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East Midlands NHS Consultant Post CCT ST7+ Medicine Stroke Physician United Kingdom

East Midlands NHS Consultant Post CCT ST7+ Medicine Stroke Physician United Kingdom via Workplace Doctors on a fixed term/ permanent basis.

***Location: East Midlands – United Kingdom
***Speciality: Medicine – Stroke Physician
*** Role: Consultant / ST 7+ / Post CCT / CESR
***Duration: Fixed Term / Permanent (NOT Locum Basis)
***Pay rate: £NEGOTIABLE (dependent on experience £79,860 to £110,465 a year)
***Start date: ASAP
*** GMC Registration Required ( General Medical Council) Essential
*** Specialist Register entry on the GMC Register
***CESR / CCT or Post CCT (within 6 month of job offer) or equivalent overseas qualification.

Overview

Our East Midlands NHS client prides itself on being a friendly and caring place to work where the aim to combine our patient first approach with innovative and creativity against a backdrop of holistic team working, as encapsulated in their vision and values.

The successful applicant will be a key member of the Medicine division in ensuring comprehensive care for stroke patients. The postholder will be key player in developing the stroke services within the trust and work with key links within the community to provide seamless care for patients presenting with stroke. There will be opportunities to develop these acute services, enhanced stroke pathways, community integration and much more. Relationships will be built with CCGs and community trusts.

The Stroke service at the hospital offers hyper acute care 7 days a week through a telemedicine rota with the Stroke Network and runs 7 day TIA clinics. There is a combined 28 bedded ring-fenced Hyperacute (HASU) and Acute Stroke Unit (ASU) at the hospital and provides input into the Rehabilitation Stroke Unit at a nearby hospital. The unit works extremely closely with the Departments of Acute Medicine, Geriatric Medicine and Neurology with Consultants from these areas working alongside the Stroke Consultants.

This post will suit an enthusiastic Consultant who wants to deliver excellent stroke care in a busy district general hospital setting. The post-holder will work with the multi-disciplinary team to create enhanced levels of service for our stroke patients 7 days a week.

General Duties– guideline only

Key duties and responsibilities include:

  • Join the in-house stroke thrombolysis rota and be prepared to join the regional telemedicine rota for thrombolysis as required.
  • Attend acute stroke calls as patients arrive at the hospital as needed and ensure timely investigation, treatment and transfer to ASU.
  • To provide a TIA clinic service with the other Consultants on the rota.
  • Be accessible for clinical advice from other teams and GPs.
  • Develop standards, procedures and systems to ensure safe, high quality and efficient patient care from the point of entry to admission or discharge.
  • Work within the multidisciplinary team to ensure effective team working.
  • Develop clinical guidelines to ensure best practice for the management of stroke.
  • Play a strong role in risk management and governance.
  • Participate in relevant audit and quality assurance processes. Become a qualified educational supervisor and work as Clinical and/or Educational Supervisor to a number of trainees dependant on job plan.
  • Abide by the Clinical & Corporate Governance policies of the Trust.
  • Take part in major incident planning.
  • Play an active role in the Stroke network, locally and regionally. The job plan will be subject to review in line with service developments. A mentor will be made available to the successful candidate.

Job Plan

Regular job planning meetings will be undertaken with the post holder to ensure that the appointee is remunerated for any additional activities undertaken and that the job plan accurately reflects the overall workload undertaken by the post holder.

The supporting professional activities (SPAs) allocation within the provisional job plan is an illustrative guide and will be finalised following individual agreement with successful candidates.

Further discussion on supporting professional activities will depend on the Trust’s requirements and the individual’s particular expertise.

A draft job plan is provided below. The job Plan will be reviewed and agreed with the post-holder at appointment.

  Monday Tuesday Wednesday Thursday Friday
9AM Board Round and HASU WR 0.5 DCC Board round and ward round
0.75 DCC
Board round and HASU WR 0.5 DCC Neuro-radiology meeting 0.25 DCC Board round and ward round
0.5 DCC
  11 am -1 pm TIA clinic 0.5 DCC 11 am-1pm
TIA clinic
0.5 DCC
10 am-1 pm Stroke clinic 0.75 DCC
12.00-13.00PM SPA 0.25 SPA 0.25
13.00-14.00PM SPA 0.25 SPA for
CPD
0.25
Care of the
elderly
meeting 0.25
SPA
Grand Round/ Divisional Audit 0.25 SPA SPA 0.25
PM Patient related admin 0.5 DCC HASU patients review, stroke referrals 0.75 DCC Patient related admin 0.5 DCC
SPA 0.5

Thrombolysis rota – due to a reconfiguration of the stroke services in the region and 7 day working to cover the Hyperacute stroke Unit, the post-holder will be expected to join an out-of hours stroke thrombolysis rota following discussion of their job plan. Currently out-of-hours thrombolysis is offered by a 1 in 9 Surrey-wide telemedicine rota working with the other acute Trusts. There will be no immediate commitments to the thrombolysis rota until the service reconfiguration is implemented and an agreed review of the job plan.

Combined Hyperacute (HASU) and Acute Stroke Unit (ASU) – Currently 28 stroke inpatient beds on ward. The successful candidate will have 1 dedicated day on the acute stroke services (2 DCC) with an expectation to see the hyperacute stroke patients throughout the day, attend the TIA clinic and see any referrals. There will be support from the band 6 stroke nurses and the stroke medical team.

MDT – multi-disciplinary meeting. The post holder will be expected to lead an MDT working closely with colleagues form the community involved in stroke rehabilitation

Board round – Discuss all patients on the ward with specific focus on sick patients and discharges.

