Job summary
We have an exciting opportunity for an SAS psychiatrist to join the Eastbourne Crisis and Home Resolution Team (CRHTT) and the Haven in Eastbourne, East Sussex.
The Crisis Resolution Home Treatment Team (CRHTT) provides a 7 day per week service to people experiencing an acute psychiatric crisis. The team provides an alternative to acute hospital treatment by offering intensive community-based interventions and gatekeeping all potential hospital admissions. Where a hospital admission does occur, CRHTT can assist in shortening the inpatient stay by facilitating supportive discharge back to the community.
The post also provides medical input to the Haven. The Haven is a 4-chaired, nurse-led, community-based mental health crisis service designed to provide rapid assessment (up to 24hrs) and short-term support for individuals experiencing acute mental health distress.
Both CRHTT and the Haven are based within the Department of Psychiatry in Eastbourne, on the site of Eastbourne District General Hospital.
For further information about the post, please see the Job Description and Person Specification.
Main duties of the job
The specific clinical responsibilities of this post are outlined below and should be read in conjunction with the indicative job timetable.
Provide specialist psychiatric assessment, treatment and aftercare services to patients in crisis, aged 18 and above, who have been referred to CRHTT.
Participate in a daily CRHTT meeting
Perform urgent assessments of new referrals to CRHTT, diagnosing and formulating crisis management plans and risk assessments.
Provide follow up appointments with patients under CRHTT care to review treatment plans. The post-holder will offer advice on treatment and risk management to other team members.
Provide clinical leadership to any resident doctors within the team.
Participate in planning and developing local Mental Health Services in line with the CDS aims and to contribute constructively to improving the standards of mental health care offered by Sussex Partnership NHS Foundation Trust.
Have s12(2) approval and participate when needed in Mental Health Act assessments of patients on the team's caseload.
Take a clinical leadership role in the team.
Ensure regular medical reviews of patients with extended stays at the Haven
Ensure Haven patients who have been identified by the nursing team as needing medical input are assessed and treated appropriately.
The post-holder will not normally be expected to be approved as a Responsible Clinician.
About us
We provide NHS care and treatment to children, young people, adults and older people who have mental health problems, learning disabilities or neurodiversity needs.
We employ about 5,700 staff. Many of our services are provided in partnership with other organisations. We provide care in people's homes, in specialist clinics, hospitals and GP surgeries.
As well as being a provider of services across Sussex we also commission specialist beds. Working with NHS and independent sector healthcare organisations across the South-East we are the lead provider in three Provider Collaboratives. These cover adult eating disorders, secure care and children and young people inpatient services.
Sussex Partnership was formed in April 2006 as an NHS Trust and established as an NHS Foundation Trust with teaching trust status in August 2008. We work closely with Brighton and Sussex Medical School, a partnership between the Universities of Brighton and Sussex. In 2015, we became a member of the Association of UK University Hospitals, the representative body for university hospitals with major teaching and research interests across the UK and internationally.
Our services are rated 'good' by the Care Quality Commission and 'outstanding' for caring. We work closely with other health and care partners to provide the best possible care to our local populations. We have strengths in innovation, including our work in the field of research and development.
Job description
Job responsibilities
The post-holder will provide high-quality psychiatric care as part of the Eastbourne Crisis Resolution Home Treatment Team (CRHTT) and The Haven to support the clinical delivery of the service. This vacancy has arisen due to the previous post-holder moving to another post within the NHS, and the Trust sees this as a valuable opportunity for a Specialty Doctor to contribute meaningfully to the team's ongoing development.
This post adds to the medical establishment of the team providing a minimum of one whole time equivalent (WTE) consultant psychiatrist and one WTE SAS grade doctor for Eastbourne CRHT and Haven.
The post-holder will have a 9 PAs of direct clinical contact and a minimum of 1 PA of SPA time.
CRHTT
CRHTT typically receives around 25 new referrals weekly, including assessments for service users who are referred by their GP via the agreed 4-hour urgent referral pathway. CRHTT provide a gatekeeping function for all adult acute inpatient requests to avoid unnecessary hospital admissions, ensuring that the least restrictive principles of care and treatment are achieved.
CRHTTs have a zoning system in place. This Red, Amber and Green (RAG) system is used to reflect assessed risk and associated intensity of CRHTT contact. All patients will be in the Red Zone for the first 72 hours and seen by qualified and senior staff. Those patients who are considered complex either by individual clinicians and/or raised during the handover are to be escalated immediately to medical staff.
The post-holder is expected to be present for weekly MDT meetings and weekly complex case discussions. They will also be available at short notice to review patients, respond to emergencies and provide advice to other team members. The consultant psychiatrist will be expected to undertake home visits to assess and follow up patients as part of their role. They will not carry their own case load or be required to act as care co-ordinator or key worker.
The post-holder is expected to collaborate with the wider MDT in overseeing risk assessment and formulation; approving key management decisions (e.g. discharge, medication changes, escalation to inpatient care); and ensuring that risk management plans are appropriate and effective.
Haven
The post-holder will assess and treat Haven patients who have been identified by the nursing team as needing medical input. As the Haven is a nurse-led unit, it is expected that the post-holder will work collaboratively with the nursing team.
In addition, the post-holder will be expected to review any Extended Length of Stay Patients who have been in the Haven for over 24 hours and provide the necessary physical health assessment, VTE assessment and a formal drug chart.
