HEEM EAST MIDLANDS
North School of Psychiatry
Higher Specialty Training Scheme
Dual Training in
General Adult Psychiatry and Medical Psychotherapy
(Majoring in Psychodynamic Psychotherapy)
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This post provides a 5 year training leading to dual CCTs in General Adult Psychiatry
and Medical Psychotherapy. The training is comprised of postings within the well
established higher training programmes for General Adult Psychiatry and Medical
Psychotherapy within the East Midlands (North) School of Psychiatry.
The post-holder will have attained core competencies in psychiatry, have
membership of the Royal College of Psychiatrists and be appointable at interview for
higher training in both General Adult Psychiatry and Medical Psychotherapy.
The programme is guided by an awareness of the need for the delivery, supervision
and promotion of psychotherapy in a range of general psychiatric settings and for the
integration of general psychiatric practice and principles within specialist
psychotherapy settings.
The structure of the training programme is as follows:
Year 1
General Adult Psychiatry (core experience) 8 sessions.
Psychotherapy 2 sessions.
Year 2
General Adult Psychiatry (core experience) 8 sessions.
Psychotherapy 2 sessions.
Year 3
Medical Psychotherapy (core experience) 8 sessions.
General Adult Psychiatry 2 sessions.
Year 4
Medical Psychotherapy (core experience) 8 sessions.
General Adult Psychiatry 2 sessions.
Year 5
Medical Psychotherapy with opportunities for integration. 10 sessions.
The weekly special interest sessions will come from General Adult Psychiatry in
years 1 and 2 and from Medical Psychotherapy time in years 3, 4 and 5.
The main priority will be to cover the core parts of both the General Adult Psychiatry
and Medical Psychotherapy curricula. Once this has been achieved it will be
possible to develop appropriate special interest work with cross-over between the
two specialties. There will be room for reasonable flexibility according to the
individual needs of the post-holder.
Throughout the programme the trainee will have educational planning meetings and
appraisal with supervisors from both the Medical Psychotherapy and General Adult
Psychiatry programmes.
The post-holder will take part in the General Adult Psychiatry on call rota throughout
their training.
Section 1 describes the General Adult Psychiatry training programme and Section 2
describes the Medical Psychotherapy training programme.
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Section 1
Training in General Adult Psychiatry
The rotation comprises 30 posts (including 3 Lecturers) rotating around 53 modules
11 POSTS -Nottinghamshire Healthcare NHS Trust -Nottingham
6 POSTS -Nottinghamshire Healthcare NHS Trust -Mansfield
1 POST -Nottinghamshire Healthcare NHS Trust -Forensic
6 POSTS -Derbyshire Mental Health Services NHS Trust
2 POSTS -Lincolnshire Partnership NHS Trust
The scheme overlaps flexibly with a similar scheme for Training in Old Age
Psychiatry. The above numbers per location include Old Age and General Psychiatry
Specialty Trainees. The rotational training scheme is approved by PMETB.
Contracted Hours
The hours of duty attached to each post will be the standard working week of 40
hours. The banding supplements vary according to the post.
Principles of Training and Duties of Rotational Training Posts
During years 1 and 2 the post holder will undertake 8 service sessions in placements
offering core General Adult experience (multi disciplinary team work, home
assessments and other acute work). It is likely that at least one of these posts will be
outside of Nottingham. The order in which attachments in the rotational scheme take
place will be decided by the Specialty Trainee Training Committee, taking into
account the preferences and experiences of the Specialty Trainees and following
discussion with their Training Programme Director. The trainees will hold an annual
allocation meeting at which most of the decisions on placements will be taken. The
TPD (General Adult) will make final decisions, particularly where these cannot be
decided at the allocation meeting. During these attachments the post holder will
participate in teaching and supervising junior staff and undergraduates, in the day to
day running of the team during their Consultant's absences, the duty rota and
supervising clinical services.
In years 3 and 4 the post holder will continue to have 2 sessions per week in general
adult psychiatry. The content of these sessions will be planned and agreed with the
educational supervisor.
Year 5: Medical Psychotherapy with integration opportunities. Please see page 10
for more information.
