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SAS Doctor in Triborough LD Behavioural Intensive Support Service

7 months ago

London, United Kingdom Central and North West London NHS Foundation Trust Full time

Job summary

CNWL are currently looking for a full time Speciality Doctor for a newly-created post as part of the tri-borough Community Learning Disability Team, providing specialist services for people with Learning Disability with Autism / Mental Illness / significant behaviours of concerns, in the boroughs of Westminster, Hammersmith & Fulham and Royal Borough of Kensington & Chelsea.

The post would be ideal for an experienced Specialty Doctor who wishes to work with support from one Higher Trainee and three very experienced Consultant Psychiatrists.

Job Description pending Royal College Approval

Main duties of the job

The post holders' responsibilities will be working with a cohort of patients comprising those most at risk of hospital admission or placement breakdown, and those previously admitted and subject to S117 aftercare. This will be as part of a new service namely the Behavioural Intensive Support Service.

The post holder will have a caseload of patients (around 50) and they will be expected to work autonomously but closely with the 3 Consultant Psychiatrists covering the 3 boroughs, and the wider multidisciplinary teams. The named clinical supervisor for the post holder is Dr Alina Bakala, Consultant psychiatrist in Hammersmith and Fulham. The post holder will also access supervision and support from the other two consultant psychiatrists as needed.

About us

The Trust manages an element of Learning Disability service across seven Boroughs,for people with a Learning Disability who have mental illness and/or behaviour disorders so challenging that the local services are unable to meet their needs. The Trust also manages three community health teams in Brent, Hillingdon and Harrow, and employs other members of LD staff within other boroughs namely Westminster, Hammersmith and Fulham, Royal Borough of Kensington & Chelsea and Enfield.

We provide a range of specialist community as well as Inpatient Services to meet the needs of individuals with learning disabilities who present with behavioural impairment and/or mental health problems and/or Autistic Spectrum Conditions an /or forensic issues whose needs cannot be met within mainstream are committed to providing:

o high quality services that are efficient and effectively deliveredo clinical care based on NICE guidelines and best practiceo an inpatient service that includes ways of effectively integrating into the communityo development of innovative solutions to difficult problemso better, faster and more responsive services to meet service user, commissioner and referrers' needso a focus on reducing the duration of the service user's journey through our services

Job description

Job responsibilities

Clinical duties and opportunities

1. Providing a good standard of practice and care You will undertake Clinical assessment of Adults with Learning Disability, and Autism / mental illness / behaviours of concern You will ensure that all new patients referred to the service are clinically assessed appropriately. Often assessments are collaborative with the multidisciplinary team. You will provide regular reviews for patients as appropriate, informing your clinical supervisor and team as needed about any risks and management difficulties. You will maintain accurate, legible, contemporaneous and useful clinical records for all patients in whose care you are involved and this will be recorded on The Trust Information System.

2. Decisions about access to care

You will use the Results of The Clinical Assessment to Ensure Effective Patient Management

Under the supervision of clinical supervisor, you will prescribe pharmacological and psychosocial treatments for the patients that you are working with. Assess their medical and other clinical needs; where necessary, refer them promptly to other professionals as directed by your clinical supervisor.

3. Treatment in urgent situations

You will review people for urgent psychiatric assessment(s) during the day where needed and where this is possible.

4. Maintaining good medical practice

You will maintain and Use Systems to Update Knowledge and its Application to Any Aspect of your Professional Practice

You will participate in clinical work and Departmental activities and will contribute to meeting these objectives.

5. Teaching and training, appraising and assessing

You will plan, deliver and evaluate teaching and learning in a variety of environments

You will plan and participate in the teaching of other professionals including medical students where needed, under the supervision of senior colleagues

You will Assess, Appraise and Evaluate Learning and Learners

You will participate in the assessment of others, using multi-sourcefeedback tools.

You will remain fully compliant with Mandatory training, Trust Appraisal and Revalidation policy.

6. Relationships with patients

Professional and Patient Relationships

7. Dealing with problems in professional practice

Conduct or Performance of Other ColleaguesIf you become aware of problems with the conduct or performance of aColleague, you must bring this to the attention of a senior colleague.

Complaints and Formal InquiriesYou must always cooperate fully with any complaints procedure orformal inquiries.

Indemnity Insurance

8. Working with colleagues

Continuously Promote Values Based Non Prejudicial Practice

Work Effectively as a Member and a Leader of Multidisciplinary Team.

Demonstrate Appropriate Leadership QualitiesDuring this employment you will be a full member of the multi-disciplinary teams (MDT) and will attend their weekly meetings.

Communicate Effectively with Other Healthcare Professionals

You will keep clear, accurate and contemporaneous clinical records. You will send regular written reports on patients to general practitioners and other professionals involved in patient care.

Appropriately Assume, Delegate and Devolve Responsibility

Access Advice, Assistance and Second Opinion when Delegating and Making Other Referrals.

9. Maintaining probity

Ensure that Reports, Evidence and Documents You Have Any Responsibility for, Are Complete, Accurate and Honest.

Properly Manage Financial and Commercial Dealings

Avoid conflicts of interest and advise others on preventing and dealing with conflicts of interest

10. Health

Ensure that Your Health and The Health of Others Does Not Put Patients At Risk

Person Specification

Education and Qualifications

Essential

oPrimary Medical degree oFull GMC registration

Desirable

oMRCPsych Paper A or equivalent oPost-graduate psychiatric training oSec 12 approval

Previous Experience

Essential

oCompleted at least 2 years of full time post graduate training (or its equivalent gained on a part time or flexible basis) in mental health including in LD oExperience of being on-call

Desirable

oPsychiatric Training/experience o2 years work experience in LD oClinical audit oTeaching others oWorking with an MDT oExperience of being on-call

Skills and Knowledge

Essential

oAbility to treat service users with respect and dignity at all times, adopting a culturally sensitive approach oAble to work effectively in a team oAble to build constructive relationships oPerson-centred in clinical approach oAbility to perform full physical examinations and to undertake basic routine tests such as venepuncture, ECG, Q Risk determination oBasic IT skills

Desirable

oAdvanced IT literacy oCognitive assessment using screening tests

Other

Essential

oCommitment to multi-disciplinary team working oCommitment to Continuing Personal Development oAbility to be flexible and work as part of a changing, dynamic team and organisation oSickness (or attendance) record that is acceptable to the Trust oAbility to work on own initiative

Desirable

oContribution to the development of a service oEffective teaching skills oInvolvement in Quality Improvement