NHS Fife

CONSULTANT PSYCHIATRIST General Adult Psychiatry (sub-specialty: addictions) VACANCY

Consultant in General Adult Psychiatry (sub-specialty: addictions) , Leven 40 hours per week £80,653 (GBP) to £107,170 (GBP) per annum Tenure: Permanent

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 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 Fife

Consultant Psychiatrist General Adult Psychiatry (sub-specialty: addictions)

Mental Health Services Fife Addiction Services NHS Fife Addiction Services is the NHS organisation that provides a Fife wide treatment service to individuals with drug and alcohol related problems. These services work in close co-operation with others statutory and non-statutory services (known as recovery services) commissioned by the Fife Alcohol and Drug Partnership (ADP). The service is located within the Mental Health Directorate. NHS Fife Addiction Services receives approximately 100 referrals per month and has an active caseload of about 1400 treatment seeking individuals.

Fife Mental Health Directorate NHS Fife Addiction Services is part of Fife Mental Health Directorate.

The NHS Fife Mental Health Directorate is a Fife wide service delivering the full range of inpatient and community care and treatment for patients of all ages experiencing mental illness and a range of mental health problems, including alcohol and drug dependency. The service operates as a distinct, Fife wide service managed and governed within and by Fife Wide Division of Fife Health & Social Care Partnership.

It is a large and complex service organised into operational and functional service units in order to provide secondary, tertiary and specialist services, and to link with primary care and the Acute Division. The service is geographically organised to provide inpatient and community general adult and elderly psychiatric care, and functionally organised to provide general and specialist community services for children and young people, and those with addiction problems.

The Adult Psychiatric Service in Fife is divided into three sectors, with inpatient and out patient care being delivered by a nominated sector consultant. – Central Fife (population 147,370)  & Levenmouth Sectors (based in Whyteman’s Brae Hospital, Kirkcaldy)  Glenrothes Sector (In-patients based in , Cupar)  Day Hospital and Gemini Team (based in Whyteman’s Brae Hospital, Kirkcaldy)

North East Sector (population 74,180)  Based in Stratheden Hospital, Cupar

West Sector (population 126,840)  Based in ,

In-patient services In-patient services are at Whyteman’s Brae Hospital, Kirkcaldy, Queen Margaret Hospital, Dunfermline and at Stratheden Hospital, Cupar. There are three general adult acute wards, one on each site. Ravenscraig Ward in Whytemans Brae Hospital, Kirkcaldy has 29 beds, Ward 1 at Queen Margaret hospital, Dunfermline has 30 beds, Lomond Ward in Stratheden Hospital Cupar has a further 30 beds.

Supporting Adult Mental Health Services:  Community Psychiatric Nursing Services - teams located in catchment areas (2 teams in West Fife, 3 in Central and 2 teams in North East Fife). In addition there are two community nursing teams for patients with severe and enduring mental illnesses using an assertive approach, one in West Fife (COT team) and Central Fife (GEMINI team).  There are three day hospitals, one for each site, Dunikier Day Hospital at Whytemans Brae, Hillview at Queen Margaret and WestonDay Hospital in Cupar, offering a range of nurse delivered psychological therapies, both individual and group based, in addition to running Clozapine clinics.  The Fife wide Occupational Therapy Service covers the 3 sectors in Fife and provides a service to acute, rehabilitation and community for both over and under 65 year old patients. The service includes assessment of functional capacity and deficit, therapeutic activity, specific evidence based interventions and discharge planning.  Department of Clinical Psychology led by the Area Head of Psychology Services based at and Stratheden Hospital.  Social Work Department (Fife Council). Currently the Social Work Service is being reorganised but we relate at present mainly to the mental health team and community care team. The Social Work Deparment commissions supporting people care from a number of providers.  Specialist Pharmacy Services. Specialist mental health pharmacy managers work closely with clinicians, provide information to patients and carers and work on local protocols.

