Speciality Doctor in General Adult Psychiatry (HTT)

NHS; London; On-site; GBP 59,000 - 96,000; Full time

Job description

Job summary

We are currently looking for a Speciality Doctor for short-term cover in the South Westminster Home Treatment Team, based at the Gordon Hospital.

The post is a full time role (10 PA's) consisting of 8.5 PA DCC & 1.5 PA SPA time, with an anticipated start date of 1st of June 2025. Dr Rebecca Hatton is the part time substantive consultant and named clinical supervisor for this post and weekly clinical supervision is provided by Dr Hatton. There is a FY (Foundation Year) doctor on the team and Dr Arabo Shahenian, NWHTT consultant provides cross-cover for the team when Dr Hatton is not around and is named clinical supervisor for this post.

Main duties of the job

Westminster Home Treatment Team is an acute mental health service that provides an alternative to hospital admission and facilitates early discharge. The team provides intensive management and support to people in the community.

Westminster Home Treatment Team has two bases - one in the South of the Borough (at the Gordon Hospital) and the other in the North of the borough (Woodfield Road). This role will be based in South Westminster. The doctors provide cross cover in terms of medical support. There may be infrequent occasions where team requests phone advice or assistance in prescribing, if they do not have any doctors available.

About us

Central and North West London NHS Foundation Trust (CNWL) specialises in caring for people with a wide range of physical and mental health needs.

The Trust provides the following clinical services:

1. A wide range of community health services, including adult and child physical and Dental care services.
2. Intermediate physical healthcare, admission and supported discharge.
3. Palliative Care.
4. A comprehensive range of mental health services for adults, from early intervention and psychological therapies to inpatient treatment or long-term rehabilitation care.
5. Specialist mental health services for children and adolescents.
6. Dedicated mental health services for older people.
7. Substance misuse services for drugs, alcohol and the new group of 'club drugs', provided in the community.
8. Specialist addiction services available nationally for problems with gambling and compulsive behaviours.
9. Inpatient, outpatient and day patient eating disorders services.
10. Inpatient and outpatient learning disability services.
11. Mental health, addictions and primary health care services in many HM Prisons and YOI.
12. Sexual and reproductive health services.

Date posted: 14 April 2025

Pay scheme: Hospital medical and dental staff

Grade: Specialty Doctor

Salary: £59,175 to £95,400 a year plus £2162 London weighting allowance

Contract: Fixed term

Duration: 3 months

Working pattern: Full-time

Reference number: 333-J-WE-SA-0014

Job locations: Gordon Hospital, Bloomburg Street, London, SW1V 2RH

Job responsibilities

1. Conduct medical reviews of patients under HTT care, as allocated in Clinical Review Meetings, or as requested by team or Consultant Psychiatrist.
2. Reviews primarily take place at the base (Gordon Hospital) or in patients homes.
3. Prescribing and review of medication of patients on the caseload, including monitoring side effects.
4. Provide consultation to the rest of the team, undertaking reviews with other team members, attending professionals meetings.
5. Support of team particularly regarding risk management, including where it may be appropriate to escalate to emergency services/ MHAA/ MHCAS.
6. Attend team Clinical Review Meetings (CRM), team reflection meetings and service development meetings as needed.
7. Carry out liaison and collaborative working with other services/agencies and across internal interfaces as necessary for patient care and service development. This includes but is not limited to inpatient services, community teams, AMHPs, safeguarding services and Psychology.
8. Ensure that patients physical health needs are addressed, with support from the Foundation Year (FY) team doctor.
9. Carry out regular review and monitoring of the caseload including via consultant supervision to ensure discharges facilitated to maintain patient flow, including collaborative working with community teams to transition care where appropriate.
10. Ensure all documentation is completed in a timely manner, physical health recording, progress note entries, and risk assessments for patients on caseload.
11. Keep up to date with appraisals, mandatory training, all revalidation requirements.
12. Attend an SAS peer group for RCpsych CPD purposes and remain in good standing with RCPsych for CPD at all times.

Rider Clause: This is an outline of the post-holders duties and responsibilities. It is not intended as an exhaustive list and may change from time to time in order to meet the changing needs of the Trust and Department.

Person Specification

Skills and Knowledge

Essential

• Ability to treat service users with respect and dignity at all times, adopting a culturally sensitive approach.
• Able to work effectively in a team.
• Able to build constructive relationships.
• Person-centred in clinical approach.
• Ability to perform full physical examinations and to undertake basic routine tests such as venepuncture, ECG, Q Risk determination.
• Basic IT skills.

Desirable

• Advanced IT literacy.
• Cognitive assessment using screening tests.

Other

Essential

• Commitment to multi-disciplinary team working.
• Commitment to Continuing Personal Development.
• Ability to be flexible and work as part of a changing dynamic team and organisation.
• Sickness (or attendance) record that is acceptable to the Trust.
• Ability to work on own initiative.

Desirable

• Effective teaching skills.
• Involvement in Quality Improvement.

Education and Qualifications

Essential

• Primary Medical degree.
• Full GMC registration.

Desirable

• MRCPsych Paper A or equivalent.
• Post-graduate psychiatric training.
• Section 12 approval/eligible to become approved within 3 months of starting in post.

Previous Experience

Essential

• Completed at least 3 years of full time post graduate training in psychiatry.

Desirable

• Clinical audit.
• Teaching others.
• Working with an MDT.
• Experience of being on-call out of hours.
• Previous experience of working in CRHTT.

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.

Certificate of Sponsorship

Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).

From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).

Employer details

Employer name: Central and North West London NHS Foundation Trust

Address: Gordon Hospital, Bloomburg Street, London, SW1V 2RH

Employer's website: https://www.cnwl.nhs.uk/work (Opens in a new tab)