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NHS Tayside
Scotland, United Kingdom
7 days ago
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Description

Introduction          

NHS Tayside is seeking to appoint full-time Consultant Psychiatrists to lead the delivery of In-Patient General Adult Psychiatry services in Tayside. The successful applicant will work within an enthusiastic and committed multidisciplinary team at a time of service-wide change and development.  

NHS Tayside and its partner organisations are committed to the development of a Tayside wide Mental Health and Wellbeing Strategy and to making appropriate investments to implement the changes agreed therein. The post holder will have a central role in developing and shaping services within our specialist General Adult Psychiatry and Community based Mental Health services.

2        The Service

NHS Tayside serves a population of approximately 420,000 people;  providing a comprehensive range of health care services to the populations living in Angus (~116,000); in Dundee (~149,000); and in Perth & Kinross (~151,000). The area covers the cities of Perth and Dundee; smaller towns such as Crieff, Kinross, Arbroath and Forfar; as well as an extensive rural catchment, including the Angus Glens and north Perthshire. Overall the area is recognised as one that provides a high quality of life for the majority of its residents, with significant investment in urban regeneration, whilst still managing the issues that arise from both urban deprivation and rural isolation.

3        General Adult Psychiatry (GAP) services in Tayside

General Adult Psychiatry (GAP) provides specialist in-patient and outreach service to patients from across Tayside with community-based services provided in 3 localities through Community Mental Health Teams (CMHT) who provide consultant-led specialist mental health services within each of the Health and Social Care Partnerships (HSCP).

Angus, Dundee and Perth&Kinross Integrated Joint Boards (IJBs) are responsible for the commissioning and provision of MH care to the population living in their catchment areas. The care is delivered through the respective Health and Social Community Health Partnerships (HSCPs) which work in collaboration with NHS Tayside under the oversight of the Mental Health and Wellbeing Integrated Leadership team providing support for all MH services across Tayside.

General Adult Psychiatric (GAP) community services in Angus are provided by two Community Mental Health Teams (CMHT), North and South, with a 20-bed in-patient service provided within Mulberry ward at the Carseview Centre in Dundee; the Dundee GAP service is delivered by two CMHTs, East and West, with 40 in-patient beds (Wards 1 and 2) identified for patients from Dundee within the Carseview Centre. Carseview also provides the base for the Crisis Resolution and Home Treatment Teams, as well as a 12 bedded Tayside Psychiatric Intensive Care Unit. The Perth & Kinross GAP service is provided by three sector-based CMHTs, North, South, and City teams. There are 22 acute in-patient beds in the Mulberry ward at the Murray Royal Hospital.

The Murray Royal Hospital site also provides inpatient beds for Psychiatry of Old Age for Perth and Kinross; the Tayside Substance Misuse Service in-patient beds, and the regional services for Forensic Psychiatry.

The management structure for Mental Health Services in Tayside reflects a strong partnership approach to clinical leadership and management between the three Integrated Joint Boards (IJBs) for Perth & Kinross, Dundee and Angus; and NHS Tayside. The Leadership of Mental Health Services is supported by Tayside Integrated Leadership Group, reporting through the Director of MH services and Associate Medical Director for MH and LD services to NHS Tayside Board and to the Tayside Strategic Leaders group.

4        The Post

Each post is for a full time (10 PA) Consultant Psychiatrist. The post holder will be expected to lead work within the IP team for one of the designated localities and to play a significant role in the development of links between the GAP In-Patient and Community Teams, and with regional Forensic Services, including the development of interface agreements to ensure equity of access. The applicant will have the opportunity to liaise with and build strong relationships with other health partners, Local Authority colleagues and voluntary agency care providers.

Job Title:                    Consultant Psychiatrist

Full time:                     10 PAs per week (7.5 DCC/ 2.5 SPA). A detailed job plan will be agreed upon by the post-holder and the lead consultant. This process is overseen by the Medical Directorate for NHS Tayside, with local responsibility sitting with the AMD for MH&LD.  Adequate time for developing the service and providing medical leadership to the planning and implementation of interface arrangements will be recognised in SPA.  Adequate time to supervise doctors in training and to contribute to medical student teaching will also be recognised in SPA.

Base:                           Carseview Centre Dundee or Murray Royal Hospital, Perth. An office will be provided on-site with IT support available.

Administration:            Administrative support is available through two part-time secretaries who between them provide 9:00-5:00 cover.

Medical Cover:            The service has attachments for one core or GP trainee as well as a senior trainee.

On-Call:                      All consultants employed by NHS Tayside will be invited to join a Tayside wide rota that provides cover for General Adult Psychiatry, Psychiatry of Old Age and Child and Adolescent Mental Health. It is a 3 tier rota which includes trainees based at each of the 2 main inpatient sites, with a middle layer provided by senior trainees (ST4-6) and the third tier of one consultant on call

Head of IP Services:   Dr Paul Monaghan

Line management:      Associate Medical Director for MH and LD service, Dr Mike Winter and

NHS Tayside Board Medical Director, Professor Peter Stonebridge.

Duties and Responsibilities

Clinical

The post holder will take a senior medical lead in the provision of the In-Patient specialist service for patients from one of the geographical areas (Angus, Dundee East, Dundee West, or Perth and Kinross).  He/she will hold medical responsibility, providing assessment and ensuring a high standard of clinical care.

