Job summary Chelsea and Westminster Hospital Foundation wishes to appoint Locum Consultant in Neurology. Roles and Responsibilities of the post The successful candidate will join a close team of existing neurology consultants at the West Middlesex site. The appointee will provide inpatient and outpatient services, in a busy, but well supported hospital. The stroke component is at Charing Cross Hospital. It involves rotations between HASU, TIA, OP clinics and On-call. The post holder will deliver comprehensive care for patients admitted to the ward under their team. The post holder will also undertake ward rounds and conduct multidisciplinary meetings. The post holder will be responsible for prompt discharge planning of neurology patients under his/her care. The post holder will be supported by a Senior Clinical Fellow. The post offers immense opportunities for teaching and training junior doctors and medical students. Provision with Consultant colleagues of a service to the Chelsea and Westminster Hospital Foundation NHS Trust, with responsibility for the prevention, diagnosis and treatment of illness, and the proper functioning of the department. Participate in relevant audit and quality assurance processes, including reviews of manpower requirements Main duties of the job Indicative Weekly Job Plan The jobs includes 75% neurology at West Middlesex Hospital and 25% stroke at Charing Cross Hospital. The stroke weeks will alternate between covering HASU, TIA, OP, on-calls. Monday Tuesday Wednesday Thursday Friday Weekend 0900-1300 General Neurology Clinic 1.0 DCC 0900-1300 General Neurology Clinic 1.0 DCC 0900-1300 General Neurology Clinic 1.0 DCC 0900-1300 General Neurology Clinic 1.0 DCC AM CXH 0800-1200 Neuroradiology MDT, Teaching, Clinical Meeting, M&M, Audit, Departmental Lecture CXH N/A 1400-1700 Clinical Admin; Cover for leave re HG Neurology WR; 0.75 DCC 1400-1700 Inpatient referrals 1400-1700 Clinical Admin; Cover for leave re HG Neurology WR; 0.75 DCC 1400-1700 Clinical Admin; Cover for leave re HG Neurology WR; 0.75 DCC SPA N/A Timetable HASU 1 Consultant (All new hyper-acute admissions) 1 Day Time Location Work Monday to Friday 0900-1300 HASU HASU ward round (WR) and board rounds with MDTs 1330 - 1730 HASU Discharge WR, ward work, family meetings, new patients and evening handover Tuesday 1300 - 1400 (optional) 10 east library Stroke academic meeting Wednesday 1145 - 1330 MDTs Neuroradiology MDT and Vascular MDT About us Chelsea and Westminster Hospital NHS Foundation Trust is one of England's top-performing and safest trusts. We operate two main acute hospital sitesChelsea and Westminster Hospital and West Middlesex University Hospitalalong with award-winning clinics across North West London. Our nearly 7,500 staff care for a diverse population of 1.5 million, providing full clinical services, including maternity, A&E, and children's services, plus specialist HIV and sexual health clinics. The Care Quality Commission rates us 'Good' in safety, effectiveness, care, and responsiveness, and 'Outstanding' in leadership and resource use. We continually invest in our facilities, including a £30m expansion of critical care at Chelsea and Westminster and an £80m Ambulatory Diagnostic Centre at West Middlesex. We welcome applications for flexible working arrangements, accommodating requests where possible to support our staff and patient needs. The Trust is committed to equality and welcomes applications from all, regardless of background. Adjustments can be made for disabled candidates. Early application is advised as vacancies may close once sufficient applications are received. If you haven't heard from us within three weeks of the closing date, your application was likely unsuccessful. Employment is subject to a six-month probationary period. Some roles may require weekend shifts at multiple sites. Date posted 21 February 2025 Pay scheme Other Salary Depending on experience Contract Fixed term Duration 12 months Working pattern Full-time Reference number 289-EIC-LCON-0399 Job locations West Middlesex Hospital Isleworth TW7 6AF Job description Job responsibilities This post will take on general neurology clinical commitments at the Chelsea & Westminster Hospital as well as contribute to the regional neurosciences unit based at Charing Cross Hospital with a specialist clinic there. A provisional timetable denoting the allocation of fixed/non-fixed commitments is for Direct Clinical Care (DCC) 8.0 and supporting professional activities (SPA) 2.0. The job plan will be subject to change in the future, subject to the needs of the service and in consultation with the post-holder. The illustrative weekly commitment is shown on page 21 & 22. The post will initially attract 2.0 SPAs. These are provided for personal CME/CPD, mandatory training, appraisal and revalidation, and medical student teaching. At the first annual job plan review, the SPA allocation will be reviewed in line with Trust Policy. Specific SPA objectives and outcomes will be agreed with the Service Lead within 3 months of appointment. Additional SPA e.g. a more significant teaching commitment, clinical or educational supervision etc, if agreed will be accommodated through job planning. Clinics are set up using the ABN template of 30mins for a new patient and 15mins for a follow up in the general clinics with the recommended reductions when a trainee is present to supervise. Inpatient numbers at any one time vary with Nell Gwynne ward having 20 stroke and 4 neurology beds with some flexibility according to sub-speciality need. In-patient/ward referrals are very variable but there has been an undoubted upward trend, reflecting the increased activity in the Acute