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South Yorkshire ST7+ Consultant NHS Post CCT Assertive Outreach Psychiatrist United Kingdom via Workplace Doctors on a fixed term/ permanent basis.

*** GMC Registration Required (General Medical Council) Essential
*** Specialist Register entry on the GMC Register
***Location: South Yorkshire - United Kingdom
***CESR / CCT or Post CCT (within 6 months of job offer) or equivalent overseas qualification.
***Speciality: Psychiatry - Assertive Outreach Psychiatrist
*** Role: Consultant / ST 7+ / Post CCT / CESR
***Duration: Fixed Term / Permanent (NOT Locum Basis)
***Pay rate: £NEGOTIABLE (dependent on experience £84,559 - £114,003 a year)
***Start date: ASAP
*** Exact location details provided upon receipt of application / CV

Overview

Our NHS client prides itself on being a friendly and caring place to work where the aim to combine our patient first approach with innovative and creativity against a backdrop of holistic team working, as encapsulated in their vision and values.

We are seeking to appoint a Consultant with complementary skills to the local and regional requirements. This offers an excellent opportunity for someone with the appropriate subspecialist skills to join the team to cover a potential catchment area of our client’s NHS facility.

Applicants must hold full registration and a licence to practice with the GMC.

Candidates for Consultant posts must also be on the GMC Specialist Register (including via CESR/European Community Rights) or will have a CCT/CESR(CP) date within 6 months of interview.

South Yorkshire is a ceremonial and metropolitan county in England. It is the southernmost county in the Yorkshire and the Humber region and had a population of 1.34 million in 2011. It has an area of 1,552 square kilometres (599 sq mi) and consists of four metropolitan boroughs, Barnsley, Doncaster, Rotherham and Sheffield. South Yorkshire was created on 1 April 1974 as a result of the Local Government Act 1972. Its largest settlement is Sheffield.

Lying on the east side of the Pennines, South Yorkshire is landlocked, and borders Derbyshire to the west and south-west, West Yorkshire to the north-west, North Yorkshire to the north, the East Riding of Yorkshire to the north-east, Lincolnshire to the east and Nottinghamshire to the south-east. The Sheffield Urban Area is the tenth most populous conurbation in the United Kingdom, and dominates the western half of South Yorkshire with over half of the county's population living within it. South Yorkshire lies within the Sheffield City Region with Barnsley also being within the Leeds City Region, reflecting its geographical position midway between Yorkshire's two largest cities.

The metropolitan county borders Derbyshire, West Yorkshire, North Yorkshire, the East Riding of Yorkshire, Lincolnshire and Nottinghamshire. The terrain of the county is mostly distinguished by the Pennines and its foothills which rise in the west of the county and gradually descend into the Humberhead Levels in the east of the county. Geologically, the county lies largely on the carboniferous rocks of the Yorkshire coalfield in the outer Pennine fringes, producing a rolling landscape with hills, escarpments and broad valleys. In this landscape, there is widespread evidence of both current and former industrial activity. There are numerous mine buildings, former spoil heaps and iron and steel plants. The scenery is a mixture of built up areas, industrial land with some dereliction, and farmed open country. Ribbon developments along transport routes including canal, road and rail are prominent features of the area although some remnants of the pre industrial landscape and semi-natural vegetation still survive. The Pennines in the west of the county are mostly inside the Peak District National Park and also contain carboniferous rocks, with the underlying geology primarily being millstone grit sandstones of the Dark Peak rising from the Yorkshire coalfield and the terrain is mostly moorland plateaus and gritstone edges.

Department

The Assertive Outreach Service is intended for patients with severe and enduring mental illness. These patients are often difficult to engage and have complex presentations including treatment resistant mental illness and dual diagnosis with multiple psycho-social factors complicating the illness and making the management difficult and complex. They often have limited life and social skills and with time their cognitive ability can deteriorate. They often need intense and long-term input with the ability of the team to respond quickly to their needs. Without appropriate support in the community these patients often need recurrent hospital admissions. The traditional model of CMHT (Community Mental Health Team) is usually not able to provide the care required in managing these patients in the community and hence a more assertive outreach approach is required.

Apart from providing intense input with quick response to crisis, an integral part of their management plan is the recovery focus. An assertive outreach service has the ability to provide intense support for long periods, respond to crisis immediately and yet continue to work on the long-term goal of recovery for these patients.

