Specialty Doctor in Adult Eating Disorders, In-Patient ward

Oxford Health NHS Foundation Trust
£50,373 to £78,759 a year per annum
Closing date
31 Jan 2023

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Eating Disorders
Specialty doctor
Contract Type
Full Time
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Oxford Health has two inpatient eating disorders units for adults, in Oxford 14 beds and 6-day places and Marlborough, Wiltshire 12 beds and 4-day places (day places have been paused in both units due to covid but plans in place to resume). Both units can cater for the needs of male and female patients, informal patients and those detained under the Mental Health Act, and when necessary, they are able to provide nasogastric feeding. The inpatient units have established links with the gastroenterology departments of their local general hospitals.

Cotswold House in Oxford opened its first inpatient beds in 2002 and has gradually expanded to its current position of 14 beds and 6-day places plus a community service.

Cotswold House Oxford has a multi-disciplinary staffing establishment including Psychiatrists, Psychologists, Specialist Nurses, Occupational Therapist, Dietician, and additional therapy provided by a Family Therapist and CBT Therapists.

The unit is part of the Healthy Outcomes for People with Eating Disorders (HOPE SPA) provider collaborative, led by the Trust, and takes referrals from local services as well as out of area referrals.

The post is based at the Warneford Hospital Oxford OX3 7JX. The team is supported by admin teams based in Oxford with a named administration link and have a shared office, full IT facilities.

Main duties of the job

Cotswold House Oxford has a multi-disciplinary staffing establishment including Psychiatrists, Psychologists, Specialist Nurses, Occupational Therapist, Dietician, and additional therapy provided by a Family Therapist and CBT Therapists.

The Directorate works closely with the college tutors and deanery to ensure that trainees educational needs are met, service needs are met and that there is equitable distribution of trainees. Senior trainees select post that they would like to work in on rotation and consultants are encouraged to train as trainers for senior trainees and provide one-year placements.

The Trust expects all Specialty Doctors to engage in Continuing Professional Development (CPD), and be in good standing with the Royal College of Psychiatrists for CPD. Time for CPD and other supporting professional activities to be negotiated annually at job plan interview. CPD minimum time allocated is 1.5 SPA. There is additional funding made available from the Deanery for Specialty Doctors. The Director of Medical Education is Dr Alastair Reid. Study for relevant qualifications is encouraged. The post holder will be expected to participate in regular peer supervision, annual appraisal, and revalidation. Peer groups are usually formed by specialty doctors themselves with the support of the SAS Tutor where appropriate. Currently doctors have an appraiser appointed by the trust who can submit evidence for revalidation consistent with national guidelines.

About us

Depending on the post-holder's interest and experience, participation in research related to clinical service delivery will be supported.

The Specialty Doctor will have access to study leave (up to 30 days over 3 years) and expenses (currently £1,800 over 3 years) as available to career grade doctors with the Trust.

The appointment will be covered by the Oxford Health Trust terms and conditions. The Trust has adopted the National Terms and Conditions for Medical and Dental Staff (England and Wales).

The post holder will have access to the Occupational Health (OH) Department, based at Littlemore Mental Health Centre, Oxford:

Phone: 01865 90 2504

Email: occupational.health@oxfordhealth.nhs.uk

The post holder will form part of a peer group who meet regularly. There is also a Balint group facilitated by medical psychotherapist for consultants and SAS doctors.

Job description Job responsibilities

Under the supervision and direction of the consultant, the post holder will be responsible for:

Day-to-day management of the inpatients on the wards. This will include contribution toward rounds (including typing contemporaneous clinical notes into the electronic patient records), CPA review and discharge planning meetings, and Mental Health Act managers or Tribunal hearings. This will be under the clinical supervision of the dedicated inpatient consultants from the team.

Participating in assessments of the adults referred to the inpatient and day patient service, with particular focus on psychiatric and physical assessment. This is shared with core and foundation trainees when placed with the unit and is supervised by Dr Ibrahim.

Ensuring the provision of high quality day-to-day psychiatric and medical care of adults on the day programme and inpatient unit.

Liaison with the Community Mental Health team to ensure co-ordinated clinical care of patients.

Providing timely written correspondence to relevant professionals documenting assessments, ongoing management, progress, discharge summaries and MHA reports using Trust IT and clinical records system training will be provided where needed.

Work collaboratively with other agencies liaison with staff from other teams to manage smooth and timely transfer into and out of the unit.

Active commitment to delivering the Trusts clinical governance agenda. Wards will lead their own governance agenda including audit, quality, patient experience, learning from incidents, patient safety initiatives and interrogation of data. The senior leadership team comprising of matron, consultant and ward manager will link with division both identifying areas of concern and feeding back actions.

Contribution to developing and delivering improved clinical services.

The post holders will be expected to contribute to the collection of data as required by the Trust and other relevant agencies. This includes the timely recording of clinical activity data, and participation in clinical audit with appropriate administrative support.

Out of hours duties are not currently expected of the post holders but may be required or available on an elective basis in the future. There are no plans to instate this currently.

The post holders will normally cross-cover with the trainees for Ashurst for annual leave, study leave and brief periods of sickness absence. Occasional cover may be required for Phoenix, Vaughan Thomas, Allen and Wintle wards.

The appointee will attend all relevant Trust and local inductions, and mandatory trainings.

Providing timely written correspondence to relevant professionals, documenting initial assessments, ongoing management, progress, and eventual discharge.

Preparation of Part 1 assessment summaries shortly after admission, and interim and Part 2 discharge summaries promptly after the patients discharge from the inpatient unit (to be sent together within 10 days of discharge) Preparation of Interim Discharge summaries to be sent to the patients GP within 24 hours of discharge.

Person Specification Qualifications Essential
  • General medical qualification
  • Some or all parts of MRCPsych or equivalent
Training Essential
  • Shall have completed at least four years' full-time Postgraduate training (or its equivalent gained on a part-time or flexible basis) at least two of which will be in a specialty training programme in a relevant specialty or as a fixed term specialty trainee in a relevant specialty or shall have equivalent experience and competencies.
  • Attendance at MRCPsych course or equivalent
  • Section 12 (2) approval: Mental Health Act, 1983
Clinical Experience Essential
  • Held hospital appointments in psychiatry at SHO/CT or equivalent.
  • Experience at ST or SD level or equivalent
Ability Essential
  • To exercise an intermediate level of clinical responsibility as delegated by the consultant in charge.
Skills and Knowledge Essential
  • To exercise an intermediate level of clinical responsibility as delegated by the consultant in charge.
  • Ability to work through a collaborative multi-disciplinary framework.
  • Ability to contribute to effective team working. Capacity to prioritise workload.
  • Must have good skills in communication with patients, relatives, colleagues and staff of other organisations. Good spoken and written English.
  • Work collaboratively and effectively with a range of professionals.
  • Must have interest in and commitment to people with mental health problems, and their Carers.
  • Interest in teaching
  • Teaching medical undergraduates.
Other Requirements Essential
  • Full GMC Registration
  • Mobility as required for the post. The post is across 2 sites.
  • Meet specifications set out in GMC Guidance: Duties of doctor
  • Good IT skills including typing
  • Driving licence and own transport

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