[ref. i37947817] Consultant Psychiatrist - Early Intervention in Psychosis Team - Liverpool
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Job overview
The Early Intervention in Psychosis Service in Liverpool is looking for a full time Consultant to work alongside the South Liverpool team. The service is well established, now 20 years old, and is rated as Performing Well in the National Audit of Clinical Psychosis.
The Early Intervention in Psychosis Team is a multidisciplinary community mental health service that provides treatment and support to people experiencing the first episode of psychosis. This support typically continues for 3 years. The service aims to improve the detection of psychosis, reducing delays in treatment and so enhancing chances for immediate and long-term recovery.Key characteristics of the service include an ethos of hope and a whole-team commitment to enabling recovery through the provision of individually tailored, evidence-based interventions and support to service users and their families. Outreach work is common, and service users are seen in non-stigmatising settings where possible.
Every service user is provided with a key worker and supported through the Community Mental Health Framework.
The service receives on average 90 referrals each month. Initial assessments for entry into the service are usually carried out by experienced early intervention practitioners who use the Comprehensive Assessment of At-Risk Mental States (CAARMS) to guide decision making.
Main duties of the job
This is a 10-session post which is split into 7.5 sessions for Direct Clinical Care and 2.5 sessions for Supporting Professional Activities.
Clinical- 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.
- 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.
- Programmed activity time will allow for management and audit of the service. Participation in NHS initiatives relating to early intervention in psychosis.
- Direct supervision of resident doctors. Support and supervision of advanced nurse practitioner. Role in in-house MDT training / education sessions.
- Participate in the Trust implementation group for early intervention via monthly meetings.
Working for our organisation
Mersey Care is one of the largest trusts providing physical health and mental health services in the North West, serving more than 1.4 million people across our region and are also commissioned for services that cover the North West, North Wales and the Midlands.
We offer specialist inpatient and community services that support physical and mental health and specialist inpatient mental health, learning disability, addiction and brain injury services. Mersey Care is one of only three trusts in the UK that offer high secure mental health facilities.
At the heart of all we do is our commitment to ‘perfect care’ – care that is safe, effective, positively experienced, timely, equitable and efficient. We support our staff to do the best job they can and work alongside service users, their families, and carers to design and develop future services together.We’re currently delivering a programme of organisational and service transformation to significantly improve the quality of the services we provide and safely reduce cost as we do so.
Flexible working requests will be considered for all roles.
Detailed job description and main responsibilities
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 Trust’s 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.
- 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.
- 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
- Direct supervision of resident doctors
- Support and supervision of advanced nurse practitioner
- 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
- 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 Trust’s 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 Trust’s 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 team’s 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 Government’s stance on this issue.There is a 1% supplement available for the on-call banding.
Inpatient care for the team’s 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.
Person specification
Qualifications
Essential criteria- MB BS or equivalent medical qualification.
- Qualification or higher degree in medical education, clinical research or management.
- MRCPsych
- Additional clinical qualifications.
Eligibility
Essential criteria- Fully registered with the GMC with a licence to practise at the time of appointment.
- Included on the GMC Specialist Register OR within six months.
- Approved clinician status OR able to achieve within 3 months of appointment
- Approved under S12 OR able to achieve with 3 months of appointment
- In good standing with GMC with respect to warning and conditions on practice
Transport
Essential criteria- Holds and will use valid UK driving licence OR provides evidence of proposed alternative.
Clinical Skills, Knowledge and Experience
Essential criteria- Excellent knowledge in specialty
- Excellent clinical skills using bio-psycho-social perspective and wide medical knowledge
- Excellent oral and written communication skills in English
- Able to manage clinical complexity and uncertainty
- Makes decisions based on evidence and experience including the contribution of others
- Able to meet duties under MHA and MCA
- Wide range of specialist and sub-specialist experience relevant to post within NHS or comparable service
Academic Skills and Lifelong Learning
Essential criteria- Able to deliver undergraduate or postgraduate teaching and training
- Ability to work in and lead team
- Demonstrate commitment to shared leadership & collaborative working to deliver improvement.
- Participated in continuous professional development
- Participated in research or service evaluation.
- Able to plan and deliver undergraduate and postgraduate teaching and training relevant to this post
- Reflected on purpose of CPD undertaken
- Experienced in clinical research and / or service evaluation.
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