The post-holder will work closely with other Sussex Partnership teams, including:
Assessment and Treatment Service (ATS)
Early Intervention in Psychosis (EIP) Teams
Learning Disability and Neurodevelopmental Services
Mental Health Liaison Services (MHLT)
Specialist Older Adult Mental Health Services (SOAMHS)
Crisis pathways including Blue Light Line, Rapid Response and the Sanctuary (a Crisis House in Hastings)
Sussex Partnership's Housing Team
Staying Well, a drop-in service providing out-of-hours crisis prevention services in Eastbourne. Open 7 days a week, this service provides evening and weekend recovery-focused support to help people manage their mental health, stay well and prevent crisis.
Job description
Job responsibilities
The post-holder will provide high-quality psychiatric care as part of the Eastbourne Crisis Resolution Home Treatment Team (CRHTT) and The Haven to support the clinical delivery of the service. This vacancy has arisen due to the previous post-holder moving to another post within the NHS, and the Trust sees this as a valuable opportunity for a Specialty Doctor to contribute meaningfully to the team's ongoing development.
This post adds to the medical establishment of the team providing a minimum of one whole time equivalent (WTE) consultant psychiatrist and one WTE SAS grade doctor for Eastbourne CRHT and Haven.
The post-holder will have a 9 PAs of direct clinical contact and a minimum of 1 PA of SPA time.
CRHTT
CRHTT typically receives around 25 new referrals weekly, including assessments for service users who are referred by their GP via the agreed 4-hour urgent referral pathway. CRHTT provide a gatekeeping function for all adult acute inpatient requests to avoid unnecessary hospital admissions, ensuring that the least restrictive principles of care and treatment are achieved.
CRHTTs have a zoning system in place. This Red, Amber and Green (RAG) system is used to reflect assessed risk and associated intensity of CRHTT contact. All patients will be in the Red Zone for the first 72 hours and seen by qualified and senior staff. Those patients who are considered complex either by individual clinicians and/or raised during the handover are to be escalated immediately to medical staff.
The post-holder is expected to be present for weekly MDT meetings and weekly complex case discussions. They will also be available at short notice to review patients, respond to emergencies and provide advice to other team members. The consultant psychiatrist will be expected to undertake home visits to assess and follow up patients as part of their role. They will not carry their own case load or be required to act as care co-ordinator or key worker.
The post-holder is expected to collaborate with the wider MDT in overseeing risk assessment and formulation; approving key management decisions (e.g. discharge, medication changes, escalation to inpatient care); and ensuring that risk management plans are appropriate and effective.
Haven
The post-holder will assess and treat Haven patients who have been identified by the nursing team as needing medical input. As the Haven is a nurse-led unit, it is expected that the post-holder will work collaboratively with the nursing team.
In addition, the post-holder will be expected to review any Extended Length of Stay Patients who have been in the Haven for over 24 hours and provide the necessary physical health assessment, VTE assessment and a formal drug chart.
The post-holder will work closely with other Sussex Partnership teams, including:
Assessment and Treatment Service (ATS)
Early Intervention in Psychosis (EIP) Teams
Learning Disability and Neurodevelopmental Services
Mental Health Liaison Services (MHLT)
Specialist Older Adult Mental Health Services (SOAMHS)
Crisis pathways including Blue Light Line, Rapid Response and the Sanctuary (a Crisis House in Hastings)
Sussex Partnership's Housing Team
Staying Well, a drop-in service providing out-of-hours crisis prevention services in Eastbourne. Open 7 days a week, this service provides evening and weekend recovery-focused support to help people manage their mental health, stay well and prevent crisis.
Person Specification
Qualifications/Eligibility
Essential
- MB BS or equivalent medical qualification.
- 4 years at full-time postgraduate training or higher or equivalent experience with at least 2 years in a specialty training programme in a relevant specialty
- Fully registered with the GMC with a licence to practise at the time of appointment.
Desirable
- Qualification or higher degree in medical education, clinical research or management.
- MRCPsych
- In good standing with GMC with respect to warning and conditions on practice
- Approved clinician status OR able to achieve within 3 months of appointment
- Approved under S12 OR able to achieve with 3 months of appointment
Transport
Essential
- Holds and will use valid UK driving licence OR provides evidence of proposed alternative
Clinical Skills, Knowledge & 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
Desirable
- Wide range of specialist and sub-specialist experience relevant to post within NHS or comparable service
Academic Skills & Lifelong Learning
Essential
- Able to deliver undergraduate or postgraduate teaching and training
- 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.
- Ability to work in a participatory way so that shared decision making and conversations around formulation/diagnosis and ongoing care are a collaborative endeavour with the people who access our service.
Desirable
- 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
Person Specification
Qualifications/Eligibility
Essential
- MB BS or equivalent medical qualification.
- 4 years at full-time postgraduate training or higher or equivalent experience with at least 2 years in a specialty training programme in a relevant specialty
- Fully registered with the GMC with a licence to practise at the time of appointment.
Desirable
- Qualification or higher degree in medical education, clinical research or management.
- MRCPsych
- In good standing with GMC with respect to warning and conditions on practice
- Approved clinician status OR able to achieve within 3 months of appointment
- Approved under S12 OR able to achieve with 3 months of appointment
Transport
Essential
- Holds and will use valid UK driving licence OR provides evidence of proposed alternative
Clinical Skills, Knowledge & 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
Desirable
- Wide range of specialist and sub-specialist experience relevant to post within NHS or comparable service
Academic Skills & Lifelong Learning
Essential
- Able to deliver undergraduate or postgraduate teaching and training
- 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.
- Ability to work in a participatory way so that shared decision making and conversations around formulation/diagnosis and ongoing care are a collaborative endeavour with the people who access our service.
Desirable
- 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.
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).
