NHS Forth Valley
CONSULTANT PSYCHIATRIST Old Age Psychiatry VACANCY
Consultant in Old Age Psychiatry 40 hours per week £80,653 (GBP) to £107,170 (GBP) per annum Tenure: Permanent
NHS Forth Valley seeks to appoint one Consultant in Old Age Psychiatry, leading a well established Community Mental Health Team for Older Adults (CMHT OA) in Falkirk West area covering approximately 12,000 older people.
The successful applicant will be responsible for the comprehensive mental health care of patients within the catchment area, supported by a well developed Community Mental Health Old Age team and associated Care Home Liaison services. The catchment area size reflects the redesign of services leading to well established teams who take on the majority of initial assessments and respond to emergencies with appropriate input and supervision from the consultant. Inpatient beds are available in Forth Valley Royal Hospital and continuing care beds are provided across three Community Hospitals in Clackmannanshire, Stirling and Bo’ness. The post has additional Specialty Doctor support and well established links with local Primary Care teams and Social Work partners.
There is a Consultant led acute hospital liaison team for older people and also an integrated admission ward run by Ageing and Health medicine, with mental health support. This is an exciting time as you will be able to influence ongoing service redesign and planning for health and social care integration.
You will be expected to take part in the Psychiatry on call rota which is currently 1 in 15. The appointment will be subject to the terms and conditions of service of the Consultant Grade (Scotland).
NHS Forth Valley has two health and social care partnerships, and serves the council areas of Falkirk, Stirling and Clackmannan, a population of 310,000. The area is served by Forth Valley Royal Hospital and four community hospitals.
Forth Valley offers an unrivalled quality of life being an area of outstanding natural beauty which includes Loch Lomond and the Trossachs National Park. Historic Stirling ‘the gateway to the Highlands’ has local state schools that consistently feature in the top 20 national league tables. Scotland’s major cities, Glasgow & Edinburgh are within one hours travel. Substantial relocation packages are available.
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 Forth Valley
Consultant Psychiatrist Old Age Psychiatry
As a Consultant working in Falkirk Community Mental Health Services for the older adults you will be expected to participate and deliver mental health promotion, timely detection, diagnosis and management of dementia and functional illnesses, plus support education for carers.
The delivery of Specialist Old Age Psychiatry services is provided through a variety of setups including acute admission and rehabilitation beds, day hospital and memory clinics, domiciliary and outreach care, and outpatient /community clinics. The services are designed around well developed sectorised community mental health teams. A small number of Hospital Based Complex Care beds are provided for people with severe and persistent behavioural problems that necessitate specialist medical and nursing care, located in Stirling, Sauchie and Bo’ness.
Consultant offices, community teams, Specialist nursing services and day hospitals for this post are co located in Falkirk Community Hospital.
Community Mental Health Team for Older Adults (West) The community mental health team for older people in Falkirk provides integrated assessment, care planning, psychiatric treatment, care co-ordination and follow up to older people with mental health problems in the community. Referrals are accepted from Primary Health Care teams at practice meetings, directly from GPs, locality social workers, from acute hospital staff and from secondary care psychiatrists.
The community mental health team provides, support by working with patients, their families and carers in their own homes and in other community settings, including residential and nursing care, and acts as a gateway to other services. Good practice involves the identification of a key worker and regular case review. The South sector CMHT currently operates a sectorised model with CPNs aligned to designated GP practices.
The team operate a same day service for emergencies Monday to Friday 9am - 5pm. CMHT 2 senior band 7 RMN, 2 band 5 RMN along with access to a health care assistant, part time physiotherapist and 2 Senior Occupational Therapists; team is supervised by team leader with support from a clinical nurse manager. It undertakes range of assessments including domiciliary functional assessments, therapeutic interventions and post diagnostic support groups for those with dementia.
The majority of initial assessments are carried out by a band 7 nurse, who, in conjunction with the sector Consultant, will determine a diagnosis and develop a treatment plan.
A wide range of psychological and pharmacological interventions are available including anxiety management, CBT and cognitive enhancer therapy.
