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342-Rvn724-Dh Locum Consultant in General Adult Psychiatry Bristol Mental Health Assessment & Recovery - North 10 PAs LORVN795-DH Page 1 of 25 Avon and Wiltshire Mental Health Partnership Trust CONTENTS Page 3 1. Introduction to The Post Page 4 2. Service Details Page 6 3. Clinical Duties Page 10 4. Suggested timetable Page 11 5. Remuneration and Benefits Page 15 6. Person Specification Page 17 7. Geography/Attractions in Area Page 18 8. The Local Health Community and Local Services Page 20 9. The Trust Page 10. Apply for the post Page 2 of 25 Avon and Wiltshire Mental Health Partnership Trust 1. Introduction to the Post Post and specialty: Locum Consultant Psychiatrist in General Adult Psychiatry Base: Greenway Centre, Bristol Number of programmed activities: 10 PAs per week Accountable professionally to: Medical Director Accountable operationally to: Medical Lead Context for the role The Trust is seeking a Locum Consultant Psychiatrist to work in the Bristol Mental Health Assessment & Recovery Service, North team, based at the Greenway Centre. This is maternity cover. The post holder will join 3 Consultants across the North Assessment and Recovery Service. Mental Health Bristol is a formal partnership of local providers of health and social care in Bristol including AWP. Mental Health Bristol consists of: Avon & Wiltshire Mental Health Partnership NHS Trust; Second Step; Missing Link; Off the Record; Nilaari; Brunelcare; Wellspring Healthy Living Centre; Knowle West Health Park Company; Southmead Development Trust; and SARI. Key working relationships and lines of responsibility Medical Director: Dr Sarah Constantine Deputy Medical Director: Dr Pete Wood Medical Lead: Dr Dan Hodgson Clinical Director: Dr Eva Dietrich Clinical Lead: Jane Bolster Operational Manager: Nathan Wallbank Responsible Officer: Dr Sarah Constantine Page 3 of 25 Avon and Wiltshire Mental Health Partnership Trust 2. Service Details The post holder will provide medical input in to the Bristol Mental Health Assessment and Recovery Service, North Team. Summary of Post The Primary Care Liaison Service, which triages new referrals to Recovery, is based at the Speedwell Centre. The Assessment and Recovery (A&R) Service part of the service delivery is provided by Mental Health Bristol. The Assessment and Recovery services are structured to increase the amount of ‘contacts’ staff have with service users, to improve access to the service by integration within communities and GP settings. The Assessment and Recovery Services provide a service for all adults over the age of 18, and in transition from CAMHS, excepting those who are only experiencing dementia. The service operates from 8am to 8pm, 365 days per year. Community services emphasise a partnership of working at a variety of community based sites including service user homes and at community resources. In order to support this requirement, work in partnership within communities, services are provided from three sites at the Greenway Centre in Southmead, Petherton Resource Centre and the Speedwell Centre. However, it is expected that only a third of contacts will take place at these premises and staff will spend more of their working day away from the office. Staff have access to and are expected to work from partner organisation sites including GP practices, community resource bases, and where appropriate public spaces. It is expected that the postholder will be based at the team base although will have access to a variety of community team bases, including GP practices and voluntary sector organisations. The Assessment and Recovery teams co-locate and work closely with a locality Crisis team which also accommodate colleagues from the Complex Psychological Interventions Service. Within each Assessment and Recovery Team the work profile of some staff is shaped to reflect specific clinical needs; including Older Adult, Frail and vulnerable, Youth transition, Dual diagnosis, and Non- medical Prescribing. All service users have a Recovery Navigator supporting them throughout their time in the recovery service. Across the Bristol Assessment and Recovery Services there are 75 Recovery Navigator posts. Consultant medical staff link closely to GPs for advice and guidance and joint working. The teams divide into 3 ‘GP clusters’ which operate as 3 sub-teams, meeting regularly throughout the week. They use whole team approaches to work with people with intensive needs and complexity, providing additional contact, supervision and ad hoc advice and support. Each GP cluster has a dedicated consultant psychiatrist and works closely with around 5-6 GP practices. Consultants are provided with the means and support to use mobile working solutions including 3G enabled lap-top computers maintain records in real