SOUTH WESTERN DEANERY - South West Peninsula Deanery

POST:
TRAINER:
EMPLOYING TRUST:
General Psychiatry -Inpatient and Home Treatment
Dr Naresh Buttan
Plymouth Primary Care Trust
JOB DESCRIPTION: This full time equivalent (FTE) training post provides an ample opportunity to gain
experience in managing acutely unwell mental health working age clients. The post is primarily based in
Glenbourne Unit and has close liaison work with Home Treatment Team as a part of gate keeping admissions to
this inpatient unit. This post is under Inner City Locality of HTT/Glenbourne Unit. The inner city locality caters to
people living and registered with GP practices within inner city catchment area and works in close association
with 2 Community Mental Health Teams (South East-Tamarside & South West- Waterfront localities). The
populace of nearly 98,000 people are covered by 14 GP practices in this catchment area. As this area is
deprived, the patients present with more complex psychosocial needs in addition to mental health needs and
often carry dual diagnoses (with comorbid substance use, personality disturbances, learning difficulties and
forensic involvements). The Integrated Care Pathways are being developed in lines with NICE & RCPsych
Guidelines to manage these complex conditions. The inpatients are managed as voluntary or detained under
Mental Health Act. Mostly admissions to Glenbourne are gatekept by HTT and discharged through the same
route under newly developed Nurse Led Discharge Policy & facilitated by Satellite Service of HTT.
The secondary mental health services are being redefined currently under QIPP & TCS agendas and apex
services like Glenbourne & HTT are at the forefront of leading some quality improvement changes. The post
holder would gain a greater understanding of these reforms and would provide a substantial support to teams
working here. The post holder can accompany educational supervisor in some of these administrative meetings
e.g., Consultant Psychiatrists Meetings on alternate Mondays and Glenbourne Development Meetings on once
a month Wednesday mornings.
The clinical responsibilities include assessment of new admissions to Glenbourne (Inner City Clients), reviewing
them on regular basis, liaise with GPs, carers or key workers, discharge planning and leading weekly
multidisciplinary ward rounds and community clinical reviews each under direct supervision of trainer.
Additional skills in preparing reports and representing RC in Mental Health Tribunal Reviews as needed. Sec. 12
(2) approval or training for the same would be required.
The post holder would be directly responsible to Dr. Naresh K. Buttan, Lead Consultant HTT & Glenbourne Unit.
Trainee would also have opportunities to interact with Dr. Mike Cooper, Consultant Psychiatrist covering outer
city division of Glenbourne & HTT. The clinical supervision during day time would be available from Dr. Buttan,
Educational Supervisor (in addition to protected 1 hr weekly session on Tuesday mornings) and his team at
Glenbourne & HTT.
The Glenbourne Unit has Foundation Year 2 Trainees posted for 4 months in each wards (Harford & Bridford).
The post holder would be expected to provide work based supervision to FY2 Dr. in Harford Ward. The other
teaching avenues e.g., teaching at MRCPsych programme being run locally can be negotiated. The Peninsula
Medical School sends 3 rd & 4 th year medical students for 3 weeks rotation in psychiatry and this post holder
would be expected to provide clinical bedside teaching to them.
Post holder would also be able to co-chair (Chair- Dr. Buttan) twice monthly case conferences presented by
other trainees. The Journal Club and Case Conferences are held twice/thrice in a month for 1 hrs each on
Wednesday mornings at Glenbourne Unit. Monthly once CPD and Grand Rounds each provide opportunities for
this post holder to demonstrate their presentation skills. The presentation slot in these academic activities can
be negotiated. The post holder would be expected to participate in an ongoing or fresh audit to demonstrate
their research skills.
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