Job Supporting Document This Will Open in a New Window

TH ROYAL COLLEGE APPROVED BY ROYAL COLLEGE OF PSYCHIATRISTS – 18 JUNE 2020 (VALID FOR 2 YEARS) APPROVAL:

JOB TITLE: Consultant Psychiatrist - Home Treatment Crisis Response Service

DEPARTMENT: Mental Health & Disability

BASE/LOCATION: All posts are appointed to the Southern Health and Social Care Trust. The base for this post will be Armagh Community Hospital however the post holder may be required to work on any site within the Southern Health and Social Care Trust.

REPORTS TO: Dr P McMahon – Associate Medical Director for Mental Health & Disability

ACCOUNTABLE TO: Director of Mental Health & Disability Services

SUMMARY OF POST:  This replacement post will participate in a 1:20 on-call rota. Current pay supplement is 3%.  This is a permanent post.  This post will attract a salary of £82,500 - £111,230 per annum.  This is a full-time position, however anyone interested in working part-time / job share is also welcome to apply.  This post will work alongside a team of dedicated multi-disciplinary staff and a close knit team of Consultant Psychiatrists.  Annual leave will be 32 days per annum initially rising to 34 days after 7 years’ seniority, plus 10 statutory and public holidays.  The post also has an attractive study leave entitlement of up to 30 days paid leave with expenses in any period of three years.  A relocation package may also be available if appropriate.  The Southern Trust has established a dedicated revalidation support team which ensures all doctors have an annual appraisal with a trained appraiser and supports all doctors through the revalidation process. The Trust has also appointed corporate, Consultant and SAS Leads for appraisal and revalidation.  The Trust supports the requirements for continuing professional development (CPD) as laid down by the GMC and is committed to providing time and financial support for these activities.  The post will attract all the terms and conditions and employment benefits associated with an NHS post e.g. NHS indemnity; access to NHS pension scheme and many additional benefits such as child care vouchers etc.

THE SOUTHERN TRUST: The Southern Trust is one of the largest employers in Northern Ireland and Craigavon Area and Daisy Hill hospitals form the Southern Trust Acute Hospital Network – employing 13,612 staff and serving a population of over 383,000. Each year in our hospital network there are approximately 58,000 inpatient admissions; 37,000 day cases; 363,000 outpatient appointments; 139,000 Emergency Department attendances; and over 5,500 births. Statistics updated in 2019/20.

The Southern Trust provides integrated hospital, community and primary care services to the areas of Armagh, Banbridge, Craigavon, Dungannon, South Tyrone, Newry and Mourne, across the southern part of Northern Ireland.

General acute inpatient hospital services are located in Craigavon Area and Daisy Hill Hospitals and acute Mental Health and Learning Disability inpatient hospital services are located in the Bluestone Unit, also based on the Craigavon Area Hospital site. Working in collaboration with GP’s and other agencies, Trust staff provide locally based health and social care services in Trust premises, peoples own homes and in the community.

As part of our medical workforce you will be one of the key leaders and role models in our team of outstanding individuals. Our doctors play a vital role in the care and treatment of our patients and in return you can expect to receive a positive experience and an environment that treats you as a valued member of the Trust that will support you and your professional development. But don’t just take our word for it – listen to the comments of a few of our European doctors who have chosen to relocate from their home country and make a career with the Southern Trust: Doctor 1 Doctor 2 Doctor 3

The Southern Trust’s acute hospital network was reaffirmed in 2016 as one of the UK’s Top Hospitals for the fifth consecutive year. The national CHKS Top 40 Hospitals programme recognises acute sector organisations for their achievements in healthcare quality, improvement and performance. The Top Hospitals award is based on the evaluation of over 20 key performance indicators covering safety, clinical effectiveness, health outcomes, efficiency, patient experience and quality of care. As well as being placed in the Top 40 Hospitals, the Southern Trust was shortlisted for the first time ever for the CHKS National Data Quality Improvement Award. Our vision is to 'to deliver safe, high quality health and social care services, respecting the dignity and individuality of all who use them'.

