Doctor in Psychiatry
| Posting date: | 26 April 2024 |
|---|---|
| Salary: | £52,530.00 to £82,400.00 per year |
| Additional salary information: | £52530.00 - £82400.00 a year |
| Hours: | Full time |
| Closing date: | 19 May 2024 |
| Location: | Bridgwater, TA6 5YA |
| Company: | NHS Jobs |
| Job type: | Permanent |
| Job reference: | C9184-24-0914 |
Summary
Responsibility for Patient / Client Care, Treatment & Therapy Mental Health Act and Responsible Clinician approval. The post holder would be expected to have Section 12 MHA or be expected to undertake training to obtain Section 12(2) MHA/ as part of their essential duties and will be expected to renew this approval according to agreed procedures. Accountability for the direct delivery of clinical care, by providing a visible, accessible, authoritative and professional clinical leadership to Wessex House ensuring high standards of clinical practice. Provide evidence based specific psychiatric advice regarding the clinical formulation of children with complex neurodevelopmental presentations. Experience of working with children and carers that have a range of serious mental health issues Have understanding of neurodevelopmental disorders and how these presentations can affect how a young person presents during hospital admission With other senior members of the team, responsible for ensuring referrals are risk assessed routinely With other senior members of the team, be responsible for ensuring there is effective communication both within the team and with referring and receiving teams To promote effective multi-disciplinary team working. To work co-operatively with colleagues and to respect and value their contribution to patient care. To maintain close relationships with Referring teams/Care Coordinators in the Community/Social care/ GPs / primary care. To work closely with colleagues in Education and Childrens Social Care as well as Drug and Alcohol Service (SDAS), Early Intervention in Psychosis (STEP), Talking Therapies and Adult Mental Health services To be available to patients, families and carers, to provide information and support. To participate in the development of arrangements to support the transition of young people into the adult mental health service Undertake Medical Audit and Multi-Disciplinary audit Fulfil the duties of the weekly timetable Provide middle grade cross cover to some of the other wards on site for annual leave/ sick leave during working hours The following is a provisional timetable to be negotiated during job planning with the Clinical Director Sample Job plan if post holder works 10 PAs AM PM Monday 9 am ward round 10 am YP reviews 2pm clinical formulation led by psychology 2 DCC Tuesday 9am ward round 10am-13:00 YP reviews Personal CPD (0.75 SPA) Supervision with consultant (0.25 SPA) 1 DCC 1 SPA Wednesday 9am ward round Quarterly Trust Audit and Senior Management meeting (0.25 SPA) Weekly Postgraduate medical education (0.25 SPA) DCC 0.5 Once monthly CAMHS CPD 2-3.30pm including case base discussions, prescribers forum Audit Service Development Governance Appraisal preparation 1 SPA 1 DCC Thursday 9 am ward round Reviews DCC Reviews as required 2 DCC Friday 9 am ward round DCC 10am Paper work DCC Tribunals, discharges paperwork 2 DCC TOTAL 8 DCC 2 SPA =10 PA This is a sample job plan and will be adjusted based on the number of sessions the postholder would like to work; ensuring there is sufficient SPA time available core CPD time required for all psychiatrists. There will be a job planning meeting that will take place within 3 months of starting your post with the operational manager and clinical director, and if there were to be any unexpected changes, such as cover arrangements, active caseload reviews and further job planning meeting would be scheduled. CASELOAD Wessex is a 12 bedded unit TEAM COMPOSITION Wessex House Team Role WTE Consultant Child And Adolescent Psychiatrist 1 Specialty Doctor 1 CT3 1 Operational Manager 1 (advertised post) Ward Manager 1 Family Therapy 0.8 Head of psychology 0.6 Psychologist 1 Assistant psychologist 1.8 Social Worker 1 Nursing Band 7 - Band 6 3 Band 5 6.6 Occupational therapy 1 Health Care Assistants 21.7 JOB PLANNING This job description will form a composite part of the job plan, which will be subject to annual review jointly between the post-holder, their line manager and service manager. It is expected that doctors will be flexible according to the changing needs of the service. It is planned it will take place within 3 months of the post holder commencing in post due to the fixed term nature of the post. APPRAISAL The post holder will be expected to participate and will be able to access an annual medical appraisal and be supported in fulfilling the requirements for annual appraisal and revalidation using an electronic portfolio system. Induction for appraisal for those new to medical appraisal is also