This post is for a Specialty Doctor who can deliver high quality care along the entire Stroke Service pathway. This will include hyper-acute care, regional 7-day TIA service, stroke rehabilitation, stroke outpatient/follow-up clinics and stroke research. This is a 1-year position (with potential opportunity to extend after 1 year). Stroke is at the forefront of exciting changes to for all emergency services to be based at the Royal Bournemouth Hospital (RBH) site and all planned care at the Poole Hospital (PH) site by 2030. All in-patient stroke beds are now based at RBH, within our 43-bed purpose-built stroke unit, of which 8 beds are designated as hyper-acute stroke. Our weekday TIA Rapid Access Neurovascular clinic is currently based at PH, with weekends provided on a shared rota basis in collaboration with Salisbury Hospital (2 weekends at RBH and 1 weekend at Salisbury). Approval and investment funding has recently been agreed for a new 7-day Neurovascular Same Day Emergency Clinic (SDEC) which will be based at RBH, and plans are progressing to re-locate our weekday TIA service from PH to RBH and embed it within our new Neurovascular SDEC service (current timescale for re-location is April/May 2025). It is anticipated that the post holder will deliver stroke sessions across the two hospital sites until all services are based solely on the RBH site.
The post holder should be an enthusiastic, effective team player with a flexible approach who can embrace new ways of working and will be expected to take an active role in the running of our stroke and rehabilitation services.
The successful candidate will have experience in Stroke Medicine at a middle grade level (or equivalent). We are keen to appoint the right candidate who is flexible, enthusiastic, and self-motivated. Research, a higher degree and overseas experience are not essential, although will be regarded favourably.
Our values define who we are as #TeamUHD. They underpin everything we do now and in the future. They define how we treat our patients, visitors, and each other, our valued teammates and colleagues.UHD are investing in services across the Trust, with many being transformed and developed following merger and the New Hospital Programme. This means that some services may move site this year or next, either temporarily or long term. Recruiting Managers interviewing for this role will be happy to answer any specific questions that you have about this at interview. The hospital site base for this post will be the Royal Bournemouth Hospital, with a plan to relocate the weekday TIA service (currently based at Poole Hospital),anticipated during Spring of 2025, centralising all stroke services together at The Royal Bournemouth Hospital site.Upon relocation of the role/service, excess mileage allowance / reimbursement will not apply, and any travel between the postholder’s home and work base will be classified as a commute. Any other changes unrelated to this, will be handled in line with Trust/National terms and conditions.
The Post holder could expect to cover the following duties:
· Management of inpatients on the 43-bed Stroke Unit at RBH including Hyper Acute Stroke patients
· Attend and participate in TIA and Stroke outpatient clinics and the Neurovascular SDEC once it is established.
· Participate in the Stroke Ambulatory service.
· Support to Early Supported Discharge service.
· Participate in the weekend HASU rota at 1 in 8 frequency
• Clinical administration, included in the sessional time allocation expected to be approx.1 DCC per week
• Other duties as may be identified to meet the needs of the service
• Cover for colleagues during periods of absence.
• Support in-patient care in conjunction with departmental colleagues.
• Teaching duties as required and take an active part in the Postgraduate Medical Education programme and in the teaching of junior medical & nursing staff, General Practitioners, and other clinical professions.
• Take part in department, regional and national audits.
• Management and development of the service using Quality Improvement Methodology.
• Domiciliary visits where agreed appropriate
If desired developing a research portfolio with Bournemouth University could be facilitated.
ON CALL
There will be opportunities to develop skills in thrombolysis and thrombectomy decision making and work towards participation in the on-call thrombolysis rota if desired.
The weekend work consists of a hyper acute Ward Round on site and supervision of a TIA clinic (on site or remote).
TEACHING
There is an active postgraduate programme. There are daily educational lunchtime meetings for Stroke, Medicine for Older People, Neuroradiology, and all physicians take part in the Thursday or Friday Grand Round (site dependent). There is a rolling programme of education for Core Medical Trainees and Foundation doctors. Both sites host the WESTEC training programme for Specialist Registrars in Geriatric medicine in Wessex once or twice a year.
There are formal postgraduate teaching programmes for the MRCP and the Royal Bournemouth Hospital is an MRCP Part II examining centre. Undergraduates from Southampton Medical School attend for their medical attachments and we also receive many elective students from within the United Kingdom and other parts of Europe.
There are close links with the departments of Medicine and Geriatric Medicine at Southampton University and there is close co-operation over matters of teaching and research.
The Trust takes the training of training and non-training grade doctors very seriously, with time set aside for all aspects of specialist training including health service management. Doctors are provided with support and resources to pursue research, including one half day per week free of clinical work.
RESEARCH
Stroke research is highly active, supported by dedicated whole time equivalent research nurses, funded by NHS R&D funds. The department recruits to a broad range of trials, including prevention, acute care, rehabilitation, and community care.
The wider department of Medicine for Older People also has an active research programme.
The appointee will be encouraged to pursue research and to act as Principle Investigator in selected NIHR trials.
CLINICAL GOVERNANCE AND AUDIT
There is a robust and workable framework for Clinical Governance and Audit. There are Departmental Mortality and Morbidity meetings, stroke performance and quality meetings as well as the wider Directorate and Trust governance.
POSTGRADUATE MEDICAL EDUCATION
There is a Postgraduate Centre at the Royal Bournemouth Hospital and Poole Hospital. The successful candidate will be expected to provide teaching for the doctors in training in their department. He/she will be expected to share with Consultant colleagues the role of Educational Supervisor. This will involve the provision of supportive formal appraisals to doctors in training at regular intervals, induction at the beginning of their contracts and career advice as appropriate. Advice on the role of Education Supervisor can be obtained from the Clinical Tutor. There are exceptionallibraries based in the Postgraduate Centres of both Bournemouth and Poole and meetings of general and specialist medical content are held regularly during the week. There is an active Medical Audit Committee supervising Medical Audit within the Hospital. The Dorset Research and Development Unit (RDSU) is based within Poole Hospital.
This advert closes on Thursday 13 Feb 2025
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