Job overview
Consultant Geriatrician with a special interest in Orthogeriatrics.
Less than full time applications and job share enquiries are welcomed.
You will work within the Care of Older People (COOP) department. Your primary focus will be on delivering and developing the orthogeriatrics service, supporting trauma and orthopaedics in the management of frail older adults, particularly those presenting with fragility fractures including neck of femur. You will attend daily trauma meetings, undertake orthogeriatric ward rounds, and work closely with the multidisciplinary team to optimise patient care and discharge planning. The role will also include leadership of falls services, involvement in osteoporosis management, and delivery of outpatient clinics including post-NOF follow-up and community falls clinics.
You will also contribute to the acute medical take and support integrated working across acute and community services within the Trust.
You will have broad training in Geriatric Medicine and General (Internal) Medicine and experience of multidisciplinary working in rehabilitation, acute and community settings. You will be capable of managing a range of medical problems encountered in a district general hospital and will demonstrate flexibility and strong team-working skills.
Interview date: 30th June 2026
**Please note that as per our Trust processes you will be expected to make yourself available to attend a face to face interview if successfully short listed.**
Main duties of the job
Please see the full Job Description and the Person Specification for further details about the job role.
Working for our organisation
Whittington Health serves a richly diverse population and works hard to ensure that all our services are fair and equally accessible to everyone. Nowhere is this more obvious than in the way we look after our staff. We aim to employ a workforce which is as representative as possible of this population, so we are open to the value of differences in age, disability, gender, marital status, pregnancy and maternity, race, sexual orientation, and religion or belief. The Trust believes that as a public sector organisation we have an obligation to have recruitment, training, promotion and other formal employment policies and procedures that are sensitive to these differences. We think that by doing so, we are better able to treat our patients as well as being a better place to work.
Detailed job description and main responsibilities
Inpatient Orthogeriatrics
The current orthogeriatrics service sees on average 160-180 patients presenting with a fractured neck of femur per year. The post holder will attend the daily trauma meeting to discuss new or complex cases. They will attend the daily board round on the orthopaedics ward before undertaking a daily ward round of the orthogeriatrics patients supported by the orthopaedic juniors. This is usually the NOF and periprosthetic fracture cohort. They will support with clinical supervision of the orthopaedic foundation year 1 doctors. On average the post holder would see 10 orthogeriatric patients per ward round.
They will also support a more thorough weekly MDT with the wider MDT to review more complex cases and to plan more complex discharges.
The post holder would be expected to support the recording or data required for the National Hip Fracture database working alongside our specialist nursing team. We currently perform well against national targets with the only area of ongoing work being the time taken to reach a specialist ward. From January all pelvic fractures will be recorded on the national database and the post holder will work with the wider COOP team to ensure this is delivered.
We are also seeing an increase in non-ambulatory fracture's in the elderly and are looking to provide increased support for this cohort of patients in line with the GIRFT Non-Ambulatory Fragility Fracture (NAFF) Pathway. This will be an area of increased need in coming years. Currently patients are spread between Orthopaedics and general medicine but there would be a view to create pathways of care to better support and manage these patients with improved cross speciality working. This will be work that we would hope to support in the future and with further business case planning.
TOIL cover
To allow for the departmental contribution to the acute medical take the post holder will deliver 1 PA of back fill to cover the inpatient general geriatrics wards. This will be delivered flexibly depending on need across the week.
GIM on-call
The successful candidate will contribute to the general medical on-call rota. This is currently a 1:22 rota. Post take ward rounds are run alongside the support of our acute medical colleagues. Weekend working is renumerated by TOIL.
Outpatient:
The post holder will be responsible for delivering a weekly outpatient post NOF follow up clinic. This will be a mainly telephone based clinic. To supplement the clinic they will also see a couple of new falls referrals face to face. In addition, the consultant will be asked to conduct tilt table tests on a once a month basis to support comprehensive syncope and balance disorder assessment, ensuring high-quality, patient-centred care within the service.
