The post holder will be one of 2 Consultant Psychiatrists to the Greenwich East Intensive Case Management for Psychosis Team (ICMp) with Oxleas NHS Foundation Trust.
This is a job share with a well-established consultant that reduced their hours several years ago as part of retirement plans. The post has been filled by a locum associate specialist for the past few years.
Main duties of the job
The post holder will be responsible for the care and treatment of patients who receive high level and complex mental health care (formerly on CPA) within the team. This will involve attending multi-disciplinary team meetings, case discussion meetings, and weekly referrals meetings within the team.
The post holder will be expected to attend zoning meetings at least twice a week to prioritize contacts with patients, especially those service users who are deteriorating and presenting with increasing risk. The post holder will be expected to support the team with the development of robust crisis plans for those patients that may be deteriorating.
The post holder will in addition be expected to chair review/CPA meetings, offer crisis appointments to patients who are in the red zone, and offer home visits and telephone advice to general practitioners and other professionals who may be involved with the care of service users on the caseload.
Job responsibilities
The post holder will have 4 formal outpatient clinics a week with 4-5 patients booked per clinic. The consultant and other team medics will be responsible for screening new referrals and ensuring that they receive a prompt assessment from the team. This follows a framework with other team members to offer an Initial Family Meeting (IFM) where goals and objectives and completion of a DIALOG care-plan are agreed. There may be additional crisis clinic appointments and/or home visits required during the week, and the consultant will be expected to show flexibility in managing their diary.
Within the clinics, some patients will have a care co-ordinator and will formerly have been on CPA and other patients may only be seeing a doctor who will act as the lead clinician. There are various projects in place looking at ways of reducing the ICMp caseload and aligning this with the Trust objectives of providing great out of hospital care and reducing any delays to treatment.
There is protected time for administrative work, and the post holder will be supported with any digital/electronic/technological help as required to facilitate timely communication with GPs, referrers, and partner agencies.
Time will be required and allocated to deal with mental health act related work including attending tribunals for patients on community treatment orders (CTO).
The post holder will have supervision duties for the Associate Specialist and GPVTS Trainee working with the team, and this will be agreed with the other consultant. It is expected that weekly supervision supports the junior doctors with complex cases and other educational and pastoral issues.
Person Specification
GMC Registration
Essential
* GMC registered number
Desirable
* Registration application
Section 12
Essential
* Application for qualification
Desirable
* Registration application for Section 12
Experience of ICMP
Essential
* Work history of CV
Desirable
* Working in ICMP environment
Employer details
Employer name
Oxleas NHS Foundation Trust
Address
Ferryview Health Centre, 25/27 John Wilson Street, Woolwich, London, SE18 6PZ
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