WHY SHOULD YOU WORK FOR US? The Southern Trust was the first Trust in Northern Ireland to invest and implement in a fully electronic job planning system which is available for all permanent consultant and SAS doctors. This makes it much easier for doctors to maintain an up to date job plan to ensure they are paid correctly and to support the revalidation and appraisal process. Doctors in longer term temporary posts may also be able to use this system. As well as Corporate and Departmental Induction each new permanent medical employee will have an opportunity to have an informal meeting with the Medical Director at the end of month three / four of commencement with the Trust during which time they can explore the option of job shadowing a non-clinical manager within their speciality for a morning / afternoon. This will be facilitated via the relevant Associate Medical Director. There is also a fully embedded revalidation and appraisal process which supports all doctors with all of their appraisal and revalidation requirements. Opportunities also exist for doctors to avail of the Trust medical mentoring scheme.

SOME RECENT KEY ACHIEVEMENTS A Day in the life of the SHSCT - YouTube

Simulation Training - the first ever Simulation based training in Northern Ireland took place in the Southern Trust Simulation DHH - YouTube

Work of Specialist Cardiology Registrars Published! https://southerntrust.hscni.net/work-of-specialist-cardiology-registrars-published/

Acute Care at Home Contributing to Major Research

Southern Trust Teams shortlisted for National Awards

National Recognition for Rheumatology

Mental Health Team Shortlisted for UK Award

THE MENTAL HEALTH AND DISABILITY DIRECTORATE The Directorate is managed by a Director and two Assistant Directors. The management team is supported by an Associate Medical Director and two Clinical Directors.

The Mental Health Division of the Directorate underwent major service reconfiguration over 10 years ago merging four legacy trusts. All acute in-patient services have been amalgamated onto the Bluestone site including PICU, functional old age admissions, general adult admissions and the Intellectual disability assessment unit. Teams are aligned with General Practitioner practices providing a sector-based service with Support and Recovery consultants having responsibility for all inpatients and outpatients in that sector, with the support of the inpatient and Community Mental Health Teams. Some of the other consultant post are more Primary Care facing. The sector-based approach also applies in Psychiatry of Old Age, but 1 of the four post sits outside that and provides all the consultant input to patients admitted to the functionally mentally ill elderly ward at the Psychiatric Unit, Bluestone.

The Consultant posts in the Directorate at present are as follows:

 Primary Mental Health Care - facing – approx. 2.5 WTE  Support and Recovery / Inpatient Care – approx. 7.8 WTE  Liaison Psychiatry – 2.0 WTE  Home Treatment – 2.0 WTE (this advertisement is to replace one post vacated through retirement and add an additional post to enhance medical input to 3.0 WTE)  Rehabilitation and PICU – 1.0 WTE  Addictions – 1.0 WTE  Eating Disorders and Psychotherapy – 1.0 WTE

 Psychiatry of Old Age – 4.0 WTE  Forensic Psychiatry – 1.0 WTE (includes 0.5 WTE in Shannon Clinic, Belfast Trust)  Learning Disability – 5.0 WTE

MENTAL HEALTH FACILITIES Bluestone Unit – a 74 bedded unit for acute inpatient care on the Craigavon Hospital site. The new build on the site also houses PICU (Rosebrook) and the Learning Disability Treatment and Assessment Unit (Dorsy).

St Luke’s Hospital – still retains beds for the dementia services for the Trust and provides the base for the Forensic Team and the Addictions Service. The Primary Mental Health Care Team and the Home Treatment Team are based at Armagh Community Hospital, Trasna House and Daisy Hill Hospital.

Mental Health Resource Centres operate in Craigavon, Dungannon and Newry.

Community Team bases in Armagh, Dungannon, Lurgan and Newry.

ADULT MENTAL HEALTH SERVICES There are currently three arms to the service; Primary Mental Health Care, Acute Mental Health Care and Support and Recovery, they work across three geographical areas, Craigavon and Banbridge, Newry and Mourne and Armagh and Dungannon. Allied to this are teams for Eating Disorders, Addictions, Forensic Psychiatry and Liaison Psychiatry.

PRIMARY MENTAL HEALTH CARE This service is based on the principles of the stepped care model, providing specialist mental health input to tier two/ three.

THE ADDICTION SERVICE The Addiction Service is a Trust wide service which is based in St Luke’s Hospital site and provides community based clinics in 9 different locations across the Trust. It also provides enhanced community support and liaises with the inpatient facilities based in Downpatrick and Enniskillen, for this catchment area, to facilitate stepdown and step up of patients.

INPATIENT SERVICE The Bluestone Unit is a purpose-built unit on the Craigavon Area Hospital site. It is located adjacent to the PICU. There are 3 Acute General Adult wards each with 18 beds. We have 2/3 consultants feeding into each ward, with cross cover provided each day so that clinical decision making occurs daily. Willows ward has 20 beds and provides acute admission beds for functional psychiatry of old age patients. On site there is also a 10 bedded PICU, Rosebrook, and the Intellectual Disability acute admissions ward, Dorsy.

