Associate Specialist in Psychiatry

Job description

Job responsibilities

The post is based within the Jersey Mental Health Care Group.

Jersey Mental Health Care Group has many components: -

(a) In-patient Units (Orchard House, Cedar Ward and Beech Ward at St. Saviours Hospital Site and Clinic Pinel).

(b) Orchard House consists of 17 adult acute beds (including an extra-care area). It is for people aged between 18 and 65, who suffer from severe mental illness and require inpatient admission. Our aim is to help services users achieve their potential by promoting recovery and maintaining wellbeing. Our service users come from a variety of cultural backgrounds and often have challenging and complex needs.The inpatient team is a multidisciplinary team, which includes doctors (consultant, Staff grade/ Clinical Fellow and F2), a clinical psychologist, nurses, a social worker, occupational therapists, an art therapist, health care assistants and administrative staff. Independent Advocacy is provided by My Voice. The wards work closely with third sector charities such as MIND and Focus on Mental Illness.

The Consultant medical support to Cedar and Beech wards (which contain acute beds for functional and organic older adults) is provided by the Older adult community consultants. However, there is an inpatient staff grade psychiatrist/ Clinical Fellow and an F1 doctor based on the wards.

The inpatient units are staffed by a multi-disciplinary team including psychologists, nurses, occupational therapists, an art therapist, and a psychiatric social worker.

The inpatient wards will be moving to a new facility at Clinic Pinel in Autumn 2023. This will include an Article 36 suite.

(c) Crisis and Assessment team (team base at La Chasse in St Helier)

The CAT team work 24/7 and provide the single point of entry into adult and older peoples mental health services. They conduct emergency, urgent, and routine assessments in the community, at La Chasse and in the Emergency Department and can provide a medical review. They work closely with the police and respond to Adult Protection Notices. The Authorised officers are part of this team and they co-ordinate the MH law assessments. There is a multidisciplinary team of assessors with experience in adult and older peoples psychiatry. After assessment people will be directed to the appropriate service for their needs.

(d) Primary Care Mental Health Service (team base Eagle House)

This service is multidisciplinary and provides 6 session interventions for mild to moderate mental health conditions that can be managed in primary care. It is not a prescribing service.

(e) Adult Community Mental Health Team (team base at Le Bas Centre in St. Helier; outpatient clinics at La Chasse in St Helier).

The Community Mental Health Team focuses on service users with severe and enduring mental illness. They do not conduct any initial assessments. The consultants and staff grades who work there also provide a general psychiatric out-patient clinic. The team includes: two consultant psychiatrists, an associate specialist (with special responsibility for gender and clozapine), two whole time equivalent staff grades, a consultant psychologist, a team leader, nurses, occupational therapists, social workers, and health care assistants. The team deliver a range of clinical interventions for service users and their families including case management, Decider Skills, Cognitive Behavioural Therapy, Dialectical Behavioural Therapy, and Eye Movement Desensitisation and Reprocessing. The team also hosts a community support service that offers daytime activities and supported accommodation (The Diner and Clairvale House) to people with severe mental illness. There are wellbeing clinics for people on depot medication and clozapine.

(f) Home Treatment Team (team base at Masion du Lac, St Saviours Hospital site)

The Home Treatment Team offers intensive care to patients in their own home to reduce admissions and facilitate early discharge from hospital. The team includes: a consultant, a team manager, nurses, occupational therapists, health care assistants and social workers. The team works closely with the ward, the CMHT, and the new Crisis and Assessment Team.

(g) Liaison (team base Jersey General Hospital)

The Liaison Psychiatry team do not cover the Emergency Department but provide assessment, reviews and support to Jersey General Hospital wards and support quality improvement projects around the care of people with mental health problems in hospital and under hospital outpatient service. It is staffed by a team of dedicated nurse practitioners, and it will have a dedicated Consultant Psychiatrist under the new redesign. The Liaison service covers all adult ages. The service is under the Psychiatric Liaison Accreditation Network (PLAN).

(h) Older Adults Community Mental Health Service (team base The Poplars, Overdale Hospital Site, St Helier)

The Older Adults Community Mental Health Service focuses on service users with severe and enduring mental illness (including dementia with behavioural or psychiatric complications). The team includes: two whole time equivalent consultant psychiatrists, one whole time equivalent staff grade, a consultant psychologist, a team leader, nurses, occupational therapists, social workers, and health care assistants. The team deliver a range of clinical interventions for service users and their families.

There is also a comprehensive memory assessment service led by Dr. Juan Melendez (Associate Specialist)

(i) Drug and Alcohol Service (team base Maison du Pape, St Helier)

This service accepts self-referrals and service referrals for people requiring support with drug or alcohol problems. The team consists a Service Manager, a Clinical lead Manager, a Consultant Psychiatrist (Dr Tanya Englebrecht), 3 Substance Misuse Practitioners, an Advanced Clinical Practitioner / Nurse Prescriber, a Harm Reduction Worker / Needle Exchange Worker, a Social Worker, an Arrest Referral Worker / Court Diversion Officer, a part time Substance Misuse Probation Officer, a Younger Persons Substance Misuse Worker, Alcohol Liaison Nurses, Community Detox Nurses, a Psychologist, a Counselling Student (supervised by Psychologist), a GP for 1 session per week and admin staff. They provide a range of treatments and interact closely with the third sector.

(j) Jersey Talking Therapies

Jersey talking therapies provides a range of psychological interventions in line with NICE guidance. Steps 2-3 are accessible by self-referral and Step 4 (PATS service) work more closely with JAMHS and take people through internal referral with more complex needs.

(k) Physical Health Facilitation team

This is a new service through our redesign process to provide annual physical health checks and signposting to other services for health and wellbeing for service users with severe and enduring mental health needs.

(l) Legislation team

This team is made up of the people who administer the mental health and capacity law in Jersey. It also contains the Authorised officers who undertake the mental health and capacity law assessments.

(m) Specialist Clinics and Pathways

JAMHS offers the following specialist services, each of which is supported by a consultant psychiatrist or Associate Specialist with a special interest in the area:-

Perinatal Mental Health (Dr Rachel Ruddy)

Eating Disorders (Dr Miguel Garcia)

Criminal Justice (Dr Brad Hillier)

Neurodevelopmental service ADHD, LD and Autism (Professor Ulrich Muller-Sedgewick & Dr Ashutosh Kaushal)

Gender Identity Clinic (Dr Zainab Kadim)

CAMHS transition pathway (Professor Max Marshall).

Person Specification

Qualifications

Essential

• Recognised basic medical degree
• Full GMC registration
• Eligibility for Section 12 approval

Desirable

• MRCPsych or equivalent approved by the Royal College of Psychiatrists.
• Royal college exams
• Relevant higher degree, e.g. MD. PhD, MSc or other additional clinical qualifications
• Section 12 approval
• Wide range of specialist and sub-specialist experience relevant to post within NHS or comparable service

Experience

Essential

• Experience of assessing and treating adult patients in community psychiatric settings
• Experience managing clozapine and depot prescriptions.
• Knowledge and experience working in UK hospital systems (or equivalent)
• Knowledge and evidence of participation in CPD
• A sound understanding of clinical governance

Desirable

• Experience in inpatient psychiatry
• On call experience covering adults and older people
• ADHD/ ASD assessment experience
• Experience using Mental Health Law in community settings.

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

Health and Community Services

Address

Government Of Jersey

19-21 Broad Street

St. Helier

Jersey

Channel Islands

JE2 3RR

Employer's website

https://www.gov.je (Opens in a new tab)