This post has been created following CNWL's successful bid as the contractor Integrated Healthcare at HMYOI Feltham. CNWL is responsible for providing all healthcare services within the prison, including primary care, health and well-being (primary and secondary mental health), substance misuse services, medicines optimisation and allied health professions such as physiotherapy and dietetics. The service went live on 1 April 2020. The appointment of the full time, substantive consultant psychiatrist at HMYOI Feltham is one of the last aspects of the mobilisation plan to be completed.
Main duties of the job
To share in the organisation and provision of a comprehensive offender care service to young people detained in custody and work with criminal justice services and local health, education and social care services to provide high quality care to those with mental health difficulties, learning disabilities and co-morbid substance misuse problems to promote positive health, education and social care outcomes, sustainable resettlement, multiagency involvement in after care and reduction in re-offending.
Central and North West London NHS Foundation Trust (CNWL) specialises in caring for people with a wide range of physical and mental health needs.Over the last decade, our catchment area has grown significantly, making the Trust's population more diverse than ever. The area spans the varied communities of inner and outer London and surrounding geographical areas of Milton Keynes, Buckinghamshire, Surrey and Kent. Within these areas, are pockets of great affluence as well as much deprivation. The population is diverse with over 100 first languages spoken within the communities we serve.CNWL are constantly developing and working in innovative ways to provide modern, dependable services which meet the healthcare needs of the entire population. We have been a Foundation Trust
Job description Job responsibilities
This substantive consultant post is to provide clinical leadership to the Health and Wellbeing Team at HMYOI Feltham. This team is subdivided into two, with one covering Feltham A for young people aged between 15 and 17 years and another covering Feltham B for young people aged between 18 and 21 years. The team members covering Feltham A and B work closely together and provide cross cover for each other.
This team assesses and treats young people, on ordinary location, in the healthcare wing with mental with mental disorders, behavioural conditions and neuro-developmental conditions including ADHD, Autism and learning disability. The post is part of a multidisciplinary team providing care to this unique population of young people. The post-holder will also work closely with other aspects of the healthcare service within the prison, including secure stairs, the primary care team and the substance misuse team.
We anticipate that the Health and Wellbeing Team will receive circa 10-15 referrals each week and hold a caseload of approximately 80 young people at any one time. There will be circa 30-40 patients subject to multi-professional/agency working under the auspices of the Care Programme Approach (incorporating Section 117 Aftercare) at any one time, though all young people will need multiagency working.
There is a mental health inpatient unit in HMYOI Feltham at present although it is intended that this will close in the future and that intensive psychiatric care is provided on the wings if necessary.
The post holder will provide specialist psychiatric advice and consultation to a range of healthcare and prison staff to promote effective delivery of mental health care.
The post holder will be expected to provide direct consultant (CAMHS / forensic) psychiatrist input into the mental health care of young people undergoing assessment or treatment by the Mental health and Wellbeing Team in HMYOI Feltham.
The Team will receive referrals from any member of the prison staff, healthcare staff or outside agencies such as CAMHS, Looked After Children Teams etc. Young people will be either seen in outpatients or on the Prison Wings / healthcare inpatients unit.
Person Specification Educational and professional qualifications Essential
- Fully registered with the GMC with a licence to practice
- On the GMC Specialist Register
- Approved Clinician
- Section 12 MHA Approval
- Primary medical degree
- MRCPsych (or equivalent)
- CCT in Forensic or CAMHS
- Higher degree (MSc, LLM, MD or PhD)
- Management and leadership training.
- Management qualification and/or extensive knowledge and expertise acquired through training and experience up to doctoral level.
General knowledge/ experience & core skills Essential
- Higher specialist training with CCT in Forensic or CAMHS Psychiatry (or expected within 6 months of interview date)
- Possesses range of clinical knowledge, skills & information technology expertise relevant to post
- Exercises sound clinical risk management.
- Experience of leading a multi-disciplinary team
- Comprehensive and clear psychiatric report writing skills
- Awareness of current issues and controversies in service provision, mental health policy and legislation
- Experience of clinical work in a prison setting.
- Experience of working with criminal justice agencies including MAPPA.
- Wide experience of clinical psychiatry including the management of emergencies in secure settings.
- Experience of team working
- Sound organisational skills
- Ability to work on own initiative
- Experience of Quality Improvement initiatives
- Dual CCT in adolescent forensic psychiatry or experience working in an adolescent forensic setting
- Experience of working with adolescents
- Published audit or research
- Interest in teaching and training medical and non medical colleagues
- Experience in service development
Specialist skills Essential
- Leadership and management skills.
- Capacity to form therapeutic relationships with service users who are in secure setting
- Evidence of evidence based medicine training, teaching and implementation.
- Training in specific and relevant therapy skills e.g. Family therapy, Multisystemic therapy, Mentalisation or DBT
- Experience in assessing and treating those with Sexually Harmful Behaviours
Other attributes Essential
- Good interpersonal skills
- Enquiring, critical approach to work
- Caring attitude towards patients
- Ability to communicate effectively with patients, relatives, prison officers, GPs, nurses and other agencies
- Commitment to Continuing Medical Education and the requirements of Care Quality
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