NHS Tayside

CONSULTANT PSYCHIATRIST General Adult Psychiatry

VACANCY

Consultant in General Adult Psychiatry Community Mental Health Team, Angus 40 hours per week £80,653 (GBP) to £107,170 (GBP) per annum Tenure: Permanent

NHS Tayside is seeking a Consultant Psychiatrist (full or part time) to join our Community Mental Health Team. This post will include opportunities to see and treat a wide variety of psychiatric disorders in patients aged from eighteen to sixty-five years old, with the support of our enthusiastic and well staffed multi-disciplinary and multi-agency social work and health Community Mental Health Team with access to our 20 bed inpatient unit.

We have local drug and alcohol, forensic, eating disorder, liaison and advanced intervention services as well as psychotherapy and psychology services available for our patients, and enjoy excellent relations with our local General Practitioners and voluntary service colleagues.

There are many learning and training opportunities, including the teaching and supervision of 4th year medical students and Specialty Trainees attached to our team. There is a monthly continuing professional development programme and other continuing professional development will also be encouraged. Active involvement in service improvement is available through membership of our Service Improvement Group. We have close links with the University of division of Neuroscience where academic and research opportunities are available: http://medicine.dundee.ac.uk/medical-research-institute/divisions/division- neuroscience

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 International Recruitment Service:

Telephone: +44141 278 2712 Email: [email protected] Web: www.international.scot.nhs.uk

GLOSSARY

AHP Allied Health Profession 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 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 IPCU Intensive Psychiatric Care Unit LD Learning Disabilities MRCPsych Member of the Royal College of Psychiatry NHS National Health Service OOH Out of Hours PA Programmed Activity PVG Protection of Vulnerable Groups RMN Registered Mental Nurse SCA Scottish Centre for Autism SPA Supporting Professional Activity UK WTE Whole Time Equivalent

JOB DESCRIPTION

NHS Tayside

Consultant Psychiatrist General Adult Psychiatry

Background Angus is a picturesque and historic semi-rural area that lies between the Grampian Mountains and the North Sea. Its population is concentrated in a number of medium size and small towns which have access to excellent schooling and educational facilities. Leisure pursuits, rural and urban are well catered for, and costs of living are low, with housing very competitively priced. Good transport links exist to nearby cities such as Edinburgh, Glasgow and Aberdeen which have international airports and Perth and Dundee which have large cultural and shopping centres.

The Angus population in total is approximately 116,500 with an adult aged population of about 70,500. There are currently five General Adult Psychiatry Consultant Psychiatrists based within the Community Mental Health Teams (CMHT) and the Inpatient Unit:  Inpatient Consultant – covering approximately 20 inpatient beds on Mulberry Ward at the , Dundee  South Team post 1 covering Arbroath, and CMHT (Adult population 17,500) – this post  South Team post 2 covering Arbroath, and CMHT (Adult population 17,000)  North West Team covering and (Adult population 19,000)  North East Team covering Montrose, and (Adult population 17,000)

The sector alignment brings team boundaries in line with Angus Health and Social Care Integration Partnership (HSCP) planning structures. These localities cover clearly identified GP practices and the HSCP approach is to try to align GP practice populations with geographical boundaries. The Adult Mental Health Service has been fully integrated between the NHS and Angus Council Social Work department for 20 years, and has excellent links with patients, carers and community based organisations including Penumbra, Richmond Fellowship, Outside the Box and Volunteer Centre Angus.

In-patient services are at Carseview Centre, Dundee which currently has 64 beds, 20 of which are for Angus acute general adult psychiatry inpatients, although a flexible approach is adopted regarding bed use across Tayside to improve capacity and flow. Inpatients are looked after by our Inpatient Consultant. Intensive Psychiatric Care beds are available in the Carseview Centre, Dundee and inpatient Rehabilitation, Substance Misuse and Forensic Beds at the Murray Royal , Perth. There are also Child and Adolescent, Learning Disabilities, Old Age Psychiatry and Advanced Interventions inpatient beds within Tayside.

