Consultant Psychiatrist - Enhanced Treatment Team & Outpatients

South London & Maudsley NHS Foundation Trust
Middle House
Depending on experience £88,364 - £119,133 per annum
Closing date
10 Apr 2023

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Contract Type
Full Time
The objective for the ETT is to provide an enhanced/intensive community-based treatment option that is focused, frequent and less restrictive as an alternative to inpatient admissions. The clinical model is multidisciplinary and builds on existing approaches including dietetics, medical, outreach and occupational input. This new team will divert some of the patients that are referred for inpatient admissions. In addition, the team will work with some of the patients to allow for earlier discharge to the community, by providing them with a more intensive package of care than currently available for discharged patients.

Main duties of the job

The post holder will provide clinical work specifically in the outpatient unit and the enhanced treatment team of the Adult Eating Disorders Service in the South London and Maudsley NHS Foundation Trust (SLaM). The post holder will jointly work with consultants Dr Katie Au, Dr Felicity Callender, Dr Camilla Day, Dr Nikola Kern, and with academic consultants Professor Ulrike Schmidt, Professor Janet Treasure (part-time) and Dr Hubertus Himmerich. The post holder will provide cross cover and support the eating disorder day service.

The post holder will work to ensure that the outpatient service/ETT work to the standards set out by QED, the NICE guidelines and NHS England. The post holder will work with the team on quality improvement and service innovation projects (FREED - early intervention pathway; PEACE - ASD pathway) and on research studies.

The post holder must be approved or eligible for approval under the section 12(2) of the Mental Health Act.

The post holder will be expected to have a role in teaching of multidisciplinary staff within the eating disorders unit and across primary and secondary health care services.

Administrative support for the postholder's clinical work is available at the Maudsley site.

About us

This is an exciting opportunity for an enthusiastic and committed consultant psychiatrist to work in a new, innovative Enhanced Treatment Team that is integrated with the outpatient specialist eating disorders service and working closely with the inpatient eating disorders service. The post holder will be providing flexible clinical leadership and consultant responsibility and working closely with other members of the multidisciplinary team, working specifically in the outpatient unit of the Adult Eating Disorders Service in the South London and Maudsley NHS Foundation Trust (SLaM). Similar team is also developed in our partner organization, SWLSTG MH Trust, within the South London Partnership as part of the Adult Eating Disorders Provider Collaboration. The objective for this team is to provide an enhanced/intensive community-based treatment option that is focused, frequent and less restrictive as an alternative to inpatient admissions.

Both, the generic outpatient as well as the post within ETT will require liaising closely with other relevant professionals and organisations including SEDUs, general practitioners, medical colleagues, acute trusts and liaison teams. In this context the postholder will provide clinical advice, liaison and consultation as required to colleagues in primary care, community services and acute specialties in line with new ways of working

Job description Job responsibilities

To provide enthusiastic, and flexible, joint clinical leadership and consultant input for the Eating Disorders service, alongside other consultants and the team managers/clinical service leads.

2. To provide expert medical input in the Eating Disorders outpatient service as well as within the Enhanced Treatment Team. This includes outreach assessments of patients in acute hospitals or in the community

3. To take consultant responsibility for Eating Disorders patients, assessing or supervising assessment of patients and devising or helping to devise appropriate treatment plans and medication regimes and providing prompt medical response for those patients under your direct care and advising and work closely with other members of the multidisciplinary team

4. To undertake responsibilities as an Approved Clinician under the Mental Health Act (1983) as needed in the Eating Disorders Unit.

5. To ensure excellence in the provision of medical and psychiatric assessments to all referred patients to the service including risk assessment protocols as directed by SLaM.

6. To ensure clinical activities are documented on the Trust electronic record system (ePJS) and assist in the collection of clinical outcome data.

7. To work flexibly with other teams across SLaM and other mental and physical health trusts, to ensure smooth transitions of care between the Eating Disorders outpatients, day care and the inpatient unit and other services.

8. To communicate clearly and effectively with staff of all major disciplines concerned with the provision of mental health care.

9. To appropriately signpost/refer onward those individuals who do not meet threshold for our service but present with other mental health needs

10. To develop strong working relationships with stakeholders, including local GPs, other teams at SLaM and other mental trusts, Kings Health Partners staff, and with the voluntary sector, to ensure good coordination of care.

11. To ensure excellence in the delivery of evidence-based treatments.

12. To act as a source of support, advice and information to current or prospective patients and their carers, referrers, team members and other professionals.

13. In conjunction with the Service Lead and other Team Consultants the post holder will help to represent the team at Directorate, CAG and care pathway meetings.

14. To provide reciprocal cross cover / Section 12 cover for Eating Disorders Consultant psychiatrists when they are on leave.

15. To keep up-to-date with all developments in Eating Disorders research and treatment

16. To deliver Service Line management of trainees in psychiatry (including special interest trainees) if any are working within the service and working with team leaders to do so

17. To contribute to teaching of medical students of Kings College London.

18. To contribute to the supervision, support and teaching for doctors in training in SLaM as required.

19. To contribute to clinical audit, clinical governance and if required clinical research within the team, directorates and Trust.

20. To contribute to the business planning and service development as required.

21. The post holder will carry a mobile during work hours and be contactable by members of the team.

Person Specification Qualifications Essential
  • Fully registered with the GMC with a licence to practise at the time of appointment
  • Evidence for inclusion in the Specialist Register (psychiatry) or within six months of gaining CCT.
  • Section 12 approved Approved Clinician status or able to achieve within three months of appointmen
  • Experience of working with diverse and marginalised communities
  • Excellent clinical skills using bio-psycho-social perspective and wide medical knowledge
  • 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
  • Demonstrate commitment to shared leadership & collaborative working to deliver improvement
  • Previous experience of leadership of a team and understanding of change management
  • Willingness to be involved in management of the service and help to ensure the continuing financial wellbeing of the service
  • Experience in teaching and supervising junior staff, excellent teaching and communication skills
  • Experience of teaching medical undergraduates and postgraduates and non-medical health professionals
  • Able to use and appraise clinical evidence
  • Ability to work well in a multidisciplinary team and provide leadership for the team
  • Self-motivating and innovative
  • Positive approach to the job planning and appraisal process
  • Royal College of Psychiatrists qualification / endorsement in liaison psychiatry
  • Qualification or higher degree in medical education, clinical research or management
  • At least 1-year experience in Eating Disorders gained during higher training and/or as a Consultant
  • Experience of working with third sector and voluntary organisations
  • Experience of designing and implementing Quality Improvement initiatives
  • Formal qualification in management or leadership
  • Able to plan and deliver undergraduate and postgraduate teaching and training relevant to this post
  • Knowledge of KHP Mind/Body agenda Knowledge of developments in Eating Disorders research, commissioning, as well as wider NHS Strategy e.g. Five Year Forward View
  • Capacity to work cooperatively in the pursuit of clear goals and objectives

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