Gloucestershire Hospitals NHS Foundation Trust
This post attracts a £15K Recruitment & Retention package to the successful substantive candidates appointed. For further information please contact Medical Staffing on 0300 422 2935.
Gloucestershire Hospitals NHS Foundation Trust would like to invite applications for a Substantive or Locum Consultant Stroke Physician to work at Cheltenham General Hospital.
We are looking for a dynamic and enthusiastic colleague to join our well-established stroke service for the continuing delivery of high-quality patient care and to work towards ongoing service improvement.
We welcome applications from individuals within 6 months of CCT at the time of interview or currently hold CCT or equivalent. The post holder should be trained in all aspects of stroke medicine. We also welcome applicants for the Locum Consultant position, especially ideal for those individuals who may have significant stroke experience including from overseas, but are working to achieve the Certificate of Eligibility for Specialist Registration (CESR).
The Stroke Thrombolysis rota is shared with the other Stroke Consultants in this network and provides telephone support with online viewing of scans.
We are also part of the South West Stroke Research Network with 2 Stroke Research nurses, with many opportunities for clinical research and participation in multicentre studies.
Main duties of the job
* Maintenance of high-quality patient-centred care.
* Shared responsibility for the day-to-day management of the service and participation in strategic planning.
* Teaching and training within the multidisciplinary service.
* Active involvement in multidisciplinary team meetings and directorate clinical governance activity.
* Active participation in continuing medical education.
About us
You will be joining a team of 7 consultants and associate specialists (including this role) who work really well together in a supportive team alongside 8 stroke specialist nurses and a team of junior doctors. Although the role is advertised as full time, part-time and flexible working options can be considered.
Stroke and TIA services have been reorganised following the Covid crisis and comprise a direct admission pathway via triage conversation with paramedics and GPs direct to CT avoiding ED which has been invaluable in bed crises to maintain the stroke pathway, an 8-10 bed HASU currently at Cheltenham General Hospital, with, then onwards to an acute (combined acute/rehab) unit also at CGH (ASU- Woodmancote ward 32 beds) and a subsequent 14 bed rehab unit at the Vale Community Hospital, Dursley.
We have a well-developed stroke Early Supported Discharge team covering the whole county (consisting of Physio, OT, SALT, Dietetics, Psychology, Orthoptists, Nurses, and Community Stroke Nurses) support patients in the community and coordinate their 6-month reviews. Our tertiary stroke centre for mechanical thrombectomy and neurosurgery is Southmead Hospital (NBT), Bristol available 24/7. We have a brilliant team of radiographers providing 24/7 access to CT and CTA and are implementing CT perfusion scanning to further optimise treatment pathways for our patients.
Job responsibilities
* We expect the post-holder to provide a safe, effective and efficient service to provide the best possible care to our stroke patients.
* To cover HASU one day per week (Monday to Friday; 8am to 4pm). This includes supporting the stroke specialist nurses and junior doctors with thrombolysis and thrombectomy assessments plus ward referrals; we also support each other with backup HASU consultants if things become busy.
* To review your patients while still on HASU, and onwards to ASU if required, by following your own patients from start to end of their time in hospital, providing real continuity of care to enable the best oversight of the patient journey supporting key decisions as required in partnership with the MDT.
* To be responsible for 1 in 6 weekend ward rounds (8am to 2pm) (no on call).
* To participate in the regional thrombolysis network rota for telephone advice and teleradiology (approx. 1:10-1:12 rota).
* To cover for colleagues' annual leave and other authorised absences, on a reciprocal basis.
* To visit the Vale Community Hospital (Rehab SU) infrequently (typically once in 6 weeks) for an advisory ward round for the GPs who have daily oversight of the patients there.
* To be responsible for providing advice and input to stroke patients referred from other specialties.
* To provide telephone advice about stroke patients referred via GPs within the county via the Cinapsis (telephone advice) service.
* To provide outpatient clinics TIA clinics weekly, and alternate week follow-up clinics.
* To conduct clinical practice in accordance with contractual requirements within the parameters of our Divisions and Trusts agreed objectives.
* There is scope for development of subspecialty interests and to participate in research.
* Any other duties that may be required from time to time.
Person Specification
Qualifications
* Full General Medical Council registration.
* MRCP.
* On Specialist Register for either Neurology, Stroke, General (Internal) Medicine, Geriatric Medicine or Acute Medicine via: CCT or CESR-CP (Combined Programme) (proposed CCT/CESR-CP date must be within 6 months of interview), CESR or European Community Rights.
Clinical Experience
* Proven clinical skills in Stroke medicine including thrombolysis and/or thrombectomy assessments.
* Ability to lead a multi-disciplinary team.
* Ability to work closely with colleagues in Acute Medicine and Emergency Medicine.
* Membership of British Association of Stroke Physicians.
Management & Administrative Skills
* Willing and able to work with colleagues in other specialities, professions and roles to ensure the delivery of a high quality, safe and reliable service.
* Familiar with clinical governance.
* A willingness to accept responsibility and provide leadership.
* Awareness of current relevant developments within the wider NHS.
* Determination to have a key role in establishing and developing the service.
* Experience of clinical governance.
* Experience of protocol/pathway development and change management.
Quality Improvement skills and evidence-based practice
* Experience in devising, conducting and applying QI methodology.
Teaching Experience
* Must have an interest in teaching all grades of hospital and professional staff.
* Practical experience in teaching posts.
Research Experience
* Track record of critical reading.
* Ability to apply research outcomes to clinical problems.
* Plans for possible ongoing research projects relevant to service.
Personal Attributes
* Flexibility and willingness to share clinical responsibility for patients.
* Conscientiousness to ensure careful transfer of care.
* Excellent interpersonal skills.
* Ability to communicate effectively with clinical, academic and managerial colleagues.
* Able to work cooperatively as a team member.
* Ability to self-motivate.
* Ability to think laterally.
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.
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