NHS Ayrshire & Arran
CONSULTANT PSYCHIATRIST Old Age Psychiatry
VACANCY
Consultant in Old Age Psychiatry North West Kilmarnock Area Centre, East Ayrshire 40 hours per week £80,653 (GBP) to £107,170 (GBP) per annum Tenure: Permanent
Applications are invited for the post of Consultant in Old Age Psychiatry.
Following the retirement of the incumbent, we are looking to appoint a new consultant in Old Age Psychiatry in the East Ayrshire Locality. Serving a population of 10,500 Older people in a mixed urban rural catchment area, the successful applicant will join six other consultant colleagues in delivering a comprehensive mental health service for older people in NHS Ayrshire and Arran.
The post will be based at the North West Kilmarnock Area Centre with inpatient beds being situated in the new purpose-built facility at Woodland View unit at Ayrshire Central Hospital in Irvine. The successful applicant will have consultant responsibility for a shared proportion of these inpatient beds. The community team is based at Rothesay House, Cumnock.
As part of the “New Models of Care for Older People and People with Complex Needs” programme which is being developed by the three Health and Social Care Partnerships and NHS Ayrshire and Arran Acute Hospitals Division, elderly mental health services will be moving towards a truly integrated care model. The aim is to become active partners with not only patients, families and carers but by developing integrated working with health & social care partners.
Participation in the out of hours rota (1:23) is essential.
NHS Ayrshire & Arran serves the local authorities of East Ayrshire and North Ayrshire with a total population of approximately 365,000
Ayrshire is a peaceful and charming place to work, with easy access by road from Glasgow. Many staff choose to live within Ayrshire where good schools and easy access local beaches are just two of its many attractions, which also include a large variety of shopping and entertainment facilities.
Applicants must have full GMC registration, a licence to practice and Completion of Higher Training in Old Age Psychiatry and inclusion on the GMC Specialist Registrar or within six months of CCT or CESR (Old Age Psychiatry) at time 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 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 Ayrshire & Arran
Consultant Psychiatrist Old Age Psychiatry
Background This is a well established post within NHS Ayrshire and Arran and this vacancy has come about due to the retirement of the incumbent.
This is a 10 PA traditional sector based consultant post based at North West Kilmarnock Area Centre in Kilmarnock covering the south half of the East Ayrshire Health and Social Care Partnership. Inpatient beds are now being accommodated in the new Woodland View inpatient unit at Ayrshire Central Hospital in Irvine. The community team base is Rothesay House in Cumnock.
The successful candidate will be encouraged to develop research interests and to further foster links with local universities.
Less than full time working would be negotiable.
The Psychiatry Service Facilities
In-patient mental health services in Ayrshire are provided from one main site, the new purpose built Woodland View inpatient at Ayrshire Central Hospital in Irvine.
Elderly Mental health beds are currently split between Ailsa Hospital in Ayr and Woodland View. The direction of travel is that all acute inpatient beds will be consolidated on the Ayrshire Central campus in the short to medium term.
Hospital Based Complex Clinical Care beds for Elderly Mental Health are currently split across three sites; Ailsa Hospital in Ayr, East Ayrshire Community Hospital in Cumnock and Cumbrae Lodge Care Home in Irvine, immediately adjacent to Ayrshire Central Hospital.
University Hospital Crosshouse is a large, district general hospital in Kilmarnock. It has 600 acute hospital beds serving North and North-East Ayrshire.
University Hospital Ayr is a smaller DGH serving the population of south and south- east Ayrshire.
In addition there are Care of the Elderly beds based in Ayrshire Central, Biggart, Girvan Community and East Ayrshire Community Hospitals.
