Staffordshire and Shropshire Cluster. Birmingham Cluster. Black Country Cluster. Coventry and Warwickshire Cluster

Transcription

1 Staffordshire and Shropshire Cluster Birmingham Cluster Black Country Cluster Coventry and Warwickshire Cluster Herefordshire and Worcestershire Cluster

2 School of Psychiatry Contacts 1 Training Cluster Details 1 General Information 2 Induction 2 Core Training Programmes 2 Birmingham Course 3 Keele Course 4 Birmingham Cluster 5 Black Country Cluster 8 Coventry and Warwickshire Cluster 10 Herefordshire and Worcestershire Cluster 12 Staffordshire and Shropshire Cluster 14

3 Page 1 Head of School Dr Jayne Greening Training Programme Directors (TPD) CT1and CT2 trainees Dr Rowena Jones CT3 trainees Dr Guirish Radja Less than Full Time (LTFT) training LTFT lead Dr Eleanor Dryhurst eleanordryhurst@nhs.net Trainees wishing to work flexibly can do so and will need to discuss with their tutor. Dr Dryhurst is happy to advise trainees with any queries. School Administration Lead Sara Prosser - Sara.Prosser@nhs.net Tel: Birmingham Cluster consisting of Birmingham and Solihull Mental Health NHS Foundation Trust, Birmingham Children s Hospital Foundation Trust, Birmingham Community Trust and Forward Thinking Birmingham Tutor: Dr Kallol Sain K.Sain@nhs.net Postgraduate Medical Education Manager: Sara Prosser - Sara.Prosser@nhs.net Tel: Black Country Cluster consisting of Dudley and Walsall Mental Health Partnership NHS Trust and Black Country Partnership NHS Foundation Trust. Tutor: Dr Am Narula Amitav.Narula@nhs.net Manager: Hilary Eccles Hilary.Eccles@nhs.net Tel: Coventry and Warwickshire Cluster which is served by Coventry and Warwickshire Partnership Trust Tutor: Dr Ather Malik ather.malik@covwarkpt.nhs.uk Manager: Barbara Robinson Barbara.Robinson@covwarkpt.nhs.uk Tel: HEREFORD AND WORCESTER CLUSTER consisting of 2 gether Trust in Hereford and Worcestershire Health and Care NHS Trust Tutor: Dr Laki Kranidiotis lkranidiotis@nhs.net Manager: Andy Thomson Andrea.Thomson@nhs.net Tel: STAFFORDSHIRE AND SHROPSHIRE CLUSTER consisting of North Staffordshire Combined Healthcare Trust and South Staffordshire and Shropshire Foundation Trust. Tutor: Dr David Rice David.Rice@sssft.nhs.uk Manager: Louise Pope Louise.Pope@sssft.nhs.uk Tel: ( )

4 Page 2 Year 1 - each post lasts 6 months and generally consists of at least one inpatient post in general adult psychiatry and one community post in general adult psychiatry. Year 2 - each rotation lasts 6 months usually consists of an old age post and either a child and adolescent post or a learning disabilities post (some do not do old age but CAMHS and LD) Year 3 - each rotation lasts 6 months and consists of 2 specialty posts; these could be a combination of any of the following specialties: Forensic psychiatry - male, female and child posts available Perinatal psychiatry Deaf Services Addictions Psychotherapy Liaison psychiatry Eating Disorders Assertive Outreach Early Intervention Intensive Care Unit Neuropsychiatry All educational units run a full induction course for their trainees at the start of each rotation trainees are issued contracts, work schedules and learning agreements by employing Trusts / Health Education England West Midlands (HEEWM). CT1 attend a Regional Induction to meet other trainees and guidance on curriculum. This is led by core Training Programme Director Dr Rowena Jones Rowena.Jones@bsmhft.nhs.uk There are two core training programmes which run in the region, one at Keele University which the trainees on the Staffordshire and Shropshire rotation attend and another at the Uffculme Centre in Birmingham which is attended by the other clusters. Both courses cover the MRCPsych core curriculum and include sessions for exam preparation, both written papers and the CASC.

