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Consultant in General Adult Psychiatry (Inpatient)

Employer
Central & North West London NHS Foundation Trust
Location
London
Salary
£88,364 to £119,133 a year +1% on call
Closing date
3 Apr 2023

View more

Profession
Psychiatrist, Adult mental health nurse
Grade
Consultant
Contract Type
Permanent
Hours
Full Time
CNWL is looking for an enthusiastic and highly motivated consultant who is innovative and most essentially, able to work collaboratively with the Brent Inpatient team. This full time position will be excellent for anyone wanting to broaden their experience of community psychiatry and develop their clinical skills in a supportive and challenging environment. The team is well established with good support from senior clinical and managerial colleagues.

The post will be on Shore ward which is an 18 bedded mixed gender ward. The postholder will provide overall clinical leadership for the ward's multidisciplinary team as well as direct clinical assessments and consultations.

Shore ward is located at Park Royal Centre for Mental Health, Central Way, London NW10 7NS.

Main duties of the job

This is a replacement post for a full time, substantive Consultant Psychiatrist on Shore Ward at the Park Royal Centre for Mental Health.

Together with the Matron, Ward Manager and other senior MDT colleagues the postholder will provide overall clinical leadership for the Ward Multidisciplinary team as well as direct clinical assessments and consultations for the Team, including the following:
  • Medical input, consultation and clinical leadership to the ward, and overall clinical responsibility for people admitted to the unit.
  • Medical input and leadership in care planning and risk assessment for people subject to the care planning (CPA) process.
  • Acting as the Responsible Clinician for people admitted to Shore Ward as appropriate and undertaking associated duties and responsibilities including attending and writing reports for Mental Health Tribunals and Managers hearings.
  • Regular clinical liaison with the Community Consultants in the Psychological Medicine, Community Mental Health Teams and the Crisis Resolution and Home Treatment Team to ensure timely discharge of patients.


About us

Central and North West London NHS Foundation Trust (CNWL) is one of the largest trusts in the UK, caring for people with a wide range of physical and mental health needs. We have approximately 7,000 staff that provide healthcare to a third of London's population and across wider geographical areas, including Milton Keynes, Kent, Surrey and Hampshire.

Our catchment area spans diverse communities, with over 100 first languages spoken. It contains areas of great affluence as well as areas of much deprivation. We are committed to providing services that meet the needs of the people who use them, and we actively encourage involvement from local people who can help make a difference.

The Brent Adult inpatient service are located at Park Royal Centre for Mental Health. The service provides a range of comprehensive inpatient services including the Home treatment team. The inpatient service consists of three adult wards - Shore (18 beds - mixed gender), Pine 22 beds - (male only) and Pond (18 beds - female only). There is also a male only Psychiatric Intensive Care Unit (Caspian ward - 13 beds). The Park Royal Site also has a 17 bed male only low secure forensic ward (Tasman), a 6 bed male only forensic rehabilitation ward (Java House) and the regional Mother and Baby unit (Coombe Wood).

Job description Job responsibilities

The postholder will be responsible for providing sole and dedicated consultant psychiatric care to people admitted to Shore Ward at Park Royal MHC.

The postholder will provide leadership for the performance culture of the ward, ensuring best practice is employed across the facility, and that the Trusts quality and productivity targets are met.

The ethos of Park Royal MHC is one in which in-patient care is delivered by an integrated multi-disciplinary team with a shared sense of ownership for the ward environment as well as the clinical services provided. The postholder will adopt an active and pragmatic leadership style as a way of promoting this type of ward environment, thus ensuring collaborative working both at a clinical and an operational level.

The postholder will be expected to participate in quality improvement and service evaluation projects and will be encouraged to undertake service evaluation and/or research which may be relevant to either short or long-term service improvement.

Together with the Matron, Ward Manager and other senior MDT colleagues the postholder will provide overall clinical leadership for the Ward Multidisciplinary team as well as direct clinical assessments and consultations for the Team, including the following:
  • Medical input, consultation and clinical leadership to the ward, and overall clinical responsibility for people admitted to the unit.
  • Medical input and leadership in care planning and risk assessment for people subject to the care planning (CPA) process.
  • Acting as the Responsible Clinician for people admitted to Shore Ward as appropriate and undertaking associated duties and responsibilities including attending and writing reports for Mental Health Tribunals and Managers hearings. In 2020/21, 31 tribunals were requested over the course of the year for the entire inpatient service.
  • Regular clinical liaison with the Community Consultants in the Psychological Medicine, Community Mental Health Teams and the Crisis Resolution and Home Treatment Team to ensure timely discharge of patients.

