SOUTH WESTERN DEANERY - South West Peninsula Deanery

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POST: TRAINER: EMPLOYING TRUST: TRAINING BASE: General Adult Psychiatry Dr M Cooper Plymouth Primary Care Trust Glenbourne Unit & Home Treatment Team (HTT) 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 Outer City Locality of HTT/Glenbourne Unit. The outer city locality caters to people living and registered with GP practices within outer city catchment area and works in close association with 3 Community Mental Health Teams (Central North East, Plym and North <strong>West</strong> localities). The populace of nearly 77400 people are covered by 27 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 gate kept 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 (Outer 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. Michael Cooper, Consultant HTT & Glenbourne Unit. Trainee would also have opportunities to interact with Dr. Naresh Buttan, Consultant Psychiatrist covering inner city division of Glenbourne & HTT. The clinical supervision during day time would be available from Dr. Cooper, Educational Supervisor (in addition to protected 1 hr weekly session on Monday afternoon) 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 the F2 Doctors in Bridford Ward. There are other teaching avenues. Local MRCPsych teaching can be negotiated. The <strong>Peninsula</strong> 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. The post holder would also be able to co-chair (Chair- Dr. Buttan) twice/thrice monthly case conferences presented by other trainees. The Journal Club and Case Conferences are held twice/thrice in a month for 1 hrs 48
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 as well. 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. The trainer has a special interest in Psychotherapies having trained in Cognitive Analytic Therapy and Psychodynamic therapy and has links with the psychotherapy department which offers opportunities for formal psychotherapy training across several modalities. There would be support and supervision for the trainee in developing a special interest in that area or any area of trainee’s choice depending upon the availabilities of resources. Other information regarding pay scales, hours of working, leave arrangements will be laid out in service contract and can be obtained from Medical Staffing Department at Glenbourne Unit. Weekly Timetables TRAINEE TIMETABLE: (Subject to variations) am pm Monday Tuesday Wednesday Thursday Friday Ward rounds with Glenbourne Unit/ Trainer at HTT as per the Glenbourne clinical needs Visit Glenbourne Unit for new assessments/ reviews support Satellite service of HTT & F2 doctor in Glenbourne Unit Option to attend Consultant Planning Meeting HTT (Home visits/ assessments) 1 hour (protected) of supervision with Trainer Special interest/ research/ academics Academic activities at Glenbourne Unit (Balint Group, journal club, case conference) Community Clinical Reviews at HTT HTT (visits/ assessments) HTT/ Glenbourne (visits/ assessments) Special interest/ research/ academic The Home Treatment Team Consultant Psychiatrist is the first point of call for Mental Health Act assessments which the trainee will be encouraged to undertake as per their educational needs. ON CALL – please state frequency of on-call and nature of duties plus arrangements for clinical supervision Currently 1 in 10 with consultants on call. The on-call cover is to provide psychiatrist cover for Plymouth Area, A&E, HTT, Glenbourne and other peripheral units within the trust. The supervision as per the clinical need provided by on-call consultants. TRAINER TIMETABLE: Monday Tuesday Wednesday Thursday Friday a.m. Consultant Meetings Glenbourne Ward Rounds Academics/CPDs/ Peer reviews Psychotherapy supervision HTT p.m. Glenbourne/ Home Treatment Team 1 hour (protected) of supervision with Trainer Glenbourne Ward Rounds Psychotherapy HTT Clinical reviews HTT(visits/assessments) HTT 49
Page 1 and 2: Specialty Training (ST4 - ST6) GENE
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SOUTH WESTERN DEANERY - South West Peninsula Deanery

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