Job Description and Person Specification

3 month fixed term Consultant Psychiatrist for Stepney and Wapping Locality Mental Health Service Tower Hamlets

6PAs (0.6 wte) General Adult

General Adult Consultant Psychiatrist in Stepney and Wapping Community Mental Health Team and Tower Hamlets Centre for Post and specialty: Mental Health. This 6PA Consultant post arises as the substantive post holder has taken a period of leave.

Glasshouse Fields Centre, 68 Glasshouse Fields, London E1W Base: 3AB

Contract: Number of programmed activities: 6 PAs

Accountable professionally The post-holder is accountable to the Chief Medical Officer via to: the Clinical Director.

Clinical Director & Borough Director. There is further delegation Accountable operationally to: to an Associate Clinical Director for Community services

Clinical Director: Dr Sarah Dracass Borough Director: Day Njovana Associate Clinical Director : Dr Rahul Bhattacharya

Key working relationships and Medical Director London: Dr David Bridle lines of responsibility: Responsible Officer: Dr Deji Oyebode Chief Operations Officer/ Deputy CEO : Paul Calaminus Chief Medical Officer : Dr Paul Gilluley Chief Executive Officer : Dr Navina Evans

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 Introduction

East London Foundation Trust East London NHS Foundation Trust (ELFT) was originally formed in the year 2000 bringing together three community mental health trusts; Tower Hamlets, Newham, City and Hackney. In 2007, the Trust was authorised to operate as an NHS Foundation Trust under the National Health Service Act 2006. Our latest expansion was into Bedfordshire and Luton, where ELFT is now the provider of mental health, learning disabilities and psychological services.

The Trust also provides Community Health Services, e.g. district nursing and health visiting, in the boroughs of Newham, Tower Hamlets and Bedfordshire, IAPT services in Richmond, Tower Hamlets and Bedfordshire and Luton, a Specialist Mother and Baby Psychiatric Unit based in Hackney, a partnership to provide Court Liaison and Diversion, and Forensic Services across North East London. In addition the Trust provides some specialist mental health services to North London, Hertfordshire and Essex.

Our services operate from 100 community and inpatient sites and we have over 735 general and specialist inpatient beds servicing a population of over 1.5 million. The Trust has an annual budget of £353 million and employs in excess of 5000 staff.

The CQC rated the Trust “Outstanding” in 2016 and 2018. ELFT has been named one of the HSJ Top 10 best places to work in healthcare and the best Mental Health Trust in 2015 and we have been in the top five for staff engagement score in the country according to the national NHS staff survey results every year from 2014 to 2018.

Our ambition is to make a positive difference by providing people with mental and community health care services that support their recovery and help them to achieve the most fulfilling lives possible. Everything we do is driven by our values of care, respect and inclusivity. Our patients’ needs matter most and we are constantly working to improve our support for all who use and have contact with our services. Our extensive research approach, commitment to education and emphasis on quality means we are at the forefront of excellence in mental health care.

London Borough of Tower Hamlets Tower Hamlets is one of London’s smallest boroughs, covering an area of just under 8 square miles, bounded by the River Thames to the south, Hackney and Victoria Park to the north, the City of London to the west and the River Lee to the east. In the Borough, there are extremely deprived inner city areas alongside areas of expensive private development.

The 2011 National Census shows the population of Tower Hamlets to be 254,000, with 41% in the 20- 35 year old age group, and 16% of the population under the age of 20, as such the borough has a higher proportion of young people than most other London boroughs. The borough has the fastest growing population in England and Wales increasing by 26.4% in the last decade. The ethnic breakdown of the population of Tower Hamlets in the 2011 census showed that 69% of the population belongs to a minority ethnic group, 32% is Bangladeshi, 7% Black ethnic groups and the remaining from the other minority ethnic groups. White British comprise 31% of the population and White Other is the third largest group at 14% and comprises of a diverse mix of backgrounds.

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The average Index of Multiple Deprivation score (2010) – which reflects the average level of multiple deprivation across local areas – shows that Tower Hamlets is the 7th most deprived local authority district in England, this is an improvement since 2007 which ranked Tower Hamlets 3rd on this measure. The Isle of Dogs has developed to be a world financial centre at Canary Wharf and Tower Hamlets benefited from the London 2012 Olympic infrastructure and legacy developments.

