CARDIFF AND VALE UNIVERSITY
HEALTH BOARD
Caring for People, Keeping People Well
JOB DESCRIPTION
Junior Clinical Fellows
(Specialty Registrar Lower)
Trauma and Orthopaedics
WAL/W078/024/CRF/011
WAL/W078/024/CRF/019
WAL/W078/024/CRF/001,
WAL/W078/024/CRF/002,
WAL/W078/024/CRF/003
Cardiff and Vale University Health Board is the operational name of Cardiff and Vale University Local Health Board.
Bwrdd Iechyd Prifysgol Caerdydd a’r Fro yw enw gweithredol Bwrdd Iechyd Lleol Prifysgol Caerdydd a’r Fro.
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CARDIFF AND VALE ULHB
JOB DESCRIPTION
POST: Junior Clinical Fellow –
(Specialty Registrar Lower)
BASE: University Hospital of Wales
1. THE HEALTH BOARD
Cardiff and Vale University Health Board was established in October 2009 and is one of
the largest NHS organisations in the UK. We have a responsibility for the promotion of
health and well-being of around 475,000 people living in Cardiff and the Vale of
Glamorgan, the provision of local primary care services, running of health centres,
community health teams, hospitals – providing treatment and care when health and well-
being isn’t the best it could be. Cardiff is the Major Trauma Centre for South Wales.
We are increasingly focusing the planning and delivery of our care based on
neighbourhoods and localities to help ensure people receive care as close to home as
possible where it is safe and effective to do so. We also provide specialist services for
people across South Wales and in some cases the whole of Wales.
The Health Board also serves a wider population of 2.5 million people across South and
Mid Wales and manages a number of services of a regional and sub-regional nature
namely cardiology, cardiac surgery, PICU, neurology, neurosurgery, medical genetics,
bone marrow transplantation, renal transplant and toxicology. On-site services include
24/7 PCI, stroke thrombolysis, ophthalmology, maxillo-facial, trauma, general medicine,
general surgery, urology and paediatrics.
Cardiff and Vale University Health Board’s hospital sites include: Barry Hospital, Cardiff
Royal Infirmary, Children’s Hospital for Wales, University Hospital Llandough, Rookwood
Hospital, St. David’s Hospital, University Dental Hospital, and University Hospital of
Wales.
Phase II of the Children’s Hospital for Wales was completed in 2015 and has seen re-
development and consolidation of all paediatric specialities into a dedicated Children’s
hospital with five theatres, PICU, Medical and Surgical Wards OPD, Radiology and an
admission and assessment unit.
We are also a teaching Health Board with close links to Cardiff University which boasts a
high profile teaching, research and development role within the UK and abroad; and
enjoy strengthened links with the University of South Wales and Cardiff Metropolitan
University. Together, we are training the next generation of clinical professionals.
1.1 Values & Behaviours
Cardiff and Vale University Health Board has identified a framework of Values and
Behaviours which should underpin the work of its staff in order to achieve success for
the organisation (see below). These can also be closely aligned with the principles of
‘Good Medical Practice’ standards as published by the General Medical Council.
The Health Board is committed to ensuring that the staff they employ have values and
behaviours which are aligned with those of the organisation, thereby ensuring that
appointees will be able to make an ongoing contribution to the positive culture of the
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organisation and meet the required standards of behaviour to patients, carers and the
public and to one another.
As part of the UHB’s commitment to Values Based Recruitment, interview candidates
can expect to be asked questions which encourage them to talk about themselves and
provide insight into their personal values and behaviours.
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NHS Wales Core Principles
The NHS is about people, working with people, to care for people. NHS Wales values
all its staff – from Wales, the UK, EU and non-EU foreign nationals. As part of NHS
Wales’ ongoing commitment to strengthen the values and behaviours of Health Boards
and Trusts, the following Core Principles have been developed which further help staff
respond better to the demands for its services:-
We put our patients and users of our services first
We seek to improve our care
We focus on wellbeing and prevention
We reflect on our experiences and learn
We work in partnership and as a team
We value all who work for the NHS
These Core Principles describe how everyone within NHS Wales is expected to behave
and help us all to achieve the highest quality in everything we do.
