Overview

Geriatric Medicine at Maidstone and Tunbridge Wells NHS Trust

The Departments of Medicine for the Elderly at Maidstone Hospital and Tunbridge Wells Hospital at Pembury offer comprehensive training opportunities in both General Internal Medicine (GIM) and Geriatric Medicine. Both departments are fully integrated within the Medical Directorate, providing seamless care pathways for elderly patients. A key strength of the programme is its flexibility, allowing training opportunities to be tailored to each trainee’s Personal Development Plan (PDP) needs following consultation with their Educational Supervisor. This personalised approach ensures trainees develop both essential core competencies and specialised skills aligned with their career aspirations.

Comprehensive Elderly Care Services

Both hospital sites deliver a full spectrum of elderly care services, encompassing acute elderly care including acute frailty, specialised stroke services, and rehabilitative care. The stroke service operates a 24-hour thrombolysis pathway, ensuring patients receive timely interventions. Orthogeriatric rehabilitation services provide specialised care for elderly patients following orthopaedic procedures, whilst dedicated stroke rehabilitation services focus on maximising recovery and independence after cerebrovascular events. These clinical services are complemented by intermediate care rehabilitative services, creating a complete care pathway from acute admission through to community reintegration.

Key features

  • Specialised Outpatient Clinics – Consultant-led weekly clinics plus specialist services for TIA, Parkinson’s disease, and Falls assessment
  • Comprehensive Stroke Services – Complete pathway from 24-hour thrombolysis through to rehabilitation
  • Acute Frailty Unit – Provides comprehensive geriatric assessment and management of frail patients and follow-up through specialist outpatient clinics
  • Balanced Clinical Exposure – Experience in both acute elderly care and general internal medicine
  • Critical Care Integration – Training opportunities in Coronary Care Unit (CCU) and Intensive Therapy Unit (ITU)
  • Multidisciplinary Collaboration – Cross-specialty experience in palliative care and old age psychiatry
  • Specialist Continence Training – Exposure to incontinence management and uro-gynaecology services including urodynamics
  • Community Healthcare Experience – Opportunities for General Practice placement and managerial experience within the Community Trust
  • Community Geriatrics – Delivers multidisciplinary care for older adults in the community, supporting early intervention and ongoing management to prevent hospital admissions and maintain independence
  • Orthogeriatric Expertise – Dedicated services for elderly patients requiring orthopaedic interventions
  • Personalised Training Pathways – Adaptable programme structure tailored to individual development needs
  • Integrated Care Model – Experience working within a fully integrated Medical Directorate

28

Geriatric Medicine Trainees currently at MTW

You will enjoy it.

Laura - Speciality Trainee
15

Geriatric Medicine Educational Supervisors at MTW

Programme Tutors

Dr Siva Sivappriyan

Medicine Maidstone College Tutor

Dr Arabella Waller

Medicine Maidstone College Tutor

Dr Mamuka Kupharadze

Medicine Tunbridge Wells College Tutor

Dr Timothy Williams

Medicine Tunbridge Wells College Tutor

Ready to learn more?

If you have any questions about our Geriatric Medicine programme or would like to discuss your placement options, our team is here to help.