Consultant Stroke Medicine in Leinster Region - Republic of Ireland on a fixed term / permanent
basis; working for our client via Workplace Doctors
*** Must
have IMC (Specialist Division) Registration (Irish Medical Council) - Essential
*** Location: Republic of Ireland - Leinster Region (Louth, Meath, Longford,
Westmeath, Offaly, Laois, Carlow,
Kilkenny, Wexford, Dublin, Wicklow, Kildare)
***Speciality: Stroke Medicine
*** Pay
rate: €217,235 to €261,051 Euro’s (dependent on experience) basic salary
(allowances paid extra)
*** Role: Consultant (6+ years post graduate experience)
*** Duration:12 months FREE Visa & Work Permit Offered
*** Start
date: ASAP
***IELTS Score of 7.0 Overall (minimum) – Essential (overseas doctors only)
***Exact location details provided upon application
Irish Teaching Hospitals and Medical Universities receive great international
acclaim & recognition throughout the world, doctors with experience and
training in Ireland typically enjoy great success in terms of professional
career development & job satisfaction.
Overview
Our clients HSE Hospital is one of the biggest acute hospitals in the Leinster area,
providing general acute services to around 250,000 people living in Leinster and
surrounding areas, and some specialist services to the population beyond
that. The hospital employs 2,500 people
and have an annual turnover of 230million euro’s.
The hospital has a strong track record in the
provision of safe and high quality care.
Among its many excellent services are an outstanding trauma and
orthopaedics unit, a pioneering emergency assessment unit, a fully accredited
gynae-oncology unit, level 2 neonatal care, and nationally recognised expertise
in radiotherapy, diabetes and ENT. This hospital’s facilities include excellent
facilities for A&E, critical care and day surgery.
The hospital also has particular strengths in
research and education, with strong links to the Universities in the local and
surrounding areas.
The Department
This is a
very exciting time to join Stroke Services at the Hospital. The hospital is the
second busiest stroke service in the Leinster Region, currently treating
approximately 600 confirmed cases of acute stroke and 400 TIA patients each
year.
The service
is consistently achieving the targets on all commissioned metrics for TIA and
acute stroke including submission of stroke and stroke mimic data to SSNAP. Our
current SSNAP score is a B, and we are currently the best in the region.
The hospital
manage all our mimic cases through to discharge and refer to alternative
treatment pathways where appropriate.
A colleague’s
planned retirement allows the hospital to recruit to a whole time equivalent
Stroke Physician post.
Service
Goals over the next 18 months:
• Determine
and implement a regional thrombectomy pathway.
• Continue
to establish a sustainable pattern of providing consultant led elective and
non-elective stroke specialist work across seven days at the Hospital.
• Develop
links with cardiology to enable high quality and financially responsible
methods of detecting arrhythmias potentiating thrombo-embolic strokes.
• Training
and supporting Band 5 & 6 nurses to enable robust stroke specialist cover
24/7 on site at the Hospital. This would include leading a project to achieve
safe & consistent door to needle times of less than 60 minutes.
• Six Band 6
stroke nurse appointments with increased nursing input in TIA clinic
• Training
paramedics and multidisciplinary teams to increase quality and safety of our
stroke care
• Establish
a tertiary complex stroke and neuro-rehabilitation inpatient service for the
local area- overflow
• Access to
vascular intervention for symptomatic carotid disease within one week.
Service
Infrastructure:
• A four-
bedded fully monitored HASU with telemetry.
• 21 bed
acute stroke unit.
• Daily
consultant-led multidisciplinary HASU ward rounds
• Seven day
high risk and five day low risk TIA service. This allows access to same day
carotid and brain imaging therefore allowing the initiation of acute medical
treatment.
• High risk
TIA service on weekends and bank holidays with similar diagnostic and
therapeutic support
• 24/7
thrombolysis service supported by a regional telemedicine service since
November 2010.
The Hospital
has an emergency department that was rated outstanding in our recent national
audit visit during January. The department provides high class emergency
inpatient and outpatient specialty care alongside the specialties of Care of
the Elderly, Diabetes and Endocrinology, Gastroenterology, Respiratory Medicine
and Cardiology, Renal Medicine, Neurology and Dermatology.