SUPPORT AND RECOVERY TEAM S&R consultants provide clinical leadership to the Support and Recovery Teams in the Trust. Patients are allocated by GP practice and relate to the CMHT in that area. The CMHT is multi-professional and led by a Team Leader. The teams have a tiered approach to patient care with the most complex patients seeing the most senior staff and less complex patients being managed through an agreed shared-care arrangement with the patients GP.

LIAISON TEAM The Mental Health Liaison team provides a daily assessment service to the Emergency departments in Craigavon Area and Daisy Hill hospitals and responds to referrals from the medical, surgical and maternity wards. The team also cover Lurgan and South Tyrone Sub-acute Hospitals. The team integrated three existing teams, general adult liaison, memory liaison and addiction liaison services in February 2019. The team assesses and/ or advise on all over 18 year olds presenting with mental health symptoms regardless of cause, working alongside CAMHS services and Intellectual disability services who also input into the acute hospitals for their client base.

HOME TREATMENT CRISIS RESPONSE SERVICE The service provides acute psychiatric treatment to all patients from 17 and 9 months residing in the Southern Trust catchment. The aim is to provide an alternative to hospital admission for those unwell enough to be at the point of admission to an acute mental health unit. The service also covers crisis presentations with advice from the consultant as needed. The teams work across 24 hours per day and from 9pm night staff also cover referrals from the emergency departments of Craigavon area hospital and Daisy Hill hospital. Telephone advice to this extended service is through the on call consultant/ 2nd tier rota..

There are 3 teams based on the old legacy Trust catchment areas, Armagh and Dungannon, Newry and Mourne and Craigavon and Banbridge. The 3 three teams are currently covered by input from 2 consultant posts, with 1 consultant covering the Armagh and Dungannon area and part of the Craigavon and Banbridge area and the other consultant post covering the rest of Craigavon and Bainbridge and the Newry and Mourne areas. It is anticipated that 3 WTE consultants will cover one of these catchments each. There are 3 team leaders and a service co-ordinator. There is usually a higher and core psychiatry trainee doctor who allocated to the service and they span the three area..

PRINCIPLE DUTIES/ RESPONSIBILITIES The post holder will be expected to:

 Develop a close working relationship with the general practitioners in the area.  Work with consultants in the mental health directorate and their teams to ensure appropriate management of patients in the least restrictive environment and best suited to their needs.  To work with inpatient services to ensure patient flow through acute services and discuss early discharge of patients to HTCR team with consultants at an early stage after admission.  Work closely with Home Treatment Crisis Response teams to ensure optimal care for patients, being mindful of appropriate risk management.  Assess and treat patients as a member of the multidisciplinary team in keeping with the principles of ‘New Ways of Working’.  Provide professional leadership including clinical supervision to the medical team and to provide clinical leadership to the HTCRT MDT  Develop a close working relationship with colleagues in the acute hospital and participate in regular interface meetings.  Ensure effective liaison occurs between mental health services both community and hospital based, acute hospital colleagues, and also with other agencies in the voluntary and statutory sectors as appropriate  To assist with the further development of training and education for trust staff across a range of directorates.

Professional Responsibilities  The post holder will be expected to be approved as a Responsible Medical Officer under Part II of the mental health order 1986 or be willing to undertake training to obtain this.  To maintain professional standards and obligations as set out by the General Medical Council and comply in particular with the GMC’s guidance on Good Medical Practice as amended or substituted from time to time.  Participate in clinical governance, clinical audit/research, medical advisory committees and other committees as may be necessary.  Engagement in medical audit and utilise service statistics in order to develop and further evolve his/her sessions.  Carry out any work related to and reasonably incidental to the duties set out in the job plan or rota including keeping of records and the provision of reports, the proper delegation of tasks and maintaining skills and knowledge.

Other duties will include  Participation in the academic/teaching programme within the Trust for undergraduate and postgraduate medical education and act as clinical supervisor to those junior medical staff allocated to him/her.  Participation in Continuing Professional Development as recommended by the Royal College of Psychiatrists.  Participation in the consultant on-call rota, which will be approximately 1 in 20 covering services throughout the trust, including St Luke’s Hospital, Armagh and Bluestone Unit, CAH attracting a Band A 3% supplement.  Provide cross cover for consultant colleagues on leave.

