This post is based in the Department of Medicine for the Elderly, University Hospital Wishaw, where there are currently 6 Consultant staff and 2 specialty doctors. It will involve the care of stroke patients within the 24 bedded acute stroke ward. These patients will be a mix of acute strokes and those with ongoing rehabilitation needs. In addition to this you will be expected to provide support to the fast-track TIA clinics that run across Lanarkshire.
Acute stroke services are provided on all 3 acute Lanarkshire hospital sites.
These include stroke thrombolysis, Fast Track TIA clinics, acute assessment and rehabilitation for stroke in a dedicated ward. There are 24 integrated stroke beds within University Hospital Wishaw, including input from a stroke specific multidisciplinary team. The regional vascular and Lanarkshire interventional radiology services are based on the Hairmyres' site. A pan-Lanarkshire Stroke Tone Management Clinic runs weekly and involves two stroke consultants and two specialist stroke physiotherapists.
NHS Lanarkshire had the shortest thrombolysis door to needle times in Scotland in the 2019 Scottish Stroke Improvement Programme Annual Report and performs well against other Stroke Standards. Our pathways are currently being redesigned as part of National Thrombectomy Service Planning.
The Stroke Service has recently been awarded University Department Status and is currently recruiting to several multicenter and local research trials. There are two dedicated stroke clinical research practitioners.
A typical working pattern would look something like this:
Mon am TIA clinic Mon pm ward round ward 11
Tues am ward round ward 11 Tues pm relatives/admin
Wed TIA clinic Wed pm SPA
Thur am Ward round ward 11 Thurs pm MDT meeting
Fri TIA clinic Fri pm admin