This post is for 0.6 WTE Consultant Psychiatrist working in Intensive Outreach pathways within the Core Community Mental Health of the Southern Boroughs (Camden) of the trust as work progresses with the transformation of community mental health services in line with the NHS Long Term plan. The post is substantive, and these are new posts created from the new investment from the ICB to develop this pathway.
The Consultant Psychiatrist works closely with GPs, the MDT, and a number of intersecting systems, such as housing, social services and the Trust Intensive Teams. The focus is on relationship-building, encouraging reflective practice and collaborative working.
General Expectations of a Consultant Psychiatrist employed with North London NHS Foundation Trust include:
• To work within the MDT promoting respect for all professional groups and focusing upon coherent and integrated teamwork.
• To be Section 12(2) approved and have approved clinician status and participate in the Trust-wide Section 12 daytime rota.
• To provide second opinions for consultant colleagues if requested.
• To keep up with administration and note-keeping on the electronic patient record system in a timely manner, including letters to GPs, Dialog+ and risk assessments.
• To assist with Serious Incident investigations and complaints if requested.
• To keep up to date with mandatory training.
• To attend and participate in Consultants' and Management meetings to keep informed of service issues and developments.
• Other management/clinical supporting activity (to be negotiated as required by the Trust.)
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The specific clinical and managerial responsibilities of the post-holder will be as follows:
• To provide advice and support to local GPs, and other practice staff, regarding the assessment and management of the mental health difficulties of patients registered with their practices. This may be done through case discussions, joint consultations and bespoke training, as appropriate.
• To provide consultant input and clinical leadership to the local Intensive Outreach pathway within the Core Community Mental Health Teams.
• To assist with diagnosis, formulation, medication reviews, Dialog+ care planning, management plans, risk assessments, safety plans (Formerly crisis plans), and self-help plans as required for these patients referred to the team.
• As necessary to provide direct clinical assessments of patients and to provide follow-up as appropriate.
• To assist in the prioritization (“triage”) of new referrals to the service.
• To maintain effective communication with GPs, primary care staff, patients and their carers.
• To work flexibly within timetabled working hours, so that urgent clinical matters can be prioritized.
• To carry out Mental Health Act and domiciliary assessments as required.
• To play a key role in implementing improved linkage between primary and secondary care services.
• To liaise and work closely with local NHS Talking Therapies (Formerly IAPT services for anxiety and depression (also provided by NLFT) and other primary care providers in order to provide a joined up primary care mental health service.
• To liaise and work closely with local voluntary services as part of the new model of core community teams
• To provide clinical input, where necessary, to multi-disciplinary case conferencing around difficult patients being managed solely in primary care.
• To engage with local service user participation models.
• To participate in management activities and governance processes related to the Core Teams, including audits and quality improvement projects.
• To play an integral role in the performance of the team, the further development of the service, and the development of clinical pathways and priorities of the service line.
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North London NHS Foundation Trust (NLFT) is committed to improving mental health care across North London to deliver excellent services to our local people.
Our Five-Year Strategy:
We will provide consistently high-quality care closer to home.
With our partners in North London and each borough we will ensure equity of outcome for all
We will offer great places to work, providing staff with supportive environment to deliver outstanding care.
We will be more effective as an organisation by pioneering research, quality improvement and technology.
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Person specification
Essential
Full registration with the General Medical Council (GMC) and a license to practice. Must be on the specialist register or within 6 months of gaining a Certificate of Completion of Training
Section 12(2) and Approved Clinician status (or eligibility) - qualifies to act as a Responsible Clinician
Registered with Royal College of Psychiatrists CPD programme and in good standing
Shared Services training up to date to be an approved trainer/clinical supervisor
Knowledge and observance of the requirements and duties of a doctor laid down by the GMC in Good Medical Practice.
Clinical knowledge of the full range mental disorders.
Experience in the assessment of complex clinical cases involving severe and enduring mental illness and significant risk histories and the ability to assertively engage and manage such cases.
Expertise in a comprehensive range of evidence based treatment and case management options including pharmacotherapy.
Knowledge of the Mental Health Act, Mental Capacity Act and safeguarding practices
Experience in work place based assessments of doctors in training
Knowledge of clinical commissioning and external organisations that interface with an NHS Trust.
Experience in organising and chairing meetings.
Good understanding of Trust governance structures, especially clinical governance
An understanding of the role of research within the wider service
Willingness to participate in research as appropriate and within the context of the duties of the post
Ability to be flexible and adaptable to change
Ability to effectively communicate ideas and influence others.
Good knowledge of and ability to use both spoken and written English
Ability to organise workload and manage time and delegate responsibility where appropriate
Ability to practise as an independent Consultant Psychiatrist.
Thoroughness and attention to detail in clinical matters
Sensitivity to needs of all patients and carers.
Sensitivity and awareness in clients and staff from different cultures, ethnicities, gender and sexual orientations.
Teaching and supervision skills for undergraduate medical students, doctors in training and multi-professional staff
Ability to work in a team environment and to develop effective working relationships on an individual and multidisciplinary basis with all levels of staff.
Ability to take on the role and responsibilities of the clinical lead
Experience in undertaking clinical audit, investigating serious incidents and handling complaints
Enthusiasm for pathology and willingness to share knowledge and experience
Desirable
Membership of Royal College of Psychiatrists or equivalent higher qualification in psychiatry
Other relevant post-graduate qualification (incl. those gained outside UK
Trained as an Educational Supervisor for doctors in training
Training as a Consultant mentor
Experience in teaching small and large groups
Experience in developing policies and protocols.
Experience of service development.
A special interest or willingness to develop one in an area which helps to meet the needs of the Trust
Experience in successfully delivering research projects