Specialty Doctor in Forensic Psychiatry Blackberry Hill Hospital 8 Pas
Total Page：16
File Type：pdf, Size：1020Kb
SWS19.028C (v1) SWS19.028S (Final) Specialty Doctor in Forensic Psychiatry Secure Services/Fromeside Medium Secure Unit, Blackberry Hill Hospital 8 PAs Ref: SO761-SS Pending approval on behalf of the Royal College Page 1 of 22 Avon and Wiltshire Mental Health Partnership Trust SWS19.028C (v1) CONTENTS Page 3 1. Introduction to The Post Page 4 2. Service Details Page 6 3. Clinical Duties Page 8 4. Suggested timetable Page 9 5. Remuneration and Benefits Page 12 6. Person Specification Page 13 7. Geography/Attractions in Area Page 14 8. The Local Health Community and Local Services Page 17 9. The Trust Page 22 10. Apply for the post Page 2 of 22 Avon and Wiltshire Mental Health Partnership Trust SWS19.028C (v1) 1. Introduction to the Post Post and specialty: Specialty Doctor in Forensic Psychiatry Base: Fromeside Medium Secure Unit (Wellow and Kennet Ward) Number of programmed activities: 8 PAs per week Accountable professionally to: Medical Director Accountable operationally to: Consultant Psychiatrist Context for the role The post holder will join a complement of 4.5 Specialty Doctors who work across the Secure Services Local Delivery Unit (1 FTE at Wickham and 3.5 FTE at Fromeside). There are also two core trainee posts at Fromeside and Wickham. This is a replacement post due to the post holder leaving. Key working relationships and lines of responsibility Medical Director: Dr Sarah Constantine Deputy Medical Director: Dr Pete Wood Medical Lead: Dr Suchitra Sabarigirivasan Clinical Lead: Dr Theresa Tattan Operational Manager: James Wright Consultant Psychiatrist: Dr Ragini Heeramun and Dr Eleanor Hogarth Responsible Officer: Dr Sarah Constantine Trust SAS Lead: Dr Steve Arnott Page 3 of 22 Avon and Wiltshire Mental Health Partnership Trust SWS19.028C (v1) 2. Service Details Summary of the Post Fromeside provides a forensic medium secure service for patients from the West of England including the CCG areas of Bristol, Bath and North East Somerset, North Somerset, South Gloucestershire, Swindon and Wiltshire. It is based at the Blackberry Hill site along with its sister low secure unit, Wickham Unit. It is funded by NHS England/ New Care Model. All male and female referrals from the West of England for medium and high secure care are assessed by Fromeside, irrespective of whether Fromeside is in a position to offer a bed should admission criteria be met. The Forensic Medium Secure Service provides inpatient services to 81 inpatients at Fromeside, 69 male and 12 female beds. For male inpatients at Fromeside there are seven wards: two acute wards, two rehabilitation wards, one ward for males with complex needs, one ward for males with learning disability and autistic spectrum disorders, and one ward for males with long term needs. The post holder will be allocated a case load of approximately 14 male inpatients, divided between patients on Wellow ward (acute admission ward under Dr Heeramun) with a length of stay of 3-6 months on average, and Kennet ward (long stay rehabilitation ward under Dr Hogarth). There is a strong emphasis on the multidisciplinary approach. Fromeside has undergone a redesign, so there are ward based dedicated multidisciplinary teams who work closely with the nursing staff on the wards. For each ward based team there is a dedicated Consultant Psychiatrist, a dedicated Specialty Doctor or core trainee, and a dedicated Clinical Psychologist and Occupational Therapist. There are 2 social workers who work across the acute cluster and 4 across the rehab cluster. There are also arts psychotherapists, education, sports technicians, OT technicians, and a physiotherapist available by referral. A dentist and dietician attend the service weekly. There are no dedicated community team responsibilities as part of this post although it will be an important interface with low secure and general psychiatry services in order to enable patients to move smoothly and effectively when they leave Fromeside. There are no out-patient clinic responsibilities with this post but could be reviewed to meet the needs of the post holder’s goals and objectives. Support and supervision will be available to conduct access assessments or Court reports if this formed part of the job holder’s objectives. Page 4 of 22 Avon and Wiltshire Mental Health Partnership Trust SWS19.028C (v1) Key local Secure Services staff Clinical Lead Dr Theresa Tattan Service Manager Stefan Jakubowski Modern Matron Steven Hale Modern Matron Jim Kumara Medical Lead Dr Suchitra Sabarigirivasan Consultants The post holder will join a complement of 10 other Consultant Psychiatrists who work across the Secure Services Local delivery Unit (Fromeside and Wickham) as follows: Dr Tim Amos 1 FTE Bradley Brook ward, Fromeside Dr Ragini Heeramun 0.6 FTE Wellow ward, Fromeside Dr Suchitra Sabarigirivasan 1.0 FTE Medical Lead & Ladden ward, Fromeside Dr Rosanne Macgregor-Morris 1.0 FTE Severn ward, Fromeside Dr Eleanor Hogarth 0.6 FTE Kennet