Job summary
An exciting opportunity has arisen within the Urgent and Integrated Care Division as we look to recruit a Non Medical Consultant (8b - 8d, dependent on experience) to our expanding Acute Stroke Service at Dorset County Hospital. We have now successfully bid for Hyper Acute Stroke Unit (HASU) status and are now beginning to build our team to achieve that goal.
As a Non-Medical Consultant you will work clinically as part of the medical consultant rotation within the HASU service. You will be a registered nurse or Allied Healthcare Professional with substantial stroke experience.
You will be instrumental in developing our HASU and our stroke pathways in line with the regional integrated care service (ICS)
Main duties of the job
The post holder will:
- Provide expert clinical leadership, which crosses professional and organisational boundaries to bring about improvements in care and treatment outcomes. This will incorporate the care standards of the relevant stroke national guidelines.
- Be an expert resource and educator, and provide strategic leadership for stroke teams within the Trust, across Dorset, Wessex and the Southwest.
- Provide consultative clinical advice and expertise in person, via email or consultant telephone advice line, exercising highly advance clinical knowledge, levels of judgement, discretion and decision making in the delivery of high-quality stroke care.
- Lead in developing medical and nursing stroke practice, knowledge skills and roles within the Trust.
- Forge strong links with colleagues at Bournemouth University to provide post graduate educational programmes in relation to cardiovascular disease.
- Be part of the stroke consultant weekend rota, making clinically independent decisions in all medical aspects of hyperacute and acute stroke care.
- Be part of the consultant stroke thrombolysis rota making time critical, high pressured and complex autonomous decisions
- Identify research and audit opportunities in all areas of hyperacute and acute stroke medicine and pursue relevant sources of funding and collaboration across Wessex.
About us
At Dorset County Hospital (DCH) we aspire to providing outstanding care for people in ways which matter to them. Our trust strategy is focussed on three strategic goals: People, Place, and Partnership. It signals our intention to truly value our staff. Our people are our most important asset, and we want them to feel valued, welcomed, respected, they belong and matter. We recognise the link between high levels of staff satisfaction and improving patient experience and outcomes.
We are a Trust that celebrates diversity, and we are committed to creating an inclusive environment for all employees. Dorset County Hospital has a number of employees from overseas delivering high quality services and we recognise the value of diversity in leadership.
Job description
Job responsibilities
CLINICAL EXPERT PRACTICE/Responsibility for patients
- Demonstrates advanced interpersonal skills in caring for stroke and TIA patients and their families.
- Work in a high pressured environment of frequent interruptions making rapid complex decisions autonomously.
- To provide consultative clinical expertise and act as a resource in the care and support of patients who have suffered from Transient Ischaemic Attack (TIA) or Stroke.
- To exercise highly advanced clinical and theoretical expertise, levels of judgement, discretion and decision making in the field of stroke care.
- To make high pressured, time critical, skilled evaluations and decisions about treatment options in ED, HASU, TIA, and stroke clinics.
- To work with the highest degree of personal and professional autonomy exercising full responsibility for the decisions made.
- To participate in the stroke consultant rota at weekends independently admitting and discharging stroke patients from the ward or ED. To continue to have a responsibility for this group of patients throughout their stay, after discharge and in the outpatient setting.
- To be an autonomous decision maker for stroke thrombolysis and independently refer to the tertiary centre for time critical interventions.
- Share in the responsibility of the stroke advice line for ED, GPs, paramedics and Yeatman stroke rehabilitation centre.
- Demonstrates advanced practice functions including clinical history taking, physical assessment, including a full neurological examination, diagnosis and clinical plan.
- To provide a consultant TIA service, requesting appropriate diagnostic tests including, CT, MRI, carotid doppler, echocardiogram and ambulatory cardiac monitoring.
- Provide clinical supervision to the stroke MDT including ACPs and junior doctors.
- To take full responsibility for the interpretation of test results and decisions about the ongoing clinical management based on the results.
- To develop and establish clinical effective standards of care, protocols, and guidelines to enhance the clinical care of stroke patients in a variety of settings
- Make direct referrals to other agencies or specialities both inside and outside the trust e.g. Early Supported Discharge, cardiology, neurology, vascular surgeons, memory clinics, voluntary organisations.
- To receive direct referrals from other agencies or specialities.
- Carry an equal consultant caseload of stroke patients in the West of Dorset
Job description
Job responsibilities
CLINICAL EXPERT PRACTICE/Responsibility for patients
- Demonstrates advanced interpersonal skills in caring for stroke and TIA patients and their families.
- Work in a high pressured environment of frequent interruptions making rapid complex decisions autonomously.
- To provide consultative clinical expertise and act as a resource in the care and support of patients who have suffered from Transient Ischaemic Attack (TIA) or Stroke.
- To exercise highly advanced clinical and theoretical expertise, levels of judgement, discretion and decision making in the field of stroke care.
