Consultant Psychiatrist

Job description

Job responsibilities

To provide a clinical assessment, including relevant psychiatric and physical investigation, of a wide range of substance misusers presenting to the service.

In conjunction with other members of the Multidisciplinary Team to plan and deliver appropriate individually tailored treatment plans.

To regularly review and monitor patients treatment progress (including results of urinalysis and other laboratory investigations).

To keep accurate appropriate and up-to-date medical and administrative documentation including computer records.

To liaise closely with other relevant professionals and organisations including non-statutory addiction services, adult psychiatric services, general practitioners, medical colleagues, Social Services and Prison Services

To operate within guidelines, policies and procedures relevant to the post.

To provide clinical advice, liaison and consultation as required to colleagues in primary care, community services and acute specialties in line with new ways of working

Engaging with people who have substance misuse problems and providing them with general healthcare and general mental health assessments and contribute to the development of individual care plans.

Provide specialist prescribing assessments to opiate, stimulant, tranquilizer, barbiturate and alcohol dependent clients.

Initiate appropriate prescribing regimes to clients in line with national legislation and national and local guidance.

Provide medical management and reviews of prescribed clients.

Provide sound evidence-based clinical practice to facilitate effective treatment decisions.

Work with other team members to ensure effective administration in terms of record keeping, discharge summaries and correspondence to other relevant bodies.

Work with management team to ensure all paperwork and records are regularly audited.

Conduct phlebotomy tests and support nursing team in ensuring that the maximum number of service users are tested for BBVs and vaccinated against Hepatitis A and B.

Be an active part of the management team to ensure service and organisational goals are met and that clinical standards are kept high.

Support nursing team to titrate patients safely on to a treatment regime and ensure that procedures are constantly reviewed to promote best evidenced based practice in accordance with CGLs clinical guidelines.

Promote understanding in relation to working with individuals suffering from addiction problems.

Develop, review and audit care plans, provide health education especially in regard to harm minimisation, blood borne viruses and overdose prevention.

Provide training, advice and support to other clinical staff to ensure safe and effective service delivery.

Attend multidisciplinary meetings, promoting the nomination of named link workers and actively supporting the implementation of integrated care pathways.

Support and develop the provision of GP shared care in the locality where based.

Represent CGL at a range of meetings with other professionals and agencies in order to evaluate, monitor and develop treatment services for substance misusers and minimise barriers to treatment.

Take an active part in the implementation, adherence and development of internal and external clinical governance procedures.

Carrying out research which will be of benefit to the CGL, National organizations and the wider medical community in the future treatment of patients.

Utilise evidence-based psychosocial interventions such as motivational interviewing, cognitive behavioural techniques and brief interventions in both one-to-one and group settings to promote engagement in treatment services, encourage self-esteem, well-being, self-responsibility and enhanced motivation.

When necessary, covering duties of their colleagues and other medical staff, in order to ensure continuity of medical care.

To participate in cross-cover arrangements with medical colleagues from other CGL regional services.

To provide guidance and supervision as appropriate to newly appointed and less experienced medical colleagues.

To provide guidance and supervision to Nurse Independent and Supplementary Prescribers.

The post holder should also accept that he/she might be required to perform duties in occasional emergencies and unforeseeable circumstances at the request of the Lead Consultant or Associate Medical Director consultation with colleagues.

Attend multidisciplinary meetings as appropriate

Actively supporting and driving forward the implementation of integrated care pathways

To provide higher intensity and specialist support for clinical cases with complex multidimensional needs.

To act as lead in developing effective pathways for individuals with comorbid mental health issues.

Maintaining good medical practice

All doctors are expected to participate in continuing professional development, annual appraisal and revalidation and to join appropriate supervision and PDP groups for the role. Doctors are actively encouraged to take their study leave entitlement in line with Royal College Guidelines and to support the development needs identified in their PDP, Peer Group reviews and appraisal. There is a process of approval which considers the individual personal development plan.

The post-holder will attend the monthly Doctors Meeting; which includes an academic programme of CPD, and complex case discussions. They will also be able to attend any other CPD activities organised by this group. There will also be a monthly management meeting for doctors to attend, and this will be chaired by the Lead Consultant.

