NHS Ayrshire & Arran

CONSULTANT PSYCHIATRIST General Adult Psychiatry

VACANCY

Consultant General Adult Psychiatrist Community Mental Health Team – Three Towns Resource Centre 40 hours per week £80,653 (GBP) to £107,170 (GBP) per annum Tenure: Permanent

NHS Ayrshire & Arran is seeking to recruit a dynamic and enthusiastic General Adult Psychiatrist to join our North Ayrshire Community Mental Health Team based at the Three Towns Resource Centre.

The successful applicant would be one of 4.6 WTE General Adult Consultants working flexibly in North Ayrshire, covering community and/or hospital-based clinical work in a defined catchment area based on GP practices. Acute inpatients beds are sited locally in our purpose-built unit, Woodland View, within Ayrshire Central Hospital in Irvine.

North Ayrshire Health & Social Care Partnership has a well-established Community Mental Health Team supported by a 24 hour Crisis Service. The Terms and Conditions of service are those determined by the Consultant Contract and the post is offered on a 10 programmed activity basis. The post will include participation on an on-call rota pro rata. Applications from individuals who may wish to work on a job share basis will be considered

Applicants must have full GMC registration, a licence to practice and Completion of Higher Training in General Adult Psychiatry and inclusion on the GMC Specialist Registrar or within six months of CCT or CESR (General Adult Psychiatry) at time of interview.

For further information or to apply for this exciting role, please contact the NHS Scotland International Recruitment Service:

Telephone: +44141 278 2712 Email: [email protected] Web: www.international.scot.nhs.uk

GLOSSARY

AHP Allied Health Profession CAMHS Child and Adolescent Mental Health Service CAPA Choice and Partnership Approach CBT Cognitive Behavioural Therapy CCT Certificate of Completion of Training CESR Certificate of Eligibility for Specialist Registration CPD Continuing Professional Development DCC Direct Clinical Care EEA European Economic Area FBT Family Based Treatment GIRFEC Getting it Right for Every Child GMC General Medical Council HR Human Resources HSCP Health and Social Care Partnership LD Learning Disabilities MRCPsych Member of the Royal College of Psychiatry NHS National Health Service OOH Out of Hours PA Programmed Activity PVG Protection of Vulnerable Groups RMN Registered Mental Nurse SCA Scottish Centre for Autism SPA Supporting Professional Activity UK United Kingdom WTE Whole Time Equivalent

JOB DESCRIPTION

NHS Ayrshire & Arran

Consultant Psychiatrist General Adult Psychiatry

Background NHS Ayrshire and Arran has invested significantly in mental health service development over recent years following a major strategic review, and this has resulted in the creation of a 24 hour crisis service, expansion of primary care mental health services and new services for eating disorders. All acute psychiatric beds are now sited in our purpose-built inpatient unit, Woodland View, which opened on the Ayrshire Central Hospital campus in Irvine in 2016.

A vacancy has arisen for an enthusiastic and motivated Consultant in General Adult Psychiatry to join our North Ayrshire Community Mental Health Team and to play a key role in supporting these exciting new developments.

This is a full time post currently including both community and inpatient responsibilities. The successful candidate will be one of 4.6 WTE Consultants providing input to the multidisciplinary North Ayrshire Community Mental Health Team (NACMHT) based at the Three Towns Resource Centre in Saltcoats.

The Psychiatry Service General adult inpatient mental health services in Ayrshire are provided from our newly built community hospital, Woodland View, with general adult, elderly, continuing care, rehabilitation, IPCU and alcohol rehabilitation wards. There is a smaller unit providing elderly and rehabilitative services based on the site in .

There are 3 Community Mental Health Teams in Ayrshire:  North Ayrshire CMHT  CMHT  South Ayrshire CMHT

The North Ayrshire CMHT consists of:  4.6 Consultants  2-3 Junior Doctors  1 Higher Trainee  1 Team Leader  9.5 WTE Charge Nurses  9.5 WTE staff nurses  1 WTE Health Assistant  4.4 WTE Occupational Therapy  4.8 WTE Psychologists  9.21 WTE Admin staff

