We are pleased to offer a unique opportunity in South London & Maudsley NHS Foundation Trust to take up a role as a Multi-Professional Approved Clinician (MPAC). The role has become available to providematernity leave cover for a Consultant Psychiatrist who has responsibility for half the caseload of an in-patient ward. The role is 3 days a week (0.6wte), fixed term, from 16 October 2023 until 30 September 2024.
The role will be based on Waddon Ward, an in-patient ward of 15 places for men, that is part of the Offender Personality Disorder Pathway commissioned by NHSE/HMPPS. Waddon Ward is the only in-patient facility in London for the client group. The MPAC will join a Lead Consultant Psychiatrist who holds the other half of the ward caseload. Patients admitted to Waddon Ward will all be prison transfers, to participate in the Violence Reduction Programme offered by the ward.Main duties of the job
The post holder as an Approved Clinician, will be the clinical lead for all allocated patients admitted to Waddon Ward, taking the lead role in all aspects of their care for the duration of their admission, providing senior clinical oversight of service users with the most complex mental health needs.
To act as Responsible Clinician for patients taking overall clinical and legal responsibility for patients detained under the MHA and demonstrate associated expertise in the assessment, treatment and management of personality disordered patients. This will include clinical leadership within the multidisciplinary team and joint work with colleagues from other disciplines in the provision of high-quality clinical care.
To work alongside an in-patient Consultant Psychiatrist, acting as a resource and taking responsibility for the provision of expert advice and guidance in relation to Approved / Responsible Clinician under the Mental Health Act.
The postholder will join a multi-professional team of medical staff, nursing staff of all grades, social therapists, psychologists, occupational therapists, and social workers, who work closely with the unit leadership to deliver a safe and highly effective service. Approved Clinician supervision will be provided by the Lead Consultant Psychiatrist. Professional supervision will be provided according to professional registration requirements. Line Management will be provided by the General Manager responsible for the service.About us
The inpatient provision is part of the South London & Maudsley Forensic & Offender Health Pathway within the Croydon and Behavioural & Developmental Psychiatry Operational Directorate.
The male Offender Personality Disorder ward is part of the London Pathway Partnership (LPP) as part of the National Offender Personality Disorder (OPD) strategy. The in-patient service is the only such provision at MSU level in the South of England.
The male mental health medium secure inpatient provision at River House is an integral part of the South London Partnership (SLP) acute pathway and rehabilitation pathways. There are close links with low secure provision and community forensic mental health teams, as well as other mental health services, prisons and criminal justice agencies.
Bethlem Royal Hospital is based in a beautiful setting in over 200 acres of green space in the London Borough of Bromley, South East London. The hospital has easy access to nearby main roads and free parking. The site is within walking distance from of Eden Park and West Wickham overground stations.Job descriptionJob responsibilities
The postholder will demonstrate the core competencies of an Approved Clinician (AC) and fulfil the responsibilities of the Responsible Clinician (RC).
Provide assessment of needs, formulation and intervention plans, including direct intervention or support work and outcome evaluation.
Compile and complete statutory documentation, as an Approved Clinician / Responsible Clinician. This includes writing Hospital Managers / Mental Health Tribunal /Ministry of Justice reports.
Present evidence to Courts, Tribunals and Hospital Managers Hearings.
Assess and monitor risk and draw up appropriate risk management plans
Review and monitor clinical decisions made concerning restrictive practices, for example, seclusion or long-term segregation of detained in-patients, reconciling inter- and intra-professional differences of opinion, judgements on complex clinical issues.
Ensure that all services provided are acceptable and accessible to the diverse communities which make up the clients of this service.
Use expert knowledge to inform and develop treatment protocols which are rigorous, comprehensive and sensitive to mental disorder, personality disorder, neurodiversity, gender, culture and service provision.Person SpecificationQualificationsEssential
- To have undertaken a recognised qualification in one of the core mental health professions, e.g. mental health nursing, psychology, social work and occupational therapy OR to have equivalent relevant experience and demonstrable competence to work in the mental health field in the NHS.
