Specialist Doctor in Stroke Medicine

Integrated Care System; Wakefield; On-site; GBP 80,000 - 100,000; Full time

Job summary

A leading healthcare provider in Wakefield is seeking a dedicated Stroke Consultant to enhance the multidisciplinary team focused on delivering exceptional stroke services. The successful candidate will be responsible for providing holistic patient care and leading clinical teams in an acute setting. This role offers opportunities for academic involvement and professional development, contributing to a progressive and innovative healthcare environment.

Qualifications

• Immediate eligibility for GMC registration or equivalent.
• Experience in a relevant specialty with at least 6 years in the field.
• Ability to manage complex patient care and collaborate effectively.

Responsibilities

• Provide high quality care to all patients admitted to the stroke service.
• Involve patients and carers in the decision-making process regarding treatment.
• Participate in urgent and emergency care duties including out-of-hours on-call.

Skills

Patient care

Clinical decision-making

Team collaboration

Communication skills

Time management

Education

Medical Degree from recognised medical school

MRCP or equivalent

Higher degree or qualifications such as a Masters

Job description

The Mid Yorkshire Stroke Service require a consultantto complement the current team providing stroke services for the WakefieldDistrict, north Kirklees, some parts of south Leeds and the Hyperacute Servicesfor large parts of Barnsley. This position is a fixed term position for 12months for Stroke Medicine.

You will join a team of 5 substantive StrokePhysicians, 6 Consultant Neurologists, Consultant Neurophysiologists and aConsultant in Neurological Rehabilitation.You will assist in delivering holistic patient focused care bymulti-disciplinary and multi-speciality collaboration in a large Acute StrokeCentre. The post is expected to support the entire pathway which will coverHyperacute services currently being 1:8, acute stroke unit and therehabilitation unit as well as providing on calls for thrombolysis both out ofhours and weekends. The consultant is expected to support running of the TIAclinic which is held every day of the week.

The Neurosciences Unit provides a sub-regionalNeurological Service to parts of West Yorkshire, North Yorkshire and SouthYorkshire.

Mid Yorkshire Teaching Trust are committed toproviding opportunities for Candidates.Those individuals with interest in other specialities and research areencouraged to apply. The Trust is supportive of academia and publication, jobplans can be amended to reflect this with discussion if required.

Main duties of the job

To provide high quality care to all patients admitted to thestroke service at MYTT

Keep patients (and/or their carers if appropriate) informedabout their condition and involve them in the decision making of theirtreatment

Urgent and Emergency Care duties including out-of-hourson-call; schedules will take due account of the provisions of working timeregulations and safe working

On-call duties are currently shared with 7 other colleagueson a 1:8 basis both weekdays and weekends. Out of hours on call is providedthrough telemedicine connecting directly to the

Supervising trainees working within the department

Administrativeduties, for which appropriate Consultant office space and secretarial supportand IT facilities are provided

About us

The Neurosciences Unit provides a sub-regionalNeurological Service to parts of West Yorkshire, North Yorkshire and SouthYorkshire.

Mid Yorkshire Teaching Trust are committed toproviding opportunities for Candidates.Those individuals with interest in other specialities and research areencouraged to apply. The Trust is supportive of academia and publication, jobplans can be amended to reflect this with discussion if required.

Were proud that our workforce - our greatest asset- strives for excellence every day in providing care and support to thousandsof people living across Wakefield and North Kirklees. Mid-Yorkshire celebrates excellence andinnovation. We have modern, state-of-the-art facilities and provide first classlearning and development opportunities. Mid-Yorks is transforming, grounded inour values to care and improve, respecting our patients, our community and ourstaff, to deliver the highest standards of care.

If you are a dynamic, innovative andforward-thinking clinician with a passion for your profession and an enthusiasmto be part of a Trust striving to be the best, get in touch to see what acareer at Mid-Yorkshire could be like for you.

Job responsibilities

This post isoffered on a full time (10 PA) basis although less than full time applicationswill be considered.

Duties willbe based primarily on our Wakefield (Pinderfields) site although all ourmedical staff are involved in delivering care to patients on all our sites.

