Clinical Medicines Management Specialist

Job Overview

This is an exciting opportunity for an enthusiastic and dynamic Consultant to join our organisation to work in a substantive position as a Consultant Adolescent Inpatient Psychiatrist.

This post is one of two Consultant Adolescent Inpatient Psychiatry posts for Pennine Care NHS Foundation Trust. This post holder will provide clinical leadership for the Hope Unit – Adolescent in-patient service with a focus on assessment/short stay treatments, utilising an acute care pathway (6-8 week admissions).

Main Duties of the Job

To lead the clinical team in a regional service, providing emergency, urgent, and elective multi-disciplinary assessment and treatment for adolescent inpatients with complex or enduring mental health problems.

To provide specialist consultation and advice to referring mental health teams, Local Authorities, and CCGs across the Trust footprint and across the NW, pertaining to young people with complex mental health care needs.

To take clinical responsibility for all 12 young people who are inpatient on the unit, and manage a caseload of clients who are receiving direct high-intensity input.

To adhere to the policies and procedures in support of the caseload, maintaining appropriate clinical records, confidentiality, and administration.

To work effectively as part of a multidisciplinary team, participating in and helping to lead in management of referrals, admission and discharge planning, CPA reviews, and effective handover to Borough mental health teams and Local Authorities, and updates for commissioners.

To utilise the Care Programme Approach, and also The New Mental Health Act, The Children Act, and The Mental Capacity Act when required.

To work in partnership with other professionals/agencies involved in the care of young people, across departmental and organisational boundaries.

Working for Our Organisation

We are proud to provide high-quality mental health and learning disability services, both inpatient and in the community across five boroughs of Greater Manchester – Bury, Oldham, Rochdale, Stockport, and Tameside and Glossop.

Our vision is for a happier and more hopeful life for everyone in our communities, and our staff work hard to deliver the very best care for the people who use our services.

All individuals, regardless of race, age, disability, ethnicity, nationality, gender, gender reassignment, sexual orientation, religion, or belief, marriage, and civil partnership, are encouraged to apply for this post.

We would also encourage applications from individuals with a lived experience of mental illness, either individually or as a carer.

Detailed Job Description and Main Responsibilities

• • • • To take clinical responsibility for young people who are inpatients on the Hope unit, and manage a caseload of clients who are receiving direct high-intensity input from the unit.
      • To lead the clinical team in a regional service, providing emergency, urgent, and elective multi-disciplinary assessment and treatment for adolescent inpatients with complex and enduring mental health problems.
      • Working with the multidisciplinary team, provide comprehensive psychosocial multiaxial diagnostic assessment; formulation and management; assessment of psychiatric and psychological comorbidity; care of comorbid physical health needs; psychoeducation; psychopharmacological interventions and management.
      • To adhere to the policies and procedures in support of the caseload, maintaining appropriate clinical records, confidentiality, and administration.
      • To work effectively as part of a multidisciplinary team, participating in and helping to lead in management of referrals, admission and discharge planning, CPA reviews, and effective handover to Borough mental health teams and Local Authorities, and updates for commissioners.
      • To utilise the Care Programme Approach, and also The Mental Health Act, The Children Act, and The Mental Capacity Act when required.
      • To work in partnership with other professionals/agencies involved in the care of young people, across departmental and organisational boundaries.
      • To provide specialist consultation and advice to referring mental health teams, Local Authorities, and CCGs across the Trust footprint and across the NW Region, pertaining to young people with complex mental health care needs, as and when required.
      • To lead in the areas of medical practice in particular, and mental health practice in general using a clinical governance framework.
      • To provide clinical supervision to junior medical staff, and to contribute to the clinical supervision of other practitioners within the department.
      • To provide mutual prospective consultant leave cover with the Horizon Unit colleague.

Safeguarding and Governance

• • • • To practice within a clinical governance framework and ensure that Trust policies, procedures, and protocols are adhered to.
      • To contribute to an annual audit relevant to the post.

• • To work closely with Trust colleagues and CAMHS Directorate Senior Leadership team and commissioners, to lead the strategic and operational development of the Complex Care Inpatient service.
  • To ensure that national, local, and professional policies, procedures, and protocols are adhered to.
  • To be an active member of the CAMHS Directorate and the CAMHS Consultants group. To undertake strategic managerial tasks as appropriate to the post, including membership of the Greater Manchester CAMHS Network Tier 4 Group.

On-Call Responsibilities

First response On Call cover to all the mental health specialties including CAMHS, is provided through the Borough Psychiatric CT on call. Middle Grade CAMHS Psychiatric on call cover is provided through CAMHS ST (ST4 – 6) at a Trust-wide level, and shared with the Greater Manchester ST rota.

The Consultant Child and Adolescent Psychiatrists provide a 3rd On Call Out of Hours service for emergencies regarding young people up to their 16th birthday, on a 1 in 17 Trust wide rota.

The successful applicant will join either the borough Adult Consultant Psychiatry on call rota (frequency 1 in 9) or the Trust Child & Adolescent Consultant Psychiatry on call rota (as above) depending on which sub-speciality the candidate has obtained his/her CCT. Additional remuneration will be provided for On Call availability.

Teaching and Training

The post holder will participate in training, teaching, and supervision as appropriate, including the teaching and training of junior medical staff and other health and social care professionals as required.

For interested applicants, there are ample opportunities to engage in the MRCPsych teaching programme across the Trust and with Health Education England.

We also actively encourage any interested Consultant Psychiatrists to become involved in medical student teaching via existing links with the University Of Manchester.

