CONSULTANT PSYCHIATRIST General Adult Psychiatry JOB DESCRIPTION

Transcription

1 NWC (Final) CONSULTANT PSYCHIATRIST General Adult Psychiatry JOB DESCRIPTION Job Title: Post Type: Service: Base: Programmed Activities: Additional Programmed Activities: On Call: Salary: Accountability: Employer: Reason for vacancy: Summary: Consultant Psychiatrist, in General Adult Psychiatry Substantive Community Services Blackburn CCTT Daisyfield Centre, Appleby Street. Blackburn BB1 3BL 10 PAs per week To be negotiated separately Out-of-hours consultant duty rota covering East Lancashire 1 in 17 3rd tier. Cover is provided across East Lancashire (Blackburn, Darwen, Hyndburn, Ribble Valley, Rossendale, Burnley and Pendle) for adults of working age and older adults. As per new consultant contract terms and conditions. Existing discretionary points, CEAs and merit awards will be honoured. Accountability to the Medical Director Professor Max Marshall via Clinical Director Leon Le Roux and Associate Medical Director Dr Khaled Mostafa Lancashire Care NHS Foundation Trust Sceptre Point Sceptre Way Walton Summit, Bamber Bridge Preston PR5 6AW Tel: Replacement post due to a consultant moving to another area. This post is part of a contingent of 20 general adult Consultant Psychiatrist posts in the locality (13 Community 7 Inpatient), all of which now operate according to the Royal College of Psychiatrists guidance on new ways of working reflecting responsibilities in terms of clinical function rather than for comprehensive input across a defined geographical area. In keeping with the on-going nationally and locally driven policy changes in adult psychiatry this job description may be subject to change in the future via the job planning process.

2 NWC (Final) 1. About Lancashire Care NHS Foundation Trust Lancashire Care NHS Foundation Trust provides health and wellbeing services for a population of around 1.4 million people. The organisation covers the whole of the county and employs around 7,000 members of staff across more than 400 sites. Lancashire Care NHS Foundation Trust also has some provision outside of the county to, for example we offer the health care provision at HMP Liverpool and Kennet and St Helen s IAPT (Improving Access to Psychological Therapy) service. Lancashire Care NHS Foundation Trust geographical map of service provision: Key During 2015/16 we have taken the opportunity to refresh our vision: High quality care, in the right place, at the right time, every time and in doing so ensure that people are at the heart of everything we do, staff are motivated, engaged and valued, and everyone in the organisation works together to be the best that we can be. The Board has committed to quality being our number one strategic priority and this directs everything we do.

3 NWC (Final)

4 2. Management arrangements The post holder s contract is held by Lancashire Care NHS Foundation Trust, where the Chief Executive is Professor Heather Tierney-Moore and the Medical Director is Professor Max Marshall. Professor Heather Tierney-Moore, Chief Executive, is supported by a Board of Directors as detailed on the previous page. The post holder will be responsible to Professor Max Marshall, Medical Director (MD), Lancashire Care NHS Foundation Trust through the Associate Medical Director (AMD) for Adult Mental Health, Dr Khaled Mostafa. 3. Clinical Networks Our clinical services are organised into three clinical networks: Mental Health Network: mental health inpatient and community services for working-age and older adults, secure and forensic mental health services. Adult Community Network: community nursing therapy, primary prevention services and learning disabilities services Children and Families Network: prevention and universal services for children and young people (including health visiting) and mental health and wellbeing services (including child and adolescent mental health services, early intervention services, substance misuse services and sexual health services) Mental health services are commissioned from the Trust on behalf of the local population by 8 Clinical Commissioning Groups Lancashire North, Fylde & Wyre, Blackpool, Greater Preston, Chorley & South Ribble, West Lancashire, Blackburn & Darwen and East Lancashire. Lead commissioner arrangements are in place for the inpatient mental health services. 4. The Mental Health Network This network provides mental health services for working-age and older adults, both communitybased and in-patient, across Lancashire. The Network Director has responsibility for the operational management of the clinical services. The Network Director has professional leads (including the Associate Medical Director for adult mental health) to support high quality governance of clinical services through the provision of advice and leadership in each professional area (medical, nursing, psychology, allied health professionals, social care and pharmacy). The network is supportive of the ethos of new ways of working in mental health services to ensure the optimum use of professional expertise in the provision of services. This is seen as an important issue for all staff and not an exclusively medical one. Senior positions within the Mental Health Network are held as follows: Network Director Lisa Moorhouse Deputy Network Director Phil Horner Clinical Director Dr Leon Le Roux Associate Medical Director (adults of working age) Dr Khaled Mostafa Associate Medical Director (older adults) Dr Alison Napier [4]