Treatment interventions will be undertaken by any member of the sector team deemed to have the necessary skills. Regular case supervision is carried out and joint working with other healthcare providers and Social Work is encouraged.
Local representatives from Area Social Work teams attend the weekly case reviews to allow fast track referrals from one service to another and to highlight any concerns regarding existing patients.
Psychiatric Day Hospital The day hospital service has 20 places per day for older people with mental illness. It provides: Intensive multidisciplinary assessment and treatment for older people with complex mental health needs. Aims to reduce hospital admission Focus on rehabilitation Sessional and home based treatment Interventions that are time limited Comprehensive extended multidisciplinary mental health assessment and risk assessment Individual and group psychological interventions (counselling, CBT, AMT, coping strategies, coping with loss) Education and advice to carers Monitoring of psychotropic medications and health maintenance Support care staff in mainstream services in order to maintain people at home
It currently provides services from Tuesday to Friday with extended day hospital services on:
Tuesday Functional patients Wednesday Post-diagnostic support clinic for Dementia Thursday Living life to the full course for anxiety and depression. Friday Functional patients Monday Day hospital staff deliver alternative Community based services which include Health Maintenance Clinic, Fast track Psychiatric Support Clinic to Ageing & Health medicine OP services, Neuropsychiatric education and support group for complex co morbidity.
Outpatient Clinics Currently clinics are offered at Falkirk Community Hospital including Consultant led community based clinics in selected care homes.
Clinics include: General Outpatient including medications monitoring Cognitive enhancer clinic Memory clinic Neuropsychology clinic
A domiciliary service is available for those unable to attend clinics.
Memory Assessment Services Memory assessment services aim to provide timely diagnosis, treatment/management (psychological and social as well as pharmacological) and aftercare for people with dementia and their families.
You will be well supported by the community mental health team in providing post diagnostic support. You will be involved in diagnosing dementia, providing advice about prognosis and the options for packages of care and support as necessary, providing psychological and social interventions for people with dementia and their carers, providing pharmacological treatment for cognitive impairment, behavioural and psychological symptoms and follow up of patients as appropriate in clinical setup.
Inpatient beds 20 Organic and 20 Functional acute assessment beds are located in Wards 4 & 5 at Forth Valley Royal Hospital. These beds are shared across Forth Valley and each Consultant will retain responsibility for their own inpatients supported by three junior doctors and their Specialty Doctors.
The purpose built unit offers single room accommodation for each patient. Each ward is led by a band 7 Charge Nurse. The unit offers excellent facilities including a modern and well equipped OT kitchen and physiotherapy gym. Both the wards have regular input from psychologists. The dementia ward uses the stress and distress model to manage distressing behaviours and has access to an activity coordinator. This has recently won an award for outstanding care at Board level.
Community beds Hospital Based Complex Care beds are offered in three community hospitals, patients living in Falkirk District are largely placed in Bo’ness Hospital. This is a purpose built unit for dementia sufferers with severe and enduring behavioural problems. It is co-located with a large general practice and medical rehabilitation unit. Day to day medical cover is provided by portfolio GP team and regular Consultant ward rounds.
Demetia Outreach Team Dementia link nurse support was developed in Forth Valley to continue the ongoing support to patients prescribed cognitive enhancers. This was an established service much before the recent initiative through the National Dementia Strategy. This has now been redesigned to provide rapid access to all the patients with dementia diagnosis experiencing stress and distress. This service currently has 4 dedicated nurses working at Band 6 and 5 level and 2 health care assistants with supervision from medical team
Care Home Liaison Service This service delivers education and training to care home staff across the sector, as well as regular clinics and individual patient assessment and reviews. Additionally, specialist clinics in two homes, Torwood and Burnbrae support staff in the care of patients with severe and enduring mental health problems who otherwise would
have required LT hospital care. The care home liaison service at present has 1 Band 7 RMN specialist nurse and a band 5 nurse.
