Consultant Psychiatrist in MHSOP Organic Inpatients

Job responsibilities

The Clinical PAs are 7.5 PA across the week and will be based on Ceddesfeld Ward. The consultant psychiatrist will provide clinical and medical leadership to the MDT and will lead the assessment and treatment of those patients on the ward. The post holder will be expected to work with a well-established, cohesive and enthusiastic MDT to maintain a high standard of clinical care for our patients. The ward operates a report out every weekday morning, which is effectively a board round of all patients on the ward. This daily meeting helps the MDT review the progress and risks of every patient over the preceding 24 hours, provides an opportunity for the MDT to discuss treatment plans and allocate any tasks. The consultant psychiatrist is expected to attend this meeting wherever possible. They are required to review any new admissions to the ward to determine the holistic treatment strategy and then continue to review these patients regularly to monitor their progress. They are also expected to attend any relevant patient meetings (e.g. Admission/Discharge Planning Meetings, CPAs, etc.) and maintain good relationships with patients families and carers in line with the principles of the Triangle of Care. The consultant psychiatrist will also assess and treat their patients in line with evidence based clinical; practice and in keeping with the Trust clinical pathways (with specific reference to the Dementia and Behaviours that Challenge pathways). They will model good prescribing practices for this patient group in line with national guidance. The consultant psychiatrist will be the named clinical supervisor for a Foundation Year 2 Doctor and will be additionally supported by a Physical Healthcare Practitioner. The Clinical Psychologist in the service is in the process of completing their non-medical Approved Clinician Training, at which time there is potentially scope to consider how this can be integrated on the ward so as to further support the inpatient role.

The post holder will be expected to have a familiarity with important relevant legislation affecting the care of older people with mental illness. The post-holder is expected to be the Responsible Clinician for any patients on the ward and will undertake any such duties that are specified by the Mental Health Act 1983 and in the accompanying Code of Practice (including, but not limited to working with the SOAD service, and preparing for and attending Mental Health Tribunals). The post-holder is expected to prioritise Mental Health Act Assessments for their own patients during working hours and be a qualified DOLS Mental Health Assessor for any patients on their personal caseload. Occasionally, there may be ad hoc Section 49 Mental Capacity Act reports to prepare, and these are shared evenly amongst the consultant body.

The Trust is eager to support the development of a special interest and this is negotiable either at the time of employment or at the Annual Job Plan Review meeting which takes place with the Clinical Director (or Associate Clinical Director) and Head of the services (or Locality Manager).

The appointee is encouraged to contribute to the education and training of medical students, doctors in training and other members of staff (including Physician Associates). There is weekly Locality teaching programme every Thursday afternoon held virtually over Microsoft Teams. Opportunities for formal involvement in the undergraduate and postgraduate teaching programmes are available through discussion with the Medical Development Department. There are a number of formal faculty roles which specialty doctors can apply for. In particular, doctors are encouraged to develop elective placements in psychiatry for 4th year medical students (known as student selected components or SSCs). Medical staff can maintain academic links with a range of Universities. Research and teaching links are particularly strong with Universities of Newcastle and Durham.

The organisation runs postgraduate academic programmes, in-house teaching, and specialty doctor development programmes, which the post-holder will be encouraged to participate in. They are also encouraged to engage with audit and service evaluation exercises in line with their PDPs and revalidation requirements. They will be a member of a peer group, which provides an additional source of support and supervision.

The appointee will be expected to undertake the ordinary administration duties of a Consultant post including participation in professional audit, business planning and related activities. A contribution to the leadership, management and strategic direction of the team is seen as essential. Consultants take a major role in the planning and management of services. There are opportunities for professional development in medical management.

All Consultants are automatically members of the Trust wide Senior Medical Staff Committee and each clinical speciality is represented on the Trusts Governance and Assurance Committee.

All consultants will

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 approval as an Approved Clinician and Section 12(2) approved doctor

Comply with Trusts agreed policies and procedures

It is expected that the post holder will undertake training in the TEWV Quality Improvement System and will utilise the knowledge and skills in their own work and promote them with other members of staff in the team and the acute Trust.

It is also expected that the post holder will provide leadership to the multi-disciplinary team alongside the modern matron, ward manager and other senior clinical staff, and contribute to service development and clinical governance and responsibility for setting and maintaining standards with a commitment to Quality Improvement. The post holder will also work alongside other team leaders in promoting high standards of clinical governance within the team, including learning from mistakes, complaints and serious incidents. In the rare and unfortunate event that the post holder themselves is affected by a complaint or serious incident, then additional support can be provided by a named colleague arranged by the medical directorate as well as by additional support through internal and external partners.

The Trust actively supports the involvement of the consultant body in regional and national groups subject to discussion and approval with the Clinical Director, and as necessary, the Medical Director and Chief Executive

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.

Clinical Knowledge & Skills

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

Academic Skills and 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.

Transport

Essential

• Holds and will use valid UK driving licence OR provides evidence of proposed alternative.

Leadership

Essential

• Reflects on own performance and behaviour, seeking and acting on feedback.
• Able to influence and persuade to improve services
• Able to take on leadership role in multidisciplinary team.
• Knowledge of structure and management of the NHS and the Trust.
• Shows commitment to quality through knowledge of quality improvement and lean thinking methodology OR able to achieve within one year of appointment
• Able to adapt to and lead service change.

Desirable

• Able to take on a leadership role outside the multidisciplinary team.
• Understanding of NHS & wider health economy and its implications for the work of the Trust.
• Trained to standard equivalent to level 2 in TEWV Trust Quality improvement system

Qualifications

Essential

• MB BS or equivalent medical qualification.

Desirable

• Qualification or higher degree in medical education, clinical research or management.
• Experience
• MRCPsych OR MRCPsych equivalent approved by the Royal College of Psychiatrists OR a specialist qualification from an EU country that complies with EU directive 2005/36/EU.

Eligibility

Essential

• Fully registered with the GMC with a licence to practise at the time of appointment.
• Included on the GMC Specialist Register for Old Age Psychiatry OR included within six months.
• Approved clinician status OR able to achieve within 3 months of appointment
• Approved under S12 OR able to achieve with 3 months of appointment

Desirable

• In good standing with GMC with respect to warning and conditions on practice

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).