients admitted with pelvic, long bone, spinal, thoracic, abdominal or head trauma.
• Provide proactive comprehensive geriatric assessment of older people sustaining trauma, and/or undergoing surgery.
This advert closes on Friday 30 Jan 2026