Job summary
The appointee will join the Stroke team in order to ensure all stroke patients admitted to HUH receive the highest possible level of care. This will mean providing day to day care for stroke patients and outlying medical patients on the Graham stroke unit and also providing stroke-specific clinical input to general medical wards.
The inpatient component of the service is based on the Graham Stroke Unit (Acute Stroke Unit). There are strong therapy links with the Regional Neurological Rehabilitation Unit (RNRU) and the HTNRU for patients with complex needs who require further inpatient rehabilitation. The Stroke Unit is conforming to national clinical Standards and participating in the SSNAP (national audit for stroke and TIA). In addition to meeting the acute stroke and rehabilitation needs of the City and Hackney population, Graham Stroke Unit is also commissioned to provide further stroke rehab (in up to 6 beds) for patients with a Haringey primary care provider.
Main duties of the job
The post-holder will be required to:
ensure Stroke Unit and TIA Provider status is maintained
continue to develop the daily TIA service and maintain appropriate links and referral pathways with local GPs
work with nursing and therapy colleagues to ensure the stroke unit has sufficient capacity to accommodate all suitable stroke patients on admission to the hospital
work with the local Hyper Acute Stroke Centre to ensure robust protocols for the transfer of patients following hyperacute treatments and/or stabilisation
assist the management team with the development of future Consultant and junior doctor roles
.
About us
Homerton University Hospital NHS Foundation Trust (HUH) is an acute hospital located in the East London Borough of Hackney. We are a merged hospital and community service Trust. The current Chairman is Sir John Gieve,and the Chief Executive is Ms Louise Ashley.
The hospital building opened in 1986, with Homerton Hospital Trust established in 1994. The hospital received university status in 2001. We provide training for medical students from Barts and The Royal London, Queen Mary College, University of London and nursing and allied health professions training for students from City University and the University of East London.
Homerton became one of the first ten NHS foundation trusts in the country in April 2004. This allows the Trust to secure certain freedoms to facilitate innovation in the way services are developed and provided. As well as our Trust Board, we also have a Council of Governors comprised of governors representing the local community.
Employing over 4000 people, the hospital has approximately 500 beds and also manages a 50-bed nursing home, Mary Seacole Nursing Home, in Shoreditch, East London. In 2019/20, the Trust admitted nearly 80,000 people, saw over 380,000 people in outpatient clinics and over 128,650 people were treated in the accident and emergency department.
Please refer to the job description for more details.
Job description
Job responsibilities
General Duties
To share responsibility for providing evidence-based standards of care for all inpatients and outpatients.
To have regard at all times to the clinical and quality standards set out in the Patients Charter and the local purchasers contracts.
To liaise effectively and on a timely basis with General Practitioners, community services and all healthcare agencies.
To encourage and foster the governance process at clinical, managerial and medical levels and to take part in regional audit in support of evidence-based medicine.
To participate fully in the management of the Stroke Departments and to liaise closely with the relevant General Manager and the Clinical Director.
Continuing responsibility for the care of patients in his/her charge, including all administrative duties associated with patient care.
Leadership and proper functioning of the services in his/her charge in line with agreed policies at the Trust.
Development of his/her own specialty interests, including active participation in research programmes.
Corporate and singular responsibility for the management of the junior medical staff including the approval and monitoring of junior staff rota's and locum appointments
Please refer to the job description for more details.
Person Specification
Qualifications & Higher qualifications
Essential
1. Fully registered with GMC
2. MRCP (or equivalent)
3. On specialist register or within 6 months in one of the stroke parent specialities.
4. Stroke experience (at equivalent level to Stroke CCST)
Desirable
5. Higher Degree (MSc, MD or PhD)
6. CCST in Stroke Medicine
Relevant experience in speciality/sub speciality
Essential
7. Ability to practice independently in Acute Medicine and Stroke and offer expert clinical opinion on a range of stroke and general medicine related problems
Desirable
8. Expertise in the leadership of an acute care team or stroke care team
9. Experience in emergency or critical care medicine
Clinical skills
Essential
10. Excellent clinical skills
Leadership and professionalism
Essential
11. Ability to take responsibility, lead, make decisions and respond appropriately to service need
Desirable
12. Familiar with current structure of the health service and conversant with recent initiatives and changes
Management skills
Essential
13. Awareness of the overall business environment in which the hospital operates
14. Understanding of the importance of good clinical coding
15. Knowledge of relevant regulatory frameworks eg EWTD
Desirable
16. Management of team or programme or project
Teaching & training
Essential
17. Experience of undergraduate and post-graduate teaching
Desirable
18. Experience of educational supervision, teaching skills course/ qualification
Clinical Governance
Essential
19. Evidence of contribution to effective audit and clinical risk management
Research
Essential
20. Understanding of principles and application of clinical research
Desirable
21. Relevant research experience
22. Publication of peer reviewed papers
Communication skills
Essential
23. Ability to communicate with clarity and intelligently in written and spoken English
24. IT skills and computer literacy
Desirable
25. Computer skills course/certificate
Patient focused skills
Essential
26. Empathy, understanding, listening skills, patience, social skills appropriate to different types of client