Job summary
The Mid Yorkshire Stroke Service require a
Consultant to complement the current team providing stroke services for the
Wakefield District, north Kirklees, some parts of south Leeds and the Hyperacute
Services for large parts of Barnsley.
This position is a substantive post for
Stroke Medicine.
You will join a team of 4 substantive Stroke
Physicians, 6 Consultant Neurologists, Consultant Neurophysiologists and a
Consultant in Neurological Rehabilitation.
You will assist in delivering holistic patient focused care by
multi-disciplinary and multi-speciality collaboration in a large Acute Stroke
Centre.
The post is expected to support the entire pathway which will cover
Hyperacute services currently being 1:8, acute stroke unit and the
rehabilitation unit as well as providing on calls for thrombolysis both out of
hours and weekends. The consultant is expected to support running of the TIA
clinic which is held every day of the week.
Main duties of the job
The main duties of the post will include:
To provide high quality care to all patients admitted to the stroke
service at MYTT
Keep patients (and/or their carers if appropriate) informed about their
condition and involve them in the decision making of their treatment
Maintain professional standards and obligations as set out from time to
time by the General Medical Council (GMC) and comply in particular with the
GMCs guidance on Good Medical Practice as amended or substituted from time to
time.
Urgent and Emergency Care duties including out-of-hours on-call;
schedules will take due account of the provisions of working time regulations
and safe working
On-call duties are currently shared with 7 other colleagues on a 1:8
basis
Supporting Professional Activities in accordance with the Trust
Framework, with at least a minimum of 1.5 SPAs included in the core 10PA
timetable. Additional SPA or DCC time may be commissioned in line with the
skills of the successful candidate and changing requirements of the service.
About us
We provide care and support to over a million people in
Wakefield and Kirklees in their homes, community settings and across our
three hospital sites at Pontefract, Dewsbury and Pinderfields (Wakefield).
Always striving for excellence, we are at the forefront of
innovation and research, and we invest in teaching and the development of our
workforce.
We live by our values of caring, improving, being respectful
and maintaining high standards. We listen and learn because we aim to make Mid
Yorkshire the best place to work and receive care.
We value diversity and welcome talent and enthusiasm
irrespective of age, disability, neurodivergence, sex, gender identity and
gender expression, race or ethnicity, religion or belief, sexual orientation,
or other personal circumstances including providing unpaid carers support to
someone with a health and care need. As ethnic minority groups, members of the
LGBTQ+ community, and people with a disability/neurodivergence are currently
under-represented across the organisation, we encourage applications from
members of these groups. We have policies and procedures to ensure all
applicants are treated fairly and consistently.
We are proud of our staff networks - who offer valuable
guidance and feedback from those with lived experience.
We have a clear vision and you could be part of this! If
you share our values and you want to make a difference to the lives of our
patients and their families and carers, we would love to hear from you.
Job description
Job responsibilities
Consultant in STROKE MEDICINE
This post is
offered on a full time (10 PA) basis although less than full time applications
will be considered.
Duties will
be based primarily on our Wakefield (Pinderfields) site although all our medical
staff are involved in delivering care to patients on all our sites.
The main
duties of the post will include:
To provide high quality care to all patients admitted to the
stroke service at MYTT
Keep patients (and/or their carers if appropriate) informed
about their condition and involve them in the decision making of their
treatment
Maintain professional standards and obligations as set out
from time to time by the General Medical Council (GMC) and comply in particular
with the GMCs guidance on Good Medical Practice as amended or substituted
from time to time.
Urgent and Emergency Care duties including out-of-hours
on-call; schedules will take due account of the provisions of working time
regulations and safe working
On-call duties are currently shared with 7 other colleagues
on a 1:8 basis both weekdays and weekends. Out of hours on call is provided
through telemedicine connecting directly to the
Supervising trainees working within the department
Supporting Professional Activities in accordance with the
Trust Framework, with at least a
minimum of 1.5 SPAs included in the core 10PA timetable. Additional SPA or DCC
time may be commissioned in line with the skills of the successful candidate
and changing requirements of the service.
o Examples may include formal teaching
responsibilities or departmental leadership roles
The Stroke
Service
MYTT is an Acute Stroke Centre providing HASU care for an area including
Wakefield district, north Kirklees, large parts of Barnsley and parts of south
Leeds. We provide acute and
rehabilitation stroke care for all those patients except those from Barnsley -
these patients are repatriated to local care at the end of their HASU stay
unless discharged home. All acute
services are at Pinderfields Hospital in Wakefield; the stroke rehabilitation
unit is at nearby Dewsbury and District Hospital (DDH).
