Health and Community Services

Staff Grade in Psychiatry - CMHT

Information:

This job is now closed

Job summary

Looking for a change from the NHS? Come and work as a Staff Grade Psychiatrist in Jersey! We have two new permanent staff grade positions. One in inpatient and the other in the Adult Community Mental Health Team.

Investment in Mental health care in Jersey has led to a redesign and an expansion of our community services, so we are seeking an additional enthusiastic staff grade to be part of our growing community mental health team. Caseload numbers and staffing are very manageable compared with the UK.

Members of our team are experienced, supportive and willing to share their knowledge.

There is also the possibility to rotate into different staff grade positions over time if desired to help develop your career.

It is a really great time to come to Jersey. We are currently in the middle of the comprehensive programme to transform health and social care, including a new hospital project. Jersey is a prosperous island with much closer interaction with political processes than the UK which creates unique potential to shape how we deliver health care. We are not part of the NHS.

Jersey is the sunniest place in the UK and at the gateway to Europe with great beaches, good schools and low crime rates. I would encourage you to come and try it for yourself!

Please feel free to contact the clinical leads Dr Rachel Ruddy r.ruddy@health.gov.uk or Professor Max Marshall m.marshall@health.gov.uk 01534445841 for more information or for a discussion.

Main duties of the job

Record clinical activity accurately and contemporaneously on the electronic patient record system.

Ensure effective liaison between mental health services and the acute hospital, and with other agencies in the voluntary and statutory sectors as appropriate.

Deputise/cross cover from time to time for absent colleagues and colleagues on annual leave.

Undertake, exceptionally, to perform additional duties in occasional emergencies and unforeseen circumstances.

Participate in the out of hours on-call rota up to a maximum frequency of 1 in 6

Participate in the in hours on call rota

Attend regular supervision with their supervising consultant.

Participate in annual appraisal and revalidation.

Participate in the academic programme of the organisation, including the weekly mental health education programme.

Maintain professional registration with the General Medical Council, and the Jersey Care Commission.

Obtain approval under the Jersey Mental Health Law approval process.

Abide by professional codes of conduct including the Royal College of Psychiatrists Good Psychiatric Practice and the General Medical Councils Good Medical Practice.

Comply with the employers agreed policies and procedures and standing financial instructions.

About us

The Health and Community Services Department

Health care for the residents of Jersey is provided by the Jersey Health and Community Services Department (HCS), which is funded by the States of Jersey from taxation revenue. HCS is independent from the U.K. National Health Service and is the political responsibility of the Health and Community Services Ministry, consisting of an elected Minister and two Assistant Ministers who serve as part of the Islands Government system.

The Mental Health Care Group is led by Andy Weir, supported by a management team: consisting of: Clare Ryder (Head of community MH Services); Olivia Card (Head of inpatients); Jennie Pasternak (Lead Social Worker); Sarah Pimblott-Edge (Lead Allied Health Professional); Laura Hunter (Service Manager Drugs and Alcohol) and Rachel Ruddy and Max Marshall (Lead Psychiatrists).

Details

Date posted

23 October 2023

Pay scheme

Hospital medical and dental staff

Grade

Specialty registrar

Salary

£52,299 to £86,405 a year Based on 10PA'S, job is 14PA's

Contract

Permanent

Working pattern

Full-time, Flexible working

Reference number

K0011-23-0241

Job locations

La Chasse House

20 La Chasse

St. Helier

Jersey

JE2 4UE


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: four consultant psychiatrists (two part-time), 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)

Prison In-reach (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).

This is a full-time post of 40 hours (10 PAs) per week, based in the Community Mental Health Team in St.Helier. Work commitments and intensity will be reviewed at least annually through the job planning process. Any substantial changes in the nature of the post will be agreed through the job planning process. The post holders job plan will be reviewed annually and will be assessed according to current guidance. The postholder will be managerially responsible to their supervising consultant and through them to the Lead Consultant for the service.

