Consultant Psychiatrist, Chiltern Crisis Resolution

apartmentOxford Health NHS Foundation Trust placeHigh Wycombe calendar_month 

Job overview

The successful candidate will be offered a £15,000 recruitment bonus and a relocation allowance of up to £8,000.

The consultant psychiatrist will provide senior medical input and clinical leadership to the Crisis team. The post holder will have responsibility for those patients seen by himself/herself, together with those patients seen by medical staff directly supervised by the post holder.

The Crisis Resolution and Home Treatment Team (CRHTT) became operational in January 2020. The service consists of a home treatment team and focuses on enabling early discharge from inpatient care. The team also establish close working relationships with the inpatient wards and community teams, including the Inpatient Social Work service and the Patient Flow Transformation lead.

Capacity is for up to 25 service users in line with CORE CRT Fidelity scale of not more than 25 cases per 14 full time equivalent clinical staff. The available capacity is regularly communicated across the system. The current medical provision is one FTE consultant psychiatrist and one FTE specialty doctor.

Main duties of the job

The CRHTT provide crisis response and inpatient gate-keeping and a home treatment service to service users leaving inpatient care and living within South Bucks. There will be a phased approach to future expansion which will be dependent on further new investment.

The nature and speed of phasing will also take account of CRHTT model fidelity and assessment of safety and quality in relation to existing service provision (i.e. whatever is developed will have good fit and add value to user / care experience).

The CRHTT work from 7am until 9pm. On each long day shift cover there will be 5 Band 6’s with input from band 3 and band 4 nurse associates and OT’s and on the early shift there will be 6 band 6’s with similar support as the long day shift. The Clinical Team Leader and Team Secretary work predominantly Monday to Friday 9-5; however, the Team Leader is also work flexibly to provide leadership outside of these times.

The Clinical Team Leader is managed by the Mental Health Urgent Care Team Manager.

Working for our organisation

We take great pride in our staff and believe that investing in you is key to us achieving our vision of outstanding care delivered by outstanding people.

As such we particularly welcome applications from clinicians who would like to negotiate dedicated PAs for clinical leadership, research, training or other areas of special interest.

We have good supervision and operational structures and an excellent track record of CPD.

Benefits of working for Oxford Health NHS Foundation Trust include:

  • Excellent opportunities for career progression
  • 28 days annual leave, plus bank holidays, with an increase to 35 days with continuous service.
  • Study leave allowances
  • NHS Discount across a wide range of shops, restaurants and retailers
  • Staff accommodation
  • Competitive pension scheme
  • Lease car scheme
  • Cycle to work scheme
  • Employee Assistance Programme and dedicated Health and Wellbeing Team.
Detailed job description and main responsibilities
  • The consultant psychiatrist will provide senior medical input and clinical leadership to the Crisis team. The post holder will have responsibility for those patients seen by himself/herself, together with those patients seen by medical staff directly supervised by the post holder.
  • The post holder will work with the team manager and other senior colleagues in the team to ensure the effective functioning and development of the service.
  • The post holder will be expected to provide direct clinical care and ensure medical involvement in reviewing care plans.
  • The post holder will be expected to produce timely written correspondence to relevant professionals documenting assessments, on-going management, progress, and eventual discharge using the Trust IT and clinical records system – training will be provided.
  • The post holder will be expected to collaborate with other agencies. In particular, this will include liaison with staff from other teams to manage smooth and timely transfer into and out of the team.
  • The post holder will be expected to contribute to the collection of data as required by the Trust and other relevant agencies. This includes the timely recording of clinical activity data, and participation in clinical audit with appropriate administrative support.
  • The post holder will be expected to attend regular directorate managerial meetings as necessary, particularly the Medical Advisory Committee and Directorate/Managerial liaison meetings.
  • The post holder would be expected to participate in both a CPD peer group and a clinical supervision group with fellow medical colleagues.
  • The post holder would be expected to maintain their own programme of training and CPD accreditation with the support of their lead consultant/Associate Medical Director/Clinical Director.
  • Medical colleagues normally cross-cover for each other for annual leave, study leave and brief periods of sickness absence; in addition, there is a daytime cover rota. The consultants take part the Buckinghamshire Adults of Working Age out-of-hours rota. This is a 1 in 16 rota currently, with 3%, band A intensity. There is full shift resident on call cover out of hours.
  • The appointee will be entitled to study leave (up to 30 days over 3 years) and expenses according to the Trust’s (currently £2,700 over 3 years), in line with national terms and conditions of service.

Person specification

Qualifications

Essential criteria
  • Membership or Fellowship of the Royal College of Psychiatrists, or equivalent qualification (in accordance with Royal College of Psychiatrist’s Guidelines)
  • Eligibility for Section 12 (Mental Health Act 1983) Approval
Desirable criteria
  • Higher degree or equivalent in relevant field of medical, psychological or other studies or postgraduate teaching qualification

Training

Essential criteria
  • Higher specialist training in dual or general adult / older adult psychiatry in approved training post for a minimum of three years, equivalent training in another country, or previous consultant experience relevant to this post
  • CCT in Psychiatry; OR Inclusion on the GMC Specialist Register in psychiatry; OR within six months of achieving CCT at the time of interview; OR CESR
Desirable criteria
  • Sub-speciality or other specialist clinical training relevant to post in particular CRHT experience.

Clinical Experience

Essential criteria
  • Experience of the full range of clinical responsibilities expected of a consultant in general adult/ Older adult psychiatry.
  • Experience of close collaborative work with social care and other agencies
Desirable criteria
  • Application of evidence-based practice and interest in clinical and policy developments for this care group
  • Development of close collaboration with primary care services
  • Experience of early intervention in psychosis services and knowledge prodromal states for psychosis

Ability

Essential criteria
  • Ability to undertake full range of consultant responsibilities

Skills and Knowledge

Essential criteria
  • a) Leadership skills -Ability to work within a collaborative multidisciplinary framework, and to share leadership responsibilities with senior colleagues of other professions
  • b) Organisation and management skills - Ability to understand how organisations
  • Commitment to active clinical governance
  • Ability to promote effective team working
  • Capacity to prioritise workload
  • Active participation in clinical audit
  • Commitment to interagency partnership working
  • c) Communication skills - Must have good skills in communication with patients, relatives, colleagues and staff of other organisations. Good spoken and written English.
  • d) Professional approach - Work collaboratively and effectively with a range of professionals.
  • e) Personal skills - Must have interest in and commitment to people with mental health problems, and their carers.
  • f) Teaching experience -Experience in supervising and teaching core psychiatric trainees
  • Application of research evidence to clinical practice
Desirable criteria
  • Relevant experience of the administrative, management and leadership roles of senior medical staff
  • Inter-agency partnership working and development
  • Undergraduate and postgraduate medical teaching.
  • Supervision of advanced level trainees
  • Research experience and skills

Other requirements

Essential criteria
  • a) GMC registration - Full
  • b) Transport - Mobility as required for the post
  • c) Professional attributes - Meet specifications set out in GMC Guidance: Duties of doctor
  • d) IT skills - Good IT skills including typing
Desirable criteria
  • Driving licence and own transport
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