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Incorporating Central Middlesex Hospital Community Services in Brent, Ealing and Harrow Ealing Hospital Northwick Park Hospital St

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Incorporating Central Middlesex Hospital Community Services in Brent, Ealing and Harrow Ealing Hospital Northwick Park Hospital St Incorporating Central Middlesex Hospital Community Services in Brent, Ealing and Harrow Ealing Hospital Northwick Park Hospital St. Mark’s Hospital DIVISION OF MEDICINE SERVICES JOB DESCRIPTION Consultant in Rehabilitation Medicine Contract: Permanent Hours: Full Time Rota: 1 in 3 Intensity category: Category B Responsible to: Clinical Director, Dr Nigel Stevens Services Reporting to: Clinical Lead, Professor Lynne Turner-Stokes Principal Location: London North West Healthcare NHS Trust Tenure: Substantive KEY CONTACT NAMES LONDON NORTH WEST HEALTHCARE NHS TRUST Chairman of the Trust Mr Peter Worthington Tel: 0208 869 2017 Chief Executive Dame Jacqueline Docherty Tel: 0208 869 2000 Deputy Chief Executive Mr Lee Martin Tel: 0208 869 2000 Medical Director Dr Charles Cayley Tel: 0208 869 2609 Operations Director of the Northwick Park Prof. Paul Sibbons Tel: 0208 869 3284 Institute Of Medical Research (NPIMR) Director of Research, Development Dr J. Pitkin Tel: 0208 869 3330 Director Of Post-graduate Medical Education Dr Roger Sharpe Tel: 0208 869 2292 Clinical Director Dr Nigel Stevens Tel: 0208 869 5342 Divisional Head of Nursing Ms Jo McCarthy Tel: 0208 869 5342 Divisional General Manager Mr James Walters Tel: 020 8869 2104 Clinical General Manager Ms Sue Fenwick Elliott Tel: 020 8869 2496 Service Manager Ms Raksha Jina Tel: 020 8869 3572 DIRECTORATE SENIOR STAFF RHRU Director Prof Lynne Turner-Stokes Tel 0208-869-2800 RHRU Outreach team Director Dr Charlie Nyein Tel 0208-869-2179 RHRU Consultant Dr Aung Thu Tel 0208-869-2799 RHRU Secretaries Tel 0208-869-2800/1 RHRU AHP Coordinator Hilary Rose Tel: 0208-869-2809 JOB DESCRIPTION Consultant in Rehabilitation Medicine Full time substantive contract 1. Introduction The Trust London North West Healthcare NHS Trust was created on 1 October 2014 following the merger of Ealing Hospitals NHS Trust and The North West London Hospitals NHS Trust. We are one of the largest integrated Trusts in the country linking hospital community services across Brent, Ealing and Harrow. We are also home to the renowned specialist centre for the treatment of the diseases of the bowel and gut. We have more than 8,000 staff serving a population of over 850,000 with a budget of more than £640 million a year. Northwick Park Hospital was opened in 1969 combining a major District General Hospital and the MRC Clinical Research Centre. The links between clinical practice and clinical research have been close ever since, and although the MRC left in 1994, the hospital continues to attract high calibre medical and other staff. This has resulted in a sustained reputation for clinical excellence. The hospital became a Trust in April 1993. It took over the Clinical Research Centre Buildings in April 1994 and subsequently utilised them for the development of clinical services and to set up the Northwick Park Institute for Medical Research (NPIMR). The hospital retains complementary and enhanced research activity in several regional specialist units such as the Kennedy-Galton Centre (Clinical Genetics), the Lister Unit (Infectious Diseases) and a Regional HyperAcute Rehabilitation Unit. St Mark’s Hospital moved from the City Road in Central London to become an integral part of the Northwick Park site in July 1995. St Mark’s was founded in 1835 and has developed an international reputation as a specialist postgraduate teaching hospital for patients with intestinal and colorectal disorders. St Mark’s is developing a closer academic relationship with Imperial College, in line with the Trust’s academic strategy. Central Middlesex Hospital is the main provider of acute health services for the residents of the London Borough of Brent. Its services are used by a significant number of people from neighbouring authorities, in particular Ealing and Acton. A high percentage of the population of Brent are from a diversity of ethnic minority groups, leading to higher than average incidence of a variety of diseases, for example Coronary Heart Disease, Vascular Disease, Renal Disease and Diabetes. This presents the hospital with a varied and challenging caseload. Brent is also recognised as an area of high unemployment, poor housing and other social factors contributing to higher than average level of disease associated with a deprived community. Central Middlesex Hospital is also home to the UK’s first purpose built Ambulatory Care and Diagnostic Centre (ACAD). This facility has state of the art operating and diagnostic equipment and is closely integrated with the Brent Emergency Care and Diagnostic Unit (BECaD), which replaced the old hospital in 2006. The Regional