NHS Tayside
CONSULTANT PSYCHIATRIST Child and Adolescent psychiatry
VACANCY
Consultant in Child and Adolescent Psychiatry 40 hours per week Centre for Child Health, Dundee £80,653 (GBP) to £107,170 (GBP) per annum Tenure: Permanent
NHS Tayside is seeking a consultant within the Child and Adolescent Mental Health Services (CAMHS) Outpatient services in NHS Tayside. Applicants wishing to work part-time will be considered.
The CAMHS service is a dynamic, forward-looking service with strong links to the University of Dundee, with an active interest in teaching and research. The clinical service has undergone considerable redesign in the past few years and now has a comprehensive range of integrated services with an experienced and highly motivated workforce. Multi-disciplinary teams have a strong commitment to evidence based practice and to teaching and training.
There are a range of outpatient services provided including an Intensive Outreach Tier 4 Service and a 12 bed Adolescent Inpatient Unit. Outpatient services are currently delivered from two outpatient bases, one in Dundee and one in Perth. Strong links are maintained with the 3 local authorities, the voluntary sector and Adult Mental Health Services.
You will provide psychiatric input for multidisciplinary CAMHS in Tayside which provides a service for children up to age 16 yrs and beyond up to age 18 yrs if on a school roll.
Applicants must have full GMC registration, a licence to practise and be eligible for inclusion in the GMC Specialist Register. Those trained in the UK should have evidence of higher specialist training leading to a CCT in Child and Adolescent Psychiatry or eligibility for specialist registration (CESR) or be within 6 months of confirmed entry from the date 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 IPCU Intensive Psychiatric Care Unit
JOB DESCRIPTION
NHS Tayside
Consultant Psychiatrist Consultant in Child and Adolescent Psychiatry
Background Applications are invited for a replacement consultant psychiatrists for the outpatient Tayside CAMH Service. Applications for part time working will be considered. Clinical responsibility will be within the CAMHS outpatient service. Based at St Leonards Bank outpatient clinic, Perth, there is an expectation that consultants work across Tayside in line with service need.
Tayside CAMHS is based across 2 sites. The Centre for Child Health, Dundee, provides a service to Angus and Dundee localities and St Leonards Bank, Perth, provides a service to Perth locality. There are also a number of satellite clinics in Angus. The service is part of the Women and Child Health Clinical Group within the Medicine Directorate of NHS Tayside, although NHS Tayside is currently undergoing a service redesign in management structures. There is currently a Children’s Collaborative with the aim of delivering the Tayside Children’s Plan working collaboratively across the 3 local authorities, NHS Tayside and other stakeholders.
NHS Tayside serves a population of 415,040 with approximately 19% of our total population under the age of 18 years. Tayside CAMHS provides mental health assessment and treatment services for children and young people up to the time they leave school or are 18 years of age.
Tayside offers a superb quality of life. The beautiful River Tay, its estuary, the coasts and beaches of Angus and Fife and nearby hills and mountains of Angus and Perthshire offer a broad range of outdoor activities and sports. Golfers are particularly well served with St. Andrews and Carnoustie within half an hour's drive. Hillwalkers, skiers and fishermen fair equally well. There is a good range of relatively inexpensive housing in Tayside.
Dundee is the principal city in Tayside, with a population of around 148,000 and is situated on the north bank of the River Tay. The cultural development of the Victoria and Albert Museum, waterfront development, thriving restaurants, shopping and student scent-e make Dundee a thriving city. It is conveniently near the three other large cities in Scotland - Edinburgh, Glasgow and Aberdeen, none more than an hour and a half away by road or rail, and London is just six hours away by Intercity rail link and less than two hours by air. Perth, known as “the Fair City,” is located at the very heart of Scotland. Perth’s status as former capital of Scotland has given it a wealth of historical associations and a centuries-old tradition of welcoming visitors. It is the regional centre for the predominantly rural county of Perthshire and Kinross. The population is increasing, and several international companies have their headquarters in Perth.
Between Dundee and Perth there is a flourishing professional repertory theatre and regular visits by the Royal Scottish National Orchestra adding an extra dimension to what is an active local musical scene.
The post Job title Consultant Child and Adolescent Psychiatrist
Full time 10 programmed activities. The post holders will share CAMHS daytime (9-5pm) on call/unplanned care cover with the other 4 out-patient consultants. There is a requirement for cross-cover of leave between CAMHS consultants for planned leave and other leave on a short-term basis.
