Consultant in Gap

6 months ago

St Austell, United Kingdom Cornwall Partnership NHS Foundation Trust Full time

Cornwall Partnership NHS Foundation Trust is seeking a consultant in general adult psychiatry to provide clinical leadership to the Restormel Community Mental Health Team. This replacement community post has become available at an exciting time for community mental health services in Cornwall as we embark on a journey of community mental health transformation. This developmental aspect of the post will include a greater emphasis on primary care interface working as part of a new 'core model' of mental health care, in addition to the typical CMHT psychiatric work. This offers the post-holder a stimulating opportunity to influence service development alongside their clinical responsibilities.

This appointment is for a consultant in community general adult psychiatry, covering half of the Restormal CMHT, and is one of a growing number of consultant posts for general adult psychiatry in Cornwall.

The Restormel CMHT, with its two consultant psychiatrists, covers a total population of approximately 97,000. There is a planned programme of demand and capacity mapping funded by Health Education England (CLEAR - Clinically-Led workforce Activity and Redesign) across community mental health services in Cornwall.

The post-holder will cover surgeries in Newquay, St Stephen, and Roche. Outpatient clinics are primarily held in Newquay and St Austell, as per the indicative timetable. The service is supported by inpatient facilities at both Bodmin Hospital and Longreach Hospital. The post is community based and without in-patient responsibility.

The consultant contributes to clinical leadership within the team but is only medically responsible for individuals that he/she has contact with. The consultant is not expected to care co-ordinate.

Cornwall Partnership NHS Foundation Trust (CFT) is the principal provider of mental health, learning disability and universal children’s and adult community services to people living in Cornwall and the Isles of Scilly.

The Trust employs 3,700 people with an annual budget in the region of £180 million and is one of the largest local employers. The Trust was formed as a specialist provider in April 2002 following re-organisation of local NHS Trusts. It was licensed as a Foundation Trust in March 2010 and acquired community children’s services in April 2011 and adult community services in April 2016.

**Clinical Duties**:
Attendance at the CMHT multidisciplinary team meetings is expected to discuss new referrals and existing caseload patients. The consultant will contribute towards the formulation and management of complex cases and provide support to team members.

The post holder will be expected to maintain close working relationships with colleagues in inpatient services concerning the care of patients from within their patch. Close ties will also be necessary with the Home Treatment Team regarding the medical care of catchment area patients.

The post holder must be approved under the Section 12 (2) of the Mental Health Act 1983 and be an Approved Clinician or be eligible for such approval and willing to undertake training to obtain this status. The post holder will need to be able to provide medical representation as appropriate under the act.

The trust is adopting a ‘triumvirate’ structure of clinical leadership throughout the organisational hierarchy. The post holder will therefore be expected to provide clinical leadership within the team alongside the team manager and team clinical psychologist. Good working relationships will be needed with colleagues in various other community teams to improve the care of our patients at these interfaces, including early intervention in psychosis services and liaison psychiatry.

As part of the current programme of community mental health transformation, the post-holder will be expected to increase ties with primary care to provide advice and liaison. There is no set formula for how this liaison is to be provided, and support will be available from the community transformation team to establish links. The hope is to improve the provision of patient care across the spectrum of need and address the needs of the ‘gap’ population of patients who have historically fallen between primary and secondary care. To support this, funding has been available for the development of primary care mental health teams to include CPNs and other multi-professional roles.

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