Job summary
We are looking for a motivated and capable individual for a Speciality Doctor post in our Crisis Resolution and Home Treatment Team in Brent. This post sits within a well established multi-disciplinary team which includes nursing, clinical psychology, social workers, support staff and administrative staff.
Main duties of the job
The post holder will work closely with the Consultant Psychiatrist and the multidisciplinary team to provide a high standard of clinical care to people using the Brent Crisis Resolution and Home Treatment Team. As a senior member of the team the post holder will have a key role to play in planning and overseeing care and treatment by the CRHTT, as well as liaising effectively with other teams and services across the mental health care pathway in Brent.
The post holder will be expected to provide a high standard of mental health care to people in crisis as a critical and valued team member. In addition to conducting thorough and holistic assessments of mental health need you will oversee brief interventions and have an important role in the clinical leadership of this cohesive service.
About us
Central and North West London NHS Foundation Trust (CNWL) is one of the largest trusts in the UK, caring for people with a wide range of physical and mental health needs. We have approximately 7,000 staff that provide healthcare to a third of London's population and across wider geographical areas, including Milton Keynes, Kent, Surrey and Hampshire. As a Foundation Trust we involve service users, carers, the public, staff and partner organisations in the way that we are run and our future development.
With a diverse and dynamic population, Brent represents a challenging and highly rewarding place in which to deliver mental health services and there is a strong sense of shared purpose and commitment amongst consultant colleagues and the wider team.
The CRHTT is a multidisciplinary and community-based service which aims to provide a safe, and effective home based assessment and treatment service as an alternative to in-patient care. It works in conjunction with and is integrated with, other local service elements.
The post provides many opportunities for professional development with many opportunities for CPD at a local and trust level. We would want to work closely with the successful candidate to ensure that their individual learning and development needs were addressed in this post.
Job description
Job responsibilities
- Home based assessments and follow-up, including detailed clerking, history taking, physical examination and initiation of all necessary investigations for the patient. The ratio of new patient appointments to reviews is approximately 40:60 although this will fluctuate considerably depending on flows through the team. Entering clinical contacts on SystmOne (training will be provided for SystmOne) and ensuring the medical records information is updated according to departmental guidelines.
- The medical, psychiatric and physical management of patients. Clinical supervision of this work is provided both within the context of individual supervision and multi-disciplinary team meetings. All HTT patients are held as part of a shared team caseload so there is no separate caseload associated with the postholder.
- Making arrangements for transfer, discharge, follow up and after-care of patients, as appropriate.
- Liaison with general Psychiatric Wards, CT 1-3/ ST 4-6, Consultants, and CMHTs
- Interviewing relatives and informal carers of patients.
- Arranging appropriate referrals to other disciplines and services, both within the multi-disciplinary team and to resources outside the team.
- Observation of Trust medical guidelines, including those related to prescription and drug administration, and physical healthcare.
- Answering routine correspondence, usually within a week.
- Organisation of your professional day and advising relevant secretary of whereabouts if off site, so that the secretary is able to reach you at any time during office hours. A mobile phone will be carried during working hours.
- When the supervising consultant is on leave there will always be a named consultant providing clinical cover, but the specialty doctor will provide clinical cover to the team when the consultant is on leave.
Job description
Job responsibilities
- Home based assessments and follow-up, including detailed clerking, history taking, physical examination and initiation of all necessary investigations for the patient. The ratio of new patient appointments to reviews is approximately 40:60 although this will fluctuate considerably depending on flows through the team. Entering clinical contacts on SystmOne (training will be provided for SystmOne) and ensuring the medical records information is updated according to departmental guidelines.
- The medical, psychiatric and physical management of patients. Clinical supervision of this work is provided both within the context of individual supervision and multi-disciplinary team meetings. All HTT patients are held as part of a shared team caseload so there is no separate caseload associated with the postholder.
- Making arrangements for transfer, discharge, follow up and after-care of patients, as appropriate.
- Liaison with general Psychiatric Wards, CT 1-3/ ST 4-6, Consultants, and CMHTs
- Interviewing relatives and informal carers of patients.
- Arranging appropriate referrals to other disciplines and services, both within the multi-disciplinary team and to resources outside the team.
- Observation of Trust medical guidelines, including those related to prescription and drug administration, and physical healthcare.
- Answering routine correspondence, usually within a week.
- Organisation of your professional day and advising relevant secretary of whereabouts if off site, so that the secretary is able to reach you at any time during office hours. A mobile phone will be carried during working hours.
- When the supervising consultant is on leave there will always be a named consultant providing clinical cover, but the specialty doctor will provide clinical cover to the team when the consultant is on leave.
Person Specification
EDUCATION and QUALIFICATIONS
Essential
- Full GMC Registration
- Hold a Licence to Practise with the GMC
Desirable
- Post-graduate Psychiatric Qualification including DPM, MRCPsych Part l/ll or equivalent
PREVIOUS EXPERIENCE
Essential
- Completed at least four years full time post graduate training ( or its equivalent gained on a part time or flexible basis, or at least two and a half years clinical experience in psychiatry, of which at least eighteen months as part of recognised training scheme in General Adult Psychiatry
Desirable
- Attended an accredited MRCPsych training course (or equivalent).
- Section 12 approval
- Previous experience of working in a Crisis Resolution / Home Treatment Team
OTHER
Essential
- Sickness (or attendance) record that is acceptable to the Trust: to be checked at interview
- Declared medically fit by the Occupational Health dept to perform the duties of the post
- The Post holder must have the ability to understand and implement the Equal Opportunities Policy at a level appropriate to the job.
Desirable
- Access to personal transport
SKILLS and KNOWLEDGE
Essential
- Excellent assessment and risk management skills.
- Up to date knowledge of relevant Mental Health Legislation
Desirable
- Knowledge and experience of multi ethnic working
Person Specification
EDUCATION and QUALIFICATIONS
Essential
- Full GMC Registration
- Hold a Licence to Practise with the GMC
Desirable
- Post-graduate Psychiatric Qualification including DPM, MRCPsych Part l/ll or equivalent
PREVIOUS EXPERIENCE
Essential
- Completed at least four years full time post graduate training ( or its equivalent gained on a part time or flexible basis, or at least two and a half years clinical experience in psychiatry, of which at least eighteen months as part of recognised training scheme in General Adult Psychiatry
Desirable
- Attended an accredited MRCPsych training course (or equivalent).
- Section 12 approval
- Previous experience of working in a Crisis Resolution / Home Treatment Team
OTHER
Essential
- Sickness (or attendance) record that is acceptable to the Trust: to be checked at interview
- Declared medically fit by the Occupational Health dept to perform the duties of the post
- The Post holder must have the ability to understand and implement the Equal Opportunities Policy at a level appropriate to the job.
Desirable
- Access to personal transport
SKILLS and KNOWLEDGE
Essential
- Excellent assessment and risk management skills.
- Up to date knowledge of relevant Mental Health Legislation
Desirable
- Knowledge and experience of multi ethnic working
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).
