Consultant in General Adult Psychiatry

Job Overview
We are looking for an enthusiastic and highly motivated Consultant Psychiatrist to join us, forming part of a high-calibre consultant peer group in the heart of London and working in an established multidisciplinary Community Mental Health Team in North Westminster.

We are inclusive and people focussed. We offer a range of development opportunities to build and expand consultant clinical and leadership portfolios both for newly qualified and established consultants. We welcome applications from candidates within 6 months of CCT.

Main duties of the job

This is a full time, existing and established substantive post within the North Westminster Mental Health Hub and, in particular, the Regent's Health community mental health PCN team. The post holder will have consultant and RC responsibility for service users in Regent's health PCN team. He/she will supervise 2 Specialty doctors (1.5 specialty doctor resource in total).

The post holder will be professionally accountable to the Westminster Clinical Director, Dr Sujaa Mary Rajagopal Arokiadass and will report to her.

• Provide senior medical responsibility for the patients managed by the team and to support and contain all members of the multidisciplinary team
• Support recruitment and ensure optimal retention of team members and uphold morale
• Ensure good service quality and performance
• Ensure GPs and primary care clinicians are supported to provide mental health care
• Optimise links with voluntary sector partners to support patient care
• Ensure training needs of any psychiatry trainees and medical students are met as well as supporting training of other junior clinical staff

Working for our organisation

The post sits within Jameson Division in CNWL, which holds mental health services within the inner London boroughs of Westminster and Kensington & Chelsea and the outer boroughs of Brent and Harrow.

Westminster adult mental health service provides a range of mental health services for adults across the age range within the community and in hospital settings. These are integrated health and social care services. Many services across the Boroughs of Westminster and Royal Borough of Kensington and Chelsea are now integrated because of the synergies of the two patches, with members of the senior management often having overarching responsibilities.

Community services in Westminster are evolving in line with the NHSE Long Term Plan. Most of the service is commissioned by Central London CCG and that part of community mental health services has undergone a transformation program and been redesigned as an integrated care partnership around the four Primary Care Networks (PCN) in the patch. Two mental health hubs provide an overarching structure in the North and the South of the borough respectively, within which there are functional groupings serving each PCN. The hubs' provision is all-inclusive - serving the whole continuum of mental health problems and containing within a single structure a wide range of professionals (see organogram below). In the North hub the two functional units are Regent's Health PCN team and St John's Wood PCN team

Detailed Job Description And Main Responsibilities
Clinical duties of post holder:

• Provide senior clinical advice and support to the daily triage, MDT and other regular clinical team meetings.
• Ensure that all referrals are triaged daily and responded to in a timely way
• Assessment of new patients and clinical supervision of assessments carried out by other team members.
• Review complex needs patients to ensure appropriate care packages are put in place
• Mental Health Act related-work
• Domiciliary visits to provide assessment and treatment services as a member of the CMHT
• Domiciliary assessments in response to emergencies
• Occasional psychiatric assessments of residents who may be in crisis in another borough.
• Ensure that physical health needs are addressed
• Review and monitoring of the caseload to ensure appropriate care packages are put in place and discharges facilitated to maintain patient flow.
• Develop good working relationships with local GPs and other providers
• Provide mental health advice and support to GPs and primary care clinicians by surgery visits and other means, to assist patient management in the primary care setting
• Close liaison with the wards to facilitate admission and discharge planning.
• Liaison with CRHTT, Psychiatric Liaison Services, AMHP services and Forensic Services in the borough.
• Develop working relationships with local voluntary sector services in order to support and promote recovery
• Following the cross-cover protocol that has been agreed with another team or colleague which will make sure appropriate cover is in place during absences.

Leadership responsibilities:

• Leadership role in the quality agenda: identifying areas for improvement and active engagement with QI
• Meet regularly with the team and local service managers to ensure quality, finance and performance targets are met
• Support recruitment and ensure optimal retention of team members
• Line management and clinical supervision of junior and higher trainees and/or specialty doctors in the team
• Teaching of medical students
• Engage in service developments
• Actively link and develop a relationship with the Primary Care Network(s) you are affiliated to, to respond to their developing needs and support the move towards more integrated care.

Person specification

Qualifications
Essential criteria

• MB BS or equivalent medical qualification.

Desirable criteria

• Qualification or higher degree in medical education, clinical research or management.
• Additional clinical qualifications.
• MRCPsych OR MRCPsych equivalent

ELIGIBILITY

Essential criteria

• Fully registered with the GMC with a licence to practise at the time of appointment
• Included on the GMC Specialist Register OR within six months
• Approved clinician status OR able to achieve within 3 months of appointment
• Approved under S12

Desirable criteria

• In good standing with GMC with respect to warning and conditions on practice

Clinical Skills, Knowledge & Experience
Essential criteria

• Excellent knowledge in specialty
• Excellent clinical skills using bio-psycho-social perspective and wide medical knowledge
• Excellent oral and written communication skills in English
• Able to manage clinical complexity and uncertainty
• Makes decisions based on evidence and experience including the contribution of others
• Able to meet duties under MHA and MCA

Desirable criteria

• Wide range of specialist and sub-specialist experience relevant to post within NHS or comparable service

TRANSPORT

Essential criteria

• Ability to use public transport (for travel to see patients if indicated).

Academic Skills & Lifelong Learning
Essential criteria

• Able to deliver undergraduate or postgraduate teaching and training
• Participated in continuous professional development
• Participated in research or service evaluation.
• Able to use and appraise clinical evidence.
• Has actively participated in clinical audit.

Desirable criteria

• Able to plan and deliver undergraduate and postgraduate teaching and training relevant to this post
• Reflected on purpose of CPD undertaken
• Experienced in clinical research and / or service evaluation.
• Evidence of achievement in education, research, audit and service improvement: awards, prizes, presentations and publications.
• Has led clinical audits leading to service change.