Hyper-acute Rehabilitation unit and service network The RHRU is a tertiary Level 1a/hyper-acute specialist rehabilitation unit commissioned by NHS England under its service specification D02 ‘Specialised rehabilitation for patients with highly complex needs’. A key role of the RHRU and its in-reach/out-reach services is to provide collaborative care across these various networks, including specialist advice, support for management of patients with complex disabilities. It operates within a series of inter-connected networks: London-wide tertiary specialised in-patient service network: o It is one of a network of eight tertiary Level 1/2a specialised neurorehabilitation services funded directly by NHS England and spanning the whole of London providing in-patient rehabilitation as well as in-reach to the acute trauma and neurosciences networks. Local specialist rehabilitation network o Within NW London the RHRU provides the Level 1 hub for an integrated network of five Level 2b specialist rehab services (at Imperial, Hillingdon, Willesden, Mount Vernon and Barnet) Regional Out-reach service: o Its Outreach service provides assessment and triage of patients with complex physical disability referred to the tertiary specialised rehabilitation Network from all across London o It also supports the long-term care and surveillance of patients with complex disability in a series of specialist nursing homes in London, Hertfordshire, Bedfordshire and Essex. Within LNW Healthcare (LNWH) Trust the RHRU provides specialist hyper-acute rehabilitation for patients with highly complex needs in conjunction with the ITU, stroke unit, trauma unit and other acute services at Northwick Park &St Mark’s, Central Middlesex and Ealing Hospitals. The RHRU inpatient service is a 24 bedded unit, with 19-20 Level 1a and 4-5 hyper-acute beds. It is currently the only designated hyper-acute (HA) rehabilitation unit in London, serving a catchment population of >15m. The London Tertiary specialised rehabilitation network In London the RHRU is one of 8 services commissioned by NHSE across the capital. There are: o 1 x Level 1a/HA service (RHRU Northwick Park) o 2 x Level 1 complex physical disability/mixed services (RHN Putney and Homerton RNRU) o 2 x Level 1c cognitive behavioural services (Maudsley and Blackheath TBIRU) o 4 x Level 2a services – (UCLH, St Georges, Blackheath HDNU, King’s FCRU) The tertiary services work together as a consortium with a shared electronic waiting list. We are working towards a single assessment process to streamline admissions and so relieve pressure on the acute care services. Acute service networks The RHRU accepts patients from a range of acute hospitals in London and the home counties and also directly from: all four Major Trauma Centres in in London o particularly from the North London MTCs (St Mary’s and Royal London), o but also on occasion from the South London MTCs at King’s and St Georges all the Regional Neurosurgical / neuro-critical care services, in particular o London: NHNN Queen Square, Imperial, o East of England: Queen’s Romford and Cambridge Local specialist rehabilitation network In North West London, we are particularly well-served for Level 2b specialist rehabilitation services. There are currently 5 Level 2b services (Hillingdon, Willesden, Barnet, Mount Vernon, Imperial). The latter two opened recently, bringing the Level 2b bed base to nearly 100 beds in NW London. The increased capacity has absorbed the patients with simpler needs, leading to a corresponding increase in the average caseload complexity of the level 1 services. It also means that patients can be passed on to the 2b services once their more complex needs requiring the Level 1/HA service have been met. Through separate service level agreements, the RHRU also provides direct support for the Level 2b service at Willesden including consultant cover when Dr Amina Khatoon (Willesden Rehabilitation Consultant) is on leave and support for the community rehabilitation team. The RRU Specialist Outreach Service The RHRU provides in-reach services to the acute Trusts across London and the East of England in the major trauma, neurosciences, and stroke pathways. This includes assessment of referrals to the RHRU, management of the single assessment process and electronic waiting list. In addition, the Regional Rehabilitation Service at Northwick Park includes a Specialised Community In/reach/Outreach Service, which provides community-based specialist rehabilitation support primarily for working age adults with severe complex (mainly neurological) disability from across London and the Home counties. The service is led by: Outreach service Director: Dr Charlie Nyein, Consultant Physician in Rehabilitation Medicine. Outreach service AHP lead: Dr Steve Ashford, Consultant Physiotherapist. and provided with support from the RHRU Rehabilitation Consultants and multidisciplinary team. It includes
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