Hawke s Bay District Health Board Position Profile / Terms & Conditions Position holder (title) Reports to (title) Department / Service Purpose of the position Consultant Psychiatrist Medical Head of Department - Older Persons and Mental Health Directorate Medical Director - Older Persons and Mental Health Directorate Service Director - Older Persons and Mental Health Directorate - Accountable to Medical Head of Department for clinical activities - Accountable to Service Director for administrative aspects of position Older Persons and Mental Health Directorate To provide specialist psychiatric assessment and treatment to people with severe mental illness. To ensure and prioritise a focus on patient safety and quality relating to care and processes within the Mental Health Service. To operationally and strategically support the ongoing development of the Mental Health Service and wider Older Persons and Mental Health Directorate. Is actively involved with project management and will be involved in selected service improvement activities as delegated by the respective clinical and management leaders. Delivery of organisational KPI s including relevant MOH target, financial budgets and service plans. To recognise and support the delivery of the Hawke s Bay Health Sector vision. Working Relationships Internal Medical Director Medical Head of Department Service Director Senior medical staff in mental health Junior medical staff (Registrars and House Officers) Medical staff of hospital Members of the multidisciplinary teams in mental health Administrative staff All Mental Health Services Clinical Nurse Manager, Clinical Managers and Associates/clinical Coordinators External General Practitioners Police Non-Government organisations Community organisations General public
Dimensions Expenditure & budget / forecast for which accountable Challenges & Problem solving Number of staff reports Delegations & Decision Other Indicators N/A Balancing routine and urgent work within a busy multidisciplinary community team. Maintaining a high standard of practice with good outcomes for patients and inspiring others to do likewise. No direct reports but working as part of a multidisciplinary team with integrated mental health and addictions services. Acting as psychiatrist for patients and as Responsible Clinician within the scope of the Mental Health (Compulsory Assessment and Treatment) Act 1992. One of several psychiatrists serving a total population of approximately 60,000 in a mixed urban and rural area. Te hauora o te Matau-a-Maui: Healthy Hawke's Bay Tauwhiro Raranga te tira He kauanuanu Akina
Key Accountabilities SPECIALIST PSYCHIATRIC ASSESMENT to provide highest quality specialist assessment and treatment of people with severe mental illnesses Undertakes assessments, makes diagnoses and develops treatment and management plans in consultation with patient / family / tangata whaiora where appropriate. Provides ongoing psychiatric review and management. Clearly documents assessments, risk assessment and treatment plans in accordance with HBDHB policies and procedures. Participates in multidisciplinary meetings with clinical review meetings. Participates in case discussions and contributes to ongoing treatment plans. Participation in family / whanau meetings. Providing advice and supervision to other medical and non-medical clinicians. Provides urgent and crisis assessments. Actively participates in clinical governance and quality improvement initiatives to improve clinical care provision and standard or clinical practice. Undertake the role and functions of a responsible clinician for people subject to the provisions of the Mental Health (compulsory assessment and treatment) Act 1992. Prescribes treatment (including medications) in accordance with HBDHB policies and national guidelines. Promotes cooperation and coordination with referring and support agencies to ensure the delivery of best service and care as possible. Provides consultation and liaison with primary health sector as appropriate. Audit of quality and documentation of assessments, diagnosis and treatment planning. Compliance with documentation requirements. Satisfaction of medical and non-medical peers with participation in MDT discussions and case discussions. Satisfaction of supervisees with advice and supervision provided. Audit of mental health act documentation. Compliance with HBDHB guidelines and college guidelines. MAINTAIN CLINICAL SKILLS Participates in peer review. Participates in other formal continuing education activities locally. Keep up to date with specialist literature. Enrol in RANZCP continuing professional development programme (Or equivalent). Participates in regular audit activities. Satisfaction of medical peers with participation in peer review and CME. Completion of relevant college requirements. Evidence of audit activities. SUPERVISION AND TRAINING Attends regular supervision as necessary to maintain a high standard of performance. Assists in teaching of students and other professionals and contributes in the training of other workers in the service as requested. Attendance for supervision and report from the supervisor.
