Working Full time: 40 hours per week
The Orthogeriatric Specialty Doctor will deliver high-quality, patient-centred medical care to older adults admitted with hip and other fragility fractures. as part of the Orthogeriatric and Trauma & Orthopaedic teams, the post holder will provide comprehensive geriatric assessment, peri-operative medical optimisation, management of frailty and complex comorbidities, and support rehabilitation and discharge planning.
The post holder will contribute to the delivery of the orthogeriatric service, helping to improve patient outcomes, reduce length of stay, and ensure effective multidisciplinary working across acute and community care pathways for orthogeriatric patient.
Working across both the Division of Medicine and the Division of Planned Care, working hours 8-4am to support MDT working and attendance at trauma meeting participating in hip fracture MDTs.
Provide high-quality pre/post-operative medical care for older adults with fragility and periprosthetic fractures under consultant supervision.
Undertake Comprehensive Geriatric Assessments (CGA) to optimise frailty, comorbidities and geriatric syndromes throughout the patient pathway.
Work with Trauma & Orthopaedic, Anaesthetic and multidisciplinary teams to support timely surgery and improve patient outcomes.
Participate in consultant-led ward rounds, assessing, investigating and managing orthogeriatric patients.
Assess and manage falls risk, polypharmacy, cognitive impairment, delirium, osteoporosis and other age-related conditions in line with national guidance. Contribute to rehabilitation, discharge planning and care coordination, supporting safe and timely discharge in accordance with NHFD standards. Provide specialist medical advice to Trauma & Orthopaedic colleagues and contribute to secondary fracture prevention initiatives.
See other orthopaedic patients requiring medical input upon referral.
Drive proactive family discussions regarding ceilings of care and emergency health care planning
The Trust’s services are provided from three locations:
- The Countess of Chester Hospital: providing 473 general and acute beds.
- Ellesmere Port Hospital: providing 60 beds as a rehabilitation, intermediate and outpatient facility.
- Tarporley War Memorial Hospital: a base for community services which serve the local rural population.
The Countess of Chester Hospital NHS Foundation Trust employs 5,964 staff (headcount) to provide care and treatment to a population of over 400,000 people living in Chester and West Cheshire which includes Ellesmere Port and Neston as well as the Deeside area of Flintshire.
The Trust works collaboratively within the wider Cheshire and Merseyside Integrated Care System. Due to its location on the border with North Wales, the Trust also works closely with the Betsi Cadwaladr University Health Board.
The Trust treats patients from England and some parts of Wales. During 2024/2025, there were approximately 643,000 patient attendances (inpatient, A&E, outpatient and diagnostic) ranging from a simple outpatient appointment to major cancer surgery
For further details / informal visits contact: Name: Dr Sally Graham Job title: Care of the Elderly Consultant Email address: sally.graham5@nhs.net Telephone number: 01244 362168
Mr Rohit Singhal – Consultant in Trauma and Orthopaedics
rohit.singhal@nhs.net Tel: 01244 366379
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