As these patients are complex and difficult to engage, building rapport and trust and providing continuity of care is very crucial. A seamless pathway from community to in-patient and inpatient to community is very important. For this reason, they should be followed up by the AOS consultant when admitted to an acute psychiatric in-patient unit to provide continuity of care and best possible care to the patients. On average there are usually 4-6 in-patients at any time. Most of them are looked after under the mental health act. Over the last year there have been 48 patients admitted, some of these patients are new to the Assertive Outreach Team and taken on during their admission. 38 of these patients were treated under the mental health act.

The AOS service works closely with other rehab services including the Community Recovery team, the female rehab inpatient unit and male rehab in patient unit.

General Duties- guideline only

The Consultant in Assertive Outreach Psychiatry has the following specific expertise.

1. Provide motivation, clinical leadership and support to the Multidisciplinary team.

2. Detailed assessment and management of patients with complex mental health needs in community settings. This includes:

a. Expertise in medication management for treatment-resistant conditions;

b. Physical health screening and medical liaison with colleagues in primary and

secondary care;

c. Appropriate use of psychosocial interventions;

d. Appropriate use of mental health and mental capacity legislation,

e. Safeguarding processes, appointee ship and Court of Protection;

f. Detailed knowledge of local supported accommodation provision;

g. Expertise in managing patients’ transitions between different settings.

h. Experience in managing patients with dual diagnosis

i. Good engagement skills with skill in avoiding confrontational approach

3. Second opinions and advice to colleagues on the diagnosis and management of patients with complex mental health needs.

4. Support and advice to services that provide supported accommodation and complex community care packages for this group.

5. Close working relationship with Consultant Colleagues (Low Secure Unit, Rehab & Early intervention) and teams

6. Liaison and smooth transition of care to other consultants

7. Involvement in medication management policy within AOS.

8. Community outreach psychiatrists use their clinical leadership skills to facilitate successful partnership working with voluntary sector agencies that facilitate social inclusion, including those that provide supported accommodation, vocational training and employment.

9. Community outreach psychiatrists should liaise with the IPP manager to ensure the appropriate placement of patients in facilities that are tailored to their needs, that opportunities for local treatment and support have been fully explored prior to a placement being made out of area, and that there is ongoing review of an individual’s suitability for local repatriation at the earliest opportunity (Royal College of Psychiatrists, 2011). 10. Providing expertise, and fulfilling a statutory role, in managing medico-legal issues using Capacity and Mental Health legislation.

11. To supervise non-training grade doctors and psychiatric trainees allocated to your team. One hour per week supervision will be necessary as protected time for trainees attached to this post. There will be the opportunity to develop posts for Core and ST4- 6 higher trainees.

12. To enact cross cover arrangements for annual leave, study and professional, with the other Rehab Psychiatrists as appropriate. Usually cross cover for detained patients in the General Hospital will be via In Patient/HTT Consultants. Cover for long-term sick leave will not be expected via these cross-cover arrangements.

13. Participation in the psychiatric consultant on-call duty rota which is 1:14. This rota covers both general adult, elderly psychiatric patients as well as Learning Disabilities.

14. To advise and assist in the planning of services. Setting goals and targets for the team according to local and national drivers.

15. To play an active part in psychiatric teaching. There is an active postgraduate teaching programme in psychiatry and there are opportunities to contribute to other academic meetings.

16. Medical students from the University Schools of Medical and Dentistry attend regularly to obtain psychiatric experience as an integral part of their training, and the post holder will be expected to participate in teaching and providing feedback sessions for these medical students.

17. An interest in research and a willingness to supervise trainees will be encouraged.

18. To undertake clinical audit activity and to participate in both internal and external audit as required for clinical governance and revalidation purposes.

Job Plan

Regular job planning meetings will be undertaken with the post holder to ensure that the appointee is remunerated for any additional activities undertaken and that the job plan accurately reflects the overall workload undertaken by the post holder.

The supporting professional activities (SPAs) allocation within the provisional job plan is an illustrative guide and will be finalised following individual agreement with successful candidates. Further discussion on supporting professional activities will depend on the Trust's requirements and the individual's particular expertise.

A draft job plan is provided below. The job Plan will be reviewed and agreed with the post-holder at appointment.

Salary

This is as described in the Medical and Dental Terms and Conditions, in line with the Consultant Contract (2003). The current full time salary scale (as of July 2020) ranges from £84,559 - £114,003 a year with eight thresholds.

The on call supplement is Category A and attracts a supplement of 5% of basic salary.

Office Accommodation

Office accommodation will be provided for the appointee with secretarial support.

