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NHS Western Isles CONSULTANT PSYCHIATRIST

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NHS Western Isles CONSULTANT PSYCHIATRIST NHS Western Isles CONSULTANT PSYCHIATRIST Old Age Psychiatry VACANCY Consultant in Old Age Psychiatry Western Isles Hospital 40 (+8) hours per week £80,653 (GBP) to £107,170 (GBP) per annum Tenure: Permanent This is an interesting and exciting time to become part of the mental health team in NHSWI. The service is undergoing redesign to become a truly community facing, fully integrated, team. We are looking for an individual who can embrace change and help lead the mental health team whilst providing expertise in old age psychiatry. Although this is an Old Age Psychiatry post, a better description is that of a rural Psychiatrist, also able to work with general psychiatry patients and, according to previous experience, provide input into other areas such as learning disability, addiction services and liaison services. The post is for 8PAs + 2 SPAs + 2EPAs totalling 12 programmed activities per week, subject to agreement of a satisfactory job plan, plus an 8% availability allowance. The Terms and Conditions of service area those determined by the New Consultant Contract (Scotland) 2004. The Consultants currently share responsibility for on-call duties (1:2). NHS Western Isles has an enhanced role GP/Speciality doctor out of hours system, in which these doctors are first on call for psychiatry and deal with most cases without consultant input. The current consultant OOH arrangements are being reviewed with a view to developing a less frequent telephone only consultant on call input. Working in the largest and what are considered to be the most attractive of Scottish Islands offers a unique opportunity to combine modern and progressive clinical practice with a life style that is difficult to match. The Western Isles are located 40 miles off the North West coast of Scotland, and are 130 miles long from the Butt of Lewis in the North to the Isle of Barra in the South. The total population is approximately 26,500. There is easy access to the mainland, with regular flights between Stornoway and Glasgow, Edinburgh, Inverness, and Aberdeen. Applicants must have full GMC registration, a licence to practice and Completion of Higher Training in Old Age Psychiatry and inclusion on the GMC Specialist Registrar or within six months of CCT or CESR (Old Age Psychiatry) at time 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 JOB DESCRIPTION NHS Western Isles Consultant Psychiatrist Old Age Psychiatry The Western Isles The Western Isles, otherwise known as the Outer Hebrides, lie approximately 30 miles off the West Coast of Scotland and consist of several larger inhabited Islands with a multitude of uninhabited small islands. The main islands are Lewis, Harris, the Uists and Barra, with a total population of 27,400. They are easily accessible by ferry from Ullapool, Skye and Oban. There is an excellent air service from Inverness, Edinburgh and Glasgow and also from Aberdeen. There is a bus service to Inverness from Ullapool which runs in conjunction with the ferry timetables and links with rail services from Inverness. There are good ferry and air links from Lewis and Harris to the Uists and Barra. Stornoway is the administrative ‘capital’ of the Western Isles. It has a population of approximately 8,000 and has all the facilities one would expect to find in a town of this size. There are many primary schools on the islands as well as secondary schools. They are all well equipped and have a good reputation for academic achievement. Adult education is provided through the Lews Castle College which is part of the University of the Highlands & Islands. Degree courses are available at the College. The Islands still retain their unique Gaelic speaking heritage. Ospadal Nan Eilean (Western Isles Hospital) The Western Isles Hospital is one of six Rural General Hospitals in Scotland and serves the Outer Hebrides area. The hospital was opened in 1992, is modern and well equipped. The Western Isles Hospital in Stornoway is one of three hospitals located in the Western Isles, the others being St Brendan’s on the Isle of Barra and the Uist and Barra Hospital in Benbecula. The Western Isles Hospital is the main hub hospital which has 96 beds covering specialties in General Medicine, General Surgery, Orthopaedics and Trauma, Obstetrics and Gynaecology, Psychiatry, Paediatrics and Radiology. The Western Isles Hospital has an up-to-date laboratory service covering the main disciplines of haematology, microbiology and biochemistry with ready access to more specialised investigations at Raigmore Hospital, Inverness, and other specialised laboratories in Scotland. The Radiology Department is well equipped for routine radiology, CT scanning, ultrasound and Doppler studies. Locally based consultant services General Medicine General Surgery, Orthopaedics Anaesthesia Paediatrics Obstetrics and gynaecology Psychiatry Radiology Dental Services ENT A&E, covered by enhanced roles GPs/speciality doctors out of hours and junior doctors/consultants in hours Visiting consultant services Respiratory Medicine Rheumatology/rehabilitation Dermatology Oncology Neurology Ophthalmology Renal Medicine Urology Child & Adolescent Mental Health Tertiary referrals The main referral centres are in Inverness and Glasgow, but other hospitals in Scotland are used when necessary in accordance with Service Level Agreements and via extra contractual referrals. Department of Psychiatry NHS Western Isles’ mental health services are currently undergoing a transformational process, moving from a focus on hospital provision for people with dementia and with acute psychiatric needs to a community facing and focused model. The post holder will have a leadership role in the formulation and implementation of these changes. The present community resources consist of a Community Mental Health Team based in Stornoway covering the cojoined Islands of Lewis and Harris and one Community Psychiatric Nursing (CPN) team in Benbecula covering the Islands of Uist and Barra. The Stornoway team consists of 4 CPNs, 2 community learning disability nurses, 2 substance misuse nurses, 2 part time counsellors, 2 part time psychologists (adult, CAMHs, older people and LD), 1 MH OT, 1 nurse CBT therapist. The Benbecula team consists of 3 CPNs and 1 substance misuse worker. There are a number of social workers who are designated as mental health officers in terms of the Mental Health (Care and Treatment) (Scotland) Act 2003 who are employed by Comhairle nan Eilean Siar (Western Isles Council). There is a close working relationship with the social work department . There is 1 dementia nurse consultant, 1 dementia post diagnostic link worker, 1 dementia specialist nurse working within primary care. Mental health services are part of the Integrated health and social care partnership arrangements. Mental health services work closely with third sector agencies for example, Penumbra. The mental health inpatient facilities are based in the Western Isles Hospital in Stornoway. This consists of a 5 bed acute psychiatric ward and a reducing number of dementia assessment beds within a dementia assessment unit. There are, at present, plans to relocate these dementia assessment facilities, including outpatient assessment, outside the hospital environment. The post holder will have involvement in leading, planning and implementing these developments. Psychiatric outpatient clinics are held in a variety of locations across the Western Isles, both hospital based and GP surgeries. The Post The post holder will be involved in assessment and treatment of people suffering from mental health disorders within the Western Isles area. This would include a consultative role to multi disciplinary colleagues, including GPs. This will involve work predominantly in the community and supporting clinicians in the hospitals. There is another consultant psychiatrist in post who works in adult general psychiatry. The post holder will provide cross-cover for his/her consultant colleague for absences including annual leave, study leave, administrative meetings on the mainland, and trips to other parts of the Western Isles. This arrangement will be reciprocal. Consultants are supported by one full time medical secretary. The Post Holder will initially have his/her office in the Western Isles Hospital with future plans to be based in the community. The Consultants currently share responsibility for on-call duties (1:2). NHSWI has enhanced role GP OOH system, in which these GPs are first on call for psychiatry and deal with most cases without consultant
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