Specialist Registrar Recruitment Unit (Anglia)



[pic]

NORFOLK AND NORWICH UNIVERSITY HOSPITAL NHS FOUNDATION TRUST

JOB DESCRIPTION

Specialty Registrar Stroke Medicine

SPECIALTY REGISTRAR IN STROKE MEDICINE

Applications are invited for the two posts of Specialist Registrar in Stroke Medicine at the Norfolk and Norwich University Hospital NHS Foundation Trust.

THE POST

This is a one year post in the sub-speciality of Stroke Medicine created as part of the enhancement of Stroke Services in Central Norfolk. The posts are fully recognised for sub-specialty training by JRCPTB and PMETB. It is anticipated that application will come from candidates already on a Specialty Registrar Training Scheme. Examples may include:

• Geriatric Medicine

• Neurology

• Rehabilitation Medicine

• General (Internal) Medicine/Acute Medicine

• Cardiology

• Clinical Pharmacology & Therapeutics

The post will be based at the Norfolk and Norwich University Hospital NHS Foundation Trust. Features of the Acute Stroke Service:

• 12 Bed Hyperacute Stroke Unit (Heydon Ward)

• 36 bed Acute Stroke Unit (Gunthorpe Ward)

• High volume service - average 1150 strokes per year, more than 1000 people assessed in the rapid access TIA clinic

• Active stroke thrombolysis service 24/7

• Daily TIA, providing same day service to most patients

• Academic Department – Professor John Potter. Active participation in multi-centre + local studies. Excellent opportunity to become involved in research

• 6 Full time Stroke Consultants.

• Active participation in the regional stroke teleconference held monthly

• Excellent supporting Radiology including MRI, CT perfusion, MRA, CTA. Vascular Surgery

There are other integral parts of the Stroke Services:

• In-patient rehabilitation – 24 bedded Stroke Rehabilitation Unit. Multi-disciplinary staffing including Clinical Psychology

• Early Supported Discharge – stroke specific

THE NORFOLK AND NORWICH UNIVERSITY HOSPITAL NHS TRUST

The Trust was established on 1 April 1994. It comprises the new Norfolk and Norwich University Hospital and Cromer Hospital. Traditionally it has provided acute services to an area of approximately 1,200 square miles from Wells-next-the-Sea on the north coast of the county to Thetford in the south and from Fakenham in the west to Acle in the east.

This is an acute teaching Trust providing comprehensive general and specialist services for a population of 750,000 on two sites; the 989-bed Norfolk and Norwich University Hospital (NNUH) and the 12-bed Cromer Hospital on the north Norfolk coast. 

The growing international recognition of the acute healthcare services for the people of Norfolk has been mirrored by recognition within the UK of the modernising steps being taken within the Trust. The Norfolk and Norwich University Hospital was named one of the country’s Top 40 Hospitals by hospital benchmarking analysts CHKS in 2003 and 2005 and was the top hospital in the East of England in Dr Foster’s survey in 2006.

The story of the Norfolk and Norwich University Hospital NHS Trust is the story of an expanding, modernising NHS; committed to reform and innovation in a modern hospital environment that benefits both patients and hospital staff. We stand for more than just a busy, modern hospital. We firmly believe in proving best care for our patients, not just treating them. We believe in developing our staff throughout their careers in order to increase their skills, knowledge and job satisfaction. It is our staff who every year treat more then 750,000 patients drawn from Norfolk, surrounding counties and other parts of the country, and without our staff, none of the progress we are making would be possible.

EDUCATION AND TRAINING IN THE TRUST

The Trust has a growing reputation for providing a good quality education and excellent clinical experience for trainees. The large catchment population provides a wealth of clinical material. Many of the consultant staff are committed teachers and most departments have well-developed in-house teaching programmes. There are many examples of locally developed skills courses including Basic Surgical Skills, MRCS training and Minor Surgical Skills courses as well as more specialised courses such as for the FRCS (Orth).

The Trust has one of the best-equipped Postgraduate Centres in the country. The new hospital has a large Education Centre for all staff. There is an excellent lecture theatre and library as well as seminar rooms and clinical skills laboratories within the Centre which is situated within the Hospital.

Trainees are encouraged to do an MSc in Health Sciences with the University of East Anglia and a diploma in clinical skills is being developed in collaboration with the University. There is an excellent local GP VTS scheme and this, and good quality educational programmes in NANIME, provide strong links with local GPs. For all these reasons Norwich is able to attract good quality candidates to fill training posts and eliminate many of the problems of recruiting into shortage specialties.

MEDICAL SCHOOL

The Trust is a member of the educational Joint Venture between the University of East Anglia and NHS partners which oversees the activities of UEA’s School of Medicine, Health Policy and Practice, including undergraduate and postgraduate medical education. A new and innovative MB/BS programme began in September 2002 with an intake of 110 students per year who – from the beginning of their programme – gain primary and secondary clinical experience within the Joint Venture.

GENERAL RESEARCH

Research and evidence based clinical practice is encouraged by the Trust. There is an active Research and Development programme with a Research and Development Department led by a director and a manager and secretarial support. Currently over 160 new research projects per year are monitored and supported by the department. The Trust also hosts the East Norfolk & Waveney Research Consortium Research Governance Committee to oversee the approval of all research studies carried out across the Consortium’s four partner Trusts. The Trust’s R&D Office also has strong collaborative links with the Medical School and the Research Services Office at the University of East Anglia (UEA). The administration of the Norwich Local Research Committee is now managed by COREC and undertaken by NHS support staff based at Aldywch House, Bethel Street.

