Specialty Doctor - Bethlem Royal Hospital (BAU) - 10PAs - Fixed Term/6 Months
Applications are invited for a Specialty Doctor post based at the Bethlem Royal Hospital. This post will be based at the Bethlem Adolescent Unit (BAU) which is located on Tyson East 1. The successful applicant may also be asked to provide some cover to the Bethlem Adolescent Psychiatric Intensive Care Unit (BAPICU).
This post is for 9am-5pm with no on call responsibilities. The post will be for a period of 6 months. Start date is ideally the 1/8/22 although some flexibility is possible
Main duties of the job
This post provides excellent clinical experience in Child and Adolescent Psychiatry but is a service post rather than training post. It can be configured to an individual at CT level, seeking initial exposure to the specialty or someone at the end of CT training seeking further experiences in consideration of, or in preparation for, higher training in Child and Adolescent Psychiatry. Broadly, expectations would be that the post holder is able to take a detailed psychiatric history, carry out a mental state examination, and carry out a detailed general physical examination and relevant investigations like ECG, Bloods etc. Post holder will be required to do necessary documentation in the patient’s notes and liaise with the Ward multidisciplinary team and the Consultant.
Working for your organisation
The post provides an ideal opportunity to gain experience of Child and Adolescent Psychiatry skills. Although this post is not recognised for formal specialist training in Child and Adolescent Psychiatry the post holder will have ample opportunities for regular weekly supervision and, if appropriate, to attend the Higher training academic programme at the Maudsley Child and Adolescent training scheme weekly teaching with prior negotiation.
The Bethlem Adolescent Unit (BAU) is a 12 bedded, well-established inpatient unit based on Tyson House East 1, Bethlem Royal Hospital. The unit is supported by a Consultant, Dr Natalia Weilgosz and a Core trainee CT 1-3 and Dr Dan Hayes, Lead Clinician for inpatient CAMHS. BAU has a full multidisciplinary team (MDT) , including nurses, occupational therapist, family therapist, pharmacist, psychologist, educational staff, and administrative support. It is an open adolescent inpatient unit for young people aged between 12 and18 years presenting in crisis with serious mental illness and require hospital admission on informal basis or under section of MHA (1983)
BAU is one of 3 adolescent inpatient units within SLAM along with Snowsfields Adolescent Unit (SAU) an 11 bedded inpatient unit at the Maudsley Hospital and Bethlem Adolescent Psychiatric Intensive Care Unit (BAPICU) an 8 bedded unit in the Dennis Hill Unit 2, Bethlem Royal Hospital.
They work as an integrated service along with colleagues across the South London Partnership (SLP).
Detailed job description and main responsibilities
The primary educational objective of this post is for the trainee to become competent in the assessment and management of children and young people with mental disorders in an inpatient environment. We would support the post holder if they wish to progress to higher training in Child and Adolescent Psychiatry
Communications and Working Relationships:
To liaise with Tier 3 CAMHS services for admissions and patient management and discharges and planning after care. To liaise with other services like CAMHS Psychiatric Intensive Care Units, General Adolescent Units, Low Secure Units and partner agencies such as education and Children’s Social Care etc.
- To provide medical and psychiatric advice to Adolescent Inpatient Unit under supervision of Consultant.
- To initiate a psychiatric assessment, including Mental State examination on first contact with patient, and to regularly update the Mental State Examination.
- Accept medical responsibility for patients admitted to the Adolescent Inpatient Unit under supervision of Consultant.
- To ensure that a physical examination of all patients admitted to the ward under the care of the Psychiatric team has been performed
- To maintain adequate written documentation of all subsequent medical and psychiatric examination of the patients and to record contacts with relatives and carers.
- To contribute to development of diagnostic and treatment plans with a comprehensive case workup available within 24 hours of admission.
- To maintain adequate communication of medical activities. This includes completion and communication of electronic discharge notification and present medication details for the General Practitioner, before the patient is discharged from the ward. A definitive summary should be completed and sent within one week of discharge. With respect to the discharge summary, emphasis is to be given to statements of commitment to further follow up, monitoring and intervention, from community CAMHS services and partner agencies
- To contribute to ward rounds, CPA meetings, welcoming meetings and network meetings.
- To maintain a professional and ethical stance towards the patients, their relatives, other team members and other agencies.
- To acquire knowledge of and competence in the Mental Health Act 1983, and other relevant medicolegal frameworks in regard to Children and Young people.
- To acquire competence in psychotherapeutic techniques for Children and Young People as per post holder’s interests
- To participate in clinical supervision with the Consultant on a regular basis, with regular feed back.
For further details / informal visits contact: Dr Dan Hayes - Job title: Consultant Child and Adolescent Psychiatrist - Email address: Daniel.Hayes@slam.nhs.uk - Telephone number: 020 3228 40057