Job description
Job title: Consultant Psychiatrist (Acute Inpatient)
Salary: In accordance with the Terms and Conditions of the Consultant Contract (2003)
Accountable to: Clinical Director
Values:
The Trust is a major employer and provider of services. We are committed to recruiting people who fit our organisational values. These are:
• Respect - we listen to others, valuing their views and contributions. • Compassion - we show empathy and kindness to others so they feel supported, understood and safe. • Partnership - we engage with others based on equality and collaboration. • Accountability - we are open and transparent, acting with honesty and integrity, accepting responsibility for outcomes. • Fairness - we ensure equal access to opportunity, support and services. • Ambition - we are committed to making a difference and helping to fulfil aspirations and hopes of our Service users and staff.
Job purpose
You will be required to work with the multidisciplinary teams offering a recovery and community orientated treatment model to adults with a range of mental health needs. The successful applicant will work closely with other Consultant Psychiatrists in the recovery team and other teams.
The principle aim of the post is to provide medical leadership to the recovery team. Such medical leadership is pivotal to the success of the teams.
The post holder is expected to have or be willing to undertake the training required to gain Section 12(2) approval and approved clinician status under the Mental Health Act 2007 and to undertake further training to maintain AC status as required
On-call for the City of Sheffield is currently shared between General Adult Psychiatry and Old Age Psychiatry colleagues, and comprises approximately one night on call per month and one weekend in three months.
The Remuneration for on-call is 1% of basic salary. This is based on the frequency of on-call being low and the category B.
The on-call duty is always well supported by trainees and Specialist Registrars. The appointee will be required to cover for colleagues during periods of absence.
General requirements
Applicants should have a higher qualification in psychiatry (Membership of the Royal College of Psychiatrists or equivalent) and be included on or be eligible for inclusion on the GMC’s Specialist Register. Specialty Registrars who are within 6 months of attainment of CCST at the time of interview are eligible to apply. The appointee will need to be both S12 approved and an Approved Clinician to fulfill contractual duties. If the applicant was not approved at the time of the interview, they must be fully eligible for approval.
The successful applicant will be based at the Michael Carlisle Centre which is located in the South West of the City of Sheffield. Burbage ward is a male single sex ward with 16 beds for people with mental health problems. The post holder will provide consultant medical input to the care of the people admitted for mental health problems.
The post holder will have office accommodation, with IT support for e-mail, intranet and internet, and secretarial support there.
Principal duties
• Provide medical leadership to the Burbage ward teams
• Attendance at team and governance meetings • Provision of medical/psychiatric assessments to inform care planning and risk assessment
• Formulation and delivery of appropriate pharmacological and. psychological interventions • Assessment and management of people subject to the Mental Health Act
• Assessment and management of people subject to the Mental Capacity Act • Completion of administrative tasks related to clinical responsibilities • Liaison with other consultants and other colleagues in CMHTs and other inpatient wards • Attendance at CPA and discharge meetings
• Participation in the city wide out of hours on call rota
• Clinical and educational supervision of junior medical staff • Teaching of undergraduate medical students
There are approximately 170 admissions per annum to the ward (mental health beds) with approximately three quarters being detained under the Mental Health Act. In a one year period there were 74 tribunals/managers hearings regarding Burbage patients.
The appointee will be expected to undertake the ordinary administration duties of a Consultant post including participation in professional audit, business planning and related activities. A contribution to the management and strategic direction of the service is seen as essential. There are opportunities for professional development in medical management.
All Consultants are automatically members of the Medical Staff Committee, and each specialty is represented by the Service and Clinical Director on the Operational Management Group.
Service development
Medical staff are involved in medical and clinical audit and the appointee will be expected to take an active part at team, directorate and Trust level.
There are excellent library facilities at the University of Sheffield for those clinical staff holding honorary contracts with the University, the Northern General and the Royal Hallamshire hospital, with computer research and journal acquisition services. In addition the Trust's Directorate of Research and Development is able to assist in computer literature search.
Commissioned audit projects will receive excellent support from the department of clinical effectiveness throughout the audit cycle.
Job description review
This is not an exhaustive list of duties and responsibilities and in discussion with the manager the postholder may be required to undertake other duties which fall within the Banding of the post. The job description will be reviewed regularly in the light of changing service requirements and any such changes will be discussed with the post holder.
The post holder should be comfortable in the use of computer technology, have basic keyboard skills and have the ability to use email.
All employees are expected to observe the following:
Equal opportunities and dignity at work – statement of intent
The Trust is a major employer and provider of services. We are committed to building a workforce which reflects the diversity of and meets the needs of the local community.
We oppose all forms of discrimination on legal and moral grounds, and recognise that discrimination creates barriers to achieving equality for everyone.
The Trust is committed to making equality of opportunity and fair treatment a reality whereby an individual can seek, obtain and continue employment without unfair discrimination.
