Consultant Psychiatrist in Community Rehabilitation Team

7 months ago

AshtonunderLyne, United Kingdom Pennine Care NHS Foundation Trust Full time
Job overview

Pennine Care is working towards initiating a new community rehabilitation service to maintain the continuity of rehabilitation support to patients in community. A notable development over the last 5 years is the development of a rehabilitation pathway from inpatient rehabilitation to 24 hours support accommodation. Though we envisage that a minority of patients will get discharged to their own homes and will require ongoing rehabilitation in their familiar environment. All patients will be subject to CPA and the principal duties of the post holder will include: Senior clinical leadership to the CRT service and responsibility for the medical care of patients under the care of team.

CRT will be a fully integrated team with an expected workload of around 80 patients by end of year 3 of working. An important part of the CRT model is intensive in-reach work whilst people are on the ward. The aim of this is to build trusting relationships with service users prior to discharge and ensuring continuity of care when they leave the ward – smoothing the transition into the community whilst promoting independence. The work involves proactive engagement, and initiation/review of pharmacological and psychosocial treatments. There is a strong focus on social, educational and occupational recovery. The aim is for maximum symptomatic and functional recovery and the prevention of relapses.

Main duties of the job

•Clinical leadership for the team, direct clinical assessments and consultations for patients under the care of CRT.•Medical input and leadership in weekly MDT care planning/risk management planning meetings.•Responsible Clinician responsibilities with attendance at and report-writing for Mental Health Tribunals and Managers hearings for those clients being managed under conditions of Supervised Community Treatment Orders.•Compliance with all legal obligations covering clinical practice (eg Mental Health Act and code of practice).•The teams are expected to actively manage their caseloads, and to respond to new patients as they are referred. At the moment the expectation from the post holder is to review the patients in their supported accommodations/care homes or their own flats; however as the team develops and the work load increases, post holder may discuss conducting an out patient clinic for patients who could commute. None the less travelling will be an essential requirement from the post holder and other members of the team.· As there will not be any junior doctor in the post, so all physical health issue - six monthly physical, reviewing blood investigations and ECG, liaising with GP and specialist acute services is expected to be done by the post holder. However some of these duties could be delegated to advance nurse practitioner when they are in post. And the need for a junior doctor will be reviewed annually.

Working for our organisation

The Rehabilitation and High Support Care Hub, consists of:

Low secure units:

· Prospect Place, 45 beds for men, Birch Hill Hospital, Rochdale.

o Engagement & Assessment, 10 beds, for newly admitted patients and those in the first 6 months of admission. This also includes Enhanced care, 5 beds; management of patients during particularly difficult stages of their recovery

o Recovery/ Intervention, 15 beds; following identification of needs, patients will have tailored rehabilitation and treatment

o Social Inclusion, 15 bed; identification of suitable discharge packages and graded discharge. Consolidation of treatment. Includes 4 Independent Living Area beds.

· Tatton unit, long term low secure, 16 beds for men, Tameside General Hospital.

Please see the attached Job Description as well.

Detailed job description and main responsibilities

Pennine Care is working towards initiating a new community rehabilitation service to maintain the continuity of rehabilitation support to patients in community. A notable development over the last 5 years is the development of a rehabilitation pathway from inpatient rehabilitation to 24 hours support accommodation. Though we envisage that a minority of patients will get discharged to their own homes and will require ongoing rehabilitation in their familiar environment. All patients will be subject to CPA and the principal duties of the post holder will include: Senior clinical leadership to the CRT service and responsibility for the medical care of patients under the care of team.

CRT will be a fully integrated team with an expected workload of around 80 patients by end of year 3 of working. An important part of the CRT model is intensive in-reach work whilst people are on the ward. The aim of this is to build trusting relationships with service users prior to discharge and ensuring continuity of care when they leave the ward – smoothing the transition into the community whilst promoting independence. The work involves proactive engagement, and initiation/review of pharmacological and psychosocial treatments. There is a strong focus on social, educational and occupational recovery. The aim is for maximum symptomatic and functional recovery and the prevention of relapses.

Please see the attached Job description

Person specification essential and desirable Essential criteria
  • Full registration
  • MBBS or equivalent
  • AC status or able to achieve in 3 months
  • Excellent clinical skills using bio-psycho-social perspective and wide medical knowledge
  • valid UK driving licence
Desirable criteria
  • MRCPsych or equivalent recognized by Royal College of Psychiatrists
  • Experience in Rehabilitation or forensic psychiatry
  • Experience of doing audit, and a commitment to participating in the Trust audit programme Extensive experience of assessing and managing clinical risk
  • In good standing with GMC with respect to warning and conditions on practice

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