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Locum Specialist Psychiatrist

Employer
Tees, Esk and Wear Valleys NHS Foundation Trust
Location
Darlington
Salary
£80,693 to £91,584 a year
Closing date
31 Aug 2022

View more

Sector
Hospital, Psychiatry
Career Level
Specialty doctor
Contract Type
Fixed Contract
Hours
Full Time
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We are delighted to announce the advertisement of a Locum Specialist Psychiatrist to join our Community Mental Health Darlington East Team.

The post will initially be for 6 months fixed term, but once the job description is approved by the Royal College, the successful candidate will be guaranteed an interview for the substantive post.

An attractive relocation package and study leave budget is available and we can also help support candidates who would like to pursue CESR.

If you are interested for other Specialist Psychiatrist opportunities, please do not hesitate to get in touch with our Medical Staffing Team via e-mail on TEAWVNT.medicalstaffing@nhs.net.

Main duties of the job

The Specialist Psychiatrist will be expected to provide committed, proactive and responsive clinical leadership working with other staff to provide an assessment and treatment service for those individuals suffering with Chronic enduring mental illness in the Darlington Locality. New patients are initially seen by the Access Service which is part of the community mental health teams, staffed by senior nurses. Joint medical assessments are arranged for complex cases. Our Crisis Team manages access to inpatient services.

The post-holder will need to develop effective working relationships with members of the Crisis Team and Inpatient Team by closely liaising with these services when patients are referred to the crisis team / needing alternative to hospital beds will be managed by the crisis team and the patients who need to be in hospital will be managed by the inpatient team.

The post holder will be expected to provide appropriate supervision to junior medical staff and non-medical prescribers within the team. The post holder will be expected to have familiarity with all important, relevant legislation affecting the Adult Mental Health population.

About us

We are one of the largest specialist mental health and learning disabilities trusts in the country and we provide mental health and learning disability services to people of all ages.

We deliver a range of community and in-patient care across adult mental health, children and young people's services, mental health services for older people and forensic services. We have over 7,000 staff working across more than 90 sites.

With an annual operating income of over £420 million, we work in partnership with local authorities, clinical commissioning groups, voluntary organisations, the private sector, as well as people who use our services, their families and carers. Geographically we're one of the largest NHS Foundation Trusts in the country, spanning County Durham and Darlington, Teesside, North Yorkshire and York and Selby.

Job description
Job responsibilities

This is a new post for a full time Specialist Psychiatrist working into the Community Mental Health Team covering the area of Darlington (population 92,363), part of the South Durham Locality. In total, there are 15 Adult Mental Health Consultant posts across the locality supported by medical staff from the rotation scheme in psychiatry, GP Registrars, F2 Doctors and Speciality Doctors. The team is based at West Park Hospital, Darlington, where the acute inpatient unit is also located adjacently. Darlington Community Mental Health Team covering the area of Darlington (population 125,000 min 2008), part of the South Durham Locality. Team members are co-located at West Park Hospital. There is no inpatient commitment. The team is able to obtain expert advice from Trustwide specialist services which include an ADHD service; the Autism Spectrum Assessment Team and the Eating Disorder service. The team manages adults with secondary mental health needs in Darlington. The Trust has access to the Regional Affective Disorders Service in Newcastle. As part of the community transformation, we will be working differently in the future as we will have a hub and intervention team. We are not working under diagnosis model but under locality model. Darlington has 2 Teams: Darlington East and Darlington West. Each team is allocated to specific GP practices in Darlington. We have divided the GP's into 2 groups and referrals are allocated according to this. Current patient load across both teams is roughly 1200 - about 600 in each team.

The postholder will need to develop effective working relationships with personnel in these services. Patients are referred to the service directly from General Practitioners and other primary care mental health services, for example the IAPT (Improving Access to Psychological Therapies) service. Access service acts as a "gatekeeper" to secondary care services. New patients are initially seen by the Access Service, which is part of the community mental health teams and staffed by senior nurses and other support staff. Our Crisis Team manages access to inpatient services. The post-holder will need to develop effective working relationships with members of the Crisis Team and Inpatient Team by closely liaising with these services when patients are referred to the crisis team / needing alternative to hospital beds will be managed by the Crisis Team and the patients who need to be in hospital will be managed by the inpatient team.

The Early Intervention in Psychosis (EIP) Service is based at the Goodall Centre and covers Darlington & South Durham localities. The EIP Service take all new onset cases of psychosis between the age of 14-65 (non-organic) and liaise closely with the community mental health team who deal with other new patients and those with severe and enduring psychotic illnesses.

