NHS Grampian CONSULTANT PSYCHIATRIST
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NHS Grampian CONSULTANT PSYCHIATRIST Old Age Psychiatry (sub-specialty: Liaison Psychiatry) VACANCY Consultant in Old Age Psychiatry (sub-specialty: Liaison Psychiatry) Royal Cornhill Hospital, Aberdeen 40 hours per week £80,653 (GBP) to £107,170 (GBP) per annum Tenure: Permanent This post is based at Royal Cornhill Hospital, Aberdeen and applications will be welcomed from people wishing to work full-time or part-time and from established Consultants who are considering a new work commitment. The Old Age Liaison Psychiatry Team provides clinical and educational support to both Aberdeen Royal Infirmary and Woodend Hospital and is seen nationally as an exemplar in service delivery. The team benefits from close working relationships with the 7 General Practices aligned Older Adult Community Mental Health Teams in Aberdeen and Aberdeenshire and senior colleagues in the Department of Geriatric Medicine. The appointees are likely to be involved in undergraduate and post graduate teaching and will be registered with the continuing professional development programme of the Royal College of Psychiatrists. They will also contribute to audit, appraisal, governance and participate in annual job planning. There are excellent opportunities for research. 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 Old Age 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 BPSD Behavioural and Psychological Symptoms of Dementia 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 CPN Community Psychiatric Nurse 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 IP Inpatient(s) IPCU Intensive Psychiatric Care Unit LD Learning Disabilities MRCPsych Member of the Royal College of Psychiatry NHS National Health Service OOH Out of Hours OP Outpatient(s) 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 Grampian Consultant Psychiatrist Old Age Psychiatry (sub-specialty: Liaison Psychiatry) Old Age Psychiatry in Grampian is delivered by 9 multidisciplinary teams: Aberdeen City North Aberdeen City Central Aberdeen City South Aberdeenshire Central Aberdeenshire South Buchan Banff and Buchan Moray East Moray West Old Age Psychiatry Services in Aberdeen and Aberdeenshire are delivered by three Aberdeen City and four Aberdeenshire multidisciplinary Community Mental Health Teams based at Royal Cornhill Hospital, Aberdeen. These teams are led by five Consultants in the City covering a population of 36, 000 people over 65 and six Consultants in the Shire who have a population of 43,000 people over 65. Most inpatient facilities are centred at Royal Cornhill Hospital with the Shire teams spending some time at outlying hospital and clinics. Two multidisciplinary Community Mental Health Teams are based in Dr Gray’s Hospital, Elgin and serve Moray West and Moray East. Applications are invited from holders of the Certificate of Completion of Training (CCT) or the Certificate of Eligibility for Specialist Registration (Combined Programme)(CESR(CP) in Old Age Psychiatry (or those within six months of obtaining CCT/CESR(CP)) and doctors who are on the GMC’s specialist register or are eligible for such inclusion. Principle Duties The Consultant will be responsible for providing a psychiatric consultation and liaison service for patients aged over 65 years admitted to certain Geriatric Medical wards in Aberdeen Royal Infirmary and also rehab wards at Woodend Hospital. The Consultant will also be responsible for a small catchment population of patients over 65yrs (2229) in Aberdeenshire with access to functional beds at Royal Cornhill Hospital and dementia beds at Inverurie Hospital. The consultant will be expected to build close links with primary health care teams, community care services, geriatric services, general adult psychiatry and with private and voluntary agencies in the locality. The consultant will provide excellent clinical leadership to the multidisciplinary liaison team and also to the sector team which is shared with a fellow Consultant. The consultant will be expected to contribute to undergraduate and postgraduate teaching and participate in supervision of junior medical staff. There is the opportunity for research in association with Aberdeen University and for candidates to become involved in academic commitments. The postholder will be expected to participate in teaching on the MRCPsych course. Patients under the age of 65 with organic brain disorder may become the responsibility of the Old Age Psychiatry clinical teams by mutual agreement with other clinical services. Transfer of older patients to the service is arranged on a case by case basis in negotiation with General Adult services. The appointee will be expected to participate in the out-of-hours Consultant on-call rota. This will involve being on-call overnight or on weekend days no more than one in twenty four, reduced pro rata in accordance with sessional commitment, if applicable. On weekend days the on-call Consultant attends a hand over meeting at 09.00am and shares with the on-call Senior Trainee assessment of patients admitted in the previous twenty-four hours. Reciprocal cover for annual leave, study leave and professional leave is by arrangement with old age psychiatry consultant colleagues. The Population And Services The Old Age Psychiatry service enjoys close working relationships with the Dept of Medicine for the Elderly based at Aberdeen Royal Infirmary and Woodend Hospital. There is ready access to the full range of diagnostic facilities, including CT, MRI and SPECT brain imaging. Arrangements are in hand for joint training experiences for Specialist Registrars in the Department of Medicine for the Elderly. Old Age Psychiatry services are delivered by Aberdeen City and Aberdeenshire community mental health teams based at Royal Cornhill Hospital, Aberdeen. These teams are led by four WTE consultants in the city covering a population of 36,000 people over 65 and six WTE consultants in the shire who have a population of 43,000 people over 65. Most inpatient facilities are centred at Royal Cornhill Hospital with a small number of the shire teams spending some time at outlying hospital settings. Consultation and Liaison psychiatry services for patients aged 16-65 years at Aberdeen Royal Infirmary are provided by Dr Rainer Goldbeck and his team with out-patient facilities. The appointee will take part in the psychiatric consultant on-call rota (currently 1:24) providing supervision for specialist registrars who in turn supervise senior house officers and foundation grade doctors. The primary role for the successful applicant would be to develop and maintain a consultation and liaison service for patients over 65 admitted to medical wards at Aberdeen Royal Infirmary and Woodend Hospital. Out- patient clinics may be held at any of the two hospital sites at the postholder's discretion. There are no designated in-patient facilities for this service as there is expected to be an element of shared care in the general hospitals. Patients requiring psychiatric admission will be transferred to the appropriate catchment team. Therefore the successful applicant will be working closely with old age psychiatry colleagues throughout the old age service. The successful candidate will be encouraged to participate fully in future developments. Research, Audit and Teaching There are currently a number of Senior Trainees 4-6 in Old Age Psychiatry based in Royal Cornhill Hospital who are each assigned to one of the multidisciplinary teams on a rotational basis. The appointee will have the opportunity to conduct research in an area relevant to old age psychiatry and to promote research in psychiatry amongst psychiatric trainees. Research facilities are available within the University Department of Medical Sciences and the Health Services Research Unit. Clinical research is encouraged by NHS Grampian and is supported by the Clinical Research Centre and an on-site library. The appointee will have access to the NHS e-Library. The appointee would have the opportunity to conduct research in an area relevant to Old Age Psychiatry and to promote research in psychiatry amongst psychiatric trainees. The hospital is a short distance from Aberdeen University Medical School on the Foresterhill site which has a full medical library and other research facilities. Time for audit and other clinical governance activities may be allocated within the consultant job plan and resources made available from the staffing establishment and supplies. Undergraduate and postgraduate teaching