Consultant in CAMHS Psychiatry, Intellectual Disabilities
This is a 6 PA Consultant post in Child and Adolescent Psychiatry in the Intellectual Disability Pathway. It is a replacement post. It is based at the Sue Nichols Centre, Aylesbury but the role is countywide.
The CAMHS pathway for Children and young people with an Intellectual Disability can offer consultation, assessment, intervention and care co-ordination for children and young people who require specialist Intellectual disability skills and knowledge due to moderate or severe, complex and enduring difficulties.
Main duties of the job
In order for a diagnosis of an Intellectual disability (as distinct from learning difficulties) to be made the young person must have a formal cognitive assessment that indicates the young person has an IQ score of below 70 and a significant impairment in adaptive functioning. This diagnosis should also be made in the context of a holistic assessment of need and the difficulties must be pervasive and longstanding.
In line with recent legislation and good practice guidance the Bucks CAMHS-ID Pathway will work with and alongside the other Pathways in CAMHS to ensure that children with Intellectual disabilities have equal access to the range of specialist CAMHS Services available to children and young people who do not have Intellectual disabilities.
It is expected that in most cases, the mental health needs of children and young people with a mild Intellectual disability (IQ within the range of 50-70 and associated adaptive functioning difficulties) can be met within the other specialist CAMHS Pathways. This may require consultation from the Bucks CAMHS-ID Pathway to support assessment, formulation and making reasonable adjustments to interventions as appropriate.
About us
Oxford Health NHS Foundation Trust has been providing a comprehensive CAMHS service in Buckinghamshire for 7 years. The newly developed CAMHS service is based on a partnership between Oxford health NHS Foundation Trust (main contract holder) and Barnardos. The new service is based on the 'Thrive Model' and during October 2015 service transformed away from the traditional CAMHS tiered model to a service strongly influenced by children young people, their parents/carers and stakeholders began. The new model is based on ease of access, getting advice, consultation, support, and specialist clinical pathways.
Benefits of working for Oxford Health NHS Trust include:
* Excellent opportunities to take on additional roles, for e.g. Leadership, Management, Clinical / Educational Supervisor, Safeguarding Lead, etc.
* 33 days annual leave (pro rata if part time), plus bank holidays, with an increase to 35 days with 7 years consultant service
* NHS Discount across a wide range of shops, restaurants and retailers
* Staff accommodation
* Lease car scheme
* Cycle to work scheme
Job responsibilities
Developing an active leadership role in the multi-disciplinary Child and Adolescent Mental Health Services (CAMHS), in conjunction with the teams manager and other senior staff.
The diagnosis, management and treatment of children, adolescents and families. The Consultant will carry medical responsibility only for those patients on his/her own caseload and that of medical staff under his/her care.
The Consultant is expected to provide clinical leadership and collaborate in systems of supervision and care management within the teams. Consultants leadership development is a priority within the directorate and consultants are encouraged to take on leadership roles and work closely with team managers to ensure team cohesion and quality services.
The Consultant is required to work in conjunction with wider clinical leadership within the directorate- the Service managers, Head of Service and Medical Lead/AMD within CAMHS and the Clinical Director and Service Director for the wider directorate.
The Consultant and team will support the single point of access for all appropriate referrals.
The multidisciplinary teams, with the post holder and other Consultant Psychiatrists will endeavour to assess all emergencies referred to them within the day of referral. When necessary this will include responsibility for Mental Health Act assessment of patients.
The Consultant Psychiatrist will work in partnership with the multidisciplinary teams for the clinical management of patients in relation to the care programme approach (CPA). This will include risk assessment, the assessment of the needs of carers, and the development of services to meet the needs of patients and families for which the teams are responsible.
To liaise with Community Paediatricians, Adult Mental Health and other agencies dealing with the same population, such as Education, Social Services and Primary Care where children or adolescents may be treated.
To support and develop Community Mental Health services for patients and their carers in the catchment area. The Consultant Psychiatrist will work with other Mental Health Practitioners, and other relevant agencies in the shared management of patients. He/she will be encouraged to develop services in line with the recommendations of the National Service Framework/NHS Plan modernisation programme.
The Consultant will share responsibility for the effective use of inpatient beds when necessary, ensuring prompt admission and discharge of patients from his/her catchment area.
Special clinical interests with the agreement of the Clinical Director and Consultant colleagues within the locality, the post holder may develop a specialist clinical interest which contributes to the priorities of the service of which the Consultant is part.
Person Specification
Qualifications/Training
* Eligibility for Section 12 (Mental Health Act 1983) Approval and Approved Clinician status
* Eligible for Inclusion on the GMC Specialist Registrar in a psychiatric speciality; OR within six months of achieving registration at the time of interview
* Higher degree/diploma or equivalent in relevant field of medical or psychological studies.
* Higher specialist training in Child and Adolescent Psychiatry in approved training post for a minimum of three years and/or previous consultant experience
* Sub-specialty or other specialist clinical training relevant to post.
* Membership or Fellowship of The Royal College of Psychiatrists
Experience
* Excellent knowledge in Child and Adolescent Psychiatry
* Experience of effective multidisciplinary team working.
* Experience of effective multiagency partnership at work
* Experience in management of children and young people with complex needs spanning multiple agencies with emerging personality disorders, conduct and behavioral problems.
* Experience and familiarity with UK health systems and CAMHS services
* Experience of Undergraduate and postgraduate medical teaching.
* Ability to undertake full range of Consultant responsibilities
* Experience in supervising basic level psychiatric trainees
* Teaching qualification
* Relevant experience of administrative and management role or senior medical staff
Skills and Knowledge:
* Ability to work within a collaborative multidisciplinary framework, and to share leadership responsibilities with senior colleagues of other professions. The ability to assume a medical leadership role within the team and to work closely with senior managers to implement trust objectives
* Ability to understand how organisations work most effectively.
* Commitment to multiagency partnership
* Ability to promote effective team working
* The ability to prioritise workload and respond in a timely, flexible manner to requests for consultation from colleagues
* The ability to use electronic records and diaries
* Clinical audit.
* Must have excellent skills in communication with patients, relatives/carers, colleagues and staff of other organisations.
* Experience of Undergraduate and postgraduate medical teaching.
* Must be skilled in professional collaboration
* Experience in supervising basic level psychiatric trainees
* Must have an interest in and commitment to Child and Adolescent Psychiatry
* Flexibility to cope with service change and demanding clinical challenges
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.
Associate Medical Director for Bucks CAMHS
£105,504 to £139,882 a year per annum pro-rata
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