Medical Staff Resources

Consultant Grade (Adult)  East Locality o Dr Aileen Guthrie o Dr Morag Henderson (CD) o Dr John Taylor (AMD) o Dr Mike Taylor  North Locality o Vacancy (this post) o Dr Everett Julyan (CD) o Dr Alison MacRae o Dr Krzysztof Tyczynski o Vacancy (part time community)  South Locality o Dr Ewen Douglas o Dr Alistair Gibb o Dr Tim Johnston o Dr Jamie Lewis o Dr Jacqui Scott (CD)  Rehabilitation o Dr Tom Henderson  Liaison o Dr Debbie Brown o Dr Malcolm Cameron (CD) o Dr Ajay Macharouthu o Dr Kim Newlands  Psychotherapy o Dr John Prestwich o Dr Emma Hargreaves  Forensic/IPCU o Dr Partha Gangopadhyay o Dr Dawn Carson  Elderly o Dr Joan Barber o Dr Dominic Gallagher o Dr Mark Luty o Dr Seamus McNulty (CD) o Dr Robert de Mey o Dr Nasim Rasul  CAMHS o Dr Aileen Blower (CD) o Dr Julie Gibbons o Dr Manju Haridas o Dr Sarah Hukin o Dr Monika Raju  LDS o Dr Claire Hughes o Dr Douglas Paterson

o Dr Omer Rashid  Addictions o Dr Karthik Kessavelou o Dr Jeremy Stirling o Dr Beinn Wilson (CD) o Dr Caroline Woolston

Non Consultant Grade The 35 consultant posts are supported by 6 Specialty Grade Doctors, approx. 14 junior trainees (FY2/ST1-3) and a varying number of Senior Psychiatric Trainees (ST4-6/SpRs)

Admin Support The post holder will have access to such general administrative support as is required for the discharge of his/her duties.

Education Woodland View has its own library and training facilities on site for local Postgraduate teaching. Crosshouse and Ayr Hospitals have the Alexander Fleming Education Centre and MacDonald Education Centre, respectively. These facilities have well stocked libraries with good electronic facilities, a lecture theatre with state- of-the-art equipment and meeting rooms.

The post holder will be expected to participate in the local postgraduate psychiatric training programme and to be involved in the teaching of medical undergraduates.

Future plans of the specialty A new low secure unit opened on the Woodland View site in January 2017 and Woodland View is the preferred location of the new national medium secure adolescent unit.

The post The main duties and responsibilities of the posts are:  Provision of consultant leadership within the CMHT  Provision of medical support to the crisis team  Liaison with mental health colleagues across all disciplines and with health and social care partners in support of comprehensive patient care  Liaison with GPs and third sector agencies  Provide Consultant level assessment, diagnosis and treatment of new and existing patients presenting to services  Act as RMO for patients subject to mental health legislation  Undertake domiciliary visits and emergency assessments where appropriate  Undertake Mental Health Act/Adults with Incapacity Act  Provide supervision to the NA Crisis Resolution Team (1 hour per week) on a rotational basis with other consultants  Participate in the local psychiatric training programme  Involvement in teaching and supervision of medical students and junior doctors (subject to job plan negotiation)  Participate in medical audit and continuing professional development

 Compliance with NHS Ayrshire & Arran Clinical Governance policies  Involvement in appraisal and job planning.  Participation in the consultant on-call rota, frequency approx. 1 in 26

Indicative job plan The post will consist of 10 programmed activities. The nature and timing of activities shown in the timetable are indicative and the precise nature of the duties will be agreed with the successful candidate at a job planning meeting with the Clinical Director. Timetables may be adapted in future to meet the changing needs of the service but any changes would be subject to discussion and job planning.

Indicative Job plan timetable

AM PM Ward Clinic Monday (Woodland View) (Kilbirnie) Clinic DCC/ Tuesday (Beith/Dalry) Home visits Ward round Wednesday CMHT clinical meeting (Woodland View) Administration Thursday Teaching/SPA DCC Clinic Ward (Woodland View)/ Friday (Largs/West Kilbride) Clinic (West Kilbride) monthly

Proposed Weekly Programme The proposed weekly programme is shown above. Activities with current fixed time commitments will be carried out as detailed in the work programme e.g. clinics, CMHT clinical meetings and on-call, with flexibility as required.

CMHT work might include medical support to the crisis team, urgent individual or joint assessments, home visits, clinic appointments, mental health act work, CPA or AWI work dependent upon the needs of the service.

Other DCC and SPA activities are shown with indicative timings within the weekly programme and will be discussed with the appointee.

