GREATER MANCHESTER MENTAL HEALTH NHS FOUNDATION TRUST Job Description for Full-Time Consultant in General Adult Psychiatry 10 Programmed Activities working with Community Mental Health Team. This is a full-time appointment for a Consultant to work as clinical lead for the Community Mental Health Team responsible for delivering mental health services for community patients associated with General Practice clusters 6, 7, and 8 in Salford district. Clusters 6, 7, and 8 include the areas of Little Hulton, Walkden, Swinton, Pendlebury and Worsley. This is a replacement post as the current post holder is retiring. The address of the CMHT is: 1 Prescott St, Little Hulton, Salford M28 0ZA. Worsley and Walkden are the most affluent areas in Salford and Little Hulton has a high level of deprivation The Salford District Service has undergone a redesign and modernisation process which has taken into account recent changes in the NHS and age equality legislation. This has promoted the development of an integrated service based on need and closer working relationship between services for older and younger adults. The appointee will participate in the consultant on-call rota within Salford. Currently this is a 1 in 17 rota. The on-call would be pro-rata and this attracts a category A payment. INTRODUCTION Greater Manchester Mental Health NHS Foundation Trust Greater Manchester Mental Health NHS Foundation Trust came into being in January 2017 and followed the acquisition of Manchester Mental Health and Social Care NHS Trust by Greater Manchester West Mental Health NHS Foundation Trust The Trust is working towards a fully integrated mental health and social care service across the catchment population for adults of all ages. The Trust provides a wide range of local services to Manchester, Bolton, Salford and Trafford residents. In addition The Trust provides a number of specialist and secure mental health services supporting Greater Manchester, the North West and beyond. The Chief Executive of The Trust is Ms Beverley Humphrey. The Chair is Mr Rupert Nichols. Greater Manchester is managed as four district directorates covering Manchester, Bolton, Salford and Trafford as well as the specialist service directorate. 1
The Medical Director is Dr Chris Daly and the Associate Medical Director and Director of Medical Education is Dr Margaret Campbell. City of Salford The City of Salford has a population of approximately 234.000. Overall the area is characterised by high deprivation but includes some affluent areas (overall Mini in Salford is 112.2). In Salford 85% of residents were born in England and 92% speak English. Other languages include Polish 1.6%, and Arabic 0.5%. Salford is adjacent to Manchester the commercial centre of the North West. Salford itself has undergone major development in recent years including the innovative Salford Docks area with Media City and the Lowry Project. The motorway network allows easy access to major cities and towns in the North West region, Manchester International Airport and areas of natural beauty including the Peak District, Yorkshire Dales, Lancashire Moors and the Lake District. Salford Directorate Services Inpatient Service The inpatient service is based at Meadowbrook; this is in the grounds of Salford Royal Hospital. There are currently 4 inpatient wards. Eagleton Ward is a male recovery ward with 23 beds. There is a Psychiatric Intensive Care Unit called Chaucer Ward which has 8 beds. Consultants retain responsibility for their own patients on this ward. There is a female recovery ward called Keats Ward with 22 beds. McColl ward has 14 male beds for Manchester patients only All four acute wards provide treatments and interventions that are evidence-based, individualised and needs-led. Each service user s care is based on care plans that are developed collaboratively between the patient, their Multi-Disciplinary Team and Primary Nurse. There are 4 part-time inpatient consultants covering the 8 GP clusters across Salford and there are 3 Community Mental Health Teams. The Inpatient Consultant for is Dr Umeadi who covers clusters 6, 7 and 8. The Consultant for Ramsgate House is a locum who covers clusters 1 and 4. The Consultant for Cromwell House is Dr Nazir who covers clusters 2 and 3. Cluster 5 from Cromwell House and Early Intervention admissions are covered by Dr Ali There are 11 Core Trainees who work in Meadowbrook with both inpatient and community responsibilities. In addition to this there are seven Senior Trainees on the rotation. 2
