Specialty Doctor - Hospital Division

Job description

Job responsibilities

Providing a good standard of practice and care

Undertake clinical assessments of patients with mental health problems

In the in-patient wards, you will ensure that all new patients admitted under your teams care are fully assessed, including an assessment of their physical state, so that a preliminary formulation of their problems is made. All in-patients should be reassessed as necessary. This is mainly the responsibility of the CT but needs to be managed by the team. The specialty doctor must have the the capability to run ward rounds in the consultants absence (with support from a covering consultant). The specialty doctor must also be able to compose reports for Mental Health Review Tribunals/Managers Hearings and be able to attend hearings to give evidence. Some on the job training in these areas would be available before the post holder would be expected to assume full responsibility in these areas.

Manage chronic illness

Many of the patients have acute exacerbations of complex chronic mental health problems. This may include treatment resistant depression and schizophrenia, fragile bipolar disorders, chronic anxiety disorders and co-morbid conditions including personality disorders and substance misuse. These patients often require a thorough assessment, review of their diagnosis and commencing more complex treatment plans. (ILO7)

Decisions about access to care

Use the results of the clinical assessment to ensure effective patient management

Under the supervision of a clinical supervisor, you will prescribe pharmacological and psychosocial treatments for the patients that you are working with. You will refer them promptly to other professionals as directed by your clinical supervisors. You will also arrange for the core trainee to follow-up abnormal physical signs and results of investigation including arranging for repeat investigations according to patients needs and the psychotropic medications they are prescribed (for instance antipsychotics and on-going assessment of lipids, glucose, weight and prolactin). (ILO2, ILO3)

Treatment in emergencies

Manage emergencies

You will see patients who require urgent psychiatric assessment including Mental Health Act assessments during daytime duties, if you are section 12 approved.

Maintaining good medical practice

Maintain and use systems to update knowledge and its application to any aspect of your professional practice

You will complete mandatory training.

You have a study leave allocation and should discuss relevant conferences and courses with your supervisors in good time. (ILO8, ILO9)

Plan, deliver, and evaluate teaching & learning in a variety of environments

You will participate in the teaching of medical students attached to the unit by helping identify and consent suitable patients for the students to see and by helping the students develop their clinical skills by giving them opportunities to present and discuss the patients they have seen. You will provide teaching sessions to the students attached to the firm.

You could be involved in lecturing to clinical medical students.

You will facilitate a medical student simulation teaching session (ILO17)

Assess, appraise and evaluate learning and learners

You will evaluate your own learning and progress, using feedback and self reflection. You will participate in the assessment of others, including clinical medical students and colleagues using multi-source feedback tools.

Relationships with patients

Conduct professional patient relationships

Whenever possible, you will obtain informed consent from patients for whom you provide treatment. You will observe patient confidentiality at all times. When guided by your clinical supervisors, you should share information appropriately with colleagues. Whenever possible, and especially towards the end of the placement, you will inform your patients of the ending of your relationship with them in a timely manner. (ILO19)

Dealing with problems in professional practice

Conduct or performance of colleagues

If you become aware of problems with the conduct or performance of a colleague, you must bring this to the attention of a senior colleague. (ILO19)

Complaints and formal inquiries

You must always cooperate fully with any complaint's procedure or formal inquiry. (ILO19)

Providing assistance at inquiries and inquests

You must always cooperate fully with any formal inquiry or inquest into a patients death. (ILO19)

Indemnity insurance

Early in the placement, you must discuss the provisions of the NHS indemnity insurance with your Supervisor. (ILO19)

Working with colleagues

Continuously promote value based non prejudicial practice

You must maintain a legal, ethical and fair approach toward working with colleagues and respect diversity. (ILO14)

Demonstrate appropriate leadership

During this placement you will be a full member of the ward and CMHT multidisciplinary teams (MDT) and will attend their respective meetings. You will have the opportunity to chair the CMHT meeting and discuss your experience of the MDT in meetings with your trainer. (ILO14, ILO15)

Communicate effectively with other healthcare professionals

You will keep clear, accurate and contemporaneous clinical records. You will send regular written reports on patients to general practitioners and other professionals involved in patient care. (ILO6, ILO13)

Appropriately assume, delegate and devolve responsibility for clinical management where necessary, involving other MDT members.

Access advice, assistance and second opinion when delegating and making referrals

Your Clinical Supervisor and other members of the multidisciplinary team will give you guidance as to the level of responsibility you should assume in individual clinical situations. If you are unsure, you must always obtain advice and assistance. (ILO16, ILO19)

Maintaining probity

Ensure that reports, evidence and documents you have a responsibility for are complete, honest and accurate.

You will write your patient assessments in a standard departmental manner and write up a patient formulation which needs to be discussed with and approved by the rest of the MDT at the next meeting after admission or community assessment. You will make the necessary communications to colleagues within the acute settings and external agencies, including GPs when appropriate and necessary. (ILO6, ILO13)

Properly manage financial and commercial dealings

You must report receiving any gift from patients with your Supervisor and you must not solicit any fee or payment from a patient or third party unless your Supervisor has sanctioned this. You will not meet with any representatives of the pharmaceutical industry during work time, unless this is at a postgraduate meeting that has been organised within ABPI Guidelines. (ILO19)

Avoid conflicts of interest and advise others on preventing and dealing with conflicts of interest

Inform your Supervisor of any real or potential conflict of interest you may have. (ILO19)

Health

Ensure that your health and the health of others does not put patients at risk

You must always obtain advice and treatment for mental and physical health problems and must ensure that your health does not put patients at risk. You must comply with the Trusts Occupational Health policy. (ILO19)

Appraisal

You will participate in annual appraisal.

Person Specification

Education/Qualifications/Registration

Essential

• MBBS or equivalent qualification
• Full GMC registration

Desirable

• MRCPsych or equivalent qualification
• S12 approval

Skills

Essential

• Good written and spoken English
• Good clinical skills
• Good interpersonal skills

Knowledge & Experience

Essential

• At least 3 years of post-registration experience of working in psychiatry

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).

Employer details

Employer name

Camden and Islington NHS Foundation Trust

Address

Rosewood Ward and Jade Ward

London

NW1 0PE

Employer's website

https://www.candi.nhs.uk/careers (Opens in a new tab)