The post holder will also have the opportunity to supervise the Specialty Doctor attached to the Hope Unit.

Audit and Clinical Governance

The post holder will be expected to participate in clinical audit on a regular basis and required to participate fully in clinical governance activities.

It is expected that all clinical staff will provide effective input into the Trust's clinical governance arrangements, and monitor their clinical practice through this process.

All the Consultant Child and Adolescent Psychiatrists in Pennine Care currently meet bi-monthly in order to address business and governance issues, and the post holder will be invited to join this forum.

Research

The Trust has an established Research Unit which is active in undertaking numerous research projects.

Within the bounds of a clinical job plan, the post holder can participate in research activities in consultation with the CAMHS Clinical Director, if they are interested.

Professor Prathiba Chitsabesan is the Research Lead.

Continuing Professional Development

The successful applicant will be expected to undertake continued professional development (CPD), join a peer CPD group, and fulfil CPD requirements of the Royal College of Psychiatrists.

The post-holder will be expected to attain and maintain good standing with respect to CPD, with The Royal College Of Psychiatrists.

The Trust supports and will provide study leave and funding to enable the appointee to undertake CPD, in line with the Consultant's Personal Development Plan.

Study leave entitlement is in line with national terms and conditions at 10 days per year.

The post holder will be able to seek a consultant mentor. Details of such mentors are available from the Regional Consultant's Group.

Job Plans

The post holder will agree a Job Plan under the terms of the new Consultant Contract, with the CAMHS Clinical Director.

Appended to this document is a specimen Job Plan, based on full-time employment for 10 PA's.

However, should the successful applicant wish to work less than this, the job plan would be amended accordingly, with the distribution of 'Direct Patient Care' and 'Supporting Activities' PA's (programmed activities) remaining proportionate.

Appraisal and Job Plan Review

The post holder will undertake annual job plan review with the CAMHS Clinical Director and participate in annual appraisal, in line with the terms and conditions of the new consultant contract, and Revalidation requirements.

Timely bespoke job planning meetings will also take place with the Clinical Director if the post holders job plan changes in between the annual job planning meetings.

Facilities Supporting the Post

The Hope Unit has a designated office for the post holder, which is appropriately equipped for clinical and administrative work.

A mobile device (Trust laptop) with appropriate word processing, spreadsheet, and database software is provided.

This supports remote working and supports access to Trust Intranet and electronic services, email access, and Internet.

There is access to suitable diagnostic and recording equipment, which is maintained in good order.

Administrative support is coordinated and provided through a dedicated medical secretary.

The medical secretary is line managed by the CAMHS Inpatient Services manager and the Divisional admin manager.

Full library, Internet, and Post-Graduate medical facilities are based at the Post-Graduate Medical Centre on the Fairfield General Hospital site.

There is also an arrangement for library services to be provided by the library at Prestwich Hospital to Pennine Care staff.

Facilities for necessary work travel will be provided for those candidates who do not drive.

Leave and Cover

The post-holder will be entitled to 32 days annual leave per annum, with enhancements as per Consultant terms and Conditions.

Hope and Horizon Unit Consultant peers mutually coordinate their annual and study leave, provide each other mutual prospective cover, and have this approved through the Clinical Director.

Sickness leave and Special leave entitlement is subject to Terms and Conditions of Employment, and also outlined in Trust HR Policy on Managing Attendance – both available on Trust Intranet.

Freedom to speak up Guardian: Phil Gordon.

Contact: speakingup.pcft@nhs.net

Person SpecificationPhysicalEssential Criteria

• Good general health. Satisfactory Occupational Health screening prior to taking up appointment
• Self-presentation

Desirable Criteria

• Smart presentation

Educational QualificationsEssential Criteria

• Full GMC Registration

Desirable Criteria

• Published research MRCPsych

Professional/Occupational QualificationsEssential Criteria

• Possession of CCT in either Child & Adolescent Psychiatry or General Adult Psychiatry, or be within 6 months of achieving this or entered on the GMC Specialist Register
• Section 12 Approval under Mental Health Act 183, or be eligible for approval. Approved Clinician Status.

Desirable Criteria

• Other postgraduate degrees e.g. MSc, MD, MRCP etc
• Experience in the use of the Mental Health Act (1983)

Job TrainingEssential Criteria

• Evidence of possession of competencies as laid out within PMETB higher training curriculum for Child & Adolescent Psychiatry, or General Adult psychiatry

Desirable Criteria

• Clinical experience/placement or training post within a whole-time Adolescent Service

Job ExperienceEssential Criteria

• Registered for CPD with the RCPsych

Special Aptitudes & Skills - Job SpecificEssential Criteria

• Excellent Leadership skills. Commitment to share ideas with colleagues, to develop and improve the service as a whole.
• Ability to work across organisational boundaries
• Ability to work creatively and flexibly with teams around complex client groups.
• Excellent team working skills
• Evidence of audit activity

Desirable Criteria

• Prior evidence of strong clinical leadership and/or service development elsewhere
• Evidence of establishing care pathways, and leading creative team work with complex clients
• Published audit

Special Aptitudes & Skills - CommunicationsEssential Criteria

• Excellent communication skills
• Cultural competency
• Qualities essential to make a good educational supervisor of trainees in psychiatry
• Commitment to training and teaching

Desirable Criteria

• Current or past educational supervisor of basic trainee and a specialist registrar
• Evidence of previous experience in teaching

Special Aptitudes & Skills - KnowledgeEssential Criteria

• Awareness of key legislation NSF, NICE, MHA, MCA, Children Act

Desirable Criteria

• Evidence of using these to inform practice

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