Job responsibilities
Key Responsibilities:
- PROVIDE A GOOD STANDARD OF PRACTICE AND CARE:
Undertake clinical assessment of patients with mental health problems:
Patient will be seen in clinics, in their homes, or in hospital. As part of your duty you will ensure that all patients are fully assessed, including an assessment of their physical state. You will maintain accurate, legible, contemporaneous and useful clinical records for all patients in whose care you are involved. You will ensure that the diagnosis, HONOS, clustering and risk assessment is entered / updated for all clients that you meet.
Training in communication and interview skills as appropriate to the practice of psychiatry is available and will be tailored to the needs of the post holder.
- DECISIONS ABOUT ACCESS TO CARE:
Use the results of the clinical assessment to ensure effective patient management:
Under the supervision of a clinical supervisor, you will prescribe pharmacological and psychosocial treatments for the patients that you are working with. You will refer them promptly to other professionals as directed by your clinical supervisors.
- TREATMENT IN EMERGENCIES:
Manage emergencies:
Emergency assessments will happen ad hoc, and most likely happen when doing on call. Senior on call support is available to support you in managing these emergencies.
- MAINTAINING GOOD MEDICAL PRACTICE:
Maintain and use systems to update knowledge and its application to any aspect of your professional practice:
Depending on the length on your placement you will follow the Psychiatry Specialty Curriculum and maintain an up-to-date learning portfolio that you will bring to meetings with the trainer when asked to do so. As a minimum, this will be at the beginning, mid-term and the end of the placement.
You will participate in a journal club at Larkswood Centre and a weekly academic programme including external speakers and case presentations. In addition there are quarterly Trust wide teaching events arranged at Goodmayes for all trainees within NELFT.
- MAINTAINING PERFORMANCE:
Monitor and maintain professional performance:
Depending on the length on your placement you will participate fully in the workplace-based assessment programme of the Psychiatry Specialty Training Curriculum and will use the feedback that you receive from this process to inform your critical self-awareness. You will discuss every item of assessment with your trainer.
- TEACHING AND TRAINING, APPRAISING AND ASSESSING:
Plan, deliver, and evaluate teaching and learning in a variety of environments:
Depending on the length on your placement you will participate in the teaching of medical students. This will include assisting the bedside teaching of junior and senior students by helping identify and consent suitable patients for the students to see and by helping the students develop their clinical skills by giving them opportunities to present and discuss the patients they have seen. You may also have the opportunity to be involved in small group teaching and lecturing to clinical medical students under the supervision of senior colleagues.
Assess, appraise and evaluate learning and learners:
Depending on the length on your placement you will evaluate your own learning and progress, using self-assessment forms that you may retain in your learning portfolio. You will participate in the assessment of others, including clinical medical students and colleagues using multi-source feedback tools.
- RELATIONSHIPS WITH PATIENTS:
Conduct professional patient relationships:
Whenever possible, you will obtain informed consent from patients for whom you provide treatment. You will observe patient confidentiality at all times. When guided by your clinical supervisors, you should share information appropriately with colleagues.
- DEALING WITH PROBLEMS IN PROFESSIONAL PRACTICE:
Conduct or performance of colleagues:
If you become aware of problems with the conduct or performance of a colleague, you must bring this to the attention of a senior colleague.
Complaints and formal queries:
You must always cooperate fully with any complaints procedure or formal inquiry
Provide assistance at enquiries and inquests:
You must always cooperate fully with any formal inquiry or inquest into serious incidents.
- WORKING WITH COLLEAGUES:
Continuously promote value based non-prejudicial practice:
You must maintain a legal, ethical and fair approach toward working with colleagues and respect diversity.
Work effectively as a member and a leader of a multidisciplinary team:
You must at all times work as part of a team in order to provide holistic care to our patients.
Demonstrate appropriate leadership:
During your placement you will be a full member of a team and will attend weekly clinical meetings. You should discuss your experience of the MDT in meetings with your supervisor.
Communicate effectively with other healthcare professionals:
You will keep clear, accurate and contemporaneous clinical records. You will send regular written reports on patients to general practitioners and other professionals involved in patient care.
Appropriately assume, delegate and devolve responsibility:
You should at all times take clinical responsibility for patient care that you are involved in, and ensure that referrals to other professionals are done appropriately and followed up.
Access advice, assistance and second opinion when delegating and making referrals
Your trainer and clinical supervisors will give you guidance as to the level of responsibility you should assume in individual clinical situations. If you are unsure, you must always obtain advice and assistance
- MAINTINING PROBITY:
Ensure that reports, evidence and documents you have a responsibility for are complete, honest and accurate:
Your written reports will use the standard report format and will be sent as follows: GP letters within one weeks of the consultation; brief discharge notifications within one working day of a patients discharge and full discharge summaries within two weeks of discharge. All correspondence will be signed. Until instructed otherwise, all reports that you write must be checked by one of your clinical supervisors before being sent out. You will not provide any other written reports about patients, unless this has been sanctioned by one of your clinical supervisors.
Properly manage financial and commercial dealings:
You must report receiving any gift from patients with your trainer and you must not solicit any fee or payment from a patient or third party unless your trainer has sanctioned this. You will not meet with any representatives of the pharmaceutical industry during work time, unless this is at a postgraduate meeting that has been organised within ABPI Guidelines.
Avoid conflicts of interest and advise others on preventing and dealing with conflicts of interest:
Inform your trainer of any real or potential conflict of interest you may have.
- HEALTH:
Ensure that your health and the health of others do not put patients at risk:
You must always obtain advice and treatment for mental and physical health problems and must ensure that your health does not put patients at risk. You must comply with the Trusts occupational health policy.
- TYPICAL WEEKLY PROGRAMME:
Depending on the length on your placement, your supervisor will meet with you early in your placement to agree a weekly timetable.
Below is an example of a proposed timetable. It may vary in light of the trainees learning needs and the needs of the clinical service.
Trainees Timetable
Monday
Tuesday
Wednesday
Thursday
Friday
AM
Handover
Home Visit & CPA
Supervision
Clinic
Admin
Team Meeting
Clinic
PM
Admin
Admin
Local academic programme
Home visit & CPA
Admin