The post holder will be expected to promote a multi-disciplinary, multi-agency approach. Direct clinical time will be spent in providing leadership to the multidisciplinary team, carrying out medical reviews, in-depth case note reviews and case discussion, 1:1 meetings with service users and carers and support and supervision of other staff members

The post holder, together with other members of the team, will have responsibility for the smooth transition of their patients back to a community setting. There will be close working with colleagues in the community using the framework of a robust CPA process.

The post holder will be an approved medical practitioner in terms of the Mental Health Act Care and Treatment Scotland Act 2003 and will undertake the required duties in relation to this. 

The post holder will offer timely assessment for patients referred to the service and offer second opinions for patients with complex presentations when required. The post holder will manage the waiting list for the service.

Clinical Governance

The post holder will be expected to take an active role in Quality Improvement work of the service. They will attend audit, academic and management meetings, appropriate to the needs of the service.  He/ She will participate in service evaluation and information-gathering exercises designed to gain a better understanding of the functioning of the service in order to monitor performance and underpin future service developments. Audit and quality improvement are intrinsic to this role.

The post holder will be expected to participate in the work of management committees and planning groups within the locality and wider organisation, notably those which contribute to clinical governance and quality improvement. In due course, the post-holder may be invited to apply for additional management responsibility.

All consultants will be expected to promote liaison and co-operation between this service and other psychiatric services as well as with general hospital, primary care, social services and the relevant voluntary organisations.

Job Planning, Appraisal and CPD

Job planning occurs annually and is carried out with the lead consultant and head of the service. There is a well-supported appraisal system in place in Tayside using the SOAR (Scottish on Line Appraisal Resource). All staff in Tayside will have their Personal Development Plan and will be expected to be members of a PDP group. Study leave will be available in order to fulfil the requirements of continuing professional development.

Education & Research

The post holder will be involved in the supervision of junior medical staff and students, and participate in training for medical students, trainee psychiatrists and other members of the MDT. There are close clinical, research and teaching links with the University of Dundee Section of Psychiatry and Behavioural Sciences. The department’s research portfolio centres on Affective Disorders, neurodevelopment and addictions.

Training Scheme

Trainee doctors are managed through the Basic Specialist Training Scheme for Tayside. This scheme has approximately 30 trainees in total who provide clinical cover arrangements. These arrangements comply with the European Working Time Directive. The rehabilitation post has a CT2 trainee attached and is also approved for ST5 senior trainees. Specialist Registrars are part of a three year higher training rotation coordinated by NHS Tayside. All trainees receive one hour of formal supervision each week, and informal supervision at other times. Core trainees attend the MRCPsych course organised by the University Department of Psychiatry. This is a weekly course and the post holder may be invited to contribute.  

Responsibility for Records Management

All records created in the course of the business of NHS Tayside are corporate records and public records under the term s of the Public Records (Scotland) Act 1937. This includes email messages and other electronic records. It is your responsibility to ensure that you keep appropriate records of your work in NHST and manage those records in keeping with the NHS Tayside records management policy and with any guidance provided by NHS Tayside specific to your employment.

5        Indicative job plan

A final job plan will be developed and agreed upon in discussion with the consultant.

am

pm

Monday

Ward work- review of patients

Mental Health Act work

SPA activity /Service Design-developing policies and procedures / audit

Tuesday

Ward work- review of patients

Mental Health Act work

Team supervision

Clinical admin.

Wednesday

operational management group

Ward work- review of patients

Mental Health Act work

Thursday

Post Graduate Teaching

MDT Case Reviews

/ CPAs

Friday

Supervision of trainee

SPA activity

Meet with carers

Support to ward/clinical overview



Requirements

CRITERIA

ESSENTIAL

DESIRABLE

EXPERIENCE:

Completion of higher specialist training in General Adult Psychiatry

Experience working with patients detained under Mental Health legislation

Experience working in multi-disciplinary and multi-agency teams

Teaching and Research experience

Experience of working with Restricted Patients and MAPPA (Multi-Agency Public Protection Arrangements)

QUALIFICATIONS:

The applicant must

·        Hold MRC Psych or equivalent

·        be included on the GMC Specialist Register GMC Registration with CCT * (Certificate of Completion of Specialist Training) or equivalent in General Adult Psychiatry (* or at the time of interview be within 6 months of completing CCT)

·        hold a valid GMC License to Practise

·        have valid Section 22 of MHA (Scotland) approval

CCT endorsement in Rehabilitation Psychiatry

Postgraduate diploma or degree related to psychiatry

KNOWLEDGE &

SKILLS:

Broad knowledge of psychiatric disorders and their treatment and management

Ability to work effectively within a multi-disciplinary team including supervision of junior medical staff

Comprehensive knowledge of the Mental Health Act, Criminal Procedures Act, and Adults with Incapacity Act

Job Information

  • Job ID: 57917372
  • Location:
    Scotland, United Kingdom
  • Position Title: Consultant Psychiatrist General Adult Psychiatry In-Patient services
  • Company Name: NHS Tayside
  • Job Function: General Adult Psychiatry
  • Job Type: Full-Time
  • Job Duration: Indefinite
  • Min Education: BA/BS/Undergraduate
  • Required Travel: 0-10%

Please refer to the company's website or job descriptions to learn more about them.

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