JOB DESCRIPTION. Psychosocial Service, Macclesfield Diabetes Service

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1 JOB DETAILS CENTRAL MANCHESTER UNIVERSITY HOSPITALS NHS FOUNDATION TRUST JOB DESCRIPTION Title: Division: Directorate: Department: Base: Clinic Base: 0.2 wte Highly Specialist Clinical Psychologist Band 8a - Specialist Paediatric Psychosocial Service, Macclesfield Diabetes Service 0.3 wte Highly Specialist Clinical Psychologist Band 8a Specialist Paediatric Service for Chronic Fatigue Syndrome/ME, Bath (Satellite Clinician) Paediatric CFS/ME Service Children s Services CAMHS Paediatric Psychosocial Royal Manchester Children s Hospital Macclesfield District General Hospital ORGANISATIONAL RELATIONSHIPS Accountable to: Director of Clinical Psychology Services, Central Manchester University Hospitals NHS Foundation Trust. Reports to: Specialist Paediatric Service for Chronic Fatigue Syndrome/ME, Clinical Lead, Consultant Paediatrician, Dr Esther Crawley, Royal National Hospital for Rheumatic Diseases. Head of Paediatric Psychology Services, Central Manchester University Hospitals NHS Foundation Trust. Specialist Paediatric Service for Chronic Fatigue Syndrome/ME, Principal Clinical Psychologist, Royal National Hospital for Rheumatic Diseases. BACKGROUND Clinical psychology services to specialist paediatrics are based at the Royal Manchester Children s Hospital. A wide range of tertiary paediatric specialities are provided from within the Trust, including both regional and national services, both within Royal Manchester Children s Hospital, and in satellite clinics at district general hospitals. The satellite CFS part of this role is funded by the Specialist Paediatric Service for Chronic Fatigue Syndrome/ME based in Bath. The Royal United Hospital in Bath provides the leading and largest multidisciplinary service for children and young people with chronic fatigue syndrome (CFS/ME) in the UK. JOB PURPOSE The Psychologist will be required to contribute to the provision of a clinical service to patients in the Macclesfield diabetes service at satellite clinics at Macclesfield District General Hospital. The post holder will also deliver high quality clinical psychology services to children and young people with chronic fatigue syndrome (CFS/ME) and their families as referred to the service within this geographical area.

2 The above roles involve a responsibility to provide a specialist clinical psychology service to children referred by the multidisciplinary teams including psychological assessment and intervention with children and families, group work, staff training, consultation and support and provision of psychological advice as part of the multidisciplinary team, working autonomously within professional guidelines and the departmental policies and practices. Teamwork includes working with clinical psychologists and other CAMHS professionals in delivering therapeutic interventions, support, consultation and training of paediatric, primary care and community-based professionals working with children. In addition to case work with paediatric referrals the post includes duties in multi-agency liaison and training of other professionals, utilising research skills in service evaluation and audit, and supervising and supporting the psychological assessment and therapy provided by other psychologists and other clinical members of the specialist paediatric team who provide psychologically based care and treatment as appropriate

3 Responsibilities Clinical: 1. Delivery of service provision within the parameters of child and adolescent mental health, in a multi-agency context. 2. To provide specialist psychological assessments of patients referred to the service based upon the appropriate use, interpretation and integration of data from a variety of sources including psychological tests, self report measures, direct and indirect observation and interviews with clients, family members and/or carers. 3. To assess and continue to develop assessment skills for children and young people with highly complex disability (physical and/or psychological) or undifferentiated problems (e.g. depression) referred to the service. This involves assessment at a tertiary national specialist level, including taking a medical and psychosocial history, assessing physical functioning and motivational state with regard to programme adherence, understanding potential barriers to programme adherence (e.g. dyslexia, social anxiety, specific or global learning difficulties etc.). 4. To formulate and implement plans for psychological therapeutic intervention or management based on an appropriate conceptual framework, working in home, social services, community, hospital and educational settings where appropriate. 5. To deliver CBT in line with NICE guidelines. Keeping up to date with developments in the areas of CFS/ME, clinical psychology and contemporary therapy development is essential. 6. To provide psychological training, advice and consultation to staff from health and other agencies in areas relevant to direct clinical work and to clinical psychology service provision. 7. To exercise autonomous professional responsibility for the assessment, treatment and discharge of clients whose problems are managed by psychologically based care plans. 8. To contribute a specialist psychological perspective to case planning and multi-agency case conferences and reviews and call multi-professional meetings when appropriate. 9. To communicate highly complex condition-related or contentious or sensitive information where there may be significant barriers to acceptance and to manage ensuing difficult interpersonal situations in the interests of the patient s welfare. Management and service development: 1. To play a lead role in developing the psychology services for patients, identifying service priorities, working with other agencies and initiating developments in consultation with the Head of Paediatric Psychology Services. 2. To assist in determining priorities and developing service provision. 3. To help plan, contribute and participate in, any team building process that may be seen as necessary to enhance the working efficiency of the paediatric psychology service. 4. To manage the workloads and supervise assistant psychologists within the paediatric psychology team. 5. To be involved in the shortlisting and interviewing of assistant psychologists. 6. To attend departmental and specialist team meetings.

