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Consultant in Neurological & Stroke Rehabillitation Service

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Consultant in Neurological & Stroke Rehabillitation Service JOB TITLE: Consultant in Neurological & Stroke Rehabillitation Service JOB REFERENCE: CG 1913 JOBTRAIN REFERENCE: 024229 CLOSING DATE: 12TH JULY 2020 INTERVIEW DATE: 27TH JULY 2020 http://careers.nhslothian.scot.nhs.uk Contents Section Section 1: Person Specification Section 2: Introduction to Appointment Section 3: Departmental and Directorate Information Section 4: Main Duties and Responsibilities Section 5: Job Plan Section 6: Contact Information Section 7: Working for NHS Lothian Section 8: Terms and Conditions of Employment Section 9: General Information for Candidates Unfortunately we cannot accept CV’s as a form of application and only application forms completed via the Jobtrain system will be accepted. Please visit https://apply.jobs.scot.nhs.uk for further details on how to apply. You will receive a response acknowledging receipt of your application. This post requires the post holder to have a PVG Scheme membership/record. If the successful applicant is not a current PVG member for the required regulatory group i.e. child and/or adult, then an application will need to be made to Disclosure Scotland and deemed satisfactory before the successful post holder can commence work. All NHS Scotland and NHS Lothian Medical vacancies are advertised on our medical jobs microsite: www.medicaljobs.scot.nhs.uk Please visit our Careers website for further information on what NHS Lothian has to offer http://careers.nhslothian.scot.nhs.uk http://careers.nhslothian.scot.nhs.uk Section 1: Person Specification REQUIREMENTS ESSENTIAL DESIRABLE Qualifications and MRCP (UK), FRCS, MRCGP Additional higher degree in Training or equivalent relevant field . Be on, or be eligible for inclusion on within 6 months of interview, the GMC Specialist Register with a CCT in one of Rehabilitation Medicine Stroke Medicine, Neurology or Medicine of the Elderly Evidence of regular appraisal Learning and continuous professional development Post Specific Specific experience in the Expertise in any of Experience management and/or rehabilitation Rehabilitation and symptom of people with neurological management in neurological conditions including stroke. conditions spasticity or dystonia management management of functional neurological disorders management of neurological cancers adult manifestation of childhood neurological disorders Ability Ability to take full responsibility for management of patients Able to organise time efficiently and effectively Research An enthusiasm for supporting Evidence of research, Achievements academic research publications Evidence of lead role in research Teaching Experience in teaching and Evidence of teaching training of junior medical staff; qualification medical students or other clinical Evidence of Recognition of disciplines Trainer status Formal teaching appointment Audit & Quality Evidence of participation in Effectively implemented audit Improvement audit or quality improvement or quality improvement project projects Motivation Evidence of:holistic patient Evidence of development of focused care, services for people Efficient use of resources Appreciation of the role of rehabilitation approaches http://careers.nhslothian.scot.nhs.uk Team Working Evidence of teamwork with Able to lead and motivate colleagues within own specialty colleagues and other medical & non-medical Previous managerial training or clinical disciplines experience Section 2: Introduction to Appointment Job Title: Consultant in Neurological & Stroke Rehabilitation Departments: Rehabilitation Medicine Base: Astley Ainslie Hospital Report to: Dr. Alasdair FitzGerald, Clinical Lead, Rehabilitation Medicine Accountable to: Dr Ian McKay, Clinical Director, Edinburgh Community Health Partnership Post Summary: This permanent full-time replacement post arises at a time of change in both Clinical Neurosciences and Rehabilitation Services. The Department of Clinical Neurosciences is scheduled to relocate to new clinical facility from 2020, and the Astley Ainslie Hospital is anticipated to move to a new facility after 2025. This post offers the successful candidate an opportunity to influence change in a service undergoing redesign that involves both reconfiguration and service role expansion in anticipation of move. Application to this post is open to rehabilitation medicine physicians, neurologists; stroke physicians or specialists in medicine for the elderly who have an interest in providing a holistic rehabilitative approach to their patients. There is opportunity to include two sessions in the practice of acute stroke medicine; neurology; or trauma rehabilitation depending on the clinical expertise of the appointee. This is dependent on