Stroke Consultant Physician

Nottingham University Hospitals NHS Trust; Nottingham; On-site; GBP 85,000 - 110,000; Full time

Job summary

Nottingham University Hospitals NHS Trust in Nottingham is recruiting a full-time Consultant Stroke Physician to join the stroke service across campuses. The post includes 10 programmed activities, 24/7 thrombolysis coverage and a commitment to developing the stroke pathway with hyper-acute, acute and rehabilitation elements.

You will work within a multidisciplinary team led by the Head of Service, with opportunities for research within the NIHR Nottingham Biomedical Research Centre and

Qualifications

• Full GMC registration and eligibility for the specialist register.
• CCT expected within 6 months of interview date or CESR route.

Responsibilities

• Manage patients admitted under the stroke service across campuses.
• Contribute to hyperacute, acute and rehabilitation stroke pathways.
• Provide leadership in on-call and ward rounds with the multidisciplinary team.
• Participate in teaching, audit and clinical governance activities.
• Travel between City Hospital Campus and Queen’s Medical Centre as required.

Skills

Stroke Medicine

Thrombolysis experience

Hyperacute stroke care

General internal medicine

Education

MRCP

Higher professional degree

Job description

Nottingham University Hospitals (NUH) is the biggest employer in Nottingham with over 19,000 staff

The post is a full time (10 Programmed Activities) Consultant Stroke Physician role, at Nottingham University Hospitals NHS Trust, working across all parts of the stroke service. The Stroke service provides 24/7 cover and currently has seven dedicated Stroke consultants , one clinical Academic, contribution from consultant Neurologists and an Acute Medicine consultant.

NUH is the fourth largest acute Trust within the UK, with a busy emergency department at Queens Medical Centre, which is a level 1 Trauma Centre. NUH provide s services to 2.5 million residents of Nottingham and surrounding communities, and specialist services to a further 3-4 million across the region and nationally.

The successful applicant will join an enthusiastic and committed team. The Trust is committed to further development of the Stroke service to maintain its long standing position in the forefront of stroke care provision nationally. The post holder will play a key part in developing the existing stroke pathway, providing consultant input to hyper acute stroke, acute stroke, intensive rehabilitation and continuing stroke rehabilitation.

Main duties of the job

Please refer to the job description and person specification attached.

You will be joining a dedicated, diverse and dynamic team of professionals providing outstanding stroke care and internationally recognised Stroke research within the NIHR Nottingham Biomedical Research Centre, a partnership between NUH and the University of Nottingham.

Working for our organisation

The Head of Service is Dr Kailash Krishnan and the specialty sits within the Care Group of Medicine.

- 16 bedded hyper acute stroke unit on the QMC campus
- 28 bedded acute rehabilitation stroke unit on the QMC campus
- 18 bedded long-term rehabilitation stroke unit on the City Campus (with 4 winter pressure beds) and 6 community beds
- A fast track TIA clinic (7 days per week)
- Stroke outpatient clinics
- 24/7 thrombolysis service
- A regional Mechanical Thrombectomy service

The stroke service is well supported by 10.5 WTE Stroke registrars who provide stroke cover in a dedicated 24/7 rota. The pool consists of an academic fellow, Stroke clinical fellow, Neurology registrar, Geriatric registrar and Trust Grade registrars.

SpR’s take part in the integrated GIM on call rota for when they are responsible to the duty general medical consultant.

Junior medical support is provided by 4 x F1, 2 x F2, 3 x Trust Grade F2, 9 x Trust Grade CT1, 1 x ST (1MT1), 4 x VTS-ST2. All junior staff spend four months attached to the stroke unit and rotate across the stroke wards to ensure they experience all elements of the service.

Detailed job description and main responsibilities

A full range of Stroke emergency and elective patients are admitted to Nottingham University Hospitals NHS Trust and the appointee will be responsible for the management of those patients admitted under their care.

The following draft Job Plan reflects our best assessment of what the final plan will be, based on 10 PAs. For all new consultants to NUH, we offer 8PA’s DCC and 2 SPA’s for the first year.

