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Job Description JOB DESCRIPTION POST: Consultant in Rehabilitation Medicine LOCATION: Regional Acquired Brain Injury Unit, Musgrave Park Hospital REPORTS TO: Co-Director, Trauma, Orthopaedics and Rehabilitation RESPONSIBLE TO: Chief Executive GENERAL INFORMATION The Belfast Health Care Trust The Belfast Health and Social Care Trust was established in April 2007 and comprises the Belfast City Hospital, Mater Hospital, Musgrave Park Hospital, Royal Hospitals and South and East Belfast, and North and West Belfast Health and Social Services Trusts. Hospital Profiles Musgrave Park Hospital is the Regional Orthopaedic Unit for Northern Ireland. The Musgrave Park Regional Orthopaedic Service is the largest in the British Isles with 29 consultant orthopaedic surgeons and staff. On site is the Queen’s University of Belfast’s Department of Orthopaedic Surgery which is the largest academic unit in Orthopaedics in the British Isles with an international reputation and an extensive research output. The Royal Group of Hospitals is the largest hospital complex in Northern Ireland, comprising the Royal Victoria Hospital, the Royal Jubilee Maternity Hospital (RJMH), the Royal Belfast Hospital for Sick Children (RBHSC) and the School of Dentistry. It provides virtually all referral services in Northern Ireland and undoubtedly the vast majority of local research. Major re-developments of the Royal Group of Hospitals are underway, which includes the Royal Belfast Hospital for Sick Children. A new Critical Care Building with ED and theatres is currently in the process of opening. The Royal Hospitals play a major role in clinical education, training and research, with most academic departments linked to the Queen’s University of Belfast Medical School on the Royal Hospital’s complex – medicine, surgery, ophthalmology, child health, obstetrics and gynaecology, and pathology. 1 Belfast City Hospital (BCH) is a major teaching hospital, most of which is housed within the Tower (opened in 1985). The Northern Ireland Cancer Centre opened on the campus in March 2006. A strong strategic focus on molecular medicine, cancer and renal services has enabled the development of a vigorous research programme, together with a large Cancer Clinical Trials Unit. There is a modern radiology department and substantial AHP Services (e.g. Physiotherapy, Podiatry, Occupational Therapy, Speech & Language Therapy, Nutrition & Dietetics, etc.) and a comprehensive range of pathology. The Mater Hospital is a long established general hospital with teaching status affiliated to the Queen’s University of Belfast. A new state of the art ward block, the McAuley Building, was opened in January 2002. The X-Ray Department is sited in the Dempsey Building, which was opened in 1991. The Dempsey Building also houses the Emergency Department, the Operating Theatres, the Intensive Care/High Dependency Unit, the Outpatient Department and the Maternity Unit. The main Psychiatric Unit occupies a separate building next to the Dempsey Building. There is also a Psychiatric Day Hospital on a separate site, approximately one mile from the main hospital. JOB SUMMARY/MAIN PURPOSE: Hospitals where services are to be provided: Regional Acquired Brain Injury Unit (RABIU), Musgrave Park Hospital Department of Rehabilitation Medicine, Royal Victoria Hospital A summary of the services across the different hospitals is provided in the table below: Site General Services Specialist Services Belfast City Hospital A&E (temporarily closed) Adult Cystic Fibrosis Acute & General Medicine Breast Services (including Anaesthesia (including reconstructive surgery) critical care) Cardiology Pain Management Dermatology Gynaecology & Gynaecological Oncology Haematology Haemophilia Service Medical Genetics Medical Oncology Nephrology (including Renal Dialysis) Radiotherapy Respiratory Medicine Rheumatology Transplant Surgery Urology Mater Hospital A&E Surgical specialties, including Acute & General Medicine Hepatobiliary, Ophthalmology, Anaesthesia (including Gynaecology, Psychiatry critical care) 2 Site General Services Specialist Services Pain Management Musgrave Park Hospital Anaesthesia Regional Orthopaedic unit Pain Management Rheumatology Rehabilitation, SCIU, RDS Regional Acquired brain injury unit Care of the elderly unit Royal Hospitals A&E Recognised trauma centre Acute & General Medicine Dermatology Anaesthesia (including Paediatrics (RBHSC) critical care) Obstetrics & Gynaecology (Royal Pain Management Jubilee Maternity Hospital) School of Dentistry Regional services include: neurosciences, medical and surgical cardiology, thoracic surgery, ophthalmology and specialised endocrinology, ENT, general surgery, vascular surgery, hepatology All of the major laboratory services are also available including: Immunology Haematology (including Transfusion Services) Bacteriology Virology Pathology Immunopathology Clinical Chemistry The Belfast HSC Trust functions through a series of Directorates. The Rehabilitation Service forms part of the Specialist Hospitals & Women’s Health Directorate. WORK OF THE REHABILITATION SERVICE / MAIN DUTIES The RABIU is a neurorehabilitation unit for adults (primarily over 16 years with) with Acquired Brain Injury. There is a 25-bedded inpatient ward and an outpatient service for up to 15 daily attendees with rehabilitation needs following neurological disease. Outpatient clinic services are located within the RABIU building and at the Department of Rehabilitation Medicine, Royal Victoria Hospital. In the financial year 2016/2017 there was a total of 97 new inpatient admissions to the two Consultant led teams at RABIU, with an average length of stay of 66 days. In the same year, there were 885 day-attender patient episodes. The successful applicant will provide Consultant level care to adults with acquired brain injury. They will be expected to provide, maintain and develop services in acquired brain injury rehabilitation. Training in this area is an essential pre-requisite for the post. 3 The job is a replacement post and includes a commitment to inpatient rehabilitation and outpatient day attender rehabilitation at the Regional Acquired Brain Injury Unit in addition to outpatient clinic commitments at Musgrave Park Hospital and the Royal Victoria Hospital. The post holder will provide rehabilitation liaison to the Regional Neurosciences Centre. The post holder will have access to beds and admitting rights in the Regional Acquired Brain Injury Unit. The post holder will alternate the weekly CASBAH (Clinic for Adults with Spina Bifida and Hydrocephalus) clinic with Dr Hillan. There is a commitment to the provision of rehabilitation input into the acute hospitals within the Belfast Health and Social Care Trust, for those persons requiring the specialist services provided by the Regional Acquired Brain Injury Unit. The post-holder will be involved in the teaching of undergraduate and graduate medical, nursing and professions allied to medicine personnel. The post-holder will be expected to participate in Trust Research, Audit, and Quality Improvement activities. There are a total of five Consultants in Rehabilitation Medicine on the Musgrave Park Hospital site with two based in RABIU (including this post), one in the Amputee Rehabilitation Unit (ARU), one in the Spinal Cord Injury Unit (SCIU) and one in a combination of ARU and SCIU. There are 3 Specialty Doctors in Rehabilitation Medicine and 2 rotational training ST posts; the holders of these posts will rotate through neurorehabilitation services. Administrative support will be provided by the existing secretarial resource. The post holder will have an allocated office space with computer access. There is a commitment to the provision of rehabilitation input into the acute hospitals within the Belfast Health and Social Care Trust, for those persons requiring the specialist services provided by the Regional Acquired Brain Injury Unit. The post-holder will be expected to participate in Trust Research, Audit, and Quality There are a total of five Consultants in Rehabilitation Medicine on the Musgrave Park Hospital site with two based in RABIU (including this post), one in the Amputee Rehabilitation Unit (ARU), one in the Spinal Cord Injury Unit (SCIU) and one in a combination of ARU and SCIU. CONSULTANT STAFF involved in the provision of Rehabilitation Services Dr L E Graham - Consultant in Rehabilitation Medicine Dr S Maguire - Consultant in Rehabilitation Medicine Dr J P McCann - Consultant in Rehabilitation Medicine Dr S Caldwell - Consultant in Rehabilitation Medicine Dr J Hillan - Consultant in Rehabilitation Medicine Dr P Watson - Principal Bioengineer Dr C Wilson - Consultant Clinical Neuro Psychologist Dr S Carson - Consultant Clinical Psychologist 4 JUNIOR MEDICAL STAFF Two Specialty Trainees in Rehabilitation Medicine Three Specialty Doctors in Rehabilitation Medicine – Dr S Glackin Dr S Connolly Dr ST Zafar On-Call On appointment of this post there will be a 1:5 on-call rota with prospective cover. The on-call commitment provides cover to RABIU, the Spinal Cord Injury Unit and the Amputee Rehabilitation ward at Musgrave Park Hospital. Educational Activities The post-holder will be expected to participate in all educational activities in the form of weekly education and business meetings and involvement in the neurorehabilitation round, multidisciplinary education and neurorehabilitation audit meetings. The post-holder will be entitled to SPA time, study leave and courses on terms and conditions as a consultant. A commitment to 3rd
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