Referrals – Seeing any stroke-related referrals in the Trust and taking calls from GPs regarding non-acute stroke and TIAs. First port of call will be the acute stroke nurse and/or the Stroke middle grade.

TIA clinic – Maximum 4 new patients slots reviewed after being initially assessed by a Junior Doctor. No follow up patients booked in this clinic.

Clinic – Stroke outpatient’s clinic once a week: 3 new, 5 follow ups. There are ECG, blood testing facilities and nursing support available.

Stroke unit staff: There are 2 consultants (this post will be the third) there is 1 SpR, 1 Specialty Dr, 1 GPST, 1 CMT, 1 Trust Dr and 1 FY1on the Stroke unit and 1 SHO and 1 SpR for the patients on ward.

Band 6 Stroke nurses: there is 1 per each shift 24/7 answering thrombolysis calls and TIA referrals.

Currently these posts attract 11 programmed activities as above. Requests for part time working will be considered. The job plan will be agreed with the Clinical Lead.

Salary

This is as described in the Medical and Dental Terms and Conditions, in line with the Consultant Contract (2003). The current full time salary scale (as of July 2020) ranges from £79,860 to £110,465 a year with eight thresholds.

The on call supplement is Category A and attracts a supplement of 5% of basic salary.

Office Accommodation

Office accommodation will be provided for the appointee with secretarial support.

Management Responsibility

All Consultants are required to attend the monthly Directorate Meetings. Post holders will be expected to share in administrative duties allocated by mutual agreement within the Directorate. As part of the Consultant Team, the consultant  will offer mentoring support and lead the existing clinical team through, one-to-one support, individual case management and complex cases, identifying development needs and suggesting CPD (Continuous Professional Development) opportunities and responding to clinical enquiries via e-mail and telephone.

Teaching/Research

The consultant will be required to participate in programmes for teaching clinical students, training junior doctors and in clinical examinations. The post-holder’s contribution to teaching, training and research will be included in the regular job plan review. Teaching will take place during programmed activities and flexibly at other times.

  • To provide conditions for improved training opportunities in line with national and local recommendations arising out of GMC and related requirements
  • To supervise and manage the work of his/her junior medical staff and participate in the training and development of these staff to the standards required by the Royal Colleges.

Clinical Governance & Audit

The consultant will participate in clinical governance activities, including clinical audit, clinical effectiveness, risk management, quality improvement activities as required by the Trust, and external accrediting bodies. There are 6 half day clinical governance meetings per annum which substitute regular fixed sessions. There is a weekly consultant meeting before MDT on Friday to discuss any issues during the week and to plan for next week.

Personal & Professional Development

The post-holder will be required to keep himself/herself fully up-to-date with their relevant area of practice and be able to demonstrate this to the satisfaction of the Trust.

The Trust supports the requirements for continuing professional development as laid down by the Royal College of Physicians and is committed to providing time and financial support for these activities.

Medical revalidation is the process by which the General Medical Council (GMC) confirms the continuation of a doctor’s licence to practise in the UK, provides greater assurance to patients, the public, employers and other healthcare professionals that licensed doctors are up-to-date and fit to practise. It is a key component of a range of measures designed to improve the quality of care for patients.

The Trust supports Royal College guidance on provision of mentors for new consultants in line with GMC recommendations. All newly appointed consultant staff are provided with a list of locally trained mentors who are available for ongoing support as required.

Personal Responsibilities

Confidentiality

All confidential information, including patient records, individual staff records, details of contract prices and terms and any other confidential information, must under no circumstances be divulged or passed on to any unauthorised person or persons. The penalty for breach of confidentiality will normally be summary dismissal.

Workplace Doctors are looking for medical professionals with UK & Overseas experience: that possesses the following qualities:

ESSENTIAL REQUIREMENTS:

*** Ability to act as part of a team
*** Ability to cope with a varying work load
*** GMC Registration Essential (General Medical Council) – We can provide guidance if needed
*** Specialist Register entry on the GMC Register
***Post CESR or CCT obtained (CCT – Certificate of Completion of Training) or (CESR- Certificate of Eligibility for Specialist Registration)
****IELTS and PLAB Exam Part 1 & 2 (IELTS, overall score 7.5) – overseas doctors
****GMC Registration Essential (General Medical Council) – We can provide guidance if needed

Doctors guide to working in the UK – Click here

Note: The Trust operates a policy whereby all employment for staff that have access to children/vulnerable adults will be subject to a satisfactory DBS Disclosure (Disclosure and Barring Service) The Criminal Records Bureau ( CRB ) and the Independent Safeguarding Authority ( ISA ) have merged to become the Disclosure and Barring Service ( DBS ). CRB checks are now called DBS checks. Overseas candidates will require an international police check or character reference.

Tier 2 Certificate of Sponsorship (formerly a Work Permit)

Applications from job seekers who require Tier 2 sponsorship to work in the UK are welcome and will be considered alongside all other applications. However, non-EEA candidates may not be appointed to a post if a suitably qualified, experienced and skilled EU/EEA candidate is available to take up the post as the employing body is unlikely, in these circumstances, to satisfy the Resident Labour Market Test.

At Workplace Doctors we welcome all applications irrespective of age, disability, gender, sexual orientation, race or religion.  Candidates will be offered an interview providing they meet the minimum criteria for the post.

Workplace Doctors is a recruitment agency that offers locum, fixed term, permanent & locum medical jobs to cover the NHS, HSE, public and private sectors for Doctors and Nurses, AHP medical professionals.

We look forward to helping you progress your career and find you the ideal position.

Call us today on +44 (0) 1234 889213 to discuss this vacancy or email your CV along with your GMC Registration to info@workplacedoctors.co.uk  You are able to also apply online (see below)