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An exciting opportunity has arisen for a Consultant Neurologist to join a consultant-delivered Adult Medicine service in the Channel Islands. This is a full-time substantive post with no formal on-call commitment, created following retirement and as part of a wider change in the delivery of neurology services locally. The successful appointee will play a key role in shaping and developing a modern neurology service for the island population, improving accessibility and strengthening local specialist provision.

The successful candidate will be the sole island-based Neurologist, joining an established Adult Medicine Directorate of consultant colleagues and working within a high-quality consultant-led service. The role offers the opportunity to build a locally delivered neurology service with support from an off-island tertiary neurology centre, while working closely with the wider multidisciplinary team and medical colleagues across the island.

Main Duties & Responsibilities

• Provide expert neurology care across both inpatient and outpatient settings.
• Assess, diagnose and manage a broad range of elective and emergency neurology presentations.
• Provide specialist advice to consultant colleagues and, where appropriate, take over the care of neurology patients admitted under other specialities.
• Help develop and deliver a high-quality local neurology service in collaboration with colleagues, ensuring services are safe, effective and responsive to patient need.
• Work to maintain appropriate clinic waiting times and support efficient service delivery.
• Participate in the development of adult neurology protocols and clinical guidelines.
• Develop and maintain collaborative relationships with medical colleagues across specialities and with external tertiary centres.
• Maintain strong links with off-island neurology services and support the integration of care for patients requiring tertiary input.
• Contribute to quality improvement projects, clinical governance, risk management, audit and service development.
• Supervise and support allied health professionals and medical students where required.
• Complete administrative duties promptly and maintain accurate documentation using designated EPR systems.
• Work closely with the Directorate Manager to ensure the neurology service remains efficient and optimises available resources.
• Participate in appraisal, revalidation, mandatory training and continuing professional development activities.

Service Overview

This is a rare opportunity to join a consultant-delivered island service without trainees or non-consultant grades, allowing direct clinical ownership and continuity of care. The neurology service is supported by:

• An existing MS specialist nurse with additional input into other neurodegenerative conditions
• A wider network of specialist nurses across adult medicine and related specialities
• Close working with an established Adult Medicine Directorate of 15 consultant physicians and oncologists.
• Ongoing support from an off-island teaching hospital's neurology service
• Strong consultant collaboration across acute medicine, stroke, geriatrics, oncology, respiratory, cardiology and other specialities

Current Neurology Activity & Service Scope

The successful appointee will join a service that already sees substantial neurology activity, with 556 new neurology outpatients and 819 follow-up appointments in 2024. The role is designed to strengthen further and expand local access to neurological expertise and, where appropriate, reduce reliance on off-island pathways.

The indicative neurology service includes:

• Outpatient neurology clinics
• Inpatient neurology reviews and referrals
• Potential MDT clinics with specialist nurses
• Procedures such as lumbar puncture and botulinum toxin treatment
• Day assessment unit work, including supervision of infusions such as MS disease-modifying therapies
• MDT working with off-island neurology teams

Person Specifications

Requirements

Essential

• Entry on the GMC Specialist Register for Neurology
• CCT in Neurology or expected within 6 months of interview, or CESR / European Community Rights
• MRCP or equivalent
• Eligible to reside and work in the UK
• Clinical training and experience equivalent to that required for gaining a UK CCT in General Medicine
• Ability to offer expert clinical opinion on a broad range of emergency and elective neurology problems
• Ability to take full and independent responsibility for the clinical care of neurology patients
• Ability to integrate care appropriately with tertiary centres and establish effective professional links
• Evidence of participation in quality improvement activities
• Evidence of commitment to good clinical governance
• Ability and willingness to work within the contracted performance framework
• Commitment to administrative and managerial responsibility
• Ability to teach clinical skills
• Ability to apply research outcomes to clinical practice
• Strong communication skills, reliability, flexibility, team-working ability and a caring patient-centred approach

Desirable

• A subspecialty of neurology that interests
• More than 1 year of experience at the consultant level
• Management training or evidence of understanding management structures/processes
• Experience in managing a clinical service
• Knowledge or experience of digitalised systems
• Instructor status on a recognised course
• Publications or research activity
• High emotional intelligence
• Willingness to undertake additional responsibilities
• Commitment to developing the wider service and long-term partnership working