provided. Somerset FT has a strong supportive appraisal and revalidation team and provides induction to appraisal for doctors new to appraisal and an active CPD programme for appraisers. As the Clinical Director for CAMHS is also the Medical Lead Appraiser for the Trust, we ensure that all CAMHS doctors have adequate opportunity for CPD, shared learning and reflection, case base discussions, evidence based practice, quality improvement opportunities, and time for preparation for Appraisal and this ethos is central to the culture of the Medical CAMHS peer group. SUPERVISION The post holder will receive weekly clinical supervision from the Consultant Psychiatrist Wessex House Safeguarding specific training is provided regularly to clinical teams. SECTION 12 and APPROVED CLINICIAN Due to the nature of the role, even if the post holder does not currently possess this approval, the post holder would be expected to gain the experience and apply for S12 and if appropriate work towards AC approval. CAREER DEVELOPMENT The Trust has supported several doctors in non training grades through the Certificate of eligibility for specialist registration. The Royal College of Psychiatrists has 2022 CESR curricula advice on their website. All applicants will be able to access weekly postgraduate medical education programme for psychiatrists, and for all trust staff, the opportunity to attend hospital grand round and schwartz rounds. COACHING and MENTORING The Trust has a group of senior coaches and mentors that can support the post-holder new in post. The line manager will facilitate that the post holder has adequate SPA time to develop relationships, build networks and learn about their service and the wider service and multi agencies working alongside Wessex House. All senior doctors new to the trust will be allocated a mentor. WELLBEING The Trust values doctors wellbeing, and recognise that during Covid-19 pandemic, this has placed additional pressures on our doctors. COVID-19 continues to impact on us personally, emotionally, socially, financially, within our communities in the UK and further afield. It affects our families, relationships and friends, and our teams The Trust has a fully staffed Wellbeing team for Senior Doctors and a Colleague support team available for all staff 9am-5pm Monday Friday. The Wellbeing team contact all doctors regularly with advice to support wellbeing such as developing resilience, mindfulness, learning how to recognise burnout in oneself and others. They also offer a confidential colleague wellbeing support line and can provide individuals with additional wellbeing support. Additionally, there are effective local occupational health support delivered by Optima Health (confidential, includes modalities of self-referral, promoted regularly at induction and when in post) and there are proactive local organisational systems to support doctors wellbeing following serious incidents both from their team and confidential support from the Trust wellbeing team. SFT colleagues have access to rapid access physiotherapy services. It is recognised that due to acuity the CAMHS caseload, that supporting doctors in their role is paramount to the duty of care for our staff group. The CAMHS substantive senior doctors have recently established a monthly Balint group facilitated by a Consultant Psychotherapist. There are wellbeing ambassadors throughout the service that promote monthly wellbeing opportunities and initiative in the trust to support mental and physical wellbeing. There is also specifically available training for teams regarding civility, inclusion and micro aggression. If specific individuals and team are struggling with communication, there are senior medical leaders across the trust trained in conflict resolution and there is also advance communication skills training available. All new doctors are offered an assigned mentor, experienced senior psychiatrist trained as a mentor/ coach and whom they will be able to meet with every 6- 8 weeks in the first year to 18 months of their post commencement. These sessions will be treated in confidence. All new senior doctors will have access to a formal SFT induction over 4 days (which includes senior doctors from all medical, surgical and psychiatry specialities) which will include orientation to wellbeing services, learning and development, appraisal processes and medical education facilities. The Trust have several Freedom to Speak Up Guardians who work independently of the Trust leadership team. Their key role is to help raise the profile of speaking up and to provide confidential advice and support to colleagues in relation to concerns they may have about patient safety or their experience at work.In addition, they are here to learn lessons by listening to those who have experiences to share, both positive and negative. They then share those lessons and staff voices with the senior management team.