Organisation and Supervision of the Rotational Scheme
The Specialty Trainee rotation in General Adult Psychiatry is administered and
organised by the East Midlands School of Psychiatry Specialty Training Committee
for General Adult Psychiatry (Chair, Dr Tuhina Lloyd, Training Programme Director
GA). Specialty Trainees also have their own group, the membership of which
includes not only the General Adult Specialty Trainees, but also those in Old Age,
Child Psychiatry, Psychotherapy and Lecturers. Three Specialty Tutors offer
Educational Supervision, Career Guidance and Mentoring to the Specialty Trainee
overseen by the Training Programme Director.
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Hospitals and Departments Involved In the Specialty Trainee Rotation
The Nottingham Hospitals (Nottinghamshire Healthcare NHS Trust)
University Hospital, Queen's Medical Centre
This is a large university hospital based in Nottingham city approximately 2 miles
from the City centre. There are 2 gender specific general adult psychiatry wards with
a total of 42 beds. There is also a section 136 suite (Cassidy suite) housed between
the two wards which represents the primary place of safety for 136 patients in
Nottingham city and south county.
There is a mother and baby unit and community team also based at the QMC site.
The Department of psychological medicine based at QMC provides psychiatric
liaison to the general hospital (as well as to the other general hospital in Nottingham
– city) and also completes self harm assessments in A&E and on medical wards
Highbury hospital.
Highbury hospital is based within Nottingham city around 5 miles north of the city
centre in the area of Bulwell. There are 4 purpose built gender specific general
psychiatric wards based on this site (16 beds each) and a male only psychiatric
intensive care unit (10 beds) –total 74 beds.
The acute community assessment and treatment service including crisis services are
based here. This is a community mental health team dealing with new onset mental
disorders in Nottingham city and following service users up for up to one year.
Stonebridge centre.
This houses the Nottingham city recovery and assertive out reach community teams
and also has a crisis/home treatment service for Recovery/AO clients. The recovery
team manages clients with severe and enduring mental health conditions.
Westminster House.
This is a small site in Mapperley in Nottingham city where early intervention in
psychosis services are based.
Nottinghamshire South County.
Outside of Nottingham city are the 3 boroughs of Rushcliffe, Gedling and Broxtowe
each of which includes primarily suburban areas which make up part of the
Nottingham conurbation. Each area has it’s own community mental health team
which serves both new onset and recovery functions. Service users from these areas
are admitted to the wards at either QMC or Highbury alongside city service users.
County crisis services are based within Highbury hospital at present
The Derby Hospitals (Derbyshire Mental Health Services NHS Trust)
The Mental Health Service in Derby is based at a new-built Psychiatric Unit at Derby
City Hospital. There is a Mental Health Resource Centre a few minutes drive away at
the Derby Royal Infirmary site. This includes a new outpatient suite and a Day
Hospital for City patients. There are Community Mental Health Teams in all sectors.
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There are well-established services for Older Adults, Rehabilitation, Psychotherapy,
Drug and Alcohol and Child and Adolescent Mental Health, as well as Forensic and
Liaison psychiatry.
The Specialty Trainee Trainers are Drs R Denny, S Gillespie, Brownsett, E. Komocki
and S Thacker.
Derby offers excellent opportunities for research, audit and a wide variety of
specialist interest sessions in various clinical services or in management training. The
Specialty Trainees make an active contribution to the postgraduate training
programme. This includes weekly cases, seminars, journal club meetings and the
teaching of junior trainees and medical students.
The Lincoln Hospitals (Lincoln District Healthcare NHS Trust)
The Department of Psychiatry in Lincoln County Hospital is a modern purpose built
development which opened to patients in May 1987. It is situated next to the main
District General Hospital in Lincoln and is part of a far reaching phased
redevelopment of all medical facilities. The hospital is situated within a mile of the
centre of Lincoln and within walking distance of the richly historical Cathedral and
medieval area of Lincoln.
The Psychiatric Medical Staff associated with the Department of Psychiatry include
fifteen Consultants, three Specialty Trainees, ten Core Trainees and six staff grade
doctors. There is an active, lively Postgraduate Training Programme run by the
Clinical Tutor and the Specialty Trainee will be expected to contribute to the
organisation and teaching of the programme and to help Junior Doctors work towards
their MRCPsych. exams. The Specialty Trainee will be encouraged to take part in
local research and there is a good Psychiatric Library with the services of an
excellent Librarian.