5 Page 3 Course organiser - Dr Erin Turner Erin.Turner@bsmhft.nhs.uk Course administrator - Carol Bennett Carol.Bennett@bsmhft.nhs.uk The Birmingham course is held at the Uffculme Centre in Birmingham and runs from September to July. Year 1 training Tuesday morning, Year 2 training Thursday morning Year 3 training Thursday afternoon. The Birmingham Course aims to Enhance knowledge, potential and excellence in psychiatry. The College syllabus is taught in years 1 and 2 whereas year 3 course content is geared more for trainees preparing for higher specialist training. Year 1 covers the history of psychiatry, classification and ethics, general psychiatry and psychology. The basic sciences covered include neuroscience, neuroanatomy, neurophysiology, genetics and psychopharmacology. The course is predominantly taught by consultant experts in lecture format. All lecture material is stored on the website. Active learning is encouraged during once monthly small group tutorials which take place in 4 localities-birmingham, Black Country, Coventry and Warwickshire, Hereford and Worcester. Communication skills training is provided with facilitation from simulated patients and individuals with lived experience of mental illness. A component of communication skills training involves trainees being filmed undertaking a simulated consultation. CASC practice is introduced in year 1 in a safe and friendly setting. Year 2 covers Psychotherapy, Forensic, CAMHS, Learning Disabilities, Older Adult, Perinatal, Eating Disorders and Rehabilitation psychiatry. 6 weeks are devoted to critical appraisal workshops to aid trainees preparing for paper B. CASC practice continues, with the introduction of increasingly complex scenarios alongside the use of simulated patients. Year 3 covers topics such as mental health act and safeguarding training, interview skills, physical health, coroner s courts and tribunals. Collaborative learning sessions with mental health nurses and GP trainees are provided. Trainees also have the opportunity of learning through drama, focussing on suicide awareness and prevention. The Birmingham course has a proud history of active service user and carer involvement in planning and developing the course. The course organiser is supported by honorary tutors, specialist trainees with an interest in medical education. Each year elects a trainee rep who is invited to the 6 monthly course board meeting. The website has more information about the team as well as a short video describing the course in more detail. CASC practice videos and podcasts can be accessed through the website.

6 Page 4 Course organiser - Dr. Joanne Barton Joanne.Barton@northstaffs.nhs.uk Course administrator- Lynne Glasby The Keele Cluster Core Psychiatry Programme (CPP) provides training for Core Trainees (CTs) from Staffordshire and Shropshire (North Staffordshire Combined Healthcare NHS Trust and South Staffordshire and Shropshire Healthcare NHS Foundation Trust). The course aims to equip CTs with the knowledge they require to be good psychiatrists. A further aim is to support CTs in their preparation for the RCPsych examinations. The course is a modular programme the content of which is based on the RCPsych curriculum. It is delivered in a three year cycle. Year I focuses on basic training whilst Years 2 and 3 cover more specialist aspects. The Core Psychiatry Programme Tutor has overall responsibility for the course but is supported by an administrator. The course is overseen by a course board which meets biannually and includes trainee and patient/carer representation. Each module has a lead (usually a consultant psychiatrist) who is responsible for modular content and organisation. Modules are presented as a series of seminars and the involvement of multidisciplinary colleagues is encouraged. In recent years there has been a move towards the inclusion of more self-directed learning and trainee involvement in the delivery of seminars. Sessions are interactive with opportunity for debate and discussion. Seminar leaders are asked to include some examination revision in their sessions including both theory (e.g. multiple choice questions) and CASC practice. Additional teaching includes exam skills and mock CASC examinations. Communication skills and leadership teaching is delivered across years 1-3. Teaching takes place on Wednesday afternoons at Harplands Hospital in Stoke on Trent. A conference for trainees and trainers is held on an annual basis. The programme includes lectures from invited speakers, workshops and poster presentations. A conference organising committee including trainees is responsible for developing the programme and reviewing abstracts for posters. The course is supported by a website. This hosts all the material relating to the course. Each module is allocated a page and module leads are encouraged to use the website to add extra teaching materials and resources. Trainees register their attendance/absence for sessions through the website and the course administrator manages the programme diary and messaging through the site.