 General Information about the Post

This fulltime post is community based within a well-developed multidisciplinary teams working in the South West corner of the vibrant borough of Tower Hamlets. There are opportunities to work flexibly and good support from a collegiate consultant body within the Directorate.

The consultant’s caseload is aligned to specific GP practices from the Stepney and Wapping area of Tower Hamlets and if a patient is admitted to our inpatient unit (Tower Hamlets Centre for Mental Health), they are admitted under an inpatient consultant aligned to the locality team. The corner- stone of this model is a strong interface between the inpatient and community consultants in the team and a strong primary-secondary care interface in the locality.

Stepney and Wapping Town Community Mental Health Service is an integrated multidisciplinary service based at a community clinic located in Shadwell at the Glasshouse Fields Centre. The service is divided into 2 sub-teams based around Primary Care Networks and the post-holder will join the current consultants Dr Pandis and Dr Fisher to provide clinical leadership for the team. Inpatient care is located at the Tower Hamlets Centre for Mental Health at Mile End Hospital and Dr Pandis is the inpatient consultant for the Stepney and Wapping area patients. The community service base has good public transport connections.

The Community Mental Health Team is currently aligned around the functions of assessment and brief treatment and longer recovery-focused models of care. We are currently embarking on an exciting NHSE funded opportunity in Tower Hamlets to pioneer new models of delivery of community care including greater partnership working with primary care and voluntary sector organisations as well increased integration to include physical health community care.

The post-holder will assume full consultant responsibilities for their proportion of patients under the care of the CMHT, will provide clinical leadership to that part of the service and is expected to engage in the management and development of the service. They will act as Responsible Clinician when appropriate for patients of the service who are subject to community treatment orders (for the purpose of the Mental Health Act). The post holder will work alongside Consultant colleagues and the CMHT operational manager to develop a shared ethos and understanding for the roles within the team and clarity around clinical pathways of care, as part of the consultant’s clinical leadership role.

The post holder will have regular contact with the GP practices in their patch offering advice and liaison. The post holder will need to maintain strong relationships with partner agencies and primary care colleagues to facilitate a responsive service that can see patients quickly, but also discharge back to primary care, with or without the input of the Enhanced Primary Care mental health team.

3 The CMHT consists of a Multidisciplinary Team led by a team operational manager (seconded from the local authority), 2 senior practitioners, 1 clinical psychologist, 4 Community Mental Health Nurses, 5 integrated Social workers and 1 Occupational Therapist. The Medical staffing consists of 2.5 whole time equivalent Consultants, who are supported by 1 ST4-6, 1 Specialty Doctor, 1 CT 1-3, 1 GPT and an FY2. The post holder will offer cross cover with the other consultant psychiatrists within the team when necessary. The post holder will have the benefit of supervising the ST4-6 trainee and a Core Trainee.

There is management support from the Team’s Operational Manager and Deputy Borough Director who reports jointly to the Borough Director (Day Njovana) and the Clinical Director (Dr Sarah Dracass).

The caseload for this post is dependent on need and service configuration which is adapted regularly based on needs and strategic priorities and currently has a caseload of around 161 patients including 29 on CPA, 1 of which is on CTO, and 132 patients in outpatients/assessment and brief treatment. The overall number of inpatients for this post is expected to be 2-6 at any one time (this is an estimation and at any point in time may vary based on acute need). The GP practices linked to this post normally make 6-8 new referrals a week.

There is a Home Treatment Team to support with alternatives to hospital admission and offer facilitated early discharge from the ward led by the team’s own psychiatrist. There is a well resourced psychiatric liaison team working closely with the local acute hospital covering the Emergency Department. There is also a secondary care Psychotherapy Service covering the entire borough, a specialist Personality Disorder Service, Early Intervention in Psychosis Service and a Perinatal Service. The post holder would be expected to work closely with these services and other services involved in the care of their patients through the patient journey.

 Adult Mental Health Services in Tower Hamlets

Autism Service

This local authority commissioned service provided a time limited assessment and diagnosis which links to an employment organisation. It is not a learning disability service.

Early Intervention in Psychosis Service (THEIS)

This service provides a package of psychosocial interventions to adults experiencing a recent onset psychotic disorder, and is fully compliant with Early Intervention Service guidelines and operates as a consultant-led multidisciplinary team. Continuity of care is provides by up to 6-8 beds in the inpatient unit. There is a hub and spoke model for patients under and over 35yrs of age, providing specialist EIS input to first episode psychosis patients held in the CMHTs for those patients over 35yrs old.

