Tees, Esk and Wear Valleys Foundation Trust (TEWV) welcomes applications to the International Psychiatric SAS Fellowship. The programme is an innovative and structured three year sponsored scheme that supports suitably qualified international medical graduates (who do not have GMC registration) to be sponsored by TEWV for GMC registration with a license to practice, and then be supported to work in TEWV to advance their existing clinical and professional skills and receive valuable clinical experience with excellent supervised support.

The programme will support applicants with an interest in adult, old age, child or forensic mental health in a variety of locations throughout the North East of England and North Yorkshire.

This unique opportunity is for individuals that have completed a recognised medical degree, and a postgraduate qualification in psychiatry including a minimum of three years experience in psychiatry and who are active in clinical practice undertaken in the last 12 months.

This programme is focused on doctors who do not have current registration with the GMC of the UK however, it is not meant for doctors who have tried but have been unsuccessful in passing PLAB examination.

Shortlisted candidates will be offered an online (via MS Teams) assessment, likely to take place between 20th and 24th November 2023.

Upon successful assessment, you will be invited to attend a face to face interview, held in a major city of India in January / early February 2024.

Main duties of the job

8k relocation package that can be used for travel, accommodation, and furnishings. Part of this figure will be used and given as a pre-paid debit card to help in the first few weeks. In addition, this can be used to claim back fees for IELTs/ OETS as per the doctors discretion, GMC registration, certificate of sponsorship/visa fees

Hands on support to help you find your feet socially and also at work in the NHS, including attendance at the GMC Welcome to UK Practice and Duties of a Doctor programmes

27 days of annual leave per year and 30 days study leave in the overall three-year period

Support in obtaining affiliate membership of Royal College of Psychiatrists and access to Continuous Professional Development (CPD) programme. A total of 2 protected sessions per week for Supporting Professional Activities

Supportive managerial and clinical supervision, mentoring, coaching and peer supervision for CPD

Opportunities for involvement in delivering teaching for medical students and junior doctors

Opportunities to participate in research and quality improvement (QIS)

Training and support to apply for Section 12 and AC approval in due course

Inclusion in the bi-monthly specialty doctors development programme and business meetings

Opportunity to attend inhouse CASC exam training

Provision of a lease car on request

Support with accommodation and opening a UK bank account at the time of joining

About us

We are Tees, Esk and Wear Valleys NHS Foundation Trust. 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 peoples 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 were one of the largest NHS Foundation Trusts in the country, spanning County Durham and Darlington, Teesside, North Yorkshire and York and Selby.

There are two group localities Durham & Tees Valley (which includes forensic services) and North Yorkshire & York. In terms of clinical specialties, these comprise:

Adult mental health

Mental health services for older people

Children and young peoples services

Learning disability services

Forensic Services (including prisons)

Job description
Job responsibilities

Job details will be specific to the locality that the post will be attached to.

For example only:

The Tees adult mental health services comprise of 4 areas: Middlesbrough, Stockton, Hartlepool and Redcar and Cleveland. Each locality has an Intensive Home Treatment and Crisis Service, Access Team functionality split Affective and Psychosis Community Teams. Each locality has its own EIP Service with close links to the Community Psychosis Teams.

In patient services for Middlesbrough, Stockton, Hartlepool and Redcar and Cleveland are based at Roseberry Park. Middlesbrough which is a new purpose built IP hospital opened in 2010. There Are 4 Adult Mental Health Wards (64 beds in total) and a 10 bedded Psychiatric Intensive Care Unit. On average the length of stay in our wards is about 20 days.

Rehabilitation Services are provided from two Inpatient Units based in Middlesbrough and Stockton on is fast stream 6-9 months and the other slower 12- 24 months. There is a 24 hour Liaison Service which provides a service to all Acute Hospitals in the Teesside area.

Local working arrangements:

The exact location of job role and the summary of local services provided will depend on the post allocated to the doctor following GMC approval.

Key working relationships will involve consultants, SAS doctors (and junior doctors as well as non-medical consultant colleagues. All teams also support admissions from other localities at times.

The doctor will have the opportunity to contribute to the Middle Tier On-call rota in the Locality (as the second on call), supported by junior doctors who are first on call and supervised by a consultant. The doctor will receive an on-call supplement which is calculated as a percentage of basic pay or as agreed by the BMA / NHS employers.

There will be an opportunity to undertake professional activities aimed at achieving their own agreed PDP objectives required to develop towards achieving their Section 12 approval and Approved Clinician status. There will also be an opportunity to be part of an SAS Balint group and opportunity to participate in electroconvulsive therapy (ECT).

Continuing professional development:

You will be expected to join a continuous professional development (CPD) peer group. As a Specialty Doctor in psychiatry, you should be either a member or affiliate of the Royal College of Psychiatrists so that you are automatically enrolled on the Colleges CPD programme.

You will use your peer group to help identify and review learning objectives linked to clinical, academic and professional practice in support of your CPD.

