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Substantive Stroke - Consultant

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East of EnglandStroke MedicinePermanentConsultant113,565 to 150,569 a year
An opportunity is available for a substantive Consultant with a specialist interest in Stroke Medicine to join an established multidisciplinary team delivering comprehensive Stroke and Transient Ischaemic Attack (TIA) services.
The successful candidate will play a key role in maintaining high standards of patient care, developing clinical services and supporting continuous improvement across the stroke pathway. The role includes inpatient stroke management, outpatient Stroke and TIA clinics, stroke in-reach services, consultant on-call duties and collaboration with colleagues across the multidisciplinary team.
The department provides hyperacute and acute stroke care, inpatient rehabilitation and specialist TIA services. The successful appointee will contribute to service development, clinical governance, teaching, research, audit and quality improvement.

Main Duties and Responsibilities

Clinical Responsibilities

  • Provide high-quality specialist diagnosis, treatment and ongoing care for patients presenting with stroke and TIA.
  • Participate in the consultant stroke on-call rota and provide out-of-hours clinical cover as required.
  • Contribute to the delivery of acute and community stroke care in collaboration with allied health professionals and other relevant services.
  • Assess and manage patients requiring hyperacute and acute stroke treatment, including thrombolysis where clinically appropriate.
  • Identify suitable patients for mechanical thrombectomy and coordinate referrals to specialist centres.
  • Deliver new and follow-up Stroke and TIA outpatient clinics.
  • Participate in regular Stroke and TIA clinics, inpatient ward rounds, board rounds and multidisciplinary team meetings.
  • Support the effective transition of patients between acute care, rehabilitation and community services.
  • Work collaboratively with nursing staff, therapists, dietitians, clinical psychologists and other healthcare professionals to optimise patient outcomes.
  • Provide reciprocal cover for consultant colleagues during annual leave and other authorised absences.
  • Contribute to weekend General Medicine on-call arrangements where applicable, in accordance with departmental requirements.

Service Development and Clinical Governance

  • Contribute to ongoing service improvement initiatives and the development of the Stroke and TIA service.
  • Support the implementation of evidence-based clinical practice, national guidelines and local protocols.
  • Participate in clinical audits, quality improvement projects, and monitoring of service performance.
  • Contribute to clinical governance activities, including incident reviews, patient safety initiatives, and implementing learning from clinical practice.
  • Help develop and review clinical protocols, guidelines and care pathways.
  • Identify opportunities to improve the patient journey, clinical outcomes and the quality of care delivered.
  • Support innovation and the introduction of new approaches to stroke diagnosis, treatment and service delivery.
  • Participate in initiatives to improve efficiency, patient experience, and effective resource use.

Teaching, Training and Supervision

  • Teach and train junior doctors, medical students, and other healthcare professionals.
  • Act as a clinical or educational supervisor for locally employed doctors and doctors in recognised training programmes, as appropriate.
  • Support the professional development and career progression of medical colleagues.
  • Contribute to undergraduate and postgraduate medical education.
  • Participate in continuing professional development, appraisal, revalidation and relevant educational activities.
  • Promote a safe, supportive and collaborative learning environment.

Leadership and Professional Responsibilities

  • Provide clinical leadership and support the effective development of the Stroke and TIA service.
  • Work collaboratively with colleagues across the department and wider healthcare system.
  • Participate in annual job planning, appraisal and personal development planning.
  • Maintain professional standards in accordance with GMC requirements and relevant clinical governance frameworks.
  • Comply with health and safety, infection prevention, information governance, safeguarding and equality requirements.
  • Maintain patient confidentiality and ensure accurate clinical documentation.
  • Contribute to research, evidence-based practice and the wider development of stroke services.

The Stroke Service

The service delivers comprehensive inpatient and outpatient care for patients with stroke and TIA, supported by a dedicated multidisciplinary team.
Key elements include:
  • Hyperacute and acute stroke assessment and treatment.
  • Inpatient stroke management and rehabilitation.
  • Specialist Stroke and TIA outpatient clinics.
  • Thrombolysis services during designated hours, with regional telemedicine support for out-of-hours stroke care.
  • Referral pathways for patients requiring mechanical thrombectomy.
  • Multidisciplinary rehabilitation involving physiotherapy, occupational therapy, speech and language therapy, dietetics and clinical psychology.
  • Clinical audit and monitoring of performance against national stroke care standards.
  • Opportunities to participate in service innovation, quality improvement and research.
The successful consultant will help strengthen the service's clinical performance and contribute to its ambition to deliver consistently high standards of stroke care.

 

Person Specification

Essential Qualifications

  • MBBS or equivalent medical qualification.
  • MRCP Part 1 and Part 2, or equivalent experience.
  • Full registration with the General Medical Council (GMC), including a licence to practise.
  • Entry on the GMC Specialist Register, eligibility for entry, or being within six months of receiving a Certificate of Completion of Training (CCT) or Certificate of Eligibility for Specialist Registration (CESR) at the time of interview.
  • Clinical training and experience equivalent to that required to obtain a UK CCT in General Internal Medicine and/or Stroke Medicine.
  • Evidence of broad and speciality-specific training in General Medicine and/or Stroke and TIA.
  • Ability to meet the requirements of the Specialist Generic Capabilities Framework.

Clinical Knowledge and Skills

  • Ability to independently assess, diagnose and manage patients with stroke, TIA and related medical conditions.
  • Strong clinical decision-making skills and the ability to manage complex or uncertain clinical situations.
  • Ability to formulate differential diagnoses, develop appropriate management plans and review treatment outcomes.
  • Knowledge of relevant clinical guidelines and evidence-based approaches to stroke management.
  • Ability to recognise professional limitations and seek advice when required.
  • Commitment to patient safety, clinical effectiveness and continuous improvement.
  • Ability to communicate effectively with patients, relatives and carers, supporting shared decision-making and person-centred care.

Leadership and Teamwork

  • Awareness of clinical leadership responsibilities and the ability to demonstrate appropriate leadership behaviours.
  • Ability to build effective working relationships across multidisciplinary and interprofessional teams.
  • Commitment to collaborative working and the development

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