Job summary
The post is a stand-alone Consultant post based at Bowley Close Rehabilitation in Crystal Palace (please note that this post is not based at Guys and St Thomas' main site in Waterloo) Centre working with an integrated MDT and Clinical and service management team. The services within RSR are therapy lead. The users/patients/residents/clients are referred to all the Specialist service teams from a variety of ICBs locally from Lewisham, Lambeth, Croydon, Bexley, Bromley, and Southwark itself as contracted activity, then from other CCG's (change to whatever the new model is called) on a one-off basis. These patients will be seen in clinic as part of the service. In addition, ward rounds on the acute site esp. on vascular wards and others is part of the post.
The role and responsibilities of post has changed. As such, the post holder will work closely with the head of RSR and the clinical heads of each service to review, monitor and make recommendations regarding future planning of this post.
There will be time to move our services forward from the medical point of view with the rehabilitation management team and the directorate and hospital more widely.
The successful applicant will be expected to take an active role in education and research within the Directorate and it is anticipated that the appointed candidate would contribute to multi-disciplinary teaching and more widely.
Main duties of the job
The post-holder will be Professionally accountable to Dr Mark Kinirons who is the relevant Medical Director
To provide specialist consultant in rehabilitation clinical services to adult and children with physical impairments where rehabilitation is combined with prescribed medical devices, namely orthotics, prosthetics, wheelchair & special seating and assistive communication. To be a key member of the multidisciplinary teams within RSR for medical leadership,
Provide High Quality Care to Patients
Research, Teaching and Training
Performance Management
Medical Staff Management
Governance
Strategy and Business Planning
Leadership and Team Working
About us
The post holder will provide clinical leadership and expertise in Rehabilitation Medicine to Guys & St Thomas specialist rehabilitation services at Bowley Close Rehabilitation Centre. The Centre offers Regional Specialist Rehabilitation (RSR) service to Children and Adults with physical impairments, largely mobility related disabilities and amputation requiring an MDT approach to their rehabilitation needs. The centre manages 25,000 patients referred from all over the South East of England.
The post will play an oversight role in the provision of prosthetic services to our vascular network. As part of this service, we have invested considerably over the past 10 years and created a specialist bed-based Amputee Rehab Unit (ARU). The ARU is a 12 bedded unit providing specialist amputee rehab for a wider region from Essex to Kent. The patients come from acute vascular services post amputation to receive bespoke individualised care plans and rehabilitation.
Following the In-patient stay or stay at the ARU the rehabilitation is transferred to the MDT at Bowley close as Out-patients. The MDT Out-patient clinics are devoted to special seating and posture management, Orthotics as well as prosthetic and non-prosthetic rehabilitation. The post holder will play a key role planning the specialist services within the new development and integrated service provision within the community as the transition to integrating services moves forward within the new provider model of care.
Job description
Job responsibilities
The post-holder will be Professionally accountable to Dr Mark Kinirons who is the relevant Medical Director
o provide specialist consultant in rehabilitation clinical services to adult and children with physical impairments where rehabilitation is combined with prescribed medical devices, namely orthotics, prosthetics, wheelchair & special seating and assistive communication. To be a key member of the multidisciplinary teams within RSR for medical leadership,
Provide High Quality Care to Patients
The post holder must be medically qualified and maintain GMC full and specialist registration and hold a current licence to practise
To develop and maintain the competencies required to carry out the duties required of the post.
To ensure prompt attendance at agreed direct clinical care Programmed Activities.
To ensure patients are involved in decisions about their care and to respond to their views. Specialist assessment and treatment of people with physical impairments
Amputees rehabilitation management and reintegration into their community with or without prosthetic rehabilitation;
Clients requiring wheelchair, assistive communication and specialist seating to manage functional and postural disabilities through assessment and provision;
Clients requiring assessment and provision of orthotic devices;
Clients requiring spasticity and postural management, both as out-patients and within the community setting.
The post holder will be required to work flexibly in accordance with the needs of patients and the Trust, which may include working across different sites and on varying days of the week, including weekends.
Research, Teaching and Training
To collaborate with academic and clinical colleagues to enhance the Trusts translational research portfolio, at all times meeting the full requirements of Research Governance.
To provide high quality teaching to medical undergraduates and members of other health care professions as required by the Clinical Director.
To act as educational supervisor and appraiser as delegated by the Clinical Director to ensure external accreditation of training post.
- Where possible to collaborate with academic and clinical colleagues to enhance the Trusts translational research portfolio, at all times meeting the full requirements of Research Governance.
