SOUTH WESTERN DEANERY - South West Peninsula Deanery

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POST: TRAINER: RESEARCH INTERESTS: EMPLOYING TRUST: Adult and Community Psychiatry, Exeter Dr Sean Lynch Chronic Fatigue Syndrome and Somatoform Disorders Devon Partnership NHS Trust JOB DESCRIPTION: This post offers experience in assertive outreach approaches (including outreach with the homeless mentally ill) or community psychiatry. The community psychiatry component (general adult psychiatry) is based in Exeter and involves the Recovery and Independent Living Team (formerly CMHT) with opportunities for new patient reviews, community and hospital reviews (with the team). The service operates within a ‘New Ways of Working’ model, with reviews being largely planned jointly with care co-ordinators and other staff on the team. The team also receives new patient referrals (triaged by the Wellbeing and Access team). About 45-50,000 adults of working age in Exeter are covered by this part of the Recovery and Independent Living Team. The team is multidisciplinary with nursing, social work, occupational therapy and recovery/support workers. Dr Saluja (consultant psychiatrist) and Dr Pieczora (Associate Specialist) and a core trainee at CT2 level, work alongside the trainer, covering the remaining areas of the Recovery and Independent Living Team. Cross-cover arrangements are well-established between medical staff (it is anticipated that an additional core training post will be allocated to the service in February 2010). The Wellbeing and Access service, a new service with a primary care liaison function and which co-ordinates and triages referrals and assessments, has been developed. This is multidisciplinary and based in Exeter. It has close relationships with primary care services and can offer brief working and also assessment of referrals. This might also offer training opportunities of interest to specialty trainees. The Assertive Outreach component is based in Mid-Devon with the AOT base being in Crediton. This is a rural area and offers experience of this model of assertive outreach. The team consists of nursing and occupational therapy disciplines. This is a wide geographical area with two major clinical bases at Hillbank in Crediton and Silverlea at Tiverton. It has a caseload of about 39 patients, three care co-ordinators and a support worker. Care is delivered by a team-based approach. Regular clinical review meetings are held as well as planning and feedback meetings as per the Policy Implementation Guidelines for AOT services. The Outreach service for the homeless mentally ill of Exeter is based at the Clocktower Surgery in Exeter. The mental health workers in the service consist of two CPN’s and a social worker. The service links closely and seamlessly with the primary care team for the homeless and SHOT team (housing and accommodation outreach and support). About 70 patients are on the caseload of the mental health workers who have complex needs and co-morbidities in addition to severe mental illness. Due to their complex needs liaison with the Exeter AOT and ENDAS/EDP (alcohol and substance use services) frequently occurs. The service offers experience of outreach approaches for this patient group within in an inner urban area and of multi-agency working. There are regular Clinical Team / Review meetings and the team is moving towards a team-based model of working for more complex clients. Additional training opportunities include the special interest of the trainer in chronic fatigue syndrome and related disorders. The trainer has a wide range of interests and experience in medical education and research and can offer supervision opportunities in these areas. 28
TIMETABLES TRAINER A.M. P.M. Monday Patient reviews with Recovery and Independent Living Team (CMHT), Exeter Patient reviews with Recovery and Independent Living Team (CMHT), Exeter Tuesday Wednesday Thursday Friday Team Meeting Recovery and Independent Living Team (CMHT), Exeter CFS / ME Clinic, Whipton Hospital, Exeter Mid Devon Assertive Outreach Team Clinical Meeting. Crediton Patient reviews with Recovery and Independent Living Team (CMHT), Exeter 4pm Clinical Supervision Clocktower Surgery, Exeter (Outreach Service for Homeless Mentally Ill) 4 pm Educational Supervision Patient reviews with Mid, Devon AOT, Tiverton Patient reviews with Recovery and Independent Living Team (CMHT) or Wellbeing and Access Team (primary care liaison) 4pm Educational Supervision Patient reviews with Recovery and Independent Living Team (CMHT) or Mid Devon AOT TRAINEE A.M. P.M. Monday Patient reviews with Recovery and Independent Living Team (CMHT), Exeter Patient reviews with Recovery and Independent Living Team (CMHT), Exeter Tuesday Wednesday Thursday 0915-1115 Team Meeting Recovery and Independent Living Team (CMHT), Exeter 1130-1345 Clinical Education Programme (Case Conference and Journal Club) Special Interest Session or Patient reviews with Recovery and Independent Living Team (CMHT) Mid Devon Assertive Outreach Team Clinical Meeting. Crediton 4pm Clinical Supervision Clocktower Surgery, Exeter (Outreach Service for Homeless Mentally Ill) 4 pm Educational Supervision Special Interest Session or Patient reviews with Mid-Devon AOT Patient reviews with Mid-Devon AOT 4pm Educational Supervision 29
Page 1 and 2: Specialty Training (ST4 - ST6) GENE
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SOUTH WESTERN DEANERY - South West Peninsula Deanery

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