NHS Tayside

CONSULTANT PSYCHIATRIST General Adult Psychiatry

VACANCY

Consultant in General Adult Psychiatry Perth Community Mental Health Team 40 hours per week £80,653 (GBP) to £107,170 (GBP) per annum Tenure: Permanent

NHS Tayside is seeking a Consultant Psychiatrist (full or part time) to join our Community Mental Health Team based in Perth . This post will 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 24 bed inpatient unit. Our staff work passionately towards achieving NHS Tayside's vision, aim and values: http://www.nhstayside.scot.nhs.uk/WorkingWithUs/WhyWorkforNHSTayside/PROD_ 204621/index.htm

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 University of division of Neuroscience where academic and research opportunities are available: http://medicine.dundee.ac.uk/medical-research-institute/divisions/division- neuroscience

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 General Adult Psychiatry

Background This post has become available. The successful candidate will provide Consultant Psychiatric services in the community to a catchment area of c. 25,450 aged 16-64. The post-holder will provide medical leadership to the General Adult Psychiatry service within Perth and Kinross, working closely with service managers and varied allied professional to deliver an excellent standard of care to our patients, and liaise closely with Crisis services and the acute assessment ward to ensure the smooth passage of acutely ill patients through the service.

The Psychiatry Service NHS Tayside has a population of approximately 400,000, centred on the cities of Perth and Dundee. The psychiatric services are currently delivered across 3 areas covering patients in Angus, Dundee and Perth & Kinross. Perth and Kinross General Adult Psychiatry service provides inpatient, crisis, and community mental health team services to a population of approximately 140,000 and, in addition to the city of Perth, covers a large rural hinterland including the market towns of Kinross, Auchterarder, Crieff, Pitlochry, Aberfeldy, Dunkeld, Blairgowrie, and Coupar Angus.

The current model of care is of specialist out-patient consultant posts the 3 CMHTs; a consultant with responsibility for in-patients on the 24 bedded, mixed gender Moredun Ward; and consultant input to the Intensive Home Treatment Team.

In 2012 the £75million new build development was completed, providing excellent new facilities for our patients on the same site as the original hospital, which dates back to 1809. In addition to housing General Adult Psychiatry services, the site provides inpatient beds for Psychiatry of Old Age, Rehabilitation Psychiatry, Tayside Substance Misuse Services and low secure forensic beds for Tayside. We are co-located with the North of Scotland Medium Secure Forensic Rohallion Unit. Psychology, Learning Disability and Forensic day services are also located on the site. IPCU services in Tayside are currently delivered in Carseview Centre, Dundee.

As medical staff resources have increased, the service has undergone some various revision over the past few years. For several years we have operated a GP locality based service, with the Perth City CMHT, based on the nearby site, covering approximately half of the P&K population, and having 2 out-patient Consultants, one of which is this post. The North CMHT is based in Blairgowrie and is served by two Consultants, and the South CMHT is based in Crieff, with 1 Consultant. The Crisis Team is based in Murray Royal Hospital.

The post The post is for a full time (10 sessions) Consultant Psychiatrist.

A detailed job plan will be agreed by the post-holder and the Clinical Director, a process which will be overseen by the Medical Directorate of NHS Tayside. As psychiatry services across Tayside are currently being examined as part of the Board’s Steps to Better Healthcare project, this post may be subject to change in the future.

Base An office at the Perth CMHT on the campus of Perth Royal Infirmary.

Administration Administrative support for the CMHT is provided by a shared GAP secretary.

On Call The post holder will take part in the PGAP on-call rota (9am – 5pm) offering support for juniors who may be assessing urgent referrals. There is a Tayside wide rota which provides cover for GAP, POA and CAHMS. It is a 3-tier rota which includes junior trainees in Dundee and Perth, a middle grade and a third tier of an on call Consultant. The post holder may be required to participate on the out-of-hours rota. Consultants may wish to apply to be part of the rota when places become available.

Line Management The incumbent will be expected to contribute to the management of General Adult Services in Perth and Kinross and attend regular meetings with the Clinical Lead and other colleagues. Professional line management is to the NHS Tayside Associate Medical Director for Mental Health, Prof Keith Matthews, and the Medical Director for NHS Tayside, Dr Andrew Russell.

Duties of the Post The incumbent will be responsible for the provision of community care for adults (16- 65) registered with specific General Practitioners in Perth (16 – 64 y/o population c. 25,450).

Sound knowledge of all aspects of the Mental Health (Care and Treatment) Scotland Act 2003 will be expected along with Approved Medical Practitioner status, and also familiarity with legislation relating to Adults with Incapacity, Vulnerable Adults, and Children and Young People.

Secretarial/administrative support for clinical work is organised within the community bases. All consultants have their own PC provided in their offices.

Teaching, Continuing Professional Development, Job Planning, Clinical Governance Undergraduates from the University of Dundee have a four week attachment in Psychiatry and the incumbent will contribute to their teaching and supervision.

There are approximately 30 doctors in the Tayside Basic Specialist Training Scheme, the incumbent, or his or her colleagues, will act as Educational Supervisor to the FY2/ST 1-3 working with them.

There are ST 4-6 training posts in the Higher Specialist Training Scheme and all eligible Consultants are invited to offer placements.

Teaching facilities are excellent and there is a well-stocked library in Murray Royal.

A Job Plan will be agreed between the successful candidate and the Clinical Director or delegated authority. With regard to the incumbent’s own continuing professional development, all staff in NHS Tayside should have a Personal Development Plan.

Local post-graduate meetings are held weekly on Thursday mornings.

A clinical governance structure is now established within the Board, and the Directorate. A clinical governance lead is identified for each specialty with General Adult Psychiatry grouped with Forensic Psychiatry, Substance Misuse and Psychotherapy for the purposes of clinical governance. The Directorate has a full- time Clinical Governance Facilitator and an audit Facilitator, together with administration and clerical support. The budget is part-devolved to specialties and part held centrally for major, directorate-wide topics.

The University Department There are close clinical, research and teaching links with the University of Dundee Section of Psychiatry and Behavioural Sciences.

The University Department’s research portfolio centres on the study of affective disorders, neurodevelopment and the addictions. Research approaches range from basic molecular and cellular neuroscience to clinical investigations. The Department provides (in collaboration with Surgical Neurology) the national specialist service for the management of chronic, severe and treatment refractory depression and OCD – the Advanced Interventions Service Scottish National Centre for Neurosurgery for Mental Disorder.

The University Department is keen to cultivate clinical, teaching and research links with NHS staff and candidates are invited to contact Professor Matthews ([email protected])

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.

Proposed consultant job plan

AM PM CMHT CMHT Monday (outpatients department) (outpatients department / admin) CMHT CMHT Tuesday (Team meeting) (clinical admin / meetings) CMHT CMHT Wednesday (outpatients department) (outpatients department / admin) MRH CMHT Thursday (SPA) (outpatients department / admin) CMHT Friday SPA (outpatients department / admin)

PERSON SPECIFICATION

NHS Tayside

Consultant Psychiatrist 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 Education inclusion on the GMC 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 team

Other: Pleasant manner, professional approach to work

Must be willing to travel across the localities

TERMS AND CONDITIONS OF SERVICE

NHS Tayside

Consultant Psychiatrist 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)