Current Establishment Dr V Pattan Dr C Duncan Clinical Director & Consultant Specialty Doctor Stirling North Sector
Dr C McGechaen Consultant - Liaison
Vacancy (this post) Dr A Sawhney Consultant Locum Consultant South Sector West South Sector Central and West
Vacancy Dr A Rennie Consultant Specialty Doctor South Sector East South Sector
Dr P Apurva Consultant South Sector Central and West
Dr. Stuart Affleck Dr A Allatt Consultant Specialty Doctor Clackmannanshire Clackmannanshire
Administrative support You will have appropriate secretarial support and office accommodation including a computer with access to the NHS network.
Training and Education NHS Forth Valley places a high priority on training and development across all staff groups and strongly supports the continuing medical education programme for Consultants. The Learning, Education and Training Centre is located within Forth Valley Royal Hospital.
Forth Valley Royal Hospital provides a free library service to all staff working within the Forth Valley area. Membership is free and registration is available via the NHSFV library website http://www.nhsforthvalley.com/health-services/library- services
The library contains a selection of textbooks, teaching/visual aids and provides computer access to enable access to the Knowledge Networks collection of free text up to date journals and other educational resources.
Glasgow and Edinburgh with their Royal Colleges, University medical schools and postgraduate facilities are in easy reach. There are regular division of psychiatry meetings.
Teaching, audit and research The Consultant will be expected within his/her NHS responsibilities, to undertake audit, and to partake in undergraduate and postgraduate teaching as required. The consultant will be expected to take an active part in the teaching of psychiatry trainees on placement in the Old Age Psychiatry service.
NHS Forth Valley Psychiatry Services
In- Out- Day- Specialty Patient Patient Patient General Adult Psychiatry * * * Old Age Psychiatry * * * Learning Disability Psychiatry * * CAMHS * Forensic Psychiatry * * Liaison Psychiatry * * Rehabilitation Psychiatry * * Intensive Home Treatment Team (Psychiatry) * Psychotherapy * Eating Disorder * Community Alcohol & Drug Service *
Consultant in Old Age Psychiatry responsibilities As agreed with the General Manager and Associate Medical Director to provide with Consultant colleagues an area wide service with responsibility for the prevention, diagnosis and management of illness, and for the proper functioning of the service; Out–of-hours responsibilities for Forth Valley Royal Hospital shared with the other Consultants as part of a Consultant team; To provide cover for Consultant colleagues during annual and study leave or at such other times as agreed with the General Manager and Associate Medical Director; Acting as AMP for Mental Health Act work for patients from your area. To liaise with adult psychiatry colleagues and other partnership agencies. To offer professional supervision, training and appraisal of junior medical, nursing and technical staff as appropriate to enhance role extension and job skills within the service in order to improve the service provided to patients; To motivate staff within the service, through leading by example, and fostering good working relationships at all levels in line with the principles of the local Partnership Agreements; To contribute to developments and initiatives within the organisation as appropriate and as requested; To undertake teaching, accreditation and examination duties, and contribute to postgraduate and continuing medical education activity across the area service; To contribute to service audit, and recording of patient contact date required for reporting on HEAT targets
To agree and implement an annual medical audit and clinical governance programme with the Associate Medical Director in line with the Board’s Clinical Effectiveness Strategy; To participate fully in Consultant appraisal and personal development planning activities;
To ensure the efficient and effective use of the organisation’s resources; To work with Psychiatric colleagues to ensure the effective and efficient development and implementation of support systems.
The requirements of this post will change through time in line with clinical advances and developments in services provided by the NHS in Forth Valley.
Job plan The post holder is required to agree a detailed job plan which will be reviewed at least annually. Efforts will be made to complete job planning prior to the date of commencement in post, or, if this is not possible, as soon as possible following this date.
NHS Forth Valley consultant posts are initially for 10 PAs. We are keen that SPA- related activity over and above the 1 PA of SPA for individual requirements (CPD, audit, clinical governance, appraisal, revalidation, job planning, internal routine communication and management meetings) is offered to new consultants. Other roles in this department that have an SPA allocation are Peer appraisal Educational supervision of trainees
Exact allocation of SPA time will be agreed with the successful applicant and reviewed at annual job planning.
