Lancashire Teaching Hospitals NHS Foundation Trust Job Description for Consultant Neurologist Date: September 2017 Consultant Neurologist JD March 2015
Contents 1.0 About the Area 2.0 Lancashire Teaching Hospitals NHS Foundation Trust 2.1 Range of Services 3.0 Working for Lancashire Teaching Hospitals 4.0 The Role 5.0 The Medical Neurosciences Directorate 6.0 Remuneration and Contractual Arrangements 7.0 Education and Training 8.0 Audit and Clinical Governance 9.0 Informal Enquiries/Visits 10.0 Person Specification
1.0 ABOUT THE AREA Our hospitals are located at the heart of central Lancashire and serve the three major boroughs of Preston, Chorley and South Ribble. Preston is the administrative capital of Lancashire set against a backdrop of countryside rich in heritage. The town has also become the retail, commercial and cultural centre of Lancashire and exhibits a buoyant and vibrant town centre. Preston s excellent shopping facilities attract people from across the North West. Close at hand, however, lies impressive countryside such as the verdant Ribble Valley and the upland moors of the dramatic and beautiful Forest of Bowland and Beacon Fell Country Park. The Preston Guild Hall presents an extensive programme of events in one of the finest entertainment centres in the country. Throughout the year, there is something for everyone from orchestral to rock concerts and televised sports and theatrical productions of every kind in the Charter Theatre. The redeveloped dock (Riversway) is popular; there is an Odeon cinema, restaurants, marina and boats. It is also the site for the annual Maritime Festival. Chorley has been a market town since 1498 and positively bustles with all kinds of market activities. Chorley s history is as deep as England itself and this is no more evident anywhere than in the area s stately homes, parks and gardens. Almost within walking distance of the town centre is Astley Hall, a Tudor mansion set in one hundred acres of parkland. Situated in the picturesque heart of rural Lancashire, Chorley has wide open moorland, parks and woodland making it ideal for enjoying the great outdoors. The 1,900ft high Rivington Pike and Lever Park provide easily accessible outdoor leisure activities. South Ribble provides an attractive living and working environment. It has excellent communications and access, well established local businesses and a widely spread catchment area for recruiting people with the relevant skills. The borough of South Ribble lies between the valley of the River Ribble and the edge of the West Pennines. It contains the main urban communities of Walton-le- Dale, Bamber Bridge, Lostock Hall, Leyland and Penwortham. Away from the main urban concentrations, there are other settlements such as Longton, new Longton, Walmer Bridge, Much Hoole, Hutton and Higher Walton which have expanded to accommodate dormitory development around their historical village origins. Several parishes contain small villages. The rural landscape, providing mixed farming, a variety of market gardens and open countryside is an attractive backdrop to the unobtrusive urban scene. The rich heritage of South Ribble is evident in the many ancient churches and carefully preserved historic building in the villages and settlement across the borough. 2.0 OVERVIEW OF THE TRUST Lancashire Teaching Hospitals NHS Foundation Trust is one of the largest and highest performing trusts in the North West. We provide a full range of general hospital services to 390,000 people in Preston, Chorley and South Ribble, and aim to deliver excellent and compassionate care that meets the individual needs of every patient. Our ambition is to become the regional hospital for Lancashire and South Cumbria, and we currently provide a range of specialist services including neurosurgery and neurology, oncology, burns and plastics, renal and disablement to 1.5m patients across the area. We have recently expanded our range of specialist services and were established as the major trauma centre for Lancashire and South Cumbria in 2012. During the past few years we have significantly increased our participation in national and international research programmes, and are one of the country s leading cancer trial patient recruiters, demonstrating our commitment to developing new and progressive treatment which improves health outcomes.
Our medical undergraduate programme, in partnership with the University of Manchester, delivers excellent education and training for young doctors, and state of the art learning facilities enable medical students and staff to develop their skills and knowledge. For the fifth consecutive year our students achieved a 100% pass rate. Increasingly, we also contribute to the delivery of the Lancaster University medical undergraduate programme. We employ over 7,000 staff with most of our clinical services being provided on our two hospital sites Chorley & South Ribble Hospital and Royal Preston Hospital. We also have a specialist mobility and rehabilitation service in Preston, the Broadoaks child development centre in Leyland and we provide a dialysis unit on the Westmorland General Hospital site in Kendal. The Trust is committed to working in partnership to deliver seamless care to patients close to home. Lancashire Teaching Hospitals NHS Foundation Trust was established on 1 April 2005, as a public benefit corporation authorised under the Health and Social Care (Community Health and Standards) Act 2003. We are accountable to Monitor, the healthcare sector regulator in England and the Care Quality Commission. 2.1 RANGE OF SERVICES We provide a full range of general hospital services to people in Preston, Chorley and South Ribble, including: 24 hour accident and emergency facilities at Royal Preston Hospital Intensive, high dependency and coronary care units General medicine, including elderly care General surgery and urology Child health Ear, nose and throat surgery Orthopaedics Maternity services Gynaecology Anaesthetics Oral and maxillo-facial surgery Ophthalmology Support services for diagnosis and treatment such as pathology, x-ray, physiotherapy, occupational therapy and specialist nurses We also provide the following specialist services to people across Lancashire and South Cumbria: Neurosurgery and neurology Oncology and complex cancer surgery Renal Burns and plastic surgery Disablement services 3.0 WORKING FOR LANCASHIRE TEACHING HOSPITALS We aim to provide excellent care with compassion and believe that creating a positive working environment, where staff feel valued, supported and empowered, will enable us to achieve this aim for every patient, every time.
