Consultant Psychiatrist - Early Intervention in Psychosis Team
NHS Jobs Liverpool
Clinical Consultant psychiatrist responsibility for Early Intervention patients in South Liverpool. To supervise and support team members who carry out assessments of patients referred to the team. To carry out comprehensive psychiatric assessments and provide treatment for patients.
Supporting staff to manage psychiatric emergencies To conduct patient reviews and lead Multidisciplinary reviews, and multi-professional meetings To be the responsible clinician for the purposes of the Mental Health Act 1983 (amended 2007) and carry out duties in accordance to the code of practice.
To carry out comprehensive Risk Assessments and participate in Trusts risk management processes such as Health Risk Assessment and Management Meetings (H-RAMM) and Multi Agency Public Protection Arrangement (MAPPA) Meetings To provide medical leadership to the team.
Liaison Maintain a high level of effective communication with other parts of the Mental health service across the Trust Liaison with families / carers Liaison with aspects of the Criminal Justice System regarding patients. Liaising with other stakeholders and interested parties.
They will be directly involved with the assessment of people referred with complex difficulties or prominent risk issues. They will ensure that all service users newly accepted into the service have a comprehensive medical review, with on-going review within the Community Mental Health Framework, plus responding to need.
The consultant will work closely with colleagues to deliver a broad range of interventions. Treatment offered by the team will include medication, cognitive behaviour therapy, family interventions, access to specialist employment advice, regular physical health checks and activities groups.
Service users are routinely offered a comprehensive psychological triage to assist in planning interventions. While primarily responsible for delivering a quality clinical service, the consultant psychiatrist is also expected to be actively involved in taking a strategic lead in on-going developments and supporting the Trusts strategic aims.
Local Working Arrangements The Trust has undergone a significant transformation program in line with the Community Mental Health Framework (NHS E 2019). Substantial additional resources have been invested in community services, including Primary Care Mental Health Teams, Integrated Care Teams, targeted psychological interventions, and services geared towards earlier interventions in eating disorders and personality disorders as well as investment in community rehabilitation.
The Trust has also invested significantly within community teams in resources to diversify the clinical workforce. Closer links with primary care are expected of the post holder, working alongside both Primary care colleagues and also supporting members of the Primary Care mental health team.The aim would be to make the post more effective, create time for closer liaison with Primary care, improve the quality of referrals into the service and improve quality of training.
Junior doctor resources are allocated by the Medical Education department and will usually comprise a combination of junior doctors including GP+ trainees and psychiatry training grades. The Post Holder will be supported to develop Educational and Clinical Supervisor Responsibilities for the junior trainee.
There is also a hub manager and team Manager. While primarily responsible for delivering a quality clinical service, the consultant psychiatrist is also expected to be actively involved in the strategic and business development of the team as part of the wider community mental health services of the Mental Health Division.
While primarily responsible for delivering a quality clinical service, the consultant psychiatrist is also expected to be actively involved in taking a strategic lead in on-going developments and support the Trusts strategic aims of delivering Perfect Care.
All of the above has resulted in pathways which are more streamlined for patients, reduction in waiting times for first assessments and interventions and an overall reduction of caseloads within secondary care mental health services, as patients may have met their needs met also within other parts of the health system as part of a placed based model of health delivery.
1 whole time equivalent (WTE) consultant psychiatrist 1 WTE Medical Trainee (depending on Medical Education allocations this could be a core trainee (CT1-3) or Specialty Trainee (ST4 ST6); the Trust also supports a large cohort of GP+ posts, and GPST trainees so the trainee complement may be one of these grades.
1 WTE Foundation doctor 1 WTE Advanced Nurse Practitioner 1 Team Manager, band 8A 26.2 WTE early intervention practitioners across the 2 Liverpool teams 0.5 WTE band 4 medical secretarial and 0.5WTE band 3 0.5 transcriptionist support 1 WTE admin support staff The service is supported by Clinical Psychology, CBT therapists and family therapy.
Support Time Recovery to help recovery and Nurse associates to support physical health also support the teams work. The team also has access to specialist employment advisors. The post holder will be included in the on-call rota for Liverpool.
This is rolling and involves daytime cover. The rota is presently 1 in 15. The Trust is committed to the provision of effective seven-day care and endorses the Royal College of Psychiatrists support of the Academy of Royal Medical Colleges paper Seven Day Consultant Present Care and the Governments stance on this issue.
There is a 1% supplement available for the on-call banding. Inpatient care for the teams service users is provided by consultants working within the Acute Care teams. During the working week, the Early Intervention Service staff provide stepped up care and medical reviews for their service users experiencing periods of crisis, alongside CRHT.
At weekends there is also access to stepped up care and CRHT. The post is with the South Liverpool Early Intervention in Psychosis Team, one of 5 Early Intervention in Psychosis teams within the Trust. The South Liverpool Team service currently provides care for approximately 260 service users between the ages of 14 and 65, all of whom are managed within the Community Mental Health Framework with a key worker.
Supporting staff to manage psychiatric emergencies To conduct patient reviews and lead Multidisciplinary reviews, and multi-professional meetings To be the responsible clinician for the purposes of the Mental Health Act 1983 (amended 2007) and carry out duties in accordance to the code of practice.
To carry out comprehensive Risk Assessments and participate in Trusts risk management processes such as Health Risk Assessment and Management Meetings (H-RAMM) and Multi Agency Public Protection Arrangement (MAPPA) Meetings To provide medical leadership to the team.
