Job summary
CNWL are currently looking for a part time Speciality Doctor (8 PA's) as a Community Psychiatry of Learning Disability . The post holder will work alongside two other full-time Consultant Psychiatrists and one core trainee (CT 1-3).
The post is being advertised in order to recruit following retirement of a colleague.The post would be ideal for an experienced Specialty Doctor who wishes to work with support locally from two other very experienced Consultant Psychiatrists as well as a well-established multi-disciplinary team.
There will be 1 session for personal development which will include training, CPD activities, participation in audit/Quality Improvement (QI) and any requirements for appraisal/revalidation. Relevant CPD is available on Mondays in the Kingswood Centre in Brent and Barts NHS Hospital Trust and there will be an expectation to participate in relevant Royal College of Psychiatry professional development.
Main duties of the job
- To provide a Specialty Doctor Psychiatric service with colleagues into the Enfield Integrated Learning Disabilities Service.
- To ensure, support and develop the provision of ongoing psychiatric input to people with Learning Disabilities living in the community.
- To attend community team referrals, complex cases reviews. This would include taking on a specific lead in one area (to be negotiated depending on interest/experience).
- The post holder can expect to receive approximately 2-3 referrals per month. The caseload of the post is about 100 patients with the LD and various mental health illness or challenging behavior, autism.
- The community service operates a mixture of clinics run in the central base and work in the most appropriate setting e.g. within the residential provision or day care settings. This also includes domiciliary visits. The Doctor is expected to be patient-centered and work flexibly with the multidisciplinary team, families, carers and other professionals.
- To be available within normal working hours, in conjunction with the other Consultants and junior doctors to take responsibility for urgent assessments including formal mental health act assessments and participate in the out of hours on call organized by BEH MH Trust.
About us
The Trust spans eight boroughs and the trust manages an element of Learning Disabilities services across those boroughs. The Learning Disability Service provides 2 - adult and children inpatient Assessment and Treatment services at The Kingswood Centre. The services are for people with a Learning Disability who have mental illness and/or behaviour disorders so challenging that the local services are unable to meet their needs.
The Trust also employs Learning Disability Consultant Psychiatrists and medical staff in Kensington & Chelsea, Westminster, Hammersmith & Fulham, Brent, Enfield, Harrow, Hillingdon and Milton Keynes.
The Learning Disability services are committed to providing services, which meet the recommendations of the "Mansell Report", "Valuing People" and "Our Health, Our Care, Our Say", "Healthcare for All" and ''Transforming Care''.
Job description
Job responsibilities
Clinical Work
- Provision of psychiatric expertise on mental health issues for people with Learning Disabilities, including providing specialist assessments and follow ups in the OPC and DVs, involvement in case discussions, advice, support and training to CTPLD and inpatient service colleagues where appropriate
- Regular liaison with mental health teams and general psychiatric units for patients who have been admitted to mental health services
- In conjunction with the other consultants, and junior medical staff respond to the needs of the service, including providing a rapid response to requests for pre-admission assessment (including for assessments under the MHA) when required for both patients from the Enfield catchment area and those referred from other Boroughs and services
- To provide appropriate referral to other tertiary and specialist services e.g. Forensic Services according to local protocols
- Participation in Care Quality and Audit program
- Providing cover for Consultant colleagues as agreed with the Clinical Director and Lead Consulta
Clinical Audit and Quality Improvement
- The post-holder is expected to actively participate in the Directorates Clinical Governance, Quality Improvement and Audit program.
Liaison with Trust/Council services and relevant non-statutory organisations:
- To liaise and consult with other professionals within the Enfield LD Community team
- To liaise with providers of services for people with learning disabilities including referrers, Commissioners, independent providers and carers where appropriate.
- To work collaboratively with colleagues from all disciplines within the Trust/Council and external stakeholders.
- To collaborate with GPs and clinicians from mental health adult services and SCAN/CAMHS as appropriate.
- To liaise with acute trust management to ensure up-to-date arrangements that support good practice
- To work collaboratively and actively with colleagues in other Learning Disability Psychiatry Teams in CNWL, sharing expertise and learning
- Provision of advice and consultation to general adult wards when people with learning disabilities are admitted
- To attend service user reviews, clinical, service-related, clinical governance and multidisciplinary meetings as necessary
Management
- The post holder will be professionally managed by the CNWL Learning Disability Clinical Lead and be professionally accountable to CNWL Medical Director. The community service is managed by Enfield Council and so overall patient responsibilities lie with the Council as per Section 75 agreement. Liaison, on call work and junior doctor on call work is almost all carried out in services run by BEH MH Trust except when it is in acute medical wards Chase Farm/North Middlesex hospitals when patient welfare is the responsibility of the acute Hospital Trust
- Private sector providers are responsible for providing accurate information as to the well-being of their clients and providing care that demonstrates benevolence, an awareness of basic physical and mental health awareness of relevance to people with learning disabilities, and a willingness to seek and respond to appropriate health advice. Safeguarding concerns are all managed by Enfield Council
- To be involved in service development and joint planning for adult learning disabilities services including expert advice, and guidance on the implementation of the Care Programme Approach (CPA) within the service.