Our strategic aims define our long term ambitions, and describe our core business, these are: To expand and develop specialised and tertiary services To deliver local services for Preston, Chorley and South Ribble To enhance our workforce and our reputation through education, research and innovation Our key delivery strategies set out our plans to help us work towards achieving our strategic aims, which are: Quality Workforce and Organisational Development IT Operational Effectiveness Clinical services Our organisational values define the standards of behaviour we expect from staff to ensure we are always providing excellent care with compassion, and working effectively towards achieving our strategic aims: Caring and compassionate Seeking to involve Recognising individuality Team-working Taking personal responsibility Fundamentally we expect every member of staff to treat patients, families and colleagues with care and compassion. 4.0 THE ROLE Duties and responsibilities The proposed initial job plan for the post is attached, with regular review through the job planning process. The duties of the Consultant Neurologists will be to provide outpatient sessions at Lancashire Teaching Hospitals, and at a peripheral hospital depending on the needs of the service, but this will be discussed with the postholder within the consultant job planning process. We occasionally have to ask consultants to provide support to other peripheral hospitals if required. This would be discussed with the appointee at job planning and the necessary adjustment to the job plan agreed. The successful applicant will have access to beds in the Regional Neuroscience Unit at the Royal Preston Hospital for in-patient care and investigation of patients under their care. Office accommodation and secretarial support will be provided. The postholder will: Provide direct input to patients; contribute to multi-disciplinary teams and lead the coordination of care for patients within Lancashire Teaching Hospitals NHS Trust. The neuroscience service is particularly developing its acute neurology service, and the postholder will be expected to contribute to this development in the hospitals in which s/he provides services. Assume a continuous commitment for the care of patients, even if employed less than fulltime and ensure that adequate arrangements are made for leave and off duty periods. Promote high professional standards of clinical care for patients, both through direct patient care and by the maintenance of continuing professional development. Clinical Research
Neurosciences research is a priority clinical research theme for LTH, with a recently developed neurosciences research strategy, and the Department of Neurology is particularly research active. Numerous opportunities exist to undertake research, whether these are independent projects for which the Research & Innovation Directorate can offer support, or engagement with NIHR portfolio studies. On-call rota The applicants will join the rota for emergency cover that currently operates on a week-on basis. A registrar grade doctor in neurology is on-call daily and a junior doctor provides ward cover. A post take ward round is not required but a Saturday ward round is expected. Administration These posts will form part of the Neurology Directorate.. The post holder will be expected to support the Clinical Director across the whole range of his managerial and administrative functions. All Consultants are eligible for consideration of appointment by the Chief Executive to the office of Clinical Director. General The post-holder will be allocated office space and access to a computer at Royal Preston Hospital. S/he will be supported by a shared neurology secretary. The post holder will be supported by shared junior staff in training. The junior doctors currently work on a ward based rota and a registrar will be attached to Consultant firms on a rotating basis to support inpatient work and outpatient clinics. The successful candidate will be expected to reside in a location within 30 minutes travelling time to Preston, and to participate in annual appraisal and job planning. A satisfactory medical examination is a condition of employment for medical and dental staff in the NHS. Therefore, the successful candidate may be required to undergo such an examination unless a satisfactory one has been carried out within the last twelve months. Resources The appointee will be responsible for providing a service within the resources allocated by the Trust. Visits Informal enquiries should be made with the Clinical Director, Dr Hedley Emsley, on 01772 522558. 5.0 THE NEUROLOGY DIRECTORATE The Neurosciences Centre, based at The Royal Preston Hospital, comprises both Neurosurgery and medical neurosciences (Neurology, Neurophysiology, Neurorehabilitation). The population served by the Neurosciences Centre is approx. 1.5 million from the catchment area of Lancashire and South Cumbria. The Neurology Department has acute neurology and short-stay beds on Ward 17. There is a complement of eleven Consultant Neurologists, five neurology StRs, up to three clinical fellow posts in neurology ( teaching/research) and, and up to four core medical training (CMT) doctors. The CMT doctors rotate through General Medicine. There are regular outpatient clinics at Royal Preston Hospital, Chorley and South Ribble District General Hospital, Burnley General Hospital, Blackpool Victoria Hospital, Blackburn Royal Infirmary and Royal Lancaster Infirmary. Consultant Neurologists: Dr Bernard Boothman Epilepsy, Parkinson s Disease and Dementia Dr Suresh Chhetri MND