5 The Service This service design sets out the plan to reshape community teams in the Mental Health Network to deliver the key priorities of the network and to deliver the services specified by commissioners. The following points represent the key ambitions of the programme: To reduce handovers of care for service users and carers at times of acute need For a greater number of smaller teams to enhance team working Build stronger links between mental health teams and GP neighbourhood teams Reduce the need for hospital admission by caring for people near their communities. Deliver the cost improvement plans CCG Locality-Based Model The development of a preferred model has been based on the findings of engagement with clinicians and service users and carers triangulated with performance data. The consultation process will allow for further debate and the model will continue to be shaped and defined beyond the first implementation, as we evaluate the true impact against the key drivers. The clinical model (pictured overleaf) is a values-based community mental health care model which re-asserts those key values at the heart of our service delivery. [5]

6 Anticipated Benefits Benefits identified from this model are: To reduce handovers of care for service users and carers at times of acute need Further improvement in service user satisfaction Reduction in serious incidents associated with handovers of care To deliver the best possible standard of care for service users and their families and carers To reduce the need to admit service users who are currently admitted whilst not assigned to any team, through improved opportunities to access the right support To provide a staffing structure that enables the opportunity for all staff to work to their strengths and in particular support newly qualified staff in the development of skills and experience To improve team working through optimal team sizes To improve links to and working relationships with GP Integrated Neighbourhood Teams To enable the delivery of improved quality and effectiveness and to achieve efficiency gains To deliver Adult Community Mental Health within a smaller cost envelope The Trust is committed to delivering effective clinical services that reflect identified good practice within the NHS and the best evidence bases for specific areas within mental health services. It is also strongly committed to research, staff development, education and training. There is a robust, longstanding link with the University of Manchester Department of Psychiatry, with Professor Max Marshall as the Trust s Medical Director based in the Lantern Centre, Preston. There is also a growing link with the new medical school developments at Lancaster University. Medical undergraduate training within the Trust has students placed from Manchester, Liverpool and Lancaster University Medical Schools. The Trust provides training within the structures of the School of Psychiatry at the North West and Mersey Deanery. The Trust is part of the Manchester based rotational training scheme for junior psychiatrists and supports training for FY and CT / ST level training up to completion of specialist training. The Trust also has 15 trainers at levels ST4-6 and so provides training at all stages of psychiatric postgraduate training. 5. Older Adult Mental Health Services The core function of the older adult mental health services is to provide a range of high quality community and in-patient mental health services to people (predominantly aged 65 and over) who are experiencing dementia and/or functional conditions. The service is also available to people under this age whose clinical need would be more appropriately met here. The Trust protocol regarding transition between working-age and older adult services supports this only when based on individual need and patients up to 75 years have their service provided from the adult services if that is most appropriate. The inpatient provision is arranged around diagnostic requirements and we have two wards for patients with a dementia diagnosis and three wards for patients with advanced care needs which will often include people who have a degree of physical frailty and medical problems associated with aging as well as a functional mental illness. 6. East Lancashire Locality The East Lancashire locality of Lancashire Care NHS Foundation Trust comprises of catchment areas covered by Blackburn, Darwen, Ribble Valley, Hyndburn, Accrington, Rossendale, Pendle and [6]

