Consultant in Rehabilitation Medicine

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Job Overview Substantive Consultant of Rehabilitation Medicine at North Bristol Trust; serving across The Bristol Centre for Enablement (BCE), The Major Trauma Centre and Neurosciences service at Southmead Hospital. Please note the JD for this role has approval from the Royal College. Applicants should have a CCT or be within six months of achieving this at the date of interview or be listed on the GMC’s specialist register to be eligible for application for a substantive post. CESR applicants are welcome and must have their CESR in place at the time of interview.

Main duties of the job Initial rehabilitation medicine assessment of allocated major trauma and HART patients within 72 hours. Providing regular assessment and advice for major trauma/HART inpatients, supported by the Major Trauma and HART Practitioners (MTP) team. Ensuring the completion of appropriate electronic rehabilitation prescriptions during admission and at discharge. Attend, on the days they work in the MTC and HART, the daily board round meetings with MT/HART practitioners and RM colleagues to ensure the rehabilitation team is able to effectively discharge its role as case manager for acute patients with complex rehabilitation needs. Facilitate and participate in complex family meetings and case conferences to facilitate the delivery of interdisciplinary rehabilitation programme. Deliver a responsive in-reach service to the acute wards (including ICU) to provide assessment and advice regarding the rehabilitation aspects of patients’ management, communicating with family/carers of complex patients regarding rehabilitation plans and prognosis. Liaise and build links with regional rehabilitation services (e.g. Frenchay Brain Injury Rehabilitation Centre, Somerset Neurological Rehabilitation Centre and the Dene Neurological Centre, Gloucester) to enhance patient flow and timely transfer to these services when appropriate.

Working for our organisation North Bristol NHS Trust employs over 12,000 staff providing healthcare to the residents of Bristol, South Gloucestershire and North Somerset from our award-winning hospital building at Southmead. We are the regional Major Trauma Centre, and an internationally recognised centre of excellence in a range of services and major specialities. Our vision is that by enabling our teams to be the best that they can be, we will provide exceptional healthcare, personally delivered. North Bristol NHS Trust values all people as individuals. We aim to be an anti-discriminatory organisation and are committed to building a team that represents a variety of backgrounds, perspectives, and skills. We welcome applicants from all underrepresented groups.

Detailed Job Description And Main Responsibilities The post holder will have continuing responsibility for the care of patients in his or her charge, for the proper functioning of the service and will undertake the administrative duties associated with the care of patients and the running of the clinical department. The post holder will be required to work in partnership with colleagues of all disciplines, external links to the Trust and service users, to ensure the creation of a high quality and responsive service. The post-holder will be responsible for the clinical management of patients under their care. They will be responsible for acute rehabilitation input in allocated Major Trauma and HART patients but primarily into those with more severe and complex needs, usually with neurological or musculoskeletal injuries. There are approximately 60 – 80 trauma patients in the hospital at any one time with around 10-20% of these requiring a more intense level of input including the coordination of care in liaison with Consultant colleagues for those patients requiring multi-specialty input. The post holder will be expected to be actively involved in the administrative, teaching, continuing medical education and audit and quality improvement activities of the Major Trauma Centre and HART. Involvement in research and audit and quality improvement will be encouraged together with playing an active role in the development of acute rehabilitation services and pathways at the MTC. The post holder will be expected to adhere to Trust policy and procedures as well as contributing to policy and service development. The post holder should have enough understanding of NHS financial management to provide the best service possible. They will minimise waste, improve services, and promote effective use of resources available. The post holder should understand the roles and policies of local and where relevant national agencies involved in healthcare. The post holder will be expected to provide compassionate leadership to their clinical teams. This may include multi-agency teams within Primary and Secondary Care. They will be responsible for the supervision of junior staff within their team and will lead by example and with compassion.

Person specification Qualifications And Registration Essential criteria MRCP/MRCS/MRCGP or equivalent Maintain Full registration with the GMC CCT or equivalent in Rehabilitation Medicine or Neurology OR Are within six months of achieving CCT or equivalent, at the time of interview Desirable criteria Higher qualification e.g. MSc, MD, PhD European, US, or Commonwealth Board certification in rehabilitation medicine or neurorehabilitation Evidence of additional relevant training e.g. management and leadership.).

Training And Experience Essential criteria Recent experience and familiarity of UK hospital systems and practices (or equivalent). Wide experience in all aspects of rehabilitation and/or neurorehabilitation culminating in the award of CCT or equivalent Proficiency in Complex Spasticity management (including refilling from Intrathecal Baclofen pumps and botulinum toxin injections) Knowledge of contemporary NHS management issues. Knowledge of political context within which we operate. Clinical Governance principles. Experience in day to day organisation of rehabilitation, neurology or neurorehabilitation services in a busy tertiary hospital. Desirable criteria Experience in involvement in service redesign. Evidence of leadership development programme committed to quality improvement during training. Recent experience and familiarity of UK hospital systems and practices (or equivalent).

Further Training, Management, Audit Essential criteria Evidence of recent CME/ reasonable training progression at this stage of career. Experience in audit projects and written up. Knowledge of contemporary NHS management issues. Knowledge of political context within which the NHS and NBT operates. Able to demonstrate leadership capability within multi-disciplinary teams and across organisations Desirable criteria Completion of a general management course or programme.

Research, Teaching, Publications Essential criteria Proven teaching ability. Willingness to undertake teaching of medical under-graduates & postgraduates. Desirable criteria Rehabilitation focused publications in peer reviewed journals and presentations at regional, national and international meetings Proven track-record in research. Evidence of relevant publications in peer reviewed journals. Demonstration of involvement in clinical directorate management.

Personal Requirements (e.g. Communication Leadership Skills, Flexibility) Essential criteria Good written communication skills. Evidence of the ability to communicate with patients, colleagues and staff at all levels. Ability to help manage a team and form effective working relationships within a team. Ability to inspire, motivate and develop postgraduate medical staff. Ability to work independently as well as part of the Directorate. To balance individual requirements against those of the Directorate and Trust as a whole. Ability to fulfil duties of the post Able to demonstrate an understanding of NBT values and commitment to uphold NBT values.

If you apply for this vacancy and have not received a communication from North Bristol NHS Trust within three weeks of the closing date, please assume that on this occasion your application has been unsuccessful. Please note that North Bristol NHS Trust does not reimburse travel expenses relating to interview attendance. If you feel you meet the requirements of the Disability Act / Two Ticks scheme and require further support/advice, please contact us on tel 0117 414 1151. North Bristol NHS Trust are committed to safeguarding and promoting the welfare of children and young people and expects all staff and volunteers to share this commitment. The successful applicant(s) will normally commence at the minimum of the scale unless they have previous NHS service at the same band. Progression through the scale is by annual increments. At North Bristol Trust (NBT), we know diverse and inclusive environments lead to happier and healthier teams and improved patient care and outcomes. We are committed to equality of opportunity, to being fair and inclusive, and to being a place where we all belong. We therefore particularly encourage applications from candidates who are currently underrepresented in NBT’s workforce at Band 8a and above. These include people from Black, Asian and minority ethnic backgrounds, disabled people and LGBTQIA+ people. Please note that stringent pre-employment checks are undertaken on all successful applicants prior to commencement in post.