Consultant Child and Adolescent Psychiatrist (UCT)

Consultant Child and Adolescent Psychiatrist (UCT)

Central and North West London NHS Foundation Trust

Consultant Child and Adolescent Psychiatrist (UCT) Permanent, Full-Time (10PAs)

An exciting opportunity has arisen for 10PAs substantive Consultant Child and Adolescent Psychiatrist to work in Hillingdon Urgent Care Team with special interest in Paediatric Liaison.The post holder will have the responsibility of managing young people who predominantly present through Hillingdon Hospital Emergency Department and those admitted to paediatric and adult medical wards. In addition, the team provides a short-term crisis intervention work.

Urgent Care Pathway has recently received additional funding to further develop short term crisis intervention (tier 3.5) input and this would be a stimulating opportunity to help shape the new short term crisis intervention service.You will be joining a friendly and welcoming multidisciplinary team based across 2 clinic sites in the middle of the borough. There are good transport connections and parking at both sites.

This post attracts aGolden Helloof20K payable in two instalments (subject to eligibility, taxable and non pensionable ), Relocation package for up to 8K (subject to eligibility)a generous annual leave entitlement, study leave, the NHS pension for a scheme and other financial benefits such as range of staff discounts including discount on the purchase and the lease of new cars.

Further Information & Arrangements to visit

Dr Afrooz Kosari, Lead Consultant Hillingdon CAMHS

E: afrooz.kosari@nhs.net, T: 01895 256521

Main duties of the job

Staffing in the Hillingdon Urgent Care Team includes- consultant child and adolescent psychiatrist (1.0 WTE) which is this post, team lead (1.0), clinical nurse specialist (3.0), assistant psychologist (1.0) and an administrator (1.0). The Urgent Care Team provides assessments at the Emergency Department and to the paediatric ward and medical wards (for 16- and 17-year olds) at Hillingdon Hospital as well as 7 day follow up appointments for Hillingdon patients discharged from acute hospitals. On average the team sees 30 new cases/month. They are seen by the clinical nurse specialists (or another mental health professional) and discussed with the team at the first instance and, if required, discussed with the consultant psychiatrist. The cases are currently not kept on the caseload but either transferred to another team/service for further input or discharged to primary care. Once the urgent care outreach service (UCOS for crisis work) is developed, it is expected that the team will carry a maximum caseload of 10 active cases at any one time.The direct clinical care consultant caseload is expected to vary between 10-20 cases, combined between liaison and crisis aspects of the service. However, the consultant is not expected to provide direct case management.

About us

"Central and North West London (CNWL) specialises in caring for people with a wide range of mental and physical health needs and is one of the largest mental health trusts in England. Each CAMHS service has its own local management structure: HIllingdon CAMHS has a Lead Psychiatrist, Therapies lead and team manager who work closely with the outer boroughs service manager.

Hillingdon UCT team lead will work closely with the UCT consultant (this post) and UCT service manager. Hillingdon UCT is also linked with Brent & Harrow UCT and Kensington, Chelsea and Westminster UCT and the postholder will be part of the UCT Senior Management Team lead by the UCT clinical lead and service manager.

Job responsibilities

To undertake the administrative duties associated with the care of patients

To record clinical activity accurately and comprehensively and maintain accurate, contemporaneous medical notes in line with the Trust record keeping policy

To participate in the service and business planning activity for the locality and, as appropriate, for the whole mental health service

To attend and participate in the internal CPD activities and maintain up to date CPD activities

To attend the monthly consultant meetings and other relevant professional meetings

To maintain professional registration with the General Medical Council, Mental Health Act Section 12 (2) and AC approval

To participate annually in job plan review

To work with local managers and professional colleagues in ensuring the efficient running of services, sharing with other consultant colleagues the medical contribution to management

To comply with the Trusts agreed policies and procedures

Clinical and management duties

The appointee will take a consultant lead role in the local urgent care team.

To provide consultation and medical input to the weekly clinical review meeting for UCT

To provide psychiatric assessments when required and support the Urgent Care Team with emergency work at Hillingdon Hospital and 7 day follow ups. Hillingdon Urgent Care team sees on average 30-35 new patients per month offering urgent assessments, 7 day follow-ups and ward reviews as needed.

