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Junior Clinical Fellow in Neurosciences GRADE JOB SPECIFICATION JOB TITLE: Junior Clinical Fellow in Neurosciences GRADE: Junior Clinical Fellow HOURS: 40 plus on call RESPONSIBLE TO: Clinical Lead ACCOUNTABLE TO: Clinical Director - Neurosciences TENURE: 6 months Background King’s College Hospital King’s College Hospital is one of the largest and busiest in London, with a well-established national and international reputation for clinical excellence, innovation and achievement. Our Trust is located on multiple sites serving the economically diverse boroughs of Southwark, Lambeth and Bromley and Bexley. As a major employer with over 10,500 staff we play an important part in helping reduce local, social and health inequalities. The Trust provides a broad range of secondary services, including specialist emergency medicine (e.g. trauma, cardiac and stroke). It works in close collaboration with other health providers in South East London, including CCGs to ensure the sustainability and excellence of services across the area. In recent years, there has been substantial investment in both the facilities and resources of the hospital, which has transformed the quality of care that it now delivers. It also provides a number of leading edge tertiary services, such as liver transplantation, neurosciences, haemato-oncology, foetal medicine, cardiology and cardiac surgery, on a regional and national basis. King’s College Hospital has an enviable track record in research and development and service innovation. In partnership with King’s College London the Trust has recently been awarded a National Research Centre in Patient Safety and Service Quality. It is also a partner in two National Institute for Health Research biomedical research centres. The first is a Comprehensive centre with King’s College London and Guy’s and St Thomas’ NHS Foundation Trust and the second is a Specialist centre with the South London and Maudsley NHS Foundation Trust and the Institute of Psychiatry. King’s College Hospital has also recently strengthened its research and development infrastructure in order better to support clinical researchers across the organisation. King’s College Hospital has an enviable track record in research and development and service innovation. In partnership with King’s College London, the Trust has recently been awarded a National Research Centre in Patient Safety and Service Quality. It is also a partner in two National Institute for Health Research biomedical research centres. The first is a Comprehensive centre with King’s College London and Guy’s and St Thomas’ NHS Foundation Trust and the second is a Specialist centre with the South London and Maudsley NHS Foundation Trust and the Institute of Psychiatry. King’s College Hospital has also recently strengthened its research and development infrastructure in order better to support clinical researchers across the organisation. Further information about King’s can be found on its website, www.kch.nhs.uk. 1 King’s College Hospital offers a family friendly working approach for all staff to ensure a good work-life balance. It is an environment where family life is promoted and this will be a feature of your annual appraisal. The Trust provides childcare advice and nursery facilities in conjunction with a supportive mentoring and career planning programme. Applications for job sharing are welcome. King’s Health Partners Academic Health Science Centre (AHSC) King’s Health Partners is a pioneering collaboration between King’s College London, Guy’s and St Thomas’, King’s College Hospital and South London and Maudsley NHS Foundation Trusts. This unique combination brings together one of the world’s leading research-led universities and three of London’s most successful NHS Foundation Trusts. The driving purpose behind King’s Health Partners is to continually seek and bring about swifter and more effective improvements in health and well-being for patients and people everywhere, by combining the best of basic and translational research, clinical excellence and world-class teaching to deliver ground-breaking advances in physical and mental healthcare. King’s Health Partners (KHP) is one of only five Academic Health Science Centres in the UK accredited by the Department of Health. This followed a selection process carried out by a panel of internationally renowned clinicians and researchers. Further information on KHP can be found on its website www.kingshealthpartners.org Kings Neurosciences Centre: The King’s Neurosciences Centre serves a population of over 3.2 million and includes the population of the County of Kent as well as the Lambeth, Southwark & Lewisham (LSL), Bromley and Bexley & Greenwich Health Authorities populations. The Centre includes the departments of