The post includes an interesting and varied range of clinical responsibilities for prisoners with a wide range of clinical conditions, including acute and chronic mental illness, personality disorder and ADHD. Within the stepped care model, the Elmley service screens about 40 referrals per week. The in-reach team holds a caseload of about 90. New assessments are normally slotted into the ward rounds (Inpatients) and into prearranged out-patient Clinics if the new assessments are generated from the referral system. All referrals are triaged by the In-Reach Team. On rare occasions, assessments are requested as an emergency from the wings or segregation unit. This is variable but on average once a week. The work load generated is not considered to be onerous. Interest applicants will be able to visit the site and speak to the team and the current consultant in post. Currently there is full time band 7 Operational Manager, 3 band 6 nursing staff and 2 band five nursing staff and 2 star workers. The electronic patient information system which is used within all Kent Prisons is System One. The post holder would be provided with training in Rio, which is used by the trust. Remote working through an IPAD or Laptop can be requested and provided.