Job summary This is an exciting new post of General Practitioner with a special interest in Neurodevelopmental disorders for the Neurodevelopmental pathway where 10 sessions are available. The post was developed to help support this pathway, secondary to an increase in referrals of patients with neurodevelopmental conditions primarily ADHD and ASD. These multidisciplinary pathways for the assessment, diagnosis and management of children and young people with ADHD and ASD, are supported in conjunction with nursing and psychology colleagues. The pathway involves obtaining written information / screening questionnaires from parents and school. A decision is then made with regards to the need to carry out further direct assessment by a neurodevelopmental team practitioner. After this point the Doctor will contribute to the diagnostic assessment & treatment / management. The Doctor will also support management of associated difficulties of patients, for example sleep difficulties, anxiety, school difficulties and challenging behaviours etc. The successful candidate will join an experienced community multidisciplinary Specialist CAMHS team. They will join two CAMHS Consultant colleagues, a Neurodevelopmental Doctor and a specialty doctor working from Bury community CAMHS based at Fairfield General Hospital. Main duties of the job The initial psychiatry appointment will be to make the formal diagnosis of ADHD after the previous assessment in which an ADHD diagnosis was felt to be indicative. Management options will be discussed and could include signposting to a post diagnostic service, discussing and commencing ADHD medication and/or managing co-morbidities. Medication would be monitored in follow up clinic with physical health/ side effect monitoring. After stabilisation, patients would be followed up in the nurse-lead ADHD clinic. Consultation for the ADHD clinic nurses would be required on a regular basis. The successful candidate will join other team members in contributing to the ASD care pathway. The candidate will be supported in developing expertise in assessing and diagnosing children and young people with ASD. The post holders will not have any out of hour's responsibilities. The successful candidate will be expected to accumulate their own out-patient load from new referrals and help out with known patients in out-patients, and pick up ongoing patient management through the team as appropriate. The successful candidate is expected to contribute to the bio psychosocial model of care with the other members of the multi-disciplinary team. This includes history taking, mental state examination of all patients and the physical examination of outpatients where appropriate. The treatments may be physical, pharmacological, psychological and social as appropriate. About us We are proud to provide high quality mental health and learning disability services, both inpatient and in the community across five boroughs of Greater Manchester - Bury, Oldham, Rochdale, Stockport and Tameside and Glossop. Our vision is for a happier and more hopeful life for everyone in our communities and our staff work hard to deliver the very best care for the people who use our services. We're really proud of our PennineCarePeople and do everything we can to make sure we're a great place to work. All individuals regardless of race, age, disability, ethnicity, nationality, gender, gender reassignment, sexual orientation, religion or belief, marriage and civil partnership are encouraged to apply for this post. We would also encourage applications from individuals with a lived experience of mental illness, either individually or as a carer. If you come and work for us we will offer a range of benefits and opportunities, including: Generous annual leave entitlement for Agenda for Change and Medical and Dental staff. Flexible working opportunities to support your work/life balance Access to Continued Professional Development Involvement in improvement and research activities Health and Wellbeing activities and access to an excellent staff wellbeing service Access to staff discounts across retail, leisure and travel Date posted 06 January 2025 Pay scheme Hospital medical and dental staff Grade Doctor - other Salary £73,113 to £110,330 a year PA, pro rata Contract Fixed term Duration 12 months Working pattern Full-time Reference number 311-M182-24 Job locations Bury CAMHS Fairfield Hospital Bury BL9 7TD Job description Job responsibilities Core clinical work Referrals for a neurodevelopmental assessment are submitted by the child / young persons GP or school to Bury CAMHS. The pre-referral paperwork (SNAP questionnaires /parent teacher checklists and developmental history) is triaged by the neurodevelopmental team to determine if an assessment is indicated. If an assessment is indicated the young person is seen for an initial assessment. If assessing for ADHD, a QB test is arranged and if assessing for ASD, an ADOS assessment is arranged. All the information gathered and the results of these assessments are then discussed at either the ADHD MDT meeting or ASD MDT meeting, where an outcome is