Locum Specialty Doctor
The CAMHS directorate in the Vale of York locality of TEWV is comprised of the Lime Trees Community CAMHS team. There is also a 16 bed tier 4 CAMHS inpatient service in York which is managed by Leeds and York Partnership Foundation Trust. There are close working relationships between the tier 3 and Tier 4 teams. . Lime Trees team has been building close working relationships with other CAMH teams in the Trust in particular the North Yorkshire CAMHS in order to work collaboratively and share expertise.
The service is commissioned by the Vale of York CCG and has recently established a ‘Single Point of Access’ service, staffed by an experienced PMHW team who triage and provide a telephone consultation service to families and referrers. The SPA respond to all referrals and will help young people and their families with the process of navigating through the options to find a service that meets their needs. Staff job plans are designed to deliver services described in the TEWV Clinical Pathways, in order to provide high quality evidence based care. Since September 2017 a CAMHS crisis team has been working between 10am and 10pm daily, it provides all hospital crisis/overdose assessments and follow ups, it also provides intensive home based treatment for the most risky young people, the service has arisen as part of the pilot for ‘New Models of Care’. It is hoped that it will become a 24/7 service as part of the Trust wide Alternatives to Tier 4 National Pilot project.
The service, in conjunction with North Yorkshire CAMHS has an Enhanced Eating Disorders Team to supplement the work of the generic ED clinic. The service is delivered in 2 specified areas as a hub and spoke model. York is the hub service, with Scarborough as the spoke service. This mirrors the offer in the North Yorkshire service, whereby Harrogate is the hub and Northallerton is the spoke service. All 4 parts of the service deliver against a shared service specification as per the Access and Waiting Times for Eating Disorders (2016)
This is an exciting opportunity to apply for a fixed term Tier 3 Community CAMHS Speciality Doctor post to assist with the medical provision needs of a well-established CAMHS team covering the York and Selby area, the postholder would only be providing medical cover for the York patch.
The population covered by the York team is approximately 290,000. This post is a newly developed additionally resourced post, there are a total of 31 PAs for consultant psychiatry in York and Selby, a 6 session post in Selby and 10, 9 and 6 session (also covers LD in Selby) post in York. The clinical caseload for the generic consultant posts is comprised of conditions such as ADHD, anxiety, depression, psychosis etc. There is no specifically commissioned LD CAMH service; there is an LD team within the service, there is a neurodevelopmental pathway, this post would offer psychiatric support to all the young people with a learning disability who have mental health difficulties requiring psychiatric input in York and Selby, it would also support those young people with other neurodevelopmental difficulties in York (ASD and a small caseload of ADHD cases) The Lime Trees service is commissioned to undertake a number of Autism Diagnostic assessments each year. Young people with a diagnosis of ASD and mental health concerns are also seen within the CAMHS. This post would predominantly be working into the ADHD assessment and intervention pathway.
The Specialty Doctor joining the team will be expected to work in accordance with GMC guidance for working in multiagency and multidisciplinary teams.