As an equal opportunities employer, we will ensure that all job applicants and employees receive fair and equal treatment and will not be disadvantaged by unjustified conditions or requirements.
The Trust’s Equal Opportunities and Dignity at Work Policy underpins the Trust’s commitment to achieve equality and fairness at work and to ensure that individuals or groups are not unfairly discriminated against.
We are committed to improving our practice through signing up to initiatives such as Stonewall Champions, the Disability Standard/Disability Confident and Mindful Employer.
Safeguarding children and adults
The Trust is committed to safeguarding and promoting the welfare of children, young people (anyone under the age of 18) and adults. It expects all staff, volunteers and contracted staff to share this commitment and act in such a way that safeguards and promotes the health and well being of children, young people and adults.
Staff must ensure that they are familiar with the signs and symptoms of abuse and know what to do if any such concerns are raised.
Staff are expected to know about and follow the Trust’s safeguarding children and safeguarding adult policies which can be found on the Trust intranet, and participate in related mandatory/statutory training.
Risk management
Staff should be aware of the principles of risk management and adopt appropriate practice to reduce the risk to themselves and others. In particular, staff should observe the Trust’s Risk Management Strategy, Risk, Incident & Serious Incident reporting and management policies, Health & Safety regulations and the risk management training requirements for all staff.
Infection prevention and control
Staff are expected to comply with the Trust’s Infection Prevention & Control policies and conduct themselves in such a manner as to minimise the risk of causing healthcare associated infections.
About Us
Sheffield is a modern industrial city that now has many areas of modern, multi-cultural epicenters within the city. Sheffield can offer high class, Michelin Star restaurants, cafes, real ale bars and nightlife in areas, such as, Ecclesall Road, Kelham Island, London Road and Broomhill.
Sheffield is the fourth largest city in the country, with a total population of 518,000 people. We provide services to the adult population of the city, which consists of over 428,000 people. While demographic predictions indicate no significant changes within the overall population, changes in need and demands are expected due to an increase in the elderly population, an increase in adults with learning disabilities and complex health needs and a growing diversity of the local population with an increasing black and minority ethnic community.
There is a wide selection of great value housing, from the surrounding rural villages, to modern City centre developments and leafy suburbs. Living in Sheffield, you will never be at a loss for something to do and due to the vast development as a major centre for sport and leisure. There are two professional football teams; premier league Sheffield United and also Sheffield Wednesday, top-flight ice hockey and basketball teams, athletics, swimming and rock climbing.
It is also home to the World Snooker Championships, one of Europe’s top shopping malls ‘Meadowhall’, independent cinemas and a vibrant music scene. Whilst the world famous Crucible and Lyceum theatres showcase, plays, musicals, opera and dance. Sheffield Arena hosts large concerts and shows by top names. All of which is easily accessible by the extensive Tram system.
For sport Sheffield has a large number of facilities including the world famous “English Institute for Sport”. As a city Sheffield has supported top names in sport, including Jessica Ennis (Athletics), Jamie Vardy (football), Kelly Brook (Boxing), Michael Vaughan and Joe Root (Cricket), Danny Willetts (Golf) and of course Sebastian Coe, who started his running career for Sheffield’s Hallam Harriers running club aged 12.
The City is the home to two of the UK’s major Universities and is served by three major teaching hospitals, the Northern General Hospital in the north of the city the Royal Hallamshire Hospital and the Sheffield Children’s’ Hospital NHS Trust in the centre. The first two form the Sheffield Teaching Hospital NHS Foundation Trust, which house university departments in various disciplines and have academic laboratory and library facilities on their sites.
Most of all, Sheffield is surrounded by the beautiful “Peak District National Park”. The Peak District can be accessed by a 15 minute drive from most areas in Sheffield. This offers residents in Sheffield easy reach of pure countryside, covering hills, valleys and rivers. Sheffield is fast becoming the UK capital for climbing and bouldering.
All of this exists in Sheffield whilst still providing every convenience for modern living that you’d expect from a thriving multi-cultural city.
The Sheffield Health & Social Care NHS Foundation Trust, established in July 2008, previously known as Sheffield Care Trust, was one of the first care trusts in the country and the first in South Yorkshire.
As a Health and Social Care NHS Foundation Trust, we provide a comprehensive range of general and specialist mental health, substance misuse and learning disability services to the people of Sheffield, alongside a range of therapy services to the broader NHS in Sheffield. We are also a designated teaching trust and provide educational services to the broader South Yorkshire and North Trent region, and have a good track record in research.
The Foundation Trust works in close partnership with patients and carers, people who work in the services, the City Council, primary care, voluntary and community organisations, local universities and other health and social care services.
