Consultant Psychiatrist CAMHS Eating Disorders

Job responsibilities

To develop an active leadership role in the multi-disciplinary Child and Adolescent Mental Health Services (CAMHS), in conjunction with the teams manager and senior clinical staff.

To provide diagnosis, management and treatment of children, adolescents and families from Oxfordshire who have an eating disorder (or suspected eating disorder) and require consultant psychiatric intervention. The consultant will carry medical responsibility only for those patients on his/her own caseload and that of medical staff under his/her supervision. As a guide, full-time consultants in the trust are expected to see 1 to 2 new cases per week, including an emergency slot each week, 10-12 follow up and approximately 5 non face to face contacts which might be school visits, social care meetings, phone appointments. This may vary week to week and is regularly reviewed in team case management and annual job planning. Within the eating disorder team, most cases will be care co-ordinated by non-medical staff, however, there will be some cases that are appropriately case managed by the Consultant.

To provide clinical leadership within the multidisciplinary team and collaborate in systems of supervision and care management within the teams. The consultant will offer consultation, joint working or psychiatric assessments as appropriate for all patients from Oxon that are care coordinated by the eating disorder team.

To work with Getting Help teams to further develop joint working and support the newly developed single point of access (SPA) service for all appropriate referrals to the CAMH eating disorder service.

To work closely with Getting More Help CAMHS where patients have needs across both services.

With other consultant psychiatrist colleagues to endeavour to assess all emergencies referred to them within the day of referral. When necessary, this will include responsibility for Mental Health Act assessment of patients. Urgent referrals are seen within a week and routine referrals within a month.

To work in partnership with the multidisciplinary teams for the clinical management of patients in relation to the care programme approach (CPA). This will include risk management, the assessment of the needs of carers, and the development of services to meet the needs of patients and families for which the teams are responsible.

To liaise with community and hospital paediatricians, adult mental health (particularly the adult eating disorder service) and other agencies dealing with the same population, such as education, social services and primary care where children or adolescents may be treated.

To support and develop community mental health services for patients and their carers in Oxfordshire. The consultant psychiatrist will work with primary health care teams, other mental health practitioners, and other relevant agencies in the shared management of patients. He/she will be encouraged to develop services in line with the recommendations of the National Service Framework/NHS Plan modernisation programme.

To share responsibility for the effective use of inpatient beds when necessary, ensuring prompt admission and discharge of patients from his/her catchment area.

To provide reciprocal cross cover for consultant psychiatrist colleagues in CAMHS for annual leave, unplanned leave and for short term sickness etc, and in the normal working week to ensure that:

Each consultant has protected time for Continuing Professional Development and other agreed activities.

A consultant is available during office hours for psychiatric emergencies, Mental Health Act assessments, and other necessary consultation.

Cross cover with consultant colleagues will be arranged on an equal basis and endorsed by the Clinical Director.

To contribute to the Oxfordshire and Buckinghamshire CAMHS on-call consultant rota for child psychiatry. Senior mental health practitioners form the outreach service are first on call, with St4-6 doctors and speciality doctors providing the first medical response when needed in approximately 2 out of 3 nights. The on-call consultant rota for child psychiatry covering both Oxfordshire and Buckinghamshire is approximately 1 in 12 with prospective cover (category A, 3% + 0.33PA pro rata/week for intensity). The rota runs from 5pm 9am weekdays and all day for weekends and bank holidays. Duty cover is primarily telephone consultation. However, there is an expectation of occasional direct assessments in the community, police station or acute hospital settings, when needed, particularly if there is no junior doctor on the rota (approximately 1 in 3 nights) or if the complexity of the case is such that direct Consultant involvement is needed.

In the weekday the multi-disciplinary colleagues see urgent appointments and run a duty system. All the community psychiatrists offer consultation for colleagues seeing emergencies. OOH psychiatric assessments in general hospitals, police stations and the Adolescent unit may be requested. OOH referrals are made through the Trusts Single Point of Access in each county. CAMHS OSCA Senior Mental Health Practitioner will take on first calls for CAMHS out of hours.

On approximately 2 out of 3 nights junior doctors (ST4-6 and specialty doctors) outside of office hours take first line CAMHS responsibilities for referrals from the OSCA team.

To participate in urgent and emergency clinical work undertaken by the whole multi-disciplinary team during normal working hours. The consultant provides senior medical cover, together with the other consultants for the sector/service.

To consider as appropriate, involvement in special clinical interests: with the agreement of the Clinical Director and consultant colleagues within the locality, the post holder may develop a specialist clinical interest which contributes to the priorities of the service of which the consultant is part. Special interest areas are encouraged and have been agreed within our department and are reflected in the Oxfordshire CAMHs strategic documents. These may include specialist therapies such as family-based therapy, CBT-E, Adolescent-Focussed Treatment, parent group work or Multi-Family Therapy, or clinical ethics. Other areas of interest are encouraged.

To participate in supervision in line with the Trust supervision policy. There is an effective consultant peer supervision group meeting prior to the monthly consultants meeting and other forms of clinical supervision are available within the team.

QUALIFICATIONS

Essential

• Membership or Fellowship of the Royal College of Psychiatrists, or equivalent qualification (in accordance with Royal College of Psychiatrists' Guidelines)
• Section 12 (Mental Health Act) Approval
• CCT in Psychiatry; OR Inclusion on the GMC Specialist Register in psychiatry; OR within six months of achieving CCT at the time of interview; OR CESR
• Higher specialist training in child and adolescent psychiatry in approved training post for a minimum of three years, equivalent training in another country, or previous consultant experience relevant to this post

Desirable

• Sub-specialty or other specialist clinical training relevant to post

CLINICAL EXPERIENCE

Essential

• Experience of the full range of clinical responsibilities expected of a Consultant in this specialty

Desirable

• Experience of close collaborative work with social care and other agencies
• Development of close collaboration with primary care services
• Application of evidence-based practice and interest in clinical and policy developments for this care group

SKILLS AND KNOWLEDGE

Essential

• Ability to work within a collaborative multidisciplinary framework and to share leadership responsibilities with senior colleagues and other professions
• Ability to understand how organisations work most effectively Commitment to active clinical governance
• Ability to promote effective team working
• Capacity to prioritise workload
• Active participation in clinical audit
• Commitment to interagency partnership working
• Must have good skills in communication with patients, relatives, colleagues and staff from other organisations. Good spoken and written English.
• Work collaboratively and effectively with a range of professionals
• Must have interest in and commitment to people with mental health problems and their carers
• Experience in supervising and teaching core psychiatric trainees

Desirable

• Supervision of advanced level trainees
• Undergraduate and postgraduate medical teaching
• Relevant experience of administrative, management and leadership roles of senior medical staff

Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

Certificate of Sponsorship

Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).

From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).