PROGRAMMED ACTIVITIES:

Direct Clinical Care:

2

1

Operating session (including pre/post op)

Ward rounds

1

Out-patient or other clinics

1

Clinical Diagnostic Work

1

Other patient treatment / consultation

Multi-disciplinary meetings

1

1

Travelling time between sites

Other

8

Supporting Professional Activities

Medical Education (Undergraduate)

0.50

1.50

Audit

Research

Clinical Management

Other

2

TOTAL PAs

10

ON-CALL SUPPLEMENT:

Rota Frequency:

1:7.5

Category:

A

On-call Supplement:

3%

This service provided by the Stroke Specialty is provided across both campuses, but the primary base for this post is Queens Medical Centre.

Person specification

• Full GMC registration
• CCT expected within 6 months of interview date OR via CESR route, must have confirmation of RCP approval to be entered onto the Specialist Register
• Eligible to be included on the specialist registrar

Professional Qualifications

• MRCP
• Higher professional degree

Teaching, Audit & Research

• Evidence of participation in Clinical Audit
• Able to teach and support junior staff effectively
• Original Research Publications Higher teaching degree or qualification or training

Personal Skills/Qualities

• Able to work flexibly in a changing health service
• Able to use the Trust’s IT support systems

Clinical Skills/Experience

• Extensive experience in Stroke Medicine
• Experience in hyper acute stroke care and trained and experienced in thrombolysis
• Comprehensive knowledge of current issues in general internal medicine.
• Evidenced technical skills as described in the job description
• Specific training in communication skills
• Specific training in patient safety and/or human factors

Management Skills

• Able to develop, present and operationalise coherent ideas for service development/delivery.
• Able to work in a team.
• Proven leadership skills, able to lead a team effectively.
• Higher management degree or qualification or training
• Experience of change management

Practical Requirements

• Ability to travel between City Hospital Campus and Queen’s Medical Centre campus

Please note that this post does not attract relocation expenses.

We particularly welcome applications from people who identify as Black, Asian and Minority Ethnic, or Disabled, as we are striving to be better represented at NUH.

If you are aged 16 or 17 and applying for a role that is more than 20 hours a week, please be aware that you will be asked to commence an Apprenticeship within the Trust alongside your role, as long as there is a suitable apprenticeship standard available. This is in line with the current guidance in England that whilst young people under the age of 18 can leave school (on the last Friday in June) they must then do one of the following:

• Stay in full-time education, for example at a college
• Start an Apprenticeship
• Spend 20 hours of more a week working or volunteering, while in part-time education or training

Salary: The quoted salary will be on a pro rata basis for part time workers.

Disability Confidence: All applicants who have declared a disability and who meet the essential criteria for the post will be shortlisted.

At Risk of redundancy: NHS employees within the East Midlands who are ‘at risk’ of redundancy will be given a preferential interview where they meet the essential criteria of the person specification.

ID and Right to work checks : NUH authenticate ID and right to work documentation including passports and driving licences through a system called Trust ID. NUH will scan your ID and right to work documentation in to the Trust ID system at your face to face ID appointment. The system will run a check against the key security features within your documentation. The system will provide us with an outcome of your check which will be stored securely on your personal file along with all other pre-employment check documentation.

Consent:

• Transfer of information: If I have previous NHS service - I consent to the Occupational Health Department confidentially accessing my occupational health records from my current or previous employer in order to check the status of my vaccinations, immunisations s and screening tests as relevant to the post. I understand this is an automated process and the information will only be used for these purposes prior to me taking up the position at NUH.
• Disclosure and Barring Service: Your post maybe subject to a DBS check which incur a cost dependent on the level of check required (£49.50 for enhanced and £21.50 for standard). I agree to reimburse Nottingham University Hospitals NHS Trust the cost of a Disclosure and Barring Service (DBS) check if it is required (by deduction from first month’s pay). Should I decide to withdraw from my job offer, I agree to reimburse Nottingham University Hospitals NHS Trust the cost of the DBS check undertaken by cheque or other agreed method.

For more information about our organisation and the career opportunities available, please visit our website and/or follow us on Instagram , Twitter andFacebook

Employer certification / accreditation badges

You must have appropriate UK professional registration.

This post is subject to the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (Amendment) (England and Wales) Order 2020 and it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service.

Name Dr Kailash Krishnan
Job title Consultant Stroke Physician and Head of Service
Email address [e-mail]
Telephone number 01159691169
Additional information

Candidates are encouraged to make arrangements to visit the Trust, and should contact Dr Krishnan in the first instance if they wish to do so.