Job summary
This is an exciting opportunity for an ambitious Consultant Psychiatrist to work in the Regional North West London Mental Health Crisis Assessment Service (MHCAS). The post sits within Jameson division in Central and North West London NHS Foundation trust. The post is based at St Charles Hospital Mental Health Centre in North Kensington, London. The post-holder will also provide Consultant leadership to the Lighthouse Mental Health Emergency Centre at St Marys Hospital Campus in Paddington, London.
We offer a range of development opportunities for newly qualified and established consultants looking for new opportunities. We welcome applications from candidates from all backgrounds and those within 6 months of CCT.
This is a 10 PA full time newly-developed substantive Consultant Psychiatrist post.
Candidates are welcome to contact Dr Sujaa Arokiadass, Clinical Director, for a discussion.
AAC to be held 21-Nov-2023 (PM)
Main duties of the job
The post holder will provide Consultant Clinical Leadership to the MHCAS and St Marys Lighthouse MHEC and supervise the Junior Doctor in the Team.
The post holder will report to Dr Sujaa Arokiadass, Clinical Director for Westminster Mental Health Services. On call duties include covering the Inpatient base at St Charles hospital and St Mary's or Chelsea Westminster A&Es. The rota is currently 1:14. There is a middle/second on call tier through higher trainees and first on call provision is provided by resident junior doctors. Out of hours, at any time there are 2 consultant psychiatrists, 2 ST4-6s and 3 CT1-3s/GPVts trainees on call covering Westminster, Kensington and Chelsea mental health Services. The post holder will be part of a Consultant peer group in Westminster.
*Please note that this post is being advertised pending RCPsych approval'*
About us
Central and North West London NHS Foundation Trust (CNWL) specialises in caring for people with a wide range of physical and mental health needs.
Over recent years our catchment area has grown significantly, making the Trust's population more diverse than ever. The area spans the communities of London, Milton Keynes and wider geographical areas of Buckinghamshire, Surrey, Kent and Hampshire.
The MHCAS is a 24/7, 365 days service situated at the St Charles' Hospital site in Central London. It is staffed by a dedicated team with clinical and non-clinical staff including a lead consultant, junior doctor, assessment nurses, drug and alcohol workers, access to psychology, therapy, the voluntary sector and integrated discharge team. There are 8 private cubicles and an open lounge area in the unit.
The aim of the MHCAS is to provide a therapeutic supplement and alternative to attending an emergency department (ED) for those experiencing a Mental Health crisis. The MHCAS offers a range of therapeutic interventions in an appropriate space and provide people with mental health needs the opportunity to access a more prolonged and informed assessment of needs and/or risks.
Job description
Job responsibilities
- Provide senior clinical advice and support to the daily triage, assessment of patients, MDT zoning meetings, discharge planning, other regular clinical team meetings including professionals meetings and weekly team clinical reflection meetings in MHCAS
- Provide consultant clinical advice, cover and support to the Light house MHEC as needed
- Ensure in partnership with the team manager that all referrals are triaged daily and responded to in a timely way.
- Assessment of new patients and clinical supervision of assessments carried out by other team members as required
- Ensure community connectivity for patients where relevant as part of discharge planning
- Build and maintain good relationships with other teams and consultants along the pathway
- Review complex needs patients to ensure appropriate care packages are put in place
- Mental Health Act related work as indicated
- Ensure that patients physical health needs are addressed.
- Ensure high quality documentation in the team including clear documentation related to mental capacity assessments and physical health assessments, discharge summaries
- Ensure safe handover across interfaces when patients are discharged
- Develop working relationships with relevant local voluntary sector services who can support and promote recovery where possible preventing readmissions
- Follow the cross-cover protocol that has been agreed with another team or colleague which will ensure appropriate consultant cover is in place during absences.
Job description
Job responsibilities
- Provide senior clinical advice and support to the daily triage, assessment of patients, MDT zoning meetings, discharge planning, other regular clinical team meetings including professionals meetings and weekly team clinical reflection meetings in MHCAS
- Provide consultant clinical advice, cover and support to the Light house MHEC as needed
- Ensure in partnership with the team manager that all referrals are triaged daily and responded to in a timely way.