TITLE OF THE JOB
Junior Clinical Fellow – Specialty Registrar Lower
2.1 Responsible to: Mr Peter Jemmett, Consultant Trauma Surgeon
Names of Senior and Consultant members of the Department
Mr K Mohanty - Hip/Knee Surgery/Trauma – Clinical Director
Prof S Ahuja - Spinal Surgery
Mr S James - Spinal Surgery
Mr J Howes - Spinal Surgery
Mr D A S Jones - Spinal Surgery
Mr I Chopra - Spinal Surgery
Mr M McCarthy - Spinal Surgery
Mr F Brooks - Spinal Surgery
Mr A Durst - Spinal Surgery
Mr G Roberts - Hip Surgery/ Trauma
Mr S Agarwal - Hip/Knee Surgery Trauma
Mr M C Forster - Knee Surgery
Mr R O N Evans - Shoulder Surgery
Mr A Robertson - Shoulder/Knee Surgery/Trauma
Mr R Williams - Shoulder and Knee Surgery
Mr T Matthews - Shoulder /Elbow Surgery/Trauma
Mr P Hodgson - Foot and Ankle Surgery/Trauma
Mr R Thomas - Foot and Ankle Surgery
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Mr L Hughes - Foot and Ankle Surgery / Trauma
Mr C Wilson - Knee Surgery
Mr S A Jones - Hip Surgery
Mr A John - Hip Surgery
Mr M Askar - Hip/ Knee Surgery
Mr M Calciu - Knee Surgery
M Mr D Shewring - Hand Surgery
Mr A Logan - Hand Surgery
Miss Tamsin Wilkinson - Hand Surgery
Mr R Trickett - Hand Surgery
Mr A Bolt - Hand Surgery
Mr S Hemmadi - Foot and Ankle Surgery/Paeds/Trauma
Mr D O’Doherty - Foot and Ankle Surgery/Paeds/Trauma
Mr P Thomas - Hip/Knee/Paeds
Miss EC Carpenter - Paeds/ Trauma
Mr S Humphry - Paeds/Trauma
Ms S Buchan - Paeds/ Trauma
Prof A Johansen - Consultant Orthogeriatrician
Dr W Havelock - Consultant Orthogeriatrician
Dr D Brooks - Consultant Orthogeriatrician
Mr M Calciu - Knee Surgery
Mr J Lewis - Trauma
Mr P Jemmett - Trauma
Prof I Pallister - Trauma
Mr S Mirza - Trauma
Mr T Pearkes - Trauma
Mr P Keeling - General Trauma
2.3 Other Medical Staff in the Department
12 Specialty Registrar’s higher
5 Specialty Registrar’s lower
5 Foundation Year 2
6 Foundation Year 1
7 Clinical Fellows – lower
15 Clinical Fellows – Higher
1 Specialty Doctor
3. THE HOSPITAL(S)
University Hospital of Wales
In 1971, UHW was officially opened and rapidly established itself as one of the foremost
teaching hospitals in the UK and the flagship of Wales.
In addition the hospital manages a number of services of a regional and sub-regional
nature, namely Cardiology, Cardiac Surgery, Neurology, Neurosurgery, Medical
Genetics, Bone Marrow Transplantation and Renal Transplant. Cardiff University’s
School of Medicine is based on the site and consequently the hospital is regarded as the
major teaching hospital within Wales. With one or two exceptions the NHS service side
is interlinked with professorial departments and both the NHS and School elements are
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heavily involved in research and development and have gained eminent reputations both
nationally and internationally.
The hospital provides for the fullest integration of a 924-bed hospital and medical school in
one complex. Three blocks running north south with 6 subsidiary 'link' blocks comprise the
main complex. The main building is 10 storeys high with numerous peripheral
developments.
Each week the hospital sees around 5,000 outpatients, 500 inpatients and 200 day cases.
The Main operating theatre suite is one of the largest in Great Britain with 10 theatres and
12,000 cases per year.
Emergency services are located within state of the art accommodation on the University
Hospital of Wales site. It is an extremely busy department with approximately 100,000
attendances per year.
Children’s Hospital for Wales
Phase II of the Children’s Hospital for Wales was completed in 2015 and has seen re-
development and consolidation of all paediatric specialities into a dedicated Children’s
hospital with five theatres, PICU, Medical and Surgical Wards OPD, Radiology and an
admission and assessment unit.
There is a Paediatric Intensive Care Unit led by 7 Paediatric Intensivists and full
supporting team. A new dedicated Young Persons (In-patient) Unit is also established at
UHW and a Teenage Cancer Unit opened in 2009.