ADMINISTRATION contribute to administration of mental health services in a constructive way Keep comprehensive up to date and legible clinical notes in accordance with guidelines laid down by the service. Participate in administration meetings with management staff. Participate in strategic planning and administrative meetings with other senior medical staff Audit of documentation. Contribution in discussions. AFTER HOURS COVER Scheduled on the second on-call roster with other SMOs. Available by pager / cell phone at all times when on-call. Available to see patients when indicated within 30 minutes. Provide clinical advice and support to first on-call Medical Officer and Emergency Mental Health Service. Provide first on-call after hours cover if first on-call is incapacitated or falls ill at short notice. (Cover will only be requested in exceptional circumstances). OCCUPATIONAL HEALTH AND SAFETY Audit of response time and satisfaction of emergency mental health service staff with response. Displays commitment through actively supporting all health and safety initiatives. Ensures all staff/colleagues maintain adequate safety standards on the job through consultation, training and supervision. Ensures own and others safety at all times. Complies with policies, procedures and safe systems of work. Reports all incidents/accidents, including near misses in a timely fashion. Is involved in health and safety through participation and consultation. Evidence of participation in health and safety activities. Demonstrates support of staff/colleagues to maintain safe systems of work. Evidence of compliance with relevant health and safety policies, procedures and event reporting. Key Competencies DRIVE FOR RESULTS Demonstrates the ability to drive self and others to deliver results e.g. MOH targets, KPI s, service plans. Consistently and constantly fosters joint problem solving and decision making across the team and wider. Demonstrates the following: Strong prioritisation skills Communication skills (both verbal and written) and The running of effective meetings Organisation meets the defined targets within budget. Team meetings are effective and results focused.
BUILDING EFFECTIVE TEAMS Creates strong morale and spirit in his/her team to foster a feeling of belonging. Demonstrates the ability to blend people into teams when needed to work autonomously e.g. leading project teams, participation in projects, forums. Fosters open dialogues and joint problem solving and decision making. Defines success in terms of the whole team and shares wins and successes. Demonstrates the ability to effectively lead and participate in organisational wide project teams as required. Constructive participation in Team meetings Successes are recognised and celebrated on both an individual and team level Projects are implemented effectively within the parameters of the terms of reference CUSTOMER SERVICE Open and responsive to customer needs. Demonstrate an understanding of continuous quality improvement. Demonstrates a commitment to customer service and continuous quality improvement, through interaction with patient/clients and other customers. Identifies customer needs and offers ideas for quality improvement. Effective management of customers/situations. ENGAGING EFFECTIVELY WITH MĀORI Demonstrates knowledge and understanding of local tikanga and Māori culture sufficiently to be able to respond appropriately to Māori. Is visible, welcoming and accessible to Māori consumers and their whanau. Actively engages in respectful relationships with Māori consumers and whānau and the Māori community. Actively seeks ways to work with Māori consumers and whānau to maximise Māori experience. Actively facilitates the participation of whānau in the care and support of their whānau member. Accelerated health outcomes for Maori. Evidence of positive feedback from Māori consumers and whānau, and colleagues. Evidence of collaborative relationships with Māori whānau and community/organisations. Evidence of whānau participation in the care and support of their whānau member. HEALTH AND SAFETY STATEMENT Takes reasonable care of your own health and safety Ensures that your actions or omissions, do not adversely affect the health and safety of other persons Complies with reasonable instructions given by HBDHB Co-operates with health and safety policies or procedures
Essential and Desirable Criteria: Qualifications / Skills / Experience Essential Treaty of Waitangi Responsiveness Qualifications Business / Technical Skills Demonstrates the ability to manage personnel in a manner that the health consumer determines as being culturally safe. Demonstrates ability to apply the Treaty of Waitangi to management processes. Fully qualified to practice as a Senior Medical Officer. Post graduate training in psychiatry with Fellowship of the Royal Australia and New Zealand College of Psychiatrists or equivalent and is recognised by the New Zealand Medical Council as eligible for registration with a vocational scope of practice. Clinical experience and knowledge in mental health and addiction services at a specialist level. Previous specialist psychiatric clinical experience in community, liaison, crisis and inpatient settings. Knowledge of the New Zealand Government s health funding framework and priorities and the impacts of these on the DHBs. Excellent communication and interpersonal skills. Willingness to work in a constructive way with a range of other clinical and nonclinical disciplines. Values & Behaviours: Shows commitment to, and demonstrates the behaviours of the health sector: Experience (technical and behavioural) - He kauanuanu Showing respect for each other, our staff, patients and consumers this means I actively seek to understand what matters to you. - Ākina Continuously improving everything we do this means that I actively seek to improve my service. - Rāranga te tira Working together in partnership across the community this means I will work with you and your whanau on what matters to you. - Tauwhiro Delivering high quality care to patients and consumers this means I show empathy and treat you with care, compassion and dignity Desirable Medico-legal experience or a willingness to learn. Recruitment Details Position Title Hours of Work Salary & Employment Agreement Coverage Consultant Psychiatrist 80 per fortnight As per the Individual Employment Agreement (IEA) negotiated with the appointee OR in accordance with the New Zealand Senior Medical and Dental Officers Collective Employment Agreement according to qualifications and experience pro rata for hours worked. Date April 2018