Job overview

Anticipated Start Date: 5th August 2026

Applications are invited for a Senior Clinical Fellow post that is required to support junior doctor vacancies in General Medicine/Respiratory Medicine and provide an enhanced NIV Service at Royal Gwent Hospital. The post holder will be required to provide support to the NIV unit with some front end (A&E & MAU) cover for suspected and confirmed NIV/Respiratory Failure patients and to new inpatient referrals. The post holder will also review new NIV admissions to the unit and will be actively involved in NIV assessment/management and care. The post holder will guide the junior doctors in the management of all patients under his/her care and will work closely with them and the MDT to facilitate the weaning process of all patients. The post holder will be actively involved in assessing Respiratory Failure/NIV patients in the NIV clinic and in attendance at the Neuromuscular NIV clinic. There will also be the opportunity to learn and develop sub-specialist skills in relation to this patient population, in relation to domiciliary care, cough support and augmentation.

“These are the current applicable pay scales; however, these may change upon implementation of the framework agreement for reform to the terms and conditions of service for resident doctors and dentists in Wales. Further details can be found at BMA+-+Framework+Agreement+Wales.”

Main duties of the job

The Grange University Hospital has a dedicated 8 bedded Acute NIV unit, equipped with continuous monitoring including the use of Transcutaneous C02 monitoring (TOSCA), End Tidal C02 monitoring and Level 1 sleep investigation facilities. Nurse directed protocols are utilised in relation to the patients admitted acutely for NIV including the use of blood gas analysis performed within the unit. Consultant ward rounds take place 4 times a week, with a weekly NIV MDT. The unit is a very busy and active unit with more than 250 admissions for acute NIV per annum. There is a continuous audit and training programme, with active participation from all within the team.

The post holder will be expected to participate in the GUH acute general medicine on call rota.

Working for our organisation

Aneurin Bevan University Health Board is a multi-award winning NHS organisation with a passion for caring. The Health Board provides an exceptional workplace where you can feel trusted and valued. Whatever your specialty or stage in your career, we have opportunities for everyone to start, grow and build your career. The health board provides integrated acute, primary and community care serving a population of 650,000 and employing over 16,000 staff.

We offer a fantastic benefits package and extensive training and development opportunities with paid mandatory training, excellent in-house programmes, opportunities to complete recognised qualifications and professional career pathways including a range of management development programmes. We offer flexible working and promote a healthy work life balance, provide occupational health support and an ambitious plan for a Wellbeing Centre of Excellence to support you at work.

Our Clinical Futures strategy continues to enhance and promote care closer to home as well as high quality hospital care when needed.   Join us on our journey to pioneer new ways of working and deliver a world-class healthcare service fit for the future.