7 Page 5 The Birmingham Training Cluster covers the whole of Birmingham and Solihull giving trainees the opportunity to work with Birmingham and Solihull Mental Health NHS Foundation Trust (BSMHFT), Birmingham Children s Hospital (BCH), Birmingham Community Trust (BCT) and Forward Thinking Birmingham (FTB). The Clinical Tutor for the training scheme is Dr Kallol Sain who is a General Adult Community Consultant based in Birmingham. The Birmingham scheme consists of 40 trainees, 12 at CT1, 14 at CT2 and 14 at CT3. Plus 8 posts are offered to Worcester, Black Country Partnership and Coventry & Warwick at CT3. All training posts on the scheme are for 6 months in duration. CT1 trainees spend 6 months working on the General Adult in-patient wards and 6 months in a General Adult community post. CT2 you will have the opportunity to complete a post in either Child and Adolescent Psychiatry or Psychiatry of Learning Disabilities along with a post in Older Adult Psychiatry. CT3 you are able to choose between; Forensic Substance Misuse Assertive Outreach Early Intervention Perinatal Deaf Services Eating Disorders Neuropsychiatry Liaison Psychotherapy Psychotherapy The Psychotherapy Tutor for Birmingham is Dr Masud Awal. CT1 trainees attend a weekly hour long Balint Group. CT2 trainees attend a weekly hour long Balint Group and have the opportunity to start a long or short case CT3 trainees are expected to complete a long case under the supervision of an experienced psychotherapist. Duty Rotas These are fully compliant resident on call rotas in accordance with the new Junior Doctor Contract The rotas vary between different units. All rotas are EWTD compliant. Supervision As well as their trainer (Clinical Supervisor) trainees are also be allocated an educational supervisor who will meet with trainees up to four times a year throughout their core training to discuss their educational progress.

8 Page 6 Teaching Programmes There are postgraduate (PGME) teaching sessions for all trainees. Which consists of four separate programmes within BSMHFT, the South programme takes place each Wednesday morning at the Uffculme Centre, the North programme is also on Wednesday morning at Northcroft and the Forensic Programme is held on a Wednesday afternoon across the Forensic sights. There is also a weekly meeting at Parkview Clinic (BCH) and a weekly meeting at BCT for trainees based there within their second year of training. Support is given for preparation of MRCPsych examinations. For more details please visit; Birmingham & Solihull Mental Health NHS Foundation Trust. Birmingham and Solihull Mental Health NHS Foundation Trust provides mental health care to those people living in Birmingham and Solihull who are experiencing mental health problems. We serve a culturally and socially-diverse population of 1.2 million spread over 172 square miles, and are one of the largest of the largest mental health foundation trusts in the country. The training scheme offers a variety of training posts including core training posts in inpatient and community psychiatry and old age psychiatry. Training is available in differing treatment settings including home treatment, PICU and assertive outreach services. Experience in a number of specialties including addictions, deaf services, eating disorders service, early intervention, liaison psychiatry, forensic psychiatry, Forensic CAMHS, perinatal psychiatry and psychotherapy are available to CT3. Our psychotherapy department offers weekly Balint groups and medical psychotherapy supervision to trainees as required by the core curriculum. Trainees are supported by college tutors who meet with trainees regularly at Trainee Forum. Birmingham Community Healthcare NHS Foundation trust provides all the learning disability health services for Birmingham. We have 7 community consultant psychiatrists who work in integrated community teams in 3 separate hubs across the city. We also have a community forensic consultant, Dr Ahmad, and special interest sessions are available with the forensic team. Four of the community consultants are current CT2 trainers. We have no local in-patient beds, so the work within the team is entirely community based, involving a mixture of clinics, home visits and MDT meetings. There is a weekly referral and case discussion meeting in each hub. The posts will give trainees experience of working with clients with learning disability with a wide range of ability levels. Many of the more complex clients have autism, epilepsy, and complex physical health needs, and there is a strong clinical advocacy and liaison role. Trainees learn skills in assessing capacity as well. We offer a weekly dedicated academic programme on Wednesday mornings, which includes opportunities to present, and

