Specialist Doctor in Psychiatry

2 weeks ago

Nottingham, Nottingham, United Kingdom Nottinghamshire Healthcare NHS Foundation Trust Full time

Applications are invited for a less than full time Specialty Doctor in Adult Mental Health, at the City Central LMHT based at Highbury Hospital, Nottingham.

Attend team meetings, support triage function of team, support duty workers with urgent clinical situations, undertake new patient reviews, including completing formulations and risk assessments, be available for clinical discussions with team members about patients on the team caseload, hold follow up reviews of patients on the postholders case load.

To use evidence-based treatment and follow policy/guidelines
To use the Mental Health Act, as appropriate
To provide medical treatment within a model of multi-disciplinary care
Attending weekly clinical team meetings and performing medical duties that are decisions of that meeting

Preparing reports for Mental Health Review Tribunals and Managers' Hearings and giving evidence in relation to patients on CTO.

Liaising with general practitioners and medical specialists with regards to physical health
Nottinghamshire Healthcare provides integrated healthcare services, including mental health, intellectual disability and physical health services.

Over 9000 dedicated staff provide these services in a variety of settings, ranging from the community through to acute wards, as well as secure settings.

The Trust manages two medium secure units, Arnold Lodge in Leicester and Wathwood Hospital in Rotherham, and the high secure Rampton Hospital near Retford.

It also provides healthcare in prisons across the East Midlands.

The Trust is committed to a sustainable future and works hard to reduce its carbon footprint and environmental impact across all of its many services.


The core local area the Trust covers is Nottingham and Nottinghamshire with a combined population of around 1.The main focus of the role will include the assessment of new patients referred to the service including students from the universities (Trent and Nottingham University), GP liaison work, management of patients within the recovery model, Mental Health Act work (Section 12) when required, day on-call duty rota (this will be based on a pro rata and on average 3 to 4 times a month for emergency work only, it is factored into the sessions and does not impact on work as it is a last resort cover), cover for colleagues when on leave and working within the multidisciplinary team supporting other members of the team.

MB BS or equivalent medical qualification.

Qualification or higher degree in medical education, clinical research or management.
Completed a minimum of 12 years' medical work (either continuous period or in aggregate) since obtaining a primary medical qualification

A minimum of six years should have been in a relevant specialty in the Specialty Doctor and/or closed SAS grades.

Equivalent years' experience in a relevant specialty from other medical grades including from overseas will also be accepted.

Inclusion on the Specialist Register with the GMC at the time of appointment (or intention to undertake via CESR)
Holds and will use valid UK driving licence OR provides evidence of proposed alternative.


Practises with the professional values and behaviours expected of all doctors as set out in GMC Good Medical Practice and the Generic Professional Capabilities Framework (or equivalent for dentists).

Manages the difficulties of dealing with complexity and uncertainty in the care of patients employing expertise and clinical decision-making skills of a senior and independent/ autonomous practitioner
Critically reflects on own competence, understands own limits, and seeks help when required

Demonstrates key generic clinical skills around the areas of consent ensuring humane interventions, prescribing medicines safely and using medical devices safely.

Adheres to professional requirements, participating in annual appraisal, job planning and reviews of performance and progression.

Awareness of legal responsibilities relevant to the role, such as around mental capacity and deprivation of liberty data protection equality and diversity.

The understanding and utilisation of the legal framework provided by both the MHA 1983 and the MCA 2005 is essential.

A Specialist Grade postholder in psychiatry would need as a minimum to be section 12(2) MHA 1983 approved, if not have Approved Clinician (AC) status/approval and be on the AC register.

(Equivalent in Northern Ireland would be the Mental Health (Northern Ireland) Order 1986 and 2016 Mental Capacity Act.)

Applies basic principles of public health including population health, promoting health and wellbeing, work, nutrition, exercise, vaccination, and illness prevention, as relevant to their specialty.


Critically appraises performance of self, colleagues or peers and systems to enhance performance and support development.
Develops practice in response to changing population health need, engaging in horizon scanning for future developments.

Patient Safety and Quality Improvement

Takes prompt action where there is an issue with the safety or quality of patient care, raises and escalates concerns, through clinical governance systems, where necessary.

Applies basic human factors principles and practice at individual, team, organisation and system levels.

Collaborates with multidisciplinary and interprofessional teams to manage risk and issues across organisations and settings, with respect for and recognition of the roles of other health professionals.

Seeks feedback and involvement from individuals, families, carers, communities and colleagues in safety and quality service improvements reviews.
Reflects on personal behaviour and practice, responding to learning opportunities.
Implements quality improvement methods and repeats quality improvement cycles to refine practice designing projects and evaluating their impact.
Critically appraises and synthesises the outcomes of audit, inquiries, critical incidents or complaints and implements appropriate changes.

Recognises and takes responsibility for safeguarding children, young people and adults, using appropriate systems for identifying, sharing information, recording and raising concerns, obtaining advice and taking action.

Applies appropriate equality and diversity legislation, including disability discrimination requirements, in the context of patient care.

Education and Training
Can act as a role model, educator, supervisor, coach or mentor for medical and non-medical practitioners.

Creates effective learning opportunities and provides developmental feedback, both verbally and in writing, to learners and doctors/dentists in training, as required by the role.

Understands how to raise concerns about the behaviour or performance of any learner who is under their clinical supervision (leadership).

Plans and provides effective teaching and training activities as required by the role.

Research and Scholarship

Keeps up-to-date with current research and best practice in the individual's specific area of practice, through appropriate continuing professional development activities and their own independent study and reflection.

Critically appraises and understands the relevance of the literature, conducting literature searches and reviews disseminates best practice including from quality improvement projects.

Works towards identifying the need for further research to strengthen the evidence base or where there are gaps in knowledge, networking with teams within and outside the organisation.

Nottinghamshire Healthcare NHS Foundation Trust
Highbury Hospital

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