The mainduties of the post will include:

To provide high quality care to all patients admitted to thestroke service at MYTT

Keep patients (and/or their carers if appropriate) informedabout their condition and involve them in the decision making of theirtreatment

Urgent and Emergency Care duties including out-of-hourson-call; schedules will take due account of the provisions of working timeregulations and safe working

On-call duties are currently shared with 7 other colleagueson a 1:8 basis both weekdays and weekends. Out of hours on call is providedthrough telemedicine connecting directly to the

Supervising trainees working within the department

Administrative duties, for which appropriate Consultantoffice space and secretarial support and IT facilities are provided

Supporting Professional Activities in accordance with theTrust Framework, with at least aminimum of 1 SPA included in the core 10PA timetable. Additional SPA or DCCtime may be commissioned in line with the skills of the successful candidateand changing requirements of the service.

o Examples may include formal teachingresponsibilities or departmental leadership roles

The StrokeService

MYTT is an Acute Stroke Centre providing HASU care for an area includingWakefield district, north Kirklees, large parts of Barnsley and parts of southLeeds. We provide acute andrehabilitation stroke care for all those patients except those from Barnsley -these patients are repatriated to local care at the end of their HASU stayunless discharged home. All acuteservices are at Pinderfields Hospital in Wakefield; the stroke rehabilitationunit is at nearby Dewsbury and District Hospital (DDH).

There are currently 7 consultant posts supporting the service withregistrar support at Pinderfields and a team of rotating junior doctors.

Dependingon 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 yearplus an additional 400-600 stroke mimics.We operate a direct from ambulance admission pathway, taking all patientstraight to CT then to the Hub for treatment or further assessment. That service is support by 2 Band 6 or higherStroke Assessment Nurses 24 hours per day to support thrombolysis, emergency BPcontrol, and consideration for mechanical thrombectomy at the ComprehensiveStroke Centre at LTHT. Mechanicalthrombectomy service is not currently available 24/7. The site provides CTA andCTP within current thrombectomy provisions and has the capability of round theclock CTA when pathways require it.

Patients are assessed by consultants in the Hub during working hours forconsideration of thrombolysis/thrombectomy and out of hours by the juniorsfrom 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 bediagnosed and managed by the stroke team in conjunction with other inpatientservices.

HASU: we have a12-bedded HASU with centralised physiological monitoring, experienced strokenurses and 7 day access to physiotherapy and OT assessments. We have access to all necessaryinvestigations, though there are limitations on out of hours MRI (This islimited to 8 AM 8 PM, 7 days of the week) and weekend carotid US.

ASU: this isco-located with the HASU on a 39-bedded ward. We provide daily ward rounds (2consultants) in line with 5 days review for stable patients with a full teamhandover at the start of each day and dedicated consultant handover to thenurse coordinator at the end of each ward round.

Stroke RehabilitationUnit: this 16-bedded unit is co-located with the Neurological RehabilitationCentre at DDH and we provide 2 consultant session each week to support this

TIA service: due topandemic restrictions this is mostly non-face-to-face with the option to bringpatients to the Hub for examination where necessary; we have access to MRI andcarotid US, usually same day. The service is currently consultant-led withadmin support. There is plan to bring it back face to face as before thepandemic.

Person Specification

Qualifications

• Medical Degree from recognised medical school
• MRCP or equivalent
• Prizes or Awards Achieved
• Audit or Case Presentations at a local, regional and national level
• Higher degree or qualifications such as a Masters

Professional Registration

• Please state full GMC number.
• Full Registration and a Licence to Practice with the General Medical Council OR be eligible for the same and have this prior to commencement

Professional values and behaviours, skills and knowledge- underpinning Trust values

