NHS Tayside

CONSULTANT PSYCHIATRIST General Adult Psychiatry

VACANCY

Consultant in General Adult Psychiatry (x2 posts) Wedderburn House / Carseview Centre: Community Mental Health Team 40 hours per week £80,653 (GBP) to £107,170 (GBP) per annum Tenure: Permanent

NHS Tayside is looking for committed, innovative and enthusiastic Consultant Psychiatrists (full or part time) to join our Community Mental Health Team based in Dundee the ‘City of Discovery’. These posts include opportunities to see and treat a wide variety of psychiatric disorders in patients aged from eighteen to sixty-five years old, with the support of our enthusiastic and well staffed multi-disciplinary and multi- agency social work and health Community Mental Health Team with access to our 20 bed inpatient unit.

We have local drug and alcohol, forensic, eating disorder, liaison and advanced intervention services as well as psychotherapy and psychology services available for our patients, and enjoy excellent relations with our local General Practitioners and voluntary service colleagues.

There are many learning and training opportunities, including the teaching and supervision of 4th year medical students and Specialty Trainees attached to our team. There is a monthly continuing professional development programme and other continuing professional development will also be encouraged. Active involvement in service improvement is available through membership of our Service Improvement Group. We have close links with the division of Neuroscience where academic and research opportunities are available: http://medicine.dundee.ac.uk/medical-research-institute/divisions/division- neuroscience.

Dundee is a coastal city on the Firth of Tay estuary in eastern . Its regenerated waterfront has the new Victoria and Albert Museum which stands on the banks of the Tay and two nautical museums: RRS Discovery, Captain Scott’s Antarctic expedition ship, and 19th-century warship, HM Frigate Unicorn. North of the water, is a museum celebrating the city’s jute-manufacturing heritage. The McManus: Dundee’s Art Gallery & Museum displays art and archaeological finds. and Glasgow are less than two hours away by road or rail. See the following links for more information: www.nhstayside.scot.nhs.uk/WorkingWithUs/LivinginTayside/index.htm and http://www.visitangus.com

Our staff work passionately towards achieving NHS Tayside's vision, aim and values, to find out more please click the following link: http://www.nhstayside.scot.nhs.uk/WorkingWithUs/WhyWorkforNHSTayside/PROD_ 204621/index.htm

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 General Adult 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 IPCU Intensive Psychiatric Care Unit 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

JOB DESCRIPTION

NHS Tayside

Consultant Psychiatrist Consultant in General Adult Psychiatry

Background NHS Tayside is responsible for delivering healthcare to more than 400,000 people living in Tayside. We employ around 14,000 staff and provide a comprehensive range of primary, community-based and acute hospital services for the populations of Dundee City, Angus and Perth & Kinross. Our annual budget is now circa £825 million of public money which works out at around £2.3 million spent by NHS Tayside for every day of the year.

Discover award-winning towns and cities, breathtaking beaches and alluring countryside. Historically rich and home to Scotland’s longest river, Tayside is an innovative and exciting place to begin or expand your career. Dundee, Angus and Perth and Kinross make up this vibrant region - between them offering the perfect blend of city, country and coastline. In fact, you can easily enjoy the tranquillity and scenery of neighbouring towns and villages within reach of the region’s cities of Dundee and Perth.

The catchment area of Dundee is in the region of 180,000. The service is undergoing a period of re-design with mental health services being delivered by two multi-disciplinary community teams (MDT); Team West covers the west side of the city and Team East on the East side of the city. The Community Team catchment is split according to populations linked with General Practices across the city. The Community Mental Health Teams in Dundee are supported by a Crisis Response and Home Treatment Team (CRHTT) and an Assertive Rehabilitation Team (ART). There is also a day hospital situated at the Dundonald Centre. There is a separate Substance Misuse Service, Eating Disorder Service, a Psychotherapy Department and primary care Psychology.

