Locum Consultant - Enfield Therapy Services

Job description

Job responsibilities

Please note the attached job description is subject to final approval from the Royal College.

Psychiatric leadership of the assessment and management of patients under the care of the service, primarily within the PTSD and PD streams. Overall the post-holder might expect to have on average 2 - 3 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 every 2 -3 month

Contribute psychiatric input into weekly team-based reviews of patients participating in the PD treatment programmes (MBT and DBT)

Provide consultant psychiatric input into weekly team-based discussions of patients under the care of the service. Each stream (cPTSD, PD and PTS) has its own weekly clinical meeting. Such discussions may result in advice being given to team-members working with patients, to liaison with the patients 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 will be expected to participate in Mental Health Act Assessments. This may happen less than once per year. It is very rare for patients under the care of the team to be subject to CTO (there have been none in the last 5 years)

In the PD stream in particular patients, carers and other professionals involved (for example GPs, inpatient staff) will often require advice about the safe and appropriate use of any medications in relation to care, in line with NICE guidance on prescribing in personality disorder

Through the course of working with patients under the care of the team the post-holder will regularly liaise and advise other professionals involved, including CAMHS (as part of patients being transferred from CAMHS to adult services); Crisis and Home Treatment teams; Inpatient teams; the Eating Disorder service; Core Locality mental health teams and colleagues in social services

The service runs a number of Family and Carer information groups and there will be the opportunity to participate in the on-going development of this offer

The post-holder will be expected to develop their skills at psychological formulation, the assessment of mentalising capacity and assessment of appropriateness and readiness for psychotherapy. This will be supported through peer supervision within the team, regular meetings with counter-parts in neighbouring boroughs as well as opportunities to train in specific modalities of therapy (for example MBT)

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

As outlined above the service is in the process of integrating with our Core Community Mental Health Teams, which will work with primary care through Primary Care Networks. The transformation is supported by additional funding to PD services and psychological therapy, and there will be changes to how services are delivered. The post holder will contribute to and clinically lead on aspects of this transformation

There will be the expectation that the post-holder will join the Trust-wide low-frequency consultant on-call rota (less than 1 in 13)

The post-holder will offer weekly supervision to the SAS doctor attached to the service.

Person Specification

Qualifications

Essential

• Full GMC Registration
• Section 12 Approval

Desirable

• An additional qualification in a psychotherapeutic modality

Knowledge

Essential

• Demonstrable interest in psychological aspects of psychiatry.
• Sound knowledge and experience in general adult psychiatry across a range of settings.

Desirable

• Experience delivering psychotherapies in a range of modalities.

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).

Employer details

Employer name

Barnet, Enfield & Haringey Mental Health NHS Trust

Address

Chase Farm Hospital Site

Chase Building

Enfield

EN2 8JL

Employer's website

http://www.beh-mht.nhs.uk/ (Opens in a new tab)