Job responsibilities
The
Division of Neurology at the Walton Centre wishes to appoint to the
intermediate tier of Rehabilitation Medicine. This
is an existing post created from the Merseyside QIPP Board establishing a
Rehabilitation work stream, recognising the need for a comprehensive and
integrated response to the rehabilitation needs of patients experiencing a
sudden and devastating loss of function following an acute event such as major
trauma, amputation, subarachnoid haemorrhage, encephalitis, or an episode of
significant illness requiring an extended stay on critical care etc.
As all the posts will make use of the extensive training opportunities
available within the Hub - Walton Centre and Spoke Units St
Helens/Broadgreen/Walton Centre (SWS)/ Clatterbridge Hospital sites. These
posts will suit anyone wanting to gain wide experience of Rehabilitation
Medicine, whilst continuing to use some of their
current skills such as acute/general medicine, general surgery, trauma,
neurology.
The Walton Centre (WCFT) has been
identified to provide the hub service, on the basis in part of existing
provision (30 level 1 neuro-rehabilitation beds).
Clinical models have been developed for
the hub and spoke provision. Overall co-ordination of the access and management
of the patient pathway through the service is via a centralised clinical
management team. Each
hub and spoke unit have dedicated Rehabilitation Consultants.
All appointees must be eligible for full
medical registration, with a licence to practice. Preference
will be given to applicants having certificated levels of competence. This is a fixed term post for 9 months.
The
Walton Centre NHS Foundation Trust
The Walton Centre NHS Foundation Trust is an independent
specialist neurosciences NHS Trust hospital providing a high quality,
integrated and multidisciplinary neurosciences service to Merseyside, North
Wales, the Isle of Man and part of West Lancashire which totals a population of
3.2 million. The Centre is adjacent to the University Hospital; Aintree
which is a busy District General Hospital Trust located 6 miles from the centre
of Liverpool.
The Centre is based in a purpose-built building, opened in
1998. The Centre is virtually self- contained and has 149 neuroscience
beds, (including a day ward and a programmed investigation unit), available to
the admitting specialities of neurosurgery, neurology and pain relief though
the majority are occupied by neurosurgical patients. Critical care facility
comprises a 16 bedded dedicated Neuro-Intensive Care Unit and a 4 bedded high
dependency area. There are plans to expand the in-patient capacity including
diagnostics, theatres, and in-patient beds to accommodate increasing demand.
Main Departments
Rehabilitation
Hub Units
30 beds at the Walton Centre. Lipton Ward (hyperacute) and Complex
Rehabilitation Unit (Level 1, supportive rehabilitation). Providing
multidisciplinary rehabilitation to adults of all ages with a variety of
complex rehabilitation, medical and surgical needs.
Spoke Units
20 beds at Seddon Specialist Rehabilitation Unit St Helens Hospital,15
beds at Phoenix Unit Broadgreen Hospital (Level 2 unit), 10 beds at Sid Watkins
spoke (SWS) unit at Walton Centre and 8 beds at Clatterbridge Hospital
providing multidisciplinary active rehabilitation to adults with complex needs
focusing on maximizing independence and quality of life followed by effective
transfer of care to the community.
Neurology
There are 50 Consultant Neurologists, including the
academic staff, with a wide range of interests including epilepsy,
cerebrovascular disease, demyelination, dementia, muscle and movement
disorders. They provide a satellite outpatient/referral service to all the
general hospitals within the Walton Centres catchment area.
The
Walton Pain Service
The Centre also
houses the regional chronic pain service, which was founded in the 1960's by Dr
Sampson Lipton, and has an international reputation. The Regional Centre for
Pain Relief is a multidisciplinary department run by 4 Consultants (including
The Professor of Pain Science) and an Anaesthetic Specialist Registrar. Two of
the neurosurgeons have close links with this department. There is further
integration with the Pain Research Institute which is part of the University
Department of Neuroscience.