- To provide high quality teaching to medical undergraduates and members of other health care professions as required by the Clinical Director and the local MDTs
- To act as educational supervisor and appraiser as delegated by the Clinical Director to ensure external accreditation of training post
Performance Management
To work with medical, nursing, laboratory and managerial colleagues to ensure high performance in the following areas:
Clinical efficiency e.g. LOS reductions, reducing cancelled operations and DNA rates.
Quality of outcomes e.g. infection control targets, reducing re-admission rates.
Financial management e.g. identification, implementation and achievement of cost improvement programmes and participating in efforts to ensure services are provided cost effectively e.g. managing locum agency spend, monitoring and managing the drug budget to target, ensuring accuracy of clinical data for the team.
Operational efficiency e.g. day-case rates, waiting list activity and demand management.
- To work with medical, therapy, administrative and managerial colleagues to ensure high performance in the following areas:
- Clinical efficiency e.g. meeting KPIs, reducing cancelled operations and DNA rates and activity targets
- Quality of outcomes e.g. data.
- Financial management e.g. identification, implementation and achievement of cost improvement programmes and participating in efforts to ensure services are provided cost effectively e.g., ensuring accuracy of clinical data for the team.
- Operational efficiency e.g., waiting list activity and demand management.
Medical Staff Management
- To work with colleagues to ensure junior doctors hours are compliant in line with EWTD and New Deal.
- To ensure that adequate systems and procedures are in place to control and monitor leave for junior medical staff and to ensure that there is appropriate cover within the clinical areas, including on-call commitments
- To participate in the recruitment of junior medical staff as and when required.
- To participate in team objective setting as part of the annual job planning cycle.
- To be responsible for the annual appraisal of all doctors in training, Trust doctors, Clinical Fellows and non-consultant grades as delegated by the Clinical Director/General Manager.
To participate in the recruitment of therapy clinical lead roles as requires by the head of RSR or service clinical leads
Governance
- To review clinical outcomes in designated area using external benchmarking data where appropriate, to identify and advise variances to the Clinical Director.
- Participate in clinical audit, incident reporting and analysis and to ensure resulting actions are implemented.
- To work closely with the Directorate, Patient and Public Involvement panels in relation to clinical and services developments as delegated by the Clinical Director.
- Participate in ensuring NICE requirements are reviewed and implemented and monitored in the speciality areas.
- To ensure clinical guidelines and protocols are adhered to by junior medical staff and updated on a regular basis.
- To keep fully informed about best practice in the speciality areas and ensure implications for practice changes are discussed with the Clinical Director.
- To role model good practice for infection control to all members of the multidisciplinary team.
Strategy and Business Planning
- To participate in the business planning and objective setting process for the directorate and Trust where appropriate.
- To represent the Trust at appropriate clinical networks/other external clinical meetings, as delegated by the Clinical Director.
Leadership and Team Working
- To demonstrate excellent leadership skills with regard to individual performance, clinical teams, the Trust and when participating in national or local initiatives.
- To work collaboratively with all members of the multi-disciplinary team and Kings Health Partners as required.
- To chair regular meetings for the specialties.
- To resolve conflict and difficult situations through negotiation and discussion, involving appropriate parties.
- Adhere to Trust/departmental guidelines on leave including reporting absence.
Job description
Job responsibilities
The post-holder will be Professionally accountable to Dr Mark Kinirons who is the relevant Medical Director
o provide specialist consultant in rehabilitation clinical services to adult and children with physical impairments where rehabilitation is combined with prescribed medical devices, namely orthotics, prosthetics, wheelchair & special seating and assistive communication. To be a key member of the multidisciplinary teams within RSR for medical leadership,
Provide High Quality Care to Patients
The post holder must be medically qualified and maintain GMC full and specialist registration and hold a current licence to practise
To develop and maintain the competencies required to carry out the duties required of the post.
To ensure prompt attendance at agreed direct clinical care Programmed Activities.
To ensure patients are involved in decisions about their care and to respond to their views. Specialist assessment and treatment of people with physical impairments
Amputees rehabilitation management and reintegration into their community with or without prosthetic rehabilitation;
Clients requiring wheelchair, assistive communication and specialist seating to manage functional and postural disabilities through assessment and provision;
Clients requiring assessment and provision of orthotic devices;
Clients requiring spasticity and postural management, both as out-patients and within the community setting.
The post holder will be required to work flexibly in accordance with the needs of patients and the Trust, which may include working across different sites and on varying days of the week, including weekends.
