Job summary
Gloucestershire Hospitals NHS Foundation Trust would like to invite applications for a Specialist Grade Doctor in Stroke Medicineto work at Cheltenham General Hospital.
We are looking for a dynamic and enthusiastic colleague to join our well-established stroke service for the continuing delivery of high-quality patient care and to work towards ongoing service improvement.
Main duties of the job
- Maintenance of high quality patient centred care
- Shared responsibility for the day to day management of the service and participation in strategic planning
- Teaching and training within the multidisciplinary service
- Active involvement in multidisciplinary team meetings and directorate clinical governance activity
- Active participation in continuing medical education
About us
You will be joining a team of 7 consultants and associate specialists (including this role) who work really well together in a supportive team along side 8 stroke specialist nurses and a team of resident doctors. Although the role is advertised as full time, part time and flexible working options can be considered.
Stroke and TIA services have been reorganised following the Covid crisis and comprise a direct admission pathway via triage conversation with paramedics and GPs direct to CT avoiding ED which has been invaluable in bed crises to maintain the stroke pathway, a 8-10 bed HASU currently at Cheltenham General Hospital, with, then onwards to an acute (combined acute/rehab) unit also at CGH (ASU- Woodmancote ward 32 beds) and a subsequent 14 bed rehab unit at the Vale community Hospital, Dursley.
We have a well developed stroke Early Supported Discharge team covering the whole county (consisting of Physio, OT, SALT, Dietetics, Psychology, Orthoptists, Nurses(, and Community Stroke Nurses support patients in the community and coordinate their 6 month reviews. Our tertiary stroke centre for mechanical thrombectomy and neurosurgery is Southmead Hospital (NBT), Bristol available 24/7. We have a brilliant team of radiographers providing 24/7 access to CT and CTA and are implementing CT prefusion scanning to further optimise treatment pathways for our patients.
Job description
Job responsibilities
- We expect the post-holder to help develop and lead a robust service in order to provide high quality care to stroke patients in a timely manner. Please note: If this is your first post as a Specialist Grade Doctor, we would stage this move to being in charge of patients and on call (as described below) in a planned way depending on need, to ensure confidence and readiness to step up.
- We expect the post-holder to provide and safe, effective and efficient service to provide the best possible care to our stroke patients:
- To cover HASU one day per week (Monday to Friday; 8am to 4pm). This includes a supporting the stroke specialist nurses and junior doctors with thrombolysis and thrombectomy assessments plus ward referrals we also support each other with back up HASU consultants if things become busy.
- To review your patients while still on HASU, and onwards to ASU if required, by following your own patients from start to end of their time in hospital, providing real continuity of care to enable the best oversight of the patient journey supporting key decisions as required in partnership with the MDT.
- To be responsible for 1 in 6 weekend ward rounds (8am to 2pm) (no on call)
- To participate in the regional thrombolysis network rota for telephone advice and teleradiology (approx. 1:10-1:12 rota)
- To cover for colleagues annual leave and other authorised absences, on a reciprocal basis.
- To visit the Vale Community Hospital (Rehab SU) - infrequently (typically once in 6 weeks) for an advisory ward round for the GPs who have daily oversight of the patients there.
- To be responsible for providing advice and input to stroke patients referred from other specialties
- To provide telephone advice about stroke patients referred via GPs within the county via the Cinapsis (telephone advice) service
- To provide outpatient clinics TIA clinics weekly, and alternate week follow up clinics.
- To conduct clinical practice in accordance with contractual requirements within the parameters of our Divisions and Trusts agreed objectives
- There is scope for development of subspecialty interests and to participate in research (see below)
- Any other duties that may be required from time to time
Job description
Job responsibilities
- We expect the post-holder to help develop and lead a robust service in order to provide high quality care to stroke patients in a timely manner. Please note: If this is your first post as a Specialist Grade Doctor, we would stage this move to being in charge of patients and on call (as described below) in a planned way depending on need, to ensure confidence and readiness to step up.
- We expect the post-holder to provide and safe, effective and efficient service to provide the best possible care to our stroke patients:
- To cover HASU one day per week (Monday to Friday; 8am to 4pm). This includes a supporting the stroke specialist nurses and junior doctors with thrombolysis and thrombectomy assessments plus ward referrals we also support each other with back up HASU consultants if things become busy.
