Consultant Psychiatrist in Adult CMHT

Job responsibilities

Jersey health and social care services are undergoing a major redesign with a move towards more community focussed, patient centred provision.

The CMHT serves people, aged between 18 and 65, who suffer from severe mental illness. 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 CMHT is a multidisciplinary team, which includes doctors (consultants and staff grades), a clinical psychologist, nurses, social workers, occupational therapists, support workers and administrative staff. There is also a physical health facilitation service to support annual physical health checks and

Jersey has a small population of 106,000, and we have a unique opportunity to do some things differently from UK models. The medical cover for the adult CMHT is four consultant psychiatrists (including this job) (two part-time), an Associate Specialist and two whole time equivalent staff grades, which is very favourable compared with similar population size in the UK. By joining our team there is a real opportunity to shape and influence the future provision of services to suit Jersey and provide excellent care for our patients.

There is dedicated administrative support in line with RCPsych standards (0.5 wte medical secretary and team secretarial support). The Consultant has a dedicated individual office at Le Bas Centre. 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.

Cover for leave will be with a leave partner Consultant within the CMHT.

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.

Places of Work:

1. Outpatient clinics: La Chasse, Adult Community Mental Health Clinics 20 La Chasse St Helier Jersey. JE2 4UE
2. CMHT Office Base: Le Bas Centre, St Saviours Road, St Helier, Jersey JE2 4RP
3. On call duties: Emergency Department Jersey General Hospital, The Parade St HelierJerseyJE1 3QS

Adult CMHT statistics

The assessment function has been taken out of the CMHT 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.

Total number of patients who are care co-ordinated under adult CMHT (at end of January 2023) =385

Total number of patients under adult CMHT medical outpatients only (at end of January 2023) =260

Adult CMHT non-medical staffing

1FTE Team Manager; 1FTE Deputy Team Manager

1FTE Consultant Nurse; 2FTE Senior Nurse; 8.5FTE Nurse Practitioners

1FTE Senior Social Worker; 1FTE Social Worker

1FTE Senior Occupational Therapist; 1FTE Occupational Therapist

1FTE Consultant Psychologist; 1FTE Psychologist

2FTE Senior Support Worker

2FTE Senior HCA

2FTE Peer Support Workers (to be recruited)

Responsibilities and Expectations of the Post holders

The successful applicant will be expected to provide medical expertise in the field of Adult CMHT Psychiatry. The key responsibilities and expectations are:

Responsibility for the investigation, diagnosis, and management of psychiatric disorders in a community setting for patients aged 18-65yr.

Providing clinical leadership, support, and advice to the adult community mental health team.

Contribution to the Care and Recovery framework process for individuals who are care co-ordinated.

Supervising one of the staff grade doctors.

Close working relationships with other parts of the mental health care group.

Fulfilling the role of Responsible Officer for detained patients on long term leave in the community, working closely with the Mental Health law Office to ensure timely delivery of tribunal reports and other documentation linked to Jersey Mental Health Law.

Working collaboratively with service users, families, carers, and the voluntary sector.

Liaising with other medical specialties and primary care colleagues as required.

To record clinical activity accurately and contemporaneously on the electronic patient record system and send letters to GPs.

Participating in the in-house teaching programme.

Fulfilling the CPD requirements set by the Royal College of Psychiatrists and participating in a peer group.

Participating in the development and delivery of training programmes for a variety of disciplines aimed at improving the level of expertise and the standard of care for adults with mental health needs within Health and Community Services.

Participating in the all-age 1:12 on-call rota for psychiatry and contribution to the day on call rota for MHLaw assessments.

Working with managers and professional colleagues to ensure the efficient running of the services and to share with consultant colleagues the medical contribution to the management of the service.

Complying with Health and Community Services agreed policies and procedures.

Working effectively with partner organisations who provide services to people with mental health problems and co-morbidity issues as appropriate.

Engagement in service development activities, audits, and monitoring.

The above is intended to indicate the primary range and type of duties required. It is noted however that the duties of the post may alter to reflect changing practices and demands within the service.

Key requirements for this post: See section 6.

Aptitude & Personal Qualities

Essential

• Evidence of leadership attributes
• Commitment to service development
• Ability to deal effectively with pressure
• Thoroughness and attention to detail
• Excellent interpersonal skills and the ability to community effectively with service users, carers and all grades of staff
• Reliability and honesty
• Flexible approach to working practice
• Positive approach to the job planning and appraisal process
• Demonstrates core values by treating clients and colleagues with respect, consideration, dignity and courtesy.
• Seeks feedback from service users and treats criticism as an opportunity for service improvements and not as a trigger for defensiveness.

Qualifications

Essential

• Recognise basic medical degree
• Full GMC registration with license to practice
• Eligibility for inclusion on the Specialist Register or CCT in adult psychiatry or older 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
• Sub-specialty certification in Liaison Psychiatry
• Joint CCT in adult and older adult

Experience

Essential

• Experience of assessing and treating adult patients and older adults in acute and community psychiatric settings
• Knowledge of UK hospital systems (or equivalent)
• Knowledge and evidence of participation in CPD
• A sound understanding of clinical governance

Desirable

• Experience as part of a psychiatric assessment service

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

Knowledge

Essential

• Understanding of the management skills required to function successfully as a consultant
• Ability to use IT, including email and the internet
• Knowledge of risk management
• Knowledge of recent developments and drug advances in psychiatry and allied disciplines

Teaching

Essential

• Commitment to and experience of undergraduate and postgraduate learning and teaching
• Understand principles of teaching

Desirable

• Teaching qualification or previous experience as teaching lead

Management

Essential

• Knowledge of the management and structure of mental health services and the wider health economy

Desirable

• Formal management qualification
• Evidence of management training

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).