Consultant Stroke Physician (R&R Enhancement Offered)

Integrated Care System; Frimley; On-site; GBP 105,000 - 140,000; Full time

Job summary

A healthcare organization in Frimley is seeking a Consultant Stroke Physician to join a multidisciplinary team delivering comprehensive stroke care. This role involves leading hyper-acute care, managing stroke patients, and participating in governance for patient care improvement. The position offers flexibility for full-time or part-time work, with a salary range of £105,504 to £139,882 per annum.

Qualifications

• Experience in management of acute stroke, thrombolysis, TIA, stroke rehabilitation and follow up.
• Knowledge of acute frailty services.

Responsibilities

• Lead immediate care of stroke patients during critical hours.
• Oversee patient transition from acute care to rehabilitation.
• Participate in clinical governance and audits for continuous improvement.
• Supervise and train junior medical staff.

Skills

Acute stroke management

Thrombolysis experience

Rehabilitation knowledge

Clinical governance

Training junior staff

Education

Full GMC registration

MRCP

CCT or within 6 months of CCT

Job description

Frimley Health NHS Foundation Trust is offering an exciting opportunity for a Consultant Stroke Physician to join an experienced and dynamic team that plays a key role in delivering Hyper-Acute and Acute Stroke care.

You will be part of a multidisciplinary team, collaborating with consultants, stroke nurse specialists, and associate specialists to deliver high-quality care to Stroke patients at various stages of their treatment.

We are committed to delivering the best comprehensive Stroke care to the communities we serve in Surrey, Berkshire, Hampshire, and Buckinghamshire. As demand for stroke services increases with our growing catchment area, we are proud to provide Hyper Acute Stroke Care to the majority of Royal Surrey Hospital's catchment area.

We have consistently achieved outstanding outcomes in stroke care, positioning itself among the top providers in the region. This success is a direct result of a well-coordinated, multidisciplinary approach and the use of best practices in Stroke care. This is a strategic priority at Frimley Health, demonstrating the trust's commitment to ensuring that all stroke patients receive high-quality care.

This position represents an excellent opportunity for someone passionate about Stroke care to contribute to a well-regarded, well-resourced stroke service and work in a supportive, collaborative environment.

R&R enhancement available for this post

Main duties of the job

• Hyper-Acute Care: Leading and supporting the immediate care of stroke patients during the critical initial hours, including assessment, management, and treatment (such as thrombolysis for ischemic strokes).
• Acute Care: Managing patients in the acute phase of stroke care, ensuring timely treatment and critical interventions (e.g., managing complications, coordinating care across specialties).
• Rehabilitation: Overseeing stroke patients' transition from acute care to rehabilitation, ensuring that the recovery phase is well managed in both hospital-based rehabilitation units and in the community.

We are seeking a Consultant Stroke Physician to join our team, delivering both hyperacute and acute stroke care. This is a full-time or part-time position, comprising 11.5 Programmed Activities (PAs), including 1.5 SPA and 1.5 PA dedicated to stroke on-call duties.

About us

Frimley Health NHS Foundation Trust is committed to being an inclusive and disability confident employer and has been awarded the Gold for the Armed Forces Employment Recognition Scheme. We provide first class development opportunities for all staff and have a wide range of professional, management and leadership, and clinical skills training available.

Here at Frimley Health NHS Foundation Trust, we know how important it is to have a healthy work life balance; this benefits not only individuals but the patients we care for too.

We encourage applications from people who wish to work on a flexible basis, recognising that flexibility may mean a range of different working patterns and hours, we do our utmost to work with our staff to meet their needs and the needs of our service and its users.

Frimley Health Trust benefits on Vimeo

Job responsibilities

Main Duties:

• Participate in the 1:8 weekend on-call rota, which includes an on-site ward round from 08:00-13:00 and being available for remote thrombolysis calls.
• Provide a Stroke consultation service to medical colleagues in other specialties within the Trust, offering your expertise in Stroke management for complex cases and ensuring integrated care across departments.
• Work alongside the Stroke Clinical Nurse Specialists to provide early, effective care, including prehospital ambulance triage, prompt thrombolysis, and referral for thrombectomy when required.
• Confidently interpret CT, CTA, and CTP imaging, which are crucial in determining the type of stroke and planning the most appropriate treatment (e.g., thrombolysis or thrombectomy).
• Participate in weekly TIA (Transient Ischemic Attack) and stroke follow-up clinics alongside your Stroke consultant colleagues, ensuring that patients who have experienced a Stroke or TIA are properly monitored and managed in the long term.
• Participate actively in Stroke Service and Trust clinical governance and audit, ensuring continuous improvement in patient care through regular audits and data analysis.
• Attend Stroke Mortality and Morbidity meetings to review patient outcomes, identify areas for improvement, and contribute to the enhancement of stroke services.
• Participate actively in Stroke research, which may include clinical trials, observational studies, and quality improvement projects.
• Supervise and train junior medical staff, including foundation year doctors, medical trainees, and other healthcare professionals, ensuring the next generation of clinicians is well-trained in Stroke medicine.