University Hospital Llandough
University Hospital Llandough is a Teaching Hospital with 453 beds currently in use.
The hospital is situated five miles from the centre of Cardiff and all major specialties are
represented providing a range of medical services to the people of Bro Taf particularly
but not exclusively to those in the west of Cardiff and the Vale of Glamorgan.
In addition to standard services offered, the hospital also provides specialist services
including Mental Health, the Therapeutics & Toxicology Centre and regional poisons
unit. The hospital also provides some services not available at the other major site, such
as the CF Unit, Diabetic Retinopathy Service and the Sleep Studies Centre.
There is a major academic presence at Llandough Hospital. The Academic Centre
houses research laboratories and offices of Professors in Medicine for the Elderly,
Clinical Pharmacology, Respiratory Medicine, Community Child Health and Diabetes.
The Wound Healing Research Unit, Bone Research Unit and Research Department for
Diabetic Medicine incorporating a Clinical Investigation Unit and Bro Taf Diabetic
Retinopathy Screening Service are based at Llandough. Considerable undergraduate
and postgraduate teaching takes place and a new Postgraduate Centre was opened in
1998.
The Orthopaedic Department has recently expanded to include an Orthopaedic Centre
which has four laminar air flow theatres, 15 short stay beds, 4 day case beds and an
outpatient department which incorporates an MRI scanner.
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3. THE WORK OF THE DEPARTMENT
3.1 Administrative Responsibilities
3.1.1 You will be responsible for undertaking the administrative duties
associated with the care of patients and the administration of the
department in the respective Trusts.
3.1.2 All Employees have an individual responsibility to adhere to the Infection
Control Policy and to protect themselves, the patient, Visitors and
colleagues from the risk of infection. The individual responsibility will
include the requirement to attend training at intervals determined by the
ULHB and understand Infection Control issues as they pertain to their
workplace. They will report any identified infection risk and take
necessary precautions/actions to prevent transmission.
3.1.3 Under the provisions of the Data Protection Act 1998 it is the
responsibility of each member of staff to ensure that all personal data
(information that is capable of identifying a living individual) relating to
patients, staff and others to which they have access to in the course of
employment is regarded as strictly confidential. Staff must refer to the
ULHB’s Data Protection Policy (available via ULHB intranet) regarding
their responsibilities.
3.1.4 Travel as necessary between hospitals/clinics will be required but a
planned and cost effective approach will be expected.
3.1.5 You may have some input into the postgraduate teaching.
4 DUTIES
4.1 Research
The successful candidate will be expected to carry out both basic and clinical
research around various aspects of orthopaedic trauma. There are ongoing
clinical and laboratory research projects to which the fellow can contribute.
Dedicated sessions are reserved for research purposes.
4.2 Clinical
The Post holders will work alongside Specialist Registrars to support the Trauma
Service. This will include attending clinics, ward rounds, Emergency Unit and
operating theatres. The Fellow will be expected to take part in most trauma
operations under varying levels of supervision. Opportunity exists to gain
experience in limb trauma, pelvic/acetabular trauma and post traumatic limb
reconstruction with an aim to progress to a higher specialist rotation.
Will need to have NHS experience or equivalent.
The lead clinician for this post will be Mr Peter Jemmett
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4.3 Timetable – On calls, Trauma Clinics UHL, Virtual Fracture Clinic, Trauma
Theatre and Research.
5. WORKING PATTERN INCLUDING OUT-OF HOURS COMMITMENT
Most Junior Doctor posts in the ULHB are now compliant with the New Deal and
the European Working Time Directive. You will be advised of the working pattern
for this post prior to taking up your appointment. On-call commitments are
included, based on a rolling rota.
6. TEACHING
The successful applicant will be expected to partake in the teaching
commitments of the Trauma Unit, including teaching of undergraduates, nursing
staff and postgraduate trainees.
7. CONTINUING EDUCATION
Access is available to the Medical Library at the University of Wales which
provides excellent facilities.
8. FACILITIES FOR STUDY LEAVE
i. Study leave may be granted for education purposes to attend courses at the
discretion of the Clinical Director, provided the clinical service is covered and
must be planned well in advance. At least six weeks notice is required.
Study Leave Approval Form must be completed and authorised by
Consultant and Clinical Director.
ii. Postgraduate Training
This post does not have Postgraduate financial support.