- To review your patients while still on HASU, and onwards to ASU if required, by following your own patients from start to end of their time in hospital, providing real continuity of care to enable the best oversight of the patient journey supporting key decisions as required in partnership with the MDT.
- To be responsible for 1 in 6 weekend ward rounds (8am to 2pm) (no on call)
- To participate in the regional thrombolysis network rota for telephone advice and teleradiology (approx. 1:10-1:12 rota)
- To cover for colleagues annual leave and other authorised absences, on a reciprocal basis.
- To visit the Vale Community Hospital (Rehab SU) - infrequently (typically once in 6 weeks) for an advisory ward round for the GPs who have daily oversight of the patients there.
- To be responsible for providing advice and input to stroke patients referred from other specialties
- To provide telephone advice about stroke patients referred via GPs within the county via the Cinapsis (telephone advice) service
- To provide outpatient clinics TIA clinics weekly, and alternate week follow up clinics.
- To conduct clinical practice in accordance with contractual requirements within the parameters of our Divisions and Trusts agreed objectives
- There is scope for development of subspecialty interests and to participate in research (see below)
- Any other duties that may be required from time to time
Person Specification
Essential qualifications
Essential
- Full General Medical Council registration
- MRCP or equivalent experience
- 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
Desirable
- Higher degree
- Additional qualification in Quality Improvement, Medical Education, or other pertinent expertise
Clinical Experience
Essential
- Proven clinical skills in Stroke medicine including thrombolysis and/or thrombectomy assessments
- Ability to lead a multi-disciplinary team
- Ability to work closely with colleagues in Acute Medicine and Emergency Medicine
Desirable
- Experience in Medical Education and/or Research
Management & Administrative skills
Essential
- Participation in clinical audit including completion of audit project
- Understanding and experience of Clinical Governance and Quality Improvement
- Willing and able to work with colleagues in other specialities, professions and roles to ensure the delivery of a high quality, safe and reliable service
- A willingness to accept shared responsibility and provide leadership
- Awareness of current relevant developments within the wider NHS
- Determination to have a key role in establishing and developing the service
Desirable
- Additional management qualification
Educational experience
Essential
- Must have an interest in teaching all grades of hospital and professional staff
Desirable
- Additional Education Qualification
Research Experience
Essential
- Track record of critical reading
- Ability to apply research outcomes to clinical problems
Desirable
- Plans for possible ongoing research projects relevant to service
Personal Attributes
Essential
- Effective team working skills
- Conscientiousness, with drive, initiative, and enthusiasm
- Caring and empathetic
- Able and driven to take responsibility, show leadership and make decisions
- Non-judgemental in approach to patients and colleagues regardless of the sexuality, ethnicity, disability, religious beliefs of financial status
- Flexible and resilient
- Committed to lifelong learning
Person Specification
Essential qualifications
Essential
- Full General Medical Council registration
- MRCP or equivalent experience
- 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
Desirable
- Higher degree
- Additional qualification in Quality Improvement, Medical Education, or other pertinent expertise
Clinical Experience
Essential
- Proven clinical skills in Stroke medicine including thrombolysis and/or thrombectomy assessments
- Ability to lead a multi-disciplinary team
- Ability to work closely with colleagues in Acute Medicine and Emergency Medicine
Desirable
- Experience in Medical Education and/or Research
Management & Administrative skills
Essential
- Participation in clinical audit including completion of audit project
- Understanding and experience of Clinical Governance and Quality Improvement
- Willing and able to work with colleagues in other specialities, professions and roles to ensure the delivery of a high quality, safe and reliable service
- A willingness to accept shared responsibility and provide leadership
- Awareness of current relevant developments within the wider NHS
- Determination to have a key role in establishing and developing the service
Desirable
- Additional management qualification
Educational experience
Essential
- Must have an interest in teaching all grades of hospital and professional staff
Desirable
- Additional Education Qualification
Research Experience
Essential
- Track record of critical reading
- Ability to apply research outcomes to clinical problems
Desirable
- Plans for possible ongoing research projects relevant to service
Personal Attributes
Essential
- Effective team working skills
- Conscientiousness, with drive, initiative, and enthusiasm
- Caring and empathetic
- Able and driven to take responsibility, show leadership and make decisions
- Non-judgemental in approach to patients and colleagues regardless of the sexuality, ethnicity, disability, religious beliefs of financial status
- Flexible and resilient
- Committed to lifelong learning
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.
Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).
From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).
Additional information
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.
Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).
From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).
