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Consultant Adult Psychiatrist Kirkby CMHT

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Consultant Adult Psychiatrist Kirkby CMHT MC2018.19(V1) Job Description and Person Specification: Consultant Adult Psychiatrist Kirkby CMHT Post and Consultant Adult Psychiatrist specialty: This is a replacement full time post within the Kirkby Community Mental Health Team Base: Northwood House, Briery Hey Ave, Liverpool L33 0YE. Contract: Number of programmed activities: 10 Accountable Dr Kuben Naidoo, Clinical Director for Sefton & Knowsley: operationally [email protected] 0151 330 8554 to: (CONTACT TO DISCUSS THE POST AND VISITING ARRANGEMENTS Accountable Dr Andrew Sedgwick, Associate Medical Director for Local Services: professionally [email protected] to: Via : [email protected] 0151 527 3445 (CONTACT TO DISCUSS THE POST AND VISITING ARRANGEMENTS) [1] MC2018.19(V1) Key working Line Manager: Debbie Marsden Lead Consultant Community (Sefton & relationships Knowsley) [email protected] and lines of Team Manager : Allison Harvey responsibility: Locality Service Line Manager : Alex Henderson Chief Operating Officer for Local Services: Donna Robinson Guardian for safe working : Dr Arpan Dutta Responsible Officer: Dr Noir Thomas Mersey Care NHS Foundation Trust is the designated body Deputy Medical Director: Dr Arun Chidambaram [email protected] 0151 250 3000 (CONTACT TO DISCUSS THE TRUST) Executive Director of Operations: Mark Hindle Chairperson: Beatrice Fraenkel Medical Director: Dr David Fearnley [email protected] Chief Executive: Joe Rafferty Trust HQ V7 Building Kings Business Park Prescot Merseyside L34 1PJ 0151 471 2328 [2] MC2018.19(V1) Introduction Who we are Mersey Care is an innovative, leading edge mental health trust that provides adult specialist mental health, addiction, and learning disability and community health services in North West England and beyond. Our vision is to become the leading organisation in the provision of these services. Quality, recovery and wellbeing are at the heart of everything that we do. Mersey Care is a Global Digital Exemplar In 2017 Mersey Care successfully attracted £5m of central NHS funding to accelerate our ambition to digitally transform our services. We are working on a number of projects looking at delivering exceptional care, efficiently, through the use of world- class digital technology and information. These projects include an innovative caseload dashboard for community mental health nurses and an electronic prescribing system. The GDE programme is led by Dr David Fearnley – Mersey Care’s Medical Director - who is also the Chief Clinical Information Officer for the Trust. Our vision, values and aims – “Striving for Perfect Car e” Perfect Care means: Setting our own stretching goals for improvements in care rather than aiming to meet minimum standards set by other organisations Getting the basics of care right every time. Making improvements to the care we provide because we know it’s the right thing to do for patients and because we care about the care that we provide. Helping people to try improvements, learn from their mistakes, and apply what works more rapidly. Helping our people to innovate in ways that create better quality and outcomes for the people we serve whilst reducing cost. [3] MC2018.19(V1) Our goals for zero suicides for people in our care, no force first (zero physical or medication-led restraint), physical health and a just culture are all about providing perfect care for the people we serve. Our values are those of: Continuous improvement Accountability Respect Enthusiasm Our Strategic Aims are - Our services – this is all about how we will improve the quality of our services, and strive to provide safe, timely, effective, equitable and person-centred care every time, for every service user, every day, this means getting the basics of care right consistently, repeatedly and predictably. For example when a service user receives information about their appointment, when medication is dispensed or when care plans are produced. Our people – This is all about supporting our staff to do the best job that they can and working alongside service users and carers to design our future services together. Our Personal Achievement Contribution Evaluation system and Strive, Thrive and Drive leadership programmes are all ways in which we support our staff. Our resources – This is all about making sure that we spend every pound we receive in the best way possible. We have to continue to provide high quality services within a tighter budget. Every member of staff can help us to this every day by looking after Mersey Care’s resources like they would their own. We also develop our building and IT systems to help to provide the best care possible and help our staff do the best job they can. Our future - It is important that the trust looks to the future to grow and develop our services, building on research and innovation from our staff. We want to take opportunities to work with primary care, to join up physical and mental health care