NHS Tayside CONSULTANT PSYCHIATRIST
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NHS Tayside CONSULTANT PSYCHIATRIST General Adult Psychiatry (sub-specialty: substance misuse psychiatry) VACANCY Consultant in General Adult Psychiatry (sub-specialty: substance misuse psychiatry) Dundee Integrated Substance Misuse Service 40 hours per week £80,653 (GBP) to £107,170 (GBP) per annum Tenure: Permanent We are seeking to recruit an enthusiastic and motivated Consultant Psychiatrist in Addictions to fill a post which has arisen following retirement of the existing post holder. The post is one of four consultant posts within NHS Tayside substance misuse services. This position is based within the Dundee Integrated Substance Misuse Service and you will have responsibility for one of two emerging Dundee locality teams. There will be significant opportunities to lead service development activity both within Dundee and in the wider Tayside area, as well as provide clinical leadership around governance and quality improvement. With strong links to the University of Dundee Medical School and the University`s Division of Neuroscience research facilities, there are opportunities for both under and post graduate teaching as well involvement in addiction related research activity. You will be joining a well-established clinical service consisting of experienced substance misuse nurses, an expanding Non-Medical Prescribing nurse workforce, dedicated pharmacist input, substance misuse psychology, a Specialty Doctor, and General Practitioners with Special Interests. Higher Specialty Trainees are regularly placed with the service. There is access to a Substance Misuse Inpatient facility for patients requiring Tier 4 interventions. You will be working alongside Social Work colleagues and this partnership working will be enhanced with the further development of integrated teams within the Dundee Health and Social Care Partnership. Dundee is the fourth largest city in Scotland with a population of approx 148,270. Currently undergoing a large scale riverside re-development, this vibrant university city has a well established art scene, boasting the internationally renowned Dundee Contemporary Arts Centre and the recently opened Victoria & Albert Design Museum. There are excellent transport links both north and south, as well as easy access to the rugged north east coastline of Fife and Angus, and the mountains of Highland Scotland. 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 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 United Kingdom WTE Whole Time Equivalent JOB DESCRIPTION NHS Tayside Consultant Psychiatrist Consultant in General Adult Psychiatry (sub-specialty: substance misuse psychiatry) Background This post, based within the Dundee Integrated Substance Misuse Service has arisen following the planned retirement of the current post holder. This is an exciting opportunity to help develop and lead one of two emerging locality substance misuse teams within the Dundee area. Tayside is a mixed urban and rural area with a population of approximately 400,000. It includes the cities of Dundee and Perth, a range of medium and small towns alongside extensive rural areas. The NHS board area includes the three local Health and Social Care Partnerships of Angus, Dundee and Perth & Kinross. Tayside Substance Misuse Services Dundee Integrated Substance Misuse Service is a substantial and well established joint health and social care service which works with a range of partners to provide a comprehensive range of clinical and social care services to the population of Dundee. It works with, and alongside, two other community substance misuse services in Perth & Kinross and Angus. Each substance misuse service is operationally managed by their respective Health and Social Care Partnership. Medical staff are medically line managed within the Perth & Kinross Health and Social Care Partnership. There is currently one consultant providing input to Perth & Kinross substance misuse service, one consultant for the Angus substance misuse service, and two consultants allocated to the Dundee substance misuse service. All consultants are expected to take a lead role in setting the direction for future service delivery and to take responsibility for clinical governance within their own locality. Additionally there are Tayside wide clinical, service development and teaching responsibilities that are distributed amongst the consultant body. Dundee Integrated Substance Misuse Service This integrated health and social care team covers the geographical area coterminous with the local authority boundaries of Dundee City Council. This team is large and is currently based in two team bases – reflecting historic management arrangements, where alcohol and drug services were managed separately. The drug service element provides the core drugs assessment and treatment service for the city, providing a range of prescribing and psychological therapies. The drug service element is delivered from Constitution House – a dedicated base in the City centre. The alcohol service element is delivered from the Wishart centre – an administration base with most clinical work delivered from GP surgeries or health centres. The drug and alcohol service offers clinics across Dundee and a community detoxification and relapse prevention programme, with inpatient detoxification being delivered by the specialist NHS Tayside Addictions Unit in Kinclaven Unit based at Murray Royal Hospital, Perth. There is a Dundee Health and Social Care Locality Manager with responsibility for Substance Misuse and who directly manages two Senior Integrated Managers (Grade 8a). There are three Non-Medical Prescribers ,sessional GPwSi’s and a Psychologist in the service, as well as a team of nursing, social work and support staff and dedicated team administration. There are also NHS Tayside specialist substance misuse pharmacists. In line with services in Angus and Perth, Dundee ISMS intends to deliver the alcohol and drug elements as integrated drug and alcohol services, along with further integration of health and social care provision. This process will be developed in the coming year, alongside the operational delivery of services in Dundee as two localities. Each Consultant Psychiatrist will have responsibility for a single Dundee locality and will be expected to take a lead role in these service developments. Tayside Substance Misuse In-Patient Services There is an 8 bedded inpatient unit based within Murray Royal Hospital which provides alcohol and opiate detoxification, as well as other complex interventions such as simultaneous alcohol detoxification and stabilisation on to opiate replacement therapy. Third Sector Organisations The service works closely with both commissioned and non commissioned third sector services across Dundee and Tayside Current Senior Medical Staff Dundee Integrated Substance Misuse Service 2 Consultant Psychiatrists. Specialty Doctor Angus Substance Misuse Service Consultant Psychiatrist Specialty Doctor Perth & Kinross Substance Misuse Service/ Tayside Addictions Inpatient Unit Consultant Psychiatrist / Lead Clinician for Tayside Other Clinical Staff The number of junior doctors in the service varies according to training needs. At present a key element of service for the in-patient unit is provided by a junior doctor, typically a psychiatric trainee in the second or third year of training. Medical staffing is planned on this post continuing. ST4/5/6 trainees are commonly placed within the Dundee Substance Misuse Service. GP with Special Interests provide sessional input into the three community substance misuse service. There are also Non-Medical Prescribers working within all three areas with plans to expand capacity over the next five years. Within Tayside there is one Lead Consultant Psychologist for addictions as well as Clinical Psychologists working within each of the three localities. The post The post is for 1 full time Consultant Psychiatrist and the contract will be for 10 programmed activities. The details of duties are negotiable, but the key clinical elements will be to provide the Consultant Psychiatric input to the Dundee Integrated Substance Misuse Service, including clinical service delivery and leadership, staff supervision, and providing clinical leadership