Specialist Services Unscheduled Care Assessment Team This is a 24 hour nurse lead team with medical input from trainee doctors and speciality grade doctors within hours (consultant supervision within sectors) and on call medical psychiatric doctors out of hours. It is a Fife wide service and is based at Whytemans Brae Hospital. It provides urgent assessments, management and signposting for unscheduled presentations including A&E at the Victoria Hospital Kirkcaldy and has close links with the sector teams.

Old Age Psychiatry  Whyteman’s Brae Hospital (Day Hospital only), Kirkcaldy  Stratheden Hospital, Cupar  Queen Margaret Hospital, Dunfermline

Rehabilitation  Stratheden Hospital,Cupar (Fife wide).

Intensive Psychiatric Care Unit

 Stratheden Hospital, Cupar (Fife wide).

Addictions  Cameron Hospital, Windygates, Leven.  Whyteman’s Brae Hospital, Kirkcaldy  Lynebank Hospital, Dunfermline

Child and Adolescent  Playfield House, Stratheden Hospital, Cupar (Fife wide).

Learning Disabilities  Lynebank hospital, Dunfermline (Fife wide).

Forensic  Forensic Community Mental Health Team, Lynebank Hospital, Dunfermline  Radernie Low Secure Unit, Stratheden Hospital, Cupar

Organisational position

Director Fife NHS Fife Medical Health & Social Director Care Partnership

Associate Medical Director

Health & Social Care General Manager Fife Wide Partnership Services Health & social Fife Wide Care Partnership Services Clinical Director

General Manager Mental Health Service

Clinical Services Clinical Lead in Manager in Addictions Addictions

All other Consultant in Addiction Clinical Addictions - THIS and Admin Staff POST

Line management accountability

Professional accountability

Professional accountability

South East Scotland Psychiatric Training Scheme Fife is part of the South East of Scotland Psychiatric Training scheme. Trainees rotate throughout the whole region, between Lothian, The Borders and Fife. Trainees spend one half day each week during the academic year attending the MRCPsych course in Edinburgh and an additional half day of postgraduate training in Fife. They also attend psychotherapy training. There are GPST’s and FY2’s on rotation with the service also. In total there are 19 trainee doctor posts.

Arrangments For Medical Representation There is an active Local Negotiating Committee with Primary Care Division representation.

All consultants are members of Fife Division of Psychiatry.

Duties of the post The successful applicant will provide clinical leadership, support, advice and supervision to NHS Fife Addiction Services in order to deliver care and promote a multi-disciplinary/multi-agency approach.

This post helps support the delivery and ongoing development of an effective and safe NHS Fife Addiction Service within the Health and Social Care Partnership in Fife. The postholder will take responsibility for the clinical care of individuals referred to the service within a designated area. The post will be supported by the Clinical Lead, Professor Alex Baldacchino. The appointment will be on a whole time or maximum part time basis.

This post will complement the medical workforce within a multidisciplinary service that provides an evidence based and clinically governed approach to individual and population level interventions to meet the needs of substance dependent individuals in Fife. The successful applicant will be involved in the delivery of a recovery oriented approach to complex and multi-morbidity cases using a consultancy model. This will be supported by a Clinical Lead in Fife who is a Consultant in Addictions / Professor of Medicine, Psychiatry and Addictions.

Definition The post holder will join a team of four medical staff comprising a Clinical Lead, 2WTE Specialty Doctors and 0.4WTE Addiction GP Specialist.

The post holder will be expected to participate in the current duty work schedule of 1:9, (non-resident and on the Consultant rotation).

Members of Multi-disciplinary Team NHS Addiction Services comprises Addiction Nurses and Senior Addiction Nurses working in community alcohol and drug teams covering specific geographical areas.

Support Facilities (Offices/Secretary): The Consultant will have an office of his/her own with personal computer and secretarial support.

Clinical  To provide clinical leadership to the care of individual patients as well as the care of patients within the assigned clinical patch.  To give expert advice on clinical issues relating to substance misuse to the clinical teams within Addiction Services and Mental Health.  To assess, treat and arrange appropriate care for people with substance misuse problems on an outpatient basis and to provide such care as part of a multi-disciplinary team.  To undertake psychiatric and risk assessments, and treatment planning in conjunction with the multi-disciplinary team.