4 Teaching, training and supervision: 1. To receive regular clinical professional supervision from a consultant clinical psychologist and other professional colleagues, where appropriate. 2. To take responsibility for continuing professional development and continue to gain wider post-qualification experience of child and adolescent clinical psychology and CAMHS servicerelated areas. 3. To develop skills in the area of professional post-graduate teaching and training and deliver teaching and training to professional postgraduates including Doctoral Clinical Psychology trainees and medical students. 4. To provide case based supervision to the work of non-psychologists (particularly the CFS OT) in delivery of psychological interventions as appropriate. 5. To provide professional and clinical supervision of assistant psychologists and qualified psychologists when appropriate. 6. To contribute to the supervising of individual cases for trainee clinical psychologists and when appropriately experienced to take full responsibility for organising a trainee placement and providing full supervision. 7. To provide advice, consultation and training to staff working with children and adolescents across a range of agencies and settings where appropriate. 8. To take part in annual appraisal. Clinical governance and research: 1. To utilise evidence-based literature and research to support effective practice. 2. To initiate and undertake project management including audit and service evaluation with colleagues within the service to help develop service provision and produce appropriate statistics and reports. 3. To participate in evaluation of all clinical activity within the post and provide such information as required by the Head of Department for the purpose of service monitoring and evaluation. 4. To undertake appropriate research and provide research advice as appropriate. 5. To publish research outcomes in professional recognised journals and share information on outcomes at professional conferences where appropriate. 6. To represent a professional view point in relation to nationally accepted good practice and to ensure a high level of ethical standards and professional conduct. 7. To maintain and develop professional links within the clinical psychology and other CFS/ME settings. For example: representation at multidisciplinary forums and networks such as the Psychologists in Health meetings, Regional Paediatric Psychologist s Network. Also speaking regularly as part of training other clinical and non-clinical (e.g. education staff) teams and representing the service at national conferences as required. Administrative:

5 1. To undertake administrative duties appropriate to the tasks, including use of IT. 2. To ensure appropriate communication with patients, parents/carers, referrers and professionals from other statutory and non-statutory agencies involved in work with children. 3. To keep accurate patient records and comply with Trusts policy on confidentiality of patient records and case work. 4. To keep activity data and other information relating to CAMHS as required. Health and Safety: 1. All staff will act in accordance with the policies of the Trust (including Child Protection and Resuscitation), Directorate, Department and Professional Practice Guidelines of the British Psychological Society. 2. The Trust has a statutory responsibility to provide and maintain a healthy and safe environment for its staff to work in. You equally have a responsibility to ensure that you do nothing to jeopardise the health and safety of either yourself or of anybody else. The Trust s Health and Safety Policies outline your responsibilities regarding Health and Safety at Work. 3 Staff will comply with service standards and practices to ensure that safe practices are maintained at all times. 4. The post holder has a responsibility to ensure the preservation of NHS property and resources. 5. The post holder is required to maintain confidentiality at all times in all aspects of their work. 6. The Trust operates a system of Team Briefing, which is based on the principles that people will be more committed to their work if they fully understand the reason behind what is happening in their organisation and how it is performing. 7. The Trust operates a Smoking Control Policy which must be followed by all staff. INFECTION CONTROL It is a requirement for all staff to comply with all infection control policies and procedures as set out in the Trust Infection Control manual EQUAL OPPORTUNITIES AND ANTI-HARASSMENT The post holder will immediately report to their line manager any breach or suspected breach of both equal opportunity and anti-harassment guidelines. SECURITY The post holder has a responsibility to ensure the preservation of Trust property and resources. SMOKING CONTROL POLICY The Trust has adopted a smoking control policy. The policy applies to all staff, patients and visitors, and extends to the hospital grounds as well as internal areas.