9. LEAVE
Clinical Fellows are entitled to 5 weeks annual leave per annum (rising to 6
weeks per annum upon reaching the third incremental point of the MN37 pay
scale). Applications for annual leave must be signed by the Clinical Director 6
weeks in advance of leave to be taken. It must also consider colleagues’
leave so as to enable adequate clinical cover to be maintained.
10. MAIN CONDITIONS OF SERVICE
a) The post is covered by the Terms and Conditions of Service for Hospital Medical
and Dental Staff (England and Wales) and the General Whitley Council Terms
and Conditions of Service as amended in negotiation with the Trust Medical and
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Dental Staff Negotiating Committee. Details of these may be obtained from the
Medical/Dental Personnel Department.
b) The normal working pattern week is 40 hours. A maximum working week
of 48 hours will be required where on-call is included to ensure that the
post is compliant with the European Working Time Directive.
c) The Specialty Registrar MN37 salary scale will apply to this post.
d) The appointment is designated as non-resident but you are required to be
resident during your rostered working hours.
e) The appointee accepts that he will also perform duties in occasional
emergencies and unforeseen circumstances at the request of the
appropriate Consultant, in consultation with his colleagues both junior and
senior.
f) Applications for annual leave must be submitted in writing to the rota co-ordinator
at least eight weeks before leave is taken. It must also be requested having first
taken into account your colleagues leave so as to enable adequate clinical cover
to be maintained.
11. JOB LIMITATION
At no time should you work at a level exceeding your competence. All medical
staff therefore have a responsibility to inform those supervising their duties if they
have any concerns regarding this or if they feel that they are not competent to
perform a particular duty.
12. CONDITIONS OF APPOINTMENT
a) The completion of a satisfactory health declaration questionnaire and screening
is a condition of the appointment. The postholder must comply with the UK
Health Department guidance on "Protecting Health Care Workers and Patients
from Hepatitis B" (PSM(93)12) as implemented by the Trust.
b) Because of the nature of the work of this post it is exempt from the provision of
Section 4 (2) of the Rehabilitation of the Offenders Act 1974 (Exemption Order
1975). Applicants are therefore not entitled to withhold information about
convictions of the Act. In the event of employment, failure to disclose such
convictions could result in dismissal or disciplinary action. Any information given
will be completely confidential and will be, considered only in relation to an
application to which the order applies.'
c) You must hold current registration with the General Medical Council / General
Dental Council throughout the duration of this contract.
d) You are normally covered by the NHS Hospital and Community Health Services
indemnity against claims of medical negligence. However, in certain
circumstances (e.g. in service for which you receive a separate fee or in an
emergency situation outside of work) you may not be covered by the indemnity.
The Health Departments, therefore, strongly advise that you maintain
membership of your medical defence organisation.
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e) The Ionising Radiation (Medical Exposure) Regulations 2000
The Ionising Radiation (Medical Exposure) Regulations 2000 impose a legal
responsibility on Trusts for all staff who refer patients for medical radiation
exposure such as diagnostic x-rays to supply sufficient data to enable those
considering the request to decide whether the procedure is justified.
f) Cardiff and Vale NHS Trust operates a No Smoking Policy within the Trust.
g) Removal expenses are in accordance with the Trust policy for doctors in the
training grades.
h) The Trust is contractually obliged to monitor junior doctors’ New Deal compliance
and the application of the banding system, through robust local monitoring
arrangements supported by national guidance. You are contractually obliged to
co-operate with those monitoring arrangements.
i) Appraisal / Revalidation
All licensed doctors / dentists who are registered with the General Medical
Council are required to ‘revalidate’ every five years in order to maintain their
licence to practise. To inform this process, it is important that GMC licensed
doctors / dentists participate in the UHB’s annual appraisal reviews which are
based on the General Medical Council’s ‘Good Medical Practice’ principles and
include a Patient and Peer Multi-Source Feedback process.
13. DISCLOSURE OF CRIMINAL BACKGROUND OF THOSE WITH ACCESS TO
PATIENTS
It is the policy of this Trust that, in accordance with the appropriate legislation,
pre-employment Disclosure Checks are undertaken on all newly appointed
Doctors and Dentists. The Criminal Records Bureau is authorised to disclose, in
confidence to the Trust, details of any criminal record, including unspent and
spent convictions, cautions, reprimands and final warnings.
Applicants being considered for this post must provide this information on the
application form before they can be considered.
