Senior Clinical Fellow

CESR FELLOWSHIP SCHEME The CPFT CESR fellowship scheme provides a personalised programme for doctors wishing to gain entrance to the specialist register through the CESR process (now renamed the Portfolio pathway). It allows experience in inpatient, community and emergency work depending on the individual doctors needs. It further allows opportunity to gain other required experience including audit/quality improvement, psychotherapy, teaching, leadership and management, research competencies and involvement in clinical governance. Each fellow will have a job plan that provides a 70/30 split between clinical service commitment and SPAs including a special interest day.

Following successful appointment, discussions between the appointed CESR fellow and a CESR tutor/educational supervisor will take place to develop a programme based on the assessment of the individuals specific strengths and needs. The fellow will receive support from their clinical supervisor in developing and demonstrating clinical and non-clinical competencies and developing a robust portfolio. They will be offered 3 monthly educational supervision focusing on training needs and portfolio development. The trust has recently appointed a CESR Tutor Role to coordinate the fellowship programme and provide support and guidance for CESR fellows.

THE SERVICES Adult Community Care Adult Community services provide specialist, community based, mental health assessment and treatment for people with severe mental health problems. The teams are organised into locality teams aligned with GP surgeries and primary care. In Cambridge there are two teams. Cambridge North Adult Locality team: Union House, Cambridge Cambridge South Adult Locality team: Union House, Cambridge The locality teams have strong links with the GPs and primary care services through senior mental health clinicians (PRISM) working with groups of GP practices.

**Specialist services working closely with all localities**: CAMEO, which is an early intervention in psychosis service for people experiencing their first episode psychosis Personality Disorders Community Service for people with personality disorders Perinatal Mental Health Service The Personality Disorder Community Service The Personality Disorder Community Service (PDCS) is a service designed around the principles in NICE guidelines, for patients who have severe personality difficulties and other complex needs. Many of them have exhausted resources within other statutory and non-statutory agencies. PDCS offers a treatment programme which includes psychological and occupational therapy interventions in groups, along with more tailored interventions for those that are on the more severe and complex end of the spectrum. We work in partnership with our patients, carers and other psychiatric services to manage high risk and impairment in a recovery focussed way.

This is in line with research indicating that evidence-based treatment can enable patients with a diagnosis of Personality Disorder to live with longer periods of wellness, with increased capacity to manage their illness and engage in meaningful social roles. It also indicates that treatment should be targeted at acute symptoms of self-harm, impulsivity and suicidality, as well as chronic symptoms of social isolation and difficulties in maintaining relationships. We provide a service which helps contain or reduce the high levels of stress and arousal which are generated at the level of the patients themselves and for other supporting services this includes educational and liaison functions. We try to be reflective rather than reactive.

We use outcome measures to monitor progress. We are structured but flexible and evolve according to the changing needs of patients or the services we interface with. THE POST Cambridge Adult locality team This post is providing clinical leadership and patient care in our community mental health team in South Cambridge The post is based in Union House in Cambridge. Alongside a team of substantive consultants, you will provide assessment and treatment for all patients in your area.

Consultant psychiatrists work with a sector team to cover a geographical patch. They also have aligned staff from the award-winning Primary Care Mental health Service (PCMH) team who support and assess patients in primary care and step patients up into the team when needed. Consultants are expected to form close working relationships with their allocated group of GPs and to provide support and supervision to the Primary Care Mental Health team in their area as well as to provide care to patients needing specialist mental health care. Key Clinical Responsibilities The post holder will provide clinical leadership to the team working alongside consultant colleagues.

He or she will contribute to assessment of patients referred to the service for diagnosis and treatment of mental disorders and support MDT members who carry out assessment of patients both within the t