7 Burnley. Total population is approximately 525,000. There are two main psychiatric units based in Blackburn (Pendle View Mental Health Unit) and Burnley General Hospital (Victoria Wing). The majority of outpatient services are conducted in the community and the majority of specialist services i.e. EIS, CRHT are also based in the community. The Trust has adopted and endorsed new ways of working as a process of modernisation and reconfiguration of psychiatric services to provide patient centred comprehensive, accessible and seamless services. East Lancashire Psychiatric Service has been operating according to the NWW model since The Lancashire Coast, Lake District and Yorkshire Dales are all readily accessible within an hour. The international airport at Manchester is about 60 minutes away by car or 90 minutes by train. 7. Service Model in East Lancashire Older Adult Community Services: Community services consist of three teams: Rapid Intervention and Treatment Team (RITT), Community Mental Health Team (CMHT) and Memory Assessment Services (MAS). All referrals to these community services pass through the single point of access where they are directed to the appropriate team. All referrals are allocated a care co-ordinator who conducts an initial assessment and consults a doctor for further assessment and treatment as required. Access & Treatment Team (ATT) 7 days a week 24 hrs per day ATT will be a single team who assess and provide appropriate support for service users who are newly presenting with mental health problems, with three front doors to this team, providing a standardised assessment process while retaining the specialist assessment skills developed through SPoA, ATT, CRHTT and A&E Mental Health Liaison. The functions of these teams will be retained within the model, however with the benefit that there will not be transfers between teams immediately after assessment or immediately after the initial period of crisis management with the service user. SPoA to manage all access routes into secondary mental health services Both urgent and routine referrals - recognising that service users with an urgent/crisis need can present to SPoA, and those with a routine need can present at A&E and out of hours. Providing the initial phase of care and treatment for all people entering mental health services for the first time. Time limited and outcome focussed interventions. Care co-ordination when service user cared for under CPA Crisis management and risk assessment of people new to services Home treatment interventions Gatekeeping of unknown service users 24 hour access through A&E and crisis assessments After initial period of care, supporting people in either discharge back to GP or transfer into CMHT if there are on-going mental health needs [7]

8 Community Mental Health Teams (CMHT) Monday Friday (9am 8pm) with Out of Hours on-call CMHTs will provide care and recovery-focused interventions for service users with longer-term mental health needs; GP confidence in rapid access for service users who require re-referral will grow, enabling confidence in discharging service users back to GPs. The team will have knowledge of re-referred service users, reducing re-assessment need and allowing a focus on the current issues. More intensive support in a crisis or relapse will be provided by the CMHT, stopping transfers at these times between community teams. The CMHT will be: Aligned to 2 or 3 GP neighborhood teams. A neighborhood resource where people with long-term mental health conditions will be able to easily be re-referred to the CMHT for further care and support if needed. Care co-ordination of known service users with complex mental health presentations. Therapeutic interventions and treatment s.117 reviews Providing crisis management and home treatment to their service users Retaining specialist approaches to care developed through stepped care Anti-psychotic monitoring including physical health Psychological Care Networks 3 Psychological Care Networks o Personality Disorders Clinical Network o Psychosis Clinical Network o Lancashire Traumatic Stress Service To support the development of NICE-compliant interventions in localities through training and consultation To deliver structured interventions which require an economy of scale to deliver (e.g. DBT, family interventions for psychosis) Inpatient Services in east Lancashire The adult in-patient provision has seen major reorganisation over the past decade which has enabled significant service improvements to occur. There are currently in-patient hospital facilities for adults in two sites.: Blackburn and Burnley. The units are Blackburn Hyndburn Ward (female) - 20 beds Lead Consultant Dr R Thomas Ribble Ward (Assessment unit - male) 14 beds Lead Consultant Dr A Ekong (locum) Burnley Dunsop (female) 21 beds Lead Consultant Dr S Bobmanuel Darwen Ward (male) 18 beds Lead Consultant Dr P F Reed Calder Ward (PICU) (male) 6 beds Lead Consultant Dr M Shivalingam PICU 6 beds (female) Lead Consultant Dr M Shivalingam Edisford Ward (Assessment unit - female) 14 beds Lead Consultant Dr T Khanna [8]

9 There is a full multi-disciplinary complement of nurses, occupational therapists, pharmacists, two physiotherapists, psychologists, support workers and administrative staff to deliver excellent quality care to the patients on the wards. There is phlebotomy and ECG support. [9]