The Psychiatry Service The general adult psychiatry service for Angus is provided by three geographically based multi-disciplinary community mental heath teams. The staffing levels are structured in response to clinical demands and include medical, nursing, social work, psychology, occupational therapy, support worker and administrative staff.

The teams have access to 20 inpatient beds at Carseview, Dundee (some of these may occasionally be used for rehabilitation or continuing care patients as their needs require). The beds are used according to need rather than having a fixed number per team and each team provides medical care for its own patients when the Inpatient Consultant is on leave.

Old-age psychiatry is also provided by community teams, and there are assessment and treatment beds at Hospital in addition to community beds.

There are Tayside area services available for Psychotherapy, Intensive Psychiatric Care, Forensic Psychiatry, Rehabilitation Psychiatry, Learning Disabilities Psychiatry, Child and Adolescent Psychiatry, Substance Misuse Services, Eating Disorders, Health Psychology and Advanced Interventions.

Medical staffing – General Adult Psychiatry  Consultants o Dr Roger Blake North East CMHT / Lead Clinician o Dr Helen Goode North West CMHT o Dr Chris Pell Inpatients o Dr Anthony Parillon South CMHT (Monifieth / Carnoustie) o Vacancy South CMHT (Arbroath)

Medical staffing – Old Age Psychiatry  Consultants o Dr Ashleigh Duthie South o Dr Cesar Rodriguez South and Associate Medical Director o Dr David Rooke North East o Dr Liana Pachi North West

Professional line management for this post is via the General Adult Psychiatry Lead Clinician (Dr Roger Blake) and the Associate Medical Director for Mental Health (Prof Keith Matthews). The general management of the post is through the Head of Integrated Mental Health Services (Mr Bill Troup) and the Chief Officer of the HSCP (Ms Vicki Irons).

The successful applicant will be encouraged to contribute a medical leadership role in their areas of clinical responsibility and in other settings in Angus and Tayside as agreed with colleagues and managers. This will include representation on planning and implementation groups where relevant, and regular meetings with the Lead Clinician and other colleagues.

The post

The post is for a full time Consultant Psychiatrist. The details of duties are negotiable, but will be expected to provide CMHT based consultant psychiatry services to the Arbroath, Friockheim and Inverkeilor areas of Angus.

The post could be filled by part-time staff undertaking some of the duties by negotiation

Job title Consultant Psychiatrist

Full time 10 sessions per week. The detailed job plan will be agreed by the post-holder, the Lead Clinician and the NHS Tayside Associate Medical Director for Mental Health. This process is overseen by the Board Medical Director of NHS Tayside.

Base Will have dedicated office space within the Arbroath CMHT base at Gowanlea, Arbroath. Dedicated administrative support will be provided.

Duties of the Post The duties of the post will include the medical assessment and treatment of adults generally between the ages of 18 and 65 with psychiatric illness in the designated localities. The post-holder will work within an established integrated Community Mental Health Team. The CMHT is currently staffed by a Team Manager, 13 Nurses, 3 Social Workers, 1 Psychologist, 3 Occupational Therapists and 4 Support Workers.

On-call responsibilities are currently available on a 1 in 10 basis (5% supplement) to cover all Tayside psychiatry services (other than Forensic psychiatry) by agreement. There are also currently a Tayside wide middle grade ST4-6 rota, and a Carseview Centre based junior doctor FY2/ST1-3 on-call rota.

An example timetable is included below for illustrative purposes, but the exact content of the successful applicant's Job Plan would be by agreement with the Lead Clinician. Extra Programmed Activities may be available by agreement.

