Job overview The Senior Adult Medical Services (SAMS) Consultant delivers high-quality, patient-centred care for older adults across acute and community settings. Responsibilities include ward-based management, surgical and frailty in-reach, Emergency Department frailty cover, and outpatient clinics. The postholder will work with multidisciplinary teams to ensure timely assessment, treatment, discharge planning, and optimal patient flow. The role includes participation in the GIM on-call rota, prospective cover for colleagues, and Supporting Professional Activities (SPA) covering teaching, audit, research, clinical governance, and service development. Key objectives include seven-day frailty services, rapid assessment via the OPSSU, expansion of the iOPAL service, and strengthening community integration through Locality Hubs and Virtual Wards. The postholder will contribute to leadership, quality improvement, and service transformation initiatives to enhance patient outcomes and support an excellent workplace. INTERVIEWS FOR THIS POST WILL TAKE PLACE IN PERSON ON 16/04/2026 Main duties

Clinical Duties & Patient Care Responsibilities:

Deliver consultant-level clinical services across wards, surgical and frailty in-reach, Emergency Department, and outpatient areas. Provide expert diagnosis, investigation, treatment, and ongoing management in line with Trust policies and best practice. Maintain continuing responsibility for patient care, including clinical administration across a 7-day service model. Participate in the General Internal Medicine (GIM) on-call rota and prospective cover for colleagues to ensure service continuity. Collaborate with Hub GPs, A&E consultants, and community teams to support integrated patient pathways. Assist in the development, use, and teaching of SAMS pathways to ensure safe and efficient patient flow.

Administrative, Leadership & Professional Responsibilities:

Provide clinical leadership, support service development, audit, research, and quality improvement initiatives. Engage with medical, nursing, and operational colleagues to deliver departmental objectives and improve patient experience. Undertake administrative duties, attend meetings, support appraisal, job planning, and rota organisation. Participate in formal and post-graduate teaching, training, and educational activities. Develop special interests and research aligned with departmental objectives and provide learning opportunities for staff.

About us Ashford and St. Peters Hospitals NHS Foundation Trust serves a population of more than 410,000 people living in North-West Surrey, parts of Hounslow and beyond. Over 3,700 trained doctors, nurses, midwives, therapists, healthcare scientists and other support staff make up our workforce. We run specialist clinics in the community and local community hospitals and other facilities. Our vision is to be one of the best healthcare Trusts in the country, with ongoing professional development and flexible workforce. We are expanding theatres at Ashford Hospital and moving towards a dedicated elective centre. We offer the full range of NHS benefits and more:

Excellent pension scheme and annual leave entitlement On-site Nurseries On-site staff cafes On-site parking Support in career development Salary sacrifice schemes including wage stream, lease cars, Cycle to Work schemes and home electronics

Adverts may close early; applicants are encouraged to submit an application as soon as possible. For more information about a career at ASPH please visit the website. Details Date posted: 12 March 2026 Pay scheme: Hospital medical and dental staff Grade: Consultant Salary: Depending on experience Contract: Permanent Working pattern: Full-time Reference number: 323-MD4091-AM Job locations: St Peters, Chertsey, KT151UX Job responsibilities Clinical Duties & Patient Care Responsibilities Deliver clinical services of the highest professional standard at consultant level within the Department. Work with MDT to provide high-quality, safe, and well-led service for patients at Ashford & St Peters Hospitals. Provide expert diagnosis, investigation, treatment, and ongoing management per policies and best practice. Deliver Direct Clinical Care (DCC) across all areas, supporting senior decision-making and workload sharing. Provide comprehensive senior clinical cover to the Department, ensuring patient safety and continuity of care. Maintain continuing responsibility for patients under their care, including clinical administration, across a 7-day model. Contribute to 7-day ward cover at St Peters Hospital. Participate in GIM on-call rota during rotations at St Peters. Work with A&E colleagues to manage acute emergencies; care of patients outside the Department; work with Hub GPs; assist in SAMS pathways; collaborate with CSH Surrey to meet targets; provide cross-cover for Geriatric Medicine across sites; ensure safe handover. Administrative, Leadership & Professional Responsibilities Engage with colleagues to deliver departmental objectives; provide clinical leadership; participate in education, training, audit, research, and governance; support Trust priorities and transformation programmes; undertake administrative duties; flexible service delivery; any other duties as a consultant. Qualifications & Experience Essential: Full GMC registration with a licence to practice; CESR registration at start. Experience: Broad GIM and Geriatric Medicine training; recent experience in elderly care including frailty, falls, dementia, polypharmacy, end-of-life care. Clinical skills: Ability to take full and independent responsibility; knowledge of evidence-based practice and governance. Other information Disclosure and Barring Service Check: This post is subject to the Rehabilitation of Offenders Act; a DBS submission is necessary. Certificate of Sponsorship: Applications from those needing Skilled Worker sponsorship welcomed; UK visas information available; references to overseas checks. UK Registration: Applicants must have current UK professional registration. Employer details Ashford & St. Peter's Hospitals NHS Foundation Trust St Peters, Chertsey, KT151UX Website: ashfordstpeters.nhs.uk #J-18808-Ljbffr