Chair of Neurosurgery - University of Southampton



University of SouthamptonFaculty of Medicine (Clinical and Experimental Sciences Academic Unit)Senior Lecturer in Neurologyand Honorary Consultant in NeurologyUniversity Hospital Southampton NHS Foundation TrustJOB DESCRIPTIONIntroductionThe Faculty of Medicine, in partnership with University Hospital Southampton NHS Foundation Trust, has created this post as part of a programme of expansion in Neurology. The successful applicant will be expected to participate in, and help to attract support for, a programme of research of international quality into neurological diseases. The post is best suited to a candidate with a track record, or clear potential, in translational neurological research. The post-holder will also play a role in associated undergraduate and postgraduate teaching and training. The post holder will work alongside a dynamic clinical neurosciences research grouping in the Faculty of Medicine in developing a world class neurological research program.The University of SouthamptonThe University of Southampton is a leading research-intensive University, a member of the Russell Group and one of the top 100 universities worldwide. We deliver an excellent educational experience, world-leading research and we are known for successfully commercialising that research through enterprise. This is an exciting time to join the University of Southampton. We have an aspirational University Strategy (see southampton.ac.uk/strategy), setting out our ambitions over the next five years. The strategy involves achieving a top 10 place in the UK for research, which we will achieve by investing in the highest quality staff and facilities. We are also transforming the education offer available to undergraduate and postgraduate students across the University, providing greater flexibility and modular courses, with a strong international focus. The Faculty of MedicineThe creation of the Faculty of Medicine has enabled us to build upon strong foundations of basic research and clinical translation.? Working with colleagues across the University and in the local NHS we have strengthened our position as a renowned centre for translational research, leading innovative learning and discovery for better health across the life course. ?Key to the success of the Faculty of Medicine is the delivery of high-quality education for undergraduate and postgraduate students, building on our?partnership in biomedical research with University Southampton Hospital NHS Foundation Trust and fostering new collaborations with the physical sciences, including chemistry, engineering and computing. This new post will play a key role in these developments.Medical EducationWe offer a range of undergraduate programmes: the BM4 programme, a graduate-entry four-year programme which accepts 40 students per year; and the BM5and BMedSc programme which accepts 200 students per year including approximately 30 students from a BM6 programme aimed at widening access to a medical career. Science teaching in the first three years of the BM programmes is delivered in the South Block of Southampton General Hospital as well as the Life Sciences Building on Highfield Campus. Clinical teaching takes place at Southampton General Hospital and the adjoining Princess Anne Hospital, and in NHS Trusts and general practices throughout Hampshire, Dorset, West Sussex and Salisbury. In addition to the undergraduate BM programmes the School provides two Masters Degree programmes in Public Health and Allergy.Research and EnterpriseThe Faculty of Medicine has a clear research strategy to investigate the biomedical basis of common human diseases and to translate this into clinical practice. The Faculty’s research is delivered through four Academic Units:Cancer SciencesHuman Development and HealthClinical and Experimental SciencesPrimary Care and Population SciencesAll research is organised and managed by these Academic Units, each of which has clear evidence of international excellence. Each carries a significant degree of devolved responsibility for its research budgets and grants, space, equipment and personnel. The Faculty of Medicine Enterprise Strategy is fully embedded with the University Enterprise Strategy with a multi-faceted strategy to provide a step change to its enterprise and innovation culture, delivering global outreach, community engagement, innovative healthcare and policy. We work with all stakeholders from industry and pharma to health providers and the community.Working