Job description
Job responsibilities
Clinical Work
- Provision of psychiatric expertise on mental health issues for people with Learning Disabilities, including providing specialist assessments and follow ups in the OPC and DVs, involvement in case discussions, advice, support and training to CTPLD and inpatient service colleagues where appropriate
- Regular liaison with mental health teams and general psychiatric units for patients who have been admitted to mental health services
- In conjunction with the other consultants, and junior medical staff respond to the needs of the service, including providing a rapid response to requests for pre-admission assessment (including for assessments under the MHA) when required for both patients from the Enfield catchment area and those referred from other Boroughs and services
- To provide appropriate referral to other tertiary and specialist services e.g. Forensic Services according to local protocols
- Participation in Care Quality and Audit program
- Providing cover for Consultant colleagues as agreed with the Clinical Director and Lead Consulta
Clinical Audit and Quality Improvement
- The post-holder is expected to actively participate in the Directorates Clinical Governance, Quality Improvement and Audit program.
Liaison with Trust/Council services and relevant non-statutory organisations:
- To liaise and consult with other professionals within the Enfield LD Community team
- To liaise with providers of services for people with learning disabilities including referrers, Commissioners, independent providers and carers where appropriate.
- To work collaboratively with colleagues from all disciplines within the Trust/Council and external stakeholders.
- To collaborate with GPs and clinicians from mental health adult services and SCAN/CAMHS as appropriate.
- To liaise with acute trust management to ensure up-to-date arrangements that support good practice
- To work collaboratively and actively with colleagues in other Learning Disability Psychiatry Teams in CNWL, sharing expertise and learning
- Provision of advice and consultation to general adult wards when people with learning disabilities are admitted
- To attend service user reviews, clinical, service-related, clinical governance and multidisciplinary meetings as necessary
Management
- The post holder will be professionally managed by the CNWL Learning Disability Clinical Lead and be professionally accountable to CNWL Medical Director. The community service is managed by Enfield Council and so overall patient responsibilities lie with the Council as per Section 75 agreement. Liaison, on call work and junior doctor on call work is almost all carried out in services run by BEH MH Trust except when it is in acute medical wards Chase Farm/North Middlesex hospitals when patient welfare is the responsibility of the acute Hospital Trust
- Private sector providers are responsible for providing accurate information as to the well-being of their clients and providing care that demonstrates benevolence, an awareness of basic physical and mental health awareness of relevance to people with learning disabilities, and a willingness to seek and respond to appropriate health advice. Safeguarding concerns are all managed by Enfield Council
- To be involved in service development and joint planning for adult learning disabilities services including expert advice, and guidance on the implementation of the Care Programme Approach (CPA) within the service.
Person Specification
Qualifications and Training
Essential
- Fully registered with the GMC with a license to practice.
- Eligible for S12 approval
- Minimum of three years should have been in a relevant Specialty in the Specialty Doctor or SAS doctor
Desirable
- MRCPsych or equivalent
- Registered as a Specialist in Learning
- Approved under section 12(2) MHA, 1983
Knowledge
Essential
- Up-to-date knowledge in management of adults with learning disability
- Proficient in Risk assessment and management
- Adequate training in Adult Safeguarding
Desirable
- Awareness of current issues in mental health service provision, policy and legislation
Skills
Essential
- Ability to work constructively in multidisciplinary teams and multi-agency systems
- Excellent written and verbal communication skills.
- Commitment to working with users, carers and voluntary organisations
Desirable
Experience
Essential
- At least 6 months Clinical experience in Learning Disability Psychiatry
- Experience of use of the Mental Health Act and Mental Capacity Act in community psychiatric setting.
- Experience of multidisciplinary team working.
Desirable
- Experience of multi-agency work, especially with user, carer and voluntary organisations
Personality and Attitude
Essential
- Disability centered values
- High standards of professionalism
- Flexibility and capacity to work in changing environment
Desirable
- Enthusiasm to work with adults with complex chronic problems
- Commitment to working as a member of the MDT
Person Specification
Qualifications and Training
Essential
- Fully registered with the GMC with a license to practice.
- Eligible for S12 approval
- Minimum of three years should have been in a relevant Specialty in the Specialty Doctor or SAS doctor
Desirable
- MRCPsych or equivalent
- Registered as a Specialist in Learning
- Approved under section 12(2) MHA, 1983
Knowledge
Essential
- Up-to-date knowledge in management of adults with learning disability
- Proficient in Risk assessment and management
- Adequate training in Adult Safeguarding
Desirable
- Awareness of current issues in mental health service provision, policy and legislation
Skills
Essential
- Ability to work constructively in multidisciplinary teams and multi-agency systems
- Excellent written and verbal communication skills.
- Commitment to working with users, carers and voluntary organisations
Desirable
Experience
Essential
- At least 6 months Clinical experience in Learning Disability Psychiatry
- Experience of use of the Mental Health Act and Mental Capacity Act in community psychiatric setting.
- Experience of multidisciplinary team working.
Desirable
- Experience of multi-agency work, especially with user, carer and voluntary organisations
Personality and Attitude
Essential
- Disability centered values
- High standards of professionalism
- Flexibility and capacity to work in changing environment
Desirable
- Enthusiasm to work with adults with complex chronic problems
- Commitment to working as a member of the MDT
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.
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.
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).