Research, Teaching and Training
To collaborate with academic and clinical colleagues to enhance the Trusts translational research portfolio, at all times meeting the full requirements of Research Governance.
To provide high quality teaching to medical undergraduates and members of other health care professions as required by the Clinical Director.
To act as educational supervisor and appraiser as delegated by the Clinical Director to ensure external accreditation of training post.
- Where possible to collaborate with academic and clinical colleagues to enhance the Trusts translational research portfolio, at all times meeting the full requirements of Research Governance.
- To provide high quality teaching to medical undergraduates and members of other health care professions as required by the Clinical Director and the local MDTs
- To act as educational supervisor and appraiser as delegated by the Clinical Director to ensure external accreditation of training post
Performance Management
To work with medical, nursing, laboratory and managerial colleagues to ensure high performance in the following areas:
Clinical efficiency e.g. LOS reductions, reducing cancelled operations and DNA rates.
Quality of outcomes e.g. infection control targets, reducing re-admission rates.
Financial management e.g. identification, implementation and achievement of cost improvement programmes and participating in efforts to ensure services are provided cost effectively e.g. managing locum agency spend, monitoring and managing the drug budget to target, ensuring accuracy of clinical data for the team.
Operational efficiency e.g. day-case rates, waiting list activity and demand management.
- To work with medical, therapy, administrative and managerial colleagues to ensure high performance in the following areas:
- Clinical efficiency e.g. meeting KPIs, reducing cancelled operations and DNA rates and activity targets
- Quality of outcomes e.g. data.
- Financial management e.g. identification, implementation and achievement of cost improvement programmes and participating in efforts to ensure services are provided cost effectively e.g., ensuring accuracy of clinical data for the team.
- Operational efficiency e.g., waiting list activity and demand management.
Medical Staff Management
- To work with colleagues to ensure junior doctors hours are compliant in line with EWTD and New Deal.
- To ensure that adequate systems and procedures are in place to control and monitor leave for junior medical staff and to ensure that there is appropriate cover within the clinical areas, including on-call commitments
- To participate in the recruitment of junior medical staff as and when required.
- To participate in team objective setting as part of the annual job planning cycle.
- To be responsible for the annual appraisal of all doctors in training, Trust doctors, Clinical Fellows and non-consultant grades as delegated by the Clinical Director/General Manager.
To participate in the recruitment of therapy clinical lead roles as requires by the head of RSR or service clinical leads
Governance
- To review clinical outcomes in designated area using external benchmarking data where appropriate, to identify and advise variances to the Clinical Director.
- Participate in clinical audit, incident reporting and analysis and to ensure resulting actions are implemented.
- To work closely with the Directorate, Patient and Public Involvement panels in relation to clinical and services developments as delegated by the Clinical Director.
- Participate in ensuring NICE requirements are reviewed and implemented and monitored in the speciality areas.
- To ensure clinical guidelines and protocols are adhered to by junior medical staff and updated on a regular basis.
- To keep fully informed about best practice in the speciality areas and ensure implications for practice changes are discussed with the Clinical Director.
- To role model good practice for infection control to all members of the multidisciplinary team.
Strategy and Business Planning
- To participate in the business planning and objective setting process for the directorate and Trust where appropriate.
- To represent the Trust at appropriate clinical networks/other external clinical meetings, as delegated by the Clinical Director.
Leadership and Team Working
- To demonstrate excellent leadership skills with regard to individual performance, clinical teams, the Trust and when participating in national or local initiatives.
- To work collaboratively with all members of the multi-disciplinary team and Kings Health Partners as required.
- To chair regular meetings for the specialties.
- To resolve conflict and difficult situations through negotiation and discussion, involving appropriate parties.
- Adhere to Trust/departmental guidelines on leave including reporting absence.
