Job summary
We are looking for a full-time Specialty Doctor in the heart of London and to work in Victoria Community Mental Health Team, an established multidisciplinary service in Westminster.
The post is an established (and hence replacement) post within the CMHT to support service delivery in line with Trust operations and clinical strategy. It has become available due to the current post holder leaving to pursue interest in a psychotherapy career.
Main duties of the job
The specialty doctor in post will form an integral part of the senior leadership team. The post holder would be encouraged to undertake an audit or quality improvement project and would have ring-fenced time for this.This is an 10 PA Specialty doctor post in Victoria PCN. Dr Stephen Ginn is the substantive consultant and named clinical supervisor for this post. He is also the Open dialogue Implementation Lead in the South hub. Dr Sara Ketteley (8 PAs with 6 PA in the team) is the other substantive consultant in the team and is also a Clinical tutor for trainees; she has trained in Open Dialogue during the last year. There is a higher trainee (ST4-6) and a junior trainee (CT1-3) in the team.
About us
CNWL is one of the largest trusts in the UK, caring for people with a wide range of physical and mental health needs to a third of London, Milton Keynes and parts of Kent, Surrey and Hampshire. Over recent years our catchment area has grown significantly, making the Trust's population more diverse than ever. We are constantly developing and working in innovative ways to provide modern, dependable services in
- physical and mental health sectors
- primary, secondary and community services
- in health and social care settings for all ages.
Westminster adult mental health service provides a range of mental health services for adults within the community and in hospital settings. Two mental health hubs provide an overarching structure in the North and South of the borough, within which there are functional groupings serving each PCN.
The team receives about 50 referrals/ month and has a caseload of about 400. The model of care is detailed in the Standard Operating Procedure but key operating principles are:1. No wrong door- diagnosis and severity are not obstacles to referral2. Intensive triage enables the right assessment and intervention early3. Focused and named intervention enables quick help and rapid throughput4. High level liaison and physical presence in GP surgeries enables pre-empting of referrals as well as early ending of interventions and support for patients in primary care
Job description
Job responsibilities
1. Conduct initial clinical assessments and medical reviews as allocated in team zoning discussions/by consultant supervisor.2. Provide consultation to the rest of the team, undertaking reviews with care co-ordinators, attending professionals meetings.3. Carry out home visits and patient reviews/assessments in care homes as indicated 4. Help embed open dialogue practice in the team once trained and where indicated/preferred by patient and staff5. Mental Health Act assessments also form a core part of the role. If the post holder is not section 12 approved he/she would be supported to become Sec 12 approved to carry out this function in the team.6. The post holder would be expected to hold a caseload and to maintain updated Excel spreadsheet at all times for supervision oversight purposes. He/she can access supervision support from the named clinical supervisor.7. Attend team clinical zoning meetings, team reflection meetings and service development meetings as needed.8. Carry out liaison and collaborative working with other services/agencies and across internal interfaces as necessary for patient care and service development.9. Ensure that patients physical health needs are addressed.10. Carry out regular review and monitoring of the caseload including via consultant supervision to ensure appropriate care packages are put in place and discharges facilitated to maintain patient flow.11. Ensure all documentation is completed in a timely manner including Dialogue plus, physical health recording, progress note entries, zoning discussions and risk assessments for patients on caseload.12. Keep up to date with appraisals, mandatory training, all revalidation requirements.13. Attend an SAS peer group for RCpsych CPD purposes and remain in good standing with RCPsych for CPD at all times.
Job description
Job responsibilities
1. Conduct initial clinical assessments and medical reviews as allocated in team zoning discussions/by consultant supervisor.2. Provide consultation to the rest of the team, undertaking reviews with care co-ordinators, attending professionals meetings.3. Carry out home visits and patient reviews/assessments in care homes as indicated 4. Help embed open dialogue practice in the team once trained and where indicated/preferred by patient and staff5. Mental Health Act assessments also form a core part of the role. If the post holder is not section 12 approved he/she would be supported to become Sec 12 approved to carry out this function in the team.6. The post holder would be expected to hold a caseload and to maintain updated Excel spreadsheet at all times for supervision oversight purposes. He/she can access supervision support from the named clinical supervisor.7. Attend team clinical zoning meetings, team reflection meetings and service development meetings as needed.8. Carry out liaison and collaborative working with other services/agencies and across internal interfaces as necessary for patient care and service development.9. Ensure that patients physical health needs are addressed.10. Carry out regular review and monitoring of the caseload including via consultant supervision to ensure appropriate care packages are put in place and discharges facilitated to maintain patient flow.11. Ensure all documentation is completed in a timely manner including Dialogue plus, physical health recording, progress note entries, zoning discussions and risk assessments for patients on caseload.12. Keep up to date with appraisals, mandatory training, all revalidation requirements.13. Attend an SAS peer group for RCpsych CPD purposes and remain in good standing with RCPsych for CPD at all times.
Person Specification
Education and Qualifications
Essential
- Primary Medical Degree
- Full GMC registration
- Section 12 approval/eligible to become approved within 3 months of starting in post
Desirable
- MRCPsych Paper A or equivalent
- Post-graduate psychiatric training
Previous Experience
Essential
- Completed at least 3 years full time post graduate training (or its equivalent on a part time or flexible basis) with at least two years' experience in psychiatry
Desirable
- Clinical Audit
- Teaching Others
- Working with an MDT
- Experience of being on-call out of hours
Skills and Knowledge
Essential
- Ability to treat service users with respect and dignity at all times, adopting a culturally sensitive approach
- Able to work effectively in a team
- Able to build constructive relationships
- Person-centred in clinical approach
- Ability to perform full physical examinations and to undertake basic routine tests such as venepuncture, ECG, Q Risk determination
- Basic IT skills
Desirable
- Advanced IT literacy
- Cognitive assessment using screening tests
Other
Essential
- Commitment to multi-disciplinary team working
- Commitment to Continuing Personal Development
- Ability to be flexible and work as part of a changing, dynamic team and organisation
- Sickness (or attendance) record that is acceptable to the Trust
- Ability to work on own initiative
Desirable
- Contribution to the development of a service
- Effective teaching skills
- Involvement in Quality Improvement
Person Specification
Education and Qualifications
Essential
- Primary Medical Degree
- Full GMC registration
- Section 12 approval/eligible to become approved within 3 months of starting in post
Desirable
- MRCPsych Paper A or equivalent
- Post-graduate psychiatric training
Previous Experience
Essential
- Completed at least 3 years full time post graduate training (or its equivalent on a part time or flexible basis) with at least two years' experience in psychiatry
Desirable
- Clinical Audit
- Teaching Others
- Working with an MDT
- Experience of being on-call out of hours
Skills and Knowledge
Essential
- Ability to treat service users with respect and dignity at all times, adopting a culturally sensitive approach
- Able to work effectively in a team
- Able to build constructive relationships
- Person-centred in clinical approach
- Ability to perform full physical examinations and to undertake basic routine tests such as venepuncture, ECG, Q Risk determination
- Basic IT skills
Desirable
- Advanced IT literacy
- Cognitive assessment using screening tests
Other
Essential
- Commitment to multi-disciplinary team working
- Commitment to Continuing Personal Development
- Ability to be flexible and work as part of a changing, dynamic team and organisation
- Sickness (or attendance) record that is acceptable to the Trust
- Ability to work on own initiative
Desirable
- Contribution to the development of a service
- Effective teaching skills
- Involvement in Quality Improvement
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).