Management Responsibilities  Provide advice and direction, together with consultant and other colleagues, to the Director of Mental Health and Disability and to other senior managers within the Trust, on the range of services necessary to increase the effectiveness of the support given to primary care.  Relevant administrative duties associated with the care of his/her patients and the running of the service.  To undertake, as required, various management roles in relation to activities of the Trust.  To participate in the education, training and support of the multidisciplinary team.

Teaching and Research Responsibilities  The post holder will be expected to be fully involved in the teaching of undergraduate medical students and the training of junior medical staff within Mental Health and across other relevant specialties.  The post holder will be required to take part in relevant audit activities.  It is hoped that the post holder will carry out research according to their own areas of interest.

SUPPORTING RESOURCES This post is supported by access to a full-time Personal Secretary who is shared with other consultant colleagues.

The successful candidate will have access to IT facilities and there is a newly refurbished Medical Education Centre on the Craigavon Area Hospital site.

SUPERVISION /MANAGEMENT REQUIREMENTS The post holder will be expected to provide clinical supervision for Psychiatric Trainees as well as for the members of the multidisciplinary team.

CONTINUING PROFESSIONAL DEVELOPMENT The Trust supports the requirements for CPD, as laid down by the Royal College and is committed to providing time and financial support for these activities.

REVALIDATION The Trust has the required arrangements in place, as laid down by the Royal College to ensure that all doctors have an annual appraisal with a trained appraiser and supports doctors going through the revalidation process.

PROPOSED JOB PLAN / ROTA PATTERN A provisional job plan is outlined below which illustrates the content, but not necessarily the distribution of the individual fixed sessions. It is indicative only and may be subject to change following discussion with your clinical manager to deliver against service delivery. The job plan does not reflect any ad hoc

activities that may be required and these would be included in the Programmed activities.

HOURS

TIME WORK ACTIVITY LOCATION Total

DCC SPA AHSC

Mon 09.00-13.00 MD Round Armagh/ base 4 8

13.00-17.00 Patient reviews/ admin Armagh/off site 4

09.00-13.00 Joint consultant MD round Armagh 4 8

Tues 13.00-17.00 Patient reviews/ admin Armagh/ off site 4

09.00-13.00 MD Round Armagh 4

13.00-14.00 SPA 1

14.00-16.00 Medical staff/governance 2 8 Wed meetings

16.00-17.30 SPA CAH/ Armagh 1.5

09.00-13.00 MD Round Armagh 4 Patient/ relative 8 13.00-14.30 1.5 Thurs appointments 14.30–17.00 SPA Armagh 2.5 09.00-13.00 4

Catch up round Armagh 8 Fri 13.00-16.00 SPA Bluestone CAH 3 16.30-17.00 Trainee supervision 0.5 TOTAL HOURS 31.5 8 0.5 40 TOTAL PROGRAMMED ACTIVITIES 7.875 2.0 0.125 10

Programmed Activities Number of PA’s/ Sessions Direct Clinical Care 7.875 Supporting Professional Activities 2.0 Additional HSC activities 0.125 On call 0 Total PA’s 10

Emergency Work On-call Rota Frequency: 1 in 20 Agreed Category: Category A (consultants only) On-call % Supplement 3%

TERMS AND CONDITIONS: This post will be contracted in accordance with:

Consultant Terms and Conditions which can be viewed at: CLICK HERE

Your salary scale will be in accordance with the NHS Remuneration for your grade, which can be viewed at: CLICK HERE

If you would like any additional information about this post, for example details of the specialty or existing staff, please contact Dr P McMahon (Associate Medical Director) Mental Health Tel: (028) 38360675 or Dr J Minay (Clinical Director) Tel: (028) 38366794

GENERAL REQUIREMENTS: The post holder will be required to:

1. Ensure the Trust’s policy on equality of opportunity is promoted through his/her own actions and those of any staff for whom he/she has responsibility.

2. Co-operate fully with the implementation of the Trust's Health and Safety arrangements, reporting any accidents/incidents/equipment defects to his/her manager, and maintaining a clean, uncluttered and safe environment for patients/clients, members of the public and staff.

3. The HSC Code of Conduct for Employees sets out the standards of conduct expected of all staff in the Southern Health & Social Care Trust and outlines the standards of conduct and behaviours required during and after employment with the Trust. Professional staff are expected to also follow the code of conduct for their own professions.