Job description

Job responsibilities

Main Duties:

• Participate in the 1:8 weekend on-call rota, which includes an on-site ward round from 08:00-13:00 and being available for remote thrombolysis calls.
• Provide a Stroke consultation service to medical colleagues in other specialties within the Trust, offering your expertise in Stroke management for complex cases and ensuring integrated care across departments.
• Work alongside the Stroke Clinical Nurse Specialists to provide early, effective care, including prehospital ambulance triage, prompt thrombolysis, and referral for thrombectomy when required.
• Confidently interpret CT, CTA, and CTP imaging, which are crucial in determining the type of stroke and planning the most appropriate treatment (e.g., thrombolysis or thrombectomy).
• Participate in weekly TIA (Transient Ischemic Attack) and stroke follow-up clinics alongside your Stroke consultant colleagues, ensuring that patients who have experienced a Stroke or TIA are properly monitored and managed in the long term.
• Participate actively in Stroke Service and Trust clinical governance and audit, ensuring continuous improvement in patient care through regular audits and data analysis.
• Attend Stroke Mortality and Morbidity meetings to review patient outcomes, identify areas for improvement, and contribute to the enhancement of stroke services.
• Participate actively in Stroke research, which may include clinical trials, observational studies, and quality improvement projects.
• Supervise and train junior medical staff, including foundation year doctors, medical trainees, and other healthcare professionals, ensuring the next generation of clinicians is well-trained in Stroke medicine.

Specialties and Flexibility:

• Full-Time or Part-Time: The role offers flexibility in working hours, with options for full-time or part-time (including LTFT/flexible schedules).
• Joint Role: The Trust is open to candidates who wish to combine this position with another specialty (e.g., 60% stroke and 40% parent specialty) for those seeking flexible work arrangements.
• Subspecialty Training: Candidates should have subspecialty training in Stroke medicine, with a background in geriatrics, GIM, neurology, or acute medicine.

Programmed Activities

There will be the need from time to time to make changes to the job plan. It is expected that the successful candidate will be prepared to negotiate such changes for the benefit of clinical service delivery and the department. The Stroke consultants work a rolling rota of HASU cover, Thrombolysis cover and clinic cover. Occasional sessions on the rehabilitation ward are required to cover colleague annual leave.

Mentoring

Frimley Park recognizes the value mentoring brings in helping individuals reach their goals. We have several experienced mentors in the Trust and have utilised consultants outside the Trust to help provide this valuable service. The post-holder will be encouraged to work with a mentor to help with their development.

The appointee will have access to a medical secretary, dedicated office space plus full IT facilities including EPIC EPR.

Job Plan

This is a provisional Job plan and will be mutually agreed with the Chief of Service for Medicine.

8.5 DCC,1.5 SPA &STROKE ONCALL 1.5 DCC PA

Week 1

Monday

Tuesday

Wednesday

Thursday

Friday

AM

HASU

16 PATIENTS

HASU

HASU

HASU

HASU

PM

HASU

HASU

HASU

HASU

HASU

WEEK 2

TIA

5 PATIENTS

SPA

TIA

SPA

FRONT DOOR

TIA

2 PATIENTS AND ADMIN

CLINIC

7 PATIENTS

TIA

FRONT DOOR

SPA

WEEK 3

HASU

HASU

HASU

HASU

HASU

HASU

HASU

HASU

HASU

HASU

WEEK 4

SPA

SPA

TIA

SPA

FRONT DOOR

FRONT DOOR

CLINIC

7 PATIENTS

TIA

FRONT DOOR

FRONT DOOR

Description of Work

Number of Programmed activities

DCC

Inpatient Work

Outpatient Work

MDT

On call

1:8 weekends

Fixed evening 1700-0900 every other week

5.5

2.5

0.5

1.5

Person Specification

Qualifications and training

• Full GMC registration
• MRCP
• CCT or within 6 months of CCT

Experience

• Experience in management of acute stroke, thrombolysis, TIA, stroke rehabilitation and stroke follow up
• Experience in the management of older people

Knowledge and Expertise

• Clinical training and experience equivalent to that required for gaining (UK)CCT in Geriatric Medicine and be an independent thrombolysis practitioner. Ability to take full and independent responsibility for the care of patients. IT skills and computer literacy Knowledge of and training in acute frailty services
• Ability to take full and independent responsibility for the care of patients.
• Knowledge of and training in acute frailty services.

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.

£105,504 to £139,882 a yearPer Annum (R&R enhancement is available for this post)