There are 6 Community Mental Health Teams for Older People in Ayrshire: Kilmarnock East Ayrshire - North Cumnock East Ayrshire - South Largs North Ayrshire - North
Irvine North Ayrshire - South Ayr South Ayrshire – North Ayr South Ayrshire - South
Medical Staff Resources Consultant Staff Dr Joan Barber Woodland View Elderly Mental Health Dr Dominic Gallagher Woodland View Elderly Mental Health Dr Seamus McNulty Woodland View Elderly Mental Health vacancy Woodland View Elderly Mental Health Dr Nasim Rasul Ailsa Hospital Elderly Mental Health Dr Mark Luty Ailsa Hospital Elderly Mental Health Dr Ajay Macharouthu Crosshouse Hospital Old Age Liaison (locum) Dr Debbie Browne Ayr Hospital Old Age Liaison Dr Morag Henderson Woodland View General Adult Dr Aileen Guthrie Woodland View General Adult Dr Mehrdad Khorsand Woodland View General Adult Dr Alison MacRae Woodland View General Adult Dr Kris Tyczynski Woodland View General Adult Dr Everett Julyan Woodland View General Adult Dr Ewan Douglas Woodland View General Adult Dr Tim Johnston Woodland View General Adult Dr Mike Taylor Woodland View General Adult Dr John Taylor Woodland View General Adult Dr Alistair Gibb Woodland View General Adult Dr Jacqui Scott Woodland View General Adult Dr Jamie Lewis Woodland View General Adult Dr Tom Henderson Woodland View Rehabilitation Dr Malcolm Cameron Crosshouse Hospital Working Age Liaison Dr Kim Newlands Ayr Hospital Working Age Liaison Dr Caroline Woolston North Ayrshire Addictions Dr Karthik Kessavalou East Ayrshire Addictions Dr Beinn Wilson South Ayrshire Addictions Dr Claire Duncan East/North Ayrshire Addictions Dr Partha Gangopadhyay Woodland View Forensic Dr Dawn Carson Woodland View Forensic Dr Aileen Blower Woodland View CAMHS Dr Julie Gibbons Arrol Park CAMHS Dr Monika Raju Ayrshire Central CAMHS Dr Haridas Manju North West Kilmarnock CAMHS Dr Joanna Young Ayrshire Central CAMHS Dr Sarah Hukin Ayrshire Central CAMHS Dr Douglas Paterson North West Kilmarnock Learning Disabilities Dr Claire Hughes Arroll Park Learning Disabilities Dr Omer Rashid Arrol Park Learning Disabilities Dr John Prestwich Hollybush House Psychotherapy Dr Emma Hargreaves Woodland View Psychotherapy
Staff Grade Dr Fiona Paterson Ailsa Elderly Mental Health
Dr Lubomir Kolev Ailsa Elderly Mental Health Dr Farah Hussain Woodland View Rehabilitation Dr Rupert Gaze East Ayrshire Addictions Dr Anna Ulanova (IMF) East Ayrshire Addictions
Doctors in Training CT1-3, GPST2, FY2 Across all sites 13.5 WTE ST4-6 Across all sites Variable (currently 5 WTE)
Admin Support The post holder will have access to such general administrative support as is required for the discharge of his/her duties.
Future plans of the specialty It is envisaged that within the next five years, all Elderly Mental Health inpatient services will be consolidated on the Woodland View site. The successful candidate is expected to support this process.
Then “New Models of Care” work stream is due to re-start in 2018, with a move to more integrated working with primary care, Care of the Elderly services Health and Social Care personnel and, voluntary and third sector partners. The successful candidate is expected to be intimately involved in planning and delivering new ways of meeting the care needs of the elderly population within this sector.
The post Duties and Responsibilities The main duties and responsibilities of the post include:
Clinical Provision Medical responsibility for the provision of Elderly Mental Health Services within NHS Ayrshire and Arran into the south locality of the East Ayrshire Health and Social Care Partnership Lead diagnosis, treatment and management of older patients with mental health difficulties within this locality. Provide consultant responsibility for inpatients admitted to the Woodland View inpatient unit from this locality Provide twice weekly outpatient clinics for patients from this locality Provide Consultant leadership to the multidisciplinary team through support, advice and guidance on clinical mental health issues to assure high quality patient interventions. To provide consultant input and supervision to the care home liaison nurse in order to, where possible, avoid inappropriate admission to both general hospital and mental health beds. Develop effective working relationships with partner organisations Maintain compliance with legal requirements covering all aspects of clinical management to support NHS Ayrshire and Arran to meet its statutory requirements in delivering safe, efficient patient services. The successful applicant will be encouraged to participate in research and to develop a relevant subspecialty interest, subject to resources and in line with local priorities.
Education and Training Key individual learning outcomes will include taking part in Continuing Professional Development within the framework of the Royal College of Psychiatrists to support maintenance and development of clinical competence and performance.
The post holder will require to engage in training for Clinical & Educational supervision.
