Job summary This is a full time newly-developed and exciting substantive Consultant Psychiatrist opportunity to work in the Liaison Crisis Pathway in CNWL, for the Regional North West London Mental Health Crisis Assessment Service (MHCAS). The post is based at St Charles Hospital Mental Health Centre in North Kensington, London, and is within the Jameson division in the Trust. The post-holder will also provide Consultant leadership to the Lighthouse Mental Health Emergency Centre at St Marys Hospital Campus in Paddington, London. We offer a range of development opportunities for newly qualified and established consultants looking for new opportunities. We welcome applications from candidates from all backgrounds and those within 6 months of CCT. Candidates are welcome to contact Dr Sujaa Arokiadass, Clinical Director, for a discussion. Job Description pending Royal College approval Main duties of the job The post holder will have consultant and RC responsibility for service users under the care of the team. Admin support is provided through a dedicated team administrator. Office space is provided at the St Charles hospital site. He/she will be accountable to the Westminster Clinical Director Dr Sujaa Arokiadass and will carry out the duties listed below. The MHCAS is currently based at the St Charles hospital site in the London Borough of Kensington and Chelsea. In the future it may be relocated to the Gordon Hospital in the London Borough of Westminster and there may be an expansion in bay or bed capacity as permitted by estates and as indicated by system patient needs. The MHCAS was implemented in November 2022 as a winter pressure initiative. It made significant positive impacts on system patient flow and patient experience widening the crisis alternatives service offer to patients including from diverse catchment areas. It has now received continued funding enabling substantive medical recruitment. There is a full-time substantive specialty doctor alongside the consultant in the team About us The MHCAS is a 24/7, 365 days service situated at the St Charles' Hospital in London. It is staffed with clinical and non-clinical staff including a lead consultant, junior doctor, assessment nurses, access to psychology, therapy, the voluntary sector and integrated discharge team. There are 8 private cubicles and an open lounge area in the unit. The aim of the MHCAS is to provide a therapeutic supplement and alternative to attending an emergency department (ED) for those experiencing a Mental Health crisis. The MHCAS offers a range of therapeutic interventions to provide people with mental health needs the opportunity to access a more prolonged and informed assessment of needs and/or risks. Itaims to:o Provide a positive patient experience in a supportive and welcoming environmento Deliver a high standard of clinical careo Provide a less restrictive option of care to meet patients' needso Reduce admission (mainly informal) and occupied bed dayso Reduce 0-7 days admissions.o Reduce demand in EDo Reduce breaches of ED wait times owing to delay in mental health assessments and bed availability. A patient does not need to be a CNWL resident to receive care at MHCAS. They are accepted by MHCAS if they meet the referral criteria and would have otherwise presented at Chelsea and Westminster, St Marys, Northwick Park or Hillingdon Hospital Emergency Departments Date posted 03 January 2025 Pay scheme Hospital medical and dental staff Grade Consultant Salary £105,504 to £139,882 a year plus London weighting of £2162 per annum pro rata Contract Permanent Working pattern Full-time Reference number 333-J-WE-C-0020 Job locations St Charles Hospital Exmoor Street London W10 6DZ Job description Job responsibilities Clinical duties: 1. Provide senior clinical advice and support to the daily triage, assessment of patients, MDT zoning meetings, discharge planning, other regular clinical team meetings including professionals meetings and weekly team clinical reflection meetings in MHCAS. 2. Provide consultant clinical advice, cover and support to the Light house MHEC as needed. 3. Ensure in partnership with the team manager that all referrals are triaged daily and responded to in a timely way.4. Assessment of new patients and clinical supervision of assessments carried out by other team members as required. 5. Ensure community connectivity for patients where relevant as part of discharge planning. 6. Build and maintain good relationships with other teams and consultants along the pathway. 7. Review complex needs patients to ensure appropriate care packages are put in place. 8. Mental Health Act related work as indicated. 9. Ensure that patients physical health needs are addressed.10. Ensure high quality documentation in the team including clear documentation related to mental capacity assessments and physical health assessments, discharge summaries. 11. Ensure safe handover across interfaces when patients are discharged. 12. Develop working relationships with relevant local voluntary sector services who can support and promote recovery where possible preventing readmissions. 13. Follow the cross-cover protocol that has been agreed with another team or colleague which will ensure appropriate consultant cover is in place during absences. Leadership responsibilities: 1. Carry out leadership role in the quality agenda: identify areas for improvement and demonstrate active engagement with QI. 2. Lead the development and understanding of how service processes and pathways would need to be adapted to meet evolving patient needs. 3. Meet regularly with the team manager and local service manager to ensure quality, finance and performance targets are met. 4. Support recruitment and ensure optimal retention of team members. 5. Line management and clinical supervision of any junior trainee/specialty doctor in the team. 6. Teaching of medical students if placed in the team. 7. Engage in service development, attend the care quality meetings and local expert advisory group meetings. Teaching and training: 1. An active role in the local KCW postgraduate teaching programme, which consists of a local academic meeting on Wednesday lunchtime. This meeting includes a Journal Club and case presentations. This takes place online.2. To actively contribute to the training of all team members as relevant to enable good quality care for patients.3. Clinical supervisor responsibility for the 1 wte specialty doctor in the team.4. If postgraduate medical trainees (FY, CT, ST), medical students and/or physician associates/medical support workers/clinical attachees are placed in the team in the future, the post holder will be expected to be clinical trainer and supervisor for them.5. The post holder will also be expected to support the training of any nurse prescribers and to provide supervision to them as necessary. Job description Job responsibilities Clinical duties: 1. Provide senior clinical advice and support to the daily triage, assessment of patients, MDT zoning meetings, discharge planning, other regular clinical team meetings including professionals meetings and weekly team clinical reflection meetings in MHCAS. 