The job plan will consist of 9 Clinical Programmed Activities (including administration) and 1 Supporting Professional Activity (SPA). The Clinical PAs will include: direct clinical contact (in outpatients, in the community and occasionally in hospital settings), indirect clinical contact (in multi-disciplinary meetings and reviews), and clinical administration. The SPA will include: CPD, audit & quality improvement activity, appraisal, revalidation and PDP groups. The balance of PAs and SPAs may vary by agreement between the organisation and the post holder but will not be less than one SPA. The post holder will have the option to participate in a speciality clinic supported by one of the consultants.

The post holder will be provided with a shared office space including telephone and desktop. A laptop and mobile phone will also be provided. Administrative support is also available through the team secretary.

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: four consultant psychiatrists (two part-time), 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)

Prison In-reach (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).

This is a full-time post of 40 hours (10 PAs) per week, based in the Community Mental Health Team in St.Helier. Work commitments and intensity will be reviewed at least annually through the job planning process. Any substantial changes in the nature of the post will be agreed through the job planning process. The post holders job plan will be reviewed annually and will be assessed according to current guidance. The postholder will be managerially responsible to their supervising consultant and through them to the Lead Consultant for the service.

The job plan will consist of 9 Clinical Programmed Activities (including administration) and 1 Supporting Professional Activity (SPA). The Clinical PAs will include: direct clinical contact (in outpatients, in the community and occasionally in hospital settings), indirect clinical contact (in multi-disciplinary meetings and reviews), and clinical administration. The SPA will include: CPD, audit & quality improvement activity, appraisal, revalidation and PDP groups. The balance of PAs and SPAs may vary by agreement between the organisation and the post holder but will not be less than one SPA. The post holder will have the option to participate in a speciality clinic supported by one of the consultants.

The post holder will be provided with a shared office space including telephone and desktop. A laptop and mobile phone will also be provided. Administrative support is also available through the team secretary.

Person Specification

Qualifications

Essential

  • Basic medical degree
  • Full GMC registration
  • Eligible for Section 12 approval

Desirable

  • MRCPsych part 1 or 2 or equivalent
  • Section 12 approval

Experience

Essential

  • Experience of assessing and treating patients in acute and community psychiatric settings
  • Knowledge and experience of working in UK hospital systems (or equivalent) excluding clinical attachments.
  • Knowledge and evidence of participation in CPD
  • A sound understanding of clinical governance

Desirable

  • Recent experience of working in CMHT or equivalent.
  • Working knowledge of MCA and DOLS
  • Evidence of involvement in governance activities
Person Specification

Qualifications

Essential

  • Basic medical degree
  • Full GMC registration
  • Eligible for Section 12 approval

Desirable

  • MRCPsych part 1 or 2 or equivalent
  • Section 12 approval

Experience

Essential

  • Experience of assessing and treating patients in acute and community psychiatric settings
  • Knowledge and experience of working in UK hospital systems (or equivalent) excluding clinical attachments.
  • Knowledge and evidence of participation in CPD
  • A sound understanding of clinical governance

Desirable

  • Recent experience of working in CMHT or equivalent.
  • Working knowledge of MCA and DOLS
  • Evidence of involvement in governance activities

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

La Chasse House

20 La Chasse

St. Helier

Jersey

JE2 4UE


Employer's website

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

Employer details

Employer name

Health and Community Services

Address

La Chasse House

20 La Chasse

St. Helier

Jersey

JE2 4UE


Employer's website

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

Employer contact details

For questions about the job, contact:

Clinical Lead

Rachel Ruddy

r.ruddy@health.gov.je

01534445894

Details

Date posted

23 October 2023

Pay scheme

Hospital medical and dental staff

Grade

Specialty registrar

Salary

£52,299 to £86,405 a year Based on 10PA'S, job is 14PA's

Contract

Permanent

Working pattern

Full-time, Flexible working

Reference number

K0011-23-0241

Job locations

La Chasse House

20 La Chasse

St. Helier

Jersey

JE2 4UE


Supporting documents

Privacy notice

Health and Community Services's privacy notice (opens in a new tab)