ADDITIONAL INFO FOR VACANCY LOCATION: MEDICAL CENTRE, REDFORD BARRACKS, EDINBURGH Redford Barracks is an early 20th century-built Army establishment originally designed to house both infantry and cavalry regiments. Whilst the horses are long gone, the imposing architecture remains – elements of which are now listed for their importance. The substantial parade squares now play host each year to the dress-rehearsals for the world- famous Edinburgh Military Tattoo. Facilities for staff include onsite parking, a cafeteria and separate coffee shop, use of the gymnasium and learning centre. Swimming pool facilities are offered at the nearby Dreghorn Barracks. Civilian staff have the option to become Mess members and enjoy the social activities that offers. Within the Medical Centre itself, staff can take part in Pilates classes. Located in the family-friendly Edinburgh suburb of Colinton, the barracks are within easy reach of all that Edinburgh has to offer. The city centre is a short bus journey and the international airport no more than 5 miles away. Less than a mile away is the Edinburgh bypass providing an easy gateway to the countryside of the Pentland Hills as well as the rest of Scotland or south to England. JOB DESCRIPTION AND POST HRMS Position Number: SKILLS PROFILE Position Title: CONSULTANT PSYCHIATRIST Branch: PSYCHIATRY Location: Scotland/North Region Grade/Rank: CONSULTANT Clearance: Security Check, Disclosure barring Service Faslane DCMH (Enhanced) HRMS Job Family: DOCTOR HRMS Job Code: Minimum Tour Length: 2 years Maximum Tour Length: Working Hours/Pattern: 40 hours 30 days leave (increases to max. 32 days after 7 years employed as a consultant) 10.5 days public and privilege holidays Professional or study leave will normally be granted to the maximum extent consistent with maintaining essential services in accordance with the recommended standards, or may exceptionally be granted under the provisions of paragraphs 14 and 16. The recommended standard for consultants is leave with pay and expenses within a maximum of thirty days (including off-duty days falling within the period of leave) in any period of three years for professional purposes within the United Kingdom. Is the Post identified as Critical to the YES Business: Reason: This position is the senior clinical decision maker within the department. Without this post being filled there would be a significant reduction in the ability of the DCMH to provide clinical and advisory support or supervise other Mental Health activites. Allowances Associated with the Post: Type: NA Title: Value: Line Manager Position Title: Regional Clinical Director Line Manager HRMS Position Number: Introduction 1. Mental health services within the Armed Forces are provided by Defence Primary Health Care (DPHC) via Defence Mental Health Services (DMHS) whose aim is to – a. Provide effective care, with an approach based on recovery and rehabilitation, for Service personnel and entitled civilians with speedy access to skilled and effective assessment, treatment and occupational recommendations that is flexible and based around individual needs. b. Provide psychological education to primary care staff to enhance their capability to manage mental healthcare issues and to support their responsibilities in addressing the mental health of all personnel. c. Undertake research in mental health and mental wellbeing. d. Act in a command liaison role to support both case management and organisational initiatives including health promotion aimed at mental wellbeing and welfare. 2. In terms of the overall process of delivering mental health services there are clearly some parallels between the NHS and the Armed Forces, however in terms of morbidity there are differences between what is required of NHS mental health services and that required on a day to day basis by the Armed Forces. 3. The range of psychopathology tends to be less severe within the Armed Forces than is the routine for NHS work, and this allows time for the Services mental health teams to respond to the occupational needs of service life, which require early intervention and a highly rehabilitative approach to the care that is provided. Unique to service psychiatry is the ability to greatly influence the occupational factors which impact upon the individuals’ mental health. 4. This Job Description and Post Skills Profile form part of a comprehensive job plan that is to be ratified by both the incumbent and line manager and follows the general principles laid down in RCPsych guidance CR1741 Defence Primary Healthcare (DPHC) 1 CR174- Safe patients and high-quality services: a guide to job descriptions and job plans for consultant psychiatrists, Nov 2012 5. DPHC provides primary healthcare services to all Armed Forces personnel, and this includes musculosceletal rehabilitation, primare care, occupational medicine, mental health and dentistry. The Defence Mental Health Services are imbedded in DPHC and delivers care across the UK from 11 Departments of Community Mental Health (DCMHs), acting as “hubs”, and 6 Mental Health Teams (MHTs) acting as “spokes”. 