Job summary
This post is for a full-time specialty doctor working into well-established
community mental health team in County Durham.
This post
is for a 1.0 Specialty Doctor doctor covering 33,549 people over 65 years
in Sedgefield & Dales Community Mental Health Team based at Auckland Park
Hospital in Bishop Auckland, 5 days a week at Sedgefield & Dales
Community Mental Health Team based in Bishop Auckland.
Durham & Tees Valley Mental Health Services for Older
People (MHSOP) provides a comprehensive mental health service to older people
living in the region and works in partnership with acute and community health
services provided by 3 acute Trusts ( County Durham & Darlington NHS
Foundation Trust, North Tees & Hartlepool NHS Foundation Trust and South
Tees Hospitals NHS Foundation Trust)), and with 5 local authorities (Durham County
Council, Darlington Borough Council, Stockton Borough Council, Hartlepool
Borough Council, Middlesbrough Council, and Redcar & Cleveland Borough
Council ). The service serves an over-65 population of 257,007. The service
provides assessment and treatment of organic and functional mental illness in
the population over 65 years old, although younger patients who are felt to be
more appropriate for the service are also accepted. Patients are accepted into
the service on the basis of need rather than age. Referrals are from local
primary care teams and also from colleagues in the acute trust.
Main duties of the job
The
post holder will work along with two consultant psychiatrists and another
specialty doctor at Auckland Park Hospital. The service provides mental health
services to older people with mental health problems and age-related
complexities. We also accept referrals for young onset dementia patients. Each
team has administrative support and co-located social workers. The team uses
the Care Programme Approach (CPA) to ensure regular reviews and risk assessments
are completed, with supervision in place in accordance with trust policy. The
service is commissioned by the North Durham Clinical Commissioning Group and
the Durham Dales, Easington and Sedgefield Commissioning Care Group, and
supported by North East Commissioning Support Service. This vacancy has arisen
following the overseas relocation of the previous post-holder.
Sedgefield and Dales Community
Team provides mental health assessments for people who have memory problems or
who have other mental health problems requiring secondary care intervention in
the locality. The service has memory clinics that assesses and diagnoses people
with dementia. They provide ongoing support to the patient and their carers,
prescribe medication if appropriate and monitor their mental health. The team
accepts people who are predominantly aged 65 and over. However if the patient
is younger but it is felt that the service is best placed to meet their needs,
the team will assess them.
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 Journals 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
As previously noted, the post
holder will work with the Sedgefield and Dales Community Mental Health Teams
across both Organic and Functional cells as well as the Care Home Liaison
during the working week. The
post holder will work along with two consultant psychiatrists and another
specialty doctor at Auckland Park Hospital.
The community mental health team uses the Care Programme
Approach (CPA) to ensure regular reviews and risk assessments are completed,
with supervision in place in accordance with trust policy. The team work in
line with the principles of New Ways of Working, and so the post holder would
not be normally expected to care coordinate patients, but would be expected to
provide input into cases where psychiatric input would be beneficial to
patients and/or in cases of complexity. Therefore, the specialty doctor is
unlikely to hold a significant personal caseload, other than a small number of
patients for whom they are leading treatment (around 20 patients in total). The
teams operate well-established MDT huddles where clinical cases are discussed.
The specialty doctor would be expected to participate in this. New referrals
are allocated for assessment on the basis of patient need. Whereas, the vast
majority of new patient assessments are undertaken by CPNs, some referrals may
be more appropriate for psychiatrists, and these will be allocated to medical
staff based on need. The post holder will help to run
memory, diagnostic, lithium and other outpatient clinics. Clinical contacts
could take place at the base in a clinic setting, but also at patients homes
and in care homes. The post-holder will also be expected to provide support and
advice to the wider team within their sphere of expertise. They will be
expected to do urgent mental health assessments and it is expected that the
prospective candidate will either be approved under Section 12 of the Mental
Health Act 1983, or will be able to achieve this as soon as possible after
appointment. The Trust would be happy to support the process of gaining this
approval. The post holder is expected to be involved in referring patients for
relevant investigations, and will also treat patients in line with national and
Trust guidelines. Regular supervision will be provided by Dr Tahir Salim in
line with the needs and experience of the post holder.