10 THE ADVERTISED POST: CONSULTANT PSYCHIATRIST ADULT COMMUNITY PSYCHIATRY This post become vacant following the promotion of the current post holder to a senior medical management posts. This post will make up a complement of 4.5 WTE consultant psychiatrists supporting the community services in Blackburn and Darwen CCG footprint. This post is one of 2 community consultant posts in Blackburn with Darwen CMHT and will be responsible for the community patients (there are no inpatient responsibilities). The substantive consultant who will remain in place until the recruitment of a new post holder. Multi-disciplinary members of the team allocated to the Blackburn with Darwen CMHT typically will include: Consultant Psychiatrists 2.00 Medical Secretary 2.00 Team Manager (Ed Johnston) 1.00 Deputy Team Leader (Jean Holden) 1.00 Deputy Team Leader (Abu Kholwadia) 1.00 Senior Nurses 10.5 Psychologist Band 8a 0.8 Psychologist Band B Support workers 13.9 Social Worker (AMHPs) 17.7 The team members have various roles and responsibilities. CPN and social workers act as care coordinators with a typical case load of 35 patients each. All team members (other than the consultant) are expected to have a minimum of 60 face to face contacts with their service users every month. The post holder will provide consultant leadership of care to about for cases within a weighted population of approximately 123,000 of the Blackburn Area (with the other CMHT consultant being responsible for the Darwen area). The team moved to New Ways of Working some years ago. Consultants will only provide a consultation service/role to the team and is not expected to act as a care co-ordinator to any of these cases except under exceptional circumstances depending on the patient s needs (no consultant only cases). The post holder will additionally provide prospective cover for other patients on the same team when consultant colleagues are absent to sustain patient journeys. The post holder will provide medical leadership, in co-production with the team manager, to the governance processes and operations of the locality. The post holder will also lead assessments with the MDT when referrals are made for transfer of service users from other teams and services to this team. Other consultant colleagues in East Lancashire include: Blackburn with Darwen CMHT Blackburn with Darwen ATT Dr A Nazir This Post Dr P Garai Dr M Adelekan Dr W Waheed (0.5 WTE ) [10]

11 The adult consultants at Blackburn also provide a regular contribution to the emergency and liaison cover for Royal Blackburn Hospital. The community post are usually supported by GPST or CT trainees. The GPST and CT trainees contribute to a full shift system covering the inpatient units out of hours and their contribution to day time services varies depending on that rota. The main clinical duties are arranged around conducting outpatient clinics for follow up reviews and occasionally new patients. The whole team receives new patients per month. A typical working week will see a review of follow-ups. Clinics are arranged in 30 min slots and 2 or more slots can be booked for complex CPAs. These figures are for guidance and the post holder is expected to show a high degree of flexibility and co-operation with the team. The consultant will usually participate in one formal multi-disciplinary meeting during the week to review the patient progress and to assist with task managements for his/her patients. A more detailed MDT review is held for each patient at least on a yearly basis. Once every two months the consultant will attend or chair the Complex Case Consultation Forum meeting to discuss particularly complicated clinical cases, with support from the team psychologists. The Trust operates an electronic patient record (ECR) for all patients and all staff are required to ensure these records are maintained accurately and securely. There is electronic access to pathology lab reports via this system. E-Prescribing and task management has also been introduced. 8. Clinical Leadership and Medical Management The Trust is committed to the full involvement of clinical staff in the management and development of the service. In the current arrangement a consultant Deputy Associate Medical Director (DAMD) and clinical manager support each part of the service. The AMD liaises closely with medical colleagues, the Medical Director and the Clinical Director to provide clinical leadership and direction to the service. The Deputy AMD for this post is Dr Craig Smith. The AMD is Dr Khaled Mostafa. The core management role of this post is to provide leadership in co-production with the team manager, including: a) Participating in ensuring the provision of effective clinical services including implementation of the National Service Framework for Mental Health, Patient Charter Standards, implementation of relevant legislation and amendments to The Mental Health Act 1983 and Mental Capacity Act 2007, management of clinical outcome measures. b) Participating in planning, steering and working groups and subjects relevant to special interests or general area of work and contributing in a positive and constructive manner to the development of services and new innovations for the whole older adult inpatient service. c) Participating in professional groups responsible for managing service delivery within the directorate and the Trust. d) Participating in relevant management training courses as part of personal development and to ensure effective delivery of services. e) Maintaining a healthy working relationship with all medical, non-medical, clinical and managerial colleagues in the interest of best outcomes for patients and Trust services. [11]