and to work closely with other mental health and learning disability trusts. Every member of staff can propose innovative ideas to improve Mersey Care’s services, either by discussing ideas with their team or manager, or even directly with the Chief Executive. [4] MC2018.19(V1) Trust Details The Trust comprises four Clinical Divisions supported by our Corporate Services Division based at our offices in Prescot, Merseyside. Over 5,000 staff serve a population of almost 11 million people. Local Services Division provides specialist inpatient and community Mental Health, Learning Disabilities, Addiction management and acquired Brain Injury services for the people of Liverpool, Sefton and Kirkby, Merseyside. Secure Services Division provides high secure mental health services for the North West of England, the West Midlands and Wales. One of only three trusts in the country that provides these services. The trust also provides medium and low secure services more locally for men and women with mental disorders. Specialist Learning Disability Division provides secure Learning Disability services across Lancashire, Greater Manchester, Cheshire and Merseyside. This is currently delivered from the former Calderstones NHS Trust site in Whalley Lancashire. Liverpool and Sefton Community Services Division provides community health services to Liverpool CCG and South Sefton CCG residents, in partnership with North West Boroughs Foundation Trust. During 2016/17, Mersey Care: provided care, treatment and support to 20,621 service users from May 2016 to March 2017 (20,387 in local services and 240 in secure services) across over 36 sites both of its own and premises rented from others had 760 inpatient beds as at 31 March 2017 had 351,306 outpatient attendances and contacts from May to March 2016/17. (Statistics based on audited figures for 2016/17) 2018 is an exciting and challenging year for Mersey Care NHS FT. We are three years through a five year programme of organisational and service transformation in order to improve the quality of the care that we provide and safely reduce our costs, so that we can continue to invest in meeting considerably in new buildings and technology, and very importantly, support our frontline staff to continue to improve the service they provide. On 1st April 2018 the Trust acquired Liverpool Community Health services following a tender process with a plan to deliver a truly integrated Bio-Psycho-Social community health service in Liverpool and South Sefton. [5] MC2018.19(V1) Service details The Local Division operates a total of 18 adult Community Mental Health Teams (CMHTs) based in 7 community hub sites across the North Mersey footprint. All adult CMHTs operate within a “functional model” meaning that post holders work with community patients only and are not required to maintain responsibility for inpatients, who instead come under the care of the Inpatient Consultants. There is an adult Single Point of Access (SPA) Team with its own dedicated Consultant and multi-disciplinary team, which triages all referrals into the service. Only those referrals deemed appropriate for CMHT input following assessment are passed on to the adult CMHTs Significant work and new investment is being put into the re-launched SPA which will enable it to provide brief interventions alongside assessment. It is expected that this will further reduce the referrals to adult CMHTs, and alongside clearer CMHT entry criteria, ensure that adult CMHTs are able to focus their work on only those patients with serious mental illness, and/or high complexity and need. At present all adult CMHTs provide “in-house” integrated crisis support for service users open to the CMHT but also new to service patients. Plans are at an advanced stage, with additional resources allocated, to re-establish a dedicated Crisis Resolution and Home Treatment teams (CRHTT) during 18/19 with full coverage across the North Mersey patch. Once operational, the new CRHTT will manage all new to service crisis patients, and provide out of hours care for those patients open to CMHTs but currently in crisis. In addition, the Trust is also undertaking a comprehensive clinically led Transformation Programme in Adult CMHT’s, with the development of a “caseload inclusion tool”. This tool sets explicit criteria for patients to gain entry and then remain firstly on a Consultant and then CMHT caseload, and defines new non-medically led care pathways, underpinned by a new more flexible CMHT model, albeit with clear pathways for consultation and advice. As at end of April 2018, over 50% (approx. 3000) of the Trust’s Adult CMHT patients in clusters 1-4, 7, 11 and 12 have had their care reviewed using the inclusion tool, with approx. 25-30% identified as suitable for immediate Primary Care management. The tool has also identified cases for nurse led depot clinic management and psychologist managed pathways, which will form key parts of a future CMHT model than the use of Consultant outpatient clinics as the default setting for all care.
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