Base Outpatient clinical work will be conducted within Centre for Child Health CAMHS clinic and at other sites within Tayside as needed.
Duties of the Post Clinical The main duties associated with these posts will be to provide clinical psychiatric leadership to the multidisciplinary team along with direct assessment and clinical care for children and adolescents with moderate to severe psychiatric disorders. The outpatient teams currently provide services for children and young people up to age 18 years of age if still on a school roll.
Duties will include direct clinical work with an appropriate caseload, consultation with other agencies, supervision of staff (this will include junior medical staff and may also include nurses, both trained and training clinical psychologists, occupational therapists and other associated medical specialists), attending team meetings and taking part in the planning of service delivery.
The precise job plan for the new post holder, depending on training, experience and interests will be influenced by wider service developments. Out of hours general psychiatry services provide care for emergency psychiatric presentations out of hours. Consultant on call is supported by cover from ST 1-3 doctors and ST 4-6 doctors providing second on call cover for psychiatry in Tayside.
Teaching and Training CAMHS Tayside is a training service with commitments to undergraduate (medical students and other multidisciplinary staff teaching/training) teaching and postgraduate teaching and training. There are Foundation training, core psychiatry training and higher speciality child and adolescent psychiatry training placements for which consultants deliver educational and clinical supervision. There are close links with paediatrics and delivery of teaching and training for paediatric staff. The higher specialty child and adolescent training is part of a national training programme across Scotland.
Research The service has links with the University of Dundee, Section of Psychiatry.
Clinical Governance There is an active Clinical Governance Working Group within the service and all members of staff are encouraged to undertake and/or supervise audit. The post- holder would be expected to be involved in audit and service improvement activities.
Continuing Professional Development NHS Tayside is committed to supporting Continuing Professional Development and all consultants are expected to have a Personal Development Plan developed within a peer group system. There is a senior medical staff CPD programme which the postholder would be expected to participate in. The postholder would be expected to complete mandatory NHS Tayside training such as child protection training.
Job Plan The job plan will be agreed with the successful candidate and Clinical Lead for CAMHS and approved by the Associate Medical Director.
These are 10 Programmed Activities post. SPA time is subject to negotiation and job plan reviews with the clinical lead and clinical director. However, once the candidates has been appointed more SPA time will be agreed for activities such as undergraduate and postgraduate medical training, audit, service development, management or research which takes place outside direct clinical care. These activities must be specifically and clearly identified, agreed with the candidate and desired by the department.
AM PM SPA work - teaching, training, Outpatient clinic service development as agreed at (Centre for Child Health or other Monday job planning clinical site in Tayside) (Centre for Child Health or other clinical site in Tayside) Clinical admin Outpatient clinical Tuesday (Centre for Child Health or other (Centre for Child Health or other clinical site in Tayside) clinical site in Tayside) Team meeting and staff SPA – CAMHS teaching/ supervision medical staff meeting/CPD Wednesday (Centre for Child Health or other (Centre for Child Health or other clinical site in Tayside) clinical site in Tayside) Outpatient clinic Outpatient clinic Thursday (Centre for Child Health or other (Centre for Child Health or other clinical site in Tayside) clinical site in Tayside) Outpatient clinic Clinical admin Friday (Centre for Child Health or other (Centre for Child Health or other clinical site in Tayside) clinical site in Tayside)
Appropriate secretarial time and office space is available to support this post and the associated multidisciplinary clinical team. Secretarial support will come from the relevant locality teams, and there will also be an identified secretary to assist the post holder with non-clinical administrative tasks.
The Psychology Service Outpatient Services Tayside CAMHS comprises 3 locality teams covering – Angus, Perth and Dundee, and currently operates out of two main clinic bases, one in Perth and one in Dundee covering Dundee and Angus.
The Centre for Child Health is a modern purpose-built clinic shared with Speech & Language Therapy and provides office and clinic space within a park setting, catering mainly for CAMHS patients from Dundee and Angus.
CAMHS in Perth is based in St Leonard’s Bank, and provides services for patients from Perth & Kinross. It is situated next to the South Inch Park in Perth city centre. There are currently no fixed out-patient clinical services based in Angus. However discussions are ongoing to facilitate the delivery of clinical services in Angus.
