Consultant Psychiatrist in Forensic or LD Psychiatry
Tees Esk and Wear Valleys NHS Foundation Trust
This is a replacement post which has become vacant as the previous Consultant Psychiatrist has retired.
The Forensic Outreach Liaison Service (FOLS) is a tertiary service that offers specialist advice, assessment, support, and intervention to people with a learning disability and/or autism diagnosis, who pose a risk of serious harm to others. The team provides responsive consultation and liaison to other mental health and learning disability teams in the assessment and management of high-risk individuals who have offended or are at risk of doing so. The team is available across North Yorkshire and York. The service is based at Alexander House, Knaresborough and works remotely across the North Yorkshire and York area.
The team facilitates a safe transition from secure inpatient areas with a gradual transfer to secondary services where there is an identified health need or discharge from service. This will involve a period of follow-up, which can include care coordination or co-working with secondary community teams (including mental health services) relating to the management of risk. The team provides consultation and liaison to local secondary teams in the assessment and management of risk, to avoid where possible an admission to secure care. Additionally, the team enhances the interventions provided by Secure Inpatient Services to support the patient journey and reduce length of stay.
Main duties of the job
This is an 8PA post based in the community.
NY FOLS provides a seven-day service, 9am-5pm. The team consists of: Team Lead, Advanced Nurse Practitioner, 4 Community Nurses, 4 Community Support Workers, Psychologist, and a 0.6wte Speech and Language Therapist.
NY FOLS currently has 45 active clients and care coordinates 11 of these. Approximately half of these patients are community-based. Referrals into the service are through a single point of access.
The postholder will be a Consultant Psychiatrist who specializes in Forensic Learning Disability and autism providing specialist assessments, interventions, and support for comorbid presentations, responsibility for the clinical supervision of conditionally discharged patients, and acts as Responsible Clinician for patients discharged on Supervised Community Treatment or Guardianship.
Secure Inpatient Wards are based at Ridgeway, Roseberry Park Hospital, Middlesbrough. These wards include secure LD and ASD wards. The post-holder will work alongside an inpatient team including 14 consultant colleagues, 4 specialty grade doctors, and up to 3 core trainees.
Within Health & Justice, there are two other community teams in addition to NY FOLS. These include a Forensic Community Service and Secure Outreach and Transition Team, both with a consultant colleague and a multi-disciplinary team.
About us
We are one of the largest specialist mental health and learning disabilities trusts in the country, with an annual income of £320m and a workforce of some 6,700 staff operating from around 100 sites in Durham, Teesside, North Yorkshire, York, and Selby. We provide a range of inpatient and community services to 2m people living in County Durham, the Tees Valley, Scarborough, Whitby, Ryedale, Harrogate, Hambleton, and Richmondshire. We also provide additional specialist services to other parts of Northern England.
We are a multi-award winning trust and are included within the Health Service Journals Best 100 Places to Work. The trust takes a positive and proactive approach to support staff in their personal development and has embedded the Talent Management approach within the Trust.
Psychiatrists are essential contributors to the majority of our mental health teams. Service users expect and are justified to expect collaborative relationships with dedicated psychiatrists who work consistently as part of effective services. Our medical staffing shortage puts strain on services and workforce wellbeing, and costs extend beyond the financial. The Medical Directorate and Medical Development Team are striving to improve medical workforce recruitment and retention in a variety of ways, and the cornerstone of these efforts is The TEWV Charter for the Medical Workforce.
Job responsibilities
Please see the attached job description for further information on this post. Please note that this job description has not yet been approved by The Royal College and therefore is subject to change.
Person Specification
Clinical Knowledge & Skills
* 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
* Wide range of specialist and sub-specialist experience relevant to post within NHS or comparable service
Academic Skills and Lifelong Learning
* 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.
* 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.
Leadership
* Reflects on own performance and behaviour, seeking and acting on feedback.
* Able to influence and persuade to improve services
* Able to take on leadership role in multidisciplinary team.
* Knowledge of structure and management of the NHS and the Trust.
* Shows commitment to quality through knowledge of quality improvement and lean thinking methodology OR able to achieve within one year of appointment
* Able to adapt to and lead service change.
* Able to take on a leadership role outside the multidisciplinary team.
* Understanding of NHS & wider health economy and its implications for the work of the Trust.
* Trained to standard equivalent to level 2 in TEWV Trust Quality improvement system
Qualifications
* MB BS or equivalent medical qualification.
* Qualification or higher degree in medical education, clinical research or management.
* Fully registered with the GMC with a licence to practise at the time of appointment.
* Included on the GMC Specialist Register for Old Age Psychiatry OR included within six months.
* Approved clinician status OR able to achieve within 3 months of appointment
* Approved under S12 OR able to achieve within 3 months of appointment
* In good standing with GMC with respect to warning and conditions on practice
Experience
* Describe your clinical experience relevant to this job role
* Any other experience that may be applicable
Disclosure and Barring Service Check
This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.
Tees Esk and Wear Valleys NHS Foundation Trust
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