CNWL is seeking an enthusiastic Specialist Grade Psychiatrist to work across our two Milton Keynes services: HMP Woodhill & ARC-MK.
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.
Main duties of the job
The post holder will provide clinical interventions and support high quality clinical care within 2 services within the Addictions Directorate: HMP Woodhill and ARC-MK.
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.
You will have a strong commitment to partnership working, building networks and be able to work sensitively within a culturally diverse environment.
HMP Woodhill is a Category B male prison. CNWL provide primary care, mental health and addiction services and is an integral part of the wider prison team, contributing to the rehabilitative culture within the establishment. The addictions service provides both clinical and psychosocial interventions to any individual requiring addiction treatment during their time at HMP Woodhill.
ARC-MK is a large integrated addiction treatment service delivered in partnership with We Are With You (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.
The services sit within CNWL's Addictions Directorate. This is a large, well-established multi-disciplinary NHS provider, offering a wide range of high quality drug and alcohol treatment interventions. Our vision is to provide service users with exceptional opportunities for recovery by providing outstanding evidence based treatments. We have extensive experience of delivering safe and effective integrated drug and alcohol services across London and Milton Keynes. In addition, our Club Drug Clinic and National Problem Gambling / Gaming Service are recognised for their clinical excellence.
Job description Job responsibilities
This is a 10 PA post, with 9 PAs allocated for direct clinical care (4 PAs are allocated to ARC-MK, with 5 PAs allocated to HMP Woodhill) and 1 PA for supporting professional activities (SPA).
To work as a member of the multi-disciplinary team and participate in patient assessment and the delivery and evaluation of treatment. Responsibilities include assessment of new patients, review of existing patients and planning treatment with keyworkers.
To be responsible for day-to-day medical assessment and decision-making. This includes providing clinical advice especially for complex cases to team members on a 1:1 basis and within MDT meetings.
To liaise closely with patients keyworkers, who will be primarily responsible for co-ordinating their care.
The post holder will not be expected to have a case load, although the post holder will primarily review existing patients collaboratively with their allocated keyworker. Follow-up reviews may be facilitated should the patients presentation change or require a care plan review.
To provide clinical advice to team members on a 1:1 basis and within MDT meetings.
To manage patients undergoing detoxification (either community or inpatient) for drug and/or alcohol dependence.
To initiate, stabilise and maintain patients on opiate substitute treatment (OST).
To undertake mental health reviews on patients.
To provide health care appropriate to the patients physical needs and make appropriate referrals to medical colleagues.
To work closely with nominated safeguarding lead (ARC-MK) to provide clinical oversight / management advice regarding cases where safeguarding concerns have been noted.
To provide support to designated and prospective Non-Medical Prescribers and work with the Addictions Lead Nurse to develop these roles and relevant governance arrangements.
To participate in providing training to team members as well as students (medical, nursing and social work) attending the service.
To liaise closely and communicate effectively with colleagues in statutory and non-statutory services concerning the treatment and management of our patients. This includes colleagues in settings such as primary care, the Acute Trust, mental health services, Adult Social Care and the Probation Service.
To regularly sign prescriptions, usually generated in batches and for controlled drug medications, adhering to CNWLs Medicines Policy.
To ensure that patients are assigned ICD-10 diagnostic coding and that these are properly recorded on the electronic patient record (SystmOne).
To contribute to the completion of serious incident reports as required.
To contribute to the completion of coroners reports as required.
To support the service in achieving key performance indicators in accordance with Public Health Englands National Drug Treatment Monitoring Service (NDTMS).
To maintain comprehensive contemporaneous documentation on the Trusts electronic patient record (SystmOne).
To actively participate in local and strategic care quality performance management (CQPM) meetings, held monthly.
To work within locally and nationally agreed protocols and be actively involved 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 participate in regular training events within the service, within the Trust and outside the Trust.
The post holder may be required to deputise for absent colleagues when required or undertake additional duties in the event of occasional emergencies and unforeseen circumstances.
The post holder may be required to work at other sites within the Trust in order to meet the needs of the Trusts services. Any significant changes to the job role will be subject to consultation.
Person Specification QUALIFICATIONS Essential
- MBBS or equivalent primary medical qualification.
- Full GMC registration and current licence to practice
- In good standing with GMC with no warnings or conditions on practice
- MRCPsych or equivalent qualification
- Qualification or other higher degree
CLINICAL SKILLS, KNOWLEDGE & EXPERIENCE Essential
- Excellent knowledge and significant experience of both Addiction Psychiatry and General Psychiatry
- Commitment to working with this patient group and to consulting and involving service users in all aspects of their treatment
- 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
- Well-developed leadership and multidisciplinary working skills
- Experience of using quality improvement methodology for service development
- Ability to be flexible and work as part of a changing, dynamic organisation
- Range of specialist and sub-specialist experience relevant to post within NHS or comparable service
ACADEMIC SKILLS & 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 / audit
- Commitment to research, quality improvement and continuing professional development (CPD)
- Sickness (or attendance) record that is acceptable to the Trust
- Experience of planning and delivering undergraduate and postgraduate teaching and training
- 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
- Supervisory and management experience
- Holds and will use valid UK driving licence OR provides evidence of proposed alternative
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