Barnet, Enfield & Haringey Mental Health NHS Trust

Consultant Psychiatrist Crisis/Home Treatment Team

Information:

This job is now closed

Job summary

We are really pleased to be offering this exciting full-time (10 PA) Consultant post in the Haringey Crisis Resolution and Home Treatment Team (CRHTT). This post has become available due to the retirement of the previous post holder. The CRHTT provides urgent crisis assessments and intensive support aiming to avert the need for inpatient admission, when safety possible.

The team has been on a significant improvement journey over the past three years, undertaking progression to accreditation under the Royal College of Psychiatrists' HTAS (Home Treatment Accreditation Scheme). The team has been leading in the implementation of the innovative, social systems oriented approach to mental health care Open Dialogue. Haringey is a trial site for a large national research trial, ODDESSI, investigating the efficacy of Open Dialogue and the CRHTT is a key entry point to this randomized controlled trial.

Main duties of the job

The post holder will be expected to provide clinical leadership for the Crisis and Home Treatment Team. The post-holder will be expected:

To contribute to the assessment of newly referred cases and formulate appropriate treatment plans in collaboration with colleagues in other disciplines.

To conclude medical reviews for those on the caseload including monitoring of patient mental, physical, and psychological wellbeing, assessment and review of needs, risk assessments and monitoring, assessing of response to medication, dosage adjustments and review of potential side effects of medication.

Management of community emergencies including home visits for those on the caseload.

About us

Formed in 2001 through the merger of its predecessor organizations, Barnet, Enfield and Haringey Mental Health NHS Trust (BEH-MHT) continues to innovate and develop at a fast pace. We are a large mental health trust in London with an annual budget of £337 million and employing more than 3,300 staff. We serve a population of 1.2 million and operate from over 20 main sites in the community. In 2020-21 the trust cared for more than 126,176 people; approximately 2,800 patients on our wards and over 128,388 service users in the community.

We provide a wide range of local and more specialist mental health services, including helping people with serious mental illness (SMI), personality disorders, drug and alcohol recovery, children's mental health issues, dementia, eating disorders, learning disabilities, ADHD and suicide prevention. The Trust has an overall Care Quality Commission (CQC) rating as 'Good' from 2019 and retained the 'good' rating in 2022. It also runs the North London Forensic Service (NLFS), which the CQC has rated as Outstanding.

Our CEO, Jinjer Kandola MBE has been appointed to be joint CEO for both BEH and Camden and Islington Trust, bringing the two organisations ever closer together and they are now working in a partnership across North Central London. This is allowing for the joint expertise, increased innovation and reduction in barriers with joint initiatives.

Details

Date posted

06 June 2024

Pay scheme

Hospital medical and dental staff

Grade

Consultant

Salary

£93,666 to £126,281 a year p.a

Contract

Permanent

Working pattern

Full-time, Part-time, Job share

Reference number

306-BEH-1981

Job locations

Lea Unit St Ann's Hospital

St Ann's Road

Haringey

N15 3TH


Job description

Job responsibilities

The post holder will be expected to provide clinical leadership for the Crisis and Home Treatment Team. The post-holder will be expected:

To contribute to the assessment of newly referred cases and formulate appropriate treatment plans in collaboration with colleagues in other disciplines.

To conclude medical reviews for those on the caseload including monitoring of patient mental, physical, and psychological wellbeing, assessment and review of needs, risk assessments and monitoring, assessing of response to medication, dosage adjustments and review of potential side effects of medication.

Management of community emergencies including home visits for those on the caseload.

Early Discharge Facilitation assessment for patients on the wards

Gatekeeping assessments for complex cases.

Working with the wellbeing clinic to ensure that physical health is well monitored.

To comply with all legal obligations covering clinical practice e.g. Mental Health Act and Code of Practice, safeguarding procedures

To complete relevant paperwork, including maintaining the electronic record and participating in routine outcome monitoring of clinical work

To supervise and facilitate learning to medical staff and other professionals in all aspects of psychiatric care

To participate in the trust-wide day-time consultant psychiatrist second on-call rota for Section 136 suite (1:32) and the Trust-wide Consultant psychiatrist on-call rota (1:32).

To participate in the weekly team meeting and undertake other duties, as negotiated, that contribute to the good functioning of the clinical team.

To provide clinical and professional leadership within the post and take part in management activities and governance processes related to the post or the wider service within which it is embedded.

