This fixed term post (12 months) offered is that of Consultant Psychiatrist in General Adult Psychiatry (Liaison). This post is primarily based within the Whittington Liaison Service but it is also expected that you will work flexibly and cover the Health Based Place of Safety (HBPOS) at times and also cross cover with the Consultant at the Mental Health Crisis Assessment Service (MHCAS).
The role of the Consultant is to be the clinical lead of the team and to ensure high, quality, patient-centred, effective, safe and efficient care is delivered by the teams.
Main duties of the job WHITTINGTON HOSPITAL LIAISON SERVICE
The Liaison Psychiatry Service is a fully integrated service, providing assessment, diagnosis and therapeutic service for patients aged 18 years and above who develop psychiatric morbidity while being treated in the Whittington hospital. The Mental Health Liaison Team accepts referrals for all service users over the age of 18 where there are mental health concerns. Mental Health Crisis Assessment Service (MHCAS)
This new and evolving service falls within the Hospital division. It was set up initially as a response to the Covid-19 Coronavirus crisis in early 2020. It helped divert psychiatric patients from A&E and the acute hospitals during a period of intense service pressures and infection risk. Its development was also in part driven by longer term considerations of how to more efficiently manage mental health crises (presenting to A&E) and reduce A&E waiting times as well as improving bed management and gate-keeping of admissions. Patients are now triaged and transferred to MHCAS from the A&E departments. The service also accepts direct conveyance by LAS, police and walk-in referrals and is open on a 24/7 basis, accepting new referrals at all hours.
The service caters for adult patients of all ages, including over-65s. (Specialist liaison advice on elderly patients will also be provided by the Old Age Liaison Psychiatrists based in the hospital-based services when required.)
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
- You will work with other Liaison Consultant colleagues to provide clinical leadership.
- You will attend handover meetings where the tasks of the day will be decided and work allocated.
- You will prioritise any tasks and assessments of older age adults.
- You will contribute to the assessments of ward-based and A&E referrals of working age/general adults when required.
- You will cross cover with other medical colleagues.
- You will have particular responsibility for the assessment and management of older adults and assist colleagues in developing their knowledge and abilities in this area.
- You will maintain excellent clinical records.
- You will provide informal supervision and support to junior medical colleagues.
- You will ensure an appropriate programme of activity for any medical students attached to your team.
- You will liaise with clinical teams in the Trust and neighbouring boroughs to ensure the provision of ongoing care of patients as required.
- You will work with community recovery, other general adult community mental health teams and care of the elderly community team colleagues and social services colleagues to ensure that blockages to discharge are identified early and that patients do not remain in hospital for longer than is clinically required.
- You will be Section 12(2) approved and will assess patients under the Mental Health Act, as required.
- You will inform the clinical lead for the Hospital Division of any concerns you have re clinical care available to patients, and contribute to audit and quality improvement projects within the Trust.
- You will attend the Trust wide Clinical Advisory Group and the Medical Advisory Committee, along with other senior clinicians and managers.
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
- 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
- Other relevant post-graduate qualification
- Trained as an Educational Supervisor for doctors in training
- Training as a Consultant mentor
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
- Experience in work place based assessments of doctors in training
- Experience of community psychiatry and interest /experience of working in primary care setting
- Experience in teaching small and large groups
- Experience in developing policies and protocols.
- Experience of service development.
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
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