Person Specification
Professional Qualification
Essential
- Eligible for full UK GMC registration and a Licence to Practise, On GMC Specialist Register or within six months of attaining CCT in Rehabilitation Medicine, MBBS or equivalent, MRCP or equivalent
Desirable
- BSc or equivalent PhD or equivalent European or N. American (USA or Canada) Board specialist consultant certification in PM&R
Clinical Experience
Essential
- Expertise and specialist clinical competence in focal spasticity management using botulinum toxin Expertise in Prosthetics - Amputee Rehabilitation
Desirable
- Expert panel, publications and teaching in prosthetics Amputee Rehabilitation Expertise in Orthotics & Specialist seating
Clinical Skills
Essential
- Specialist skills in design and prescription of prosthetic devices Specialist skills in design and prescription of orthoses, gait aids, wheelchairs and other assistive equipment Previous experience running clinics within prosthetic and orthotic services
Desirable
- Publication and training in specialist rehabilitation Expertise and specialist clinical competence in postural management and special seating prescriptions and powered mobility Previous experience running clinics within wheelchair and ACS services Expertise and specialist clinical competence in focal spasticity management using botulinum toxin
Audit Management & IT
Essential
- Specialist skills in design and prescription of prosthetic devices Specialist skills in design and prescription of orthoses, gait aids, wheelchairs and other assistive equipment Previous experience running clinics within prosthetic and orthotic services Track record of clinical governance quality improvement initiatives, audit, management and IT skills required Understanding of principles of audit Interpretation of clinical governance Management experience Sound knowledge of strategic development for specialist rehab services, in advance technology and future provision
Desirable
Research, Teaching skill & Experience
Essential
- Track record of research, publications/ understanding / knowledge of Research ethics Experience of teaching and training undergraduates, postgraduates and junior medical staff
Desirable
- Evidence of research training Proven record of publication in peer-reviewed scientific journals MD or PhD Successful applicant on peer-reviewed research grants Research period outside the UK Teaching qualification
Leadership/Management skills
Essential
- Communication; Ability to communicate with clarity and intelligently in written and spoken English; ability to build rapport, listen, persuade/ negotiate. Accountability; Ability to take responsibility, lead, make decisions and exert appropriate authority. Interpersonal Skills; Empathy, understanding, listening skills, patience and ability to work co-operatively with others. Able to change and adapt, respond to changing circumstances and to cope with setbacks or pressure. Ability to work as part of a team Staff Management; Experience of performance management, developing and motivating staff. Finance; Knowledge of finance and budgets.
Desirable
- Evidence of leadership in the development of a clinical service Ability to think strategically for clinical service and research agenda improvements
Person Specification
Professional Qualification
Essential
- Eligible for full UK GMC registration and a Licence to Practise, On GMC Specialist Register or within six months of attaining CCT in Rehabilitation Medicine, MBBS or equivalent, MRCP or equivalent
Desirable
- BSc or equivalent PhD or equivalent European or N. American (USA or Canada) Board specialist consultant certification in PM&R
Clinical Experience
Essential
- Expertise and specialist clinical competence in focal spasticity management using botulinum toxin Expertise in Prosthetics - Amputee Rehabilitation
Desirable
- Expert panel, publications and teaching in prosthetics Amputee Rehabilitation Expertise in Orthotics & Specialist seating
Clinical Skills
Essential
- Specialist skills in design and prescription of prosthetic devices Specialist skills in design and prescription of orthoses, gait aids, wheelchairs and other assistive equipment Previous experience running clinics within prosthetic and orthotic services
Desirable
- Publication and training in specialist rehabilitation Expertise and specialist clinical competence in postural management and special seating prescriptions and powered mobility Previous experience running clinics within wheelchair and ACS services Expertise and specialist clinical competence in focal spasticity management using botulinum toxin
Audit Management & IT
Essential
- Specialist skills in design and prescription of prosthetic devices Specialist skills in design and prescription of orthoses, gait aids, wheelchairs and other assistive equipment Previous experience running clinics within prosthetic and orthotic services Track record of clinical governance quality improvement initiatives, audit, management and IT skills required Understanding of principles of audit Interpretation of clinical governance Management experience Sound knowledge of strategic development for specialist rehab services, in advance technology and future provision
Desirable
Research, Teaching skill & Experience
Essential
- Track record of research, publications/ understanding / knowledge of Research ethics Experience of teaching and training undergraduates, postgraduates and junior medical staff
Desirable
- Evidence of research training Proven record of publication in peer-reviewed scientific journals MD or PhD Successful applicant on peer-reviewed research grants Research period outside the UK Teaching qualification
Leadership/Management skills
Essential
- Communication; Ability to communicate with clarity and intelligently in written and spoken English; ability to build rapport, listen, persuade/ negotiate. Accountability; Ability to take responsibility, lead, make decisions and exert appropriate authority. Interpersonal Skills; Empathy, understanding, listening skills, patience and ability to work co-operatively with others. Able to change and adapt, respond to changing circumstances and to cope with setbacks or pressure. Ability to work as part of a team Staff Management; Experience of performance management, developing and motivating staff. Finance; Knowledge of finance and budgets.
Desirable
- Evidence of leadership in the development of a clinical service Ability to think strategically for clinical service and research agenda improvements
Disclosure and Barring Service Check
This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.
Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).
From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).
Additional information
Disclosure and Barring Service Check
This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.
Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).
From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).