Early Detection Service (THEDS)

THEDS is an innovative service in Tower Hamlets allied to a prevention strategy and a public health and wellbeing agenda. The service also screens for those a High Risk of Developing Psychosis with an intervention programme over a 2 year period.

General Adult CMHTs

4 The generic adult community mental health services within Tower Hamlets are divided into four localities and are based around Primary Care Networks. Each GP practice works with a single adult general consultant psychiatrist and single Community Mental Health Team.

Home Treatment Team

The Home Treatment Team provides rapid assessment and short-term, intensive community support to all aged patients with a severe mental illness as an alternative to inpatient hospital admission. The team acts as the gateway to inpatient care and takes referrals from the Mile End Hospital inpatient unit to facilitate early discharges and from the CMHTs and from the psychiatric emergency and liaison service at the Royal London Hospital. The team provides a responsive service, which is delivered in the community, compatible with clinical need and risks, including offering admission to the Tower Hamlets crisis house thereby improving patient choice.

Inpatient wards

The inpatient wards for Tower Hamlets Mental Health services are at Mile End Hospital. The unit has 97 beds for adults of working age. There are 4 admission wards, two for each gender, and a male and female secure ward (see below). All 4 general Adult Wards have 19 beds and aim to have a less than 85% occupancy level, with the median length of stay of ranging from 14 to 21 days, facilitated by input from the HTT. There is a functional and an organic Older Adult Ward with dedicated consultant leads.

Learning Disabilities Service

The Community Learning Disabilities Service in Tower Hamlets, was previous under Barts Health NHS Trust and since 2016 run by ELFT. There are junior doctors who have training placements in the service. The Service provides Mental Health, Primary Care and Multiple Disabilities care programs, as well as a Social Work. Where appropriate, and with support from the team, patients also access other services provided by the Trust, such as inpatient services at the Tower Hamlets Centre for Mental Health, and the Home Treatment Team.

Mental Health Care for Older People

This service is led by five consultant Older Adult psychiatrists supported by junior medical staff and multidisciplinary in-patient and community teams. Inpatients services for patients with functional and organic illness from Tower Hamlets, Newham and City and Hackney are provided on the Mile End Hospital site. The Tower Hamlets Diagnostic Memory clinic and Community mental health for older people are based at the Robinsons Centre also on the Mile End site. There are additionally 2 Liaison Older Adult psychiatrists based at the RLH in RAID.

Perinatal Service

This service accepts referrals from midwives, GPs and obstetricians of pregnant women who are resident of Tower Hamlets and who are identified as being at risk of perinatal mental illness through factors such as past psychiatric history or family psychiatric history. Such patients are assessed and where appropriate followed up through pregnancy and the puerperium. The service supports the management of women with an established diagnosis of severe mental illness either through providing advice, joint-working or temporarily taking over the care of such patients. In particular, advice regarding medication, risk of self-harm will be provided for patients who are pregnant, are

5 contemplating pregnancy or are considering breast-feeding. The specialist Trust’s mother and baby unit is located at the Homerton Hospital.

Personality Disorder Service

This consists of an outpatient service based at Mile End Hospital led by a consultant psychiatrist in psychotherapy supported by a multidisciplinary team. It provides different treatment programs ranging from 4 months to 2 years and also supports other parts of the service in dealing with personality disorder, through a “hub and spoke” model.

Primary Care Mental Health Service

The CMHT Consultant Psychiatrists work alongside the GPs based on the sector/locality, with Primary Care Psychology and Counselling Service being provided via Tower Hamlets Talking Therapies. The CMHT consultant psychiatrist offer GPs gatekeeping advice for possible referrals and primary care clinics based in the GP sector. The Enhanced Primary Care Service provides a step down for stable patients being discharged back to primary care with support from a Community Psychiatric Nurse for up to two years while the medical responsibility lies with the GP. There is also some provision for step up form GP to the CPN within the primary care service.

Male & Female PICU services and Court Diversion

PICU facilities are provided at the Tower Hamlets Centre for Mental Health in a 14-bed male ward and an 11-bed female ward, each with its own consultant-led multidisciplinary team. The female PICU ward provides PICU provision for 8 patient for the Trust and 3 beds for external funding. The Court Diversion Service is in partnership with ‘Together’ and the Female PICU consultant takes a clinical leadership role in this service.