9 Page 7 sessions on audit, clinical governance, management, reflective practice and external speakers. We also always receive positive feedback from trainees regarding the quality and consistency of supervision and support offered. Several trainees in recent years have chosen to apply for ST4 posts in LD after spending time with us, mainly attracted by the variety of the work, and the multidisciplinary working. We have Core Training posts in both Community and Inpatient CAMHS. As the largest CAMHS service in the West Midlands, we provide a broad range of clinical experience that achieves the Core Training competencies in CAMHS, and also rare opportunities to explore CAMHS subspecialties like LD, Substance Misuse, Crisis, etc. We have a weekly academic programme that Trainees are invited to present cases and complete journal clubs. We are also able to support engagement with clinical audit and potentially psychological therapies, although this is subject to availability and early identification of such experience. Forward Thinking Birmingham also provides Core Training in Early Intervention in Psychosis (EIP) services. The EIP service is part of the largest service in the West Midlands and provides a broad range of clinical outpatient experience for Trainees in the clinical assessments, investigations and treatments for young people who present with psychosis, as part of a multidisciplinary team.

10 Page 8 The Black Country Training Cluster consists of Dudley and Walsall Partnership Trust which has posts at Bushey Fields Hospital in Dudley and Dorothy Pattison Hospital in Walsall and Black Country Partnership Foundation NHS Trust which has posts at Penn Hospital in Wolverhampton and Hallam Street Hospital in Sandwell. The Scheme covers an area to the West of Birmingham. It is minutes from the centre of Birmingham with good transport links to M6, M5 and public transport. The clinical Tutor for the training scheme is Dr Amitav Narula who is a General Adult Consultant based in Dudley. The scheme consists of 23 trainees, 7 at CT1, 6 at CT2 and 10 at CT3. All training posts on the scheme are of 6 months duration. CT1 trainees spend 2 x 6 months working in G.A both in the community and inpatients. Giving them an opportunity to provide a continuity model of care for patients which has been well received with good feedback. CT2 trainees will have the opportunity to complete a post in a variety of subspecialties such as Child and Adolescent Psychiatry or Psychiatry of Learning Disabilities along with a post in Older Adult Psychiatry. CT3 trainees have the opportunity to experience a variety of sub-specialties to build their own clinical knowledge e.g. Forensic Psychiatry PICU CRHT Psychotherapy Experience The Psychotherapy Tutor for the Black Country Rotation is Dr Teresa Black who provides support and supervision. Balint groups are held regularly at each unit on either a weekly or fortnightly basis with regular feedback. Duty Rotas These are fully compliant resident on call rotas in accordance with the new Junior Doctor Contract The rotas vary between different units. All rotas are EWTD compliant.

11 Page 9 Supervision Trainees will have both a clinical supervisor and an educational supervisor. All trainees have 1 hour dedicated to clinical supervision in their timetable. Teaching Programmes Local teaching / clinical meetings are held weekly. Opportunities are available for audit and research. The scheme also runs an annual trainee award programme for best presentation. Support is given for preparation of MRCPsych examinations.