12 f) Participating in, and preparing reports for, serious incident investigations and investigations of poor performance. The Trust would encourage the post holder to participate in regional and national groups, activities of the Royal College, GMC, DOH and similar bodies. Such activities have to be discussed and agreed with the Associate Medical Director and have to be approved by the Medical Director in accordance with the relevant Trust polices. The Trust has an active audit programme and the post holder will be expected to participate in and lead local and Trust-wide audit activity and to be involved in audit training for medical and other disciplines. 9. Clinical Duties I. Consultant input to the community patients in Blackburn. The post holder will be expected to adopt a collaborative multidisciplinary approach to patient care according to the principles of new ways of working. II. Cross cover of consultant colleagues responsibilities within the community service and for inpatients during exceptional circumstances (e.g. a major incident status) III. Clinical and educational supervision of GPST and CT doctors and foundation year doctors and multi-disciplinary staff. IV. Individual and joint ward based assessments of patients on an emergency and non-emergency basis. V. Assessment and management of patients under The Mental Health Act and Mental Capacity Act. VI. Participation in discharge planning and review of patients under the care programme approach process, Mental Health Act and Mental Capacity Act VII. Preparation of medical reports VIII. Participation in the out-of-hours consultant duty rota covering East Lancashire 1 in 17 3rd tier. Cover is provided across East Lancashire for adults of working age and older adults. Separate forensic and CAMHS rotas are in place. 10. Appraisal and Job Planning There is a well-developed programme of annual job plan review which will be carried out in negotiation with the AMD /Deputy AMD. Supporting programmed activities will be distributed over the year to accommodate an increase in direct clinical activity when covering a colleague with a compensatory increase in SPA at another time. Consultants are expected to maintain personal portfolios in accordance with the requirements of the Royal College of Psychiatrists, to participate in a CPD peer group and to obtain annual certificate of good professional standing for CPD from the College. The post is subject to the Trust annual appraisal process leading to revalidation. There is a Trust policy relating to medical staff appraisals. [12]

13 The Trust will help identify an appropriate mentor for appointees new to a consultant post. It is envisaged that the 10 PAs of a full-time working week will consist of 7.5 PAs direct clinical care, 1 PA for CPD and 1.5PA for other supporting professional activities (SPA) such as teaching, trainee supervision, management/strategy meetings, appraisal and revalidation etc. 11. Clinical Governance and Audit Consultants are expected to be aware of the principles of clinical governance and to work towards achieving continuing improvement in all aspects of service delivery in line with the aims of the Trust. Consultants have the opportunity to contribute to development of guidelines and clinical policies and to monitor and review procedures through membership of the Medical Advisory Committee, Drugs & Therapeutic Committee and Local Negotiating Committee. The post holder will be expected to ensure, together with other professionals in the service, that clinical audits are carried out as required and that the work is regularly evaluated and reviewed. The Trust supports the view that whilst clinical audit is fundamentally a quality improvement process, it also plays an important role in providing assurances about service quality and the prime responsibility for auditing clinical care lies with the clinicians who provide that care. 12. Supporting Professional Activities Study leave arrangements for consultant medical staff are in accordance with the new consultants contracts within Lancashire Care NHS Foundation Trust. Regular clinical supervision is an important part of professional development and it is the post holder s responsibility to access the appropriate levels of supervision required to support and further develop their clinical practice. For all new consultant appointments, supervision arrangements are available through the Lead Consultant and there is an EIS peer review group and a locality peer review group as well. In addition to possible academic input into the university, consultants are also expected to contribute to postgraduate psychiatric training as required and to other training initiatives within Lancashire Care NHS Foundation Trust. There is an active local programme of case conferences and journal clubs in the locality and within the EIS. Regular training events are also provided within EIS. The post holder will be expected to participate in appropriate local programmes as agreed with the Associate Medical Director. An active research interest would also be encouraged. Older adult mental health services also hold a bi-monthly meeting with a CPD component which the post holder will be expected to attend. 13. Teaching, Training & Research LCFT has an excellent portfolio in conducting research and is committed to developing and undertaking research programs that enable us to deliver quality evidence-based care and services to people in our local community. Following the appointment of Andrew Pennington (Director of Research), the Trust has a well-established research department that has developed a reputation for quality research that benefits local services and local people. We have a number of consultants who are Principal [13]