The agreed job plan will include all the consultant’s professional duties and commitments including agreed Supporting Professional Activity.

Opportunities may exist for Extra Programmed Activities to be undertaken subject to service requirements and in accordance with national terms and conditions of service.

Notes on the Programme Patient Administration This activity covers the management of individual patients including outpatient administration, results reporting, letters/phone calls to patients, carers, GPs and

members of the wider multidisciplinary team involved in patient care as well as medico-legal documents.

Travel Any travel allocation will be included within the Total Programmed Activities and will be determined by location at which Direct Clinical Care and Supporting Professional Activities are carried out.

On call arrangements The postholder will be part of the current rota. This rota is ~1 in 26. The availability supplement is level 1 (currently 3%).

Supporting Professional Activities and Job Plan Review NHS Ayrshire and Arran recognise the important role Job Planning has in ensuring consultants are supported in delivering high quality, safe, sustainable clinical care to patients. It is therefore important to ensure there is an adequate balance between direct clinical care activities and those activities which support both the personal and professional development of the consultant workforce and facilitates agreed contribution to activities including:  Under- and post-graduate teaching/training  Clinical Governance  Quality and Patient Safety  Research and Innovation  Service management and planning  Work with professional bodies

All consultants will have 1 SPA as a minimum to support job planning, appraisal and revalidation. However, the final balance of SPA and DCC activity will be agreed between the appointee and clinical manager prior to contracts being agreed.

There may be a requirement to vary the DCC outlined in the indicative timetable when the final balance of DCC and SPA is subsequently agreed. There may also be opportunities to contract for Extra Programmed activities Opportunities subject to service requirements and in accordance with national terms and conditions of service.

If the post-holder will be responsible for the formal training and supervision of post- graduates and under-graduates, a suitable additional allocation of SPA time will be made in accordance with national guidance.

Job Plan Review New appointees will have an interim Job Plan review conducted at 3 months post commencement to review the balance previously agreed. The agreed job plan will include all the consultant’s professional duties and commitments, including agreed Supporting Professional Activities. Thereafter Job Planning will be carried out annually as part of the Boards Job Planning process.

Research: Research is encouraged and supported by an active Research and Development Committee. The appointee will be encouraged to develop research interests associated with their specialist interest.

PERSON SPECIFICATION

NHS Ayrshire & Arran

Consultant Psychiatrist General Adult Psychiatry

Attributes Essential Desirable Qualifications MRCPsych qualification (or Additional Higher Degree or and training equivalent) qualification

Full Registration with the GMC and a licence to practice

Completion of Higher Training in General Adult Psychiatry and inclusion on the GMC Specialist Register or within six months of CCT or CESR (General Adult Psychiatry) at interview

Eligible for (or in receipt of) approval under Section 22 of the Mental Health (Care and Treatment) (Scotland) Act 2003

Personal Full Driving Licence characteristics and other General Broad experience and Experience knowledge in the field of psychiatry

Ability to communicate effectively with all levels of staff and patients

Ability to work efficiently with good time management

IT literacy

Good record keeping skills

Team Working Commitment to being an effective team player, establishing and maintaining

patient-centred collaborative relationships

Ability to recognise value of and develop working relationships with partnership agencies

Willingness to contribute to development and clinical leadership of the multidisciplinary partnership

CPD Evidence of relevant Continuing Professional Development

Teaching and Engagement with teaching and Interest in and knowledge of Training training advances in medical education and training

Research and Evidence of publications in publications peer reviewed journals

Clinical Audit Participation in regular medical audit

Management Proven organisational skills and Administration Personal and Flexibility to meet the changing Interpersonal needs of the service Skills Effective communicator and negotiator

Open and non-confrontational

Professional Committed to practicing values and according to the GMC’s Good practice Medical Practice, and the RCPsych’s Good Psychiatric Practice

TERMS AND CONDITIONS OF SERVICE

NHS Ayrshire & Arran

Consultant Psychiatrist General Adult Psychiatry

Type of contract Permanent

Grade and salary Consultant: £80,653 to £107,170 per annum (GBP) New Entrants to the NHS will normally commence on the minimum point of the salary scale, (dependent on qualifications and experience). Salary is paid monthly by Bank Credit Transfer.

Hours of duty 40 hours per week (10 sessions per week)