The nature of our community services has changed significantly over the last three years due to New Ways of Working in the Community and the reorganisation of Inpatient Services. The post holder will take on a key role in supervision, clinical assessments / reviews and joint reviews with other team members for complex individuals and home visits where needed. They will be fully involved with the CPA process. They will be expected to provide clinical leadership and guidance to the team where appropriate and in conjunction with the Specialty Doctor, Team Manager and Advanced Practitioners. They will attend team meetings and the leadership team meeting with Team Manager and Advanced Nurse Practitioner on a weekly basis. The Specialist Psychiatrist will work in close partnership with the Team Manager, Team Psychologists and Advanced Practitioner in a variety of leadership activities. This includes attending leadership time-out sessions held across the locality which involves meeting with other leadership teams to provide a consistent leadership presence across community services. The team operates in keeping with the Purposeful and Productive Community Teams Trust Wide Project. This consists of daily communication huddles, service user formulations, and a range of multi-disciplinary working activities. There will be one day of access duty per week. Access to specialist services is available.

Other Medical Staff: There are a number of Associate Specialists and Specialty Doctors working in adult mental health across the Darlington and South Durham locality. Core and Higher Specialty Trainees from the local psychiatry training schemes rotate into adult mental health. Trainees from the Tees Valley and Northumbria Vocational Training Schemes join the Trust for 6 months psychiatry experience every February and August. Foundation Programme Year 2 doctors also come to the Trust every 4 months to gain experience in psychiatry.

Clinical duties of post holder

The Specialist Psychiatrist will be expected to provide committed, proactive and responsive clinical leadership working with other staff to provide an assessment and treatment service for those individuals suffering with Chronic enduring mental illness in the Darlington Locality. New patients are initially seen by the Access Service which is part of the community mental health teams, staffed by senior nurses. Joint medical assessments are arranged for complex cases (one morning per week for each of the five community Consultants. Two patients will be seen each morning). Our Crisis Team manages access to inpatient services. The post-holder will need to develop effective working relationships with members of the Crisis Team and Inpatient Team by closely liaising with these services when patients are referred to the crisis team / needing alternative to hospital beds will be managed by the crisis team and the patients who need to be in hospital will be managed by the inpatient team. The Trust provides specialist services for substance misuse problems. Alcohol services are commissioned separately. The post holder will be expected to provide appropriate supervision to junior medical staff and non-medical prescribers within the team. The post holder will be expected to have familiarity with all important, relevant legislation affecting the Adult Mental Health population. Daytime on call once per week 9am-5pm for Mental Health Act assessments. On these days, routine patient work is kept to a minimum, Mental Health Act work is generally carried out in the afternoon.

Educational and academic duties of post holder

Clinical supervision and line management of junior medical trainee.

Participation in undergraduate teaching encouraged

Participation in postgraduate teaching programme - present one case with the junior doctor per 6 months

Clinical audit and service evaluation - in keeping with revalidation requirements, participation is expected including supervision of junior doctor Audit

Support is available through the Trust central audit department

General professional duties of post holder

• To maintain good clinical records using Trust's electronic record system

• Undertake administrative duties associated with the care of patients

• Record clinical activity accurately and comprehensively

• Maintain a revalidation portfolio and participate in annual appraisal July 2017

• Undertake a job plan review with the Clinical Director and Head of Service annually

• Maintain professional registration with the GMC and approval as an Approved Clinician and Section 12(2) approved doctor

• Comply with Trust's agreed policies and procedures

Leadership duties of post holder

• Provide leadership to the multi-disciplinary team alongside the team manager . To provide medical leadership as member of Leadership Team for Darlington Community Team

• Contribution to strategic service development and business planning priorities.

• Contribution to clinical governance and responsibility for setting and maintaining standards

• Commitment to quality improvement

Other duties

From time to time it may be necessary for you to carry out other such duties as may be assigned, with agreement, by the Trust. It is expected that you will not unreasonably withhold agreement to any reasonable proposed changes that the Trust might make.

On-call arrangements

Upon commencement, the post-holder will be expected to participate in the middle tier on-call rota for the Tees locality. The frequency of on-call rota will be 1:8 and attract an on-call supplement of 8%. The rota frequency and on-call supplement will be adjusted for less than full time working.

Participation in the middle tier rota would continue for 3 months or until 10 on-call shifts have been completed (whichever is sooner) after which the post-holder would be expected to join the consultant rota (AC status is needed) and would be paid an on-call supplement in line with the frequency of the consultant rota

Person Specification
Experience
Essential

  • Fully registered with the GMC with a licence to practise at the time of appointment
  • In good standing with GMC with respect to warning and conditions on practice
  • At least 12 years postgraduate experience, including at 6 years experience in the relevant specialty (or evidence to show equivalent experience)
  • 3 years as career grade in Sub specialty and 3 years core training in speciality.
  • Approved under S12 of MHA
  • Approved clinician status (except for transitional arrangements for existing acting consultants)

Desirable

  • In good standing with GMC with respect to warning and conditions on practice

Qualifications
Essential

  • MB BS or equivalent medical qualification

Desirable

  • MRCPsych

 


BMJRef: BMJ-88532/346-C9346-AMH-247M

 

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