Dundee Community Mental Health Team (West) covers a population of approximately 92000. There are currently five General Adult Psychiatry Consultant Psychiatrists based within the Community Mental Health Teams (CMHT) and the In- patient Unit:

 West Team Post 1 (part-time) - covering GP Practices – Downfield Surgery and Hawkhill Medical Centre (Adult Population 14,667)  West Team Post 2 - covering Nethergate Medical Centre and Hillbank Health Centre (Adult Population 12,387) and in-patient beds at the Carseview Centre, Dundee  This Post  West Team Post 3 (part-time) - covering Coldside Medical Practice, Taycourt Surgery and Invergowrie (Adult Population 12,601)

 West Team Post 4 - covering Lochee Health Centre, Ryehill Health Centre and Muirhead Medical Centre (Adult Population 11,826) and in-patient beds at the Carseview Centre, Dundee  West Team Post 5 (part-time) – covering Westgate Health Centre and Ancrum Medical Centre (Adult Population 12,472)

We are in the process of redesigning the service and plan to reconfigure the jobs to allow consultants to develop expertise in a specific area as well as their general CMHT work. e.g. ASD, ADHD, ECT, Psychotherapy. We therefore encourage applicants with specific areas of interest to discuss this as this may well be something they can develop further here. As part of the redesign there will also be changes to the allocated GP populations currently specified in the job description to restore an equitable distribution of workload

In-patient services are at Carseview Centre, Dundee which currently has 64 beds, although a flexible approach is adopted regarding bed use across Tayside to improve capacity and flow. Inpatients are looked after by our Inpatient Consultant. Intensive Psychiatric Care beds are available in the Carseview Centre, Dundee and inpatient Rehabilitation, Substance Misuse and Forensic Beds at the , Perth. There are also Child and Adolescent, Learning Disabilities, Old Age Psychiatry and Advanced Interventions inpatient beds within Tayside.

The post The post is for a full-time Consultant Psychiatrist. The details of duties are negotiable, but will be expected to provide CMHT based consultant psychiatry services to the Dundee West Team.

Job title Consultant Psychiatrist

Full time 10 sessions: 8 DCC and 2 SPA, the detailed job plan will be agreed by the post- holder, the Lead Clinician and the NHS Tayside Associate Medical Director for Mental Health. This process is overseen by the Board Medical Director of NHS Tayside.

Base Will have dedicated office space within the Carseview Centre, Dundee with dedicated administrative support at both the Carseview Centre and Wedderburn House.

Duties of the Post The duties of the post will include the medical assessment and treatment of adults generally between the ages of 18 and 65 with psychiatric illness in the designated localities. The post-holder will work within an integrated Community Mental Health Team. The CMHT is currently staffed by a Team Manager, 14 Nurses, 5 Social Workers, 3 Psychologist, 2 Occupational Therapists and 4 Support Workers.

On-call responsibilities are currently available on a 1 in 10 basis (5% supplement) to cover all Tayside psychiatry services (other than Forensic psychiatry) by agreement, this is currently being reviewed. There are also currently a Tayside wide middle grade ST4-6 rota, and a Carseview Centre based junior doctor FY2/ST1-3 on-call rota.

Provisional job plan An example timetable is included below for illustrative purposes, but the exact content of the successful applicant's Job Plan would be by agreement with the Lead Clinician. Extra Programmed Activities may be available by agreement.

AM PM Out Patient Clinic/Administration SPA Time – Appraisal / Monday (Wedderburn House) Revalidation / Audit / Supervision (Carseview Centre) Ward cover Out Patient Clinic/Administration Tuesday (Carseview Centre) (Wedderburn House) Administration Ward cover Wednesday (Carseview Centre) (Carseview Centre)

SPA Time Team Meeting Thursday (MRH Case Conference) Wedderburn House)

Ward cover Out Patient Clinic / Administration Friday (Carseview Centre) (Wedderburn House)

The Psychology Service The general adult psychiatry service for Dundee is provided by two geographically based multi-disciplinary community mental health teams. The staffing levels are structured in response to clinical demands and include medical, nursing, social work, psychology, occupational therapy, support worker and administrative staff.

The teams have access to 64 in-patient beds at Carseview, Dundee (some of these may occasionally be used for rehabilitation or continuing care patients as their needs require). The beds are used according to need rather than having a fixed number per team and each team provides medical care for its own patients when the Inpatient Consultant is on leave.

Old-age psychiatry is also provided by community teams, and there are assessment and treatment beds at in addition to community beds.

There are Tayside area services available for Psychotherapy, Intensive Psychiatric Care, Forensic Psychiatry, Rehabilitation Psychiatry, Learning Disabilities Psychiatry, Child and Adolescent Psychiatry, Substance Misuse Services, Eating Disorders, Health Psychology and Advanced Interventions.