Clinical Duties (guideline only)
This is a substantive post designed to complete the consultant team delivering
comprehensive diagnostic, acute and rehabilitation stroke and TIA services. The
three existing Stroke Physicians have relinquished their responsibilities to
Geriatric Medicine and General Medicine and devote their clinical time to a
revamped Stroke and TIA service. This further appointment will enable us to
make the step change in quality of care required by the Leinster and Stroke Review particularly through seven day consultant input for the Stroke
and TIA service and supporting rehabilitation in the community via Early
Supportive Discharge and bed - based rehabilitation.
Clinical:
The components of the service
which the successful applicant will help to provide are:
• Rapid Assessment Clinic for
TIA/minor stroke patients is held five days a week where 20 - 25 suspected new
stroke/TIA patients are seen per week. There is also a service for high risk
TIA patients at weekends and bank holidays currently provided by trained middle
grade doctors. The seven day a week service includes same day CT or MRI scan
and Carotid Doppler. The hospital is currently achieving their performance
targets for high risk and low risk patients.
• Since June 2007 a 9 to 5 stroke
thrombolysis service has been provided in liaison with colleagues in Emergency
Department and this was extended to 24/7 thrombolysis service supported by on
call regional telemedicine rota in November 2010.
• Currently, from Monday to
Friday there is 9.30 am consultant – led multidisciplinary ward round for all
new suspected stroke/TIA admissions.
• There is daily review of all
other patients on Stroke Unit
• Multidisciplinary
rehabilitation of stroke patients on the stroke ward including meetings with
relatives.
• Weekly outpatient clinics
providing for new referrals and medical follow up for recently discharged
stroke patients and other patients.
• Nurse-led Stroke follow up
clinic which is medically supported (stroke physician available for advice in
clinic and checks letters).
• Strong links with diagnostic
imaging, vascular surgery, cardiology and neurology.
• Ongoing educational programme
for all disciplines within the department and lectures to GPs and other
interested groups.
The appointee will take on
Consultant medical duties for inpatients and outpatients within a 10 PA job
plan which is open to negotiation.
The appointee will have
responsibility for Stroke and TIA Services on the secondary Hospital site and
community stroke services working in partnership with two Consultant
colleagues.
Supporting medical staff within
Stroke Service:
• Currently the post is supported
by a Geriatric Medicine Specialist Registrar, a stroke registrar grade post,
one Core Trainee, one house officer and one senior house officer in the TIA
service.
Ward facilities:
A dedicated acute stroke ward (25
beds), with regional network funded full monitoring facilities in the four bed
Ward.
Standard Duties and responsibilities
a) To participate in development
of and undertake all duties and functions pertinent to the Consultant’s area of
competence, as set out within the Clinical Directorate Service Plan and in line with policies as specified by the
Employer.
b) To ensure that duties and
functions are undertaken in a manner that minimises delays for patients and
possible disruption of services.
c) To work within the framework
of the hospital / agency’s service plan and/or levels of service (volume, types
etc.) as determined by the Employer. Service planning for individual clinical
services will be progressed through the Clinical Directorate structure or other
arrangements as apply.
d) To co-operate with the
expeditious implementation of the Disciplinary Procedure
e) To formally review the
execution of the Clinical Directorate Service Plan with the Clinical Director /
Employer periodically. The Clinical Directorate Service Plan shall be reviewed
periodically at the request of the Consultant or Clinical Director / Employer.
The Consultant may initially seek internal review of the determinations of the
Clinical Director regarding the Service Plan.
f) To participate in the
development and operation of the Clinical Directorate structure and in such
management or representative structures as are in place or being developed. The
Consultant shall receive training and support to enable him/her to participate
fully in such structures.
g) To provide, as appropriate,
consultation in the Consultant’s area of designated expertise in respect of
patients of other Consultants at their request.
h) To ensure in consultation with
the Clinical Director that appropriate medical cover is available at all times
having due regard to the implementation of the European Working Time Directive
as it relates to doctors in training.
i) To supervise and be
responsible for diagnosis, treatment and care provided by non-Consultant
Hospital Doctors (NCHDs) treating patients under the Consultant’s care.
j) To participate as a right and
obligation in selection processes for non-Consultant Hospital Doctors and other
staff as appropriate. The Employer will provide training as required. The
Employer shall ensure that a Consultant representative of the relevant
specialty / sub-specialty is involved in the selection process.
k) To participate in clinical
audit and proactive risk management and facilitate production of all
data/information required for same in accordance with regulatory, statutory and
corporate policies and procedures.
l) To participate in and
facilitate production of all data/information required to validate delivery of
duties and functions and inform planning and management of service delivery
Teaching
Commitments
The Department prides itself on a high standard of teaching for medical
trainees at all levels and a high pass rate in the MRCP examinations.