12 Page 10 Our Trust provides a wide range of services in mental health and learning disability for children, young adults, adults and older adults. We provide a range of community services for people in Coventry. We also provide inpatient, community and day clinics as well as specialist services to a population of about 850,000 living within Coventry and Warwickshire and also to a wider geographical area in some of our specialist services. The clinical tutor for the cluster is Dr Ather Malik, an Old Age Psychiatrist based at the Caludon Centre in Coventry. We have trainees from level CT1 3 we also have higher trainees ST4-6 we also have placements for Foundation Doctors and GP trainees. We have 2 placements per year for Academic Trainees. A total of 48 trainees work across the Trust (not including ST4 6) working within Adult Services, Older Adult Service and Specialties. They can be working within Coventry & Partnership Trust in North Warwickshire, Rugby, Coventry and some are based in Birmingham. Our training posts are available in the following services Adult Services Inpatient services are operated across two sites: St Michael's Hospital in Warwick, which has two acute wards and one PICU (Psychiatric Intensive Care Unit) ward and the Caludon Centre in Coventry which has four acute wards which includes one PICU and a female only ward. Learning Disabilities The Admissions Service provides low secure, short-term assessment and treatment services and, where appropriate, rehabilitation services, for people with a learning disability. Older Adult Services We currently have 38 inpatient beds in Coventry, 24 inpatient beds for North Warwickshire, 20 beds across South Warwickshire and 14 beds in Stratford. Crisis Resolution and Home Treatment Teams Crisis Teams accept referrals from service users, carers, police, social services, GPs, or other mental health teams when someone be- tween the ages of 16 and 65 is experiencing a crisis with their mental health. Improving Access to Psychological Therapies (IAPT) IAPT services are for people with mild, moderate and severe symptoms of anxiety or depression. CAMHS Child and Adolescent Mental Health Services (CAMHS) are a comprehensive range of services that provide help and treatment to children and young people experiencing emotional or behavioural difficulties, or mental health problems, disorders and illnesses. Early Intervention Service (EIS)

13 Page 11 The Early Intervention Service (EIS) offers assessment, treatment and support to young people who are experiencing a suspected first episode psychosis. The service is aimed at people aged 14 to 35. Rehabilitation and Recovery Service The Rehabilitation and Recovery service for Coventry and Warwickshire includes community-based units in Nuneaton and Longford in Coventry; two units on the St Michael s Hospital Site in Warwick; and a Rehab Community Mental Health team in Rugby. Nuneaton and Warwick also provide a community team for their clients. Day Hospital Day hospitals provide 5 days a week assessment and treatment services for older people with mental health problems. There is a multi-disciplinary assessment in place. These are spread around the Trust at various locations. Assertive Outreach Teams Coventry and Warwickshire Partnership Trust have four Assertive Outreach Teams making up one service. Eating Disorders The Eating Disorders service provides specialist treatment for people with severe eating disorders aged 16 and over Teaching Programme All trainees will be encouraged to attend the weekly academic teaching session which is where they will (with prior notice) be given the opportunity to present a Case Presentation to a varied audience. They will also be involved in Psychotherapy teaching where they will have a case allocated for them to follow through their time with us. We have library facilities on all sites. We encourage trainees to participate in our extensive Audit Programme supported by our Clinical Audit and Effectiveness Committee. We also set up mock examinations on a regular basis for those taking the CASC exam..

14 Page 12 Herefordshire and Worcestershire Training Cluster is mainly based in the county of Worcestershire but also offer some opportunity to work in Herefordshire and Birmingham. The training scheme is overseen by Dr Laki Kranidiotis who is a General Adult Consultant based in Worcester PICU. The scheme consists of 18 trainees 6 at CT1, 6 at CT2 and 6 at CT3. Training post on the scheme are usually of 6 months duration; however, CT1 trainees will have the opportunity to work in a general adult community setting, an adult assessment ward and an adult admissions ward. Therefore the length of post may vary. There are 2 CT1 trainees based in 2 gether Trust in Hereford and 4 in Worcestershire. In year 2 you will have the opportunity to complete a post in either Child and Adolescent Psychiatry or Psychiatry of Learning Disabilities along with a post in Older Adult Psychiatry. At CT3 you are able to choose between Early Intervention PICU Liaison Perinatal Forensic The Forensic post is part of the Birmingham Cluster but is open to Herefordshire and Worcestershire trainees. There may also be the opportunity to access other specialist posts within Birmingham. Psychotherapy Experience The Psychotherapy Tutor is Dr Jan Birtle. Trainees attend a weekly Bailint group in addition Dr Birtle supervises trainees for their long and short cases. Duty Rotas Trainees will be non-resident on-call and have compensatory rest. Supervision Trainees are allocated an educational supervisor when they join the training scheme. They will have the same supervisor through their time on the training scheme. They will have a clinical supervisor for each training post and will have 1 hour dedicated to clinical supervision in their timetable. All supervisors are approved by the GMC. Teaching Programmes A weekly academic programme is held which comprises of case presentations, journal presentations, audits and seminars. There are regular external speakers and opportunities

