Consultant in Stroke Medicine

Job description

Job responsibilities

This post is offered on a full time (10 PA) basis although less than full time applications will be considered.

Duties will be based primarily on our Wakefield (Pinderfields) site although all our medical staff are involved in delivering care to stroke patients on our other site at Dewsbury District Hospital where the stroke rehab unit is based.

The main duties of the post will include:

To provide high quality care to all patients admitted to the stroke service at MYTT

Keep patients (and/or their carers if appropriate) informed about their condition and involve them in the decision making of their treatment

Maintain professional standards and obligations as set out from time to time by the General Medical Council (GMC) and comply in particular with the GMCs guidance on Good Medical Practice as amended or substituted from time to time.

Urgent and Emergency Care duties including out-of-hours on-call; schedules will take due account of the provisions of working time regulations and safe working

On-call duties are currently shared with 7 other colleagues on a 1:8 basis both weekdays and weekends. Out of hours on call is provided through telemedicine connecting directly to the

Supervising trainees working within the department

Administrative duties, for which appropriate Consultant office space and secretarial support and IT facilities are provided

Supporting Professional Activities in accordance with the Trust Framework, with at least a minimum of 1.5 SPAs included in the core 10PA timetable. Additional SPA or DCC time may be commissioned in line with the skills of the successful candidate and changing requirements of the service.

o Examples may include formal teaching responsibilities or departmental leadership roles or research activities

The Stroke Service

MYTT is an Acute Stroke Centre providing HASU care for an area including Wakefield district, north Kirklees, large parts of Barnsley and parts of south Leeds. We provide acute and rehabilitation stroke care for all those patients except those from Barnsley - these patients are repatriated to local care at the end of their HASU stay unless discharged home. All acute services are at Pinderfields Hospital in Wakefield; the stroke rehabilitation unit is at nearby Dewsbury and District Hospital (DDH).

There are currently 7 consultant posts (4 substantive and 3 locums) supporting the service with registrar support at Pinderfields and a team of rotating junior doctors which includes foundation and IMTs.

Depending on working patterns other arrangements for time off in lieu may be agreed.

Stroke Assessment Hub (the Hub): We admit over 1200 confirmed stroke patients a year plus an additional 400-600 stroke mimics. We operate a direct from ambulance admission pathway, taking all patient straight to CT then to the Hub for treatment or further assessment. That service is support by 2 Band 6 or higher Stroke Assessment Nurses 24 hours per day to support thrombolysis, emergency BP control, and consideration for mechanical thrombectomy at the Comprehensive Stroke Centre at LTHT. Mechanical thrombectomy service is not currently available 24/7. The site provides CTA and CTP within current thrombectomy provisions and has the capability of round the clock CTA when pathways require it.

Patients are assessed by consultants in the Hub during working hours for consideration of thrombolysis/thrombectomy and out of hours by the juniors from acute team with support by telemedicine from the stroke physician on call. Strokes are admitted to the adjacent HASU and mimics to the adjacent ASU to be diagnosed and managed by the stroke team in conjunction with other inpatient services.

HASU: we have a 12-bedded HASU with centralised physiological monitoring, experienced stroke nurses and 7 day access to physiotherapy and OT assessments. We have access to all necessary investigations, though there are limitations on out of hours MRI (This is limited to 8 AM 8 PM, 7 days of the week) and weekend carotid US.

ASU: this is co-located with the HASU on a 39-bedded ward. We provide daily ward rounds (2 consultants) in line with 5 days review for stable patients with a full team handover at the start of each day and dedicated consultant handover to the nurse coordinator at the end of each ward round.

Stroke Rehabilitation Unit: this 16-bedded unit is co-located with the Neurological Rehabilitation Centre at DDH and we provide 2 consultant session each week to support this

TIA service: Currently this is a mix of face to face and non-face-to-face with the option to bring patients to the Hub for examination where necessary; we have access to MRI and carotid US with dedicated slots, usually same day. The service is currently consultant-led with admin support.

Current workload: The OP workload is two clinics per week which consists of a TIA clinic where 5 new patients are seen and worked up arranging any investigations that are required with the provision of a sixth patient Care = o be added depending on the urgency. The Stroke clinic consists of a mix of up to 3 new patients and 5 follow up patients with complex needs.

Person Specification

Qualifications

Essential

• Medical Degree from recognised medical school
• MRCP or equivalent

Desirable

• Medical School Prizes
• Audit or Case Presentations
• Teaching qualification/ prize

Experience

Desirable

• Computer literate
• Specific educational interests and evidence of educational ideas or project work.

Management Skills

Essential

• Demonstrates intelligent and analytical approach to problem solving.
• Good time management.

Desirable

• Possess good organisational and personal management skills

GMC Registration

Essential

• Please state full GMC number
• Full GMC Registration with licence to practise
• Inclusion on the GMC Specialist Register for Geriatric Medicine, Neurology, Rehabilitation Medicine or Clinical Pharmacology with completion of Stroke Fellowship (or demonstration of equivalent competences) or within 6 months of obtaining CCT (or CESR / equivalent)

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.

Certificate of Sponsorship

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).

Employer details

Employer name

The Mid Yorkshire Teaching NHS Trust

Address

Pinderfields Hospital

Aberford Road

Wakefield

West Yorkshire

WF1 4DG

Employer's website

https://www.midyorks.nhs.uk/ (Opens in a new tab)