14 Investigators for studies and the post holder will be strongly encouraged to take an active part in the many ongoing research projects within the Trust. Post holders who express interest in conducting or participating in research are encouraged to do so, with full compliance with the Trust and NHS policies that govern research. 14. Educational Management The Trust is committed to promote both undergraduate and postgraduate medical training. LCFT provides teaching and clinical placements for medical students from four Universities; Manchester, Liverpool, Lancaster and the American University of the Caribbean. Medical student attachments are arranged for students in years 3-5. Placements are provided in all areas of clinical work undertaken by the Trust ranging from speciality mental health placements in child and adolescent psychiatry, forensic psychiatry, old age psychiatry, community and inpatient psychiatry, GU medicine and rheumatology. The Trust s Medical Educators are actively involved in undergraduate and postgraduate teaching and training. Training is provided at the highest standards set by the respective Schools of Psychiatry, Academy of Medical Royal Colleges and the GMC generic standards for specialty, including GP training. The Trust provides psychiatric training at all levels including higher specialist training in all major sub-specialties of psychiatry. The post holder will be expected to engage in both formal and informal education of multidisciplinary colleagues - more specifically, fulfilling responsibilities for clinical and education supervision which includes regular participation in the weekly postgraduate training programme at The Lantern Centre. The post holder will be supported to achieve clinical supervisor status. [14]

15 The post holder will be required to participate in mandatory training (clinical and non-clinical). The University of Manchester Department of Community Psychiatry Academics: Prof Nusrat Husain, Dr Salman Karim and Dr Waquas Waheed. The Lantern Centre was founded in 1992 as a joint venture between the Guild Trust and the University of Manchester and is based at the Lantern Centre, about a mile from the Royal Preston Hospital site. The centre consists of a psychiatric library, a lecture theatre, 2 seminar rooms, a video suite, 9 research offices and 2 reception offices. There are 4 senior academic research nurses/research fellows, an administrator, a librarian and 3 secretaries (one university funded). It is a major centre for psychiatric research in the North West and has attracted grants from the Medical Research Council and the Wellcome Trust. Complex clinical trials are carried out at Lancashire Clinical Research Facility, a unique collaboration between Lancashire Care, Lancashire Teaching Hospitals and Lancaster University, based on the Royal Preston site. The CRF is a dedicated facility for interventional research studies and is funded by the National Institute for Health Research. Past and current research activities include: randomised controlled trials of new social interventions for bipolar disorder and schizophrenia; assessing suicide risk and managing somatisation in primary care; use of telemedicine in primary care and systematic reviews of the effectiveness of day care and vocational rehabilitation. The centre is a focus for psychiatric teaching, continuing professional development and medical student teaching. It also hosts a weekly academic meeting involving case conferences, seminars, audit presentations and an evidence-based journal club. There are regular Wednesday afternoon lectures from leading academics from the UK and abroad (2-3 per term). Trust academic staff participate in the Manchester University based research network, DENDRON, which co-ordinates research in neurological diseases and dementia on a national, regional and local basis. The library and information service supports staff and students throughout the Trust wherever they are based. The library provides access to a wide range of resources covering all aspects of mental and physical health care. Staff have online access to all the major medical databases, hundreds of electronic journals, e-books and other online resources which can all be accessed via Open Athens at the point of need. Literature searching and outreach librarian services are available to assist with finding the best evidence to support your work and practice, and the library provides a range of current awareness services to help keep you up-to-date. Training on using the resources, literature searching and critical appraisal is also offered as part of the service. The library is based at the Lantern Centre, providing a welcoming service for all members of staff. In addition to the online resources the library holds a collection of around 4000 books available for loan and has a study space with a bank of six PCs providing an agile working space for staff members. We are part of a network of health care libraries within the North West and are able to obtain further books and journal articles through inter-library loan arrangements. [15]

