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Consultant Child and Adolescent Psychiatrist (Community CAMHS)

Central & North West London NHS Foundation Trust
South Harrow
£84,559 to £114,003 a year plus London weighting of £2162 per annum pro rata
Closing date
3 Oct 2022

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Child & Adolescent / CAMHS
Contract Type
Full Time
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We are currently looking for a full time (10 PA) consultant child and adolescent psychiatrist to work in our neurodevelopmental team (8APs) and LD team (2PAs) within Harrow CAMHS (CNWL). This is an exciting opportunity for an energetic, innovative and dedicated child and adolescent psychiatrist with creative ideas for service development, keen to work with dynamic and passionate consultant colleagues and MDT clinicians and to collaborate with paediatricians, schools, 3rd sector organisations, childrens services and allied health professionals.

Job Description pending approval from Royal College

Main duties of the job

The postholder will be expected to provide psychiatric leadership to the NDT and supervise the Band 7 nurses within the team (one of whom is a nurse prescriber), whose work includes ADHD medication monitoring clinics. The postholder will support the MDT in the neurodevelopmental assessment of new referrals to the service as well as offering consultation to colleagues and direct assessment where indicated. The postholder will run one OP clinic/week for medication management and review of complex cases. With additional MDT resources, the postholder will lead on development of the team to assess and manage young people with complex presentations which include likely neurodevelopmental comorbidity and often high risk. The team has developed innovative models for the assessment and management of neurodevelopmental disorders including an information sharing psychoeducation group for parents of children with ADHD, an initiating medication group and close collaborative work with the 3rd sector for supporting young people and families where a child has ASD or ADHD. The postholder will be required to support, maintain and develop these initiatives. Within the LD team, the postholder will provide psychiatric assessments and reviews and oversee pharmacological treatment. They will also offer psychiatric consultation and/or review for other MDT clinicians and support the team in risk assessment and management.

About us

Harrow CAMHS has a Lead Psychiatrist, Therapies lead and team manager who work closely with the outer boroughs service manager. Each sub-team has a psychiatry and therapy lead and they, together with the team and service manager form the local senior management team which meets monthly. The postholder will be part of the SMT. The Harrow CAMHS team is well established and staffed by a large multi-disciplinary team of clinicians. We aim to provide an accessible, flexible and responsive local service for patients and professionals working with children in the area using a range of therapeutic interventions including behaviour, systemic, CBT, IPT-A, DBT, psycho-dynamic and group therapies as well as psychopharmacological approaches. Harrow CAMHS is a Tier 3 service, accepting referrals from GPs, paediatrics, schools and Children's Services. The service has active service user groups for young people and parents. The team has a monthly CPD session and local care quality meeting, a doctors meeting twice a month which includes peer group case discussions, a weekly local consultants meeting and a monthly senior management meeting which the postholder will be part of and benefits of working at your organisation.

Job description Job responsibilities

  • To assess and manage children presenting with neurodevelopmental disorders +/- psychiatric comorbidity
  • To provide leadership and senior psychiatric input to the neurodevelopmental team
  • To participate in the development of specialist clinical services for children and adolescents with neurodevelopmental difficulties plus associated psychiatric comorbidity and often high risk across Harrow CAMHS
  • To take Consultant responsibility for assessment and treatment, development of care plans and the management of pharmacological treatments
  • To prioritize cases requiring urgent psychiatric input
  • To work collaboratively with clinical colleagues
  • To be available to clinicians within CAMHS to discuss and support the management of cases
  • To be available for consultation to partners in Education, Social care and Paediatrics.
  • To be involved with the transition of cases to Adult Services.
  • To offer expert advice on risk assessment and management, including direct assessment where indicated
  • Liaison with NHS England, Commissioners and Tier 4 services when referral to Tier 4 is indicated.
  • Liaison with Tier 4 services and contribution to CRAFT and CPA meetings.
  • To work collaboratively with other CAMHS services, schools, paediatricians, Childrens Services and 3rd sector organisations
  • To provide clinical supervision to the two clinical nurse specialists in the team and the specialty doctor

  • To provide psychiatric assessments and reviews and oversee pharmacological treatment within the LD team.
  • To join the LD referrals meeting and to participate in the assessment of cases where a psychiatric assessment is required due to the complexity of mental health presentation or risk or where there is a request to consider medication as part of a management plan or in order to provide ongoing medication monitoring.
  • Support case managers in assessing and managing risk.
  • Liaison with paediatric colleagues when further physical assessment is required or to devise joint treatment plans where appropriate.
  • Participation in the ongoing development of New Models of Service to improve delivery and outcome, considering the views of commissioners and evidence of best practice e.g. Care, Education and Treatment Reviews (CETRs), Dynamic Support Register (DSR).
  • Assessment and treatment of psychiatric disorders will be in accordance with NICE guidelines and the research evidence base for treatment of psychiatric disorders in young people with intellectual disability. While the majority of referrals for challenging behaviour within the LD team do not require medication, there will be a number of cases where there is aggressive or self-injurious behaviour requiring short term use of medication as part of a wider Positive Behaviour Support strategy.

Person Specification Education and Qualifications Essential
  • Primary Medical Degree
  • Full GMC Registration
  • Section 12 MHA Approved
  • Approved Clinician status or willing to apply for approval.
  • GMC Licence to Practice
  • MRCPsych (or equivalent)
  • An additional post graduate qualification of relevance to working with children and Adolescents
  • Inclusion on the Specialist Register for Child and Adolescent Psychiatry (or CCT expected within 6 months of interview date)
Experience, Skills and Abilities Essential
  • Competence in psycho- pharmacology and also non- medication therapeutic approaches.
  • Experience and training in the assessment and management of neurodevelopmental disorders including cases with psychiatric comorbidity, complex presentations and associated high risk
  • Knowledge of Clinical Governance/Care Quality
  • Able to participate in Medical Audit and Quality Improvement
  • Experience of teaching and supervision of junior staff and other disciplines
  • Experience working with young people who have moderate/severe LD
  • Management Training
  • Experience of Research
  • Publication in peer-reviewed journal
  • Experience in Paediatrics
  • ADI-R training
  • ADOS training
Personal Skills & Qualities Essential
  • Excellent communication and empathic skills with a range of different people
  • Demonstrable leadership skills
  • Experience of team working
  • Sound organisational skills
  • Ability to work on own initiative
  • Ability to cope with considerable pressure and adapt to new demands
  • Ability to balance competing demands and prioritise
  • Cultural Sensitivity and ability to work in multi ethnic environment
Other Essential
  • Reasonable adjustments as needed to support the postholder in their work, guided by occupational health.
  • Computer Literate
  • Full UK car driving licence

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