Assessment Unit and A&E attendances. On average there are 5-6 referrals per day seen by the senior clinical fellow and reviewed by the consultant of the day/next ward round depending on urgency. A degree of flexibility on cross cover will be expected to cover for inpatient work such as ward rounds and deal with any unexpected clinical matters that arise relating to colleague(s) leave. This is programmed in the job plan but may require early start/later finishes elsewhere in the week. Similarly there will be consideration of time off in lieu. It is expected that the post holder will engage in specific management tasks and contribute to monthly departmental meetings and hospital committees in agreement with the Service Director and the Directorate management. The on call commitment is via the Regional General Neurology rota based at Charing Cross Hospital which is currently approx. 1 in 20 weeks non-resident on call and paid at the appropriate intensity supplement and includes post take/ referral ward rounds. The Stroke Component at Charing Cross: Background to the post The post attracts applicants with sound experience and training in Stroke Medicine to join the Imperial Stroke Centre team to support existing colleagues in this busy service. The successful applicant will be within the Division of Medicine and will be expected to participate in the management of the hyper acute and acute stroke service in accordance with national and international clinical guidelines and will rotate through these parts of the service. The appointee will work closely and in partnership with the rest of Medicine and with Neurosciences. They will be expected to contribute to the existing stroke research effort at Imperial. Clinical teaching, at undergraduate and post-graduate level, will be an important aspect. The work of the department The Stroke Service on the Charing Cross site provides 24 hours per day, 7 days per week support and hyper acute care for all acute stroke patients (and mimics) and those with high-risk TIAs, including those requiring neurovascular intervention. We provide thrombolysis as well as thrombectomy for appropriate patients. The thrombectomy service has been expanded to provide 24 hour cover. The Hyper acute Stroke unit (HASU) has 23 beds and there is an adjacent 22-bedded Acute Stroke unit for early assessments and rehabilitation. The Stroke Service offers a same-day full investigation service for high risk TIA patients Monday to Sunday, with the weekend and after-hours service available. The Imperial clinical director for stroke and neurosciences sits on the Pan-London Stroke Strategic Clinical leadership group. Imperial are actively engaged with the London commissioners in expanding and improving existing community rehabilitation. Training and research are central to our mission. We have now trained many accredited stroke physicians. We take a leading role within the North West London Academic Health Science Network (AHSC) and have Hyperacute Stroke Research Centre (HASU) status. We hold a weekly Academic meeting where Research Study accrual numbers are reviewed and new studies presented and discussed. Thrombolysis and thrombectomy cases are carefully monitored and selected cases discussed in detail in our monthly separate Thrombolysis & Thrombectomy mortality and morbidity meetings. Our Stroke Clinical Specialist Nurses lead on nursing aspects of stroke thrombolysis. All of our nurses receive specific training in hyper acute stroke care on a regular basis. Specialist stroke therapists are available every weekday, with a weekend review service. We have access to neuro-rehabilitation in a variety of settings, with the Charing Cross Neuro-Rehabilitation Unit (CNRU) on site. Stroke services at Imperial College Healthcare are very well supported by Imaging and Therapies. We have access to weekend MRI. We hold weekly Stroke Neuro-imaging meeting where cases and further investigations are fully discussed. There is a monthly Stroke Quality Board and a Management meeting where performance is reviewed. Senior multi-professional attendance at these ensures a cohesive management structure and robust governance. There is weekly teaching and training for all grades of staff and a commitment to medical student teaching. Imperial College Healthcare NHS Trust shows a strong commitment to appraisal and revalidation, and aims to be a national exemplar to this end. Support is provided for all employees by the Trust's professional development officer, with regular updates and support provided at each stage of the revalidation process. Job description Job responsibilities This post will take on general neurology clinical commitments at the Chelsea & Westminster Hospital as well as contribute to the regional neurosciences unit based at Charing Cross Hospital with a specialist clinic there. A provisional timetable denoting the allocation of fixed/non-fixed commitments is for Direct Clinical Care (DCC) 8.0 and supporting professional activities (SPA) 2.0. The job plan will be subject to change in the future, subject to the needs of the service and in consultation with the post-holder. The illustrative weekly commitment is shown on page 21 & 22. The post will initially attract 2.0 SPAs. These are provided for personal CME/CPD, mandatory training, appraisal and revalidation, and medical student teaching. At the first annual job plan review, the SPA allocation will be reviewed in line with Trust Policy. Specific SPA objectives and outcomes will be agreed with the Service Lead within 3 months of appointment. Additional SPA e.g. a more significant teaching commitment, clinical or educational supervision etc, if agreed will be accommodated through job