Community Services There are three Community Mental Health Teams which are now aligned with the GP clusters. The Community Consultant at (this post) is Dr Bill Williams who works with clusters 6, 7 and 8. He is supported by an Associate Specialist. At Cromwell House the consultants are Dr Peter Haddad who covers clusters 2 and 3 and Dr David Hughes who covers cluster 5 patients. There is a Speciality Doctor who is attached to both consultant posts at Cromwell House. Ramsgate House covers clusters 1 and 4. Dr Margaret Campbell covers cluster 1. There is a Speciality Doctor who works with Dr Campbell. Dr Michael Birtwhistle covers cluster 4 and has support from a Speciality Doctor Older Adult Service The Older Adult Service has 4 consultant psychiatrists, these are Dr Mehran Javeed, Dr Abid Malik, and Dr Khalid Kareem An agency locum covers all older adult inpatients. Drs Malik and Kareem cover the CMHT s for older adults Dr Javeed is the Lead for the Memory Service and Care Homes Practices. Home Based Treatment Team There are 4 consultants who work part-time within the Home Based Treatment Team. These consultants are also aligned to the three CMHT s. Dr Chinedu Umeadi is the Home Based Treatment Consultant for the area, A locum and Dr Haitham Nadeem work part-time for Ramsgate House area and Dr Saba Nazir is Consultant for the Cromwell House area There are interface meetings between Inpatients, Home Based Treatment and the CMHT on a weekly basis. For this post, the meeting occurs at on a Wednesday morning. Effective GP liaison is in the process of being established with the focus at the moment being with CMHT s. Other Community Services There is an Early Intervention Service based at Broadwalk Centre. The Consultant in this team is Dr Isobel Ellory. 3
There is a Mental Health Liaison Service and the consultants for this service are Dr Ross Overshott, Dr Samir Shah and Dr Nilika Perera who work with a team of practitioners for patients above the age of 18. This service operates entirely within the general hospital setting (Salford Royal Hospital). There is additional funding for a further consultant post. There is a Rehabilitation Service. The consultants who work in this service are Dr David Hughes, Dr Neeti Singh and Dr Su Farrell. Dr Jenny Shankland will be the new consultant for Learning Disability CMHT There is one full-time Consultant psychiatrist at, currently Dr Bill Williams and will be replaced by the post-holder. The post is supported by a full time Associate Specialist Dr Joseph Ingram. Management of patients requiring in-patient admission or intervention by the Home Based Treatment Team is the responsibility of full-time consultant Dr Chinedu Umeadi. The team also includes: 1 Band 7 Team Manager 10 Band 6 CPN s 1 Band 8A Psychologist 1 Band 7 Psychologist 2 Band 7 Occupational Therapist 2 Band 7 Senior Practitioners for Nursing 1 Band 7 Senior Social Worker 5 Band 6 Social Workers 1 Band 4 Assistant Practitioner 1 Band 3 Support Worker 1 Counsellor 1 Band 8a Advanced Practitioner and Non-Medical Prescriber There is a weekly Multidisciplinary Team meeting on a Wednesday morning that includes the medical staff from the CMHT, Home Based Treatment and the Inpatient Unit. 4
RESPONSIBILITIES OF THE POST HOLDER The post- holder will have 2 new outpatient clinics a week (1-2 complex patient assessment are reviewed); 2 CPA clinics (6 patients in each) a week; and two follow up clinics (6 patients and 2 3 urgent CPA reviews) a week. The post -holder will provide supervision to members of the team after emergency assessments. They may be required to provide Mental Health Act assessments. The post- holder will attend the weekly Liaison Team meeting between the inpatient and community staff at on a Wednesday morning. The post- holder will be allocated a Core Trainee to work in the CMHT who will also work on the Meadowbrook Unit with inpatients. The post- holder will be their clinical supervisor and will be offered the requisite training to fulfil this role. The educational supervisor will be one of the clinical tutors Dr Malik or Ellory The post -holder will have access to a full-time personal secretary who will work with other members of the medical team and a designated office space within Prescott House. They will be involved in undergraduate teaching for medical students from Manchester University Medical School. There will be an opportunity for involvement in problem-based learning and to become an OSCE examiner. The post holder will be expected to be Section 12 approved and to become involved in Mental Health Act work when emergencies arise. The post- holder will be given the opportunity to apply to become an ST4 to ST6 trainer. The post- holder will be