Job overview

Applications are invited for this post based at the Wrexham Maelor District General Hospital. The appointee will make up a team of five Consultant Nephrologists contributing to a one in five renal on call rota. This post has arisen from plans to strengthen and improve our existing services and replace a colleague who has moved. The post holder would be part of the team providing a comprehensive renal service except for acute transplantation. We are responsible for around 130 haemodialysis in three dialysis units and in the region of 50 home therapies patients and 190 transplant patients. The Renal Ward has 25 beds including a four bed high care area. Acute dialysis and plasma exchange can be provided on the ward. As a Specialty training site with two specialty trainees we are keen that the post holder be actively involved in training and there is an opportunity to take on the practical skills lead within the department. Candidates with special interests in dialysis access, transplantation, and haemodialysis would be particularly welcomed.

Other sub-specialty interests would also be considered and we would like to emphasise the indicative job plan can be modified to suit the successful applicant. There is no GIM on call component but the post holder would be involved in the care of GIM inpatients.

Main duties of the job

• Deliver a consultant-led Nephrology service at Wrexham Maelor Hospital for the diagnosis and management of both outpatients and inpatients and maintenance renal replacement therapy patients.
• Work within a multidisciplinary team of healthcare professionals and managers to further develop local Nephrology Services, with a focus on improving in centre dialysis care.
• Management of the low clearance service along with the Chronic Kidney Disease (CKD) nursing staff.
• Take Consultant responsibility for allocated inpatients, with support from a designated team of junior doctors based on the Renal Ward.
• Contribute to the teaching and training of junior doctors and medical students. Many Consultants are educational and named clinical supervisors to junior doctors, and most Consultants are offered honorary undergraduate clinical teacher status with Cardiff University
• Partake in clinical governance meetings and processes. All Consultants are expected to be involved in regular clinical audit and quality improvement projects within their multidisciplinary team. 
• Participation in an open, no-blame culture with patient safety incident reporting, serious incident reviews and morbidity/mortality meetings is also expected.
• Follow the policies of the Health Board and Hospital, and attend mandatory training.

Working for our organisation

Betsi Cadwaladr University Health Board (BCUHB) is Wales’s largest health organisation, with a budget of over £2.4 billion and a workforce of over 20,000 staff.

BCUHB provides a full range of primary, community, mental health, acute and specialist hospital services for the population of North Wales, across 3 acute hospitals and a network of community hospitals, health centres, clinics, and mental health units. It also co-ordinates or provides the work of GP practices and NHS services provided by dentists, opticians, and pharmacists across the region.

The Health Board is an integrated health system that strives for excellent, compassionate care delivered in partnership with the public sector and other statutory and third sector organisations.