Involvement in the postgraduate teaching programme is essential. The hospital
has a commitment to contribute sessions to the ED department, local GPs,
medical student teaching, CT and ST training as well as our own bimonthly
multi-disciplinary stroke teaching.
Job Plan
A formal job plan will be agreed between the appointee, the Operational Medical
Director and Lead Stroke Medicine Consultant, on
behalf of the Trust’s Medical Director, based on the provisional timetable.
This will be signed by the Chief Executive and will be effective from the
commencement date of the appointment.
It will be
reviewed at 3 months & thereafter annually or at any time, but no less than
3 months after a previous review, as requested by the appointee, Operational
Medical Director or Clinical Lead & adjusted accordingly to the agreement
of both parties.
Sample Timetable Subject to Job Planning – A, B, C (flexible working)
MONDAY |
TUESDAY |
WEDNESDAY |
THURSDAY |
FRIDAY |
Acute calls & Referrals (C)
Ward – A ASU-A/B/C
TIA CLINIC – C
Stroke OPD – B
ESD – A/B/C |
Acute calls & Referrals (B)
Ward – C ASU-A/B/C
TIA CLINIC – B |
Acute calls & Referrals (C)
Ward – B ASU-A/B/C
TIA CLINIC - A |
Acute calls & Referrals (B)
Ward – B ASU-A/B/C
TIA CLINIC – C
Stroke OPD -A |
Acute calls & Referrals (A)
Ward – A ASU-A/B/C
TIA CLINIC – B
Stroke OPD – C |
13:00 to 14:00 Departmental educational meeting (SPA)
|
12:30 to 13:30 Grand round (SPA) |
12:30 to 13:30 Postgraduate meeting |
12:30 to 13:30 Audit meeting/Clinical Governance |
|
Stroke Unit acute care |
SPA/Audit/ Research/CPD - A |
SPA/Audit/ Research/CPD -B |
SPA/Audit/ Research/CPD-C |
SPA/Audit/ Research/CPD |
(10 PA = 8.5 DCC + 1.5 SPA)
• Care of
Ward patients and acute stroke calls
• Care of
ASU patients
• TIA
clinics Monday to Friday
•
Outpatients clinics and community sessions with Early Supportive Discharge and
bed-based community rehabilitation
• Weekend
work will including HASU ward round, TIA clinic and ward reviews
• Days off
in lieu will follow a weekends or bank holidays on duty
The successful applicant will be expected to join a rota (one in four with
prospective cover) to provide weekend and bank holiday Stroke Unit ward rounds
and assessment of high risk TIA referrals.
There is also the offer to
join the out of hours regional telemedicine rota for stroke thrombolysis. This is a
separate contractual obligation and remunerated separately.
Requirements
This post is open to doctors who hold Registration
as a Specialist in the Specialist Division of the Registrar of Medical
Practitioners maintained by the Medical Council in Ireland in the specialty of
Clinical and Stroke
Medicine.
Office Accommodation
Office accommodation will be provided for the
appointee with secretarial support.
Management Responsibility
All Consultants are required to attend the monthly
Directorate Meetings. Post holders will be expected to share in administrative
duties allocated by mutual agreement within the Directorate. As part of the
Consultant Team, the consultant will
offer mentoring support and lead the existing clinical team through; joint
clinics, one-to-one support, individual case management and complex cases,
identifying development needs and suggesting CPD (Continuous Professional
Development) opportunities and responding to clinical enquiries via e-mail and
telephone.
If you are interested in working in growing your
career and increasing your income, then talk to our healthcare team today. If
you can fill the above requirements, we will give you the following benefits:
*** Visa & Work Permit for FREE!
*** Guidance, Training & Career Development
*** Dedicated & Supportive team- Consultant
available when you need.
*** Excellent Basic Pay, Overtime paid for extra
hours
***Assistance provided with relocation
You are able
to also apply online (see below) We look forward to helping you progress your
career and find you the ideal position.
Doctors
Guide to working in the Republic of Ireland – Click here
Call us
today on +44 (0) 1234 889213 to discuss this vacancy or email your CV to info@workplacedoctors.co.uk
or apply online today (see below).
***Please note due to the high number of applications,
we do answer every application in turn.***