Health and Community Services

Consultant Psychiatrist - Acute Adult Inpatient & Home Treatment Team

Information:

This job is now closed

Job summary

Come and work in Jersey the sunniest place in the British Isles!

Only fourteen miles from France, we are a popular holiday destination famous for our unique culture, beautiful beaches, good schools (public and private) and low crime rates.

We have a brand-new inpatient facility opening in Summer 2023. Staffing ratios and bed occupancy rates are very favourable compared with the UK. Our Home Treatment Team was set up in 2022 and is providing a safe alternative to inpatient care. The post-holders will work together to provide continuity of consultant care across inpatient services and home treatment.

Jersey is a prosperous Island with our own health care system that is quite different from the NHS. In recent years we have invested significantly in mental health services. We are about to open a brand new inpatient unit and have developed comprehensive community services, including a 24 hour crisis and assessment team, a Home Treatment Team and a neurodiversity service.

We have a number of exciting job opportunities on offer, and are happy to discuss different combinations of the roles or flexible working. We are especially interested in candidates who can expand our range of specialist expertise and are interested in shaping the future of mental health care on the Island. Even if your exact job is not below get in touch and have a discussion about possibilities as we have more expansion planned.

Main duties of the job

We offer:

A generous relocation package.

A substantial pension scheme (not subject to UK tax penalties and available to those who have retired from the NHS Scheme).

A flat rate income tax of 20% with no capital gains or inheritance tax

A personal budget for CPD that significantly exceeds what would be on offer in the UK

Situated just 40 minutes flying time from London with excellent transport links to Europe the small beautiful Island of Jersey is the sunniest place in the UK, has great sandy beaches surrounded by soaring cliffs and offers a healthy work-life balance. There are excellent opportunities for a wide range of outdoor activities including sailing, diving, kayaking and paddle boarding. Jersey has the ideal lifestyle and work environment. I would encourage you to come and try it for yourself!

Full travelling expenses are paid from a UK port of entry, with a generous relocation package available, generous pension scheme (not subject to UK annual or lifetime limits) and the appointee may take advantage of Jersey taxation policies. The post attracts residential qualifications and Jersey has excellent affordable private education for children.

About us

Jersey has its own health service that is separate from the NHS. The Islands integrated, taxation-funded health and care system is largely free at the point of delivery and is run by the Health and Community Services Department. Jersey has begun a comprehensive programme to transform health and social care, supported by significant investment in community and hospital services. Funding has been secured to build a new 300 bed General Hospital and a new mental health inpatient unit. All the components of a health and social care system are here to work with, in an environment where there is closer interaction with political processes than in the UK. This is an excellent opportunity to be part of developing a genuinely integrated care system.

Living in Jersey is also financially attractive. We have a flat rate of income tax which compares favourably to the U.K., and we offer a generous public sector pension scheme, which is not subject to U.K. lifetime or annual contribution restrictions. The Jersey Consultant Contract is similar to the U.K. but with a higher level of increments. Subject to satisfactory performance, incremental progression is automatic for between points 1 to 17 on the pay scale. Formal applications are required for points 18 to 20.

Details

Date posted

08 September 2023

Pay scheme

Hospital medical and dental staff

Grade

Consultant

Salary

£102,090 to £152,196 a year Salary dependant on experience

Contract

Permanent

Working pattern

Full-time, Flexible working

Reference number

K0011-23-0197

Job locations

Jersey General Hospital

Gloucester Street

St Helier

Jersey C.I.

JE1 3QS


Job description

Job responsibilities

Jersey health and social care services are undergoing a major redesign with a move towards more community focussed, patient centred provision. We are also redeveloping our inpatient wards.

These posts are to replace the previous Consultant for Adult Inpatients in Orchard House, which is being divided into 2 posts also offering cover to the Home treatment team to help with continuity of care and inpatient bed management. It is anticipated that the Consultants will have their own patients by an alternate day on take system but will offer support and cross cover on days that the other Consultant is working with the home treatment team. There will also be continuity of care of the treating Consultant between the home treatment team and inpatient ward. The 2 Consultants will also arrange cross cover for leave.