Psychological Therapies Service

The Psychological Therapies Service (PTS) takes direct referrals from primary care or from the CMHT’s single point of referral and provides expert assessments, individual and group work and longer term input for complex cases. The PTS team consists of a MDT led by the team operational manager and a 0.5 wte consultant psychotherapy psychiatrist.

 Other Tower Hamlets Mental Health Services

Addiction Service

This service is provided by CGL and called Reset. Dual diagnosis patients are managed in partnership with Reset.

Forensic Services

The service in forensic psychiatry for East London is based at the John Howard Centre, Hackney. A full range of medium secure and medium secure longer stay beds are in place. There is a purpose built building within the medium secure campus, and is linked with a community hostel for this group of male patients. There is another low secure site, the Wolfson Unit. The forensic service has recently been sectorised and a consultant forensic psychiatrist supports adult psychiatry in Tower Hamlets.

6 Child Psychiatry Services

Child Psychiatry Services are provided from two community bases; Greatorex Street and Old Montague Street. There is also a child and adolescent crisis liaison service at Royal London Hospital. The service is well developed.

 Tower Hamlets Adult and Older Adult Directorate CONSULTANT ESTABLISHMENT:

Bethnal Green and Globe town CMHT  Dr Khaldoon Ahmed  Dr Ferdinand Jonsson  Out for recruitment  Dr Geetha Suryanarayan  Dr Ali Badacsonyi

Bow and Poplar CMHT  Dr Naveed Kausar  Dr Iain Pryde  Dr Ismail Bensassi (Locum)

Stepney and Wapping CMHT  Dr Charis Pandis (fixed term)  Dr Robert Fisher  This post

Isle of Dogs CMHT  Dr Elizabeth Leshchynska  Dr Rachana Singh  Dr Mohammed Sessay  Dr Punita Sharma

Older Adults  Dr Zaza Darwiche (inpatient)  Dr Nick Bass (Memory Clinic)  Dr Rosie Smyth (Memory Clinic)  Dr Kapila Sachdev (CMHT  Dr Leah White (CMHT)  Dr James Lee Davey (RAID)  Dot Bindman (RAID Locum)  Dr Charlotte Wattebot –O’Brien (RAID)

HTT  Dr Rahul Bhattacharya (ACD)  Dr Mohip Bains

Early Intervention Service

7  Dr Sarah Dracass (CD)  Dr Jennifer Aherns (locum)

Early Detection Service and Autism Service  Silvia Murguia

Mental Health Liaison  Dr Brent Elliot (ACD)  Dr Ruth Taylor (Academic)  Dr Peter Byrne  Dr Simon Kirwin  Dr Chris Garrett  Dr Nick Walsh  Locum  Geoff Lawrence- Smith

Psychotherapy  Dr Elizabeth Venables

Perinatal  Dr. Caroline Cleeve  Dr Nikolina Jovanovic

Personality Disorder  Dr. Tennyson Lee

Men’s PICU  Dr. John Cookson

Woman’s PICU  Dr Omolaja Kassim (locum)

Learning Disability Service  Dr Ian Hall

Junior Medical Staff in the Adult Mental Health Directorate At present, within the adult and older adult mental health directorate, there are 13 x ST4-6 posts, 14 x CT1-3 posts, 4 x FY-2 post, 3 x FY-1 post, 4 x GP Training scheme posts and 10 x Speciality Doctors posts.

 Duties of the Post

The 0.6 Whole Time Equivalent (WTE) job plan will be developed to meet the needs of the service and is envisaged to include 4 PAs for direct clinical care (DCC) and 2 PAs for supporting programmed activities (SPA). The main duties of the post consist of providing consultant input to the Community mental health team, the wards and supporting primary care; assessing patients, devising management plans and providing clinical leadership.

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Example timetable (please note: A formal job plan will be agreed between the post holder and clinical director or associate Clinical Director on commencing the post and at least annually thereafter balancing Service needs and Candidate preferences as far as practicable):

Monday Tuesday Wednesday Thursday Friday a.m. Referrals meeting New assessment Audit/QI clinic CMHT business meeting (monthly) GP meetings (every 2 months ST4 supervision in 3 surgeries) DCC DCC SPA p.m. Out patients F/U CPA clinic clinic CPD (SPA) Admin

DCC DCC

Service Commitments, Community and inpatients: The post-holder will provide consultant clinical leadership to the service and will assume consultant psychiatrist responsibility for patients being looked after by the community mental health service aligned to their GP practices. This includes assuming Responsible Clinician status for patients subject to community treatment orders. As appropriate, this may include taking a lead on compliance with the Mental Health Act and CQC requirements. They will participate, directly and indirectly, in the assessment of patients referred to the service and in drawing up care plans which will address the patients’ psychiatric, physical and social needs. They will carry out detailed psychiatric assessments of patients of the service as clinically indicated to allow accurate diagnoses and make adjustments to their treatment plans (including pharmacological management of psychotropic medication). Good communication will be undertaken with the patient’s care coordinator and with the GP for the patient. When a review of the care plan is indicated, the carer and any other professionals involved will participate in reviews.