Liaison Maintain a high level of effective communication with other parts of the Mental health service across the Trust Liaison with families / carers Liaison with aspects of the Criminal Justice System regarding patients. Liaising with other stakeholders and interested parties.
The post holder will be expected to maintain effective communication with Access services, community mental health teams, and primary care. Governance Programmed activity time will allow for management and audit of the service. Participation in NHS initiatives relating to early intervention in psychosis Regular stakeholder meetings Partnership Forums involving service user representatives and advocacy Involvement with critical incident / learning reviews and response Protocol development Attendance at twice monthly Consultants meetings Training Direct supervision of resident doctors Support and supervision of advanced nursepractitioner Role in in-house MDT training / education sessions Education of other services / professions with relation to CMHT (including all stakeholders) Participation in Research and Clinical Audit Service Development Participate in the Trust implementation group for early intervention via monthly meetings.
Summary of duties of the post The post holder will provide medical input for the South Liverpool patch of the Early Intervention in Psychosis team and will be available to support and supervise other staff in the assessment and formulation of service users difficulties.They will be directly involved with the assessment of people referred with complex difficulties or prominent risk issues. They will ensure that all service users newly accepted into the service have a comprehensive medical review, with on-going review within the Community Mental Health Framework, plus responding to need.
The consultant will work closely with colleagues to deliver a broad range of interventions. Treatment offered by the team will include medication, cognitive behaviour therapy, family interventions, access to specialist employment advice, regular physical health checks and activities groups.
Service users are routinely offered a comprehensive psychological triage to assist in planning interventions. While primarily responsible for delivering a quality clinical service, the consultant psychiatrist is also expected to be actively involved in taking a strategic lead in on-going developments and supporting the Trusts strategic aims.
Local Working Arrangements The Trust has undergone a significant transformation program in line with the Community Mental Health Framework (NHS E 2019). Substantial additional resources have been invested in community services, including Primary Care Mental Health Teams, Integrated Care Teams, targeted psychological interventions, and services geared towards earlier interventions in eating disorders and personality disorders as well as investment in community rehabilitation.
The Trust has also invested significantly within community teams in resources to diversify the clinical workforce. Closer links with primary care are expected of the post holder, working alongside both Primary care colleagues and also supporting members of the Primary Care mental health team.The aim would be to make the post more effective, create time for closer liaison with Primary care, improve the quality of referrals into the service and improve quality of training.
Junior doctor resources are allocated by the Medical Education department and will usually comprise a combination of junior doctors including GP+ trainees and psychiatry training grades. The Post Holder will be supported to develop Educational and Clinical Supervisor Responsibilities for the junior trainee.
There is also a hub manager and team Manager. While primarily responsible for delivering a quality clinical service, the consultant psychiatrist is also expected to be actively involved in the strategic and business development of the team as part of the wider community mental health services of the Mental Health Division.
While primarily responsible for delivering a quality clinical service, the consultant psychiatrist is also expected to be actively involved in taking a strategic lead in on-going developments and support the Trusts strategic aims of delivering Perfect Care.
All of the above has resulted in pathways which are more streamlined for patients, reduction in waiting times for first assessments and interventions and an overall reduction of caseloads within secondary care mental health services, as patients may have met their needs met also within other parts of the health system as part of a placed based model of health delivery.
1 whole time equivalent (WTE) consultant psychiatrist 1 WTE Medical Trainee (depending on Medical Education allocations this could be a core trainee (CT1-3) or Specialty Trainee (ST4 ST6); the Trust also supports a large cohort of GP+ posts, and GPST trainees so the trainee complement may be one of these grades.
1 WTE Foundation doctor 1 WTE Advanced Nurse Practitioner 1 Team Manager, band 8A 26.2 WTE early intervention practitioners across the 2 Liverpool teams 0.5 WTE band 4 medical secretarial and 0.5WTE band 3 0.5 transcriptionist support 1 WTE admin support staff The service is supported by Clinical Psychology, CBT therapists and family therapy.
Support Time Recovery to help recovery and Nurse associates to support physical health also support the teams work. The team also has access to specialist employment advisors. The post holder will be included in the on-call rota for Liverpool.
This is rolling and involves daytime cover. The rota is presently 1 in 15. The Trust is committed to the provision of effective seven-day care and endorses the Royal College of Psychiatrists support of the Academy of Royal Medical Colleges paper Seven Day Consultant Present Care and the Governments stance on this issue.
There is a 1% supplement available for the on-call banding. Inpatient care for the teams service users is provided by consultants working within the Acute Care teams. During the working week, the Early Intervention Service staff provide stepped up care and medical reviews for their service users experiencing periods of crisis, alongside CRHT.
At weekends there is also access to stepped up care and CRHT. The post is with the South Liverpool Early Intervention in Psychosis Team, one of 5 Early Intervention in Psychosis teams within the Trust. The South Liverpool Team service currently provides care for approximately 260 service users between the ages of 14 and 65, all of whom are managed within the Community Mental Health Framework with a key worker.
Medical care for those under 16 is provided by CAMHS. In addition to clinical work, the post holder will play a key role in planning service developments. Evaluation of the service is routine and participation in NHS England initiatives relating to Early Intervention is expected.
Mersey Care NHS Foundation TrustLiverpool
To supervise and support team members who carry out assessments of patients referred to the team. To carry out comprehensive psychiatric assessments and provide treatment for patients. Supporting staff to manage psychiatric emergencies.
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