Job summary
This role is for a Specialty Doctor to join Durham and Darlington Crisis Team in Adult Mental Health. A base for this post will be negotiable between the three sites.
Main duties of the job
The Adult Crisis Service works on a 24/7 basis to undertake comprehensive triage assessment of individuals who are currently experiencing a mental health crisis, with the aim of preventing their admission to hospital. Where the individual is admitted to inpatient services, the crisis team works with them to support leave and recovery-based discharge and enable productive bed flow. The crisis service is also responsible for providing intensive home treatment and facilitating S136 assessments outside of street triage working hours. On average there are 300-400 referrals to the Crisis Team per month. Many of these referrals result in direct assessments but signposting and advice are alternative outcomes.
Currently the service is operated as a “hub and spoke” model. The “hub” where the main team is based is at Auckland Park Hospital in Bishop Auckland. There are two “spoke” sites at Lanchester Road Hospital in Durham and West Park Hospital in Darlington.
About us
We are one of the largest specialist mental health and learning
disabilities trusts in the country, with an annual income of £320m and a
workforce of some 6,700 staff operating from around 100 sites in Durham,
Teesside, North Yorkshire and York and Selby. We provide a range inpatient and
community services to 2m people living in County Durham, the Tees Valley,
Scarborough, Whitby, Ryedale, Harrogate, Hambleton and Richmondshire. We also
provide additional specialist services to other parts of Northern England.
We deliver our services by working in partnership with eight local
authorities and clinical commissioning groups, a wide range of voluntary
organisations, as well as service users, their carers and the public. The
services are spread over a wide geographical area of around 3,600 square miles,
which includes coastal, rural and industrial areas.
We are a multi-award winning trust and are included within the Health
Service Journal’s Best 100 Places to Work. The trust take a positive and
proactive approach to support staff in their personal development and has
embedded the Talent Management approach within the Trust, with the vision of
helping people to be as good as they can be, helping TEWV to do things better.
Job description
Job responsibilities
Crisis work will have a degree of flexibility depending on need. It would be expected on that on average the post holder will complete approximately 10 patient reviews per week (this will be a mixture of medical reviews and formulations with the team). There may be an additional 1-2 expected MHA assessments per week but this will be variable. There will be an expectation that the post holder attends one crisis leadership meeting per week.
Other members of the team in the hub and spoke model:
1 WTE Consultant Psychiatrist
1.0 WTE Consultant Psychologist
1.0 Speciality Doctor (this post)
1.0 WTE Service Manager
1.0 WTE Team managers
6.0 WTE Advanced Practitioner
60 x Band 6 Crisis clinicians
19 x Band 3 Support workers
2 x Admin support workers
1 x Admin band 4 Medical Secretary
- Regular attendance at crisis team daily report out meetings. This may at times be using remote technology such as Microsoft Teams.
- Opportunity to be an active member of the leadership team
- Participation in triage/assessment of patients referred to the crisis service in complex cases and when a medical opinion is required
- Provision of medical reviews to patients receiving intensive home treatment. Reviews will also be provided by the Consultant Psychiatrist and Non-Medical Prescriber within the team
- Participation in formulation of patients presenting with complex difficulties including diagnostic uncertainty. This will be in conjunction with the consultant psychologist and consultant psychiatrist working with the team
- Involvement in multi-agency meeting for patients who repeatedly access services or who present to a variety of agencies and services
- Provision of support and clinical supervision to the team where appropriate
- Provision of teaching and training to the team
- Liaison with GPs and interfacing agencies and services
- Participation alongside the leadership team in developing and evaluating the service
- Mental Health Act work – It is preferable that the postholder has up-to-date S12 approval. This will allow the postholder to contribute to the completion of Mental health Act assessments alongside the Consultant Psyciatrist. Mental Health Act Assessments are in the first instance undertaken by the home team Consultant Psychiatrist (if already open to a Community team) or by the Consultant Psychiatrist/S on the day-time on-call rota (covered by the community consultants). The post holder will be expected to complete MHA assessments of patients currently working with the Crisis Team and those who are not open to secondary MH services. The latter may be negotiated with the on-call Consultant psychiatrist.
- A range of opportunities to get involved in service development including evaluation of the new crisis service
The post holder will have opportunity to contribute to the education and training of medical students, doctors in training and other members of staff.
Opportunities for formal involvement in the undergraduate and postgraduate teaching programmes are available through discussion with the Medical Development Department.
The postholder will be expected to provide support and clinical leadership to the multi-disciplinary team whilst working within their own limitations. This will be supported by the wider senior leadership team.
The postholder will be expected to contribute to clinical governance and service development.
The postholder will be expected to be committing to continuously improving the quality of the service where possible
The post-holder will be expected to participate in the middle tier on-call rota for South Durham covering AMH and MHSOP. The frequency of on-call rota will be 1:8 and attract an on-call supplement of 8%. The rota frequency and on-call supplement will be adjusted for less than full time working
Job description
Job responsibilities
Crisis work will have a degree of flexibility depending on need. It would be expected on that on average the post holder will complete approximately 10 patient reviews per week (this will be a mixture of medical reviews and formulations with the team). There may be an additional 1-2 expected MHA assessments per week but this will be variable. There will be an expectation that the post holder attends one crisis leadership meeting per week.
