SOUTH WESTERN DEANERY - South West Peninsula Deanery

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
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