As a major employer in the city, the Trust actively seeks to assist social regeneration. We are looking for enthusiastic, highly motivated individuals with excellent leadership skills to assist the Trust in providing this high quality service and who will be proactive and innovative in their approach to the clinical context within which they work. Job plans will be developed to meet not only the service needs and the diverse needs of the local community but also that of the individual to take into account their specialist interests and to complement the existing medical staff team.
Sheffield Health and Social Care Trust has implemented New Ways of Working and is currently developing, with primary care, a stepped care model for the delivery of care and treatment of common mental disorders such as depression and anxiety.
Services for people with psychosis are well developed through the trust with an established Early Intervention team and Recovery teams.
The acute care pathway for service users, with the full range of acute mental health problems, includes CMHTs, crisis and home treatment team, inpatient wards and an intensive care service.
The trust is committed to clinical leadership and a sound and developing partnership between consultants and managers at all levels.
Gulu Sheffield Health Partnership
In 2012 the Sheffield Health and Social Care NHS Foundation Trust, together with Gulu Regional Referral Hospital and the Gulu Branch of Mental Health Uganda formed the “Gulu Sheffield Mental Health Partnership”. The Partnership works with the Ministry of Health in Uganda and the Uganda UK Health Alliance to ensure that together we work within Ugandan priorities. It also works with Health Education England and other NHS Trusts operating in Uganda.
As a result of the recent conflicts in Gulu area, Ugandan research now indicates high levels of anxiety, depression, PTSD, Epilepsy ( considered a mental illness in Uganda) and trauma associated with reintegrating abducted people back into the communities in which they may have caused harm or been harmed as children.
Staff working in SHSC have access to a unique opportunity to travel to Uganda with the partnership and work with Mental Health teams in Africa.
Several members of staff from all grades including, Consultants, junior doctors, nurses, support workers and trainers have already taken this opportunity and travelled to Gulu. SHSC are very proud to maintain these links and 23 staff from Gulu mental health services have travelled to Sheffield to gain experience in the UK.
This was supported through the Commonwealth Fellowship Program, funded through the British Council and managed by the Commonwealth Scholarship Commission.
The post holder would be supported and welcomed to seek this opportunity if appropriate and if they so wished.
Education & Teaching The Trust has a strong focus on the delivery of a high standard of medical education. It is the lead employer for the Regional South Yorkshire Psychiatry training rotation. Therefore the Medical Education Department is responsible for the co- ordination of training, core and higher rotations, and education and welfare of doctors in training. There are strong links with the local Training Programme Directors and Head of School of Psychiatry. This department is well staffed to support not only postgraduates but now has a well- established undergraduate department with consultants and support staff having dedicated roles in the delivery of education. The post holder will be encouraged and supported in taking advantage of any roles available in medical education. The appointee will provide teaching and supervision to nursing staff and medical students, as well as contribute to seminar and lecture teaching for the Psychiatry Training Course. These sessions will be on an ad- hoc basis. The appointee will be expected to participate actively, and supervise junior staff, in case presentations and journal clubs, as well as supporting their research interests. The Trust has very close ties with the University of Sheffield School of Health and Related Research (ScHARR). Consultants will be offered the opportunity to lecture within the Local University structure. Several consultants within the Trust have Honorary Senior Lecturer status due to their work in teaching. The appointees will provide teaching and supervision to junior medical staff, nursing staff and medical students, as well as contribute to seminar and lecture teaching for the Psychiatry Training Course. These sessions will be on an ad-hoc basis. The appointee will be expected to participate actively, and supervise junior staff, in case presentations and journal clubs, as well as supporting their research interests. It is anticipated that the appointee will be the named supervisor for one trainee.
Continuing Professional Development
Consultants are expected to be registered for Continuing Professional Development and will need to demonstrate good standing and ongoing development at an annual performance review (appraisal).
The Trust encourages continued professional development and to this end applications for training and study leave are generously considered in terms of both time and financial support (study leave of 30 days in a 3 year period with a nominal budget of £1500 per annum). The Trust has its own in-house leadership training programs; members of staff are encouraged to avail themselves of this opportunity.
Peer groups are well established in the Trust and the post holder will join an appropriate group.
Job Plan The post holder will negotiate a job plan with the Clinical Director. The duties are subject to review on at least an annual basis. If alterations to the described duties are required, these will be agreed between the appointee and the manager. SHSC has a robust electronic job planning system in place with a focus on negotiating a job plan that ensures a good work life balance whilst incorporating your personal interests and ambitions where possible
Appraisal and Revalidation In line with GMC requirements consultants have an annual appraisal. Appraisal is conducted by the lead consultant or another senior doctor, trained and approved within the Trust as a medical appraiser. Consultants are expected to take an active part in these reviews and are given time and assistance to prepare the necessary paperwork. The Revalidation Team focus on providing the essential supporting information to free up time for you to focus on reflection and the consideration of your own personal development Old Age Psychiatry Services The service was set up in Sheffield in 1978, with the appointment of two Consultants, one for the north of the city and one for the south. It now provides a service to approximately 86,000 people over the age of 65 and dementia sufferers of any age with nine consultants. Five Consultants work with community mental health teams. Two consultants are responsible for old age liaison psychiatry, two consultants work with the Memory Service, one with the Older Adult Home Treatment Team, one consultant is responsible for dementia in- patients and one is responsible for functional in-patients. There are active Community Mental Health Teams and close collaboration with colleagues in Social Services, Primary Care and the Private sector.
