Locum Trust Grade Doctor in Intellectual Disabilities

Devon Partnership NHS Trust
Closing date
3 Jul 2022

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Doctor - other
Full Time
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Locum Trust Grade Doctor in Intellectual Disabilities Psychiatry (Exeter and East Devon)

The post holder’s responsibilities will be to provide psychiatric services to adults with Intellectual Disabilities under the care of Exeter and East Devon Intensive Assessment and Treatment team under the supervision of the Consultant Psychiatrist. The post holder will have a commitment to collaborative working and actively supporting and liaising with other health and social professionals and agencies as well as have good relationships with mental health services. Related services are the Primary Care Liaison Team and Learning Disability Acute Liaison Teams (both to assist patients in accessing mainstream primary care and acute secondary care services).

The role of IATT is to offer secondary care interventions to people with an Intellectual Disability who are experiencing or causing in others high levels of distress. Intellectual disabilities (ID) (or learning disabilities or neurodevelopmental disorders) includes the presence of: a significantly reduced ability to understand new or complex information or to learn new skills (impaired intelligence) with a reduced ability to cope independently (impaired social functioning) which started before adulthood, with a lasting effect on development. This definition encompasses people with a broad range of disabilities. Others neurodevelopmental disorders such as Autism or ADHD, neuropsychiatric disorders such as Epilepsy and Dementia have high rates of co-morbidity with intellectual disabilities.

ID touches on many areas of medicine and presents a multi-faceted complex discipline, encompassing everything from clinical genetics to provision of adequate social supports. A structured and holistic approach is essential because of the complexity of needs (multiple physical, psychiatric, occupational, social, environmental, communication, educational problems) and comorbidities in many people with ID.

ID psychiatry requires the ability to disentangle the complex interplay between the medical, psychological and social dimensions in the presentation of this patient group. Collaborative working inclusive of service users to maintain partnerships with patients.

Referrals to the teams are received directly from service users, primary/secondary health care services, families, care providers and Social care. The teams are responsible for triaging referrals in the respective locality; sign posting patients to adequate services, undertaking assessments and determining care pathway within our Secondary Specialist Service. The post holder when appropriate will contribute to the triage, signposting and assessment of complex patients.

About you

We would love to hear from you if you have proven clinical skills, an enthusiasm for working with a complex patient group, and a willingness to work within a dynamic multidisciplinary Intensive Assessment and Treatment team.

The location

The Intensive Assessment and Treatment Team (IATT) is based at Franklyn House, Exeter.

About us

Medical Staff support in this post:

1 rotational CT3 trainee works across community and the ASU inpatient services. 1 Consultant Social worker AC who also works across community and the ASU inpatient service. 1 rotational ST trainee works into the community team. In addition there is 1 specialty doctor (current vacancy) and 1 full time Consultant Psychiatrist attached to the post who currently holds the role of Associate Clinical Director.

The population for the Exeter and East Devon area are 133,333 and 148,080 respectively (according to the Devon County Council 2020 mid-year population estimate). The post holder will be based at Franklyn House, Exeter. The post holder is fully embedded in the IATT team allowing for a “New Ways of Working” approach where the routine monitoring and follow up will not necessarily be done by the Consultant who are now available to be flexible in responding to those in the greatest need of input and for consultation/supervision to the rest of the team. The new referrals to the team averages 5-10 referral a week of which referrals for psychiatry input average 2 per month. The psychiatry caseload is approximately 100.

The post will be a fixed term contract for 12 Months with the possibility of a renewal of the contract. There is no on call responsibility.

Our offer to you

We recognise our people want to learn and develop, becoming the best that they can be. We offer all our staff a range of training opportunities including a variety of in-house training programmes designed and delivered by experts, and opportunities to access external training where appropriate.

In addition to ongoing training and development opportunities, we are committed to providing an environment in which you can thrive.

Benefits of working at Devon Partnership NHS Trust include:
  • Commitment to flexible working where this is possible
  • Annual Leave entitlement – 27 days for 1 year placement and Study Leave entitlement 30 days per year placement
  • Individual personal development plans and a commitment to ongoing training
  • Generous NHS pension scheme
  • Good maternity, paternity and adoption benefits
  • Childcare voucher scheme
  • Health service discounts and online benefits
  • Incremental pay progression
  • Free confidential employee assistance programme 24/7
  • Access to our LGBTI+ network
  • Health and wellbeing opportunities
  • Cycle to Work Scheme and reduced public transport rates
  • Structured learning and development opportunities.

Great place to work. Great place to live.

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