Subject to completion of job planning, the proposed weekly timetable is as follows:
Example Job Plan
AM PM Day 0900-1300 1300-1700 Monday Functional Ward round Outpatient clinic
Tuesday Organic Ward Round Community visits
Wednesday CMHT MDT Admin
Thursday SPA Outpatient clinic
Friday Ward Review / family Patient related admin / meetings urgent visits
4 hour Outpatient Clinic = 3 hour patient contact and 1 hour administration
PERSON SPECIFICATION
NHS Forth Valley
Consultant Psychiatrist Old Age Psychiatry
Attributes Essential Desirable Education MRCPsych qualification (or Higher degree e.g. MSc, MD or and equivalent) PhD higher degree Qualifications Membership of the Royal MBA or other relevant diplomas College of Psychiatrists
Eligible for (or in receipt of) approval under Section 22 of the Mental Health (Care and Treatment) (Scotland) Act 2003
Full Registration with the GMC and a licence to practice
Completion of Higher Training in Old Age Psychiatry and inclusion on the GMC Specialist Register or within six months of CCT or CESR (Old Age Psychiatry) at interview
Experience Old Age Psychiatry experience Experience in Ageing & Health (inpatient/outpatient) Medicine
Experience of MDT working. Experience of liaison work.
Supervision of staff Management/leadership experience
Knowledge Willing to work unsupervised Use of care programme and skills and make decisions approach
Good written and oral communication skills Knowledge of Mental Health Act (Care & Treatment) Scotland Demonstrated ability to manage Act 2003 and AWI legislation time effectively Therapeutic skills e.g CBT Experience of working in a multi-disciplinary team Experience of preparations of applications and reports for
Demonstrated ability to work Mental Health Tribunals. unsupervised and make decisions
High level of competence in the clinical aspects of Old Age Psychiatry and evidence of an ability to develop new skills and train colleagues as appropriate.
Good information technology and administrative skills.
Academic Participation in research or Formal research training; clinical audit to improve clinical demonstrated ability to design a care. research or audit project
Participation in departmental Formal training in teaching teaching methods; demonstrated ability in teaching / training.
Management Understanding of management Demonstrated ability to manage issues including medical e.g. project work; mentoring discipline; clinical governance, junior staff service planning and willingness to contribute to the activity of the NHS in Forth Valley.
Other Ability to work flexibly according to the needs of the service, and contribute to team and skills development.
Drivers licence
Willing to travel as required by the duties of the post.
TERMS AND CONDITIONS
NHS Forth Valley
Consultant Psychiatrist Old Age Psychiatry
Location Old Age Community Mental Health Team, Falkirk
Hours of Work 10 programmed activities. NHS Forth Valley will require each consultant to agree with the General Manager or his / her deputy and the Associate Medical Director a job plan of fixed and other commitments, which will be reviewed on an annual basis and revised as necessary to meet the requirements of the local and national service issues.
Salary £80,653 - £107,170 per annum pro rata based on seniority. NHS Forth Valley does not negotiate salary placements. On commencement of employment, salary will be determined in accordance with Section 5 of the terms and conditions of service.
Tenure Permanent
Responsibility The post holder will be professionally responsible to the Associate Medical Director, Psychiatry and managerially responsible to the General Manager, Forth Valley Community Services Directorate.
Notice Period The employment is subject to three calendar months notice on either side.
Annual Leave Annual leave entitlement is six weeks per year (pro rata for part time post holders), with additional statutory holiday entitlement as agreed by the Local Negotiating Committee and published annually.
Relocation The post holder will normally be expected to reside within 30 minutes travelling distance of Forth Valley Royal hospital. If NHS Forth Valley Health Board considers that the there is a requirement for the post holder to relocate his or her home in order to take up the responsibilities of the post, relocation expenses will be available in accordance with the Board’s Relocation Policy. Support to the level of 15% of starting salary up to a maximum of £10,000 may be available, subject to the provisions of the policy.
