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Locum Consultant Psychiatrist (Eating Disorders)

South London & Maudsley NHS Foundation Trust
Depending on experience £88,364 - £119,133 pa pro rata
Closing date
3 Oct 2022

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Eating Disorders
Part Time
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This is an exciting opportunity for an enthusiastic and committed consultant psychiatrist to work in a new, innovative Enhanced Treatment Team that is integrated with the outpatient specialist eating disorders service and working closely with the inpatient eating disorders service. The post holder will provide flexible clinical leadership and consultant responsibility and working closely with members of the multidisciplinary team, working specifically in the outpatient unit of the Adult Eating Disorders Service in the South London and Maudsley NHS Foundation Trust (SLaM). A similar team is also under development in our partner organization, SWLSTG MH Trust, within the South London Partnership as part of the Adult Eating Disorders Provider Collaboration. The objective for this team is to provide an enhanced/intensive community-based treatment option that is focused, frequent and less restrictive as an alternative to inpatient admissions. The clinical model is multidisciplinary and builds on existing approaches including dietetics, medical, outreach and occupational input. This new team will divert some of the patients that are considered for inpatient admissions. In addition, the team will work with some of the patients to allow for earlier discharge to the community, by providing them with a more intensive package of care than currently available for discharged patients. The result of these changes will lead to using fewer occupied bed days for South London patients.

Main duties of the job

This is a new post developed to support a new outpatients treatment option to provide more intensive multi-disciplinary package of care in the community setting as an alternative to hospital admission.

The successful candidate will work with other members of the specialist eating disorders team to deliver high quality, safe, evidence-based care and to support service innovations, quality improvements and clinical research in eating disorders within SLaM, providing a strong clinical leadership within the team. There will be requirement for flexibility and cross-working in Outpatients and Day Services.

About us

South London and Maudsley NHS Foundation Trust provides a range of mental health, learning disability and substance misuse services for people living in four local Boroughs in South London, Lambeth, Southwark, Lewisham and Croydon, as well as providing a range of national specialist services.

The Trust is part of King's Health Partners Academic Health Sciences Centre (AHSC). KHP is responsible for seeing 2 million patients each year, has 25,000 employees and 19,500 students, and a £2 billion annual turnover. It brings together the best of basic and translational research, clinical excellence and world-class teaching to deliver ground breaking advances in physical and mental healthcare.

The South London and Maudsley NHS Foundation Trust is committed to innovation, effective interventions and improved service user outcomes. It has 230 community, inpatient and outpatient based services. The Trust has a broad range of staff in all disciplines with the widest range of skills and interests that provides many opportunities for new consultants to thrive and develop. It provides mental health services to the people of Lambeth, Southwark, Lewisham and Croydon, as well as substance misuse services for people in Lambeth, Bexley, Greenwich and Wandsworth, and specialist CAMHS services for Kent.