There are currently 8 consultant posts supporting the service with
registrar support at Pinderfields and a team of rotating junior doctors.
Stroke Assessment Hub
(the Hub): We admit over 1100 confirmed stroke patients a year
plus an additional number of stroke mimics.
We operate a direct from ambulance admission pathway, taking all patient
straight to CT then to the Hub for treatment or further assessment. That service is support by 2 Band 6 or higher
Stroke Assessment Nurses 24 hours per day to support thrombolysis, emergency BP
control, consideration for mechanical thrombectomy at the Comprehensive Stroke
Centre at LTHT. Mechanical thrombectomy
service is currently offered between 8 3 PM in line with the service
provision from the nearest Comprehensive stroke center. The site provides CTA
between 8 3 PM in line with current thrombectomy provisions but has the
capability of round the clock CTA provision as services are extended in the
nearest CSC at LTHT. CTP will be available by the end of Nov 23 when the third
CT scanner is installed.
Patients are assessed by consultants in the Hub during working hours for
consideration of thrombolysis / thrombectomy and out of hours by the juniors
from 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 be
diagnosed and managed by the stroke team in conjunction with other inpatient
services.
HASU: we have a
12-bedded HASU with centralised physiological monitoring, experienced stroke
nurses and 7 day access to physiotherapy and OT assessments. We have access to all necessary
investigations, though there are limitations on out of hours MRI (This is
limited to 8 AM 8 PM, 7 days of the week) and weekend carotid US.
ASU: this is
co-located with the HASU on a 39-bedded ward. We provide daily ward rounds (2
consultants) in line with 5 days review for stable patients with a full team
handover at the start of each day and dedicated consultant handover to the
nurse coordinator at the end of each ward round.
Stroke Rehabilitation
Unit: this 16-bedded unit is co-located with the Neurological Rehabilitation
Centre at DDH and we provide 2 consultant session each week to support this
TIA service: due to
pandemic restrictions this is mostly non-face-to-face with the option to bring
patients to the Hub for examination where necessary; we have access to MRI and
carotid US, usually same day. The service is currently consultant-led with
admin support. There is plan to bring it back face to face as before the
pandemic.
Job description
Job responsibilities
Consultant in STROKE MEDICINE
This post is
offered on a full time (10 PA) basis although less than full time applications
will be considered.
Duties will
be based primarily on our Wakefield (Pinderfields) site although all our medical
staff are involved in delivering care to patients on all our sites.
The main
duties of the post will include:
To provide high quality care to all patients admitted to the
stroke service at MYTT
Keep patients (and/or their carers if appropriate) informed
about their condition and involve them in the decision making of their
treatment
Maintain professional standards and obligations as set out
from time to time by the General Medical Council (GMC) and comply in particular
with the GMCs guidance on Good Medical Practice as amended or substituted
from time to time.
Urgent and Emergency Care duties including out-of-hours
on-call; schedules will take due account of the provisions of working time
regulations and safe working
On-call duties are currently shared with 7 other colleagues
on a 1:8 basis both weekdays and weekends. Out of hours on call is provided
through telemedicine connecting directly to the
Supervising trainees working within the department
Supporting Professional Activities in accordance with the
Trust Framework, with at least a
minimum of 1.5 SPAs included in the core 10PA timetable. Additional SPA or DCC
time may be commissioned in line with the skills of the successful candidate
and changing requirements of the service.
o Examples may include formal teaching
responsibilities or departmental leadership roles
The Stroke
Service
MYTT is an Acute Stroke Centre providing HASU care for an area including
Wakefield district, north Kirklees, large parts of Barnsley and parts of south
Leeds. We provide acute and
rehabilitation stroke care for all those patients except those from Barnsley -
these patients are repatriated to local care at the end of their HASU stay
unless discharged home. All acute
services are at Pinderfields Hospital in Wakefield; the stroke rehabilitation
unit is at nearby Dewsbury and District Hospital (DDH).