2. Provide consultant clinical advice, cover and support to the Light house MHEC as needed. 3. Ensure in partnership with the team manager that all referrals are triaged daily and responded to in a timely way.4. Assessment of new patients and clinical supervision of assessments carried out by other team members as required. 5. Ensure community connectivity for patients where relevant as part of discharge planning. 6. Build and maintain good relationships with other teams and consultants along the pathway. 7. Review complex needs patients to ensure appropriate care packages are put in place. 8. Mental Health Act related work as indicated. 9. Ensure that patients physical health needs are addressed.10. Ensure high quality documentation in the team including clear documentation related to mental capacity assessments and physical health assessments, discharge summaries. 11. Ensure safe handover across interfaces when patients are discharged. 12. Develop working relationships with relevant local voluntary sector services who can support and promote recovery where possible preventing readmissions. 13. Follow the cross-cover protocol that has been agreed with another team or colleague which will ensure appropriate consultant cover is in place during absences. Leadership responsibilities: 1. Carry out leadership role in the quality agenda: identify areas for improvement and demonstrate active engagement with QI. 2. Lead the development and understanding of how service processes and pathways would need to be adapted to meet evolving patient needs. 3. Meet regularly with the team manager and local service manager to ensure quality, finance and performance targets are met. 4. Support recruitment and ensure optimal retention of team members. 5. Line management and clinical supervision of any junior trainee/specialty doctor in the team. 6. Teaching of medical students if placed in the team. 7. Engage in service development, attend the care quality meetings and local expert advisory group meetings. Teaching and training: 1. An active role in the local KCW postgraduate teaching programme, which consists of a local academic meeting on Wednesday lunchtime. This meeting includes a Journal Club and case presentations. This takes place online.2. To actively contribute to the training of all team members as relevant to enable good quality care for patients.3. Clinical supervisor responsibility for the 1 wte specialty doctor in the team.4. If postgraduate medical trainees (FY, CT, ST), medical students and/or physician associates/medical support workers/clinical attachees are placed in the team in the future, the post holder will be expected to be clinical trainer and supervisor for them.5. The post holder will also be expected to support the training of any nurse prescribers and to provide supervision to them as necessary. Person Specification QUALIFICATIONS Essential MB BS or equivalent medical qualification. Desirable Qualification or higher degree in medical education, clinical research or management. Additional clinical qualifications. MRCPsych or equivalent ELIGIBILITY Essential Fully registered with the GMC with a licence to practise at the time of appointment Included on the GMC Specialist Register OR within six months Approved clinician status OR able to achieve within 3 months of appointment Approved under S12 Desirable In good standing with GMC with respect to warning and conditions on practice CLINICAL SKILLS, KNOWLEDGE & EXPERIENCE Essential 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 Desirable Wide range of specialist and sub-specialist experience relevant to post within NHS or comparable service TRANSPORT Essential Holds and will use valid UK driving licence OR willing to use public transport for travel during work ACADEMIC SKILLS & LIFELONG LEARNING Essential 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. Desirable 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. Person Specification QUALIFICATIONS Essential MB BS or equivalent medical qualification. Desirable Qualification or higher degree in medical education, clinical research or management. Additional clinical qualifications. MRCPsych or equivalent ELIGIBILITY Essential Fully registered with the GMC with a licence to practise at the time of appointment Included on the GMC Specialist Register OR within six months Approved clinician status OR able to achieve within 3 months of appointment Approved under S12 Desirable In good standing with GMC with respect to warning and conditions on practice CLINICAL SKILLS, KNOWLEDGE & EXPERIENCE Essential 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 Desirable Wide range of specialist and sub-specialist experience relevant to post within NHS or comparable service TRANSPORT Essential Holds and will use valid UK driving licence OR willing to use public transport for travel during work ACADEMIC SKILLS & LIFELONG LEARNING Essential 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. Desirable 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. 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. Certificate of Sponsorship Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab). From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab). UK Registration Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window). Additional information 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. Certificate of Sponsorship Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab). From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab). UK Registration Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window). Employer details Employer name Central and North West London NHS Foundation Trust Address St Charles Hospital Exmoor Street London W10 6DZ Employer's website https://www.cnwl.nhs.uk/work (Opens in a new tab)