In terms of indicative community workload, our modelling predicts
that the post holder will hold about 15 - 20 patients on their personal
caseload. They completed approximately 20 initial assessments and approximately
250 further clinical contacts per year. This is the total across the community team.
In practice, over 90% of referrals to the team are normally assessed by nursing
staff, and on average the previous post-holder conducted no more than 1 new patient
assessment/week (and in some weeks had no new patient assessments). The
remainder of appointments are follow-ups or diagnostic appointments. These are
seen either in clinics or as home visits. In general, clinics run between 30 - 60
minutes per patient (depending on clinical need) and so the average clinic
would consist of approximately 2 4 patients. As home visits require travel
time, the post holder would usually only be required to conduct 2 home visits/session.
Educational and academic duties of post holder
Participation in the undergraduate
teaching of medical students on placement within the team
Some supervision and training to
GP trainees whenever they work in the community
Participation in postgraduate
teaching programme
Participation in SAS doctor
development programme
Participation in clinical audit
and service evaluation
Participating in SAS peer group
General professional duties of post holder
Maintain good clinical records
using Trusts electronic record system
Undertake administrative duties
associated with the care of patients
Record clinical activity
accurately and comprehensively
Maintain a revalidation
portfolio and participate in annual appraisal
Undertake a job plan review with
the Clinical Director and Head of Service annually
Maintain professional registration
with the GMC and working for approval as an Section 12(2) approved doctor
Comply with Trusts agreed
policies and procedures
Leadership duties of post holder
Provide support to consultant
clinical leadership of the multi-disciplinary team
Will be participating in the
Leadership Hub of the team
Contribution to service development
Contribution to clinical
governance and responsibility for setting and maintaining standards
Commitment to quality improvement
External duties, roles and responsibilities
The
Trust actively supports the involvement of the specialty doctors in regional
and national groups subject to discussion and approval with the Clinical Director,
and as necessary, the Medical Director and Chief Executive.
Other duties
From time to time, it may be necessary for the post holder
to carry out other such duties as may be assigned, with agreement, by the
Trust. It is expected that the post
holder will not unreasonably withhold agreement to any reasonable proposed
changes that the Trust might make.
Job description
Job responsibilities
As previously noted, the post
holder will work with the Sedgefield and Dales Community Mental Health Teams
across both Organic and Functional cells as well as the Care Home Liaison
during the working week. The
post holder will work along with two consultant psychiatrists and another
specialty doctor at Auckland Park Hospital.
The community mental health team uses the Care Programme
Approach (CPA) to ensure regular reviews and risk assessments are completed,
with supervision in place in accordance with trust policy. The team work in
line with the principles of New Ways of Working, and so the post holder would
not be normally expected to care coordinate patients, but would be expected to
provide input into cases where psychiatric input would be beneficial to
patients and/or in cases of complexity. Therefore, the specialty doctor is
unlikely to hold a significant personal caseload, other than a small number of
patients for whom they are leading treatment (around 20 patients in total). The
teams operate well-established MDT huddles where clinical cases are discussed.
The specialty doctor would be expected to participate in this. New referrals
are allocated for assessment on the basis of patient need. Whereas, the vast
majority of new patient assessments are undertaken by CPNs, some referrals may
be more appropriate for psychiatrists, and these will be allocated to medical
staff based on need. The post holder will help to run
memory, diagnostic, lithium and other outpatient clinics. Clinical contacts
could take place at the base in a clinic setting, but also at patients homes
and in care homes. The post-holder will also be expected to provide support and
advice to the wider team within their sphere of expertise. They will be
expected to do urgent mental health assessments and it is expected that the
prospective candidate will either be approved under Section 12 of the Mental
Health Act 1983, or will be able to achieve this as soon as possible after
appointment. The Trust would be happy to support the process of gaining this
approval. The post holder is expected to be involved in referring patients for
relevant investigations, and will also treat patients in line with national and
Trust guidelines. Regular supervision will be provided by Dr Tahir Salim in
line with the needs and experience of the post holder.
In terms of indicative community workload, our modelling predicts
that the post holder will hold about 15 - 20 patients on their personal
caseload. They completed approximately 20 initial assessments and approximately
250 further clinical contacts per year. This is the total across the community team.