The Locality Outpatient teams Locality teams see patients with a range of emotional and developmental mental health presentations including mood or anxiety disorders, deliberate self-harm presentations, post traumatic stress disorder, psychosis, eating disorders, attention deficit/hyperactivity disorder, moderate to severe learning disability with associated mental health co-morbidity, autism spectrum disorder and Tourette’s syndrome.
Locality teams work across a variety of therapeutic modalities and have staff trained to a high level in psychopharmacology, Systemic Practice, Cognitive Behavioural Therapy and Behavioural Therapy.
Pan-Tayside CAMHS include the CAMHS Response Team nurses providing assessment and management for unscheduled care needs of children and young people not already known to CAMHS such as self-harm and other psychiatric emergencies. The Tayside-wide CAMHS Eating Disorders multidisciplinary team provides care for children/young people requiring specific treatment for eating disorders, which is mainly delivered in the Centre for Child Health.
Young People’s Unit (YPU) The regional inpatient unit for adolescents aged 12 and up currently operates 12 beds. It is conveniently situated on the same campus as the Centre for Child Health. The YPU delivers inpatient care to children and young people coming from across the North of Scotland. It is operationally managed by NHS Tayside but delivers care on behalf of the North of Scotland Planning Group (NoSPG). There are good links between Tayside outpatient CAMHS with, for example, shared managerial, clinical governance, CPD and training structures.
Tayside has a population of approximately 415,040 of whom 19% are under age 18 years. The current consultant complement is 3.9 WTE (increasing to 6.9 WTE when all new staff are in post) clinical posts. We also have 0.8 WTE Associate Specialist paediatric and 1.6 WTE Specialty doctors paediatric staff providing care for the neurodevelopmental CAMHS. The locality outpatient CAMHS teams are tier 3/4 services that see children with a broad range of emotion and behaviour difficulties including anxiety disorders, mood disorders, eating disorders, psychosis, post- traumatic disorders, adjustment difficulties, attention deficit hyperactivity disorder,
autistic spectrum disorder, Tourette’s Disorder, and moderately and severely learning disabled children with psychiatric comorbidity.
Tayside outpatient CAMHS has 14.7 WTE psychologists/psychological therapists and 35 WTE nursing staff. CAMHS outpatient staff are managed by a local service team within Women, Children and Young People’s Care Division within the NHS Tayside Delivery Unit structure. The Lead Clinician for Tayside CAMHS manages the medical staff in CAMHS and along with the outpatient CAMHS service manager, Head of Nursing and Lead Psychologist for CAMHS, has day-to-day managerial responsibility for the service. The Lead Clinician for CAMHS Tayside CAMHS reports to the Clinical Director and Associate Medical Director for Children and Young People. The Associate Medical director for Women, Children and Young People links with the Associate Medical Director for Mental Health to ensure effective delivery of mental health services across the age range. There is support from Finance, Human Resources, Administrative & Clerical Management Services and Pharmacy to the Children and Young People’s Care Division.
The Women and Children’s Care Division includes acute and community paediatric services in Tayside. Acute paediatric services are based primarily at Ninewells Hospital although outpatient clinics are delivered across Tayside. Community Services serve all 3 local authority areas in Tayside and operate from sites in Perth, Angus and Dundee.
The 3 local authorities of Angus, Dundee City and Perth & Kinross operate statutory social work and education services. There are residential social work services for young people in all 3 areas. And there are a number of independent schools throughout Tayside providing a variety of educational placements. Adult mental health services are delivered and managed mainly through Health and Social Care Partnerships with the 3 local authorities with close links between CAMHS through the Scottish Deanery, joint links with the University of Dundee with regards to undergraduate medical curriculum and postgraduate core and higher psychiatry training programmes. There are joint psychiatry CPD events and training across Tayside.