encouraged to attend the weekly MRCPsych teaching course at least 4 times a year. These are on a Wednesday afternoon and include a case conference, journal club and expert teaching. The post holder will be encouraged to engage in teaching and training for various members of the multidisciplinary team. The post holder will be expected to contribute to clinical audit and will be able to participate in research. The post holder will be expected to participate in the senior on-call rota pro rata, this rota is currently 1 in 17. This will be on the third tier of on-call. The second tier involves doctors who are Section 12 approved. The on-call covers General Adult and Older Adult psychiatry. The on-call attracts a category A payment. In view of the very low frequency by which the consultant is contacted and the very rare need to visit the hospital out of hours this has not required arrangements for time in lieu. 5
The post holder will be professionally accountable to the Lead Consultants (Drs Umeadi and Shah) and operationally accountable to Ms Annette Rooney who is the Head of Operations. Consultant Medical Staff in General Adult Psychiatry Dr M Campbell Dr P Haddad Dr I Ali Dr C Umeadi Dr B Williams the post-holder Dr D Hughes Dr J Shankland Dr R Overshott Dr S Shah Dr M Birtwhistle Dr H Nadeem Consultant Psychiatrist and Director of Medical Education Consultant Psychiatrist CMHT Consultant Psychiatrist Inpatient service part time Consultant inpatient and home treatment Consultant Psychiatrist CMHT to retire and be replaced by Consultant Psychiatrist CMHT, Rehabilitation and Lead Consultant Consultant Psychiatrist in Learning Disabilities Consultant Psychiatrist in Liaison Psychiatry Consultant Psychiatrist in Liaison Psychiatry and Lead Consultant Consultant Psychiatrist in Community Psychiatry Consultant Psychiatrist home treatment team part-time Dr S Nazir Consultant Psychiatrist inpatient and home treatment Cromwell House Dr I Ellory Consultant Psychiatrist Early Intervention service Dr N Singh Dr S Farrell Consultant Psychiatrist in Rehabilitation Consultant Psychiatrist in Rehabilitation 6
The Older Adult Consultants: Dr M Javeed Dr A Malik Dr K Kareem Consultant Psychiatrist for Memory Service and care homes practices Consultant Psychiatrist for Community Consultant Psychiatrist for Community Locum Consultant Consultant Psychiatrist for inpatients Continuing Professional Development The post- holder will be expected to undertake a program of Continuing Professional Development and is expected to join a CPD peer group and to be registered with the Royal College of Psychiatrists for CPD. The post- holder may take up to 10 days study leave in each twelve months. The Lead Consultant and Medical Director are involved in approval of study leave. The budget can be aggregated over a three-year period. The Trust has an extensive research profile and the lead for research is the Medical Director, DrDaly. Resources would be available to support the post holder in research that was of benefit to the Trust and service delivery. Appraisal and Job Planning Annual appraisal is carried out by consultants who work with GMMH and have received adequate training to provide appraisal. The appraisers are nominated by the Associate Medical Director. Appraisal takes place between April and December each year and is followed by the job planning process. Job planning is carried out with the Consultant and Head of Operations. This takes place between January and March. There is an expectation that the post- holder will, over time, take on management duties and these will be negotiated with the Lead Consultant and Head of Operations in job planning. The post holder will be offered a mentor if required. Administration and Management 7
An office dedicated to the use by the post holder will be available. The post holder will have their own computer and IT support is available from the Trust as required. A personal secretary will support the post holder,the Core Trainee and Speciality Grade Doctor., The Trust values and encourages the involvement of clinical staff in management. The current management arrangement is each service has a Lead Consultant and a Head of Operations. The Lead Consultant liaises closely with medical colleagues and with the Head of Operations to provide clinical leadership, strategic vision and direction for the service for which he or she is responsible. The post- holder will work closely with the team managers to help develop the service and contribute to the annual business plan. All consultants meet monthly to discuss strategic developments and there are away days