6. The vast majority of the morbidity are from common mental health disorders, with serious and enduring mental illness and personality disorder being uncommon. Therefore, the vast amount of work is done in the community with a low risk population who are employed and functioning relatively well. However, they work in a complex system where occupational requirements differ significantly from the civilian population, wherein lies the challenge of military psychiatry. In-patient facilities are provided through an independent contract. Local working arrangments 7. DPHC is seeking a 1 WTE consultant psychiatrist to join DCMH Faslane. The vacancy has arisen as the result of a staff move, and the Trust regards this as an opportune moment to develop the functioning of the team. The service covers personnel stationed or sick at home in the local area, and each WTE consultant psychiatrist covers a population at risk of ~7500 service persons. 8. The DCMH team consists of: • 3 WTE Consultant Psychiatrists • 1.6 WTE Clinical Psychologists • 7 WTE Community Mental Health Practitioners • 2 WTE Social Workers • 1 WTE Practice Manager • 2 WTE Administrative Staff 9. The associated MHT at Kinloss team consist of: • 1 WTE Clinical Psychologists • 3 WTE Community Mental Health Practitioners • 0.5 WTE Social Workers • 1 WTE Administrative Staff 10. The team expects to receive on average 11 new referrals a week and will see urgent cases by the next working day and routine cases within 15 working days. It is expected that all team members carry roughly equivalent numbers of cases as care co-ordinators. The consultant psychiatrist is expected to carry a compact caseload of the most complex and unstable cases, but will also be available at short notice to provide consultation and advice to other team members.It must be stressed that the caseload contains far lower levels of morbidity and risk than a NHS general adult population and there is not a high emergency burden. 11. Inpatient services are provided by an independent contractor with ready access to inpatient beds, arranged through the local Service Liaison Officer. The job holder will not be responsible for inpatient care. 12. The DCMH provides care in hours only, and after hours crisis care is manged as per usual by the NHS. The post has no on-call commitment. There is a voluntary rota for clinics in Cyprus, Northern Ireland or elsewhere in the UK which the post holder can join if they so wish. 13. While primarily responsible for delivering a quality clinical service, the consultant psychiatrist is also expected to be actively involved in the strategic development of the team and broader services, being involved with the team manager and locality manager in helping to steer the development of the service in line with the strategic direction of the organisation. MAIN JOB OBJECTIVES: Direct Clinical Care (DCC) (7.5 PAs) 14. To provide a high quality, evidence based interventions as part of a multi-disciplinary team to provide a safe, effective and professional mental health service to maximise the number of personnel fit for role. 15. Offer advice and support to commanders and entitled Service Personnel. 16. Receive and appraise referrals from MO/GP within the Area of Responsibility (AoR) and advising on the most appropriate care pathway and carry out thorough clinical risk assessments of patients. 17. Provide safe and effective mental health services, including consultations for urgent referrals, and have clinical responsibility for their patient case-load. 18. Maintain responsibility for the patient during the process of care including referral to other regional services e.g. the Regional Occupational Health Team. 19. Provide mental health care that complies with the GMC’s ‘Good Medical Practice’ and the RCPsych’s Good Psychiatric Practice. 20. Provide recognised and clinically recommended interventions and managerial guidance for an identified, varied and somtimes complex caseload. 21. Prescribe medication in a safe and effective manner in accordance with the tri-Service Formulary and if prescribing off-licence products ensure compliance with current Service guidance. 22. Provide initial Consultant specialist occupational mental health assessments and formulation of mental health needs for referred patients, which will include planning, implementing and evaluating care. 23. Produce clinical reports to MO/GP and other relevant professional agencies