Consultant Lewisham CAMHS Horizon & Crisis

Job responsibilities

Other duties

The post-holder will be expected to provide Consultant leadership and medical cover. The weekly crisis second on-call cover is to those young people presenting in crisis primarily at University Hospital Lewisham (UHL). This includes the Adult Majors, Minors, Paediatric ED and the Paediatric wards. The crisis team are well functioning team with nurses who will assess and escalate to junior doctors and to the post holder as needed.

This includes Emergency presentations or Paediatric ward review following admission at University Hospital Lewisham) within the borough in conjunction with the other consultants and resident doctors to ensure that there is always appropriate senior medical cover. This supports the Crisis rota with the crisis team (supported by the Response Team). MHA assessments are rare and the post holder is expected to conduct them when needed and work with the crisis team to care plan.

Consultant Psychiatrists provide cross cover for these duties during leave periods. This is worked out by mutual agreement, and we are very good at maintaining excellent communication and relationships between consultant colleagues in Lewisham CAMHS. There is a regular team meeting and a Teams channel to maintain close working relationships.

How this post is supported

There is support from an experienced administration team, coordinated by the Borough Business Manager. The postholder will be supported administratively through this team.

The successful candidate will have an office (likely shared with one other Consultant Psychiatrist). They have their own desk, computer (work laptop) and telephone (landline and work mobile) with access to IT support. The team has administrative support.

Non car drivers can access transport for essential clinical journeys.

There is scope to develop specialism within the overall role to this service.

Psychiatric Trainees and SAS Doctors

Lewisham CAMHS benefits from the support of one Core Trainee (CT1-3) and two Specialist Trainees (ST4-6) on the South London and Maudsley training schemes. However, this is due to change due to wider national levelling up agenda (in which London is expected to lose a significant number of training posts).

The Training Programme Director for CAMHS Specialist Trainees is Dr Dan Hayes, Consultant Psychiatrist. This is not a training post, but you will be involved in supporting the trainees through both formal and informal teaching, as opportunity arises.

Timetable

This is a notional timetable. It can be adapted to meet the needs of the post holder and the service, in the context of the job planning process with the lead clinician. There will be a 7.5 / 2.5 DCC / SPA split. Although there are no specific additional responsibilities associated with the post, the post holder would be encouraged to take up additional roles commensurate with their seniority and interests, to be incorporated into their negotiated job. These could include lead roles in education and training (undergraduate or postgraduate), safeguarding, clinical governance etc.

The consultant role involves providing clinical and medical leadership for both the MDT and junior medical staff.

Monday

Tuesday

Wednesday

Thursday

Friday

am

Crisis Team

Team meeting

Huddle

DCC HORIZON Clinic +admin

Crisis Team Clinic + admin

SPA

SPA

Clinic Admin

DCC HORIZON Clinic +admin

pm

Crisis Team Clinic + admin

HORIZON team Meeting

DCC FOLLOW-UP

DCC HORIZON Clinic +admin

Advisory meeting (monthly)

SPA

DCC HORIZON Clinic +admin CAMHS weekend handover

Qualifications

Essential

• MRCPsych membership or equivalent

Desirable

• Membership or Fellowship of the Royal College of Psychiatrists
• Qualification or higher degree in medical education, clinical research or management
• Experience in other relevant specialties such as in patient psychiatry, liaison psychiatry (especially Paediatrics)

Eligibility

Essential

• Fully registered with the GMC with a licence to practise at the time of appointment
• Evidence for inclusion in the Specialist Register or within six months of gaining CCT in C&A psychiatry or Equivalent training in Child and Adolescent Psychiatry (CESR issued by PMETB).
• Section 12 approved
• Approved Clinician status or able to achieve within three months of appointment

Training and Experience

Essential

• Experience of assessing and managing complex co-morbidities, including Crisis Care
• Experience in Outpatient/Community Child and Adolescent Psychiatry with higher level diagnosis and management expertise
• Special interest in complex mental health presentations comorbid with neurodevelopmental conditions

Desirable

• Training in treatment modalities
• Experience of providing consultation to non-CAMHS practitioners
• Consultant experienced in community CAMHS

Clinical Skills

Essential

• Excellent leadership skills
• Excellent adolescent psychiatric assessment skills
• Good ability to relate to children, adolescents and parents
• Good ability to work in a team setting
• Understanding of safeguarding
• Ability to assess capacity and consent
• Understanding of how complaints and serious incidents are managed
• Up-to-date knowledge and fitness to practice
• Expertise in the use and application of The Mental Health Act in children and young people

Desirable

• Evidence of skills in consultation to non-mental health specialists e.g. GPs, social workers, paediatricians
• Evidence of range of specialist and sub-specialist experience relevant to post within NHS or comparable service
• Expertise in CBT or other therapeutic intervention to postgraduate level
• Significant experience of developing and leading outpatient/community CAMHS psychiatric care

Academic Skills and Lifelong Learning

Essential

• Management/Audit: Participation in audit or QI in clinical posts
• Teaching: Experience of teaching a range of disciplines
• Research: Involvement in research projects
• Personal Skills: Excellent demonstrable communication skills in English (both oral and written)
• Personal Skills: Ability to work within a multi-disciplinary team and resolve conflict
• Personal Skills: Probity
• Personal Skills: Eligible to work in the UK

Desirable

• Management/Audit: Able to plan and deliver undergraduate and postgraduate teaching and training relevant to this post
• Teaching: Reflected on purpose of CPD undertaken
• Research: Experienced in clinical research and / or service evaluation
• Research: Evidence of achievement in education, research, audit and service improvement: awards, prizes, presentations and publications
• Personal Skills: Has led quality improvement projects/audits leading to service change or improved outcomes to patients
• Personal Skills: Evidence of involvement with business planning of clinical services
• Personal Skills: Peer reviewed publication
• Personal Skills: Book publication

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).