6 PURPOSE OF JOB DESCRIPTION This job description is provided as an outline of the key tasks and responsibilities and is not intended to be an exhaustive list. The job will change over time to reflect the changing needs of the Trust and its services, as well as the personal development needs of the post holder. A flexible approach to work and an ability to prioritise workload is required. STRUCTURE CHART FOR CFS SERVICE Clinical Lead Dr Esther Crawley Psychology Lead Dr Siân Mckenzie Physiotherapy Lead Jackie Christie-Collins Occupational Therapy Band 8a Macclesfield 0.3 Jo Bond-Kendall Somerset Satellite Carol Salter Macclesfield Satellite Denise Martin Band 8a Dr Maria Loades Band 7 Dr Andy Haig-Ferguson GPwSI Dr Phil Hammond Consultant Paed Dr Melanie Parker Band 7 Band 7

7 Person Specification Post : 0.2 wte Highly Specialist Clinical Psychologist band 8a, Specialist Paediatric Psychosocial Service Macclesfield Diabetes Service 0.3 wte Highly Specialist Clinical Psychologist Band 8a Specialist Paediatric Service for Chronic Fatigue Syndrome/ME, Bath (Satellite Clinician) Paediatric CFS/ME Service Department: Paediatric Psychology, Royal Manchester Children s Hospital Clinic Base: Macclesfield District General Hospital Essential Qualifications Diploma, masters, doctoral degree or equivalent accepted by the British Psychological Society as qualifying the person to work as a clinical psychologist. Registration / Eligibility for registration as a clinical psychologist with the Health Professions Council. Desirable Pre-qualification training or experience with children and adolescents. Post-qualification training in a specific therapeutic modality such as third wave CBT approaches, motivational interviewing, psychoanalytical or psychodynamic approaches. Experience and knowledge Comprehensive experience of working as a child specialist clinical psychologist. Experience of working within specialist paediatric services. Experience in assessment and therapeutic work with children and families across the age range with a full range of presenting problems and across settings including community, outpatient and clinic settings. Experience of multidisciplinary teamwork. Experience of teaching, training and professional and clinical supervision Experience of consulting with health care and other professionals. Knowledge of legislation and national guidance in relation to the needs of children Skills Ability to deliver high quality cognitive behaviour therapy Experience in delivering individual therapy Ability to plan and prioritise own caseload. Skills in the use of complex Working knowledge of professional systems involved in work with children, both in specialist hospital and community settings. Experience of working with patients with diabetes. Experience of working with chronic fatigue management in children and young people Up to date knowledge of development in treatments of childhood CFS/ME Experience of working autonomously as part of a multi-disciplinary team. Experience in working in developing services. Experience of the application of clinical psychology in different cultural contexts. Experience of facilitating debrief meetings with multidisciplinary teams Experience of the transition process to adult services Expertise in childhood chronic fatigue Expertise in children s development Expertise in impact of CFS/ME on child and family

8 methods of psychological assessment, intervention and management in work with children and families. Ability to provide clear guidance on management to highly complex CFS/ME patients and their families Ability to integrate psychological theories and outcome data with clinical practice and service provision. Ability to represent psychology within the context of multidisciplinary care Ability to work with people from different backgrounds, cultures and of different ages. Demonstrate sensitivity in all contact with disadvantaged groups. Good skills in communicating with children, parents and colleagues. To manage own time effectively Ability to cope with stressful interpersonal situations including maintaining a high degree of professionalism in the face of highly emotive and distressing problems, verbal abuse and the threat of physical abuse. Education and supervision Experience in designing, planning and undertaking clinical research and service evaluation. Experience in teaching and training staff from other professional groups in psychological skills and concepts. Evidence of continuing professional development as recommended by the BPS. Formal training in supervision of other psychologists. To provide support and supervision to staff to develop and reach full potential and enhance future Experience of teaching, training and supervision of assistant psychologists and trainee clinical psychologists. Positive approach to own continuing professional development.

9 careers Ability to seek appropriate supervision Other Good attendance record Interest in general welfare of children Flexibility in working arrangements Holder of a valid driving licence and access to a car

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