The post-holder will attend regular MDT meetings with their linked/sector GPs. The post-holder will forge good working relationships with other psychiatrists in the Directorate in order to encourage appropriate referrals and to assure a cooperative approach to the care of patients. They will also provide consultation and advice to members of the MDT and primary care colleagues.

The post-holder will participate in service evaluation and information-gathering exercises designed to gain a better understanding of the functioning of the service in order to monitor performance and underpin future service developments. The Trust is committed to continuous learning and has invested heavily on Quality Improvement in partnership with the internationally renowned organisation, IHI.

There is on-going engagement to further refine the model and implementation of solution focused care planning using locally devised tool DIALOG+ which is related to the patient reported outcome measure DIALOG. The post holder would be expected to actively engage and promote team engagement with these changes and improvement measures.

9 Service Commitments, General: To ensure compliance with guidance on implementation of the Care Program Approach and other such policies as may be directed by external sources or developed within the Trust. E.g. CQUINs, HoNOS and Clustering.  To recognise and contribute to safe practices in accordance with the Health and Safety at Work Act and with Trust policies.  To participate in appropriate cross-cover arrangements with colleagues.  To participate in the local S12 day time rota, approximately 1 day per 3 months.  The service commitments may be subject to revision at the annual job planning with the Clinical Director.

1. Supportive Professional Activities

A maximum of 2 Programmed Activities per week will be devoted to Supportive Professional Activities (e.g. CPD, QI projects, appraisal preparation, research, supervising trainees etc) for the Consultant.

2. Training and teaching duties • To provide clinical supervision to training grade and non-training grade doctors attached to the service. • Participation in undergraduate and postgraduate clinical teaching. • Participation in the training of other disciplines. • Taking part in continuing medical education within statutory limits. • The doctor will have the opportunity to prepare and offer teaching on subjects relevant to his/her expertise for the professional development of Team colleagues during in-house training sessions. When junior doctors in training or medical students are attached to the team, the doctor should contribute to their hands-on experience of the discipline and offer them informal teaching utilising various teaching methods, including presentations, workshops and tutorials. • Further arrangements for teaching experience of other professional groups or lay-persons could be decided upon, depending on the doctor’s personal interests and qualifications

3. Clinical governance Expectations  Expected contribution to clinical governance and responsibility for setting and monitoring standards.  Participation in clinical audit.  Participation in service/team evaluation and the planning of future service developments.

4. Quality improvement  Lead and manage a team in a way that supports the development of a culture of continuous improvement and learning within their level of experience.  Utilise a quality improvement approach to think systemically about complex problems, develop potential change ideas and test these in practice using a systematic QI methodology.  Empower the team to resolve local issues on a daily basis using the tools and method of quality improvement without staff having to seek permission.

10  Promote awareness and understanding of quality improvement, and shares learning and successes from quality improvement work.

5. General duties  To manage, appraise and give professional supervision to junior medical staff/MDT as required.  To undertake the administrative duties associated with the care of patients.  To record clinical activity accurately and comprehensively, and submit this promptly on Electronic Patient Record- RIO.  To participate in annual appraisal.  To attend and participate in the academic programme of the Trust, including lectures and seminars as part of the internal CPD programme.  To maintain professional registration with the General Medical Council, Mental Health Act Section 12(2) approval (not essential), and to abide by professional codes of conduct.  To participate annually in a job plan review with their clinical line manager.

6. Continuing professional development (CPD)  Expectation to remain in good standing for CPD with the Royal College of Psychiatrists.  Local arrangements for peer review group are in place.  The post holder will be entitled to be paid study leave of a maximum of 30 days (pro rata less than 1.0wte) in any period of three years.  The post holders must be registered for CPD.  Funding for study leave (course fees etc) is available.