There are currently 8 consultant posts supporting the service with
registrar support at Pinderfields and a team of rotating junior doctors.
Stroke Assessment Hub
(the Hub): We admit over 1100 confirmed stroke patients a year
plus an additional number of stroke mimics.
We operate a direct from ambulance admission pathway, taking all patient
straight to CT then to the Hub for treatment or further assessment. That service is support by 2 Band 6 or higher
Stroke Assessment Nurses 24 hours per day to support thrombolysis, emergency BP
control, consideration for mechanical thrombectomy at the Comprehensive Stroke
Centre at LTHT. Mechanical thrombectomy
service is currently offered between 8 3 PM in line with the service
provision from the nearest Comprehensive stroke center. The site provides CTA
between 8 3 PM in line with current thrombectomy provisions but has the
capability of round the clock CTA provision as services are extended in the
nearest CSC at LTHT. CTP will be available by the end of Nov 23 when the third
CT scanner is installed.
Patients are assessed by consultants in the Hub during working hours for
consideration of thrombolysis / thrombectomy and out of hours by the juniors
from 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 be
diagnosed and managed by the stroke team in conjunction with other inpatient
services.
HASU: we have a
12-bedded HASU with centralised physiological monitoring, experienced stroke
nurses and 7 day access to physiotherapy and OT assessments. We have access to all necessary
investigations, though there are limitations on out of hours MRI (This is
limited to 8 AM 8 PM, 7 days of the week) and weekend carotid US.
ASU: this is
co-located with the HASU on a 39-bedded ward. We provide daily ward rounds (2
consultants) in line with 5 days review for stable patients with a full team
handover at the start of each day and dedicated consultant handover to the
nurse coordinator at the end of each ward round.
Stroke Rehabilitation
Unit: this 16-bedded unit is co-located with the Neurological Rehabilitation
Centre at DDH and we provide 2 consultant session each week to support this
TIA service: due to
pandemic restrictions this is mostly non-face-to-face with the option to bring
patients to the Hub for examination where necessary; we have access to MRI and
carotid US, usually same day. The service is currently consultant-led with
admin support. There is plan to bring it back face to face as before the
pandemic.
Person Specification
Management Skills
Essential
- Demonstrates intelligent and analytical approach to problem solving. Good time management.
Desirable
- Possess good organisational and personal management skills
Experience
Essential
- Computer literate Specific educational interests and evidence of educational ideas or project work.
Qualifications
Essential
- Full GMC Registration with licence to practice. Please state your GMC number Inclusion on the GMC Specialist Register for Geriatric Medicine, Neurology, Rehabilitation Medicine or Clinical Pharmacology with completion of Stroke Fellowship (or demonstration of equivalent competences) or within 6 months of obtaining CCT (or CESR / equivalent) Medical Degree from recognised medical school MRCP or equivalent
Desirable
- Medical School Prizes Audit or Case Presentations Teaching qualification/ prize
Person Specification
Management Skills
Essential
- Demonstrates intelligent and analytical approach to problem solving. Good time management.
Desirable
- Possess good organisational and personal management skills
Experience
Essential
- Computer literate Specific educational interests and evidence of educational ideas or project work.
Qualifications
Essential
- Full GMC Registration with licence to practice. Please state your GMC number Inclusion on the GMC Specialist Register for Geriatric Medicine, Neurology, Rehabilitation Medicine or Clinical Pharmacology with completion of Stroke Fellowship (or demonstration of equivalent competences) or within 6 months of obtaining CCT (or CESR / equivalent) Medical Degree from recognised medical school MRCP or equivalent
Desirable
- Medical School Prizes Audit or Case Presentations Teaching qualification/ prize
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).