negotiation. Potential host specialties are enthusiastic about supporting this. The service has also developed a proactive approach to rehabilitation for patients outwith the age range typically associated with rehabilitation medicine services, when older patients are seen to have appropriate potential. The service has published in relation to its experience in this regard. The post-holder will be one of a three consultant team overseeing a post-acute neurorehabilitation service focussing on patients with recent onset neurological conditions or neurological deterioration. This includes rehabilitation following brain injury, stroke, multiple sclerosis relapse; neuro-oncological disorders; polyneuropathy or non-traumatic spinal cord injury. Depending on the clinical background of the appointee it may be possible to have clinical emphasis on those specialties with which they have more specific experience. The post includes in-patient (46 beds); outpatient and acute hospital inreach roles. Inreach is primarily provided in stroke; neuroscience; oncology and acute medical departments. The service also provides tertiary inpatient brain injury rehabilitation in its role as Scottish Brain Injury Rehabilitation Service. We are particularly keen to recruit an applicant who demonstrates skills, aptitude or enthusiasm useful in contributing to any of our target areas for development. These include:- http://careers.nhslothian.scot.nhs.uk Provision of specialist role in stroke rehabilitation, with emphasis on the management of patients with challenging vocational or social roles; cognitive or communication impairments or problematic spasticity. Rehabilitation of functional neurological disorders is an area in which expertise is being developed, and is a clinical area in which we anticipate increased demand. Inpatient neuro-oncological rehabilitation is an evolving specialism within the department, directed at those goals which can most efficiently address independence and quality of life in an appropriate timescale. Transition service to support adults with impairments related to childhood neurological disorders is provided at an informal level at present. There is a need for this service to be organised in a more structured format. As the longest established and one of largest rehabilitation departments in Scotland, with close links to local universities and research centres; academic activity should have a high profile. While there is a strong focus on teaching in the department, there is a need to engender a greater research focus, and link it to our specialist training role. The post acute neuro rehabilitation multi-disciplinary team has embraced change on an evolving basis. The team has expanded service remit from focus on brain injury, stroke and multiple sclerosis to a wider needs-based approach that is open to managing the needs of all patients with new neurological impairment regardless of diagnosis. This is also been associated with an openness to exploring new directions in the rehabilitation of patients with morbid obesity, functional neurological disorder, deconditioning, oncological rehabilitation and rehabilitation of new motor impairments in learning disability. The team has also been proactive in its approach to service development. There is a greater emphasis on improved communication internally and with service users. In particular there has been a lot of change in relation to quality of documentation and delivery of clinical information to service users. The service has a strong commitment to clinical teaching, and has been ranked as second in the UK in specialist rehabilitation trainee surveys. For junior medical staff there has been a significant emphasis on developing rehabilitation specific guideline development Out of Hours Commitment The post will also include a second on-call commitment which will be 1: 6 at the AAH (Rehabilitation Medicine). The main emergencies on the AAH site, are managed on-site by first on-call clinician (ST or FY grade from 8am to 8pm; Advanced Nurse Practitioner from the Hospital @ Night (HAN) team overnight). On-call duties typically require providing a scheduled round when rostered for weekend days. Outside of these sessions, telephone based advice suffices in most situations, with potential to attend on occasion. There are clear protocols in place for on-site staff for those emergencies most commonly managed. Given the limited medical facilities on site, safe transfer to the acute sector is often the key task in these circumstances. Research The team also fosters a positive approach to service improvement and research. Publications and presentations in recent years are based on themes of experience in developing services in oncological rehabilitation, and expanding the remit to include older patients. There are fortnightly research meetings
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