- Assessment of new patients and clinical supervision of assessments carried out by other team members as required
- Ensure community connectivity for patients where relevant as part of discharge planning
- Build and maintain good relationships with other teams and consultants along the pathway
- Review complex needs patients to ensure appropriate care packages are put in place
- Mental Health Act related work as indicated
- Ensure that patients physical health needs are addressed.
- Ensure high quality documentation in the team including clear documentation related to mental capacity assessments and physical health assessments, discharge summaries
- Ensure safe handover across interfaces when patients are discharged
- Develop working relationships with relevant local voluntary sector services who can support and promote recovery where possible preventing readmissions
- Follow the cross-cover protocol that has been agreed with another team or colleague which will ensure appropriate consultant cover is in place during absences.
Person Specification
QUALIFICATIONS
Essential
- MB BS or equivalent medical qualification.
- MRCPsych OR MRCPsych equivalent approved by the Royal College of Psychiatrists
Desirable
- Qualification or higher degree in medical education, clinical research or management.
- Additional clinical qualifications.
ELIGIBILITY
Essential
- Fully registered with the GMC with a licence to practise at the time of appointment
- Included on the GMC Specialist Register OR within six months
- Approved clinician status OR able to achieve within 3 months of appointment
- Approved under S12
Desirable
- In good standing with GMC with respect to warning and conditions on practice
CLINICAL SKILLS, KNOWLEDGE & EXPERIENCE
Essential
- Excellent knowledge in specialty
- Excellent clinical skills using bio-psycho-social perspective and wide medical knowledge
- Excellent oral and written communication skills in English
- Able to manage clinical complexity and uncertainty
- Makes decisions based on evidence and experience including the contribution of others
- Able to meet duties under MHA and MCA
Desirable
- Wide range of specialist and sub-specialist experience relevant to post within NHS or comparable service
TRANSPORT
Essential
- Holds and will use valid UK driving licence OR willing to use public transport for travel during work
ACADEMIC SKILLS & LIFELONG LEARNING
Essential
- Able to deliver undergraduate or postgraduate teaching and training
- Participated in continuous professional development
- Participated in research or service evaluation.
- Able to use and appraise clinical evidence.
- Has actively participated in clinical audit.
Desirable
- Able to plan and deliver undergraduate and postgraduate teaching and training relevant to this post
- Reflected on purpose of CPD undertaken
- Experienced in clinical research and / or service evaluation.
- Evidence of achievement in education, research, audit and service improvement: awards, prizes, presentations and publications.
- Has led clinical audits leading to service change.
Person Specification
QUALIFICATIONS
Essential
- MB BS or equivalent medical qualification.
- MRCPsych OR MRCPsych equivalent approved by the Royal College of Psychiatrists
Desirable
- Qualification or higher degree in medical education, clinical research or management.
- Additional clinical qualifications.
ELIGIBILITY
Essential
- Fully registered with the GMC with a licence to practise at the time of appointment
- Included on the GMC Specialist Register OR within six months
- Approved clinician status OR able to achieve within 3 months of appointment
- Approved under S12
Desirable
- In good standing with GMC with respect to warning and conditions on practice
CLINICAL SKILLS, KNOWLEDGE & EXPERIENCE
Essential
- Excellent knowledge in specialty
- Excellent clinical skills using bio-psycho-social perspective and wide medical knowledge
- Excellent oral and written communication skills in English
- Able to manage clinical complexity and uncertainty
- Makes decisions based on evidence and experience including the contribution of others
- Able to meet duties under MHA and MCA
Desirable
- Wide range of specialist and sub-specialist experience relevant to post within NHS or comparable service
TRANSPORT
Essential
- Holds and will use valid UK driving licence OR willing to use public transport for travel during work
ACADEMIC SKILLS & LIFELONG LEARNING
Essential
- Able to deliver undergraduate or postgraduate teaching and training
- Participated in continuous professional development
- Participated in research or service evaluation.
- Able to use and appraise clinical evidence.
- Has actively participated in clinical audit.
Desirable
- Able to plan and deliver undergraduate and postgraduate teaching and training relevant to this post
- Reflected on purpose of CPD undertaken
- Experienced in clinical research and / or service evaluation.
- Evidence of achievement in education, research, audit and service improvement: awards, prizes, presentations and publications.
- Has led clinical audits leading to service change.
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).