time without returning to their base. It is expected that all front-line staff will be able to travel independently to a range of work locations in Bristol. Page 4 of 25 Avon and Wiltshire Mental Health Partnership Trust Each Assessment and Recovery Team is divided into 3 clusters according to GP populations. The postholder will be working in a cluster to be locally agreed with the medical lead and will hold medical responsibility within a specific cluster. Each cluster has a caseload of approx 200-225 service-users and the postholder offers support to this cluster on a WTE basis. The Assessment and Recovery team has a total caseload of approximately 650 service users with complex longer term needs including many with dual diagnosis, homelessness, LD and forensic issues. The team embraces the multidisciplinary approach integrating nurses, occupational therapists, mental health workers and Recovery Navigators with a total of 25 within the team. We also work closely with our psychological therapies service and there are dedicated clinical psychologists who have a base within the team. The team also care coordinates service users previously managed in Assertive Outreach teams (prior to their incorporation within Recovery teams). The doctors are integral members of the team and comprise 3.2 Consultants, 1.0 Crisis Consultant and 0.6 older Adult Consultant. The team regularly has core trainees, other higher trainees and medical students making for a strong, friendly and lively medical base within the team. The postholder will be expected to undertake 4 new assessments and 4 joint follow up assessments per week (WTE) to support the assessment function of the team. On average the team receives 35 new referrals each week. These clinical activity levels are estimates and there will be a robust mechanism to review the clinical activity of the consultant and the model as part of job-planning. Team Composition Consultant 3.2 WTE Band 7 Team Ward Manager 1.0 WTE Band 7 Senior Practitioner 3.0 WTE Band 6 8 WTE Band 5 4 WTE Recovery Navigator 25 WTE Medical Secretary 2 WTE Team admin 2 WTE Crisis Spokes Band 7 1 WTE Band 6 5 WTE Band 5 2 WTE Recovery Navigator 6 WTE Page 5 of 25 Avon and Wiltshire Mental Health Partnership Trust 3. Clinical Duties The Consultant will deliver direct interventions to service users at a level of intensity according to need including those service users who require an assertive approach who are difficult to engage. This will include on-going assessment, diagnoses (including review and clarification) and treatment of mental and physical health needs. The Consultant will supervise the medical team that provides medical care and act as RC for service users in collaboration with other teams and Consultants. Responsible for the mental health care of service users in line with new ways of working, monitoring and evaluating service delivery and care through regular reviews. To actively participate in team and personal caseload management and supervision. Collaboratively work with the acute care teams to provide Consultant input to acute care service coordination and the acute care pathways management meetings by meeting the needs of the service user and enabling timely access to intensive services and working collaboratively with the intensive team to ensure that CPA planning and aftercare arrangements are in place for service users discharged from inpatient care. The Consultant will provide assessments for referrals from primary care and other agreed non- secondary care services (including agreed self-referral for previous service users with ‘Rapid Re-access’ plans). They will be expected to provide high level clinical assessments to guide the future care plan of the service user in a bio-psycho-social context. The Consultant will be responsible for taking a lead role in embedding the new MHB philosophy and culture changes within Primary care, working with GP’s to promote Recovery. The Consultant will provide regular supervision for other team members assessments of new referrals through regular input into daily multidisciplinary ‘assessment supervision meetings’. To participate in MHA assessments where appropriate as well as facilitating CTO discussions. The Consultant has a duty to collaborate with key personnel to ensure the smooth transition through any changes in the care pathway The Consultant is expected to contribute to the development of recovery services in line with best practice and nationally accredited standards. Responsible with the recovery service team members for the identification, monitoring and evaluating of the care package and care cluster delivery for individual service users, identifying service users who require access to specialist services and/or require stepping up or down to
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