The Trust will approve reasonable requests for study leave which have been agreed by your CPD peer group. Approval is given by the Lead Psychiatrist.

You are entitled to 30 days study leave in any three-year period. Less than full time specialty doctors have a pro rata entitlement.

Appraisal and job planning:

As a psychiatric doctor you will be required to attend an annual job plan review meeting with your associate medical director or lead psychiatrist and managerial equivalent. This meeting will normally take place before the end of March each year. You will bring relevant data on workload in the previous year to the meeting, using electronic job planning software (SARD).

There is a need for a flexible approach to the pattern of working which may change from time to time in line with the demands from various areas of the service and needs of the population. Changes will not be made to your responsibilities without full consultation.

The Trust has a well-established appraisal system which is monitored by the Responsible Officer and the Trust Board, with the Trust being the designated body. Support and training will be available through the Trusts Revalidation Team to help you become acquainted with the appraisal process and system.

In order to meet the requirements for revalidation, you are expected to engage in appraisal by attending an annual appraisal meeting and by maintaining an electronic appraisal portfolio (SARD).

You will be encouraged to seek a mentor to support your development in your first year of appointment. The Trust has a trained group of mentors for you to choose from.

Prior to commencing post, you will be informed of the corporate and local induction processes and programme. It is expected that you will participate fully in this and keep up to date with mandatory and statutory training on an annual basis.

Quality Improvement:

We believe quality improvement is something that needs to be driven by the Trusts employees and embodied by the actions of everyone within the organisation

We expect all medical staff to commit themselves to quality improvement and to learn about the Trusts Quality Improvement System, working with their clinical team to improve services for patients using these quality improvement system tools. All medical staff undertake some training in Quality Improvement and new doctors are expected to attend training within one year of appointment.

Teaching and training:

Undergraduate and postgraduate medical education within TEWV is highly regarded at a regional and national level and is organised through the Trusts medical development department and led by the Trusts Director of Medical Education.

You will be encouraged to develop special interest sessions and elective placements in psychiatry for medical students (sometimes known as student selected components or SSCs). Training grade doctors at all grades are present within the Trust, from Foundation Year 1 doctors undertaking their first post to senior psychiatric registrars in their final year before appointment as a consultant. All doctors are expected to make a contribution to the Trusts postgraduate medical education work and the trust is committed to recognising educational activity time within the job planning process.

You may be appointed as Clinical or Educational Supervisor of Foundation or GP trainees.

Research:

Research is well-supported in the Trust, led by the Clinical Director of Research and Development, Professor David Ekers. Our priorities are to embed research access and participation in all areas of the Trust, and to drive forward a research-led improvement in the care we provide. Service user and carer involvement is strongly encouraged. We support our clinicians to win large-scale project and programme grants from NIHR and other funders, in collaboration with academic partners.

A copy of the full job description is attached.

Person Specification
Teaching and Training
Essential

• Please describe any experience of teaching/training undergraduate students and/or postgraduate doctors/other professionals you may have

Experience
Essential

• Minimum of 3 years experience and at least 3 years of clinical practice in psychiatry including the last 12 months.
• Please describe the extent of your clinical knowledge, skills and experience (include any physical health skills you may possess in relation to assessment and management of acute medical emergencies, cardiovascular/respiratory disease, diabetes, neurological conditions etc), and relevant experience in psychiatry, with examples if appropriate

Qualifications
Essential

• MB BS or equivalent medical qualification.
• Fully registered with the GMC with a licence to practise at the time of appointment.
• Candidates will need to hold a Diploma in Psychiatric Medicine MD, DPM DNB or Diplomate of National Board.
• GMCs language requirements for English (please include date passed or due to sit). This requires an average score of at least 7.5, with a score of at least 7.0 in each area (speaking, listening, reading and writing) under the International English Language Testing System (IELTS). The GMC will also accept Occupational English Test (medicine version) for doctors who score at least a B in each domain to show that they have the necessary knowledge of English to gain a licence to practise in the UK.

Desirable

• MRCPsych OR MRCPsych equivalent approved by the Royal College of Psychiatrists
• Pass in papers A and / or B of MRCPsych examination (including date passed or due to sit)
• Leadership / Management qualification

Continuous Professional Development and Appraisal
Essential

• Please describe any relevant courses/CPD events you have attended

Research, Publications and Service Improvement
Essential

• Please describe any quality improvement, research and publications you have been involved in/led over the last 5 years and what the aims and outcomes were etc. If you have completed anything which you believe to be relevant to this post but falls outside of the 5 year limit, please include it.

Clinical Audit

Essential

• Please describe any clinical audits you have been involved in/led (if none, please state not applicable)

Other Supporting Information

Essential

• Please use this section to mention anything else you wish to be considered in your application. Please do not replicate anything in the previous sections and do not include personal identifiable information.
• Prizes
• IT skills
• Knowledge of the NHS/Trust (inc any previous work/observership etc):

C9346-SAS-08M