Job Details
The Shrewsbury and Telford NHS Trust are looking to appoint two Stroke Consultants to enable the Shrewsbury and Telford Hospital NHS Trust to further improve its stroke service and deliver 7-day working. Each post attracts 10 Programmed Activities. The stroke Physicians have no GIM requirement but do participate in a 1 in 6 out of hours stroke thrombolysis rota (telephonic) as well as weekend stroke unit ward rounds and TIA clinics thus providing a 7-day stroke service.
Main duties of the job
Clinical
1. To develop hyperacute stroke services in liaison with UHNM for referral for mechanical thrombectomy to provide a robust 24h, 7 -day service with daily ward rounds in the hyperacute stroke unit along with other colleagues
2. To participate in and out of hours local stroke thrombolysis on-calls, on-site during working hours and offsite out of hours using RAPIDAI brain image interpretation and telephonic advice.
3. 7-day TIA clinic along with colleagues and triaging of TIA referrrals
4. Lead stroke rehabilitation with the MDT and look after the rehabilitation ward.
5. To attend weekly meeting using Microsoft Teams with colleagues at UHNM.
6. To aid the training of nurses, doctors and specialist nurses.
7. To provide follow up of stroke patients in follow up clinics.
8. To have excellent team-working skills with the abilities and professional attitude to work well in a multi-professional team.
9. To deliver clinical and quality targets agreed both nationally and locally with clinical teams and commissioners.
10. To follow patients throughout their clinical pathways.
This job description is not intended to be exhaustive. The post holder will be expected to carry out any reasonable duties requested of them, appropriate to the grade and role of the post. Duties and responsibilities may vary from time to time in light of changing circumstances and in consultation with the post holder.
About us
The Shrewsbury and Telford Hospital NHS Trust (SaTH) is the main provider of acute hospital services for around half a million people in Shropshire, Telford & Wrekin and mid Wales.
Encompassing some of the most picturesque parts of England and Wales, the Trust's catchment stretches from the Cambrian Mountains in the west, to Newport and the fringes of the Black Country in the east. The main towns include: Bridgnorth, Ludlow, Market Drayton, Oswestry, Shrewsbury and Whitchurch (in Shropshire) Newport, Telford and Wellington (in Telford & Wrekin) and Newtown and Welshpool (in Powys) - all beautiful and unique.
Our main service locations are the Princess Royal Hospital (PRH) in Telford and the Royal Shrewsbury Hospital (RSH) in Shrewsbury which are located 20 minutes' drive apart. Together they provide 99% of our activity. Both hospitals provide a wide range of acute hospital services including accident & emergency, outpatients, diagnostics, inpatient medical care and critical care.
We also provide services such as consultant-led outreach clinics at the Wrekin Community Clinic, Telford, the Robert Jones and Agnes Hunt Orthopaedic Hospital, Gobowen and the Bridgnorth, Ludlow and Whitchurch Community Hospitals.
Job description
Job responsibilities
The Department
The stroke services at the Trust are based at The Princess Royal Hospital. There is a well-established stroke department with a purpose built unit incorporating the hyper acute and acute stroke unit 18 bedded in ward 16, the acute stroke unit and rehabilitation unit (25 beds) in ward 15.There are established services in stroke medicine (including 24/7 thrombolysis and referral for mechanical thrombectomy to UHNM with the help of RAPID AI (artificial intelligence for reporting CTA)and a 7 day week rapid access TIA clinic with same day imaging facilities) and stroke rehabilitation including ESD and community neurorehabilitation. The acute and hyper acute stroke unit at the Princess Royal Hospital is a very busy unit and on average around 1000 new stroke patients are admitted to the unit every year and the thrombolysis rate is 12% along with access for referral for mechanical thrombectomy to the tertiary centre at UHNM.
The Work of the Department
There are currently 4 stroke Physicians at the Shrewsbury and Telford Hospital NHS Trust (Dr Uttam Sinha, Dr Meena Srinivasan, Dr Indranil Mukherjee and Dr Owen David) and it is expected that the new posts will work in conjunction with them to develop stroke services as per National Guidelines. There are 2 Band 7 stroke Clinical Nurse Specialists (Sarah Millward, Tess Wixey ) and multiple band-6 stroke specialist nurses who have major roles in delivering stroke services especially hyper acute stroke care and maintaining the stroke data base. There is a developing role of stroke research nurse specialist and ongoing recruitment into research trials based at Princess Royal Hospital.
There is a purpose built hyperacute/acute stroke unit ( 18 bedded) and a 25 bedded acute stroke rehabilitation ward and plans for stroke ambulatory unit in the near future.
