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Consultant Psychiatrist in MHSOP Crisis Service

Employer
Tees Esk & Wear Valleys NHS Foundation Trust
Location
Durham
Salary
£88,364 to £119,133 a year
Closing date
8 Feb 2023

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Profession
Psychiatrist
Service
Old Age
Grade
Consultant
Contract Type
Permanent
Hours
Part Time
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The post holder will work with the Crisis team to provide specialist clinical input in Older Peoples mental health. This will include seeing patients in County Durham and Darlington area, providing specialist input to the team, and providing teaching and training for colleagues. However, it is also anticipated that the majority of the consultants work will be supervisory in respect to providing clinical advice to colleagues. Where possible, the option for remote assessments using video technology is also possible, and this can limit the need for extensive travel across the geographical area. Moreover, where face-to face work is required, consideration will be given to coordinating successive appointments with geographical proximity wherever possible, though the very nature of Crisis work may sometimes mean that this is not possible.

Main duties of the job

In particular the post holder will provide follow up appointments for patients that have previously been assessed by a Crisis Nurse when deemed appropriate, work with the team to provide assessment, treatment and discharge planning from service for people with a co-morbid mental health problem. It is anticipated the post holder will provide specialised advice on capacity and risk issues and the Mental Health Act, including undertaking Mental Health Act Assessments and holding Approved Clinician responsibilities where appropriate.

The post holder will be required to work closely with the local community and inpatient services in order that people leaving hospital are provided with the most appropriate follow-up and support. The post holder will be expected to be involved in mental health act assessments within the community for patients open to this team.

About us

We are one of the largest specialist mental health and learning disabilities trusts in the country, with an annual income of £320m and a workforce of some 6,700 staff operating from around 100 sites in Durham, Teesside, North Yorkshire and York and Selby. We provide a range inpatient and community services to 2m people living in County Durham, the Tees Valley, Scarborough, Whitby, Ryedale, Harrogate, Hambleton and Richmondshire. We also provide additional specialist services to other parts of Northern England.

We deliver our services by working in partnership with eight local authorities and clinical commissioning groups, a wide range of voluntary organisations, as well as service users, their carers and the public. The services are spread over a wide geographical area of around 3,600 square miles, which includes coastal, rural and industrial areas.

We are a multi-award winning trust and are included within the Health Service Journals Best 100 Places to Work. The trust take a positive and proactive approach to support staff in their personal development and has embedded the Talent Management approach within the Trust, with the vision of helping people to be as good as they can be, helping TEWV to do things better.

Job description Job responsibilities

The post holder will work with the Crisis team to provide specialist clinical input in Older Peoples mental health. This will include seeing patients in County Durham and Darlington area, providing specialist input to the team, and providing teaching and training for colleagues. However, it is also anticipated that the majority of the consultants work will be supervisory in respect to providing clinical advice to colleagues. Where possible, the option for remote assessments using video technology is also possible, and this can limit the need for extensive travel across the geographical area. Moreover, where face-to face work is required, consideration will be given to coordinating successive appointments with geographical proximity wherever possible, though the very nature of Crisis work may sometimes mean that this is not possible.

In particular the post holder will provide follow up appointments for patients that have previously been assessed by a Crisis Nurse when deemed appropriate, work with the team to provide assessment, treatment and discharge planning from service for people with a co-morbid mental health problem. It is anticipated the post holder will provide specialised advice on capacity and risk issues and the Mental Health Act, including undertaking Mental Health Act Assessments and holding Approved Clinician responsibilities where appropriate.

The post holder will be required to work closely with the local community and inpatient services in order that people leaving hospital are provided with the most appropriate follow-up and support. The post holder will be expected to be involved in mental health act assessments within the community for patients open to this team.

The Trust is eager to support the development of a special interest and this is negotiable either at the time of employment or at the Annual Job Plan Review meeting which takes place with the Clinical Director and the Head of Service.

The post holder will work with the Liaison Operational Service Manager and other clinical leads to plan and develop the services in line with the Trust Integrated Business Plan.

The postholder will work with the team management to deliver a service of high fidelity and partake in the Aqueduct national research for Older persons Crisis teams.

Current Crisis caseloads rarely exceed 10 patients per clinician, and the postholder is not expected to carry a significant caseload, but in line with New Ways of Working, will provide specialist input to those patients referred to the Crisis service. Current Formatted: Font color: Red

predicted referral rates will average 90 - 100 per month. The Team has a set of Standard Work processes that describe the roles and responsibilities of team members in relation to receiving, managing and closing referrals.