To lead on the development of the Tier 3.5 service (Urgent Care Outreach Service) for Hillingdon

To contribute to the monthly senior management meetings for the local CAMHS as well as the crisis pathway.

To take a lead role, together with the urgent care team lead, in developing joint crisis pathways and protocols with the acute hospital

To attend interface meetings with the emergency department and contribute to professional meetings for young people at the hospital, including bed escalation meetings.

To provide clinical supervision to psychiatry trainees and speciality doctors contributing to the work of the UCT on a case by case basis as needed.

To lead on the development of interface working between UCT and other CAMHS sub-teams as well as ACTS (Adolescent Community Treatment Service)

To provide the continuity of consultant input for young people admitted to paediatric and medical wards and, if required, be the responsible clinician (RC)

The paediatric liaison sessions will be used to offer consultation to paediatrics and to develop a business case for a paediatric liaison service in collaboration with the local acute trust (Hillingdon Hospital)

To participate in case-based discussions with other CAMHS consultants and junior medical colleagues within the Hillingdon CAMJS doctors meeting which takes place twice a month.

To offer teaching to colleagues at the acute hospital, CAMHS colleagues and trainees and medical students

To facilitate monthly consultation group with the out-of-hours team together with other UCT consultants

To work together and support the team lead in providing activity reports and contribute to providing presentation of the work to senior management meetings and commissioners. This may include the North West London Provider Collaborative and the CNWL CAMHS Central Care Quality and Performance Management Group (CQPMG)

Person Specification

Qualifications

• Full registration with the General Medical Council (GMC) with a licence to practice
• Section 12 MHA Approved
• Approved Clinician status (or undertaking to obtain this on taking up the post
• Membership of Royal College of Psychiatrist (MRCPsych) or equivalent qualifications/ certification
• Listedon the Specialist Register of the GMC Medical Register for Child and Adolescent Psychiatry (or eligible to register within six months of interview date)
• Higher degree or additional qualifications of relevance to working with children and adolescents

Experience and Training

• Completion of Higher Psychiatric Training in Child and Adolescent Psychiatry or being within 6 months of achieving CCT accreditation
• Or Equivalent training in Child and Adolescent Psychiatry (CESR issued by PMETB)
• Membership of a professional indemnity organization
• Training will have included psychiatric inpatient management of children and adolescents
• Experience of assessing and managing risk in complex patients in acute and community psychiatric settings
• Competence in child and adolescent psychopharmacology
• Competence in non-medication therapeutic approaches
• Use of evidence-based practice
• Experience of Safeguarding Children Framework
• Engagement with annual appraisal
• Experience in multi-disciplinary teaching
• Ability to take a leadership role in a multi-disciplinary team, ensuring high quality care and staff morale
• Excellent communication skills in verbal and written media
• Approved training in relevant therapeutic practice (e.g. CBT, DBT or Family therapy)
• Experience in paediatrics and Experience in Paediatric Liaison
• Publications in the field of Psychiatry
• Experience working with different cultural backgrounds
• Experience in Microsoft Word, PowerPoint and Excel
• Demonstrable ability to relate well to young people and their families
• Team player to fit in with multi professional team
• To have an approachable attitude to team members
• Capacity to prioritise conflicting demands and work flexibly

Interests

• Willingness to represent the service at Trust wide meeting and in discussions with partner agencies and Commissioners

Dispositions and Circumstance

• Ability to work and build relationships with agencies and departments
• Ability to work with Trust management in the spirit of mutually supportive co-operation
• Ability to travel between locations
• Ability to cover for absent colleagues when necessary

Management/Supervision

• Enthusiastic about learning and teaching
• Understand the concept and principles of Clinical Governance
• Understand the NHS system, especially in relation to CAMH services, locally and nationally
• Willingness to take part in clinical audits
• Aware of issues affecting current and future NHS practice, and ability to work within a changing environment

Other

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.

Central and North West London NHS Foundation Trust

£99,532 to £131,964 a year+ £2162 London Weighting and 3% on call (1:15) per annum pro rata