Neurosurgery, Neurology, Stroke, Neuroradiology, Neurophysiology, Clinical Neuropsychology, Neuro Rehabilitation and Neuropathology. The constituent departments lie on Denmark Hill, with services also located at PRUH, Orpington, Lewisham Hospital, and the Institute of Psychiatry. King’s College Hospital is the principal provider of hyperacute stroke service in South-East London, with units on the Denmark Hill and PRUH sites. This post would be suitable for any trainee who has or is on course to successfully complete a 2year Foundation School programme or has achieved equivalent competencies. Ideally trainees will have an up to date certification for Adult Life Support training. Although this appointment is not accredited for training the appointee will be expected to participate fully in the educational and training programmes within each department and the hospital. The appointee will have a named educational supervisor. Annual leave and study leave (but not funding) is commensurate with other post foundation doctors. The experience and opportunities offered would be excellent experience for applicants planning a career in medicine. We have a joint rota between neurology and hyperacute stroke and the post-holder will be able to rotate between the neurology and stroke wards. 2 HYPERACUTE STROKE SERVICE The Clinical Service The Department of Stroke Medicine provides a high quality, evidence-based, stroke service complemented by continued review and development of policies and practices for cutting-edge stroke care. Strategically, the service is part of Regional Neurosciences Services, the King’s College Neuroscience Institute (KCNI) based on the Denmark Hill site and the Academic Health Sciences Centre with King’s College London. KCH is the comprehensive stroke centre for South East London but also provides a specialist service for South East England. The Stroke Service provides emergency, acute and rehabilitation care for all types of stroke as well as the academic base for high quality interdisciplinary research in stroke. We undertake intravenous thrombolysis, intra-arterial interventions, rapid assessments for TIA, hemicraniectomy for malignant infarcts and provide pro-active neurosurgical intervention for intracranial bleeds. Clinical strengths of King’s include: 1. Hyperacute stroke care underpinned by 6 consultants, 24/7 specialist neurology and radiology SpR input, advanced imaging including perfusion scanning, neurosurgical support for malignant infarction and intracranial haemorrhages. 2. Performed over 300 thrombolyses in hyperacute stroke, including intra-arterial thrombectomy and stenting. We are currently thrombolysing over 25% of all stroke patients. We provide a regionwide service for hemicraniectomies for malignant infarction, evacuation of haemorrhages and other surgical procedures. 3. A Major part of the “Network Model” with Guy’s and St Thomas’ Hospitals NHS Foundation Trust (GSTT) and Outer South East London (OSEL) stroke leads, training London Ambulance Service (LAS) crews, and influencing London wide LAS policy. The Friends Stroke Unit The Friends Stroke Unit is a modern, purpose-built integrated hyperacute unit and stroke unit situated on the 5th Floor of the Ruskin Wing. It integrates vertically with neuroradiology, neurosurgery and neurology wards and is in close proximity to the Emergency Department. The Unit consists of: • A 12-bedded monitored hyperacute area, the hyperacute stroke unit or HASU for physiological monitoring of acute stroke patients from the region including those who receive thrombolysis. • A 16 bedded stroke unit or SU for post acute care and rehabilitation of local patients comprising 4 four bedded bays with overhead hoisting and a mix of side rooms. • A TIA room for day-case management of Transient Ischaemic Attacks. Medical Staff There are six consultants covering the hyperacute stroke service supported by specialist registrars. The service is strongly supported by consultant neuroradiologists, neurosurgeons and vascular surgeons. A full range of stroke services at the tertiary level is provided including early intervention in acute stroke, neuroradiological and surgical interventions for carotid and cranial artery diseases, neuro-intensive monitoring for malignant infarcts and haemorrhages, hemicraniectomy, shunts and clot evacuation. There is “one stop” TIA service, an active hypertension and vascular risk management clinic and stroke clinics to review patients with stroke discharged from the service. There is a 24/7 stroke assessment and thrombolysis rota supported 3 by Neurology/stroke SpRs and a 1:6 Consultant rota for stroke services. There are 5 Junior Clinical Fellows/trainees based on the HASU and SU. Nursing staff The Stroke Unit employs a variety of nurses with a wealth of experience. In total there are
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