• Practices within the professional values and behaviours expected of all doctors as set out in GMC Good Medical Practice and the Generic Professional Capabilities Framework including current licence to practice from the GMC Demonstrates the underpinning subject-specific competences i.e. knowledge, skills and behaviours relevant to the role setting and scope
• Clinically evaluates and manages a patient, formulating a prioritised differential diagnosis, initiating an appropriate management plan, and reviewing and adjusting this depending on the outcomes of treatment
• Manages the difficulties of dealing with patients with complexity and uncertainty in the care of patients; employing expertise and clinical decision-making skills of a senior and independent/ autonomous practitioner.
• Critically reflects on own competence , understands own limits, and seeks help when required
• Communicates effectively and is able to share decision-making with patients, relatives and carers; treats patients as individuals, promoting a person-centred approach to their care, including self-management.
• Respects patients dignity , ensures confidentiality and appropriate communication where potentially difficult or where barriers exist e.g. using interpreter and making adjustments for patients with communication difficulties
• Demonstrates key generic clinical skills around the areas of concern; ensuring humane interventions, prescribing medicine safely and using medical devices safely.
• Adheres to professional requirements, participating in annual appraisal, job planning and reviews of performance and progression.
• Awareness of legal responsibilities relevant to the role, such as around mental capacity and deprivation of liberty data protection, equality and diversity.
• Applies basic principles of public health; including population health, promoting health and wellbeing, nutrition, exercise, vaccination and illness prevention.
• Has personal insight into own strengths and weaknesses.
• Evidence of multidisciplinary team working
• Understanding and personal fit with Trust Values and Behaviours
• Demonstrates awareness of the current UK Healthcare system and the need to develop services in line with current policy

Patient Safety and Quality Improvement

• Takes prompt action where there is an issue with safety or quality of patient care, raises and escalates concerns, through clinical governance systems, where necessary.
• Applies basic human factors principles and practice at individual, team, organisation and system levels.
• Collaborates with multidisciplinary and inter-professional teams to manage risk and issues across organisations and settings, with respect for and recognition of the roles of other health professionals.
• Advocates for, and contributes to, organisational learning.
• Seeks feedback and involvement from individuals, families, carers, communities and colleagues in safety and quality service improvement reviews.
• Leads new practice and service redesign in response to feedback, evaluation and need, promoting best practice.
• Evaluates and audits own and others clinical practice ad acts on the findings.
• Reflects on personal behaviour and practice, responding to learning opportunities.
• Implements quality improvement methods and repeats quality improvement cycles to refine practice; designing projects and evaluating their impact.
• Critically appraises and synthesises the outcomes of audit, inquiries, critical incidents, or complaints and implements appropriate changes.
• Engages with relevant stakeholders to develop and implement robust governance systems and systematic documentation processes.
• Disclosure + Barring Service (DBS) clearance
• Has personal insight into own strengths and weaknesses.
• Evidence of multidisciplinary team working
• Understanding and personal fit with Trust Values and Behaviours
• Demonstrates awareness of the current UK Healthcare system and the need to develop services in line with current policy

Meet the entry criteria for the grade

• Shall have completed a minimum of 12 years medical work (either continuous period or in aggregate) since obtaining a primary medical qualification of which a minimum of six years should have been in a relevant specialty in the Specialty Doctor and/or closed SAS grades. Equivalent years experience in a relevant specialty from other medical grades including from overseas will also be accepted.

Leadership and Team Working

• Awareness of their leadership as a clinician and demonstrates appropriate leadership behaviour; managing situations that are unfamiliar, complex or unpredictable and seeking to build collaboration with, and confidence in, others.
• Demonstrates understanding of a range of leadership principles, approaches and techniques so can adapt leadership behaviours to improve engagement and outcomes appreciates own leadership style and its impact on others.
• Develops effective relationship across teams and contributes to work and success of these teams- promotes and participates in both multidisciplinary and inter-professional team working.
• Critically reflects on decision-making processes and explains those decisions to others in an honest and transparent way.
• Critically appraises performance of self, colleagues or peers and systems to enhance performance and support development.
• Demonstrates ability to challenge others, escalating concerns when necessary.
• Develops practice in response to changing population health need, engaging in horizon scanning for future developments.
• Specific educational interests and evidence of educational ideas or project work.

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.

Lead Stroke Consultant or Stroke Consultant