in close partnership with University Hospital Southampton NHS Foundation Trust, translational research is delivered through the Southampton Centre for Biomedical Research, bringing together the Wellcome Trust Clinical Research Facility, the Clinical Trials Unit, two NIHR Biomedical Research Units (Respiratory, and Nutrition Lifestyle), shadow Biomedical Research Units in Cardiovascular, and Bone and Joint Disease, and the Cancer Research UK Experimental Cancer Medicine Centre.Clinical Neurosciences research groupingThe Clinical Neurosciences Research Grouping (Director, Prof Andrew Lotery) is a multidisciplinary group working within the Clinical and Experimental Sciences Academic Unit (Head of Academic Unit, Prof Donna Davies), in the Faculty of Medicine.? The Group works at the interface between fundamental neurobiology and clinical neurological and psychiatric disease and focuses on translational and experimental neuroscience.We integrate closely with the region’s major clinical services. The Wessex Neurological Centre has a catchment of 3 million and provides extensive expertise in neurology, neurosurgery, neurointensive care, neuroanaesthetics, neuroimaging, neurophysiology and neuropathology and supports the academic development of clinical trainees. ?Mental Health provides psychiatric services. The?Memory Assessment and Research Centre (MARC) manages aged patients with cognitive dysfunction, and the Southampton Eye Unit is?the leading provider of eye care services on the south coast. We are also part of the Southampton Neurosciences Group (SoNG) which brings together neuroscientists from across the University with interests ranging from molecular biology to psychology.It is anticipated that the postholder will be able to attract research grant income to support continuing and new lines of research. The postholder should be returned in the forthcoming Research Excellence Framework as an active member of the research staff. In this context research performance is measured primarily in terms of publications in high impact factor journals.Southampton General Hospital hosts one of five Wellcome Trust funded Clinical Research Facilities in the UK. This dedicated facility includes inpatient beds, day and outpatient suites, plus sleep, environmental and physiology laboratories and provides a focus for high-quality clinical research.SpaceThe research requirements and the academic unit of the successful applicant will determine the space that is made available and its configuration. CLINICAL ENVIRONMENTSouthampton General Hospital is a large hospital providing care for people in Southampton and the surrounding area. In addition, the hospital offers specialist facilities to the population of Dorset, Wiltshire, Hampshire, Isle of Wight and the Channel Islands. The site covers 37 acres and at present there are 1100 beds. The hospital has the facilities of a modern teaching hospital. The Wessex Neurological Centre, and the Regional Centres for Paediatric and Neonatal Surgery and Cardiac and Thoracic Surgery are also located in the hospital. Other specialities on site include: General and Vascular Surgery and Medicine; Ear, Nose and Throat; Orthopaedics; Geriatrics, Rheumatology and Rehabilitation; Nuclear Medicine, Ophthalmology and Cancer Care.Wessex Neurological Centre (WNC) / Neurosciences Care GroupWith an annual turnover of ?514.4 million (2010/11) UHS is one of the largest hospitals in the country. It provides services to approximately 1.3 million?people living in Southampton and south Hampshire, plus specialist services such as neurosciences, cardiac services and children's intensive care to more than 3 million people in central southern England and the Channel Islands. UHS gained foundation trust status on 1 October 2011.Every year our 7,500 staff: treat?around 112,000 inpatients and day patients, including?about 50,000 emergency admissions; see approximately 375,000 people at outpatient appointments; and deal with around 110,000 cases in our emergency departmentIt is the Regional Centre for Neurosurgery, Complex Neurology and Clinical Neurophysiology and provides a wide range of specialist adult and paediatric services. These are hosted in the Wessex Neurological Centre at UHS. Stroke Services, Clinical Genetics and Integrated Spinal Services are also part of the Care Group. The bulk of services are provided in a purpose-built block providing 46 Adult Neurosurgical beds and 16 Neurological beds. The unit has a 13 bed Intensive Treatment Area (NICU). Stroke beds and clinics