Clinical Governance Contribute to and participate in driving the clinical governance agenda within Elderly Mental Health, emphasising high quality clinical interventions in all aspects of patient care. To represent the specialty as required and participate in the development, implementation and review of NHS Ayrshire and Arran Clinical Governance frameworks and related initiatives as required by Mental Health services. Participate in Clinical Audit & other quality improvement work and review outcomes, ensuring that the service progresses towards achievement of national and local performance management targets, complying with risk management policies and related guidelines. Provide and circulate reports of assessments and the management of patients to professionals and partnership stakeholders who require the information in accordance with confidentiality and data protection guidelines. Maintain patient notes to the required standard and monitor quality of clinical notes both electronic and written in accordance with data protection and Caldicott principles. To contribute to National Policies pertaining to Elderly Mental Health Services.
Administrative Duties To undertake the administrative duties associated with the care of patients ensuring principles of good medical practice are observed at all times. To ensure that clinical activity is accurately and comprehensively recorded and submitted to the Information Department to facilitate collation, reporting and review of clinical performance.
Management Duties Support colleagues and stakeholders to achieve the performance targets and commitments specified within “Scotland’s Mental Health Strategy 2017-2027” and “Scotland’s National Dementia Strategy 2017 -2020” and NHS Ayrshire and Arran’s local delivery plan, to facilitate service transformation. Contribute to Service management by providing support to the ongoing development of the service through appropriate special interests and supporting strategic service priorities. Maintain attendance at appropriate senior medical committees and forums and actively participate in the agenda and development initiatives to align the service with strategic and clinical priorities. Manage doctors in training in the performance of their duties and to support ongoing professional education, development and welfare support to ensure
compliance with the principles contained within NHS Education for Scotland guidance. To observe the Division’s agreed policies and procedures, drawn up in consultation with the profession on clinical matters, and to follow the standing orders and financial instructions of NHS Ayrshire & Arran To work as a member of the Elderly Mental Health Medical Management Team and attend and contribute to a monthly meeting of this Group.
The post is within the Mental Health Directorate. The post holder will be accountable to the Clinical Director for Elderly Mental Health Services, who will agree the Job Plan.
For professional management of education activities, the post holder will be accountable to the Assistant Director of Medical Education.
Subject to the provision of the Terms and Conditions of Service, the post holder is expected to observe NHS Ayrshire and Arran’s agreed policies and procedures, drawn up in consultation with the profession on clinical matters, and to follow the standing orders and financial instructions of NHS Ayrshire and Arran.
The post holder is required to comply with NHS Ayrshire and Arran’s Health and Safety Policies.
Indicative job plan Proposed Weekly Programme The proposed weekly programme is shown below. Activities with current fixed time commitments will be carried out as detailed in the work programme e.g. clinics. Other DCC and SPA activities are shown with indicative timings within the weekly programme and will be discussed with the appointee.
Indicative Job plan timetable
AM PM Ward work, Woodland View / Outpatient Clinic East Ayrshire Clinical Admin, North West Monday Community Hospital, Cumnock Kilmarnock Area Centre (EACH) (NWKAC) Community mental Health Team referral and allocation meeting, Outpatient Clinic EACH, Tuesday Rothesay House, Cumnock Cumnock HBCCC Ward reviews, EACH, Cumnock Ward Rounds Woodland View Clinical admin, Wednesday inpatient unit, Ayrshire Central NWKAC Hospital Clinical reviews and community Thursday SPA (teaching) visits, NWKAC/ Woodland View/community
Ward work, Woodland SPA Friday View/Clinical admin NWKAC NWKAC
Notes on the Programme Patient Administration This activity covers the management of individual patients including Out Patient administration, results reporting, letters/phone calls to patients, carers, GP’S and members of the wider multidisciplinary team involved in the patients care.
Ward Rounds The time allocated is indicative and will be discussed with the appointee. Ward work will include teaching ward rounds as required.
Travel Any travel allocation will be included within the Total Programmed Activities and will be determined by location at which Direct Clinical Care and Supporting Professional activities are carried out.
On call arrangements 1 in 23
Supporting Professional Activities NHS Ayrshire and Arran recognise the important role Job Planning has in ensuring consultants are supported in delivering high quality, safe, sustainable clinical care to patients. It is therefore important to ensure there is an adequate balance between direct clinical care activities and activities which support both the personal and professional development of the consultant workforce and facilitates agreed contribution to activities including: Under and post graduate teaching/training Clinical Governance
Quality and Patient Safety Research and Innovation Service management and planning Work with professional bodies
All consultants will have 1 SPA as a minimum to support job planning, appraisal and revalidation. However the final balance of SPA and DCC activity will be agreed between the appointee and clinical manager prior to contracts being agreed.