There are two General Adult Psychiatry placements in Lincolnshire both currently
based in Grantham. These are:
1. Dr C Lewis - Grantham
2. Dr R Aziz - Grantham
Opportunities exist for two supervised elective sessions in (a) the Department of
Psychotherapy in Lincoln under Dr G Fisk, Consultant Psychotherapist, (b) Forensic
Psychiatry under the supervision of Dr P Barczak or (c) an elective of their own
choice. The timetable is structured so that the Specialty Trainees has a clear
opportunity to pursue their elective sessions or for research. The whole of
Wednesday is left free to allow the Specialty Trainee to be in Nottingham on the day
on which academic events are most likely to take place there. Friday all day is also
kept free for electives.
The Specialty Trainee would normally join the Lincoln second on-call rota with
consultant cover. This is on-call from home and the appropriate supplement would be
payable.
The Mansfield Hospitals (Nottinghamshire Healthcare NHS Trust)
This part of the trust serves a population of 300,000. This includes two large towns;
Mansfield, a predominantly industrial and mining town and Newark (60,000), a
medieval market town, together with surrounding suburbs, small mining towns and
agricultural areas. The Acute Services, Day Hospital and Rehabilitation Services for
the health district are provided in a new purpose built Psychiatric Unit, the Millbrook
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Unit in a large modern District General Hospital, King's Mill Hospital, Sutton in
Ashfield. There are community resource centres in Newark, Mansfield and Kirkby in
Ashfield together with ESMI continuing care beds in locally placed community
hospitals and continuing care beds for the functionally mentally ill in domestic style
bungalow units throughout the district.
There are six Consultants in Adult Psychiatry, two in Rehabilitation Psychiatry, three
in Old Age Psychiatry, two in Child & Adolescent Psychiatry and two in Learning
Disabilities. There are six StRs, five established Specialty Trainee posts in General
Adult Psychiatry, one established Speciality Trainee post in Old Age Psychiatry and
one Specialty Trainee post in Learning Disabilities. The junior medical staff are all on
the joint rotations with Nottingham. The services are fully sectorised and community
oriented.
There are seven Specialty Trainee level posts in Adult Psychiatry.
Mansfield Sector,
Mansfield Sector,
Mansfield Sector,
Ashfield sector,
Rehabilitation and Early Intervention,
Rehabilitation, Assertive Outreach and EIP,
Newark Sector
Dr Hugh Middleton (Senior Lecturer)
Dr Hosam Abed
Dr Gbenga Odeymi
Dr Kasha Wood
Dr Jane Tarrant (Mansfield/Ashfield)
Dr Tuhina Lloyd (Newark)
Dr Caroline Innes
The Specialty Trainees are expected to make a substantial contribution to the
postgraduate training programme which includes Case Conferences, Journal Clubs
and Clinical Audit, together with teaching and supervising the medical students.
Rampton Hospital (Nottinghamshire Healthcare NHS Trust)
Rampton Hospital is one of the three High Security Hospitals in England and Wales
for patients who require treatment under conditions of special security on account of
their dangerous, violent or criminal propensities. The hospital has 450 patients.
Services include: Male Mental Illness, Male Personality Disorder, Dangerous and
Severe Personality Disorder, National High Secure Learning Disability, Deaf Service
and National High Secure Healthcare Service for Women.
Major Clinical Sessions Based at Rampton Hospital with potential of experience at
other levels of security and prisons.
The trainee will, in discussion with the Training Programme Director be able to
choose from a range of placements. Presently Dr S Elcock is approved as a trainer
for the General Psychiatry scheme. Other placements are possible with Consultants
approved on the Forensic scheme.
General Facilities in the Nottingham Area
The main psychiatric library is on the Nottinghamshire Healthcare site in Duncan
Macmillan House. Each major hospital in the scheme has its own library. There is a
comprehensive medical reference library in the University of Nottingham Medical
School, to which all members of the hospital medical staff have free access and
borrowing rights.