each year to discuss any significant proposed changes to the service. All consultants are members of the Medical Staff Committee which meets are varying intervals. This committee is a GMMH committee. The post -holder will be accountable to the Lead Consultant for professional and operational issues. All consultants are involved in service development and contribute to the service business planning cycle. The Director of Operations in Salford is Ms Annette Rooney. The Assistant Director for Inpatient Services is Ms Angela Thompson. The Assistant Director for Community Services is Mr Adam Young. The Trust has an active audit program managed by the NICE and Audit Standards Group. An audit programme is set annually and this process is managed by Ms Pam Neilan. Interested medical staff within the Trust may undertake audits selected from the Trust audit programme and facilitated by the audit department. Medical and other staff may design their own audits and protocols which would be submitted to the NICE and Audit Standards Group who will offer support and will record all the approved audits as part of the Trust audit activity. The post holder would have the opportunity to engage in external duties e.g. Royal College duties and this would be discussed in job planning. General Requirements and Conditions of Service 8
The post- holder must be registered with the GMC and be on (or eligible for inclusion on) the specialist register. It would be desirable for candidates to have a higher qualification in psychiatry (MRCPsych or equivalent) and specialist training and experience at ST4-6 level (or equivalent) of a minimum of 3 years. The post -holder will have 32 days a year annual leave pro rata, increasing to 34 days per year after seven years service. There will 30 days of study leave to be taken over 3 years. Funding for study leave will be authorised by the Lead Consultant and Medical Director. Decisions with regards to suitability for study leave will be made on issues around CPD requirements. Cover for leave will be arranged between consultants in the district. The Trust complies with national terms and conditions for annual, sick, special and study leave. A lease car scheme is available throughout the Trust. Arrangements will be made for non-car drivers. Medical practitioners are advised to be members of a defence society. The candidate s appointment will be subject to medical clearance at the Trust Occupational Health Service. The candidate s appointment will be subject to satisfactory DBS check. The appointee will be required to reside within a reasonable travelling distance of the service. Salary Scale This will be based initially on 10 programmed activities under the new consultant;s contract and will be reviewed via the job planning process. Starting salary will depend on seniority. Further information For further information regarding this job please contact Dr Samir Shah who is the Lead Consultant for the Community Services on 0161 772 3700. 9
Specimen Timetable for Consultant in General Adult Psychiatry NWC2017.16 (Final) MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY Prescott MDT A.M. Zoning Meeting Zoning Meeting meeting Zoning Meeting Zoning Meeting New patients Outpatient Follow up patients CT supervision (0.25 SPA) Specialty Grade supervision Clinical administration Mental Health Act work Urgency clinic (0.25 SPA) CPD P.M. New patients ( 1 SPA) CPA clinic CPA clinic Non clinical admin, audit and managerial meetings 1 SPA 10
11 NWC2017.16 (Final)
DEPARTMENT OF GENERAL ADULT PSYCHIATRY PERSON SPECIFICATION Essential On the specialist register with the GMC or eligible for inclusion on the specialist register Desirable Possession of MRCpsych or equivalent qualification. Other postgraduate degrees eg: MSc, MD MRCP. Possession of CCT in general adult psychiatry or be within 6 months of achieving this. Approved Clinician status or eligibility for Approved Clinician status. Satisfactory medical screening prior to taking up the appointment. In Good standing for CPD. Published audit and published research. Section 12 approval under The Mental Health Act or eligible for approval. Evidence of teaching and training. Registered for CPD with the Royal College of Psychiatrists or willingness to register. Good communication skills. Evidence of audit activity. Available to participate on the on-call rota. Current or past educational supervisor of a core trainee and/or a specialist trainee. Higher psychiatric training or equivalent. 12
To understand the need to safeguard children and vulnerable adults and to adhere to all principles in effective safeguarding. 13