Superannuation This appointment will be superannuable under the NHS Superannuation Scheme, which is contracted out of the State Earnings Related Pension Scheme (SERPS). New employees will automatically be enrolled in the scheme unless they opt out. For further information, please contact the Scottish Public Pensions Agency (SPPA) on 01896 893100 or visit www.sppa.gov.uk
CPD and Revalidation Consultants will be required to participate in an annual appraisal and revalidation. The successful candidate will be expected to be registered for CPD with the Royal College of Psychiatrists and to fulfil requirements for annual certification and for appropriate revalidation. The service is required to amend this section to reflect the correct details.
Full Terms and Conditions The terms and conditions of service for the appointments are those determined by the Terms and Conditions of the New Consultant Grade (Scotland) as amended from time to time.
Equality in Employment NHS Forth Valley fully supports the principle of equality in employment and opposes all forms of unlawful and / or unfair discrimination which cannot be shown to be justified. NHS Forth Valley is committed to ensuring equality of treatment for both present and potential employees.
Human Resources Policies and Services NHS Forth Valley is the largest employer in Forth Valley, and is committed to ensuring its employment and Human Resources policies and procedures reflect best practice. As a progressive employer, NHS Forth Valley is committed to supporting and developing all employees.
Criminal Convictions – Protecting Vulnerable Groups (PVG) Scheme The Protecting Vulnerable Groups (PVG) scheme has replaced the previous disclosure arrangements for people who work with vulnerable groups. The duties of this post require the post holder to undertake regulated work with children and young people (individuals aged under 18 years) and / or protected adults (individuals aged 16 or over who is provided with (and thus receives) a type of care, support or welfare service).
The post holder will be required to be a member of the PVG Scheme and to consent to NHS Forth Valley obtaining a Scheme Record or Scheme Record Update, as appropriate. Any failure to disclose convictions could result in the withdrawal of an offer of employment.
Any applicant wishing to discuss any existing criminal convictions and how these may impact upon an application for employment should contact the Medical Workforce Manager in the first instance.
Occupational Health Screening This post involves the performance of exposure prone procedures and therefore the successful applicant will be required to produce evidence of their Hepatitis B and C Immunity Status prior to appointment and to undergo satisfactory health screening. Any offer of employment will be subject to satisfactory Occupational Health assessment.
Confidentiality During the course of their employment with NHS Forth Valley, employees may have access to information about staff or patients or other aspects of NHS Forth Valley’s activities, about which they have a duty to maintain confidentiality at all times. In common with all other staff, the post holder will have, in addition, a responsibility to ensure that information relating to his or her work and the operation of the Forth Valley Acute Services in general is kept and maintained securely in accordance with the requirements of the Data Protection Act (1998), the Board’s policies and good practice. In particular, the disclosure of commercial or other confidential information which may affect the Board’s business interests or endanger the survival of any of its services will be regarded as a fundamental breach of the mutual confidence which must exist between the employer and the employee.
Infection Control and Hand Washing Policy NHS Forth Valley is committed to providing as clean and safe environment as possible for staff, patients and visitors. The post holder will be required to comply with the Infection Control and Hand Washing Policies.
Health & Safety at Work All employees have a responsibility for their own health & safety and the health & safety of others who may be affected by what they do. Employees also have a duty to co-operate with their employer by following NHS Forth Valley policies and procedures and safe systems of work; by using equipment safely and by bringing any shortcomings in health and safety arrangements to the attention of their employer. Where something is provided in the interests of health & safety employees must not interfere or misuse it. All employees have a legal responsibility to report any shortcomings in terms of this in their area. Managers and supervisors have a responsibility for monitoring health & safety arrangements and ensuring staff are following policies and procedures and safe systems of work.
Partnership Agreement NHS Forth Valley is committed to partnership working. All employees are required to contribute to the development of partnership working by: supporting NHS Forth Valley in delivering its goals and objectives; supporting continuous improvement in individual performance and the performance of the relevant team / department, directorate and NHS Forth Valley; attending training, development and other activities aimed at improving individual skills for the benefit of the organisation and patient care.