7. Clinical leadership and medical management  The Trust has a strong medical management framework which allows for quality Improvement and innovation, via the office of the Chief medical Officer  Tower Hamlets has a Directorate Management team led via a dyad of the Borough Director and Clinical Director. They are closely aligned with the local CCG and very good working relationship with the sector GP partners.  The post holder has ample opportunity (is encouraged) to develop services, participating in business planning and clinical leadership within the locality team and directorate.

8. Appraisal and job planning  The service commitments may be subject to revision at the annual job planning with the Clinical Director.  ELFT is committed to the implementation of annual appraisal.  Trust process includes the Appraisal Lead and an E-system (SARD) to enable appraisal. This is linked but separate to job planning.  The ELFT appraisal lead is a delegate role from the ELFT named Responsible Officer.

9. Mental Health Act and Responsible Clinician approval • The post holder would be expected to or be willing to undertake training to obtain Section 12(2) and AC , MHA and will be expected to renew this approval according to agreed procedures.

10. Research

11 The Trust has a strong commitment to research with a wide portfolio of research activities and internationally renowned research groups. Researchers in the Trust hold grants from various prestigious funding bodies and publish a substantial number of peer-reviewed papers every year.

The Trust has university status and is linked with the University of London, City University and South Bank University. The Unit for Social and Community Psychiatry was established in 1997 and located on the site of the Newham Centre for Mental Health. It is supported by the East London NHS Foundation Trust and Queen Mary, University of London. The Unit has an internationally renowned research group, has generated more than £15m of external competitive grants since 2005, and publishes more than 20 research papers in peer-reviewed journals every year. In 2012, it became a designated Collaborating Centre of the World Health Organisation (one of only 18 mental health related WHO Collaborating Centres in Europe and the only one specifically for Mental Health Services Development in the world).

Doctors are welcome to pursue research interests (including studies for a higher research degree), subject to agreement of the clinical director within the context of regular appraisal and job-planning. The Trust can provide general support through the R&D department and specific options for collaboration with the existing research groups. Depending on research and teaching activities, consultants may be eligible for Honorary Senior Lecturer status with Barts and the London School of Medicine and Dentistry.

11. Secretarial support and office facilities Office arrangements for post holder take into account the need for confidentiality, security of information and supervision requirements of post. This includes a private and separate office, IT infrastructure and admin/secretarial support for the consultant post holder. The admin/secretarial consultant support is shared with the other staff. The consultant keeps their own diary.

The employer will be responsible for ensuring that a doctor has the facilities (e.g. Personal Computer, other IT systems, secretarial and administrative support) , training development and support needed to deliver the commitments in the agreed Job Plan and will make all reasonable endeavours to ensure that this support conforms with the standards and recommendations set out in guidance documents produced by the Department of Health.

12. External duties, roles and responsibilities The Trust actively supports the involvement of doctors in regional and national groups subject to discussion and approval with the clinical director and, as necessary, the Chief Medical Officer.

13. Other duties From time to time it may be necessary for the post holder to carry out such other duties as may be assigned, with agreement, by the Trust. It is expected that the post holder will not unreasonably withhold agreement to any reasonable proposed changes that the Trust might make.

14. Work programme It is envisaged that the post holder will work 6 programmed activities over 3 days, however the Trust is open to flexible working arrangements. Following appointment there will be a meeting at no later than

12 three months with the clinical manager to review and revise the job plan and objectives of the post holder.

The overall split of the programmed activities is 4 to be devoted to direct clinical care and 2 to supporting professional activities (see as above under Supporting Professional Activity). The timetable is indicative only. A formal job plan will be agreed between the post holder and clinical director or associate clinical director three months after commencing the post and at least annually thereafter.

15. On-call and cover arrangements There is a Cat B out of hours on-call rota with 1:28 frequency (pro rata) to be available for phone consultations for adult mental health.

The post holder will join the daytime 1: 50 (pro rata) S12 rota for all senior doctors.

There are cover arrangements for the post holder and reciprocal responsibilities for covering colleagues during leave. It is expected that the Doctors will be available for non-routine advice and consultation with any member of the team for issues that fall into his expertise, at any time during their normal working hours of the week.

In extraordinary circumstances, e.g. during emergency attendance, MHA assessments etc., flexibility for stay over the normal working hours should be expected. All reasonable arrangements will take place in order for this to be a rare occurrence.