Medical Staffing - General Adult Psychiatry  Consultants: o Dr James Mackie West Community Mental Health Team (CMHT)/ Clinical Lead Multi Agency Psychotherapy Service (MAPS) o Dr Malcolm Kinnear West Community Mental Health Team (CMHT)/TAAC o Dr Helen Simonsen West Community Mental Health Team CMHT (part-time) o Vacancy West Community Mental Health Team (CMHT)/ Consultant Psychiatrist in- patients o Dr Brian Timney East Community Mental Health Team (CMHT)/in-patients o Dr Thomas Glen East Community Mental Health Team (CMHT)/in-patients o Locum East Community Mental Health Team (CMHT) o Vacancy East Community Mental Health Team (CMHT)

 Trainee Doctors: o One ST6, four Junior Doctors at SHO level in hours for GAP in Dundee o Twelve or more Junior Doctors at SHO level out of hours for Tayside, based at Carseview and Murray Royal Hospitals o Six or more Junior Doctors at SpR level out of hours (Tayside wide)

Professional line management for this post is via the Associate Medical Director for Mental Health (Professor Keith Matthews). You will be encouraged to contribute a medical leadership role in their areas of clinical responsibility and in other settings in Angus and Tayside as agreed with colleagues and managers. This will include representation on planning and implementation groups where relevant, and regular meetings with the Lead Clinician and other colleagues.

Continuing education and teaching The Carseview Centre is approved for Core Training in Psychiatry as part of the Tayside Psychiatry Rotation Scheme, and for Vocational Training in General Practice. There are approved Higher Training Specialty Registrar placements in Tayside for General Adult Psychiatry and Old Age Psychiatry. The successful candidate would be encouraged to apply for approval for Core and Higher Training. Fourth year medical students from the University of Dundee are attached to Carseview for four-week periods and consultants are expected to take educational responsibility for these students. Weekly Tayside wide Continuing Professional Development meetings are held at Murray Royal Perth.

The University of Dundee Academic Department of Psychiatry is based at and Medical School. The research interests of the Department are organised around the themes of Affective Disorder, Behavioural and Developmental Neurosciences, Neurodegeneration, Addiction and Psychological Treatment Methods. The Department was rated "5" in the Research Assessment Exercise. The Department has two principal undergraduate teaching commitments: an introductory

Behaviour and Psychiatry course in Phase II of the Dundee medical student curriculum; and a Clinical Psychiatry course in Phase III. The Department also offers a series of varied Special Study Modules throughout the curriculum. The Medical Undergraduate Curriculum was rated "excellent" in the most recent Teaching Quality Assessment. In addition to research based PhD programmes, the Department offers Cognitive and Behavioural Psychotherapy diploma and MSc courses. NHS consultant medical colleagues are generally 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 Department. Further details of Departmental activities and contact details can be found at http://medicine.dundee.ac.uk/

Continuing professional development will be actively encouraged and study leave funding is available. A monthly Peer Group is available.

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.

Additional information We are in the process of redesigning the service and plan to reconfigure the jobs to allow consultants to develop expertise in a specific area as well as their general CMHT work. e.g. ASD, ADHD, ECT, Psychotherapy. We therefore encourage applicants with specific areas of interest to discuss this as this may well be something they can develop further here.

As part of the redesign there will also be changes to the allocated GP populations currently specified in the job description to restore an equitable distribution of workload

PERSON SPECIFICATION

NHS Tayside

Consultant Psychiatrist Consultant in General Adult Psychiatry

Attributes Essential Desirable MRCPsych qualification (or Post graduate diploma or equivalent) degree related to psychiatry

Full Registration with the GMC and a licence to practice

Completion of Higher Training in General Adult Psychiatry and inclusion on the GMC Education and Specialist Register or within six qualifications months of CCT or CESR (General Adult Psychiatry) at interview

Eligible for (or in receipt of) approval under Section 22 of the Mental Health (Care and Treatment) (Scotland) Act 2003

Experience Completion of higher specialist Evidence of close working with training in General Adult Primary Care Psychiatry

Knowledge & Broad knowledge of psychiatric Working knowledge of Mental skills: disorders and their treatment Health Act, Criminal and management Procedures Act, and Adults with Incapacity Act Ability to work effectively within a multi-disciplinary team including supervision of junior medical staff

Teaching Teaching experience Formal teaching qualification

Research & Evidence of participation in Research experience audit audit Service improvement experience

Management Working understanding of Management experience to clinical, care and professional provide leadership to multi- governance disciplinary teams

Other: Pleasant manner, professional (e.g. travel approach to work across Tayside) Must be willing to travel across the localities

TERMS AND CONDITIONS OF SERVICE

NHS Tayside

Consultant Psychiatrist Consultant in General Adult 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)