Most initial assessments are undertaken by a Crisis nurse in the first instance. The consultant is then asked to provide input into the patients assessment and care if necessary, through direct contact or by providing advice and supervision. It is anticipated that the consultant is likely to complete an estimated average of 5 6 direct contacts/week (inclusive of Mental Health Act Assessments) with the remainder being accomplished through advice and supervision of staff. Direct contacts could be run through clinics or through home visits depending on patient need. There is no additional payment for home visits, but mileage and expenses will be reimbursed as per Trust policy

The appointee is expected to contribute to the education and training of colleagues. Opportunities for formal involvement in the undergraduate and postgraduate teaching programmes are available through discussion with the Medical Development Department. There are a number of formal faculty roles which consultants can apply for including (but not limited to) educational supervisor for core psychiatric registrars; undergraduate tutor for clinical medical students; personal and professional development tutor for pre-clinical medical students. In particular, consultants are encouraged to develop elective placements in psychiatry for 4th year medical students (known as student selected components or SSCs). Participation in audit is expected in line with annual appraisal requirements.

Staff within the Crisis team may undertake training as Non-Medical Prescribers and it would be hoped that the post-holder will be willing to take on Designated Medical Practitioner status for some of these staff and help contribute to their ongoing supervision.

The appointee will be expected to undertake the ordinary administration duties of a Consultant post including participation in professional audit, business planning and related activities. A contribution to the leadership, management and strategic direction of the team is seen as essential. Consultants take a major role in the planning and management of services. There are opportunities for professional development in medical management.

All Consultants are automatically members of the Trust wide Senior Medical Staff Committee and each clinical speciality is represented on the Trusts Governance and Assurance Committee.

All consultants will

Maintain good clinical records using Trusts electronic record system

Undertake administrative duties associated with the care of patients

Record clinical activity accurately and comprehensively

Maintain a revalidation portfolio and participate in annual appraisal

Undertake a job plan review with the Clinical Director and Head of Service annually

Maintain professional registration with the GMC and approval as an Approved Clinician and Section 12(2) approved doctor

Comply with Trusts agreed policies and procedures

Leadership duties of post holder

It is expected that the post holder will undertake training in the TEWV Quality Improvement System and will utilise the knowledge and skills in their own work and promote them with other members of staff in the team and the acute Trust.

It is also expected that the post holder will provide leadership to the multi-disciplinary team alongside the team manager and contribute to service development and clinical governance and responsibility for setting and maintaining standards with a commitment to Quality Improvement. The post holder will also work alongside other team leaders in promoting high standards of clinical governance within the team, including learning from mistakes, complaints and serious incidents. In the event that the post holder themselves is affected by a complaint or serious incident, then additional support can be provided by a named colleague arranged by the medical directorate.

Other duties

From time to time it may be necessary for the post holder to carry out other such duties as may be assigned, with agreement, by the Trust. It is expected that the post holder will not unreasonably withhold agreement to any reasonable proposed changes that the Trust might make.

External duties, roles and responsibilities

The Trust actively supports the involvement of the consultant body in regional and national groups subject to discussion and approval with the Clinical Director, and as necessary, the Medical Director and Chief Executive.

On-call arrangements

The post holder is expected routinely to be part of the North Durham Consultant on-call rota currently a 1:16.6 which covers General Adult and Old Age Psychiatry only. On-call is classed as Category A with a 3% on-call supplement payable. The rota covers MHSOP, AMH and Liaison services from 5pm weekdays and 9am on weekends and Bank Holidays. There is good support from the crisis team and most patients are assessed in the 136 suite at Lanchester Road Hospital in Durham. The rota is usually a second on-call rota with a FY2, CT1-3 or GPVTS trainee as first-on call. Sometime, there is a Higher Trainee (ST4 6) on-call, in which case, the consultant will be third on-call. Not all on call days have a ST4-6 doctor because of training numbers and gaps. There is good support from the on call managers and the Emergency Duty Team. There are currently ongoing plans to develop a full three-tier rota in this locality by 2022. When this comes to fruition, the consultant will be third on-call on a regular basis.

Cover arrangements

All new consultants are entitled to 32 days of annual leave pro rata per year (and 34 days for consultants with 7 or more years of consultant service) and all are exclusive of public holidays. Consultants are entitled to 30 days of study leave in a 3 year rolling period as per the national terms and conditions for consultants contract. It is expected that prospective cross cover for any leave will be provided by the two consultants working within the liaison service.

Formal reciprocal cross cover arrangements will be with the other community consultants within the locality.

Person Specification Clinical Knowledge & Skills Essential
  • Excellent knowledge in specialty
  • Excellent clinical skills using bio-psycho-social perspective and wide medical knowledge
  • Excellent oral and written communication skills in English
  • Able to manage clinical complexity and uncertainty
  • Makes decisions based on evidence and experience including the contribution of others
  • Able to meet duties under MHA and MCA
Desirable
  • Wide range of specialist and sub-specialist experience relevant to post within NHS or comparable service
Academic Skills and Lifelong Learning Essential
  • Able to deliver undergraduate or postgraduate teaching and training
  • Participated in continuous professional development
  • Participated in research or service evaluation.
  • Able to use and appraise clinical evidence.
  • Has actively participated in clinical audit.
Desirable
  • Able to plan and deliver undergraduate and postgraduate teaching and training relevant to this post
  • Reflected on purpose of CPD undertaken
  • Experienced in clinical research and / or service evaluation.

  • Any attachments will be accessible after you click to apply.

    346-C9346-MHSOP-167M
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