The post holder will support an alternate week community-delivered falls clinic for local patients in Haringey, providing holistic, multidisciplinary care within the community falls pathway. This service is delivered by a wider MDT comprising the Consultant, a Band 5 Physiotherapist, a Band 6 Occupational Therapist and a Community Matron, and accepts referrals from community services including the LAS, GPs, community matrons and rapid response teams. The service provides community-based reviews, occasional home visits, and supporting patients with equipment needs. The team also makes use of local community strength and balance programmes to enhance patient outcomes, ensuring a more seamless, accessible and effective service for patients at risk of falls.
The post holder will lead a dedicated osteoporosis clinic focused in assessing the suitability of patients for intravenous bisphosphonate therapy, particularly those presenting with neck of femur fractures (#NOFs) and non-accidental fragility fractures (NAFFs). This service will operate in parallel with, and complementary to, the more specialist osteoporosis clinics provided by Rheumatology colleagues, ensuring seamless escalation for complex cases. The clinic will be supported by a geriatric specialist pharmacist who will undertake routine medication reviews and assist with treatment optimisation. Together, this integrated approach will deliver a comprehensive, wrap-around service that enhances fracture prevention, streamlines patient pathways, and improves long-term bone health outcomes for older adults. This will be a once a month clinic.
The post holder will also support with the clinic triage of all referrals made to the department for outpatient review.
Falls Lead:
In this post we would also ask the successful candidate to take to the role of the Falls lead within the trust. They would work closely with the Falls prevention lead in delivery of the falls service aimed at identifying patients at risk of falling and preventing falls and fractures. They would work together on the falls prevention strategies and it’s implementation and evaluation.
Please see the attached job description for further information and an example job plan.
Person specification
Qualifications
Essential criteria
1. A medical degree and postgraduate qualifications in medicine (MRCP or equivalent)
2. CCT Geriatric Medicine and General Internal Medicine or within 6 months of CCT date
3. Full GMC registration
Desirable criteria
4. MD / PhD
Relevant experience/Special interest
Essential criteria
5. Experience of working within a geriatric surgical liaison service.
6. Comprehensive experience in managing patients with all aspects of geriatric and general medical problems.
7. Experience of acute medicine, including leading acute unselected medical takes.
8. Experience in leading a multidisciplinary team.
Desirable criteria
9. Experience in working in community settings
10. Experience of service development.
Teaching/Education
Essential criteria
11. Experience in undergraduate and multidisciplinary teaching
Desirable criteria
12. Qualification as an educational supervisor
Research
Desirable criteria
13. Understanding of research methodology
Communication skills
Essential criteria
14. Ability to communicate effectively.
Aware of national policies, quality initiatives
Essential criteria
15. Understanding of national policies relevant to acute and community care of elderly patients
Desirable criteria
16. Evidence of participation in quality initiatives relating to the care of elderly surgical patients
Flexible thinking
Essential criteria
17. Ability to think and work flexibly
Management ability
Essential criteria
18. Potential to develop management and leadership skills
Audit
Essential criteria
19. Experience and evidence of completion of audit loop
SAFEGUARDING CHILDREN AND ADULTS
To comply with the Trust’s Safeguarding Children and Adults policies, procedures and protocols. All individual members of staff (paid or unpaid) have a duty to safeguard and promote the welfare of children, young people and vulnerable adults This will require you to:
20. Ensure you are familiar with and comply with the London Child Protection Procedures and protocols for promoting and safeguarding the welfare of children and young people.
21. Ensure you are familiar and comply with the London Multi Agency Safeguarding Vulnerable Adults Pan London Procedures.
22. Ensure you are familiar and comply with local protocols and systems for information sharing.
23. Know the appropriate contact numbers and required reporting lines.
24. Participate in required training and supervision.
25. Comply with required professional boundaries and codes of conduct
Whittington Health is committed to safeguarding all children and vulnerable adults and expects all staff and volunteers to share this commitment.