Managerial  To assist with successful achievement of set targets such as the HEAT A:11 waiting time to treatment target.  To take a special interest lead, the nature of which is to be agreed between the post holder and Clinical Lead.

Clinical Audit, Data Management and Clinical Governance  To work with GPs and other clinicians and support staff to develop Fife wide policies for the assessment and management of drug and alcohol users.  To liaise with the existing geographically based Adult General Psychiatry services to develop protocols for the care of patients with dual diagnosis.  To develop, in partnership with other agencies, alternatives to hospital admission for detoxification and/or rehabilitation.  To set up substitute prescribing clinics across Fife, working closely with the Health and Social Care Partnerships.  To work closely with a wide range of statutory and voluntary agencies active within Fife to ensure a multi-agency approach in the provision of services for people with substance misuse problems.  To work closely with other Primary and Secondary Care services in the provision of a timely and effective treatment plan.

On-Call Commitment To participate in the General Adult Psychiatry on-call rota 1:9, non-resident. This is optional

Leave Annual leave allowances and public holidays are combined 40 days per annum for a full time appointment.

Research Research and audit will be encouraged. Honorary Senior Clinical Teacher and/or Honorary Senior Lectureship status may be available to an appropriately qualified applicant with St Andrews University Medical School. NHS Fife Addiction Services is active within the NHS Fife Research and Development Programme of research activities. NHS Fife also participates in the teaching and research activities organised by Universities of Dundee, St Andrews and Edinburgh.

Teaching  To participate in the training and development of junior medical staff and medical students, including individual and educational supervision.  To contribute to the postgraduate teaching programme and to become involved in CPD revalidation based activities as they develop within the Mental Health Service.

Continuous professional development To engage actively in local and national Continuing Professional Development

Work programme Job Plan Review The Job Plan is provisional and still to be finalised. In particular, you may be asked to consider extra programmed activities of direct clinical care. The level of participation in on-call will be agreed at job planning and appropriate PAs agreed (either as extra programmed activities or in exchange for other DCC activity). Your job plan will be subject to review once a year by you, your CSM in Addiction Services and the Clinical Lead/Clinical Director, as laid out in the terms & conditions of the new consultant contract.

In the event of any significant changes in the circumstances affecting this job plan, it is agreed that it will be renegotiated jointly in collaboration with consultant colleagues.

Cover for Consultant Colleagues Annual/Study Leave - You will be required to provide emergency cover for consultant colleagues during absence on annual or study leave. If for any reason such deputising is not practicable, the Operational Division of NHS Fife undertakes to authorise immediate consultant locum cover.

General Provisions You will be expected to work with local managers and professional colleagues in the efficient running of services and will share with Consultant and other colleagues in the medical contribution to management. Subject to the provision of the Terms and Conditions, you are expected to observe the Directorate’s agreed policies and procedures, drawn up in consultation with the profession on clinical matters, and to follow the standing orders and financial instruction of NHS Fife. In particular, where you manage employees, you will be expected to follow the local and national employment and HR policies and procedures. You will be expected to make sure that there are adequate arrangements for hospital staff involved in the care of your patients to be able to contact you when necessary.

All medical and dental staff employed by NHS Fife are expected to comply with all Hospital Health and Safety Policies within the Division.

Indicative Job plan timetable

Day AM PM Management & service- Mental Health Monday related meetings. Assessments Fife wide psychiatric education session / Tuesday Case supervision training / Journal Club / CPD / Supervision Case supervision/ Wednesday O.P. Clinics. methadone titrations. Case supervision/ Thursday Clinical discussions methadone titrations. Case supervision / Friday OP Clinics. prescription signing.

Each fixed session equates to a 4.0 hour Direct Clinical Care Session as defined by the new consultant contract

This timetable represents the work plan of the previous post-holder. The precise timetable will be discussed to take into account departmental needs and interest/experience of appointee.

Weekly timetable of Fixed Commitments * (i.e. regular scheduled NHS activities in accordance with paragraph 30B of the terms and conditions of service).

