Consultant Psychiatrist

West London NHS Trust
£88,364 to £119,133 a year per annum plus London Zone weighting
Closing date
20 Apr 2023

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Contract Type
Full Time
The successful applicants will be based in the integrated community mental health teams in H&F as part of the community and Recovery Mental Health Services service line. The service comprises a fully integrated mental health team with a visible presence in the local Primary Care Network. There will be a tiered or stepped care model within the MINT team where a more primary care ethos and model of delivery will be used for the majority of patients but those who have more complex needs will have more enhanced support from an allocated clinician as well as the multidisciplinary team. The post will therefore involve consultation/liaison with the MDT as well as GPs, primary care services and other mental health teams. Alongside this there will be some direct consultation with patients particularly around complex cases and crisis prevention.

Our implementation of MINT has taken a whole-systems approach to the way Mental Health care is delivered with transformation at every level of service and care delivery.

This has involved integrating primary and secondary care teams and reconfiguring community teams so they are positioned to deliver care in alignment with the local primary care networks and work in partnership with local communities. Furthermore, by combining resources from different sectors and recruiting link workers to build connections with VCSE offers, MINT is able to support people to access community and social groups and develop networks with local communities.

Main duties of the job

This is an exciting opportunity to lead an innovative new integrated community mental health service. You will play an integral role in further developing the service, teaching and training new team members and primary care staff and providing clinical and managerial leadership to the team.

Delivering on NHS England's vision set out in the Long Term Plan and Community Mental Health Framework, West London NHS Trust has recently launched Mental Health Integrated Network Teams, also known as MINT. Based in the community, MINT aims to deliver joined-up, personalised treatment and care which support and are responsive to, the needs of the local population. MINT teams are place-based; aligning primary care networks across the boroughs to deliver an integrated approach to mental health, physical health and social care needs. By working closely with GPs, social services, and voluntary sector partners across the local community, MINT offers timely access to integrated care. The service vision is 'The right care. At the right time. In the right place.'

MINT provides community-based mental health services and support for adults aged 18+ with a wide range of mental health difficulties living in the London boroughs of Ealing, Hounslow and Hammersmith & Fulham. There are 9 MINT teams across the boroughs, linking to 18 Primary Care Networks. MINT teams are made up of different professionals with a wide range of skills.

About us

West London NHS Trust is one the most inclusive and diverse providers of NHS mental and physical health care in the UK. We deliver services in the community, inpatient, specialist and forensic (secure) settings, across 30 main sites. We are a teaching Trust with a growing research portfolio, working with academic and industry partners and promoting patient and public involvement in research. We care for more than 99,000 people every year, serving a local population of 850,000 in Ealing, Hammersmith & Fulham and Hounslow.

The MINT teams are an exciting, vibrant and exciting place to work. There are opportunities to get involved with additional research, service development, training or to develop clinical specialisation. The trust actively promotes CPD and is a valuing and rewarding employer.

Our organisation aims to be an inclusive organisation where diversity is respected and encouraged. We want to be an organisation that promotes dignity and respect to all employees, members, candidates, assessors, patients and examiners and where no form of discrimination, intimidation, bullying or harassment takes place.

The Trust is committed to supporting the continued health and wellbeing of our staff, which has been an area of significant focus during the pandemic. Our ambition is to build on the learning from this and develop a sustainable health and wellbeing offer that represents excellence as an employer.

Job description Job responsibilities

Clinical leadership: You will have a key role in a liaison/consultation model to provide early, easy access advice to GPs and the Primary Care Networks to support care of patients in the locality. GPs in the borough will be able to contact you via telephone or email for advice during working hours. You will also provide clinical leadership to the team in clinical multi-disciplinary team meetings and referrals meetings as well as being available for case discussions, advice and supervision within and outside team meetings. You will also have a role in the management of a smaller number of more complex cases, to offer senior assessments and more direct input in particular in risk and/or medication management and diagnostic assessments. This will also include Mental Health Act Assessments, CTO reviews and supporting the duty function of the team with urgent concerns and assessments. You will have senior medical responsibility for the care carried out by the MINT team.

Relationships: you will be expected to establish, develop and maintain positive relationships with colleagues in the Primary Care Network as well as in secondary care mental health teams, IAPT, Local Authority and 3rd sector. You will also facilitate smooth transitions into and out of the service through relationships with other relevant services.

Service development: You will work in partnership with the Team Manager to provide leadership and development to the MINT Team. This will include developing strategy, quality improvement, audit, and written policies and guidelines for the future delivery of MINT Services through working collaboratively with others in WLNT and the PCNs and other stakeholders.

Training and education: You will be expected to participate in training for key individuals in the Primary Care Network such as GPs as well as within the MINT team itself. This may include formal didactic teaching; individual bedside style clinical teaching based around individual cases; developing strategies for teaching and training. You are also likely to contribute to complex case forums across disciplines, some GP practice or locality meetings and other community fora to improve clinical care and communication across services.

You will also be expected to contribute to the academic programme and Teaching/ training/junior supervision.

Person Specification Qualifications Essential
  • MBBS or equivalent medical qualification
  • Qualification or higher degree in medical education, clinical research or management
  • MRCPsych
  • Additional clinical qualifications
Eligibility Essential
  • Fully registered with the GMC with a licence to practice at the time of appointment
  • GMC Specialist Register or within six months
  • Approved clinician status OR able to achieve within 3 months of appointment
  • Good standing with GMC with respect to warning and conditions on practice
  • Approved under S12 OR able to achieve with 3 months of appointment
Clinical Knowledge Essential
  • Excellent clinical skills
  • Able to meet duties under MHA and MCA
  • Excellent knowledge in speciality
  • 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
  • Ability to work in and lead team
  • Excellent written and oral communication skills
  • Able to manage clinical complexity and uncertainty
  • kes decisions based on evidence and experience including the contribution of others
  • Ability to work in and lead team
  • Demonstrate commitment to shared leadership & collaborative working to deliver improvement
  • Participated in continuous professional development
  • Participated in research or service evaluation
  • Able to use and appraise clinical evidence
  • Has actively participated in clinical audit and quality improvement programmes
  • Has actively participated in clinical audit and quality improvement programmes
  • Experienced in clinical research and / or service evaluation
  • Evidence of achievement in education, research, audit or service improvement e.g. prizes or awards
  • Evidence of improving patient outcomes through service change or audit

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