Any information disclosed will be treated in the strictest confidence and all
circumstances will be taken into account before any decision is reached. The
successful applicant will be required to complete a CRB Disclosure Check
application form and to provide the appropriate documentation. Applicants
should be aware that a refusal to comply with this procedure may prevent further
consideration for the post.
14. OTHER FACILITIES
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Cardiff, the City and the Capital of Wales, has a typical air of a cosmopolitan city,
being the administrative, business, cultural and education centre for Wales.
Cardiff has much to offer, modern shopping centres, Edwardian arcades with
exclusive boutiques and a large indoor market.
Cardiff Castle sits in the middle of the city along with impressive buildings such
as the City Hall and the National Museum of Wales. For entertainment, Cardiff
has many venues – The Millennium Centre, Motorpoint Arena and St David's
Hall for world class concerts, the New Theatre and Sherman Theatre, large
cinema complexes as well as Chapter Arts Centre.
The city also contains the Welsh National Ice Rink and the National Sports
Centre and the new Millennium Rugby Stadium. The development of some
2,700 acres of Cardiff Bay has created a 500 acre lake, 8 miles of waterfront and
a new commercial and leisure environment. The Vale of Glamorgan stretches to
the coast and is dotted with small country villages. Situated in the Vale are the
picturesque beaches of Southerndown and Llantwit Major. Within an hour from
Cardiff is varied countryside - the Brecon Beacons and the Wye Valley.
Night Life - Restaurants in Cardiff are excellent and there is a wide choice of
nightclubs, discos, a jazz centre and bars.
Clubs - All staff within the Trust are eligible for membership of the University of
Wales Hospital Sports and Social Club which includes facilities for squash,
badminton, swimming etc, a sauna and jacuzzi together with a large social club.
Car Parking - There are parking facilities at all the hospitals in the two Trusts.
Shopping - Adequate shopping facilities within a convenient distance of all
Hospitals.
Transport - All Hospitals are on regular bus routes with rail stations nearby.
15. BASIS OF APPOINTMENT
This post is available from 06 August 2025
Clinical Fellow and Clinical Research Fellow appointments are not educationally
approved for training purposes and do not therefore attract a National Training Number.
Posts do however offer the post holder excellent specialty experience within a university
teaching hospital setting.
In accordance with Health Board principles regarding Clinical Fellow appointments,
posts are offered for a period of 6 or 12 months in the first instance but may be
extendable up to a maximum of 24 months by mutual agreement.
16. DETAILS OF ARRANGEMENTS FOR APPLICANTS VISITING HOSPITAL
Candidates wishing to visit the hospital can make arrangements by contacting:
Mr Peter Jemmett, Consultant Orthopaedic Surgeon, Tel: 029 21848044
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CARDIFF AND VALE ULHB
Person Specification Form
Requirements of Applicants
GRADE: Trauma Fellow SPECIALTY: Trauma and Orthopaedics
HOSPITAL: University Hospital of Wales
REQUIREMENTS ESSENTIAL DESIRABLE
1) QUALIFICATIONS MBBS or equivalent Intercalated Degree
Current GMC certificate MSc or PHD
Training in Radiation Academic Excellence
Protection or agreement to (Prizes, merits, distinctions
attend next available course etc.,)
ATLS Provider FRCS ( T&O)
Specialist training experience
2) PREVIOUS EXPERIENCE Evidence of completion of leading to FRCS ( Orth)
basic surgical training. Basic and Advanced Trauma
Evidence of middle grade courses.
experience in trauma and
Orthopaedics. Evidence of previous experience
Previous experience within in trauma surgery
the NHS or Equivalent
3) SKILLS, KNOWLEDGE , Effective communication skills Audit
ABILITIES – Verbal and written Teaching
Up to date with current Research
medical practices
4) ATTIDUDE, APTITUDES Motivated and efficient
PERSONAL Able to relate to patients, staff
CHARACTERISTICS and medical colleagues
Flexible, caring and
hardworking
Ability to work as part of a
team
5) ADDITIONAL CLINICAL Experience in plastic surgery,
EXPERIENCE Neurosurgery and Intensive care.
6) SPECIAL INTERESTS Intention to take up trauma
surgery as ‘sub specialist’
interest.
7) OTHER REQUIREMENTS Resident when on-call
e.g. On-call duty Satisfactory immigration
status for length of contract
Satisfactory Health Clearance
Satisfactory DBS Clearance
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CRF – JD Mar 15
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