Overview
The Mid Yorkshire Stroke Service requires a consultant to complement the current team providing stroke services for the Wakefield District, north Kirklees, some parts of south Leeds and the Hyperacute Services for large parts of Barnsley. This is a substantive post for Stroke Medicine.
Team and setting
You will join a team of 4 substantive Stroke Physicians (there are 4 substantive consultants and 3 locum consultants currently) within the department of Stroke Medicine. Stroke is part of the wider Neurosciences team which consists of Consultant Neurologists, Neurophysiologists and Neuro-rehabilitation physicians. You will assist in delivering holistic patient-focused care by multi-disciplinary and multi-speciality collaboration in a large Acute Stroke Centre. The post is expected to support the entire pathway which will cover Hyperacute services currently being 1:8, acute stroke unit and the rehabilitation unit as well as providing on calls for thrombolysis both out of hours and weekends. The consultant is expected to support running of the TIA clinic which is held every day of the week.
Main duties of the job
To provide high quality care to all patients admitted to the stroke service at MYTT
Keep patients (and/or their carers if appropriate) informed about their condition and involve them in the decision making of their treatment
Maintain professional standards and obligations as set out from time to time by the General Medical Council (GMC) and comply in particular with the GMCs guidance on Good Medical Practice as amended or substituted from time to time.
Urgent and Emergency Care duties including out-of-hours on-call; schedules will take due account of the provisions of working time regulations and safe working
On-call duties are currently shared with 7 other colleagues on a 1:8 basis both weekdays and weekends. Out of hours on call is provided through telemedicine connecting directly to the Supervising trainees working within the department
On-call duties are currently shared with 7 other colleagues on a 1:8 basis both weekdays and weekends. Out of hours on call is provided through telemedicine connecting directly to the stroke physician on call
Supervising trainees working within the department
Administrative duties, for which appropriate Consultant office space and secretarial support and IT facilities are provided
About us
Were proud that our workforce - our greatest asset - strives for excellence every day in providing care and support to thousands of people living across Wakefield and North Kirklees. Mid-Yorkshire celebrates excellence and innovation. We have modern, state-of-the-art facilities and provide first class learning and development opportunities. Mid-Yorks is transforming, grounded in our values to care and improve, respecting our patients, our community and our staff, to deliver the highest standards of care.
Job responsibilities
This post is offered on a full time basis (10 PA) although less than full-time applications will be considered.
Duties will be based primarily on our Wakefield (Pinderfields) site although all our medical staff are involved in delivering care to stroke patients on our other site at Dewsbury District Hospital where the stroke rehab unit is based.
The main duties of the post will include:
To provide high quality care to all patients admitted to the stroke service at MYTT
Keep patients (and/or their carers if appropriate) informed about their condition and involve them in the decision making of their treatment
Maintain professional standards and obligations as set out from time to time by the General Medical Council (GMC) and comply in particular with the GMCs guidance on Good Medical Practice as amended or substituted from time to time.
Urgent and Emergency Care duties including out-of-hours on-call; schedules will take due account of the provisions of working time regulations and safe working
On-call duties are currently shared with 7 other colleagues on a 1:8 basis both weekdays and weekends. Out of hours on call is provided through telemedicine connecting directly to the
Supervising trainees working within the department
Administrative duties, for which appropriate Consultant office space and secretarial support and IT facilities are provided
Supporting Professional Activities in accordance with the Trust Framework, with at least a minimum of 1.5 SPAs included in the core 10PA timetable. Additional SPA or DCC time may be commissioned in line with the skills of the successful candidate and changing requirements of the service.
o Examples may include formal teaching responsibilities or departmental leadership roles or research activities
The Stroke Service
MYTT is an Acute Stroke Centre providing HASU care for an area including Wakefield district, north Kirklees, large parts of Barnsley and parts of south Leeds. We provide acute and rehabilitation stroke care for all those patients except those from Barnsley - these patients are repatriated to local care at the end of their HASU stay unless discharged home. All acute services are at Pinderfields Hospital in Wakefield; the stroke rehabilitation unit is at nearby Dewsbury and District Hospital (DDH).
There are currently 7 consultant posts (4 substantive and 3 locums) supporting the service with registrar support at Pinderfields and a team of rotating junior doctors which includes foundation and IMTs.
Depending on working patterns other arrangements for time off in lieu may be agreed.
Stroke Assessment Hub (the Hub): We admit over 1200 confirmed stroke patients a year plus an additional 400-600 stroke mimics. We operate a direct-from-ambulance admission pathway, taking all patients straight to CT then to the Hub for treatment or further assessment. That service is supported by 2 Band 6 or higher Stroke Assessment Nurses 24 hours per day to support thrombosis, emergency BP control, and consideration for mechanical thrombectomy at the Comprehensive Stroke Centre at LTHT. Mechanical thrombectomy service is not currently available 24/7. The site provides CTA and CTP within current thrombectomy provisions and has the capability of round-the-clock CTA when pathways require it.
Patients are assessed by consultants in the Hub during working hours for consideration of thrombolysis/thrombectomy and out of hours by the juniors from acute team with support by telemedicine from the stroke physician on call. Strokes are admitted to the adjacent HASU and mimics to the adjacent ASU to be diagnosed and managed by the stroke team in conjunction with other inpatient services.
HASU: we have a 12-bedded HASU with centralised physiological monitoring, experienced stroke nurses and 7 day access to physiotherapy and OT assessments. We have access to all necessary investigations, though there are limitations on out of hours MRI (limited to 8 AM–8 PM, 7 days a week) and weekend carotid US.
ASU: this is co-located with the HASU on a 39-bedded ward. We provide daily ward rounds (2 consultants) in line with 5 days review for stable patients with a full team handover at the start of each day and dedicated consultant handover to the nurse coordinator at the end of each ward round.
Stroke Rehabilitation Unit: this 16-bedded unit is co-located with the Neurological Rehabilitation Centre at DDH and we provide 2 consultant sessions each week to support this
TIA service: Currently this is a mix of face-to-face and non-face-to-face with the option to bring patients to the Hub for examination where necessary; we have access to MRI and carotid US with dedicated slots, usually same day. The service is currently consultant-led with admin support.
Current workload: The OP workload is two clinics per week which consist of a TIA clinic where 5 new patients are seen and worked up, arranging any investigations that are required with the provision of a sixth patient care to be added depending on urgency. The Stroke clinic consists of a mix of up to 3 new patients and 5 follow-up patients with complex needs.
Person Specification
Qualifications
* Medical Degree from recognised medical school
* MRCP or equivalent
* Medical School Prizes
* Audit or Case Presentations
* Teaching qualification/ prize
Experience
* Specific educational interests and evidence of educational ideas or project work.
Management Skills
* Demonstrates intelligent and analytical approach to problem solving.
* Good time management.
* Possess good organisational and personal management skills
GMC Registration
* Please state full GMC number
* Full GMC Registration with licence to practise
* Inclusion on the GMC Specialist Register for Geriatric Medicine, Neurology, Rehabilitation Medicine or Clinical Pharmacology with completion of Stroke Fellowship (or demonstration of equivalent competences) or within 6 months of obtaining CCT (or CESR / equivalent)
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 CRB) to check for any previous criminal convictions.
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