The James Paget University Hospitals NHS Foundation Trust serves a population of around 250,000 people in the Great Yarmouth, Lowestoft and Waveney areas. The Trust provides an integrated hospital and community children’s service. Patient and staff experience is important to us and these are the behaviours we live by: Putting patients first Aiming to get it right Recognising that everybody counts Doing everything openly and honestly ‘Prior consideration will be given to NHS At Risk staff within East of England' Job overview An exciting opportunity has arisen for a Senior Physician Associate (Band 7) to join the Frailty and Older People’s Medicine service at James Paget University Hospital, providing fixed‑term maternity cover. This post forms part of the Trust’s evolving acute frailty model and recognises the essential role of the multidisciplinary team in delivering high‑quality, patient‑centred care to frail older adults. The successful applicant will work closely with consultants, specialty doctors, nursing staff, therapists, and the wider MDT to support frail patients presenting to the Emergency Department, Same Day Emergency Care (SDEC), and the Care of the Elderly ward. This is an excellent opportunity for an experienced Physician Associate to further develop clinical skills within a supportive, consultant‑led frailty service that values continuity, teamwork, and innovation. Advert The Senior Physician Associate will work under consultant supervision to provide comprehensive assessment and ongoing management of frail older patients across acute and inpatient settings. Key duties include: Assessing and examining frail patients presenting to the Emergency Department, SDEC, and Care of the Elderly ward Initiating, reviewing, and interpreting investigations and supporting formulation of differential diagnoses and treatment plans Supporting daily ward rounds, MDT board rounds, and consultant‑led frailty assessments Contributing to timely discharge planning, including completion of discharge documentation and liaison with community services Communicating effectively with patients, families, and carers, including obtaining and interpreting collateral histories Maintaining high‑quality clinical documentation and ensuring continuity of care Undertaking delegated clinical procedures in line with training, competence, and scope of practice Supporting education and training of Physician Associate students, medical students, and junior medical staff Working for our organisation We want to attract the best and brightest people to work with us and that means we will look after you from the moment you apply for a role at the Trust and throughout your career with us. Our staff are central to everything we do, and we believe that investing in you is crucial if we want to enable you to reach your full potential. Detailed job description and main responsibilities The Senior Physician Associate will work as part of the Frailty and Older People’s Medicine team, providing expert clinical support across the acute frailty pathway and inpatient care. Clinical Responsibilities Work under consultant supervision to assess, examine, and review frail older patients in ED, SDEC, and inpatient settings Order, interpret, and act upon diagnostic investigations Formulate and present clinical assessments, including differential diagnoses and management recommendations Review inpatients on the Care of the Elderly ward and contribute to ongoing management plans Perform clinical procedures in line with training and competence (e.g. venepuncture, cannulation, ABGs, ECGs, catheterisation, NG tube insertion) Ensure timely, accurate, and comprehensive clinical documentation Multidisciplinary and Discharge Planning Work closely with the MDT to support holistic assessment and care planning Contribute to proactive discharge planning and support patient flow and bed capacity Liaise with community, therapy, mental health, and specialist teams as required Communication Communicate clearly and compassionately with patients and families, including those with cognitive or sensory impairment Provide updates and explanations regarding investigations, treatment plans, and progress Education, Governance, and Development Participate in teaching and supervision of PA students, medical students, and junior doctors Maintain professional registration, CPD requirements, and re‑certification as required Contribute to clinical governance, audit, and service development activity Work within Trust policies, professional codes of conduct, and agreed scope of practice The James Paget University Hospitals NHS Foundation Trust recognises the requirement to promote health and reduce ill-health. The Trust is committed to the principles of improving working lives through a number of initiatives such as job share, flexible working and the development of a culture of openness and transparency. The Trust is committed to ensuring that no job applicant or employee receives less favourable treatment on the grounds of their age, disability, gender reassignment, marriage and civil partnership, pregnancy and maternity, race, religion or belief, sex, and sexual orientation. ‘Prior consideration will be given to NHS At Risk staff within East of England' Visa and Immigration If you are wishing to apply for this role and would require sponsorship (this includes if you are already in a sponsored post and looking to change employer), you can determine the likelihood of obtaining a Certificate of Sponsorship for this post by assessing your circumstances against criteria specified on the gov.uk website https://www.gov.uk/skilled-worker-visa/your-job. Please check your account regularly under “My Applications” to view the progress of your applications. If you do not hear from us within 4 weeks, please assume your application has been unsuccessful. In submitting an application form, you authorise the Trust to confirm any previous NHS service details via the Inter Authority Transfer (IAT) process. Please note that should we experience a high level of interest in this post, the vacancy may be closed prior to the stated closing date. James Paget Hospitals uses tools to screen any applications generated by Artificial Intelligence (AI),