16 15. Professional Registrations The post holder will be expected to be approved as a Responsible Clinician or be willing to undertake training to obtain Section 12(2) MHA and will be expected to renew this approval according to agreed procedures. The post holder must be a medical practitioner fully registered with the General Medical Council. 16. Secretarial support and office facilities: Single office accommodation with appropriate IT facilities is available within the department unless the consultant chooses a different arrangement. The Consultant will have adequate administrative support allocated to him/her equivalent to 1 WTE for a full time post holder. This will be either a medical secretary or a qualified admin staff who is able to access and arrange the consultant s appointments, have full training on the Trust IT systems, be able to transcript audio recording, type clinical letters, have adequate customer service skills in answering and responding to telephone and queries from service user and members of the public, as well as all the secretarial support required for the consultant responsibilities. In addition every consultant will be allocated a Trust laptop and a Trust smartphone to enable them to access clinical records at various Trust sites. 17. Benefits of the Post The post holder will: Receive an appropriate salary on the new consultant contract pay scale, in addition to carrying over any discretionary points/clinical excellence awards already awarded Receive 0.5PA plus 3% availability supplement for participation in the out of hours rota for East Lancashire (see details in clinical duties section) Consultants are welcomed to take part in voluntary extra duties that attracts extra remunerations. The Trust has worked in collaboration with consultants and agreed extra remunerations for on-call, voluntary weekend extra clinical sessions and recently we agreed a separate remuneration for daytime Section 136 work in order to provide better and speedier services for our patients, and a response time that meets the national time frame Be timetabled up to 2.5 sessions per week for defined supporting professional activities Receive annual leave according to the 2003 consultant contract, depending on seniority Receive appraisal and revalidation training as an appraiser if willing. Be appraised annually by a trained appraiser Be entitled to 10 days study leave annually and a tri-annualised budget for this purpose as per the Trust study leave policy for medical staff If a non-driver, be supported with travel arrangements Be able to apply for other professional leave as and when necessary subject to approval via Trust leave policies. 18. GENERAL TERMS AND CONDITIONS All terms and conditions of service are in accordance with those detailed in the Consultant Contract Terms and Conditions (2003), Hospital Medical and Dental Staff (England and Wales), General Whitley Council and where applicable those of the Trust. These may vary from time to time. The appointee will be expected to work with local managers and professional colleagues in the efficient running of services, and will share with consultant colleagues in the medical contribution to management. Subject to the provision of the Terms and Conditions of Service, he/she is expected to observe the Trust's agreed policies and procedures drawn up in consultation with the profession on [16]

17 clinical matters, and to follow the standing orders and financial instructions of the Trust. The appointee will be expected to follow the local and national employment and personnel policies and procedures. He/she will be expected to make sure that there are adequate arrangements for hospital staff involved in the care of their patients, to be able to contact a consultant when necessary. The successful candidate will be expected to maintain existing service commitments and comply with Trust performance targets. Residence/Removal Expenses The post holder will be expected to live within reasonable travelling distance of the main clinical base. If the appointee is required to move house to meet the residential clause of the contract, removal expenses may be payable. Terms and Conditions of service state that the removal expenses shall be reimbursed and grants paid only when the employing authority is satisfied that the removal of the practitioner s home is required and that the arrangements proposed are reasonable. Therefore, successful candidates are advised not to enter into contractual agreement until such time as the formal approval of the Trust is confirmed in writing. Health & Safety The Trust recognises its duties under the relevant Health and Safety at Work legislation and to ensure, as far as reasonably practicable, the health, safety and welfare at work of all its employees. All medical and dental staff under contract to the Trust will be expected to be familiar with and adhere to the Health and Safety Policies of the Trust. Rehabilitation of Offenders Act 1974 Due to the nature of this work, the post is exempt from the provisions of section 4(2) of the Rehabilitation of Offenders Act 1974 (Exceptions Order) Applications for the post are not entitled to withhold information about convictions which for other purposes are spent under the provision of the Act, and in the event of employment, any failure to disclose such convictions could result in disciplinary action or dismissal by the Trust. Any information given will be treated in the strictest confidence and will be considered only in relation to an application for a position to which the order applies. Professional Standards The AMD is managerially responsible for all activity in which the consultant works. The Medical Director has overall responsibility for the professional performance of consultants, employed by the Trust. All consultants are expected to comply with management arrangements in place, to follow the guidelines on practice laid down by the General Medical Council s Maintaining Good Medical Practice, and to be accountable to the Trust for their actions and the quality of their work. Maintaining medical excellence/responding to Concerns LCFT is committed to provide safe and effective care for patients. To ensure this, there is an agreed procedure for medical staff that enables them to report quickly and confidentially, concerns about conduct, performance or health of medical colleagues (Chief Medical Officer 1996). All medical staff practicing in the Trust should ensure that they are familiar with the procedure and should apply it. 19. Further Information Applicants or prospective applicants are strongly encouraged to visit the Trust and to meet prospective colleagues. Informal discussions to discuss the job or arrangements for visiting may be made with: [17]

18 Dr Khaled Mostafa, Associate Medical Director Telephone Number: Professor Max Marshall, Medical Director Telephone Number: [18]