Job description Job responsibilities

Key Responsibilities:
  • To provide enthusiastic, and flexible, joint clinical leadership and consultant input for the Eating Disorders service, alongside other consultants and the team managers/clinical service leads.
  • To provide assessments and treatment in the Eating Disorders outpatients service, predominantly within the Enhanced Treatment Team.
  • To take consultant responsibility for Eating Disorders patients, assessing or supervising assessment of patients and devising or helping to devise appropriate treatment plans and medication regimes and providing prompt medical response for those patients under your direct care and advising and work closely with other members of the multidisciplinary team
  • To undertake responsibilities as an Approved Clinician under the Mental Health Act (1983) as needed in the Eating Disorders Unit.
  • To ensure excellence in the provision of medical and psychiatric assessments to all referred patients to the service including risk assessment protocols as directed by SLaM.
  • To ensure clinical activities are documented on the Trust electronic record system (ePJS) and assist in the collection of clinical outcome data.
  • To work flexibly with other teams across SLaM and other mental trusts, to ensure smooth transitions of care between the Eating Disorders outpatients, day care and the inpatient unit and other services.
  • To communicate clearly and effectively with staff of all major disciplines concerned with the provision of mental health care.
  • To appropriately signpost/refer onward those individuals who do not meet threshold for our service but present with other mental health needs
  • To develop strong working relationships with stakeholders, including local GPs, other teams at SLaM and other mental trusts, Kings Health Partners staff, and with the voluntary sector, to ensure good coordination of care.
  • To ensure excellence in the delivery of evidence-based treatments.
  • To act as a source of support, advice and information to current or prospective patients and their carers, referrers, team members and other professionals.
  • In conjunction with the Service Lead and other Team Consultants the post holder will help to represent the team at Directorate, CAG and care pathway meetings.
  • To provide reciprocal cross cover / Section 12 cover for Eating Disorders Consultant psychiatrists when they are on leave.
  • To keep up-to-date with all developments in Eating Disorders research and treatment
  • To deliver Service Line management of trainees in psychiatry (including special interest trainees) if any are working within the service and working with team leaders to do so
  • To contribute to teaching of medical students of Kings College London.
  • To contribute to the supervision, support and teaching for doctors in training in SLaM as required.
  • To contribute to clinical audit, clinical governance and if required clinical research within the team, directorates and Trust.
  • To contribute to the business planning and service development as required.
  • The post holder will carry a mobile during work hours and be contactable by members of the team.

  • Communications and Working Relationships:

    • Eating disorders consultants in outpatients, daycare and inpatients, Clinical Lead / Team leaders, other doctors, administrators, dieticians, nurses and psychologists across the different parts of the eating disorders service
    • Other SLaM staff / referrers

    • SLaM consultant colleagues in PMOA (attendance at monthly Specialist Medical Advisory Committee, MAC; Clinical and business meetings)
    • Senior clinicians from all parts of the eating disorders service
    • Directorate based management committees / senior leadership

    Ad hoc:
    • Mental health team colleagues across SLaM and other trusts they may be asking for advice on patients under their care or contact the eating disorders unit to refer their patients
    • Local GPs and other primary care staff
    • Other third sector providers, community organisations as needed
    • Local Commissioners
    • IOPPN eating disorders academic team Daily/Weekly
    • Hours of Service and Staffing

    The services hours are from 9:00am to 5:00pm, Monday to Friday. The out-patient, day-care, in-patient and step-up teams of the Eating Disorders service include psychiatrists, team leaders, clinical and counselling psychologists, psychiatric nurses, psychological therapists, dieticians, occupational therapists, and administrative staff.
    • Referrals

    Referrals are received by secure email or post via the team administrator. All referrals are screened by senior members of the team and are allocated to the most appropriate team member. The consultant may be involved in all cases in terms of case discussion but would not necessarily see every patient face to face as this is an experienced team.
    • Leadership Development

    The Eating Disorders consultant like other consultants in in the Trust has a critical role in providing clinical leadership with senior decision making to support the care of patients. The expectation is that the post holder would work closely with the team leader and be supported to develop their co-leadership role for the service through the Directorate leadership team.
  • Provisional Timetable (Negotiable / flexible)

  • Please note that this is a 5 PA post. The timetable below depicts 3.5 DCC and 1.5 SPA sessions.

    The specific days/times on this timetable are subject to change dependent on the needs of the service.

    Person Specification QUALIFICATIONS AND ELIGIBILITY Essential
    • Fully registered with the GMC with a licence to practise at the time of appointment
    • Evidence for inclusion in the Specialist Register (psychiatry) or within six months of gaining CCT.
    • Experience of working with diverse and marginalised communities
    • Experience of working with diverse and marginalised communities
    • At least 1-year experience in Eating Disorders gained during higher training and/or as a Consultant
    • Royal College of Psychiatrists qualification / endorsement in liaison psychiatry
    • Qualification or higher degree in medical education, clinical research or management

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