Inpatient service

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 ( 2 part time consultants (these posts), 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.

At times there will be patients aged under 18yr on the unit, as there is no CAMHS inpatient provision on island. If this happens the Responsible Officer will be the Consultant Child Psychiatrist and there will be special provisions in place to keep them safe and separated from the adult patients.

Jersey has a small population, and we have a unique opportunity to do some things differently from UK models. We are currently beginning a trial project focussed on improving the physical healthcare of our inpatients using medical expertise.

Home Treatment Team

We also have an active Home Treatment Team who work as a step-up step-down service to prevent unnecessary admission to hospital and facilitate early discharge. They attend ward reviews, support patients on leave and help with discharge planning. They also gatekeep the inpatient beds.

The home treatment team consists of 2 part time Consultants (these posts), 0.5FTE Team manager, 2FTE Senior practitioners, 5.5FTE Nurse practitioners, 1 FTE Social worker, 3FTE Senior HCAs and 1FTE Occupational therapist. As the team now covers all adult ages there will be an arrangement with one of the Older Adult Consultants for support if needed. The non-medical team work 7 days a week 8am-8pm. Outside of these hours the patients have the Crisis and Assessment Team number for emergencies.

The crisis function has been taken out of the home treatment team since November 2022 with the introduction of the Crisis and Assessment Team, so it is difficult to provide data for the last 12 months that is accurate for the situation moving forwards.

The current caseload for the Home treatment team (end of January 2023) = 16 (<65yr) and 1 (>65yr). It normally fluctuates between 10-20 patients.

Other information

There is dedicated administrative support in line with RCPsych standards (0.5 wte medical secretary and ward/ Home treatment team secretarial support). The Consultant has a dedicated office on the inpatient unit at Orchard House. A mobile, PC and laptop are provided, and IT training and support are arranged on arrival with a 1:1 training session and ongoing support available as required.

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

Mental Health Law in Jersey is very similar to the law in England and Wales but full training will be given at the start of employment.

Please see the attached job description for the full remit of the role.

Job description

Job responsibilities

Jersey health and social care services are undergoing a major redesign with a move towards more community focussed, patient centred provision. We are also redeveloping our inpatient wards.

These posts are to replace the previous Consultant for Adult Inpatients in Orchard House, which is being divided into 2 posts also offering cover to the Home treatment team to help with continuity of care and inpatient bed management. It is anticipated that the Consultants will have their own patients by an alternate day on take system but will offer support and cross cover on days that the other Consultant is working with the home treatment team. There will also be continuity of care of the treating Consultant between the home treatment team and inpatient ward. The 2 Consultants will also arrange cross cover for leave.

Inpatient service

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 ( 2 part time consultants (these posts), 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.

At times there will be patients aged under 18yr on the unit, as there is no CAMHS inpatient provision on island. If this happens the Responsible Officer will be the Consultant Child Psychiatrist and there will be special provisions in place to keep them safe and separated from the adult patients.

Jersey has a small population, and we have a unique opportunity to do some things differently from UK models. We are currently beginning a trial project focussed on improving the physical healthcare of our inpatients using medical expertise.

Home Treatment Team

We also have an active Home Treatment Team who work as a step-up step-down service to prevent unnecessary admission to hospital and facilitate early discharge. They attend ward reviews, support patients on leave and help with discharge planning. They also gatekeep the inpatient beds.

The home treatment team consists of 2 part time Consultants (these posts), 0.5FTE Team manager, 2FTE Senior practitioners, 5.5FTE Nurse practitioners, 1 FTE Social worker, 3FTE Senior HCAs and 1FTE Occupational therapist. As the team now covers all adult ages there will be an arrangement with one of the Older Adult Consultants for support if needed. The non-medical team work 7 days a week 8am-8pm. Outside of these hours the patients have the Crisis and Assessment Team number for emergencies.