The stroke team at the Princess Royal Hospital is supported by 2 SpRs, 2 FY1s, 2 IMGs, one GPVTS Doctor, and one PA. All the juniors participate in the general medical take as a partial shift rota.
There is an active interest in teaching at all levels in the department in association with Keele Medical School and the West Midlands Deanery. The post holders will be encouraged to participate in teaching and supported in research that benefits the department. There are ongoing audits of services.
Expectations of the Post Holder
The post holders will be expected to further develop and enhance the acute stroke unit and stroke rehabilitation services by directly supporting 7 day acute stroke unit ward rounds and TIA clinics, leading stroke thrombolysis service during the day and participating in out-of hours local stroke telephonic thrombolysis rota along with the other stroke Physicians using RAPIDAI for brain imaging interpretation. There are monthly neuroradiology meetings which the post holders will be expected to be involved in. The stroke unit has very close relationships with the radiology department (CT, MRI and Carotid Dopplers) and arrangements are in place for rapid transfer of patients to the University Hospitals North Staffordshire for endovascular and neurosurgical treatments of stroke patients. Referrals for endovascular treatment and neurosurgery in appropriate patients are initiated and led by the stroke Physicians. There also weekly neuroradiology meetings on MST with the colleagues at UHNM. The post holder will also be expected to be involved in triaging TIA referrals to help provide more robust 7-day TIA service.
The post holder will be expected to be fully involved in further developing stroke rehabilitation services, early supported discharge and ongoing follow up care. Close links with community stroke rehabilitation services exist, and will be strengthened by the team including the new appointees. Liasion work providing inreach services to AMU and other medical wards and telephonic advice to GPs, colleagues in ED and AMU at PRH and RSH are key. Training of stroke specialist nurses and participating in the training programme for doctors, nurses and the MDT is also a key role. Follow-up of stroke patients in the follow up clinics 5 days a week is essence too.
Multidisciplinary Work
Multidisciplinary work is at the core of stroke rehabilitation and the post holders will be expected to lead the multidisciplinary work and rehabilitation of stroke patients both in hospital as well as ESD (Early Supported Discharge) and community rehabilitation as appropriate. The post holders will join the 4 existing stroke Physicians, a dedicated multidisciplinary team and the stroke Clinical Nurse Specialists. The department has been involved in various multi-centre research activities and the post holders will be expected to be primary or co-investigators for these research programmes.
Job Plan
A formal job plan will be agreed between the successful candidate and their Clinical Director and consultant colleagues, on behalf of the Medical Director within 3 months of starting in post. A full-time job plan is based on a 10 PA working week. The job plan will be reviewed annually and is a prospective agreement that sets out the consultant's duties, responsibilities, and objectives for the coming year. It covers all aspects of a consultants professional practice including clinical work, teaching, research, education and managerial responsibilities. It will provide a clear schedule of commitments, both internal and external and will include personal objectives, detailing links to wider service improvements and trust strategic priorities.
For a full-time contract, the job plan will be divided on average per week (pro-rata for a part time post) as:
11. 5 Programmed Activities (PAs) of Direct Clinical Care - includes clinical activity, clinically related activity and predictable and unpredictable emergency work.
12. 5 Supporting Professional Activities (SPAs) - includes CPD, audit, teaching and research.
The allocation of PAs is reviewed and may be subject to adjustment when a further diary exercise is undertaken or if the service demands a review of the team job plan.
Any applicant who is unable, for personal reasons, to work full-time will be eligible to be considered for the post. If such a person is appointed, modification of the job content will be discussed on a personal basis with the Trust in consultation with other consultant colleagues.
Person Specification
Qualifications
Essential
13. MBBS, MB ChB or equivalent medical qualification
14. MRCP
Desirable
15. Higher degree (e.g. MD or PhD)
Entry Criteria
Essential
16. Full Registration and a licence to practise with the General Medical Council (GMC)
17. Entry on the General Medical Council (GMC) Specialist Register via one of the following: Certificate of Completion of Training (CCT) (the proposed CCT date must be within 6 months of the interview)
18. Expertise and major interest in Stroke and Elderly Care Medicine
223-MC2150-A
Company
We are the main provider of acute care to a popualtion of 500,00 across Shropshire and Mid Wales, with primary sites in Telford and Shrewsbury. We provide comprehensive secondary care and are passionate about delivering a great patient experience. We are currently securing our future through a transformation programme called Future Fit.
Company info Website Telephone 01743 261000 Location The Shrewsbury and Telford Hospital NHS Trust
Mytton Oak Road,
Shrewsbury,
Shropshire,
SY3 8XQ
United Kingdom
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