- To make high pressured, time critical, skilled evaluations and decisions about treatment options in ED, HASU, TIA, and stroke clinics.
- To work with the highest degree of personal and professional autonomy exercising full responsibility for the decisions made.
- To participate in the stroke consultant rota at weekends independently admitting and discharging stroke patients from the ward or ED. To continue to have a responsibility for this group of patients throughout their stay, after discharge and in the outpatient setting.
- To be an autonomous decision maker for stroke thrombolysis and independently refer to the tertiary centre for time critical interventions.
- Share in the responsibility of the stroke advice line for ED, GPs, paramedics and Yeatman stroke rehabilitation centre.
- Demonstrates advanced practice functions including clinical history taking, physical assessment, including a full neurological examination, diagnosis and clinical plan.
- To provide a consultant TIA service, requesting appropriate diagnostic tests including, CT, MRI, carotid doppler, echocardiogram and ambulatory cardiac monitoring.
- Provide clinical supervision to the stroke MDT including ACPs and junior doctors.
- To take full responsibility for the interpretation of test results and decisions about the ongoing clinical management based on the results.
- To develop and establish clinical effective standards of care, protocols, and guidelines to enhance the clinical care of stroke patients in a variety of settings
- Make direct referrals to other agencies or specialities both inside and outside the trust e.g. Early Supported Discharge, cardiology, neurology, vascular surgeons, memory clinics, voluntary organisations.
- To receive direct referrals from other agencies or specialities.
- Carry an equal consultant caseload of stroke patients in the West of Dorset
Person Specification
Education, Qualifications and Training
Essential
- RGN 1st level with current NMC registration
- Nurse Practitioner qualification
- Independent non-medical prescriber
- Posseses masterate degree
- Evidence of accredited Masters level education development in stroke and thrombolysis
Desirable
- Teaching qualification
- Advanced life support
- Leadership qualification or equivalent experience
Knowledge and Experience
Essential
- Extensive clinical experience in the field of stroke medicine
- Significant expert clinical sklls with ability to work autonomously outside traditional professional boundaries
- Extensive teaching experience and the ability to present effectively at a regional and national level
- Experience of strategic leadership in service development with ability to implement changes in practice
- Demonstrates up-to-date knowledge of relevant research and its application to practice (medical and nursing)
- Demonstrates knowledge of relevant national stroke guidelines (e.g NICE, BAISP, ESC)
- Experience of conducting and completing primary research
- A reputation of professional and clinical excellence
Desirable
- Extensive teaching experience and the ability to present effectively at a regional and national level
- Experience of developing business cases
- An indepth understanding of clinical governance and ability to assist in establishing systems
Skills and Abilities
Essential
- Able to manage a complex caseload whilst dealing with other time critical and complex demands
- Physical assessment and diagnostic reasoning skills
- CT brain, MRI brain, ECG, 24hr tape and echo interpretation skills
- Advanced communication skills
- Ability to think and act at a strategic level
- Integrity and resilience
- Professional credibility at a local and regional level
- Develop and implement plans and contribute to the development of stroke services in the Trust and regionally
- Evidence of innovation in clinical services and/or clinical development
- High level of interpersonal skills and the ability to motivate others to achieve success
Person Specification
Education, Qualifications and Training
Essential
- RGN 1st level with current NMC registration
- Nurse Practitioner qualification
- Independent non-medical prescriber
- Posseses masterate degree
- Evidence of accredited Masters level education development in stroke and thrombolysis
Desirable
- Teaching qualification
- Advanced life support
- Leadership qualification or equivalent experience
Knowledge and Experience
Essential
- Extensive clinical experience in the field of stroke medicine
- Significant expert clinical sklls with ability to work autonomously outside traditional professional boundaries
- Extensive teaching experience and the ability to present effectively at a regional and national level
- Experience of strategic leadership in service development with ability to implement changes in practice
- Demonstrates up-to-date knowledge of relevant research and its application to practice (medical and nursing)
- Demonstrates knowledge of relevant national stroke guidelines (e.g NICE, BAISP, ESC)
- Experience of conducting and completing primary research
- A reputation of professional and clinical excellence
Desirable
- Extensive teaching experience and the ability to present effectively at a regional and national level
- Experience of developing business cases
- An indepth understanding of clinical governance and ability to assist in establishing systems
Skills and Abilities
Essential
- Able to manage a complex caseload whilst dealing with other time critical and complex demands
- Physical assessment and diagnostic reasoning skills
- CT brain, MRI brain, ECG, 24hr tape and echo interpretation skills
- Advanced communication skills
- Ability to think and act at a strategic level
- Integrity and resilience
- Professional credibility at a local and regional level
- Develop and implement plans and contribute to the development of stroke services in the Trust and regionally
- Evidence of innovation in clinical services and/or clinical development
- High level of interpersonal skills and the ability to motivate others to achieve success
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).