agreed. A feedback appointment is then arranged with the family and young person. If the child / young person meets the diagnostic criteria for ADHD they are added to the Psychiatry waiting list for further input from a Doctor. Patients who are diagnosed with ASD are discharged back to the care of their GP unless there are significant additional mental health needs requiring further input from CAMHS. If further input is required, then the clinician with the appropriate skills will provide input to the patient. For example input from a Psychiatrist if the needs are Psychiatric or medication needs to be prescribed, or input from a Clinical Psychologist if psychological therapy such as CBT needs to be provided etc. Contribution to the ADHD care pathway - The initial psychiatry appointment will be to make the formal diagnosis of ADHD after the previous assessment / meetings in which an ADHD diagnosis was felt to be indicative. Management options will be discussed in accordance with NICE guidelines. These could include signposting to First Point (post diagnostic service), discussing and commencing ADHD medication and/or managing co-morbidities. Medication would be monitored in follow up clinic with physical health / side effect monitoring. After titration and stabilisation, patients would be followed up in the ADHD monitoring clinic. Consultation and supervision for the ADHD clinic nurses and participation in duty prescriber rota will be part of the role. The post holder will not have any out of hours responsibilities but will be expected to contribute to the day time duty medical rota in Bury CAMHS. This will entail assessment of / intervention for urgent CAMHS patients presenting to the service requiring Psychiatric input. The Duty Consultant Child & Adolescent Psychiatrist will provide supervision for any such input. The post holder will be expected to accumulate their own out-patient load from new referrals and help out with known patients in out-patients, and pick up ongoing patient management through the team as appropriate. The post holder is expected to contribute to the bio-psychosocial model of care with the other members of the multi-disciplinary team. This includes history taking, mental state examination of all patients and the physical examination of outpatients where appropriate. The treatments may be physical, pharmacological, psychological and social as appropriate. The CAMHS team offers various psychological therapies such as CBT, family therapy, IPT and DBT. The post holder will be expected toadhere to the policies and procedures in support of the caseload, maintain appropriate professional records, confidentiality, administration of out-patient clinics and the appropriate admin/discharge and referral procedures. There is an on site Duty Consultant every day of the week to support and provide consultation to the Specialty Doctor with respect to any urgent assessments / matters. This is separate to the weekly clinical supervision sessions which will be provided by the supervising Consultant. The post holder will be expected to utilise the Care Programme Approach, and also the New Mental Health Act, the Children Act and the Mental Capacity Act when required. The post holder will work in partnership with other professionals/agencies involved in the care of young people, across departmental and organisational boundaries. This includes providing regular consultation to other agencies involved in the care of young people. The post holder will attend regular (weekly) supervision meetings with the Bury CAMHS Lead Consultant, Dr. James Glass. This provides a forum for discussing and receiving advice with respect to their clinical cases, learning from their Consultant supervisor and caseload management. The post holder will provide mutual prospective leave cover for annual and study leave with the other Bury CAMHS specialty doctor. Job description Job responsibilities Core clinical work Referrals for a neurodevelopmental assessment are submitted by the child / young persons GP or school to Bury CAMHS. The pre-referral paperwork (SNAP questionnaires /parent teacher checklists and developmental history) is triaged by the neurodevelopmental team to determine if an assessment is indicated. If an assessment is indicated the young person is seen for an initial assessment. If assessing for ADHD, a QB test is arranged and if assessing for ASD, an ADOS assessment is arranged. All the information gathered and the results of these assessments are then discussed at either the ADHD MDT meeting or ASD MDT meeting, where an outcome is agreed. A feedback appointment is then arranged with the family and young person. If the child / young person meets the diagnostic criteria for ADHD they are added to the Psychiatry waiting list for further input from a Doctor. Patients who are diagnosed with ASD are discharged back to the care of their GP unless there are significant additional mental health needs requiring further input from CAMHS. If further input is required, then the clinician with the appropriate skills will provide input to the patient. For example input from a Psychiatrist