SOUTH WESTERN DEANERY - South West Peninsula Deanery

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for the prevention of suicide and harm minimisation, and an improvement (Patient safety) group driving toward safer mental health services. Training and Development The department hosts students from all disciplines at all stages of training including Foundation doctors at level 1 and 2 on rotation to the Royal Devon and Exeter Hospital. TIMETABLE: Monday Tuesday Wednesday A.M. Liaison Psychiatry RD&E Wards Team Meeting Academic Programme Liaison Psychiatry RD&E Wards P.M. Liaison Psychiatry RD&E OPD 1.30 – 2.30 Supervision with Consultant Liaison Psychiatry RD&E Wards Thursday TBA Research Friday TBA Special Interest On-call 1 in 14, Consultant Rota with Consultant Cover 12
POST: TRAINER: EMPLOYING TRUST: TRAINING BASE: StR in Psychiatric Rehabilitation and Recovery, Dr Rani Bora, MRCPsych MB BS Devon Partnership NHS Trust Wonford House Hospital, Exeter JOB DESCRIPTION The Service: 20 years ago, Exeter psychiatric rehabilitation services were well organised and well thought of but subsequently fell into decline and became either isolated and unsupported or were dispersed. With the inception of the Devon Partnership Trust and pursuit of the implementation of the NSF for Adult Mental Health (1999), coupled with thinking of clinical services as interactive systems, there was a renewed emphasis on developing a comprehensive and responsive rehabilitation service. This was both to meet the needs of its core patient group and through that the needs of a service as a whole. The appointment of a full time rehabilitation consultant in 2003 was a significant step in consolidating and taking forwards service developments that began 2 years previously. The service continued to grow and develop by adding a linked community team and then by growing connections with residential care providers. The service has been a leading area in Devon for the development of recovery orientated practice. The service currently comprises of two separate but connected areas of work – an inpatient, residential rehabilitation service for Devon and a community rehabilitation team for Exeter. Medical and psychology staff are shared across both teams and there are aspects of joint work and planning. The teams have separate nursing and OT staff and have different managers. The service is going through a process of re-provisioning currently, moving towards an integrated Residential and Community team. The StR Role: The StR is an apprenticeship role, learning rehabilitation psychiatry and at the present stage of service development, participating also in how to redesign a service shape and remodel it, taking advantage of new service developments and the complex process of re-commissioning existing ones. The StR would shadow the consultant clinically and in service development and planning processes. He or she would also take up specific projects and areas or responsibility as available. There will be ample opportunities to develop the whole range of specialist competencies in line with the specialist curriculum and the post holder will work across inpatient, community and out of area environments. Facilities: Russell Clinic is an inpatient ward (16 beds) at Wonford House Hospital, linked to a dedicated community rehabilitation team for Exeter. The ward is the main provider of residential rehabilitation for Devon. We also work with providers of residential care and have close relationships with providers in Exeter. Russell Clinic has the unique distinction within the trust of being awarded the AIMS (Accreditation of Inpatient Mental Health Services) by the Royal College of Psychiatrists in July 2011; AIMS is a standards based accreditation service designed to improve quality of care in psychiatric wards. Structures: There are a number of organisational structures though which clinical leadership, service governance and guidance on service developments and design are conducted. This included the Psychosis & Recovery Forum, the Rehabilitation Core Group, Multidisciplinary team supervision, referral and concerns meeting and 3 times a week inpatient hand-overs on Russell Clinic. In addition both residential and community teams have regular team and service development away days and we have close networking relationships with MIND and Rethink and particularly with Recovery Devon. We also have close working links with service user and carer groups. Population: Russell Clinic serves the same area as Devon Partnership Trust, i.e. 850,000. Community Rehabilitation Team serves only Exeter, with a population of 150,000 approximately. The Exeter 13
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SOUTH WESTERN DEANERY - South West Peninsula Deanery

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