19 JOB PLAN Day Time Location Work Category No. of PAs Monday Tuesday Wednesday AM Clinical Base Out Patient Clinic DCC 1 PM Clinical Base Urgent Assessments or Clinical Admin AM Clinical Base CPD Activities related to Appraisal & Revalidation including Audits and clinical governance DCC 1 SPA 1 PM Clinical Base Community outpatient clinic DCC 1 AM Clinical Base Team Meeting DCC 1 PM Varies Royal Blackburn Hospital or Burnley General Hospital Teaching / CPD / MAC (Medical Advisory Committee) SPA 1 AM Clinical Base Out Patient Clinic DCC 1 Thursday Friday Unpredictable / emergency on-call work Total PAs PM Clinical Base Clinical Admin Appraisal Preparation DCC SPA AM Clinical Base Out Patient Clinic DCC 1 PM Clinical Base Urgent Reviews / Tribunal work DCC Direct clinical care 7.5 Supporting professional activities 2.5 NB: The above job plan is a suggested template and a job plan will be agreed at commencement of employment. The template job plan is based on 10 PAs (7.5 Direct Clinical and 2.5 SPA s. The on-call commitment is currently 1:17, supported by junior staff. This post is deemed to be in Category A and an allowance is paid for being on-call, which is currently 3%. Core SPA time for full-time consultants is 1.5 PAs per week for professional activity to support revalidation, personal appraisal, personal job planning, mandatory training, and participation at consultant and governance meetings. Non-core SPA time is objective based and is offered after the purpose and content is agreed between the consultant and Associate Medical Director. It should align with Trust objectives and have evidence of output. This non-core SPA shall be 1 PA. SPA activity must be relevant to the Trust and Individual s needs, and must be agreed at the job planning session in line with the Trusts Job Planning Policy. The Trust retains the right to require all consultants to take part on the on-call rota (in such a case, oncall will be negotiated and paid appropriately). A job plan will be subject to an annual review annually with the AMD/Deputy AMD and the service Managers as appropriate. [19]

20 20. Approval of this job description by the Royal College of Psychiatrists This job description and person specification was approved by the Royal College of Psychiatrists regional advisor on 00/00/0000. [20]

21 Abbreviations: S: screening prior to short-listing A: short-listing from application form P: presentation to formal panel F: formal appointments committee interview R: references Person specification/selection criteria for consultant ESSENTIAL WHEN ASSESSED DESIRABLE WHEN ASSESSED QUALIFICATIONS MBBS or equivalent S MRCPsych or equivalent approved by the Royal College of Psychiatrists Qualification or higher degree in medical education, clinical research or management Additional clinical qualifications S A A ELIGIBILITY Fully registered with the GMC with a licence to practise at the time of appointment S In good standing with GMC with respect to warning and conditions on practice S 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 OR able to achieve within 3 months of appointment S S S On the specialist register for General Adult Psychiatry Trained as a Deprivation of Liberty Mental Health assessor CCT or equivalent (or within 6 months of acquisition) A A A

22 ESSENTIAL WHEN ASSESSED DESIRABLE WHEN ASSESSED TRANSPORT Holds and will use valid UK driving licence OR provides evidence of proposed alternative S CLINICAL SKILLS, KNOWLEDGE & TRAINING Excellent knowledge in specialty Excellent clinical skills using bio-psycho-social perspective Excellent oral and written communication skills in English A F R A F R A F R Wide range of specialist and sub-specialist experience relevant to post within NHS Wide experience of adult psychiatry including ward and community based delivery of service A F A F Able to manage clinical complexity and uncertainty F Makes decisions based on evidence and experience including the contribution of others F Able to meet duties under MHA and MCA F ACADEMIC SKILLS & LIFELONG LEARNING Able to deliver undergraduate or postgraduate teaching and training Participated in continuous professional development A P F A F Able to plan and deliver undergraduate and postgraduate teaching and training relevant to this post Reflected on purpose of CPD undertaken A F A F Participated in research or service evaluation Able to use and appraise clinical evidence A F A P F Experienced in clinical research and/or service evaluation A F [22]

23 ESSENTIAL WHEN ASSESSED DESIRABLE WHEN ASSESSED Has actively participated in clinical audit Up-to-date knowledge of mental health issues and developments, particularly in relation to policies affecting adults A F A F Evidence of achievement in education, research, audit and service improvement: awards, prizes, presentations and publications Has led clinical audits leading to service change A A F [23]