if the needs are Psychiatric or medication needs to be prescribed, or input from a Clinical Psychologist if psychological therapy such as CBT needs to be provided etc. Contribution to the ADHD care pathway - The initial psychiatry appointment will be to make the formal diagnosis of ADHD after the previous assessment / meetings in which an ADHD diagnosis was felt to be indicative. Management options will be discussed in accordance with NICE guidelines. These could include signposting to First Point (post diagnostic service), discussing and commencing ADHD medication and/or managing co-morbidities. Medication would be monitored in follow up clinic with physical health / side effect monitoring. After titration and stabilisation, patients would be followed up in the ADHD monitoring clinic. Consultation and supervision for the ADHD clinic nurses and participation in duty prescriber rota will be part of the role. The post holder will not have any out of hours responsibilities but will be expected to contribute to the day time duty medical rota in Bury CAMHS. This will entail assessment of / intervention for urgent CAMHS patients presenting to the service requiring Psychiatric input. The Duty Consultant Child & Adolescent Psychiatrist will provide supervision for any such input. The post holder will be expected to accumulate their own out-patient load from new referrals and help out with known patients in out-patients, and pick up ongoing patient management through the team as appropriate. The post holder is expected to contribute to the bio-psychosocial model of care with the other members of the multi-disciplinary team. This includes history taking, mental state examination of all patients and the physical examination of outpatients where appropriate. The treatments may be physical, pharmacological, psychological and social as appropriate. The CAMHS team offers various psychological therapies such as CBT, family therapy, IPT and DBT. The post holder will be expected toadhere to the policies and procedures in support of the caseload, maintain appropriate professional records, confidentiality, administration of out-patient clinics and the appropriate admin/discharge and referral procedures. There is an on site Duty Consultant every day of the week to support and provide consultation to the Specialty Doctor with respect to any urgent assessments / matters. This is separate to the weekly clinical supervision sessions which will be provided by the supervising Consultant. The post holder will be expected to utilise the Care Programme Approach, and also the New Mental Health Act, the Children Act and the Mental Capacity Act when required. The post holder will work in partnership with other professionals/agencies involved in the care of young people, across departmental and organisational boundaries. This includes providing regular consultation to other agencies involved in the care of young people. The post holder will attend regular (weekly) supervision meetings with the Bury CAMHS Lead Consultant, Dr. James Glass. This provides a forum for discussing and receiving advice with respect to their clinical cases, learning from their Consultant supervisor and caseload management. The post holder will provide mutual prospective leave cover for annual and study leave with the other Bury CAMHS specialty doctor. Person Specification Shortlisting Criteria Essential MBChB or equivalent medication degree qualification Member of RCGP with post-graduate qualification Full registration with the General Medical Council (GMC) with a licence to practise in the UK. Significant experience as a GP, ideally with exposure to child and adolescent mental health presentations. Strong skills in assessing, diagnosing, and managing mental health conditions in children and adolescents. Ability to communicate effectively with children, adolescents, families, and multi-disciplinary teams. Desirable Previous experience in neurodevelopmental disorders MRCPsych post-graduate qualification Previous experience working in CAMHS Experience in paediatrics or working with children and adolescents in other settings is highly valued. Person Specification Shortlisting Criteria Essential MBChB or equivalent medication degree qualification Member of RCGP with post-graduate qualification Full registration with the General Medical Council (GMC) with a licence to practise in the UK. Significant experience as a GP, ideally with exposure to child and adolescent mental health presentations. Strong skills in assessing, diagnosing, and managing mental health conditions in children and adolescents. Ability to communicate effectively with children, adolescents, families, and multi-disciplinary teams. Desirable Previous experience in neurodevelopmental disorders MRCPsych post-graduate qualification Previous experience working in CAMHS Experience in paediatrics or working with children and adolescents in other settings is highly valued. 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 Pennine Care NHS FT Address Bury CAMHS Fairfield Hospital Bury BL9 7TD Employer's website https://www.penninecare.nhs.uk (Opens in a new tab)