Management Responsibility

All Consultants are required to attend the monthly Directorate Meetings. Post holders will be expected to share in administrative duties allocated by mutual agreement within the Directorate. As part of the Consultant Team, the consultant will offer mentoring support and lead the existing clinical team through, one-to-one support, individual case management and complex cases, identifying development needs and suggesting CPD (Continuous Professional Development) opportunities and responding to clinical enquiries via e-mail and telephone.

Teaching/Research

The consultant will be required to participate in programmes for teaching clinical students, training junior doctors and in clinical examinations. The post-holder’s contribution to teaching, training and research will be included in the regular job plan review. Teaching will take place during programmed activities and flexibly at other times.

• To provide conditions for improved training opportunities in line with national and local recommendations arising out of GMC and related requirements
• To supervise and manage the work of his/her junior medical staff and participate in the training and development of these staff to the standards required by the Royal Colleges.

Clinical Governance & Audit

The consultant will participate in clinical governance activities, including clinical audit, clinical effectiveness, risk management, quality improvement activities as required by the Trust, and external accrediting bodies. There are 6 half day clinical governance meetings per annum which substitute regular fixed sessions. There is a weekly consultant meeting before MDT on Friday to discuss any issues during the week and to plan for next week.

Personal & Professional Development

The post-holder will be required to keep himself/herself fully up-to-date with their relevant area of practice and be able to demonstrate this to the satisfaction of the Trust.

The Trust supports the requirements for continuing professional development as laid down by the Royal College of Physicians and is committed to providing time and financial support for these activities.

Medical revalidation is the process by which the General Medical Council (GMC) confirms the continuation of a doctor’s licence to practise in the UK, provides greater assurance to patients, the public, employers and other healthcare professionals that licensed doctors are up-to-date and fit to practise. It is a key component of a range of measures designed to improve the quality of care for patients.

The Trust supports Royal College guidance on provision of mentors for new consultants in line with GMC recommendations. All newly appointed consultant staff are provided with a list of locally trained mentors who are available for ongoing support as required.

Personal Responsibilities

Confidentiality

All confidential information, including patient records, individual staff records, details of contract prices and terms and any other confidential information, must under no circumstances be divulged or passed on to any unauthorised person or persons. The penalty for breach of confidentiality will normally be summary dismissal.

Workplace Doctors are looking for medical professionals with UK & Overseas experience: that possesses the following qualities:

ESSENTIAL REQUIREMENTS:

*** Ability to act as part of a team
*** Ability to cope with a varying work load
*** GMC Registration Essential (General Medical Council) - We can provide guidance if needed
*** Specialist Register entry on the GMC Register
***Post CESR or CCT obtained (CCT - Certificate of Completion of Training) or (CESR- Certificate of Eligibility for Specialist Registration)
****IELTS and PLAB Exam Part 1 & 2 (IELTS, overall score 7.5) – overseas doctors
****GMC Registration Essential (General Medical Council) – We can provide guidance if needed

Doctors guide to working in the UK – Click here

Note: The Trust operates a policy whereby all employment for staff that have access to children/vulnerable adults will be subject to a satisfactory DBS Disclosure (Disclosure and Barring Service) The Criminal Records Bureau ( CRB ) and the Independent Safeguarding Authority ( ISA ) have merged to become the Disclosure and Barring Service ( DBS ). CRB checks are now called DBS checks. Overseas candidates will require an international police check or character reference.

Tier 2 Certificate of Sponsorship (formerly a Work Permit)

Applications from job seekers who require Tier 2 sponsorship to work in the UK are welcome and will be considered alongside all other applications. However, non-EEA candidates may not be appointed to a post if a suitably qualified, experienced and skilled EU/EEA candidate is available to take up the post as the employing body is unlikely, in these circumstances, to satisfy the Resident Labour Market Test.

At Workplace Doctors we welcome all applications irrespective of age, disability, gender, sexual orientation, race or religion. Candidates will be offered an interview providing they meet the minimum criteria for the post.

Workplace Doctors is a recruitment agency that offers locum, fixed term, permanent & locum medical jobs to cover the NHS, HSE, public and private sectors for Doctors and Nurses, AHP medical professionals.

We look forward to helping you progress your career and find you the ideal position.

Call us today on +44 (0) 1234 889213 to discuss this vacancy or email your CV along with your GMC Registration to [email protected] You are able to also apply online (see below)

Please note that should we experience a high level of interest in the post, the vacancy will be expired early. Shortlisted candidates will be contacted as soon as possible after the closing date.

This job description is not an exhaustive document but is a reflection of the current position. Details and emphasis may change in line with service needs after consultation with the postholder.