Consultant CAMHS

Job responsibilities

Place of Work

The CAMHS clinics are based at Liberte House, St Helier which is in the main town. It is co-located with Childrens Social Care and the Children and Families Hub. The post-holder may also be required to see Children and Young People who have been admitted to Jersey General Hospital or Orchard House {adult mental health in-patient facility}.

In-Patient Provision

There is no designated inpatient provision but the team provide flexible intensive packages of care for children and young people with severe or complex mental health difficulties. The packages of care can be provided both for assessment and treatment. The programmes are set up jointly with other services including Paediatrics, Adult Mental Health and Childrens Services {Social Care}.

The Paediatric and Adult Mental Health teams are supportive in providing in-patient facilities and both the paediatric ward {Robin Ward} and acute adult mental health ward {Orchard House} are used for young people who require admission. Robin Ward will admit young people up to their 17th birthday. The postholder will be clinically responsible for young people admitted to Robin Ward and Orchard House under their care and will be expected to undertake reviews of these patients.

All those under 16, and most under 18 admitted to Orchard House are cared for separately to the other in-patients if possible or are under continuous observation for safeguarding reasons. There is a new provision currently being built which will provide facilities for young people to be admitted to an area separate from the main ward. It is anticipated that this may become available from December 2023.

When necessary young people can be transferred to the UK for inpatient treatment.

The CAMHS Team

CAMHS is staffed by a multi-disciplinary team with secretarial and administrative support. The service aims to provide a comprehensive assessment, treatment and therapeutic service for a range of developmental, behavioural, emotional and psychiatric difficulties in children and young people up to their 18th birthday. The service is restructuring and the new posts are currently being recruited to, the team structure below represents existing posts and those currently being recruited to.

Medical Staff

4 Consultant Child & Adolescent Psychiatrists {1.8 in post, 2 posts vacant to be recruited to, currently locum cover in place}

1.6 Associate Specialists

Clinical Fellow - Fixed term contract

Consultant Community Paediatrician

Duty & Assessment

Duty & Assessment Manager

1 Advanced Nurse Practitioner

3 Nurse Practitioners

9 CAMHS Practitioners

6 Health Care Assistants {currently vacant}

Duty & Assessment Administrator

Early Intervention

Service Manager Early Intervention

7 CAMHS Practitioners

2 Primary Mental Health Workers

Early Intervention administrator

1 Assistant Psychologist

1 Parent-Infant Psychotherapist

2 Support Workers

Specialist CAMHS

Service Manager Specialist CAMHS

Service Manager Looked After Children

1 Consultant Clinical Psychologist

4 Psychologists

2 Assistant Psychologists

1 Art Psychotherapist

1 Senior Social Worker

1 Family and Systemic Therapist

5 Nurses {3 Clinical Nurse Specialists, 2 Nurse Practitioners}

1 CAMHS Practitioner

1 PBS Practitioner

1 Dietician {1 day per week}

2 Support workers

1 Health Care Assistant

Neurodevelopmental Pathway

Neurodevelopmental Pathway Service Manager

Consultant Clinical Psychologist

2 Clinical Psychologist

1 Assistant Psychologist

2 Clinical Nurse Prescribers

1 Specialist Nurse

1 Nurse Practitioner

Systemic and Family Therapist

Occupational Therapist

2 Speech and Language Therapists

Neurodevelopmental Pathway Administrators

Admin and Informatics

Team Manager Quality & Assurance

Informatics Officer

Office and Administration Manager

3 Medical Secretaries

4 Receptionists

Responsibilities and Expectations of the Post Holders

The post holder will be an experienced clinician, who can demonstrate a commitment to multidisciplinary clinical work and provide clinical leadership, support and advice to the team.

The commitments of the post require a level of flexibility. The 4 Consultant Psychiatrists will provide cross cover with 2 Associate Specialists in CAMHS so that there will always be at least one psychiatrist available over the working week.

We would be particularly interested in applicants who could demonstrate skills in working with older adolescents, crisis management, eating disorders and the development of transition services. The postholders will be supported in developing a special interest one or more of these areas.

