Consultant in Medicine for Older People & Stroke Medicine
London North West University Healthcare NHS Trust is seeking to appoint a joint rotating six month post in the Department of Medicine for Older People and Stroke Medicine at London North West based at Northwick Park Hospital.
Our collective goal is to provide excellent care for our frail older patients and stroke patients to hospital and back home. We aim to treat acute illness appropriately, to enhance quality of life, to reduce disability, recognise when life is nearing its end, and to provide individualised person-centred care in the right setting at the right time. Post covid, our department is undergoing an exciting period of expansion and service development. Dynamic, enthusiastic and team-oriented individuals with a passion for our specialty and who are keen to take an active role in service development are invited to apply for these positions.
We are a friendly department working within the Integrated Medicine Division. New Consultants will be supported to develop their own sub-specialty interest and mentoring will be provided. Consultants will be offered the opportunity to participate in the unselected medical take as part of their on-call duties to keep up GIM skills and accreditation.
Applications are welcomed from Doctors within 6 months of their CCT, or CESR in Geriatric medicine, and existing consultants looking to relocate. The posts are full time, 10PA (7.5 DCC, 2.5 SPA).
Main duties of the job
6 months in Stroke Medicine
- To provide in-patient and out-patient care for patients referred with suspected stroke or TIA
- To contribute to the provision of a 24 hour acute stroke specialist service delivering thrombolysis and other specialist treatments. Currently this involves being on call from home with CTs available by telemedicine and occasional out of hours visits to the hospital, including the thrombolysis rota.
- To contribute a full share to the consultant ward rounds every weekend day and public holiday. This currently works out as 1:7 weekends.
- To work with the rest of the clinical and managerial team to support and deliver quality improvements on the Stroke Unit and in the community.
- To provide clinical input into the early supported discharge service, specialist stroke community initiatives and stroke follow up.
- To take an active part in undergraduate and postgraduate teaching and training
- To participate in clinical and other service activities such as medical and service audit with the object of ensuring a high standard of patient care
- To contribute to the management of the clinical service and service development
- To contribute to the development of clinical quality and effectiveness in other clinical areas where these overlap with developments in stroke
- To advance the Unit's research programme
London North West University Healthcare NHS Trust (LNWH) cares for the people of Brent, Ealing, Harrow and beyond.
Our team of more than 8,200 clinical and support staff serve a diverse population of almost one million people.
We run major acute services at:
- Northwick Park Hospital: home to one of the busiest emergency departments (A& E) in the country. The hospital provides a full range of services including the country's top-rated hyper-acute stroke unit and one of only three hyper-acute rehabilitation units in the UK
- St Mark's Hospital: an internationally renowned specialist centre for bowel disease
- Ealing Hospital: a busy district general hospital providing a range of clinical services, as well as 24/7 emergency department and urgent care centre, and specialist care at Meadow House Hospice
- Central Middlesex Hospital: our planned care site, hosting a range of surgical and outpatient services and collocated with an urgent care centre.
We are a university teaching NHS trust, in recognition of the important role we play in training clinicians of the future and bringing the benefits of research to the public.
6 Months in Geriatric Medicine
The post holder will be responsible for 1/3 of an elderly care ward working with 2 other consultant colleagues to provide internal cover for 34 inpatients. The post holder will have one outpatient clinic per fortnight and do 1 alternate afternoon a week covering the acute frailty service (working with a team of nurses and therapists in ED and SDEC to provide early focused CGA and multidisciplinary discharge planning).
There is an expectation that the post holder will participate in general medical on-call rota 1:13 Friday-Sunday (for which 1 PA is allocated). Weekends are 8-5 or 9-9 shifts post-taking new patients or doing ward rounds on the AMU wards.
Regular involvement in clinical governance (3 monthly meeting), morbidity & mortality reviews, service development activity, audit and teaching will be expected. The appointee will provide clinical supervision to junior doctors rotating to the department and will be the educational supervisor for up to 3 trainees. There is an active educational programme with a weekly departmental meeting, to which the post holder is expected to attend and contribute.
- Experience in the management of older people
Knowledge & Expertise
- Clinical training and experience equivalent to that required for gaining (UK) CCST in General Medicine and Geriatric Medicine
- Ability to take full and independent responsibility for the care of patients.
- IT skills and computer literacy
- NHS experience within the last 3 years
- Entry on Specialist Register in Geriatric Medicine and General Medicine via CCT (within 6 months of interview), CESR or European Community Rights
- Experience of teaching and training undergraduates, postgraduates and junior medical staff
- MD or PhD
- Evidence of ongoing interest and achievement in research
Management & Audit
- Understanding the principles of clinical governance and its implications
- Leadership skills
- Knowledge of finance/budgets
- Ability to organise and prioritise workload effectively
- Ability to plan strategically and to exercise sound judgements when faced with conflicting pressures
- Ability to motivate and develop the MDT, balancing departmental and personal objectives
- Evidence of service audit or change management
- able to speak and write English to the appropriate standard necessary to fulfil the job requirements
- Energy and enthusiasm and the ability to work under pressure
- Ability to communicate effectively with colleagues, patients, relatives, GPs, nurses and other staff and agencies