4. Adhere at all times to all Trust policies including for example:

 Smoke Free policy  IT Security Policy and Code of Conduct

5. Contribute to ensuring the highest standards of environmental cleanliness within your designated area of work.

6. Co-operate fully with regard to Trust policies and procedures relating to infection prevention and control.

7. All employees of the trust are legally responsible for all records held, created or used as part of their business within the Trust including patients/clients, corporate and administrative records whether paper-based or electronic and also including emails. All such records are public records and are accessible to the general public, with limited exception, under the Freedom of

Information act 2000 the Environmental Information Regulations 2004 and the Data Protection Acts 1998. Employees are required to be conversant with the Trusts policy and procedures on records management and to seek advice if in doubt.

8. Take responsibility for his/her own ongoing learning and development, including full participation in KSF Development Reviews/appraisals, in order to maximise his/her potential and continue to meet the demands of the post.

9. Represent the Trust’s commitment to providing the highest possible standard of service to patients/clients and members of the public, by treating all those with whom he/she comes into contact in the course of work, in a pleasant, courteous and respectful manner.

This post may evolve over time and this Job Description will therefore be subject to review in the light of changing circumstances and is not intended to be rigid and inflexible but should be regarded as providing guidelines within which the individual works. Other duties of a similar nature and appropriate to the grade may be assigned from time to time.

It is a standard condition that all Trust staff may be required to serve at any location within the Trust's area, as needs of the service demand.

PERSONNEL SPECIFICATION

JOB TITLE: Consultant Psychiatrist - Home Treatment Crisis Response Service – Armagh Community Hospital

DIRECTORATE: Mental Health & Disability

HOURS: Full-time

SALARY: £82,500 - £111,230 per annum July 2021

Notes to applicants: 1. Your application form: You must clearly demonstrate on your application form how you meet the required criteria – failure to do so may result in you not being shortlisted. You should do this for both essential and desirable criteria requirements. All essential criteria requirements listed below must be met by the stated closing date, unless otherwise stated. 2. Proof of qualifications and/or professional registration will be required if an offer of employment is made – if you are unable to provide this, the offer may be withdrawn.

You MUST demonstrate all necessary shortlisting criteria on the Trust’s standard application form or you may not be shortlisted.

ESSENTIAL CRITERIA – these are criteria all applicants MUST be able to demonstrate either at shortlisting or at interview. Applicants should therefore make it clear on their application form whether or not they meet these criteria. Failure to do so may result in you not being shortlisted. The stage in the process when the criteria will be measured is stated below;

The following are essential criteria which will initially be measured at Shortlisting Stage although may also be further explored during the interview stage;

1. Hold Full registration with the General Medical Council (London) with Licence to Practice; 1

2. Hold a higher professional qualification i.e. MRCPsych or equivalent qualification.

3. Entry on the GMC Specialist Register via:-

 CCT in General Adult Psychiatry OR dual Psychiatry of Old Age & General Adult Psychiatry (proposed CCT date must be within 6 months of interview)  CESR or  European Community Rights

4. Hold a full current driving license valid for use in the UK and have access to a car on appointment.2

1 If successful at interview, applicants will be required to provide proof of their GMC application. Applicants must be registered, with a licence to practice at the time of appointment. 2 This criterion will be waived in the case of a suitable applicant who has a disability which prohibits them from driving but who is able to organise suitable alternative arrangements in order to meet the requirements of the post in full.

The following are essential criteria which will be measured during the interview stage.

1. Knowledge of evidence based approach to clinical care.

2. Understanding of the implication of clinical governance.

3. Have an interest in teaching and research.

4. Ability to lead and engender high standards of care.

5. Ability to develop strategies to meet changing demands.

6. Willingness to work flexibly as part of a team.

7. Good communication and interpersonal skills.

8. Ability to work well within a multidisciplinary team.

9. Ability to effectively train and supervise medical undergraduates and postgraduates.

DESIRABLE CRITERIA – these will only be used where it is necessary to introduce additional job related criteria to ensure files are manageable. Applicants should therefore make it clear on their application form whether or not they meet these criteria. Failure to do so may result in you not being short listed

1. Qualification or higher degree in medical education, clinical research or management.

2. Recognition as a trainer on the GMC register.

3. Post membership experience of unscheduled care in the past 5 years.

4. Sub-specialty experience in Addictions, Psychiatry of Old Age, Neuro Psychiatry or Perinatal Psychiatry.

WE ARE AN EQUAL OPPORTUNITIES EMPLOYER