are based within the main hospital building and have recently integrated services previously provided by the local primary care trust.All Neurosciences services are served by their own radiological facilities, which include two MRI scanners, an interventional room, CT scanning and plain film modalities. The radiology department is currently undergoing a ?1.8 million capital expansion with the installation of 2 x 3T MRI, new CT scanners and the installation of a PET CT planned for 14/15. The Neurology service provides routine and complex neurology services for adults. The centre has related disciplines including interventional neuroradiology, neurophysiology, neuropsychology and neuro-rehabilitation. It has strong links with the stroke service.Neurosciences ActivityDr Foster data reflects the fact that over the past 10 years Neurosciences has expanded its market share and area coverage. This is consistent with the Trusts strategic ambition and 20:20 vision. 30251404254500-51816042545002011 /12 ActivityDay CaseElective IPNon ElectiveOP (total)15091563214134963Emergency activity in all areas has increased year on year and by 10% over the 12 months to year-end. In order to respond better to this increase and to support our referring DGH’s the centre re-designating some of its surgical beds as a rapid turnaround Regional Transfer Unit. This took place in September 2011 and on the back of its success we have implementing a similar model for neurology regional referrals. The Care Group Clinical lead for Neurosciences has recently been awarded the Health Service Journal’s Clinical Leader of the Year award in recognition of the unit’s innovative approach to the delivery of its services.StaffingConsultant Neurologists - AdultDr Jonathan Frankel / Parkinson’s disease Dr Simon Hammans / Muscle and neurogeneticsDr Ashwin Pinto /MND, epilepsy and myastheniaDr Haider Katifi /Peripheral Nerve Dr Joanna Lovett / Neurovascular Dr Martin Prevett / Epilepsy Dr Lucy Kinton /Epilepsy Basingstoke Dr Alan Turner / MS Dr William Gibb / Movement disordersDr Christopher Halfpenny / MS Dr Georgina Burke / Myasthenia and muscle Dr Alice Manson / Movement disorders Dr Christopher Kipps / Dementia Dr Nic Weir/ NeurovascularDr Sarah Cader / MSConsultant Neruologists – PaediatricsProfessor Colin KennedyDr Neil ThomasProfessor Fenella KirkhamDr Katherine ForrestDr Bridget VollmerConsultant NeurosurgeonsMr. P Grundy - OncologyMr. N Brooke - Complex spineMr. E Shenouda - Skull - base and complex spineMiss D Lang - Paediatrics and skull baseMr. N Mathad - Paediatrics, skull base and neuroendoscopyMr G Vajramani - Functional Neurosurgery/SpineMr. O Sparrow - Paediatrics, neuroendoscopy and vascularMr. J Duffill - Vascular and oncologyMr. Ali Nader-Sepahi - Complex spineMr. D Bulters – Vascular and Head InjuryMr. A. Chakraboarty – Paediatric Neurosurgery Consultant stroke physicians / NeurologistsDr Pamela Crawford – DirectorDr Sue Evans- Consultant Stroke PhysicianDr Emma Wood - Consultant Stroke PhysicianDr Nicolas Weir – Consultant NeurologistDr Joanna Lovett – Consultant Neurologist (part time stroke)Consultants Paediatric Neuro-oncologyDr G NicolinA second post has recently been appointed.Junior Medical StaffThere are nine neurology registrars and three ‘SHOs’. The registrars rotate to Portsmouth or Poole annually for training. The junior medical staff work a full shift rota. Neurosurgery and neurology juniors provide ward cover. There is a separate NICU rota.Clinical NeurophysiologyConsultant NeurophysiologistsDr Richard Van der Star Dr Abraham Kurian Dr R Arunachalam Dr David Allan (Paediatrics)Neuroradiology/Cross Sectional ImagingThe neuroradiology and MRI departments are on the ground floor of WNC off the entrance hall.Consultant NeuroradiologistsDr J Millar Dr S Barker Dr M Gawne-Cain (Paediatrics)Dr A Ditchfield Dr H Joy (Paediatrics)Rehabilitation Liaison service provided by Solent Healthcare.Specialist NursesThere is a wide team of Specialist Nurses working within the centre for Head Injury, Epilepsy, Neuro-oncology, Subarachnoid Haemorrhage and Multiple Sclerosis. An Advanced Nurse Practitioner supports paediatrics.Clinical NeuropsychologyNeuropsychologyProfessor Rosaleen McCarthy Dr Michelle Smith Clinical Cons Neuro Psychologist Felicity Fincham Clinical PsychologistLaura Brown Assistant PsychologistManagementThe Trust is managed in four Divisions which are then split into Care Groups. The Neurosciences Care Group sits in Division D, which also hosts Cardio Thoracic, Vascular services and