Neuroradiology
There are 10
Consultant Neuroradiologists and an SpR in neuroradiology. There are two
rotating registrar posts and currently one externally funded
neurointerventional fellow post. The Department is well equipped with a spiral
CT scanner, a biplanar angiography suite, 3T and 1.5T MR scanners and
myelography. There are close academic links with the University of Liverpools
Magnetic Resonance and Image Analysis Research Centre which houses 1.5T and 3T
MR scanners and a MEG scanner. The department of anaesthesia works closely with
the radiology department providing general anaesthesia for interventional
procedures and MRI scanning.
Postgraduate
Education
The WCFT has a very
active program of postgraduate education with a regular weekly series of
clinical meetings, lectures, journal clubs and neuropathology. The Centres
library is situated in the Clinical Sciences Centre. The new Clinical Sciences
building contains an IT resource centre which will give access to appropriate
software for medical research material, etc. This can also be accessed via the
Centres own IT system. The education facilities include a Lecture Theatre with
a capacity of 225 equipped with the latest audio-visual aids, video
conferencing facilities, an exhibition facility and seminar rooms.
The rehabilitation
network will also conduct its own structured program for education of all
levels and types of clinical staff.
The Job
Itself
The appointment is
temporary and will provide experience in Rehabilitation Medicine. The successful candidate is likely to be
based at Walton Centre but may be required to spend time at other Spoke units
at St Helens Hospital/Broadgreen Hospital. This will be based on the needs of
the service. The posts are designed for individuals wishing to gain experience
in working in an integrated rehabilitation network in the NHS. Successful
applicants will rotate to work in more than one unit during their post.
Your direct line of
management/supervision is through the Consultant in Rehabilitation to the
Clinical Director of the Rehabilitation Network.
There may also be
opportunities for research/secondment for further training within the Walton
Centre, at St Helens or Broadgreen Hospital or elsewhere.
Duties
of the Post
1. Medical supervision of day-to-day
operation of the unit, including
a) recognition and appropriate management
of acutely ill patients, initiating treatment and/or requesting specialised
help as required.
b) Effective liaison with other
specialities to ensure the acute and chronic medical needs of all patients are
met.
c) Independent ward round every Monday and
Friday morning
d) working in coordinated fashion with
other MDT members
e) coordination of arrangements for safe
periods of weekend leave
f) responsibility for ensuring decisions
made at consultant ward round and at MDT meeting are enacted in a timely
fashion.
g) responsibility for ensuring collation
and availability of test results and other information required for consultant
ward rounds and MDT meetings.
2. Attendance at consultant ward round and
at MDT meeting.
3. Provide cover for the Registrars for
short periods of absence from the unit.
When the Registrar is away on leave, effective daily communication with
the consultant responsible.
4. Communication and liaison with family,
with GPs and other consultants.
Completion and signing of MDT discharge summaries on in-patients on the
unit.
5. Weekly out-patient clinic opportunity
available
6. Availability for ward referrals on
patients under other consultants on other wards, but only as directed by
rehabilitation consultant.
7. Involvement in collection of outcome
measure data.
8. Attend clinical governance sessions
related to audit, risk management and training events in rehabilitation and
other branches of medicine.
Study Leave
Study leave is at the discretion of the Lead
Consultant. Study leave is granted for appropriate courses and examinations
subject to regional guidelines.
.
Leave and Cover
Six
weeks notice should be given for requests for annual or study leave. It is
expected that leave should be arranged for weeks with no out-of-hours duties
and the timing of the leave will take into account the needs of the service. No
leave can be guaranteed that is booked prior to taking up the post.
Staff
are expected to cover for colleagues if this becomes necessary, at short notice
due to sickness. Every effort will be made to ensure continuous periods of duty
remain within EWTD criteria. If this is not possible, compensatory rest will be
granted.
Terms
And Conditions Of Service
The appointment is subject to the Trust Terms
and Conditions of Service for Doctors and General Terms and Conditions of
Service, as amended from time to time by the Trust. Copies of these may be seen in the Human
Resources Department.
All doctors must participate in annual
professional appraisal and in job planning. For GMC Revalidation purposes, the
Responsible Officer for these posts will be the Responsible Officer of the
Walton Centre.
All appointees must be eligible for full
medical registration and have at least two years experience of Rehabilitation
Medicine.
Remuneration will be at the appropriate
incremental point of the MT04 scale.
