LOCUM CONSULTANT PSYCHIATRIST 10PA - General Adult Psychiatry
Specialty: Adult Mental Health (Community services)Division: Islington Borough
The post is for a one year fixed term, full time locum consultant psychiatrist and is available from June 22. The post-holder will be part of a small team providing primary care mental health support to GP practices in Kingston.
The team currently consists of a Consultant Psychiatrist, Locum specialty doctor, a B7 mental health nurse and admin support.
Main duties of the job
The aim of the service is to increase the number of people whose mental health support is appropriately managed within primary care.
19 GPs in Kingston have completed Diploma in Mental Health Care. The service provides support to GPs in managing patients with mental health problems which are too complex for local IAPT services but not meeting thresholds for secondary care. These patients cover a broad range of diagnostic groups.
Patients under secondary care mental health services are excluded from this service. The model is that of consultation, liaison, advice and assessment. The service does not offer traditional case management or carry a caseload. This is in order to maintain capacity of the service to respond quickly to GP referrals.
The post-holder will work as part of team with the aim of increasing the skill and confidence of GPs and other primary care staff to manage patients with mental health conditions in primary care. This will be achieved through a combination of consultation, liaison and advice to GPs, mental health assessments and reviews of clients and by developing collaborative approaches to case management through co-working and training.
C&I has worked closely with current service users and Trust staff to create a set of shared values that make sure people who use the Trust's services get the best possible chance of a rapid recovery. These values are embedded in the campaign: Changing Lives - will help drive up the standards of care across the Trust. For people who use the C&I's services, these values meant that they can be assured that through their journey to recovery they will be guaranteed:o To receive a warm welcome through their journey to recoveryo That their dignity will always be respectedo That their care will be founded on compassion and kindnesso To receive a positive approach to care as they journey towards recoveryo High Quality Care from a highly trained team of professionalso That each individual will be part of the wider team in the journey to recovery -i.e. 'no decision about you, without you'.C&I staff are required to reflect these values throughout their service at the Trust both:o for people who use the services of the Trust, ANDo within their immediate teams and across the wider business of C&I.As an applicant for this role, you are urged to demonstrate within your supporting statement a combination of evidence that reflects your competence to meet the job specification and provide examples of how C&I values are an integral part of the way you have and will continue to deliver service.
Job description Job responsibilities Clinical and Management Duties
- Work alongside MDT colleagues in order to assist GPs with diagnosis, medication reviews, management plans, risk assessments, crisis plans and self-help plans for patients with complex common mental health problems and stable severe mental health presentations who are being managed in primary care
- Work with Primary Care teams to develop a collaborative care model for patients with physical and emotional difficulties, specifically for people with Medically Unexplained Symptoms (MUS) and Long Term Conditions (LTC)
- Provide clinical assessments of patients as necessary.
- Provide advice and support to primary care teams for patients who have been stepped down to primary care from secondary care community mental health services
- Support GPs and practice staff in their management and treatment of patients through case discussions, joint consultations and bespoke training.
- Play a key role in implementing improved linkage between primary and secondary care services
- Work with the locality network to develop a triage system for potential referrals to secondary care
- Maintain effective communication with GP, primary care staff, patients and their carers;
- To provide clinical input, where necessary, to multi-disciplinary case conferencing around difficult patients being managed solely in primary care.
- To engage with local service user participation models.
- To work with local partners and commissioners in the development of a seamless referral pathway for GP referrals in Kingston
- To provide clinical and professional accountability and to participate in management activities and governance processes related to the post or the wider service in which it is embedded.
- To play an integral role in the performance of the team, the further development of the service, and the development of clinical pathways and priorities of the service line
- To work within the MDT promoting respect for all professional groups and focusing upon coherent and integrated teamwork.
- Other management/clinical supporting activity (to be negotiated as required by the Trust.)
- The post holder ideally will be Section 12(2) approved and have approved clinician status
Person Specification Education/Qualifications/Registration Essential
- Full registration with the General Medical Council (GMC) and a license to practice. Must be on the specialist register or within 6 months of gaining a Certificate of Completion of Training
- Membership of Royal College of Psychiatrists or equivalent higher qualification in psychiatry
- Section 12(2) and Approved Clinician status (or eligibility) - qualifies to act as a Responsible Clinician
- Registered with Royal College of Psychiatrists CPD programme and in good standing
- Other relevant post-graduate qualification
- Training up to date to be an approved trainer/clinical supervisor in line with GMC recognition and approval of trainers which is overseen by the LETB
- Trained as an Educational Supervisor for doctors in training
- Training as a Consultant mentor
Skills & Abilities Essential
- Teaching and supervision skills for undergraduate medical students, doctors in training and multi-professional staff
- Experience in undertaking clinical audit, investigating serious incidents and handling complaints
- Experience in successfully delivering research projects
Knowledge & Experience Essential
- Knowledge and observance of the requirements and duties of a doctor laid down by the GMC in Good Medical Practice.
- Clinical knowledge of the full range mental disorders.
- Experience in the assessment of complex clinical cases involving severe and enduring mental illness and significant risk histories and the ability to assertively engage and manage such cases.
- Expertise in a comprehensive range of evidence based treatment and case management options including pharmacotherapy.
- Knowledge of the Mental Health Act, Mental Capacity Act and safeguarding practices
- Knowledge of the Mental Health Act, Mental Capacity Act and safeguarding practices Experience of community psychiatry and interest /experience of working in primary care setting
- Experience in work place based assessments of doctors in training
- Good understanding of Trust governance structures, especially clinical governance
- Experience in teaching small and large groups
- Experience of service development.
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