Job summary
This is an exciting opportunity for an SAS doctor to join a vibrant specialist psychological therapy service as a senior medical member of the team. The post provides much scope for direct clinical contact with patients including not just psychiatric assessment and management but also opportunities to train-in and deliver psychological therapies. Providing psychiatric consultation and liaison support to colleagues both within the team and in other service areas are also important parts of the role.
This post is Full Time (1 WTE) post for a Specialty Doctor working within the Enfield Therapy Service. This post is within the Enfield Mental Health Directorate. The consultant psychiatrist to the service is Dr Matthew Liveras.
The post has arisen due to the current post-holder (0.5WTE) leaving the service. Medical provision to the service is being increased to support forthcoming changes to community services as part of the Community Transformation Project. Currently the team has one 0.5WTE Specialty Doctor, this provision is now being increased to one Full-Time Specialty Doctor post.
The Enfield Therapy Service is a multidisciplinary service (though largely comprised of psychologists) providing a range of specialist psychological therapies. It is made up of 3 'streams' of activity: a PTSD stream, a PD stream and a stand-alone psychological therapies (PTS) stream.
Main duties of the job
Senior psychiatric input into the assessment and management of patients under the care of the service, primarily within the PTSD and PD streams. Overall the post-holder would be expected on average to have 4 - 5 direct patient contacts per day. The vast majority of these will be clinic-based (face to face, less frequently telephone or videolink) but occasionally home-visits may be required (less than once per month on average).
Contribute psychiatric input into periodic team-based reviews of patients participating in the PD treatment programmes (MBT and DBT).
Provide senior psychiatric input into weekly team-based discussions of patients under the care of the service. Such discussions may result in advice being given to team-members working with patients, to liaison with the patient's GP or other involved professionals, or in a decision to meet with the patient for psychiatric review.
Occasionally patients under the care of the service require assessment under provision of the Mental Heath Act 1983 (2007) and the post-holder may be expected to participate in Mental Health Act Assessments. This may happen less than once per year. If the post-holder does wish to have more frequent experience of this work this can be discussed with the consultant psychiatrist.
About us
Barnet Enfield and Haringey Mental Health Trust is a multiple award-winning, combined mental health and community Trust providing local, regional and national healthcare services. We are one of the largest employers in North London with over 3000 staff delivering a range of mental health and community services to a population of over one million.
BEH manages the renowned North London Forensic Services (NLFS), rated as 'Outstanding' by the CQC. This service treats and cares for people within the criminal justice system who have mental health conditions.
We also provide one of the largest eating disorder services in England, as well as drug and alcohol services and mental health liaison services in North Middlesex University Hospitals Trust.
Our values and quality improvement are at the heart of everything we do, please consider joining us.
Job description
Job responsibilities
The post-holder will be expected to develop their skill at incorporating factors such as psychological formulation, assessment of mentalising capacity and assessment of readiness for therapy into their psychiatric assessment so that they are more able to contribute to the development of comprehensive treatment plans. This work will be supported through weekly supervision, regular participation in team discussions, specific training (for example in mentalising based therapy) and participating in delivering therapy if this is an interest of the post-holder.
The post-holder will be expected to contribute to quality-improvement initiatives, for example through participating in regular audit activity related to the business of the service.
There is no requirement for the post-holder to participate in an on-call or S12 rota. If the post-holder wishes, however, there are opportunities to cover vacancies in the trainee on-call rota (core and ST rotas) for additional remuneration: this can be discussed with the team consultant psychiatrist and medical HR.
See JD for further details
Job description
Job responsibilities
The post-holder will be expected to develop their skill at incorporating factors such as psychological formulation, assessment of mentalising capacity and assessment of readiness for therapy into their psychiatric assessment so that they are more able to contribute to the development of comprehensive treatment plans. This work will be supported through weekly supervision, regular participation in team discussions, specific training (for example in mentalising based therapy) and participating in delivering therapy if this is an interest of the post-holder.
The post-holder will be expected to contribute to quality-improvement initiatives, for example through participating in regular audit activity related to the business of the service.
There is no requirement for the post-holder to participate in an on-call or S12 rota. If the post-holder wishes, however, there are opportunities to cover vacancies in the trainee on-call rota (core and ST rotas) for additional remuneration: this can be discussed with the team consultant psychiatrist and medical HR.
See JD for further details
Person Specification
Qualifications
Essential
Desirable
Knowledge and Clinical Expertise in Specialty / Sub-Speciality
Essential
- A minimum of 4 years postgraduate training (or its equivalent gained on a part time or flexible basis) at least two of which will be in a speciality training programme in psychiatry or as a fixed term speciality trainee in psychiatry
- shall have equivalent experience and competencies
- Risk assessment and risk management
Desirable
- Full MRCPsych
- More than two years of experience working at ST4 level or above.
Training Expected
Essential
- oGood and up to date understanding of principles and practice of psychopharmacology and psychological
Desirable
- Further training in any psychiatric specialty
- Experience of clinical audit
Management & Audit
Essential
Desirable
- Experience of quality improvement project
Personal Skills
Essential
- Excellent communication skills, verbal, non-verbal and written
- Formulate effective working relationships
- Function autonomously as well as being a team player. Commitment of working within a multidisciplinary team
- Assessing, formulating and prioritizing patient needs
- Understanding of clinical governance
Desirable
- Experience of working in a multi-cultural society
- Skills in a range of therapeutic and psycho-social treatment options
Personal Circumstance
Essential
Desirable
Person Specification
Qualifications
Essential
Desirable
Knowledge and Clinical Expertise in Specialty / Sub-Speciality
Essential
- A minimum of 4 years postgraduate training (or its equivalent gained on a part time or flexible basis) at least two of which will be in a speciality training programme in psychiatry or as a fixed term speciality trainee in psychiatry
- shall have equivalent experience and competencies
- Risk assessment and risk management
Desirable
- Full MRCPsych
- More than two years of experience working at ST4 level or above.
Training Expected
Essential
- oGood and up to date understanding of principles and practice of psychopharmacology and psychological
Desirable
- Further training in any psychiatric specialty
- Experience of clinical audit
Management & Audit
Essential
Desirable
- Experience of quality improvement project
Personal Skills
Essential
- Excellent communication skills, verbal, non-verbal and written
- Formulate effective working relationships
- Function autonomously as well as being a team player. Commitment of working within a multidisciplinary team
- Assessing, formulating and prioritizing patient needs
- Understanding of clinical governance
Desirable
- Experience of working in a multi-cultural society
- Skills in a range of therapeutic and psycho-social treatment options
Personal Circumstance
Essential
Desirable
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.
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).
Additional information
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.
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).
Employer details
Employer name
Barnet, Enfield & Haringey Mental Health NHS Trust
Address
Enfield Therapy Service
The Chase Building, Chase Farm Hospital
Enfield
EN2 8JL
Employer's website
http://www.beh-mht.nhs.uk/ (Opens in a new tab)