Other members of the team in the hub and spoke model:
1 WTE Consultant Psychiatrist
1.0 WTE Consultant Psychologist
1.0 Speciality Doctor (this post)
1.0 WTE Service Manager
1.0 WTE Team managers
6.0 WTE Advanced Practitioner
60 x Band 6 Crisis clinicians
19 x Band 3 Support workers
2 x Admin support workers
1 x Admin band 4 Medical Secretary
- Regular attendance at crisis team daily report out meetings. This may at times be using remote technology such as Microsoft Teams.
- Opportunity to be an active member of the leadership team
- Participation in triage/assessment of patients referred to the crisis service in complex cases and when a medical opinion is required
- Provision of medical reviews to patients receiving intensive home treatment. Reviews will also be provided by the Consultant Psychiatrist and Non-Medical Prescriber within the team
- Participation in formulation of patients presenting with complex difficulties including diagnostic uncertainty. This will be in conjunction with the consultant psychologist and consultant psychiatrist working with the team
- Involvement in multi-agency meeting for patients who repeatedly access services or who present to a variety of agencies and services
- Provision of support and clinical supervision to the team where appropriate
- Provision of teaching and training to the team
- Liaison with GPs and interfacing agencies and services
- Participation alongside the leadership team in developing and evaluating the service
- Mental Health Act work – It is preferable that the postholder has up-to-date S12 approval. This will allow the postholder to contribute to the completion of Mental health Act assessments alongside the Consultant Psyciatrist. Mental Health Act Assessments are in the first instance undertaken by the home team Consultant Psychiatrist (if already open to a Community team) or by the Consultant Psychiatrist/S on the day-time on-call rota (covered by the community consultants). The post holder will be expected to complete MHA assessments of patients currently working with the Crisis Team and those who are not open to secondary MH services. The latter may be negotiated with the on-call Consultant psychiatrist.
- A range of opportunities to get involved in service development including evaluation of the new crisis service
The post holder will have opportunity to contribute to the education and training of medical students, doctors in training and other members of staff.
Opportunities for formal involvement in the undergraduate and postgraduate teaching programmes are available through discussion with the Medical Development Department.
The postholder will be expected to provide support and clinical leadership to the multi-disciplinary team whilst working within their own limitations. This will be supported by the wider senior leadership team.
The postholder will be expected to contribute to clinical governance and service development.
The postholder will be expected to be committing to continuously improving the quality of the service where possible
The post-holder will be expected to participate in the middle tier on-call rota for South Durham covering AMH and MHSOP. The frequency of on-call rota will be 1:8 and attract an on-call supplement of 8%. The rota frequency and on-call supplement will be adjusted for less than full time working
Person Specification
Clinical Knowledge & Skills
Essential
- Good knowledge of psychiatry. Excellent clinical skills using bio-psycho-social perspective and wide medical knowledge.
Desirable
- Able to manage clinical complexity and uncertainty.
Research, Audit & Quality Improvement
Essential
- Has actively participated in clinical audit.
Desirable
- Shows commitment to quality through knowledge of quality improvement and lean thinking methodology. Participated in research and/or service improvement.
Qualifications
Essential
- MB BS or equivalent medical qualification. Fully registered with the GMC with a licence to practise at the time of appointment. At least 4 years postgraduate experience, including at least 2 years in a core psychiatry training programme in UK or abroad Approved under S12 of MHA OR able to achieve within 6 months of appointment.
Desirable
- MRCPsych or equivalent postgraduate qualification.
Experience
Essential
- Able to deliver undergraduate or postgraduate teaching and training.
- Participated in continuous professional development. Evidence of annual appraisal and commitment to appraisal and revalidation.
Desirable
- Evidence of achievement in education, research, audit and service improvement: awards, prizes, presentations and publications.
Person Specification
Clinical Knowledge & Skills
Essential
- Good knowledge of psychiatry. Excellent clinical skills using bio-psycho-social perspective and wide medical knowledge.
Desirable
- Able to manage clinical complexity and uncertainty.
Research, Audit & Quality Improvement
Essential
- Has actively participated in clinical audit.
Desirable
- Shows commitment to quality through knowledge of quality improvement and lean thinking methodology. Participated in research and/or service improvement.
Qualifications
Essential
- MB BS or equivalent medical qualification. Fully registered with the GMC with a licence to practise at the time of appointment. At least 4 years postgraduate experience, including at least 2 years in a core psychiatry training programme in UK or abroad Approved under S12 of MHA OR able to achieve within 6 months of appointment.
Desirable
- MRCPsych or equivalent postgraduate qualification.
Experience
Essential
- Able to deliver undergraduate or postgraduate teaching and training.
- Participated in continuous professional development. Evidence of annual appraisal and commitment to appraisal and revalidation.
Desirable
- Evidence of achievement in education, research, audit and service improvement: awards, prizes, presentations and publications.
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).