In practice, over 90% of referrals to the team are normally assessed by nursing
staff, and on average the previous post-holder conducted no more than 1 new patient
assessment/week (and in some weeks had no new patient assessments). The
remainder of appointments are follow-ups or diagnostic appointments. These are
seen either in clinics or as home visits. In general, clinics run between 30 - 60
minutes per patient (depending on clinical need) and so the average clinic
would consist of approximately 2 4 patients. As home visits require travel
time, the post holder would usually only be required to conduct 2 home visits/session.
Educational and academic duties of post holder
Participation in the undergraduate
teaching of medical students on placement within the team
Some supervision and training to
GP trainees whenever they work in the community
Participation in postgraduate
teaching programme
Participation in SAS doctor
development programme
Participation in clinical audit
and service evaluation
Participating in SAS peer group
General professional duties of post holder
Maintain good clinical records
using Trusts electronic record system
Undertake administrative duties
associated with the care of patients
Record clinical activity
accurately and comprehensively
Maintain a revalidation
portfolio and participate in annual appraisal
Undertake a job plan review with
the Clinical Director and Head of Service annually
Maintain professional registration
with the GMC and working for approval as an Section 12(2) approved doctor
Comply with Trusts agreed
policies and procedures
Leadership duties of post holder
Provide support to consultant
clinical leadership of the multi-disciplinary team
Will be participating in the
Leadership Hub of the team
Contribution to service development
Contribution to clinical
governance and responsibility for setting and maintaining standards
Commitment to quality improvement
External duties, roles and responsibilities
The
Trust actively supports the involvement of the specialty doctors in regional
and national groups subject to discussion and approval with the Clinical Director,
and as necessary, the Medical Director and Chief Executive.
Other duties
From time to time, it may be necessary for the post holder
to carry out other such duties as may be assigned, with agreement, by the
Trust. It is expected that the post
holder will not unreasonably withhold agreement to any reasonable proposed
changes that the Trust might make.
Person Specification
Clinical Skills, Knowledge & Experience
Essential
- At least 4 years postgraduate experience, including at least 2 years in core psychiatry training programme
- Good knowledge in Old Age Psychiatry
- Good clinical skills using bio-psycho-social perspective and wide medical knowledge
- Good oral and written communication skills in English
Desirable
- Postgraduate experience in Old Age Psychiatry
CPD & Appraisal
Essential
- Participated in continuous professional development.
- Evidence of annual appraisal and commitment to appraisal and revalidation.
Eligibility
Essential
- Fully registered with the GMC with a licence to practise at the time of appointment.
- Approved under S12 OR able to achieve with 6 months of appointment
Desirable
- In good standing with GMC with respect to warnings and conditions on practice
Qualifications
Essential
- MB BS or equivalent medical qualification.
Desirable
- MRCPsych OR a specialist qualification from an EU country that complies with EU directive 2005/36/EU.
Person Specification
Clinical Skills, Knowledge & Experience
Essential
- At least 4 years postgraduate experience, including at least 2 years in core psychiatry training programme
- Good knowledge in Old Age Psychiatry
- Good clinical skills using bio-psycho-social perspective and wide medical knowledge
- Good oral and written communication skills in English
Desirable
- Postgraduate experience in Old Age Psychiatry
CPD & Appraisal
Essential
- Participated in continuous professional development.
- Evidence of annual appraisal and commitment to appraisal and revalidation.
Eligibility
Essential
- Fully registered with the GMC with a licence to practise at the time of appointment.
- Approved under S12 OR able to achieve with 6 months of appointment
Desirable
- In good standing with GMC with respect to warnings and conditions on practice
Qualifications
Essential
- MB BS or equivalent medical qualification.
Desirable
- MRCPsych OR a specialist qualification from an EU country that complies with EU directive 2005/36/EU.
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).
Employer details
Employer name
Tees Esk and Wear Valleys NHS Foundation Trust
Address
Auckland Park Hospital
Westfield Road
Bishop Auckland
County Durham
DL14 6AE
Employer's website
https://www.tewv.nhs.uk/ (Opens in a new tab)