ward, Fromeside Dr Victoria Thom 0.7 FTE Teign ward, Fromeside Dr Hannah Toogood 1.0 FTE Cary ward, Fromeside Dr Claire Taylor 0.7 FTE Wickham Dr Liz O’Mahony 0.8 FTE Wickham Dr Theresa Tattan 1.0 FTE Clinical Lead & Kennet ward Sarah Wood 0.5 FTE Consultant Nurse and AC Wickham General Practice There is a General Practice service provided across secure services. Primary care nurses are available for physical healthcare and routine blood screening daily. Two GPs (Dr Laura Hinchcliff and Dr Craig Lintern) attend secure services one afternoon per week each. Prior to every CPA of all the inpatients the primary care team carry out physical healthcare monitoring including physical examinations, blood tests and ECGs. Community Services As a Specialty Doctor you will join the current team of psychiatrists and be expected to provide assessments for both risk assessments and for admission to secure services under the supervision of your Consultant Psychiatrist. Whilst there is a bid process for a Forensic Community Team service, patients are currently discharged back to their host community team. Inpatient Services Fromeside is a 81 bedded Forensic Medium Secure Service, for male and female service users detained under the Mental Health Act 1983, operating in conditions of Medium Security on eight clinically distinct wards. These are: BRADLEY BROOK – High dependency male admissions ward. WELLOW - Acute male admissions ward LADDEN BROOK – Male rehabilitation ward- stepdown from the acute wards SEVERN – Male rehabilitation ward CARY- ward for male inpatients with learning disability and autistic spectrum disorders Page 5 of 22 Avon and Wiltshire Mental Health Partnership Trust SWS19.028C (v1) KENNET- ward for male inpatients with long term needs. TEIGN- ward for female inpatients The Forensic Medium Secure Service works with a client group who experience long-term mental health problems. Therefore the service is structured to offer an extended period of engagement to help individuals maximise their potential, over an average period of two- three years. The service is delivered in accordance with an Integrated Service Model in which service users’ local community teams are encouraged and expected to actively participate throughout the whole care planning process and will be regularly invited and informed through CPA meetings right from the service user’s admission through to discharge. Wickham Low Secure Unit is a 29-bedded facility catering for 29 men. Both Fromeside and Wickham operate under one strategic, clinical and operational management structure. As such there is very close working relationships between the two services – with one overarching governance structure. Secure Services is one of the seven Local Delivery Units which were created in 2013 following a re- organisation of the Trust management structure. One other, SDAS and Specialised, is nationally commissioned, the others are aligned along CCG lines – relating to their particular locality. Population and Demographics In 2016 Bristol had a population of 449,300 making it the largest city in the South West of England and the 7th largest city in England. It is one of England’s eight ‘Core cities’, meaning it is one of the eight largest city economies outside of London. It is the Capital of the South West and also one of the UK’s leading green cities. Bristol has a unique population, which brings with it a diverse range of challenges. Some wards of Bristol are amongst the most deprived in the country. A few are among the most affluent. 16% of Bristol’s population belongs to a Black & Minority Ethnic (BME) group, including a large immigrant Somali population. The Office of National Statistics (ONS) estimate that around 7,500 people per year access NHS specialist mental health services in Bristol. Bristol’s 57,200 older people make up 13% of the total population suggesting 1 in 7 people living in Bristol are aged 65 or over. The city is connected by road from London to Wales by the M4 motorway, and from Birmingham to Exeter by the M5 motorway. There are two principal railway stations in Bristol they are Bristol Parkway and Bristol Temple Meads. The city is also served by its own airport with many European destinations. The city of Bristol is lively yet laid back, mixing its rich maritime heritage with an innovative dynamic culture making it the most interesting outside of London. It has a creative and independent spirit which can be experienced throughout the city, from its colourful street art and huge selection of independent traders, to its very own currency, the Bristol Pound. Bristol is also one of the most family friendly cities in the UK, packed with activities and award-wining attractions such as the Harbourside with Bristol Aquarium, At-Bristol and Brunel’s SS Great Britain. Page 6 of 22 Avon and Wiltshire Mental Health Partnership Trust SWS19.028C (v1) 3. Clinical Duties To support in the diagnosis and treatment of both acute and rehab patients at Fromeside Medium Secure Unit under the care of Dr Ragini Heeramun and Dr Eleanor Hogarth.