Trauma and Orthopedics. The Division is also leading on the development of the Major Trauma Centre following UHS’s designation for status in 2012.The management team for the Care Group is Mr. Paul Grundy – Clinical LeadMs Jacqui McAfee – CG Manager Ms Helen Sabert – Acting Senior MatronThe post holder will be expected to participate in the medical contribution to management and will be accountable to the Clinical Lead for their clinical duties.DETAILS OF THE POSTClinical duties:The successful candidate will have one general neurology clinic each week at the Wessex Neurological Centre, and a research clinic every fortnight. The post holder will be required to participate in medical audit and continuing medical education, as well as continuing professional development.Training and research duties:The appointee will be expected to take part in the teaching of undergraduate and junior medical staff and also in the teaching of trainee neurosurgeons at all stages and participate in the teaching of other clinical staff.Administrative duties:The post-holder will be required to undertake the administrative duties associated with the care of patients. Other duties:From time to time it may be necessary for the post-holder to carry out such other duties as may be assigned with agreement by the University. It is expected that the post-holder will not unreasonably withhold agreement to any proposed changes.GENERAL PROVISIONSJob Plan It is recognised that the work programme for any new consultant taking up post will take time to settle into a regular pattern. Therefore the job plan will be reviewed after three months through discussion with your Clinical Service Director and with agreement by the University.Weekly TimetableThe basic job plan consists of ten Programmed Activities – five academic and five clinical. The programmed activities involving direct clinical care are summarised in the weekly timetable example. It should be noted that the pattern of work varies over an 8 week cycle. They may not be varied without the agreement of the Clinical Service Director and University. Except in an emergency, the post holder must fulfil these commitments unless the appropriate Clinical Service Director has agreed otherwise.DayDUTYLOCATIONCLASSNo PAsMonday AMAcademic activities 0.5PMResearch clinicwith administrationAlternate weeks 1TuesdayAMPMWednesdayAMOutpatient clinicUHSDCC1PMX-ray meeting at 2pm and ward roundClinical administrationUHSDCCDCC0.50.5ThursdayAMUHSPMFridayAMPMCPD, Clinical Governance and other SPAUHSSPA1.5Total5 =SUM(ABOVE) Direct Clinical CarePASupporting Teaching/Training)Research)1.5 PAClinical Audit) Administration )Continuing Professional Development 3.5 PATotal PAs 5 ReviewThis job description and job plan will be reviewed each year by the post-holder and the Clinical Service Director (or nominee), in discussion with the University. Local mediation and appeal procedures will be followed in the event of any disagreement over proposed changes to the job plan.Where the post-holder manages employees of the Trust, he/she will be expected to follow the local and national employment and personnel policies and procedures. The post-holder will be expected to make sure that there are adequate arrangements for hospital staff involved in the care of his/her patients to be able to contact him/her when necessary.The post-holder will be responsible for the training and supervision of junior medical staff that work with him/her and will devote time to this activity on a regular basis. If appropriate, the post-holder will be named in the contracts of doctors in training grades as the person responsible for overseeing their training and as the initial source of advice to such doctors on their careers.RESIDENCEResidence within either 10 miles or thirty minutes by road from UHS is a requirement of this post unless specific approval for alternative arrangements is given by the Trust and University. The post-holder should have a current driving license and his/her private residence must be maintained in contact with the public telephone service.VISITINGCandidates are encouraged to visit and should contact Gail Walsh- PA to the CG Management teamTelephone: 02380 796388 (Gail.Walsh@uhs.nhs.uk) to make necessary arrangements. Prof Andrew Lotery (telephone 023 8079 5049; email a.j.lotery@soton.ac.uk) TIMING OF APPOINTMENTInterviews will be held on 6 June 2013. We aim to have the successful applicant in post in early summer 2013. ................
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