The crisis function has been taken out of the home treatment team since November 2022 with the introduction of the Crisis and Assessment Team, so it is difficult to provide data for the last 12 months that is accurate for the situation moving forwards.

The current caseload for the Home treatment team (end of January 2023) = 16 (<65yr) and 1 (>65yr). It normally fluctuates between 10-20 patients.

Other information

There is dedicated administrative support in line with RCPsych standards (0.5 wte medical secretary and ward/ Home treatment team secretarial support). The Consultant has a dedicated office on the inpatient unit at Orchard House. A mobile, PC and laptop are provided, and IT training and support are arranged on arrival with a 1:1 training session and ongoing support available as required.

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

Mental Health Law in Jersey is very similar to the law in England and Wales but full training will be given at the start of employment.

Please see the attached job description for the full remit of the role.

Person Specification

Skills / Personal qualities

Essential

  • Ability to take a leadership role in a multi-disciplinary team, ensuring high-quality care and staff morale
  • Ability to manage own time, workload and prioritise clinical work
  • Ability to appraise own performance
  • Excellent written and oral communication skills

Desirable

  • Evidence of specific achievements that demonstrate leadership skills

Experience

Essential

  • Experience of assessing and treating adult patients and older adults in different settings
  • Knowledge of UK hospital systems (or equivalent)
  • Experience working with patients under Mental Health Law
  • Knowledge and evidence of participation in CPD
  • A sound understanding of clinical governance

Desirable

  • Experience as an inpatient Consultant
  • On call experience covering adults and older people

Qualifications

Essential

  • Full GMC registration with license to practice
  • Recognised basic medical degree
  • Eligibility for inclusion on the Specialist Register or CCT in adult psychiatry (or within six months at time of interview) or equivalent
  • Eligibility for Section 12 approval

Desirable

  • MRCPsych or equivalent approved by the Royal College of Psychiatrists.
  • 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
  • DOLS assessor or equivalent
Person Specification

Skills / Personal qualities

Essential

  • Ability to take a leadership role in a multi-disciplinary team, ensuring high-quality care and staff morale
  • Ability to manage own time, workload and prioritise clinical work
  • Ability to appraise own performance
  • Excellent written and oral communication skills

Desirable

  • Evidence of specific achievements that demonstrate leadership skills

Experience

Essential

  • Experience of assessing and treating adult patients and older adults in different settings
  • Knowledge of UK hospital systems (or equivalent)
  • Experience working with patients under Mental Health Law
  • Knowledge and evidence of participation in CPD
  • A sound understanding of clinical governance

Desirable

  • Experience as an inpatient Consultant
  • On call experience covering adults and older people

Qualifications

Essential

  • Full GMC registration with license to practice
  • Recognised basic medical degree
  • Eligibility for inclusion on the Specialist Register or CCT in adult psychiatry (or within six months at time of interview) or equivalent
  • Eligibility for Section 12 approval

Desirable

  • MRCPsych or equivalent approved by the Royal College of Psychiatrists.
  • 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
  • DOLS assessor or equivalent

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).

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.

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

Jersey General Hospital

Gloucester Street

St Helier

Jersey C.I.

JE1 3QS


Employer's website

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

Employer details

Employer name

Health and Community Services

Address

Jersey General Hospital

Gloucester Street

St Helier

Jersey C.I.

JE1 3QS


Employer's website

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

Employer contact details

For questions about the job, contact:

Consultant and Clinical Lead

Rachel Ruddy

r.ruddy@health.gov.je

01534445894

Details

Date posted

08 September 2023

Pay scheme

Hospital medical and dental staff

Grade

Consultant

Salary

£102,090 to £152,196 a year Salary dependant on experience

Contract

Permanent

Working pattern

Full-time, Flexible working

Reference number

K0011-23-0197

Job locations

Jersey General Hospital

Gloucester Street

St Helier

Jersey C.I.

JE1 3QS


Supporting documents

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