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SOUTH WESTERN DEANERY - South West Peninsula Deanery

SOUTH WESTERN DEANERY - South West Peninsula Deanery

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POST:<br />

TRAINER:<br />

EMPLOYING TRUST:<br />

TRAINING BASE:<br />

General Adult Psychiatry<br />

Dr M Cooper<br />

Plymouth Primary Care Trust<br />

Glenbourne Unit & Home Treatment Team (HTT)<br />

JOB DESCRIPTION: This full time equivalent (FTE) training post provides an ample opportunity to gain<br />

experience in managing acutely unwell mental health working age clients. The post is primarily based in<br />

Glenbourne Unit and has close liaison work with Home Treatment Team as a part of gate keeping admissions to<br />

this inpatient unit. This post is under Outer City Locality of HTT/Glenbourne Unit. The outer city locality caters<br />

to people living and registered with GP practices within outer city catchment area and works in close<br />

association with 3 Community Mental Health Teams (Central North East, Plym and North <strong>West</strong> localities). The<br />

populace of nearly 77400 people are covered by 27 GP practices in this catchment area. As this area is<br />

deprived, the patients present with more complex psychosocial needs in addition to mental health needs and<br />

often carry dual diagnoses (with comorbid substance use, personality disturbances, learning difficulties and<br />

forensic involvements). The Integrated Care Pathways are being developed in lines with NICE & RCPsych<br />

Guidelines to manage these complex conditions. The inpatients are managed as voluntary or detained under<br />

Mental Health Act. Mostly admissions to Glenbourne are gate kept by HTT and discharged through the same<br />

route under newly developed Nurse Led Discharge Policy & facilitated by Satellite Service of HTT.<br />

The secondary mental health services are being redefined currently under QIPP & TCS agendas and apex<br />

services like Glenbourne & HTT are at the forefront of leading some quality improvement changes. The post<br />

holder would gain a greater understanding of these reforms and would provide a substantial support to teams<br />

working here. The post holder can accompany educational supervisor in some of these administrative meetings<br />

e.g., Consultant Psychiatrists Meetings on alternate Mondays and Glenbourne Development Meetings on once<br />

a month Wednesday mornings.<br />

The clinical responsibilities include assessment of new admissions to Glenbourne (Outer City Clients), reviewing<br />

them on regular basis, liaise with GPs, carers or key workers, discharge planning and leading weekly<br />

multidisciplinary ward rounds and community clinical reviews each under direct supervision of trainer.<br />

Additional skills in preparing reports and representing RC in Mental Health Tribunal Reviews as needed. Sec. 12<br />

(2) approval or training for the same would be required.<br />

The post holder would be directly responsible to Dr. Michael Cooper, Consultant HTT & Glenbourne Unit.<br />

Trainee would also have opportunities to interact with Dr. Naresh Buttan, Consultant Psychiatrist covering<br />

inner city division of Glenbourne & HTT. The clinical supervision during day time would be available from Dr.<br />

Cooper, Educational Supervisor (in addition to protected 1 hr weekly session on Monday afternoon) and his<br />

team at Glenbourne & HTT.<br />

The Glenbourne Unit has Foundation Year 2 Trainees posted for 4 months in each wards (Harford & Bridford).<br />

The post holder would be expected to provide work based supervision to the F2 Doctors in Bridford Ward.<br />

There are other teaching avenues. Local MRCPsych teaching can be negotiated. The <strong>Peninsula</strong> Medical School<br />

sends 3 rd & 4 th year medical students for 3 weeks rotation in psychiatry and this post holder would be expected<br />

to provide clinical bedside teaching to them.<br />

The post holder would also be able to co-chair (Chair- Dr. Buttan) twice/thrice monthly case conferences<br />

presented by other trainees. The Journal Club and Case Conferences are held twice/thrice in a month for 1 hrs<br />

48

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