15 Page 13 for exam practice. Trainees have the opportunity to present to both large and small groups to achieve their required competencies. Trainees have access to Library facilities 24/7.

16 Page 14 South Staffordshire and Shropshire Healthcare NHS Foundation Trust aims to make a positive difference to the wellbeing of all those who use our mental health, learning disability, children s and specialist healthcare services, their families and carers, and the people in our local community. The Trust has recently received GOOD rating from CQC for its overall services with some services receiving an OUTSTANDING rating. In fact, we are very proud to be one of only four mental health and learning disability trusts nationally to have been declared GOOD across all 5 domains. The Boards of South Staffordshire and Shropshire Healthcare NHS Foundation Trust (SSSFT) and Staffordshire and Stoke on Trent Partnership NHS Trust (SSOTP) have agreed to come together as one organisation from April SSOTP provides community health and adult social care. The merger will lead to better and more joined-up services for patients and communities, with less duplication and fewer delays in the delivery of care. SSSFT provides mental health, learning disability, children s and specialist healthcare services across South Staffordshire and mental health, learning disability and sexual health services in Shropshire, Telford and Wrekin. We also provide some services, such as in reach and rehabilitation in prisons, on a wider regional and national basis. The Trust currently serves a population of 1.1 million, over geography of 2,200 square miles, with around 3,500 staff. It has a turnover of over 175 million. The Trust Headquarters are at St George s Hospital in Stafford, which has excellent links to the M6 (J13 and J14) and is well served by major rail networks. St George s Hospital comprises inpatient mental health and learning disability facilities. In September 2012, we opened the Redwoods Centre - a brand new, purpose built and state of the art mental health inpatient facility in Shrewsbury. SSSFT has close links with Keele University and has been a Keele University Teaching Trust since What is more, we are very proud that Keele University currently has the largest conversion rate to psychiatry training nationwide. In 2014, the Trust recruited a world renowned Chair of Psychiatry, Professor Athula Sumathipala, and the University has also recruited to honorary senior clinical lecturer roles from amongst our body of consultant psychiatrists. The Trust has a well-developed Research and Innovation Department. The Trust has an excellent record of supporting psychiatry training across a wide range of sub specialties and we have received fantastic results in the most recent GMC National Training Survey, particularly in the areas of Clinical Supervision, Educational Supervision and Workload. We run a well-supported PGME programme on a Monday morning at the Redwoods Centre and on a Thursday afternoon at St George s Hospital. There is also a Balint Group and a high profile National Speaker Programme which trainees are encouraged to attend.

17 Page 15 The Trust hosts GP trainees and Foundation Doctors, as well as employing core and higher psychiatry trainees (CT1-CT3 and ST3-ST6) in general adult and old age psychiatry, CAMHS and forensic psychiatry. One of our consultants is Cluster Lead and we have two College Tutors, Dr Cameron Shields in Staffordshire and Dr Ram Benning in Shropshire. A summary of available core training posts is as follows: Shropshire CT1 2 posts within General Adult Psychiatry (one inpatient and one community based) CT2 1 post within CAMHS / 1 post within Old Age Community CT3 1 post within Forensic Psychiatry / 1 post within Learning Disabilities Staffordshire CT1 2 posts within General Adult Psychiatry (one inpatient and one community based) CT2 1 post within Old Age Psychiatry and 2 posts within CAMHS CT3 1 post within Eating Disorders and 1 post within Forensic Psychiatry