The post holder will be expected to

Work with children and young people with acute mental health presentations including self-harm, suicidal ideation, low mood and psychotic symptoms and providing support to other members of the team in managing this group during periods of crisis.

Diagnose and manage common psychiatric disorders using both psychological and pharmacological therapies.

Work with young people with mental health problems who have a history of alcohol and substance misuse.

Provide consultation and liaison to other medical specialities, Education, Social Services and other agencies.

Develop and deliver training programmes for a variety of disciplines aimed at improving the level of expertise and the standard of care within the mental health services.

Participate and contribute to the psychiatry teaching programme.

Provide supervision for mental health and other professionals, and receive clinical supervision

Liaise and work effectively with others who provide services to children and young people as appropriate.

Comply with Health and Community Services agreed policies and procedures.

Work 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.

Participate in clinical governance activities and Quality Improvement including audit

There is no requirement for Section 12(2) status and/or Approved Clinician status and/or DOL assessment. However the postholder will be required to attend training to become an Approved Practitioner under the Mental Health (Jersey) Law 2016.

Population and CAMHS Caseload

The population of Jersey at the end of 2019 was estimated to be 107,800 with approximately 22,910 under the age of 19.

The current number of cases open to CAMHS is 1867

The total number of new referrals received in 2023 was 1351 {6030 new referrals in by June 2023}

The current postholders {locum} caseload is approximately 90. Most of the cases on the caseload will have an allocated care co-ordinator but there may be some exceptions to this. Most new assessments are undertaken by other members of the MDT, but some will require initial medical assessment. There are no fixed requirements for new assessments and follow up appointments. On average there maybe 1-2 new assessments per week and 15-20 follow up appointments, depending on the complexity of the cases and other commitments.

The postholder will be required to participate in the daytime {9am 5pm} medical on call rota for 1-2 days per week. The initial duty response, including hospital liaison assessments, is made by the duty worker who will contact the doctor on call if required. With an expansion of our duty service to 8am 8pm there may be a requirement to provide medical cover for this in the future.

Annual Leave & Study Leave

Consultants are entitled to 30 days of annual leave increasing to 32 days after 7 years service at Consultant level, plus bank holidays.

Study leave for the purpose of professional development should be applied for through the Clinical Lead and is approved by the Director of Medical Education. There is a generous study leave budget and there is an entitlement of 30 days every 3 years.

Skills/Personal Qualities

Essential

• Ability to take a leadership role in a multi-disciplinary team, ensuring high-quality care and staff morale
• Ability to manage own time, workload and prioritise clinical work
• Ability to appraise own performance
• Excellent written and oral communication skills

Desirable

• Evidence of specific achievements that demonstrate leadership skills

Qualifications

Essential

• Recognised Primary Medical Degree
• Full GMC Registration & License to Practice
• Registered on the GMC Specialist Register or CCT in Child and Adolescent Psychiatry {or within 6 months of this at the time of interview} or equivalent {which must be confirmed by GMC}
• Higher speciality training or equivalent experience
• Eligibility for Section 12 approval {Mental Health Law Approval}

Desirable

• MRCPsych or equivalent
• Relevant higher degree, e.g. MD. PhD, MSc or other additional clinical qualifications
• Section 12 approval or equivalent
• Dual accreditation e.g. Forensic, Learning Disability

Experience

Essential

• Experience of assessing and treating children and young people in acute and community psychiatric settings
• Specialty experience CAMHS
• Experience in crisis work

Desirable

• Wide range of specialist experience relevant to the post
• Experience of working with young people at risk of offending or who have offended
• Experience of working young people who misuse alcohol or substances
• Experience of working with young people with Eating Disorders
• Experience of working with Neurodevelopmental Disorders

Knowledge and Teaching

Essential

• Understanding of the management skills required to function successfully as a consultant
• Ability to use IT, including email and the internet
• Knowledge of risk management
• Knowledge of recent developments and drug advances in Child and Adolescent Mental Health
• Commitment to and experience of undergraduate and postgraduate learning and teaching
• Understand principles of teaching

Desirable

• Teaching qualification or previous experience as teaching lead

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).