The University Division of Psychiatry
The Faculty of Medicine of the University of Nottingham has recently adopted a new
structure, of several Schools. These are the Schools of Biomedical Sciences, Clinical
Laboratory Sciences, Human Development, Medical and Surgical Sciences,
Community Health Sciences and Nursing. The Division of Psychiatry forms part of
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the School of Community Health Sciences, alongside Rehabilitation Medicine,
General Practice, The Trent Institute for Health Service Research and Public Health
and Epidemiology. Within the division of Psychiatry there are senior academic
appointments supporting General Academic Psychiatry, Rehabilitation, Child and
Adolescent Psychiatry, Old Age Psychiatry. The Head of Division is Professor Chris
Hollis who is based at Queens Medical Centre.
The Division has accommodation on two sites; in the University Hospital, Queen's
Medical Centre (Behavioural Sciences, Old Age Psychiatry, Child and Adolescent
Psychiatry and Biological Psychiatry Research) and at Duncan Macmillan House
(Psychiatry and Community Mental Health and Education). The Division maintains
integrated educational activities and research meetings with administrative and other
committees rotating between the two main sites equally.
In common with other medical specialties our complement of clinical undergraduate
students are dispersed to centres across Nottingham, Derby and Mansfield for their
clinical experience but a substantial part of the regular didactic teaching takes place
at Duncan Macmillan House. The Division of Psychiatry also carries a considerable
responsibility for postgraduate education. Core training includes some 45 posts in
Nottingham, Derby and Mansfield. The Division also makes a significant contribution
to the local CPD programme.
List of approved training posts in General Adult Psychiatry
POST TRAINER
1
2
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
Drs
Flambert/Sommers
Drs Steels/Doody
Drs Abed/Middleton
Dr C Schofield
Dr N Sisodia
Drs Johnson/Fahy
Dr C Innes
Drs Worwood/Powar
Dr D Rhinds
Dr B Park
Dr S Leask
Dr E O’Regan
Dr J Tarrant
Dr T Lloyd
Drs Odeyemi/SiubkaWood
Drs SiubkaWood/Odeyemi
Drs Middleton/Abed
Dr R Huen
Dr S Dave
Dr M Kumar
Dr V Singh
Dr S Mahalingham
Dr P Brownsett
Dr R Aziz
Dr C Lewis
SPECIALTY
LOCATION
GA Psychiatry
Highbury
GA Psychiatry
GA Psychiatry
Liaison
Perinatal
GA Psychiatry
GA Psychiatry
GA Psychiatry
Addiction
Rehabilitation
Rehabilitation
Rehabilitation
Rehabilitation
Rehabilitation
GA Psychiatry
Highbury
Mansfield
QMC
QMC
Highbury
Newark
QMC
Wells Road
Wells Road
W’minster Hse
W’minster Hse
Mansfield
Newark
Mansfield
GA Psychiatry
Mansfield
GA/Academic
GA Psychiatry
GA Psychiatry
Rehabilitation
Rehabilitation
Addiction
Perinatal
GA Psychiatry
Rehabilitation
Mansfield
Royal Derby
Royal Derby
Royal Derby
Royal Derby
Royal Derby
Royal Derby
Grantham
Grantham
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28
29
30
Dr S Elcock
Dr Chopra/Tchoi
Dr Painuly
31
Dr Lankappa
32
Drs Tandon/Odeyemi
33
Dr Walter Bauman
Section 2
Forensic
GA Psychiatry
Early
Intervention in
Psychosis
GA Psychiatry
Rampton
Nottingham
Derby
Assertive
Outreach and
Rehabilitation
Gender Identity
Mansfield
Nottingham
Nottingham
Training in Medical Psychotherapy
The psychotherapy components of training will be part of the Specialty Training
Programme for Medical Psychotherapy which is managed within the East Midlands
(North) Specialty School for Psychiatry. There are three higher training posts in
medical psychotherapy: this post, another dual training post in medical
psychotherapy and general adult psychiatry and a forensic psychotherapy training
post (currently vacant). The majority of clinical training takes place within the
Psychological Therapies Services within Nottinghamshire Healthcare NHS Trust.
There may, in addition, be opportunities to gain experience within the Lincolnshire
and Derbyshire Trusts which are also linked to the North School. The training
scheme has close links with the clinical services and training programme in Leicester
which is part of the sister East Midlands (South) Specialty School for Psychiatry.