16. Leave The post-holder is entitled to pro-rata 32 days (based on their NHS experience) of annual leave per year and 30 days study leave over three years. There are usually 8 public holidays annually in addition. Part time staff receives the appropriate proportion of the full-time rate including public holidays.

The annual leave year runs from 1st April for all staff. Members of staff who join or leave within a leave year receive the appropriate proportion of the annual rate.

The post-holder will be entitled to be paid study leave of a maximum of 10 days a year or 30 days in 3 years. The post-holder must be registered for CPD. The Consultant, in line with College guidelines, will be expected to devise a PDP in liaison with his/her colleagues. Funding for study leave (course fees etc) is available.

17. Contract agreement The post will be covered by the terms and conditions of service for Hospital Medical and Dental staff (England and Wales) as amended from time to time. Contracts have been agreed with the BMA local negotiators, but individuals may wish to discuss this further before acceptance

Because of the nature of the work of this post, it is exempt from the provisions of Section 4(2) of the Rehabilitation of Offenders Act 1974 by virtue of the Rehabilitation of Offenders Act 1974 (Exemption Order 1975). Applicants are, therefore, not entitled to withhold information about convictions including those which, for other purposes, are “spent” under the provisions of the Act.

This job description reflects the current situation and should be regarded as a guide to the main duties of the post rather than a definitive document. This job description may be amended in the future to

13 meet the needs of the client group and services in consultation with the post holder. If future service needs dictate, this might involve transfer to another consultant psychiatrist and team within the adult psychiatry service.

MANAGEMENT STRUCTURE OF THE TRUST Chair: Mark Lam Chief Executive: Dr. Paul Caliminus Chief Medical Officer: Dr. Paul Gilluley Chief Nursing Officer: Lorraine Sunduza Chief Finance Officer: Steven Course Chief Operations Officer: Edwin Ndlovu

 Visiting arrangements

Applicants should contact the following key people to discuss the post in detail and, if desired, to arrange an informal visit: Dr Sarah Dracass, [email protected] Clinical Director, Burdett House, Mile End Hospital, Bancroft Road, London E1 4DG. Tel: 020 8121 5525. Dr Rahul Bhattacharya, [email protected] Associate Clinical Director for Community Services, Burdett House, Mile End Hospital, Bancroft Road, London E1 4DG

Trust website: https://www.elft.nhs.uk

14 Person Specification- Consultant for Stepney and Wapping

ESSENTIAL DESIRABLE

Qualification: Medical degree, MBBS or equivalent (A) Higher Degree (A) Higher Qualification: Eligible for inclusion in the GMC Specialist Register (or Specialist Registrar within 6 months of gaining CCT). If appropriate GMC registration duly revalidated and holding license to practice. (A)

Eligible for Section 12 Approval (Mental Health Act) or willing to apply for such approval. Eligible to be on the register of Approved Clinicians (MHA, 2007). (A)

Knowledge and Good experience of working in adult community and Understanding of continuous Experience: inpatient psychiatry services and especially in the care improvement methodology and assessment of complex co-morbidity.(A/I) (Quality Improvement). (A/I)

Good experience of the Mental Health Act. (A/I) Passionate about Recovery focused care. (A/I) Comprehensive risk assessment and management in the community and inpatient setting. (A/I) Experience of working with psychotherapy models of care Excellent Clinical Leadership skills. (A/I) (A)

Experience of leading projects to improve quality of care Specific experience and knowledge of psycho- pharmacology. (A)

Academic Able and willing to teach undergraduate medical Research projects.(A) Achievement: students, promote an environment of continuous learning within the multi-disciplinary team and Published research.(A) Research demonstrate ability to reflect and learn from mistakes. Publications: (A) Qualification or experience in medical education. (A) Trained in the 7 domains of medical education as recommended by the GMC for postgraduate Psychiatry Interest in teaching in MRCPsych Trainee supervisors. (A) (A/I)

Personal Skills: Ability to train and supervise junior medical staff / Management, performance and medical students / staff from other disciplines. leadership courses or training. (A/I) Excellent oral and written communication skills. (A/I) Management and leadership Excellent clinical skills. (A/I) experience. (A/I)

Commitment to/skills in multidisciplinary working. (A/I)

15 Commitment to working with patients and carers in ongoing services development. (A/I)

Cultural sensitivity, ability to work with a diverse population. (A/I)

Commitment to continuing professional development. (A)

Commitment to engagement in clinical governance. (A/I)

Physical Able to travel between sites as required. (A) Requirements:

*A application form I interview

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