There may be a requirement to vary the DCC outlined in the indicative timetable below when the final balance of DCC and SPA is subsequently agreed. There may also be opportunities to contract for Extra Programmed activities Opportunities subject to service requirements and in accordance with national terms and conditions of service.
If the post-holder will be responsible for the formal training and supervision of post- graduates and under-graduates, a suitable additional allocation of SPA time will be made in accordance with national guidance.
Job Plan Review New appointees will discuss the indicative job plan with the Clinical Director, prior to commencement and will at that time review the balance of activities. Where it is possible to agree a revisions to the indicative plan in advance of commencement this will be acted upon. In any event however, there must be an interim Job Plan review conducted at 3 months post commencement to agree and finalise the Job Plan. The consultant at time of induction should ask for an interim review date to be scheduled. The agreed job plan will include all the consultant’s professional duties and commitments, including agreed Supporting Professional Activities. Thereafter Job Planning will be carried out annually as part of the Boards Job Planning process.
Private Practice If the post-holder wishes to undertake any private practice, they are obliged to inform their employer at the time of appointment of their intentions to do so. This should be submitted in writing to the Clinical Director. The conduct of private practice will be in accordance with the Consultant Contract (Scotland) Terms and Conditions.
The post-holder shall be free to undertake private practice without approval provided such work is undertaken outside the time agreed in the job plan for programmed activities.
PERSON SPECIFICATION
NHS Ayrshire & Arran
Consultant Psychiatrist Old Age Psychiatry
Attributes Essential Desirable Medical degree (MB ChB or Additional relevant qualification equivalent) such as DGM, MRCGP, MSc, MPhil, MD or PhD MRCPsych qualification (or equivalent)
Full Registration with the GMC and a licence to practice
Completion of Higher Training Qualifications in Old Age Psychiatry and and training inclusion on the GMC Specialist Register or within six months of CCT or CESR (Old Age Psychiatry) at interview
Eligible for (or in receipt of) approval under Section 22 of the Mental Health (Care and Treatment) (Scotland) Act 2003
Extensive knowledge about Knowledge of range of service mental disorders and issues systems and their relative affecting older people. merits
Good knowledge of service Advanced knowledge of a organisation relevant aspect of the specialty
Up to date awareness of Advanced skills in clinical government policy on issues assessment and treatment of Experience affecting older people, older patients particularly with regard to dementia Excellence in communication Analytical approach to Ability to apply knowledge to problems clinical practice and service development Evidence of potential to develop specialty skills Ability to diagnose and treat mental illness of older people. Advanced computer skills
(statistics package, database, Ability to apply service spreadsheet) procedures (such as Care Programme Approach) and Evidence of working with mental health law. carers’ groups
Ability to make good medical notes
Ability to communicate effectively with other professionals.
Ability to work effectively in a multidisciplinary team.
Evidence of having ability to teach and coach junior medical staff, medical students as well as other staff groups
Computer literacy (basic word processing,
Committed to working effectively within the multi- Team Working disciplinary team evidenced with examples throughout career.
Strong interest in teaching and Formal training in educational research in psychiatry. supervision.
Demonstrate evidence of ongoing continuing professional development.
Dynamic and enthusiastic individual with good Teaching & interpersonal skills. Training
Understand strategies for managing students and trainees in difficulty
Ability to train and supervise junior medical staff, medical students and other members of the multi-disciplinary team; demonstrating a flexible
approach to reflect varied learning styles.
Demonstrate interest to Evidence of published Research & participate in research research within Psychiatry. Publications programmes and also to supervise research projects.
Clinical Demonstrate breadth of Initiative (for example, Governance knowledge and understanding evidence of initiative in a of Clinical Governance agenda clinical governance project) within Mental Health. Experience of working in more Experience of improving the than one model of health quality (safety and service provision effectiveness) of services or other clinical governance Experience of leading a clinical activities. governance activity
Evidence of audit cycle completion
Service Experience of contributing to Embrace innovative solutions Management and supporting service to deliver modern patient modernisation and redesign centred services. programmes.
Personal and Honesty Demonstrate effective Interpersonal leadership of multi-disciplinary Skills Reliability team utilising effective contribution of all Flexibility professionals.
Ability to undertake responsibility
Ability to cope calmly with stressful situations
Ability to work with other consultants in the service
To act as a positive role model and have the ability to influence and motivate.
TERMS AND CONDITIONS OF SERVICE
NHS Ayrshire & Arran
Consultant Psychiatrist Old Age 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)