Adult Psychiatry Services Adult Mental Health Services in Sheffield are now integrated with Social Services. The single service includes all specialist mental health services and has a single management structure. Community and inpatient services are organised on a locality basis; these localities are now congruent with the Primary Care Groups.
Citywide consultant led services are provided by: • Liaison Service – providing psychiatric treatment and consultation at the Northern General Hospital, Western Park Hospital, Charles Clifford Hospital, the Jessop Wing and Royal Hallamshire Hospital • Eating Disorder Service • Specialist Psychotherapy Service • Specialist Rehabilitation Service • Intensive Treatment service • Low secure forensic unit and court diversion service • Perinatal Services
Our Benefits ➢ Annual Leave Offering up to 33 days annual leave plus 8 bank holidays on a pro rata basis dependent upon NHS continuous service time. ➢ Access to NHS Pension Scheme
➢ Flexible relocation package Offering up to £8,000 to support your relocation to Sheffield. ➢ Study leave 30 days over 3 years with a study leave budget of £1500 per annum ➢ Generous maternity, paternity and adoption leave for eligible staff
➢ Access to NHS Pension Scheme
➢ A strong ethos on learning and development for medical staff
➢ Annual Clinical Excellence Awards
➢ Annual Recognition & Achievement Awards Award Winning Organisation Our staff and services are regularly recognised in national awards. We've received awards from Positive Practice in Mental Health, Health Service Journal, the Healthcare People Management Association and RCPsych. ➢ Broad Range of Services We cover mental health, learning disability, substance misuse, dementia and specialist services in the Sheffield region. ➢ Research We have a dedicated Research Development Unit which has around 40 research studies open at any one time. ➢ Diversity, inclusion and fairness We have a thriving BME Staff Network Group, open to all staff who do not identify as White British. We also hold an annual Working Together Conference and offer a BME mentoring programme which includes members of the Board of Directors. ➢ Salary Sacrifice Scheme For a car, home electronics, gym membership and through SHSC’s Cycle to Work Scheme ➢ Flexible Working Supporting staff to balance their work and home life is really important, so we offer flexible working arrangements which take into account your personal circumstances with a strong emphasis on work life balance ➢ Centre for Medical Education SHSC hosts medical and physician associate student placements. SHSC is the lead employer for the Core, General Adult, Old Age and Child & Adolescent South Yorkshire & Humber Psychiatry Training schemes. SHSC has an established placement rotation scheme and educational support for SAS Doctors pursuing CESR. ➢ Local Medical School – University of Sheffield
➢ Staff Health & Wellbeing Workplace Wellbeing Service Offering confidential free counselling, short-term therapy and consultation to staff from a team of appropriately qualified psychological therapists. ➢ PhysioMed We provide free access to physiotherapy to all eligible employees who have a Musculoskeletal problem.
➢ Coaching Access to SHSC’s Coaching Service, mentorship from a senior colleague with a comprehensive induction programme
Quality & Safety This is all about how we improve the quality of our services, ensuring care is safe, effective and accessible, and is delivered in true partnership with our service users. This means working continuously to ensure the basics of good care are delivered consistently and reliably. It’s about the day-to-day interactions between our staff, service users and their carers, and ensuring good standards of care are in place. By effectively reviewing how we are doing with robust governance arrangements, we can support staff and services to ensure care is safe and of good quality.
Value for Money Demand for our services is growing and budgets are getting tighter. In order to provide high quality services we need to ensure all our resources are used effectively and support the delivery of effective care. We will review and challenge every pound we spend and ensure it provides the best possible value. It’s about ensuring as much of our staff time as possible is focused on working with service users and carers and that our buildings and IT systems help us become more responsive, cost effective and support the ways that we will work in the future. People We cannot deliver good care or make the changes we need to make without the active contributions and support from our staff. This is about every member of staff being able to deliver care and support effectively and being focused on delivering improvements in quality and safety. Our staff are responsible for delivering high standards of care and working to improve the quality of care they provide. We will continue to create and develop conditions across all our services to enable this to happen. We will support staff to develop new skills, deliver new types of care and introduce new ways of working to take into account the needs of current and future service users. We will ensure staff are supported through change, are able to shape how we move forward, are effectively supported with quality supervision, training and appraisals, and have the ability to put quality at the heart of what they do.