A split of 9:1 between direct clinical care PAs and supporting professional activities is now the advertised standard for all new consultant job plans within NHS Fife. The one SPA minimum will reflect activity such as appraisal, personal audit and professional development occurring outside study leave time. Once the candidate has been appointed more SPA time may be agreed for activities such as undergraduate and postgraduate medical training which takes place outside direct clinical care, as well as research and/or management. These activities must be specifically and clearly identified and be agreed with the candidate and desired by the department.

PERSON SPECIFICATION

NHS Fife

Consultant Psychiatrist General Adult Psychiatry (sub-specialty: addictions)

Attributes Essential Desirable Education and MRCPsych qualification (or Additional post-graduate Qualifications equivalent) qualifications, e.g. MD/ PhD/MSc Full Registration with the GMC and a licence to practice Eligible for (or in receipt of) approval under Section 22 of Completion of Higher Training the Mental Health (Care and in General Adult Psychiatry Treatment) (Scotland) Act and inclusion on the GMC 2003 Specialist Register or within six months of CCT or CESR (General Adult Psychiatry) at interview

Experience Wide experience in psychiatry Evidence of leading team and/or other fields of medicine. meetings and other examples of clinical leadership. Working in a community setting Experience of undertaking Mental Health Act ssessments in the community Ability Ability to take full responsibility Evidence of complex case for independent management management of patients.

Ability to communicate effectively and clearly with patients and team members

Academic Supportive of research activity Evidence of research and Achievements publications in peer reviewed journal

Teaching and Evidence of commitment to Experience of designing audits Audit clinical audit Evidence of training in clinical Formal and informal teaching and / or educational and training of trainee doctors, supervision medical students and other

clinical staff. Completed audit leading to change in practice Learning and continuing professional development

Motivation Evidence of commitment to: Experience of involvement in  patient-focused care service development projects  Continuous professional development and life- Clear commitment to long learning developing role in relation to  Effective and efficient community services use of resources

Team Working Ability to work in a team with Ability to motivate colleagues colleagues in own and other disciplines Leadership training

Ability to organise time Good liaison and negotiation efficiently and effectively skills

Reliability

Excellent communication skills

TERMS AND CONDITIONS

NHS Fife

Consultant Psychiatrist General Adult Psychiatry (sub-specialty: addictions)

Terms and Condtions of employment The post holder will have a contract of employment with NHS Fife. The terms and conditions of service relating to employment are those currently set out in the Hospital Medical & Dental Staff and Doctors in Public Health Medicine and the Community Health for the Consultant Grade and the General Whitley Council Conditions of Service.

Absence The post holder should make requests for annual leave and reports of sickness absence to the clinical lead & management secretary. The successful candidate is expected to contribute to management tasks.

Professional support Professional support is available through NHS Fife Medical Director and/or Director of Public Health with whom the appointee is entitled to discuss any grievance relating to their employment, or to gain advice and/or support following a failure to agree a job plan at review. NHS Fife Board act as final arbiters of disputes over job plans which cannot be resolved at local level.

Employment details All NHS Fife appointments are subject to a satisfactory medical report and a PVG check.

Superannuation The appointment is superannuable unless you opt out of the NHS Superannuation Scheme. Staff who choose not to be in the scheme will automatically contribute to the State Earnings Related Pension Scheme (SERPS) unless they are excluded from doing so or have arranged a Personal Pension Plan.

Annual Leave The annual leave entitlement for consultant staff is six weeks and 10 public holidays per annum on a pro rata basis.

Programmed Activities The post will offer a maximum of 2 SPAs. 1 is guaranteed for CPD the other will be negotiated taking into account duties such as appraiser, trainer or other agreed specific tasks.

Salary Salary Scale: £80,653 - £107,170 per annum. Progression through seniority points will be in accordance with the provisions of Section 5 of the Terms and Conditions of service.

Other duties In addition to the duties outlined above, you may occasionally be required to undertake other duties for limited periods.

Notice period The employment is subject to three months’ notice (or longer) on either side.

Travel Your residence shall be maintained in contact with the public telephone service. The post is non-resident, and therefore, you will be entitled to appropriate reimbursement for place of residence.