Job responsibilities
SERVICES YOU COULD BE PLACED INThe directorate provides acute and primary and secondary community psychiatric care for patients between the ages of 18-65. We also provide specialist services including Learning Disabilities, Liaison Psychiatry, Eating Disorders, Forensic psychiatry, Personality disorder services, Early Intervention Psychosis and perinatal psychiatry. These services are across Cambridge and Peterborough but this post would be limited to those services in Peterborough and Huntingdon to limit travel time for the candidate.
Adult Community CareAdult Community services are organised into locality teams aligned with GP surgeries and primary care. Cambridge North Adult Locality team: Union House, Cambridge Cambridge South Adult Locality team: Union House, Cambridge Huntingdon Adult Locality team: Newtown Centre, Huntingdon Fenland Adult Locality team: Agenoria House, Wisbech Peterborough & Borders Adult Locality team: Gloucester Centre, PeterboroughThe locality teams have strong links with the GPs and primary care services through senior mental health clinicians (PRISM) working with groups of GP practices.Specialist services working closely with all localities: CAMEO, which is an early intervention in psychosis service for people experiencing their first episode psychosis Personality Disorders Community Service for people with personality disorders Perinatal Early Intervention Services (CAMEO Team)CAMEO is a service for people aged 17 to 35 years old who are experiencing a first episode of psychosis. The focus is on recognising and treating psychotic experiences early in order to provide better outcomes and an improved chance of recovery. The Team provides biopsychosocial care and treatment over a 2 year period. In addition to optimising pharmacological intervention, the service provides a number of psychological treatments including cognitive behaviour therapy, group and individual work, family work and brief family focus groups, and a range of interventions to help people to get back to college, work and develop social skills and support with finances. It also offers assessment advice and information about other relevant services to people who are at risk of developing psychosis. The service has strong research links
Personality Disorder Pathway TeamThe PD Pathway Team is a NICE compliant tertiary service for patients who have complex needs with the majority having severe personality difficulties. The PD Pathway Team offers a comprehensive assessment service followed up by a therapy based treatment programme which includes case management, formal therapy interventions etc. They work in partnership with our patients, carers and other psychiatric services to manage high risk and impairment. The trust is currently part of a national pilot of broadening the psychosocial treatment offer to patients with less severe or complex personality difficulties and emotional dysregulation.
Adult Acute ServicesAcute Care in Adult Services comprises 8 wards and 2 crisis teams. There are other specialist wards like eating disorder units, low secure units, learning disability wards, etc. which are in the Specialist Services Directorate, older people's wards which are in the Integrated Care Directorate and children's units within the Childrens Directorate. The Adult Acute Care services and the locations are as follows:CambridgeMulberry 1 (3 day assessment unit)Mulberry 2 (3 week treatment unit)Mulberry 3 (3 month recovery unit)Crisis Resolution Home Treatment Team (Cambridge)Springbank Ward (Personality Disorder Unit)PeterboroughOak 1 (3 day assessment unit)Oak 2 (3 week treatment unit)Oak 3 (3 month recovery unit)Poplar (Psychiatric Intensive Care Unit)Crisis Resolution Home Treatment Team (North)SpringbankSpringbank Ward is a specialist 12 bedded unit for women with a diagnosis of severe Personality Disorder. It is configured to take patients from within CPFT as well as from out of area placements.Crisis Resolution Home Treatment TeamThe Crisis Resolution Home Treatment Team provides rapid crisis resolution and treatment as alternatives to an admission for adults of working age (17 to 65). The catchment area covers Peterborough, Huntingdon and Fenland. In addition to the gate keeping role for all admissions, the Team works closely with the inpatient wards to facilitate early discharge and provide home treatment. The Team works round the clock 24/7, 365 days a year. Mental Health practitioners in the Team come from varied backgrounds; nurses, social workers, support, time and recovery workers, peer support workers, providing a good skill mix. A range of therapeutic options, pharmacological and psychological are used in home treatment. The Team also works closely with carers and families and provides psycho education. Depending on treatment outcomes and complexity of the episode, patients are either discharged back to primary care or are referred to community teams for follow up.
Acute Assessment Unit (up to 3 days)The role of the Acute Assessment Unit is to provide a safe holding environment to conduct a thorough assessment for patients in whom a one off Crisis Resolution Home Treatment assessment might not be adequate. The staff team in the Acute Assessment Unit and the Crisis Team work very closely to provide a seamless service for unwell patients.Treatment Unit (up to 3 weeks)The treatment ward is responsible for delivering evidence based inpatient interventions. These would have been decided in a collaborative fashion as part of the assessment in the Acute Assessment Unit. The focus is on enabling patients to attain a state in which they feel clinically safe to take on the challenges that exist in the community. Recovery principles are at the heart of the interventions that are delivered.Recovery Unit (up to 3 months)The recovery unit aims to provide a high standard of care and treatment in a safe and therapeutic setting following an acute phase of illness. The aim of the service is to work with the patient to develop and strengthen their skills to allow them to live as independently as possible. The unit provides short term rehabilitation and recovery programmes, and our aim is to help the patient to find links in their local community.
First response teamThe First Response Service provides assessment and support to people in mental health crisis 24/7. Working with existing teams, the First Response Team responds to urgent referrals from emergency services via NHS 111. The Sanctuary, run by Mind in partnership with FRS, provides a safe space to provide support and de-escalation. FRS has also developed strong working relationships with the mental health practitioners in the Integrated Police Control Room that provide advice and support to the police. They can arrange admission or home treatment and refer on to Locality teams if neededLiaison PsychiatryThe Trust wide liaison psychiatry service covers four acute teaching hospitals: Peterborough City Hospital and Hinchingbrooke Hospital (NWAFT), Addenbrookes Hospital and Papworth. Liaison psychiatry or psychological medicine provides assessment and treatment for patients who are admitted to an acute hospital with a comorbid acute physical illness. This includes inpatient wards and the emergency department. In addition to consultation, the team provides training, advice and guidance for clinicians and governance in the hospital. Sub specialties include substance misuse, old age psychiatry, trauma, transplant, psychoncology and paediatric psychology
Perinatal Psychiatry This is a multidisciplinary team providing specialist mental health care and treatment for mothers and babies in the pre- (including preconception) and post-natal period. The service will also expand to provide more support for partners. Forensic PsychiatryThere are two community multidisciplinary teams providing specialist forensic care and treatment in the north and south of the county. The trust also provides low secure forensic inpatient care.
Eating disordersThe trust provides community specialist eating disorders assessment and treatment for patients with eating disorders in Cambridgeshire, Peterborough and part of Norfolk. The service is expanding to be able to provide holistic psychological and associated physical health monitoring to a greater number of patients. We also provide a specialist inpatient unit for the region. Our sub-speciality teams have a close working relationship with our core psychiatry teams to provide advice and guidance across interfaces. Training Opportunities1. Attendance at weekly education meetings.2. Participation in psychological treatment supervision groups, the service offers supervision in Cognitive Analytic Therapy, Cognitive Behavioural Therapy, and Brief Solution Focused Therapy.3. Opportunities to undertake service audit, working within Clinical Governance audit plan. Support is available through the Clinical Governance Committee Convenor and the Clinical Governance facilitator.4. Junior doctor meeting to consider professional and work issues.5. Other educational activities include;Journal club/case conferences Supervision with consultant 6. Opportunity to attend the Regional Training Programme of Post Graduate Education at PGME, Cambridge.7. Taking part in large-scale mental health research projects, largely under the aegis of the Mental Health Research Network (see below).8. It is possible to negotiate individual training plans.