Dr Hedley Emsley Stroke/neurovascular Dr Rejith Dayanandan(Clinical Director) Cognitive/neurodegenerative Dr Claire Gall Cognitive/behavioural neurology Dr Omesh Kulkarni Movement disorders Dr Tahir Majeed Epilepsy and Dystonia Dr Roger Mills Multiple sclerosis Dr John Nixon Peripheral nerve disorders Dr Saifuddin Shaik Muscle disorders Dr Sandip Shaunak Neuro-ophthalmology Consultant Neurophysiologists: Dr Godwin Lekwuwa Dr Caroline Ross Dr Nick Combes Dr Venkat Garikipati Specialist Nurses: There are Specialist Nurses in Parkinsons Disease, Epilepsy, Multiple Sclerosis, Neuromuscular, MND and dystonia, who work alongside the Consultant Neurologists. Neuroradiology There are currently four Consultant Neuroradiologists, Dr Mathur, Dr Wuppalapati, Dr Sonwalkar and Dr Bartlett. There is 24 hour access to CT scanning, MR scanning and MR angiography and conventional angiography, and endovascular coiling is also available. An intra-arterial treatment service for hyperacute stroke is also developing. Neurorehabilitation Two Consultants in Neurological Rehabilitation, Dr David Shakespeare and Dr Elisa Barberan, run the NRU. Neuropsychology Dr Alec Laraway (Consultant Neuropsychologist) is also based at the NRU. Neuropathology Professor Tim Dawson & Dr Jacob Joseph (Consultant Neuropathologists), conduct regular monthly MDT meetings with the Neurosciences Department demonstrating slides and brain sections. Paediatric Neurology There are two full-time Paediatric Neurologists, Dr Christian De Goede & Dr Helen Basu. 6.0 REMUNERATION AND CONTRACTUAL ARRANGEMENTS This post is subject to the National Terms and Conditions of service for Hospital medical and dental staff (England and wales) Sept 2002 and remuneration will be as set out in the NHS Medical and Dental pay circular. This is a full timepost. The contract may be supplemented or amended by local collective agreements reached with trade unions recognised by the Trust and the rules and resolutions of the Trust Board. There will be an expectation for the post-holder to participate in the neurology registrar on-call rota, with an appropriate on-call banding supplement being payable. 7.0 EDUCATION AND TRAINING Modern Education Centres are based at both Royal Preston and Chorley and South Ribble Hospital sites and offer excellent library and study facilities, including PC/Internet support for staff and students.
As a teaching hospital, we encourage all our staff to participate in teaching and training at both undergraduate and postgraduate levels. We are committed to developing our teaching and academic activities and can facilitate meeting any training needs for these roles. You will be expected to take on the role of educational/clinical supervisor for doctors in training attached to the department. We support the requirements for Continuing Medical Education as laid down by the Royal Colleges and are committed to providing time and financial support for these activities. You will receive the full support of the Trust and the Directorate to develop specialist areas of interest in line with Directorate business plans and the development of services generally within the Trust. All newly appointed consultants are enrolled on the award-winning Consultant Leadership Programme, and as part of that, mentorship is available. All consultants have annual appraisal with a trained appraiser, and are supported with the revalidation process. 8.0 AUDIT AND CLINICAL GOVERNANCE You will be expected to play a full part in departmental audit and clinical governance programmes. 9.0 INFORMAL ENQUIRIES AND VISITS Informal enquiries should be made with Dr Rejith Dayanandan (01772 522558). 10.0 PERSON SPECIFICATION Qualifications Research and Development Experience Management Aptitudes and Skills Essential Criteria Desirable Criteria How Tested MRCP or equivalent postgraduate general medical experience. Within 6 months of gaining CCT in neurology or equivalent training obtained outside the EU leading to entry on the specialist register. Evidence of interest in personal development, e.g. through research and/or publications. Wide range of clinical experience in neurology. Subspecialty expertise. Evidence of commitment to audit. Involvement in service development. Commitment to working as part of a clinical team. Track record of research Management course/ certification. Computer skills. Teaching skills for both medical and paramedical disciplines Interview Interview Interview Personal Effective communication skills. Good organisation. Works well within a Car owner/driver Interview
Health multidisciplinary environment. Resident within 30 minutes travel time to Preston. Physical and mental ability to perform tasks of Consultant. Occupational Health examination LANCASHIRE TEACHING HOSPITALS NHS TRUST (indicative job plan only) Day Location Work Category No. of Pas MONDAY AM RPH Departmental meetings DCC SPA 0.5 0.5 TUESDAY PM AM RPH/ Peripheral hospital Clinic DCC 1.0 PM WEDNESDAY AM PM RPH/ Peripheral hospital Clinic DCC 1.0 THURSDAY AM RPH Clinic DCC 1.0 FRIDAY PM AM RPH/ Peripheral hospital Clinic DCC 1.0 PM Additional agreed activity to be worked flexibly Emergency oncall work TOTAL PAs SPA Admin Ward rounds & ward referrals / travel 1.0 1.75 2.0 0.25 10 Programmed activity Number Direct clinical care (including unpredictable on-call) 8.5 Core supporting professional activities 1.5 Other NHS responsibilities 0
External duties 0 TOTAL PROGRAMMED ACTIVITIES 10 On-call availability supplement Agreed on-call rota, e.g. 1 in 5 1 in 11 Agreed category A On-call supplement, e.g. 5% 3%