CNWL is seeking an enthusiastic and committed Consultant Psychiatrist to work in our Brent Addictions treatment service, based in Willesden.
This is a large integrated addiction treatment service delivered in partnership with WDP (a voluntary sector service). The service combines the elements of education, prevention, treatment and recovery within substance misuse treatment pathways. This includes those entering the service via the criminal justice system. You will have a strong commitment to partnership working, building networks and be able to work sensitively within a culturally diverse environment.
Main duties of the job
You will have a keen interest in addiction psychiatry and managing comorbidity. You will join our specialist community team treating individuals with substance misuse and mental health problems. Many service users will also have additional complex physical health needs.
You will provide clinical leadership to a well-established multidisciplinary team that aspires to provide excellent bespoke care to enable our patients to fulfil their recovery goals and work towards discharge. Clinical duties include patient assessment / reviews, leading MDT meetings and optimising treatment pathways. Additionally, the post holder will be required to lead on Care Quality and Performance Management and proactively liaise with stakeholders (both internal and external to the Trust), supporting the strategic development of the service.
Central & North West London NHS Foundation Trust (CNWL) is one of the largest NHS Trusts in the UK, caring for people with a wide range of physical and mental health needs. We have approximately 7,000 staff that provide healthcare to a third of London's population and across wider geographical areas, including Milton Keynes, Kent and Surrey.
CNWL's Addiction Directorate is a large, well-established, multidisciplinary NHS provider offering a wide range of high-quality addictions services to the diverse population of London and Milton Keyes. In addition to borough-based addiction treatment services, we also provide a club drug clinic, as well as gambling and gaming addiction services.
We provide services to the residents of 4 London boroughs: Brent, Ealing, Hillingdon and Hounslow, as well as Milton Keynes. Our addictions treatment services offer recovery-focussed interventions within vibrant community-based multi-disciplinary teams and in partnership with non-statutory providers. In addition, we provide a National Problem Gambling & Gaming Clinic and a Club Drug Clinic.
Our services are committed to delivering high quality, evidence-based treatments. We have close links with Imperial College, London and are committed to research, service evaluation, quality improvement and developing innovative approaches. Our services are recovery focused and have developed expertise in delivering integrated services with third sector providers and embrace partnership working.
Job description Job responsibilities
- To be a member of the multi-disciplinary team and oversee/ participate in patient assessment and the delivery and evaluation of treatment. This includes providing clinical advice especially for complex cases to team members on a 1:1 basis and within MDT meetings, as well as directly providing medical assessment / review and planning of treatment. The post holder will not be expected to have a case load.
- To be an active member of the local Senior Management Team, working closely with the Sector Manager to provide strategic direction to the service.
- The Consultant Psychiatrist is expected to support the management of the most complex and unstable cases - this will include assessment but also the provision of consultation and advice to other team members.
- To work closely with nominated safeguarding lead to provide clinical oversight / management advice regarding cases where safeguarding concerns have been noted.
- To play an active role in developing clinical services in accordance with evidence-based practice.
- As lead clinician for the service, to provide assurance that services are delivered safely and to established quality standards.
- To actively lead and participate in the local and strategic care quality performance management (CQPM) meetings, held monthly.
- To work within locally and nationally agreed protocols and not only be actively involved in but also assume a lead role in care quality / quality governance within the service.
- To promote and engage in quality improvement (QI) initiatives within the service, embedding a culture of using QI methodology to drive change and service improvement.
- To support the service to achieve national and local performance management targets / outcomes.
- To participate in service evaluation and the planning of future service developments.
- To actively participate in developing and reviewing clinical protocols, policies and guidelines for the service.
- To provide supervision and support to designated and prospective Non-Medical Prescribers and work with the Addictions Lead Nurse to develop these roles and relevant governance arrangements.
- To attend the service Partnership Board and Contract Monitoring Meetings and any other local forums as and when required.
- To support the review of complaints and Serious Incidents (SIs) within the service and ensure that lessons learnt are disseminated in a timely manner.
- To provide liaison, advice and support to GPs, secondary care Mental Health Services (provided by CNWL in Brent), third sector agencies, Probation Services, Children and Family Social Services.
- To develop relationships with local stakeholders.
- To establish close working relationships with other CNWL Addiction Consultants, the Clinical Director / Head of Service and Managers.
- To provide nominal leave cover to other Consultants in Addictions.
- To maintain approved clinician status under Section 12 of the Mental Health Act 1983.
This Job Description is not exhaustive and contains a degree of flexibility for discussion at the initial job planning meeting.
Person Specification Qualifications Essential
- MBBS or equivalent primary medical qualification.
- MRCPsych or equivalent qualification
- Qualification or higher degree in medical education, clinical research or management
- CCT (or equivalent, as applicable) endorsement in substance misuse psychiatry
- Additional clinical qualifications
- Full registration with the GMC with a licence to practise at the time of appointment
- Included on the GMC Specialist Register OR eligible to be included within 6 months
- Approved clinician status OR able to achieve within 3 months of appointment
- Approved under S12 OR able to achieve with 3 months of appointment
- In good standing with GMC with no warnings or conditions on practice
Clinical skills, Knowledge and Experience Essential
- Excellent knowledge in Addiction Psychiatry and General Psychiatry
- Excellent clinical skills using bio-psycho-social perspective and wide medical knowledge
- Excellent oral and written communication skills in English
- Able to manage clinical complexity, uncertainty and manage team anxiety
- Makes decisions based on evidence and experience including the contribution of others
- Able to meet duties under MHA and MCA
- Excellent leadership and multidisciplinary working skills
- Experience of using quality improvement methodology for service development
- Wide range of specialist and sub-specialist experience relevant to post within NHS or comparable service
Academic Skills and Lifelong Learning Essential
- Able to deliver undergraduate or postgraduate teaching and training
- Participated in continuous professional development
- Participated in research or service evaluation
- Able to use and appraise clinical evidence
- Has actively participated in quality improvement projects
- Supervisory and management experience
- Experience of planning and delivering undergraduate and postgraduate teaching and training relevant to this post
- Reflected on purpose of CPD undertaken
- Experienced in clinical research and / or service evaluation
- Evidence of achievement in education, research, audit and service improvement: awards, prizes, presentations and publications
- Has led quality improvement projects leading to service change
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