As a senior clinician, to have an integral role in the performance of the team, further development of the service, and the development of the clinical pathways and priorities of the service line.

General expectations / external duties

To manage, appraise and give professional supervision to junior medical staff as agreed with the medical director and in accordance with the Trusts policies and procedures.

To ensure that junior doctors working with them are compliant with the Working Time Directive.

To comply with procedures whereby doctors report concerns about professional conduct or competence of medical or other colleagues.

To comply with the principles of practice laid out by the General Medical Council and the Royal College of Psychiatrists.

To maintain professional registration with the General Medical Council (GMC), Mental Health Act Section 12(2) approval, and to abide by professional codes of conduct.

To demonstrate compliance with legal obligations covering clinical practice e.g. Mental Health Act and Code of Practice, Mental Capacity Act, The Children Act

To participate in annual appraisal for consultants.

To participate annually in a job plan review with the Haringey Clinical Director and the Haringey Service Director.

To attend and participate in the academic program of the Trust, including lectures and seminars of the internal CPD program.

To comply with the regulations of the Royal College of Psychiatrists on Continuing Medical Education (CPD).

To undertake the administrative duties associated with the care of patients.

To record clinical activity accurately and comprehensively and submit this promptly to the Information Department.

To comply with confidentiality as advised by professional and Department of Health Guidelines.

To comply with proper and safe discharge procedures for in-patients e.g., in line with Department of Health Guidelines on Discharge and Caring for People: The Care Program Approach.

To comply with Trust procedures that involve users in their care.

To comply with Trust procedures with regard to responsibility to carers.

To commit to ensuring that people from all ethnic groups have equitable access to appropriate services.

To ensure successful multi-disciplinary working.

To work with local managers and professional colleagues in ensuring the efficient running of services, and share with consultant colleagues in the medical contribution to management.

To comply with the Trusts agreed policies, procedures, standing orders and financial instructions, and to take an active role in the financial management of the services and support the medical director and other managers in preparing plans for services.

To maintain good relationships with general practitioners, the CCG, Social Services, and voluntary sector organizations.

Job description

Job responsibilities

The post holder will be expected to provide clinical leadership for the Crisis and Home Treatment Team. The post-holder will be expected:

To contribute to the assessment of newly referred cases and formulate appropriate treatment plans in collaboration with colleagues in other disciplines.

To conclude medical reviews for those on the caseload including monitoring of patient mental, physical, and psychological wellbeing, assessment and review of needs, risk assessments and monitoring, assessing of response to medication, dosage adjustments and review of potential side effects of medication.

Management of community emergencies including home visits for those on the caseload.

Early Discharge Facilitation assessment for patients on the wards

Gatekeeping assessments for complex cases.

Working with the wellbeing clinic to ensure that physical health is well monitored.

To comply with all legal obligations covering clinical practice e.g. Mental Health Act and Code of Practice, safeguarding procedures

To complete relevant paperwork, including maintaining the electronic record and participating in routine outcome monitoring of clinical work

To supervise and facilitate learning to medical staff and other professionals in all aspects of psychiatric care

To participate in the trust-wide day-time consultant psychiatrist second on-call rota for Section 136 suite (1:32) and the Trust-wide Consultant psychiatrist on-call rota (1:32).

To participate in the weekly team meeting and undertake other duties, as negotiated, that contribute to the good functioning of the clinical team.

To provide clinical and professional leadership within the post and take part in management activities and governance processes related to the post or the wider service within which it is embedded.

As a senior clinician, to have an integral role in the performance of the team, further development of the service, and the development of the clinical pathways and priorities of the service line.

General expectations / external duties

To manage, appraise and give professional supervision to junior medical staff as agreed with the medical director and in accordance with the Trusts policies and procedures.

To ensure that junior doctors working with them are compliant with the Working Time Directive.

To comply with procedures whereby doctors report concerns about professional conduct or competence of medical or other colleagues.

To comply with the principles of practice laid out by the General Medical Council and the Royal College of Psychiatrists.

To maintain professional registration with the General Medical Council (GMC), Mental Health Act Section 12(2) approval, and to abide by professional codes of conduct.

To demonstrate compliance with legal obligations covering clinical practice e.g. Mental Health Act and Code of Practice, Mental Capacity Act, The Children Act

To participate in annual appraisal for consultants.

To participate annually in a job plan review with the Haringey Clinical Director and the Haringey Service Director.