Medical Staff Consultants o Dr Abdulkareem Carlyle Angus Locality Consultant o Dr J. Graham Dundee Locality Consultant o Dr Joy Olver Dundee Locality Tayside-wide Eating Disorders Consultant o Dr Janet Dance Perth Team Locality Consultant o Vacancy Perth Team Locality Consultant o Dr Pablo Ronzoni Young People’s Unit CAMHS North of Scotland Network Consultant North of Scotland regional Clinical Lead CAMHS Systems Convenor for Psychiatric Undergraduate Medical Education, University of Dundee
o Dr Laura Sutherland Young People’s Unit
Associate Specialist Developmental Paediatrician o Dr. M. Basha Dundee/ Angus Locality Team
Speciality Doctor /Developmental Paediatrics o Dr Anne Wylie Perth Locality Team o Dr Graeme Adamson Angus/Dundee Locality Team o Dr Catriona Morrison Perth Locality Team
Specialist Registrars/Specialty Trainees o ST6 Dr Gemma Watt Young People’s Unit o ST4 Dr Shaheela Islam Perth Locality Team
Administrative & Clerical Staff Locality Team Secretaries 6 WTE Clinical Team Secretaries Management Team 1 WTE Management Secretary Young People’s Unit 1 WTE Clinical Team Secretary 1 WTE Receptionist based at the Centre for Child Heath 1 WTE Senior Clerical Officer (Medical Records) based at the Centre for Child Health
Clinical Support Workers 2 WTE Clinical Assistants o Dundee Locality Team 1 WTE o Perth Locality Team 1 WTE
The University of Dundee The medical school was originally part of the University of St. Andrews, but became the Faculty of Medicine of the University of Dundee when the latter received its Charter in 1967. The present annual intake of medical students is 150 and the total number of students at the University is 11,000. The University is also a centre for medical education and research.
The University of Dundee enjoys an international reputation for research excellence in the Biomedical Sciences. Excellent opportunities exist for the conduct of clinical research, including structural and functional neuroimaging, within the Clinical Research Centre at Ninewells Hospital in Dundee. The University has an excellent track record for child and adolescent psychiatry research.
The Section makes major contributions to the delivery of the Dundee undergraduate medical and life sciences curricula (medicine was rated "excellent" in the most recent Teaching Quality Assessment). NHS consultant medical colleagues are offered honorary academic appointments as Senior Clinical Tutors in Psychiatry. Honorary status as a Clinical Senior Lecturer may be conferred at the discretion of the Dean. Further details of Departmental activities and contact details can be found at http://www.dundee.ac.uk/medschool/medsci/neuroscience/clinical-behaviour.
Responsibility for Records Management All records created in the course of the business of NHS Tayside are corporate records and are public records under the terms of the Public Records (Scotland) Act 1937. This includes email messages and other electronic records. It is your responsibility to ensure that you keep appropriate records of your work in NHS Tayside and manage those records in keeping with the NHS Tayside Records Management Policy and with any guidance produced by NHS Tayside specific to your employment.
PERSON SPECIFICATION
NHS Tayside
Consultant Psychiatrist Consultant in Child and Adolescent Psychiatry
Attributes Essential Desirable MRCPsych qualification (or Appropriate experience working equivalent) with the Adults with Incapacity Act. Full Registration with the GMC and a licence to practice
Completion of Higher Training in Child and Adolescent Education Psychiatry and inclusion on the and GMC Specialist Register or qualifications within six months of CCT or CESR (Child and Adolescent Psychiatry) at interview
Eligible for (or in receipt of) approval under Section 22 of the Mental Health (Care and Treatment) (Scotland) Act 2003
Experience Minimum of 3 years higher training in Child and Adolescent Psychiatry
Evidence of good multidisciplinary team working
Knowledge and experience of working with education, social work and youth justice systems
Child protection training
Good communication skills
Advanced Broad knowledge of Specialist training in one or clinical psychiatric disorders in more psychological treatment training and childhood and their modalities an advantage. experience management
Specialist experience in the
assessment and management of developmental disorders in children and adolescents.
Specialist experience managing complex cases and risk assessment
Experience of use to Mental Health Act legislation (in Scotland or equivalent)
Research & Research experience and audit publications
Management Basic management experience to provide consultant level leadership to multidisciplinary clinical team
TERMS AND CONDITIONS OF SERVICE
NHS Tayside
Consultant Psychiatrist Consultant in Child and Adolescent 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)
Superannualtion Scheme Membership of the NHS Superannuation Scheme is not compulsory, but all medical and dental staff are entitled to choose if they wish to join the scheme. Until such time as a positive option not to join the scheme is expressed, a member of staff will be regarded as a member of the scheme from the first day of service. This will not affect any individual right to make alternative arrangements. Initially the employment covered in this contract will be contracted out of the State Pension Scheme.