The Research and Development Department will offer advice and information about the management of Intellectual Property generation and assist in the pathways for commercial exploitation of ideas where appropriate. The recently established Innovation Hub, Health Enterprise East, will also offer advice on the commercial exploitation of ideas and products generated by NHS Trusts locally.

There are strong links with the University of East Anglia (UEA) centred in the Medical School with the appointment of Chairs in Ageing and Stroke (Professor John Potter), Primary Care, Education, Epidemiology, Cancer Studies and senior appointments also in Cell Biology and Anatomy. There are also increasing links with Primary Care following the appointment of a Professor in Primary Care with opportunities for research across a wide variety of fields. The Medical School incorporates the School of Health Policy and Practice with close links with Health Economics, Clinical Psychology and Clinical Epidemiology. There are also strong links with the School of Biological Sciences where there is a Chair in Cancer Studies and in Cell Biology who have close links with clinical colleagues. The Institute of Food Research (IFR) which is based with the UEA in the Norwich Research Park at Colney has strong links with the Trust in the fields of Nutrition and Heath. The siting of the new hospital at Colney means that it is adjacent to the Norwich Research Park which is a leading area of research in plant biology, food nutrition and health-related research and one of the largest research parks in Europe.

STROKE RESEARCH

There has been active participation in several multicentre trials by the stroke team. These include:

• CLOTS (1,2,3)

• IST3

• GALA

• GIST

• ENOS

• SOS

• PERFORM

• RESTART

• GLORIA AF

All these trials are / were portfolio recognised by the Stroke Research Network, leading to an increased national profile.

Professor John Potter took up the post of Professor of Ageing and Stroke in Oct 2007. His interests include stroke, the use of hypotension + blood pressure management in acute stroke (CHIPS and COSSACS), as well as trans-cranial Doppler in stroke, cardiovascular physiology, cerebrovascular syncope. He sat on the Committee which produced the NICE Stroke Clinical Guidelines.

Two Academic Clinical Fellows started in mid 2009 and will also further the research pedigree in the department.

Professor Val Pomeroy was appointed as Professor of Neurorehabilitation in 2008 There are several multidisciplinary trials currently running.

There are multiple in-house trials and projects which the SpR can get involved with.

STAFFING

6 Consultants

2 SpR Posts, 3 other Trust Grade posts

Rotational junior medical posts (1 FY1, 1 FY2, 1 CMT)

Academic Clinical Fellows (2 on rotation)

DUTIES OF THE POST

1) To ensure patients are seen regularly and expeditiously, carrying out ward rounds and visits to individual patients as may be necessary.

2) Communicating with patients’ relatives.

3) Supervising more junior medical colleagues.

4) To provide daytime cover for Stroke Thrombolysis, and stroke admissions.

5) Keeping records as required; these must be dated, timed and signed off identifiably.

6) Producing discharge letters expeditiously, with accurate and comprehensive diagnoses, and supervising their production by more junior colleagues.

7) To attend outpatient clinics, including TIA clinics, for training and experience.

8) Duties in occasional emergencies and in unforeseen circumstances at the request of an appropriate Consultant.

9) Agree to read and follow medical guidelines and policies.

10) To take part in Clinical Governance activity, including Clinical Audit.

11) To attend training and education sessions in the department.

ROTA

There are no overnight duties.

The 5 middle grade doctors (including these posts)working from 9am till 9pm 7 days a week. This rota is to cover Stroke Medicine only.

SAMPLE TIMETABLE

| |Am |pm |

|Mon |Acute Stroke Unit Ward Round (Consultant) |TIA Clinic |

|Tues |Own ward round |Administration |

|Weds |Research and study Stroke Unit MDT |

|Thurs |Acute Stroke Unit Ward Round (Consultant) |TIA or Follow Up Clinic |

|Fri |Ward work |Rehabilitation Unit Ward Round + Case Conference |

TRAINING OPPORTUNITES

Opportunities are available at the Coleman Centre for Specialist Rehabilitation. There are excellent links, and two Consultants in rehabilitation Medicine (Dr Kate McGlashan and Dr Venu Harilal). We have discussed vocational rehabilitation experience, and well as specialist clinic attendance.

The Radiology Department has several Consultants interested in Neuroradiology. There is opportunity for further training in CT, CT perfusion, MRI, carotid duplex interpretation. There is a weekly Neuroradiology meeting.

A journal club was commenced in 2014 and occurs fortnightly.

The Early Supported Discharge Scheme will provide opportunities to be involved in specialist community based rehabilitation.

There is on site Vascular Surgery, performing about 100 carotid endarterectomies per year.

The in-patient Stroke Rehabilitation unit will be based at the Norwich Community Hospital and will have 24 beds. There is within the service developments 5 PA of consultant time dedicated to Community Stroke Services. This will include a multidisciplinary stroke follow up clinic, as well as care for the in-patients. There are several MSc modules running from the University of East Anglia, including the recently developed Acute Stroke module. There may be opportunity for the Stroke SpR to attend.

1 ‘when evaluated’ is indicative, but may be carried out at any time throughout the selection process

Further Information:

Dr Kneale Metcalf

Consultant Physician (MFE and Stroke)

Norfolk and Norwich University Hospital NHS Foundation trust

Colney lane

Norwich

NR4 7QU

Email: Kneale.metcalf@nnuh.nhs.uk Tel: (01603) 289439

................
................

In order to avoid copyright disputes, this page is only a partial summary.

Google Online Preview   Download