Trust Specialty Registrar in Geriatric Medicine | London North West University Healthcare NHS Trust
| Posting date: | 19 March 2026 |
|---|---|
| Salary: | Not specified |
| Additional salary information: | £44,170 - £67,610 per annum |
| Hours: | Full time |
| Closing date: | 23 April 2026 |
| Location: | Harrow, HA1 3UJ |
| Company: | London North West Healthcare NHS Trust |
| Job type: | Contract |
| Job reference: | 7820063/337-MS-1941-NP |
Summary
Trust Specialty Registrar in Geriatric Medicine
The post holder will hold a post of Trust specialty registrar in Geriatric Medicine at London North West University Healthcare NHS Trust based at Ealing Hospital.
Our collective goal is to provide excellent care for our frail older patient in hospital and back home. We aim to treat acute illness appropriately, to enhance quality of life, to reduce disability, recognise when life is nearing its end, and to provide individualised person-centred care in the right setting at the right time.
The appointee will be responsible to the Divisional Director of Medicine for London North West University Healthcare NHS Trust and report to the Department of Medicine for Older People Clinical Lead.
The department
The Department of Medicine for Older People has a friendly and informal atmosphere where the resident doctors feel well supported and achieve their educational targets. We aspire to high standards of medical and nursing care, routinely assessing aspects of this with regular clinical auditing.
Regular involvement in clinical governance including morbidity and mortality meetings, audit, quality improvement and teaching will be expected.
To support in-patient care for patients on the Medicine for Older People wards at Ealing hospital.
· To work in the frailty service, focusing on comprehensive geriatric assessment for older people presenting to the Emergency Department with frailty syndromes.
· To contribute to outpatient care in clinics. These include movement disorder and general rapid access clinics for people with frailty syndromes.
· To work with the rest of the clinical and managerial team to support clinical governance, including contribution to morbidity and mortality meetings, quality improvements projects and clinical audit.
· To take an active part in undergraduate and postgraduate teaching, training and supervision
· To contribute to service development where relevant.
· The job will include liaising with and teaching nursing staff, health care assistants, therapists and other members of the multidisciplinary team. It will also include teaching medical students rotating through the ward, and teaching and contributing to the training of other resident doctors.
London North West University Healthcare NHS Trust (LNWH) cares for the people of Brent, Ealing, Harrow and beyond.
Our team of more than 8,200 clinical and support staff serve a diverse population of almost one million people.
We run major acute services at:
• Northwick Park Hospital: home to one of the busiest emergency departments (A&E) in the country. The hospital provides a full range of services including the country’s top-rated hyper-acute stroke unit and one of only three hyper-acute rehabilitation units in the UK
• St Mark’s Hospital: an internationally renowned specialist centre for bowel disease
• Ealing Hospital: a busy district general hospital providing a range of clinical services, as well as 24/7 emergency department and urgent care centre, and specialist care at Meadow House Hospice
• Central Middlesex Hospital: our planned care site, hosting a range of surgical and outpatient services and collocated with an urgent care centre.
We are a university teaching NHS trust, in recognition of the important role we play in training clinicians of the future and bringing the benefits of research to the public.
The appointee will clinically support more junior doctors rotating to the department. There is also an active educational programme, and all members of the Department of Older People’s team will be encouraged to attend and contribute.
As part of the recovery process following COVID we have remodelled the Ealing bed base. The acute floor now comprises of 2 wards on level 5 taking the majority of the unselected medical take. AMU is a 30-bedded acute inpatient ward based on 5 South and we have established a 23 bedded Older Persons Short Stay Unit based on 5 North. Here older patients with complex health needs are identified through frailty criteria and can be admitted directly under a team specialising in the management of older persons. 6 North is a 34 bedded unit for patients whose hospital stay may be longer and more medically complex.
Acute Frailty Service
There is an established Acute Frailty Service which comprises a Multidisciplinary Team based in ED and CDU giving rapid and responsive Comprehensive Geriatric Assessment to older patients with frailty at the front door. This service creates
individualised plans for patients with the aim to avoid admission if possible or reduce the length of stay if admission is required. There is opportunity to be involved with the Acute Frailty Service which involves leading the Frailty MDT (currently 2 Frailty Practitioners, one frailty nurse, one frailty OT, a frailty pharmacist and an SHO) to assess appropriate patients presenting ED and CDU.
OPRAC
The Older Persons Rapid Assessment Clinic (OPRAC) is a well-established service providing Comprehensive Geriatric Assessment in an outpatient setting. We have a mix of virtual and face to face appointments.
OPRAC is now combined with Ealing Acute Care Unit so that older patients with frailty, who have historically been excluded from ambulatory pathways can have access to same day emergency care (SDEC) – avoiding unnecessary and potentially harmful admissions. The post holder will be welcome to contribute to reviewing patients in OPRAC and gaining clinic experience.
To view the main responsibility, please see the attached Job Description and Person Specification
This advert closes on Thursday 2 Apr 2026