To attend and participate in the academic program of the Trust, including lectures and seminars of the internal CPD program.

To comply with the regulations of the Royal College of Psychiatrists on Continuing Medical Education (CPD).

To undertake the administrative duties associated with the care of patients.

To record clinical activity accurately and comprehensively and submit this promptly to the Information Department.

To comply with confidentiality as advised by professional and Department of Health Guidelines.

To comply with proper and safe discharge procedures for in-patients e.g., in line with Department of Health Guidelines on Discharge and Caring for People: The Care Program Approach.

To comply with Trust procedures that involve users in their care.

To comply with Trust procedures with regard to responsibility to carers.

To commit to ensuring that people from all ethnic groups have equitable access to appropriate services.

To ensure successful multi-disciplinary working.

To work with local managers and professional colleagues in ensuring the efficient running of services, and share with consultant colleagues in the medical contribution to management.

To comply with the Trusts agreed policies, procedures, standing orders and financial instructions, and to take an active role in the financial management of the services and support the medical director and other managers in preparing plans for services.

To maintain good relationships with general practitioners, the CCG, Social Services, and voluntary sector organizations.

Person Specification

Qualifications

Essential

  • MB BS or equivalent qualification
  • Full Registration with the General Medical Council (GMC) with a current licence to practise from the GMC at intended start date
  • Included on the GMC Specialist Register OR within six months
  • Approved clinician status OR able to achieve within 3 months of appointment
  • Section 12 Approved or able to achieve within three months of appointment

Desirable

  • Qualifications or higher degree in medical education, clinical research or management
  • Additional clinical qualification
  • In good standing with GMC with respect to warning and conditions on practice

Clinical skills, knowledge and experience

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
  • Ability to work in and lead team
  • Demonstrate commitment to shared leadership and collaborative working to deliver improvement.
  • Participated in research or service evaluation.
  • Able to use and appraise clinical evidence
  • Has actively participated in clinical audit and quality improvement programmes.

Desirable

  • Able to plan and deliver undergraduate and postgraduate teaching and training relevant to this post
  • Reflect 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 or improved outcomes to patients

Information Technology Experience & Skills

Essential

  • Basic computer skills, including ability to use e-mail and Internet

Desirable

  • Experience in data gathering and management
Person Specification

Qualifications

Essential

  • MB BS or equivalent qualification
  • Full Registration with the General Medical Council (GMC) with a current licence to practise from the GMC at intended start date
  • Included on the GMC Specialist Register OR within six months
  • Approved clinician status OR able to achieve within 3 months of appointment
  • Section 12 Approved or able to achieve within three months of appointment

Desirable

  • Qualifications or higher degree in medical education, clinical research or management
  • Additional clinical qualification
  • In good standing with GMC with respect to warning and conditions on practice

Clinical skills, knowledge and experience

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
  • Ability to work in and lead team
  • Demonstrate commitment to shared leadership and collaborative working to deliver improvement.
  • Participated in research or service evaluation.
  • Able to use and appraise clinical evidence
  • Has actively participated in clinical audit and quality improvement programmes.

Desirable

  • Able to plan and deliver undergraduate and postgraduate teaching and training relevant to this post
  • Reflect 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 or improved outcomes to patients

Information Technology Experience & Skills

Essential

  • Basic computer skills, including ability to use e-mail and Internet

Desirable

  • Experience in data gathering and management

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).

Additional information

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).

Employer details

Employer name

Barnet, Enfield & Haringey Mental Health NHS Trust

Address

Lea Unit St Ann's Hospital

St Ann's Road

Haringey

N15 3TH


Employer's website

http://www.beh-mht.nhs.uk/ (Opens in a new tab)


Employer details

Employer name

Barnet, Enfield & Haringey Mental Health NHS Trust

Address

Lea Unit St Ann's Hospital

St Ann's Road

Haringey

N15 3TH


Employer's website

http://www.beh-mht.nhs.uk/ (Opens in a new tab)


Employer contact details

For questions about the job, contact:

Clinical Director

Dr Sarah Minot

Sarah.minot1@nhs.net

07884568111

Details

Date posted

06 June 2024

Pay scheme

Hospital medical and dental staff

Grade

Consultant

Salary

£93,666 to £126,281 a year p.a

Contract

Permanent

Working pattern

Full-time, Part-time, Job share

Reference number

306-BEH-1981

Job locations

Lea Unit St Ann's Hospital

St Ann's Road

Haringey

N15 3TH


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