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Specialty doctor in substance misuse psychiatry

Employer
Barnet, Enfield & Haringey Mental Health NHS Trust
Location
Haringey
Salary
£52,530 to £82,400 Pro rata per annum
Closing date
12 Mar 2024
This newly created post is for a 5PA substantive national contract post for a specialty doctor in addiction psychiatry working in an established partnership between Barnet, Enfield & Haringey Mental health Trust (hitherto BEH) and Human Kind, a third sector organisation. The team base is at 9 Bruce Grove, Haringey, London N17 6RA, and will mainly involve outreach work in the community in the homeless or rough sleepers pathway for substance misuse, with the doctor occasionally seeing their clients at team base. The outreach work will be mainly at Mulberry junction at Bruce grove (near the service), Olive Morris court hostel in Ermine road and Osborne Grove at Upper Tollington park in the Finsbury park area.

This post has been created to provide the fledgling rough sleepers service with regular medical input, which to date has been provided ad hoc by the medics at team base. The post holder will be strengthening this service but also be part of the wider drug team and liaise with the wider team. There are an average of 2 new referrals per week into the service and the post holder will be expected to see at least one of them for an initial medical assessment. As mentioned later, the post holder will not be holding a caseload but rather supporting the RSDAT key worker and the team manager with the provision of medical input for Initial Medical Assessments and Clinical reviews.

Main duties of the job

The specialty doctor will be one of the front-line clinicians, alongside the two NMPs, another part-time specialty doctor in addictions, a full-time core trainee and Consultant Addiction Psychiatrist. The post holder will sit within the rough sleepers pathway (also known as Rough Sleepers Drug and alcohol Team) of the Grove. They will act as a reference point for the multi-disciplinary team, taking an active part in ensuring that assessment, treatment, and review procedures are consistent and of high quality. The RSDAT comprises of a team manager, a drug worker, and an alcohol nurse. There is regular oversight from the operational manager and Consultant lead.

The aim is to promote professional integrated health working with the hardest to reach client populations. As part of this the doctor will have some of the following roles and responsibilities:

About us

Formed in 2001 through the merger of its predecessor organizations, Barnet, Enfield and Haringey Mental Health NHS Trust (BEH-MHT) continues to innovate and develop at a fast pace. We are a large mental health trust in London with an annual budget of �337 million and employing more than 3,300 staff. We serve a population of 1.2 million and operate from over 20 main sites in the community. In 2020-21 the trust cared for more than 126,176 people approximately 2,800 patients on our wards and over 128,388 service users in the community.

We provide a wide range of local and more specialist mental health services, including helping people with serious mental illness (SMI), personality disorders, drug and alcohol recovery, children's mental health issues, dementia, eating disorders, learning disabilities, ADHD and suicide prevention. The Trust has an overall Care Quality Commission (CQC) rating as 'Good' from 2019 and retained the 'good' rating in 2022. It also runs the North London Forensic Service (NLFS), which the CQC has rated as Outstanding.

Our CEO, Jinjer Kandola MBE has been appointed to be joint CEO for both BEH and Camden and Islington Trust, bringing the two organisations ever closer together and they are now working in a partnership across North Central London. This is allowing for the joint expertise, increased innovation and reduction in barriers with joint initiatives.

Job description

Job responsibilities

The specialty doctor will have the following duties:
  • Providing f2f front-line clinical services both planned and ad-hoc
  • Visiting clients in homeless hostels with our three RSDAT workers
  • Assessment of drug/alcohol dependence/co-morbid psychiatric/physical health
  • Initiate treatment for clients not on treatment
  • Review treatment plans for those already in treatment
  • Physical and mental health screenings/reviews with onward referral
  • Signing of controlled drug prescriptions
  • Substitute opioid prescribing (detoxification and harm minimisation approaches)
  • Initial medical assessments, clinical/psychiatric reviews, dose reviews
  • Liaising with MDT to plan & deliver appropriate individually tailored treatment plans
  • Provide specialist clinics to offer evidence-based treatment interventions/advice, such as detoxification for GBL, ketamine, benzodiazepines, cocaine
  • Mostly outreach work with one full day on-site at team base
  • Liaison with wider Haringey drug treatment system and partners eg primary care, mental health services, and others like Hep C outreach teams.
  • Attending clinical team meetings
  • Continuing professional development
  • Involvement in health promotion and education of hostel staff
  • To keep accurate appropriate and up-to-date documentation


Person Specification

Education/Qualifications

Essential

  • Full GMC registration
  • Registered with Royal College of Psychiatrists CPD programme


Desirable

  • Section 12 approval (or eligibility) of Mental Health Act


Experience

Essential

  • Requiring at least 4 years of postgraduate medical experience, at least 2 of which must be in the speciality of the post, at CT, ST, specialty doctor level or equivalent
  • Working in multidisciplinary teams and working with clients and staff from a range cultural backgrounds
  • Undertaking clinical audit and clinical governance


Desirable

  • Working in multidisciplinary teams and working with clients and staff from a range cultural backgrounds
  • Undertaking clinical audit and clinical governance


Skills

Essential

  • Clinical leadership skills
  • Assessment of complex cases involving multiple drug dependence, dual diagnosis and co-morbidity
  • Excellent communications skills
  • Teaching skills for students
  • To develop a safe and effective clinical management plan for complex cases involving multiple drug dependence, dual diagnosis and co-morbidity


Desirable

  • Teaching skills for students


Knowledge

Essential

  • Knowledge of relevant evidence-base and national guidelines and guidance on treatment of substance misuse, including NICE, Department of Health and NTA.


Abilities

Essential

  • To travel between sites
  • To demonstrate sensitivity to needs of patients and carers.
  • To demonstrate sensitivity and cultural awareness to clients and staff from different cultural backgrounds
  • Ability to motivate and support staff in a multi-professional team
  • To act as a reference point to staff
  • Ability to organise workload and manage time and delegate responsibility where appropriate


Employer details

Employer name

Barnet, Enfield & Haringey Mental Health NHS Trust

Address

The Grove

9 Bruce Grove

Haringey

N17 6RA

Any attachments will be accessible after you click to apply.

306-SS-049-B

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