The post-holder will have an annual (GMC) appraisal with a trained appraiser.

Relationships with others

To work in partnership with users and carers so that they are fully involved in and empowered to make decisions about their treatment and care.

To work constructively with managers and clinical colleagues to maintain effective team working and service improvement.

Establish good communication and effective working relationships with all relevant agencies in relation to individual patients and service development.

Build a knowledge of and links with voluntary and independent service providers locally.

Training and Educational Supervision

To provide clinical supervision, guidance and support to other professionals on a multi-disciplinary basis and with other mental health organisations where appropriate.

To remain up to date on professional developments as required by their professional body.

To liaise with the Universities and Post Graduate Medical Deaneries in supporting and developing training opportunities for both undergraduate medical students and postgraduate psychiatrists.

To act as lead research link with Universities and other related parties.

To provide annual appraisals for other doctors as appropriate.

To provide educational supervision and training to Psychiatric trainees as required.

To provide supervision to other prescribers in the service

Audit and health and social care governance

The post holder will be expected to participate in clinical audit meetings as well as to participate in clinical audit and other clinical governance activity.

In addition to in-house training and regular supervision the post holder will be encouraged to further their experience and qualifications in the field of addiction by attendance at relevant workshops / courses.

Out of Hours

There are currently no on-call commitments. There may be a requirement to work weekends or evenings which will be discussed with the post holder.

General terms of reference:

In carrying out the above duties the post holder will need to:

Work flexibly across operational sites as required.

Work flexibly within an agreed number of hours of work to maintain the most appropriate level of service provision.

Seek to improve personal performance, contribution, knowledge and skills.

Participate in appraisal, supervision and Learning & Development processes.

Keep abreast of developments in services, legislation and practice relevant to the relevant client group.

Ensure the implementation of all Change Grow Live policies.

Contribute to maintaining safe systems of work and a safe environment.

Undertake other duties appropriate to the grade of the post including attendance at Senior Management Meetings.

Person Specification

Experience

Essential

• Good understanding and knowledge of addiction psychiatry including management of opiate substitution therapy, opiate and alcohol detoxification and post detoxification pharmacology. Knowledge of legislation relating to Mental Health. Demonstrable evidence of effective communication skills. An understanding of the work of other agencies including non-statutory services. Experience of working with substance misuse and mental health issues and a clear understanding of the need for and ability to deliver quality services. Sound and demonstrable knowledge of clinical prescribing issues including management and oversight of complex prescribing regimes and off-licence medications. Knowledge of the issues facing substance misusers including appropriate medical interventions, social care and health issues. Ability to assess and care plan service users and formulate written reports as necessary. Community based support practices. Maintain professional boundaries and work effectively with partnership agencies. Demonstrate skills to undertake administrative duties and PC literacy. Experience of contributing to project development. Commitment to anti-discriminatory practice. Commitment to the principles of equality and diversity in relation to all people. Ability to embrace the principles of recovery. Commitment to new ways of working. Employ a professional, empathetic and non-judgmental attitude towards service users. Communicate confidently and effectively, verbally and in writing. Respond flexibly to the demands of the post. Work as a member of a team. Ability to encourage and support the involvement of other colleagues in service delivery. Show a capacity to work alone and the ability to keep calm under pressure. Show commitment to facilitating positive outcomes for service users. Mobility to travel across sites. Member of a medical defence association. Proven ability to liaise and maintain a professional relationship with a diverse range of people.

Desirable

• Experience in clinical research. Experience in teaching at undergraduate and postgraduate levels. Section 12 approved or equivalent

Qualifications

Essential

• Medical Degree and completion of Basic Medical Training. Full GMC - UK Registration with License to Practice. MRCPsych or equivalent qualification. Consultant Psychiatrist on the GMC specialist register with an endorsement in Substance Misuse. Demonstrable experience of leading a multi-disciplinary team. Application of evidence based practice. Clinical auditing skills to inform evaluation of the service and identify areas for development.

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

Change Grow Live

Address

St Wilfrid's Building

Fox Street

Preston

Lancashire

PR1 2AB

Employer's website

https://www.changegrowlive.org/ (Opens in a new tab)