Specialty Doctor – Adult Inpatients

Job responsibilities

Local working arrangements

Inpatient care for service users is provided by Consultants working within the Acute Care teams at Broadoak Unit, Clock View Hospital, Windsor House, all based in Liverpool, and Hartley Hospital based in Southport.

Clock View Hospital is an adult mental health facility based in Walton, Liverpool opened in 2015. There are 3 acute adult wards namely: Alt (mixed ward), Dee (female), and Morris (male). Clock view also houses Newton ward which is a Psychiatric Intensive Care Unit (PICU) and an old age ward, Irwell. All wards across the Trust take admissions, as well as patient transfers.

The ward composition at Clock View Hospital is as below:

Ward Name

Beds

Gender

Service line

Weekly average no. of admissions & discharges

(21/05/2022-21/05/2024)

Alt

17

Mixed

Adult

4 admissions

4 discharges

Dee

17

Female

Adult

3 admissions

3 discharges

Irwell

17

Mixed

Old age

2 admissions

2 discharges

Morris

17

Male

Adult

3 admissions

3 discharges

Newton

12

Mixed

Adult (PICU)

2 admissions

2 discharges

The post has become vacant as a result of the reconfiguration of the medical model.

The post holder would support the Consultants across two wards, Dee ward, and Morris ward. Dee ward is a female ward with 17 beds. On average there are approximately 3 admissions per week to Dee ward with around 3 discharges. About 25-50 per cent of the admitted patients are detained at any given time and there is on average one Mental Health Review Tribunal hearing each week.

Morris ward is a male ward with 17 beds. On average there are approximately 3 admissions per week to Dee ward with around 3 discharges. About 25-50 per cent of the admitted patients are detained at any given time and there is on average one Mental Health Review Tribunal hearing each week.

There is 1 Consultant Psychiatrist allocated to each ward. Each ward also has 1-2 resident doctors. The post holder will be supported by an inpatient ward manager, deputy ward manager and team of inpatient ward based staff.

Continuing professional development (CPD)

The Trust supports the participation of all medical staff in the CPD programme locally and that of the Royal College of Psychiatrists.

The Trust support for CPD activities, including study leave arrangements and appropriate funding.

Clinical leadership and medical management

Participation in business planning for the locality and, as appropriate, contribution to the broader strategic and planning work of the trust.

Leading the improvement of the quality of care within the team and contribute to improving quality across the system.

Teaching and training

Teaching commitments of post, and support in place to achieve these.

Trust-wide teaching.

Teaching arrangements in locality/team.

Participation in undergraduate and postgraduate clinical teaching.

Participation in the training of other disciplines.

Providing educational supervision of trainees and other disciplines.

Taking part in continuing medical education within statutory limits.

DME is Dr Indira Vinjamuri

Mersey Care has specific links with Liverpool Medical School and Edge Hill University Medical School

Mental Health Act and Section 12(2) approval

The post holder would be expected to be approved under Section 12(2) of the Mental Health Act 1983, or be willing to undertake training to obtain Section 12(2) MHA and will be expected to renew this approval according to agreed procedures.

Clinical duties of post holder

Support the Consultant Psychiatrist providing medical input for patients across Dee ward, and Morris ward.

Carry out comprehensive psychiatric assessments and provide treatment for inpatients.

Support ward based staff to manage psychiatric emergencies.

Conduct patient reviews and lead multidisciplinary ward reviews, CPA reviews and multi-professional meetings.

To provide verbal and written evidence to Mental Health Review Tribunals and Hospital Managers hearings.

To carry out comprehensive Risk Assessments and participate in Trusts risk management processes such as Health Risk Assessment and Management Meetings (H-RAMM) and Multi Agency Public Protection Arrangement (MAPPA) Meetings.

To provide medical leadership to the inpatient team.

Liaise with families / carers.

Liaise with aspects of the Criminal Justice System regarding patients.

Liaise with other stakeholders and interested parties.

The post holder will be expected to maintain effective communication with other services, including in-patient and community mental health teams, and primary care.

Provide clinical supervision to junior colleagues.

Provide cross cover to other wards when required.

Training duties

Participation in undergraduate and postgraduate clinical teaching.

Participation in the training of other disciplines.

Providing educational supervision of trainees and other disciplines.

Taking part in continuing medical education within statutory limits.

Engage in supervision with supervising consultants.

Clinical governance and quality assurance

Expected contribution to clinical governance and responsibility for setting and monitoring standards.

Participation in clinical audit and other local assurance processes.

Participation in service/team evaluation and the planning of future service developments.

Quality improvement

Leads and manages a team in a way that supports the development of a culture of continuous improvement and learning.

Utilises a quality improvement approach to think systemically about complex problems, develop potential change ideas and test these in practice using a systematic QI methodology.

Empowers the team to resolve local issues on a daily basis using the tools and method of quality improvement without staff having to seek permission.

Promotes awareness and understanding of quality improvement, and shares learning and successes from quality improvement work.

General duties

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 participate in annual appraisal.

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

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

To participate annually in a job plan review with the clinical manager, which will include consultation with a relevant manager in order to ensure that the post is developed to take into account changes in service configuration and delivery associated with modernisation.

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 service and support the medical director and other managers in preparing plans for services.

External duties, roles and responsibilities

The Trust actively supports the involvement of the consultant body in regional and national groups subject to discussion and approval with the medical director and, as necessary, the chief executive officer.

Other duties

From time to time it may be necessary for the post holder to carry out such other duties as may be assigned, with agreement, by the Trust. It is expected that the post holder will not unreasonably withhold agreement to any reasonable proposed changes that the Trust might make.

Work programme

It is envisaged that the post holder will work 10 programmed activities over 5 days. Following appointment there will be a meeting at no later than three months with the clinical manager to review and revise the job plan and objectives of the post holder. The overall split of the programmed activities is 8 to be devoted to direct clinical care and 2 to supporting professional activities. The timetable is indicative only. A formal job plan will be agreed between the post holder and associate medical director or clinical manager three months after commencing the post and at least annually thereafter.

On-call and cover arrangements

There is no on call commitment however the post holder may have the opportunity to join the second on call out of hours rota for Higher Trainees subject to availability.

Qualifications

Essential

• MB BS or equivalent medical qualification.

Desirable

• Qualification or higher degree in medical education, clinical research or management.
• MRCPsych
• Additional clinical qualifications.

Eligibility

Essential

• Fully registered with the GMC with a licence to practise at the time of appointment
• Approved under S12 OR able to achieve with 3 months of appointment
• Minimum 3 years experience working in psychiatry

Desirable

• In good standing with GMC with respect to warning and conditions on practice

Transport

Essential

• Holds and will use valid UK driving licence OR provides evidence of proposed alternative

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 & collaborative working to deliver improvement
• Participated in continuous professional development
• 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
• Reflected 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

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).