- Multi-Professional Approved Clinician status and registered on national database of Approved Clinicians
- Certificate / diploma in mental health law
- Post qualification training in a specialist area of expertise, for example, Complex trauma / Personality disorder related to the management and treatment of mental health difficulties and / or personality
- Completed training course in professional supervision and/or accredited to supervise qualified practitioners in relevant discipline
- Registered with / accredited by professional body as appropriate to discipline
- Evidence of continuing professional development as required by the professional body
- For Psychologists: . Doctoral level training in Psychology as accredited by the B.P.S., and giving eligibility for Chartered status Registered with the Health & Care Professions Council as practitioner psychologist (e.g. Professional Doctorate, or combination of MSc plus PG Diploma level additional training) that has been accepted by the HCPC for purposes of professional registration. (A/I) (for a job requiring specific professional qualification(s), change this point to specify the required qualification(s): Clinical psychologist: Doctorate in Clinical Psychology or equivalent Counselling psychologist: MSc and PG Diploma in Counselling Psychology Forensic psychologist: MSc in Forensic Psychology plus completion of the British Psychological Society's Qualification in Forensic Psychology Stage 2
- For Occupational Therapists: oDegree or other recognised qualification in occupational therapy (A/I) oAdditional training beyond entry-level qualification in a relevant specialised area of mental health through formal post-qualification training (PG Diploma or equivalent), OR a combination of specialist short courses and/or an evidenced portfolio of supervised practice-based learning in this specialist area of clinical practice, assessed by an experienced clinical supervisor/national assessor to be of equal level to a Postgraduate Diploma or higher.
- Completed training course in clinical supervision.
- Registered with the HCPC or similar professional body, and evidence of continuing professional development as required by the HCPC
- Formal Leadership training
- Experience of working as an AC sufficient to meet the requirements for accreditation via the portfolio route / professional at a senior level across a range of secure / mental health services.
- Experience of leading and managing admissions on a specialist medium secure in-patient ward.
- Experience of specialist assessments, formulation and treatment of patients in the relevant service, e.g Offender Personality Disorder services.
- Experience of leading a clinical team.
- Experience of taking full clinical responsibility for patients / service users as an AC with a range of serious mental health problems within the context of multidisciplinary care including those with personality disorder / complex trauma.
- Experience of working with a wide variety of patients / service users presenting problems that reflect the full range of clinical severity, including maintaining a high degree of professionalism in the face of highly emotive and distressing problems, verbal abuse and the threat of physical abuse.
- Experience of representing your profession in local planning and policy development understand of the landscape in relation to the relevant area of practice, e.g. Offender Personality Disorder and secure care.
- Experience of providing teaching, training and supervision to qualified professionals
- Evidence of continuing professional development as recommended by the regulating body
- Significant experience and expertise in the training of others.
- Training in offering and leading supervision of clinical practice within a range of clinical models.
- Substantial and significant experience of working as a senior practitioner across a range of settings - with service users presenting with complex clinical needs
- Mental Health Legislation, related codes of practice and national and local policy and guidance
- Other relevant legislation, codes of practice and national and local policy guidance, in particular, relevant parts of the Human Rights Act 1998(c), the Mental Capacity Act 2005(d), the Children Act 1989(e) and the Children Act 2004(f) and o Relevant guidance issued by the National Institute for Health and Clinical Excellence.
- Knowledge of the theory and practice of management and leadership.
- Advanced theoretical knowledge of psychopathology and the evidence base for the relevant treatment
- Advanced knowledge of the theory of psychological practice/processes in Offender Personality Disorder and their therapeutic application
- Knowledge of legislation in relation to the client group and mental health issues, child and adult protection, and equalities
- Knowledge of factors affecting acceptability and accessibility of mental health care, including mental health interventions across cultural and other differences
- Knowledge of a range of therapeutic ideas/approaches/models in assessment and treatment relevant to discipline
- Knowledge of racial and other diversity issues and factors affecting access to mental health care.
- Enthusiasm for the AC/RC role energy and drive to support development with then Trust and at a regional and national level.
- An enthusiasm for driving services forward and utilising innovative ideas
- High level of skill in determining whether a patient has Capacity to Consent to treatment.
- Ability to articulate and interpret clearly the role of the AC/RC based upon a good understanding of Government and national professional policy
- Consultation skills to work with the multi-professional team or other professional groups and sensitively managing, a number of people's needs simultaneously within the context of therapeutic work/consultation.
- Skills to communicate skilfully and sensitively complex and sensitive information with clients, carers and colleagues overcoming barriers to communication including sensory, and emotional difficulties, cultural differences and hostility to or rejection of information.
- Skills in providing teaching and training to other professional groups.
- Advanced skills in professional supervision including skills for offering live supervision of multi-disciplinary colleagues.
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