planning. Clinics are set up using the ABN template of 30mins for a new patient and 15mins for a follow up in the general clinics with the recommended reductions when a trainee is present to supervise. Inpatient numbers at any one time vary with Nell Gwynne ward having 20 stroke and 4 neurology beds with some flexibility according to sub-speciality need. In-patient/ward referrals are very variable but there has been an undoubted upward trend, reflecting the increased activity in the Acute Assessment Unit and A&E attendances. On average there are 5-6 referrals per day seen by the senior clinical fellow and reviewed by the consultant of the day/next ward round depending on urgency. A degree of flexibility on cross cover will be expected to cover for inpatient work such as ward rounds and deal with any unexpected clinical matters that arise relating to colleague(s) leave. This is programmed in the job plan but may require early start/later finishes elsewhere in the week. Similarly there will be consideration of time off in lieu. It is expected that the post holder will engage in specific management tasks and contribute to monthly departmental meetings and hospital committees in agreement with the Service Director and the Directorate management. The on call commitment is via the Regional General Neurology rota based at Charing Cross Hospital which is currently approx. 1 in 20 weeks non-resident on call and paid at the appropriate intensity supplement and includes post take/ referral ward rounds. The Stroke Component at Charing Cross: Background to the post The post attracts applicants with sound experience and training in Stroke Medicine to join the Imperial Stroke Centre team to support existing colleagues in this busy service. The successful applicant will be within the Division of Medicine and will be expected to participate in the management of the hyper acute and acute stroke service in accordance with national and international clinical guidelines and will rotate through these parts of the service. The appointee will work closely and in partnership with the rest of Medicine and with Neurosciences. They will be expected to contribute to the existing stroke research effort at Imperial. Clinical teaching, at undergraduate and post-graduate level, will be an important aspect. The work of the department The Stroke Service on the Charing Cross site provides 24 hours per day, 7 days per week support and hyper acute care for all acute stroke patients (and mimics) and those with high-risk TIAs, including those requiring neurovascular intervention. We provide thrombolysis as well as thrombectomy for appropriate patients. The thrombectomy service has been expanded to provide 24 hour cover. The Hyper acute Stroke unit (HASU) has 23 beds and there is an adjacent 22-bedded Acute Stroke unit for early assessments and rehabilitation. The Stroke Service offers a same-day full investigation service for high risk TIA patients Monday to Sunday, with the weekend and after-hours service available. The Imperial clinical director for stroke and neurosciences sits on the Pan-London Stroke Strategic Clinical leadership group. Imperial are actively engaged with the London commissioners in expanding and improving existing community rehabilitation. Training and research are central to our mission. We have now trained many accredited stroke physicians. We take a leading role within the North West London Academic Health Science Network (AHSC) and have Hyperacute Stroke Research Centre (HASU) status. We hold a weekly Academic meeting where Research Study accrual numbers are reviewed and new studies presented and discussed. Thrombolysis and thrombectomy cases are carefully monitored and selected cases discussed in detail in our monthly separate Thrombolysis & Thrombectomy mortality and morbidity meetings. Our Stroke Clinical Specialist Nurses lead on nursing aspects of stroke thrombolysis. All of our nurses receive specific training in hyper acute stroke care on a regular basis. Specialist stroke therapists are available every weekday, with a weekend review service. We have access to neuro-rehabilitation in a variety of settings, with the Charing Cross Neuro-Rehabilitation Unit (CNRU) on site. Stroke services at Imperial College Healthcare are very well supported by Imaging and Therapies. We have access to weekend MRI. We hold weekly Stroke Neuro-imaging meeting where cases and further investigations are fully discussed. There is a monthly Stroke Quality Board and a Management meeting where performance is reviewed. Senior multi-professional attendance at these ensures a cohesive management structure and robust governance. There is weekly teaching and training for all grades of staff and a commitment to medical student teaching. Imperial College Healthcare NHS Trust shows a strong commitment to appraisal and revalidation, and aims to be a national exemplar to this end. Support is provided for all employees by the Trust's professional development officer, with regular updates and support provided at each stage of the revalidation process. Person Specification Essential Essential Broad experience in Neurology Educational Qualification Desirable Participation in Audits and Research activity Person Specification Essential Essential Broad experience in Neurology Educational Qualification Desirable Participation in Audits and Research activity 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). 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. 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 Chelsea and Westminster Hospital NHS Foundation Trust Address West Middlesex Hospital Isleworth TW7 6AF Employer's website https://www.chelwest.nhs.uk/ (Opens in a new tab)