Job responsibilities
Jersey health and social care services are undergoing a major redesign with a move towards more community focussed, patient centred provision. We are also redeveloping our inpatient wards.
These posts are to replace the previous Consultant for Adult Inpatients in Orchard House, which is being divided into 2 posts also offering cover to the Home treatment team to help with continuity of care and inpatient bed management. It is anticipated that the Consultants will have their own patients by an alternate day on take system but will offer support and cross cover on days that the other Consultant is working with the home treatment team. There will also be continuity of care of the treating Consultant between the home treatment team and inpatient ward. The 2 Consultants will also arrange cross cover for leave.
Inpatient service
Orchard House consists of 17 adult acute beds (including an extra-care area). It is for people aged between 18 and 65, who suffer from severe mental illness and require inpatient admission. Our aim is to help services users achieve their potential by promoting recovery and maintaining wellbeing. Our service users come from a variety of cultural backgrounds and often have challenging and complex needs.The inpatient team is a multidisciplinary team, which includes doctors ( 2 part time consultants (these posts), Staff grade/ Clinical Fellow and F2), a clinical psychologist, nurses, a social worker, occupational therapists, an art therapist, health care assistants and administrative staff. Independent Advocacy is provided by My Voice. The wards work closely with third sector charities such as MIND and Focus on Mental Illness.
At times there will be patients aged under 18yr on the unit, as there is no CAMHS inpatient provision on island. If this happens the Responsible Officer will be the Consultant Child Psychiatrist and there will be special provisions in place to keep them safe and separated from the adult patients.
Jersey has a small population, and we have a unique opportunity to do some things differently from UK models. We are currently beginning a trial project focussed on improving the physical healthcare of our inpatients using medical expertise.
Home Treatment Team
We also have an active Home Treatment Team who work as a step-up step-down service to prevent unnecessary admission to hospital and facilitate early discharge. They attend ward reviews, support patients on leave and help with discharge planning. They also gatekeep the inpatient beds.
The home treatment team consists of 2 part time Consultants (these posts), 0.5FTE Team manager, 2FTE Senior practitioners, 5.5FTE Nurse practitioners, 1 FTE Social worker, 3FTE Senior HCAs and 1FTE Occupational therapist. As the team now covers all adult ages there will be an arrangement with one of the Older Adult Consultants for support if needed. The non-medical team work 7 days a week 8am-8pm. Outside of these hours the patients have the Crisis and Assessment Team number for emergencies.
The crisis function has been taken out of the home treatment team since November 2022 with the introduction of the Crisis and Assessment Team, so it is difficult to provide data for the last 12 months that is accurate for the situation moving forwards.
The current caseload for the Home treatment team (end of January 2023) = 16 (<65yr) and 1 (>65yr). It normally fluctuates between 10-20 patients.
Other information
There is dedicated administrative support in line with RCPsych standards (0.5 wte medical secretary and ward/ Home treatment team secretarial support). The Consultant has a dedicated office on the inpatient unit at Orchard House. A mobile, PC and laptop are provided, and IT training and support are arranged on arrival with a 1:1 training session and ongoing support available as required.
The inpatient wards will be moving to a new facility at Clinic Pinel in Autumn 2023. This will include an Article 36 suite.
Mental Health Law in Jersey is very similar to the law in England and Wales but full training will be given at the start of employment.
Places of Work:
- Orchard House acute adult in-patient ward; Orchard House, St Saviours Hospital, La Route De La Hougue Bie, St Saviour, Jersey. JE2 7UW
- From Autumn 2023 the ward will move to an upgraded facility at Clinique Pinel,St Saviour's Hospital Site, La Route De La Hougue Bie, St SaviourJersey. JE2 7UW
- Maison du Lac Home treatment team base; Maison du Lac, St Saviours Hospital, La Route De La Hougue Bie, St Saviour, Jersey. JE2 7UW
- Jersey General Hospital On Call duties; General HospitalThe Parade St HelierJerseyJE1 3QS
Responsibilities and Expectations of the Post holders
The successful applicant will be expected to provide medical expertise in acute adult inpatient psychiatry. The key responsibilities and expectations are:
Medical Leadership in the adult inpatient unit and Home Treatment Team
Responsibility for the investigation, diagnosis, and management of psychiatric disorders in an inpatient setting for patients aged 18-65yr.
Responsibility for the investigation, diagnosis, and management of psychiatric disorders in the home treatment team setting for patients aged 18+yr (with support from Older Adults colleague if required)
Fulfilling the role of Responsible Officer for detained patients on the inpatient unit and working closely with the Mental Health law Office to ensure timely delivery of tribunal reports and other documentation linked to Jersey Mental Health Law.
When the article 36 suite moves to Clinic Pinel (end 2023) there will be a role participating in MH Law assessments and job plans will be reviewed to accommodate changes.
Working collaboratively with service users, families, carers, and the voluntary sector.
Liaising with other medical specialties and primary care colleagues as required.
To record clinical activity accurately and contemporaneously on the electronic patient record system.
Participating in the in-house teaching programme.
Fulfilling the CPD requirements set by the Royal College of Psychiatrists and participating in a peer group.
Participating in the development and delivery of training programmes for a variety of disciplines aimed at improving the level of expertise and the standard of care for adults in inpatient mental health services within Health and Community Services
Participating in the all-age 1:12 out of hours on-call rota for psychiatry
Working with managers and professional colleagues to ensure the efficient running of the services and to share with consultant colleagues the medical contribution to the management of the service.
Complying with Health and Community Services agreed policies and procedures.
Working effectively with partner organisations who provide services to people with mental health problems and co-morbidity issues as appropriate.
Engagement in service development activities, audits, and monitoring.
The above is intended to indicate the primary range and type of duties required. It is noted however that the duties of the post may alter to reflect changing practices and demands within the service.
Key requirements for this post: See section 6
Start date: We would like the appointee to take up the post within 4 months of appointment but are open to discussion if this is difficult to achieve.
Annual Leave
Consultants are entitled to 30 days of annual leave increasing to 32 days after 7 years service (at consultant level) plus 9 bank holidays.
Study leave for the purpose of professional development should be applied for through the lead consultant.
Applications for compassionate leave should be made to the lead consultant. Approval will be at the discretion of the lead consultant.