Mental Health Act and Responsible Clinician approval

The post holder would be expected to be approved as a Responsible Clinician or be willing to undertake training to obtain Section 12(2) MHA and will be expected to renew this approval according to agreed procedures.

Appraisal, job planning, and continuing professional development



The Trust and directorate have a commitment to and supports CPD activities. The Trust requires consultants to participate in CPD and to develop a Personal Development Plan. Brent has a local CPD programme for consultants and there are other Trustwide opportunities including a bespoke clinical leadership and management programme at Imperial Business School jointly led by the Trust Chair and Medical Director.

All Consultants, particularly newer Consultants, can ask to be assigned a mentor within the organisation for additional guidance and support.

Consultants are eligible for up to 30 days paid study leave on a pro-rata basis within any three-year period, and requests for study leave will be considered in line with both the post holders and the Trusts needs. Funding to support consultants study leave is held by the Trust Medical Director. Consultants are encouraged to develop special interests and to contribute to the strategic management of services both locally and nationally.

Other duties

From time to time it may be necessary for the post holder to carry out such other 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.

Management
  • The post holder will be a member of the Medical Staff Committee of CNWL.


  • The post holder will be expected to take part in various committees and project teams relating to service developments. This will be done in discussion with the Clinical and Service Director.



  • On-call Commitment
  • The Consultant will participate in the Brent wide consultants non-resident on-call rota and abide by the on-call policy. This is a low intensity rota currently at a frequency of 1:16 (pro rata). As such it would currently attract a 1% on-call supplement.


  • ST4-6 and specialty doctors provide second on-call cover on a rota basis. Consultants provide clinical supervision for doctors in training grades on-call on an as required basis. Supervision for broader training issues arising out of on-call work is normally raised with the trainees designated educational supervisor.


  • First on-call cover is provided by Core, GPVTS and FY2 trainees



  • Section 12 approved clinical duties

    The Section 12 Doctor Daytime rota is a duty rota incorporating all Section 12 approved doctors working within Central and North West London NHS Foundation Trust (CNWL), with the exception of CAHMS and Barnet Enfield and Haringey LD Section 12 approved doctors. It covers weekday (excluding Bank Holidays) daytime (9am-5pm) working hours.

    There are two separate rotas. One covers the outer boroughs of Brent, Harrow and Hillingdon, and the other covers the inner boroughs of Kensington & Chelsea and Westminster. The expectation is that a full time post holder will contribute 2-3 days per year to this rota.

    Facilities and Team

    The team is based on Shore Ward at Park Royal Centre for Mental Health. The inpatient teams are managed by Ward Managers with the support of deputies and Practice Development Nurses. Ward Managers report to Matrons who each oversee two wards and who work closely with the Service Manager to provide leadership across the unit. The postholder will work closely with the Matron and Ward Manager with collective responsibility for providing efficient and high quality inpatient care and in developing and embedding service improvement.

    The wards are very well supported by the inpatient Occupational Therapy Team who provide a range of activities on and off the ward as well as assessments as required. The service is delivered by Occupational Therapists and Activity Coordinators. There is a well-equipped gym on the ward.

    The psychology service to the ward is by direct referral.

    There is also a close working relationship with the Mental Health Pharmacy Team.

    Shore ward has a specialty doctor and a GPVTS doctor as part of the team.

    Professional/Management Accountability

    The post holder will be operationally accountable to the Borough Director. Clinical accountability is to the Trust Board through the Clinical Director and Divisional Medical Director.

    Person Specification Educational and professional qualifications Essential
    • Primary Medical Degree + Full GMC Registration
    • MRCPsych (or equivalent)
    • oInclusion on the Adult Mental Health Specialist Register (or CCT expected within 6 months of interview date)
    Desirable
    • Section 12 MHA Approved
    • AC approval
    • 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
    • Experience of assessment and treatment of mental disorders in an acute psychiatric setting
    • Experience and Training in Health Service Management
    • Evidence of completed clinical audit projects
    • Evidence of undergraduate and postgraduate trainee teaching
    Desirable
    • Experience of service development/business planning
    • Experience of Triage/Assessment/ daily MDT review model of acute care
    • Completed research projects
    • Publications in peer- reviewed journals
    • High level knowledge of planned developments at a national level to improve efficiency and deliver quality services
    • Experience of teaching non- medical staff/carers
    Other attributes Essential
    • Good communication and interpersonal skills
    • Leadership and management skills
    • Sound organisational skills
    • Knowledge and understanding of issues relating to equality & diversity
    Desirable
    • Evidence of evidence based medicine training, teaching and implementation.
    • Training and experience of relevant therapies
    • Demonstration of ability to innovative practice and service improvement


    Any attachments will be accessible after you click to apply.

    333-J-BR-C-0002-D

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