Job responsibilities
REPORTS TO: Dr M A SARFRAZ (DME)
RESPONSIBLE TO: Dr. A. G. Saraf
HOURS OF WORK:9am 5pm Monday - Friday
ON CALL RESPONSIBILITY:Yes
DISCLOSURE REQUIRED: Yes
OBJECTIVES:
To acquire the core and old age psychiatry competencies as outlined in the curriculum
INTRODUCTION:
Kent and Medway NHS and Social Care Partnership Trust was formed on 1st April 2006 following the merger of West Kent NHS and Social Care Trust and East Kent NHS and Social Care Partnership Trust. The Trust provides a wide range of services across all of Kent and Medway. These services primarily focus on mental health needs for adults (18- 65 yrs), older adults people (65yrs and above), forensic mental health, mental health of learning disability, substance misuse, as well as a range of specialist services such as neuro-rehabilitation and eating disorders.We also work collaboratively with other providers of mental health care including North East London Foundation Trust (provide Community Child and adolescent mental health services to the region); South London and Maudsley NHS Foundation Trust (provide CAMHS inpatient services); and providers of community drug and alcohol services such as Turning point. The Trust serves a population of 1.7 million people.
The Trust has a well-developed department in research. The Trust has a dedicated audit department. The post holder has access to a local library at the postgraduate centre and will have an Athens account. The library provides an excellent service in terms of books and assistance for literature searches. The post holder will be expected to attend the MRCPsych course provided by the University of Brighton. Additionally, there is an expectation to participate in the local teaching sessions including the weekly journal club; and the weekly Balint group.
THE LOCALITY:
Medway (known colloquially as the Medway Towns) is a unitary authority in South East England. The main towns are Strood, Rochester, Chatham, Gillingham, and Rainham. Over half of the area is parished and rural in nature. Because of its strategic location by the major crossing of the River Medway, it has made a wide and historically significant contribution to Kent, and to England, dating back thousands of years. This is evident in the siting of Watling Street by the Romans and by the Norman Rochester Castle, Rochester Cathedral (the second oldest in Britain) and the Chatham naval dockyard and its associated defenses. Medway includes parts of the North Kent Marshes, an environmentally significant wetlands region with several Sites of Special Scientific Interest (SSSIs). Medway is one of the boroughs included in the Thames Gateway development scheme. It is also the home of Universities at Medway, a tri-partite collaboration of the University of Greenwich, the University of Kent and Canterbury Christ Church University on a single campus in Chatham. Medways strategic location provides excellent road and rail networks to great shopping opportunities such as Bluewater. London is just 40 minutes away and there are excellent road and rail links to the continent.
THE TEAM:
The Medway Community Mental health services for older people (Medway CMHSOP) is based at Britton house, Gillingham, Kent.
The team is divided into an East and West pod covering GP localities in the East and West of the region respectively. The team comprises of 3 full time Consultant psychiatrists; 1 Specialty doctor, 1 core trainee (this post) and an FY2 grade doctor. There is a dedicated multidisciplinary team of CPNs; Psychologists (and psychology assistants); OTs; supported by a Service Manager and two operational team leaders (one for each pod). There is a fully staffed administrative support team. Although not integrated; we work collaboratively and have good links with the Medway Council Mental health Social work team.
The Older Adult inpatient unit is Ruby ward which is located in Medway Hospital. The medical input to the service is a functionalised model; this means that one inpatient consultant works with the inpatient team to provide clinical care to all inpatients on the ward. The inpatient ward is staffed with a complement of nurses; nursing assistants; OT and OT assistants. Psychology sessions and physiotherapy sessions are time tabled in regularly to the ward.
CLINICAL DUTIES:
1. Taking full histories, including a mental state examination, and conducting physical examination focusing in particular on the central nervous system.
2 . Making provisional diagnosis, summarising the history and making a care plan jointly with the nursing staff.
3. Requesting appropriate laboratory investigations and ensuring that the results aredocumented in the notes. Bringing to the attention of the consultant and acting appropriately on any abnormalities
4. Applying the principles, philosophy and strategy which guide the Old Age Psychiatry Service.
5. Taking corroborative history from the relatives and arranging family meetings in relation to the management of patients on the ward and in respect of future management in the community.
6. Maintaining close collaboration between junior and senior doctors working in other specialities and when appropriate, making referrals of patients to other medical departments at Medway Maritime Hospital
7. Participating in ward rounds, and CPA meetings on the ward
8. Keep accurate appropriate and up-to-date medical and administrative documentation The Trust uses the RIO system, and training in and using the system is mandatory
9. Operate within the relevant guidelines, policies and procedures. These are available on the Trust website or through the Service manager
10. When necessary, covering duties of other colleagues, in order to ensure continuity of medical care to patients
11. To provide guidance and support to newly appointed and less experienced medical colleagues.
12. To provide reciprocal cover for leave periods for medical colleagues
13. To engage with the Royal College educational portfolio
14. To engage with agreed learning objectives; and complete workplace based learning assessments in a timely manner
15. Participating in teaching and learning opportunities both on the ward and in the community including teaching sessions to the nursing and allied health care staff
16. Attending MRCPsych sessions and journal club sessions
17. To engage in any other appropriate work as delegated by the consultant
TRAINEES TIME-TABLE:
MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY
Multi Disciplinary Team Meeting
Britton house
12:30-13:30 Journal Club
Ward work/day time on call
Ruby ward
Ward round
Ruby ward
CPD/MRCPsych training all day
Or
Ward work
Alt. weeks
9-11am Ruby ward work
11-12 am Balint group
Clinic/home visits
Ward round
Ruby ward
Clinic/home-visits/
supervision
Management ward round
Ruby ward
CONSULTANTS TIME-TABLE:
MONDAY
TUESDAY
WEDNESDAY
THURSDAY
FRIDAY
Multi-disciplinary team meeting/admin
Ward round
Ward round
Consultant CPD
TPD session
Ward round
Ward round
Trainees supervisions
Consultant CPD
Management ward round