Proposed consultant job plan

AM PM CPAs, Home Visits, Urgent Out Patient Clinic Monday Assessments (Gowanlea) (Gowanlea)

Out Patient Clinic Admin & Allocation Meeting Tuesday (Gowanlea) (Gowanlea)

Urgent Out Patients and CMHT Admin Wednesday Reviews (Gowanlea) (Gowanlea)

SPA – CPD Out Patient Clinic Thursday (Gowanlea) (Gowanlea)

SPA: Peer Group / Service Improvement Group / Appraisal / Emergency Duties, Case Reviews Friday Revalidation / Audit / Supervision (Gowanlea) (Gowanlea)

Continuing education and teaching Angus is approved for Core Training in Psychiatry as part of the Tayside Psychiatry Rotation Scheme, and for Vocational Training in General Practice. There are approved Higher Training Specialty Registrar placements in Angus for General Adult Psychiatry and Old Age Psychiatry. The successful candidate would be encouraged to apply for approval for Core and Higher Training. Fourth year medical students from the are attached to Angus for four-week periods and consultants are expected to take educational responsibility for these students. Weekly Tayside wide Continuing Professional Development meetings are held at , Perth.

The University of Dundee Academic Department of Psychiatry is based at and Medical School. The research interests of the Department are organised around the themes of Affective Disorder, Behavioural and Developmental Neurosciences, Neurodegeneration, Addiction and Psychological Treatment Methods. The Department was rated "5" in the Research Assessment Exercise. The Department has two principal undergraduate teaching commitments: an introductory Behaviour and Psychiatry course in Phase II of the Dundee medical student curriculum; and a Clinical Psychiatry course in Phase III. The Department also offers a series of varied Special Study Modules throughout the curriculum. The Medical Undergraduate Curriculum was rated "excellent" in the most recent Teaching Quality Assessment. In addition to research based PhD programmes, the Department offers Cognitive and Behavioural Psychotherapy diploma and MSc courses. NHS consultant medical colleagues are generally offered honorary academic appointments as Senior Clinical Tutors in Psychiatry. Honorary status as a Clinical Senior Lecturer may be conferred at the discretion of the Department. Further details

of Departmental activities and contact details can be found at http://medicine.dundee.ac.uk/

Continuing professional development will be actively encouraged and study leave funding is available. A monthly Peer Group is available.

Responsibility for Records Management All records created in the course of the business of NHS Tayside are corporate records and are public records under the terms of the Public Records (Scotland) Act 1937. This includes email messages and other electronic records. It is your responsibility to ensure that you keep appropriate records of your work in NHS Tayside and manage those records in keeping with the NHS Tayside Records Management Policy and with any guidance produced by NHS Tayside specific to your employment.

PERSON SPECIFICATION

NHS Tayside

Consultant Psychiatrist General Adult Psychiatry

Attributes Essential Desirable MRCPsych qualification (or Post graduate diploma or equivalent) degree related to psychiatry

Full Registration with the GMC and a licence to practice

Completion of Higher Training in General Adult Psychiatry and Education inclusion on the GMC and Specialist Register or within six Qualifications months of CCT or CESR (General Adult Psychiatry) at interview

Eligible for (or in receipt of) approval under Section 22 of the Mental Health (Care and Treatment) (Scotland) Act 2003

Experience Completion of higher specialist Evidence of close working with training in General Adult Primary Care Psychiatry

Knowledge & Broad knowledge of psychiatric Working knowledge of Mental skills disorders and their treatment Health Act, Criminal and management Procedures Act, and Adults with Incapacity Act Ability to work effectively within a multi-disciplinary team including supervision of junior medical staff

Teaching Teaching experience Formal teaching qualification

Research & Evidence of participation in Research experience audit audit Service improvement experience

Management Working understanding of Management experience to clinical, care and professional provide leadership to multi- governance disciplinary team

Other: Pleasant manner, professional approach to work

Must be willing to travel across the localities

TERMS AND CONDITIONS OF SERVICE

NHS Tayside

Consultant Psychiatrist General Adult Psychiatry

Type of contract Permanent

Grade and salary Consultant: £80,653 to £107,170 per annum (GBP) New Entrants to the NHS will normally commence on the minimum point of the salary scale, (dependent on qualifications and experience). Salary is paid monthly by Bank Credit Transfer.

Hours of duty 40 hours per week (10 sessions per week)