There is a higher trainee dual in medical psychotherapy and general adult psychiatry,
based in Leicester.
The content of the medical psychotherapy programme is determined by the Royal
College of Psychiatrists GMC/PMETB approved specialist curriculum in Medical
Psychotherapy. The post holder will major in Psychodynamic Psychotherapy (PDP)
and will be expected to achieve mastery of the theory, technique and application of
psychotherapy in that modality. There is also a requirement to achieve competencies
in the other two modalities of psychotherapy which are not the major modality for the
trainee (systemic psychotherapy and either psychodynamic or cognitive-behavioural
psychotherapy). Attainment of competencies will be managed and assessed through
the processes of regular clinical supervision, educational supervision and the ARCP.
The major components of a higher specialist training programme in medical
psychotherapy are as follows:
1.
Clinical experience in psychotherapy and supervision of this experience
2.
Academic programme/theoretical learning
3.
Personal therapy
4.
Teaching and supervision of others
5.
Research
6.
Audit
7.
Management and administration
ST4 The post holder will spend 2 sessions per week gaining introductory clinical
experience within psychotherapy under supervision.
This will comprise
orientation to the different components of psychotherapy treatment pathways within
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primary and secondary care and beginning clinical experience in assessment and
treatment.
ST5 The post holder will spend 2 sessions per week gaining more specialist
knowledge and an ability to critically evaluate the main theoretical approaches and
research background within psychodynamic psychotherapy. The academic
programme throughout the training will comprise an individualised and structured
private study plan supplemented by attendance of relevant seminars, workshops,
courses and scientific meetings. There is a small bench library in Nottingham
Psychotherapy Unit. There is a comprehensive psychiatric library on the
Nottinghamshire Healthcare NHS Trust site at Duncan Macmillan House, where
equipment for literature searches is available.
Alongside the theoretical learning provided within the core placement it is usual, and
recommended, for the trainee to undertake an externally recognised higher specialist
training in psychodynamic psychotherapy, successful completion of which leads to
eligibility for registration with the United Kingdom Council for Psychotherapy (UKCP)
or British Psychoanalytic Council (BPC). It is usual for any specialist training in
psychodynamic/psychoanalytic psychotherapy to take around four years (or more) for
completion.
There are a range of trainings available. The decision about which training might be
appropriate and supported will need to be made with the Educational Supervisor and
approved by the Training Programme Director.
The links for further information about UKCP (United Kingdom Council for
Psychotherapy), BPC (British Psychoanalytic Council) and BABCP (British
Association of Behavioural - Cognitive Psychotherapists) are:
UKCP: http//www.psychotherapy.org.uk/
BPC: http//www.psychoanalytic-council.org/
BABCP: http//www.babcp.org.uk/
Funding
The trainee will have access to the usual study leave funds. There may be
opportunities for some financial assistance towards the cost of externally recognised
training but this cannot be guaranteed.
Personal therapy is a core element in any specialist training in psychodynamic
psychotherapy with the exact requirements for this varying according to the training
which is being undertaken. The minimum requirement for a trainee majoring in
psychodynamic psychotherapy would be weekly personal therapy. The therapist
needs to be a psychoanalytic or psychodynamic psychotherapist registered with the
British Psychoanalytic Council or the United Kingdom Council for Psychotherapy
(UKCP) and agreed with the psychotherapy training programme director.
Whilst personal therapy is not a mandatory requirement within CBT training, there are
significant benefits which can be achieved through this form of training and the post
holder will be encouraged to undertake and evaluate relevant experiential learning.
There may be opportunities for some financial assistance towards the cost of personal
therapy but this cannot be guaranteed.
ST6 and 7 The post holder will be based within the psychotherapy services for 8
sessions per week. The major clinical component during this time will be within the
major modality, gaining experience with a broad range of cases. As training
progresses the post holder will be expected to engage with more complex cases, to
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engage in consultation work and to gain experience of operational issues within the
service (including management and audit). Experience within the other two core
psychotherapy modalities will also be undertaken during this phase of the training.
Supervised experience of teaching and supervision at undergraduate and
postgraduate levels will be a feature throughout the programme. In years 3 and 4
there will be specific opportunities to take a lead role with colleagues on design,
delivery and evaluation of teaching for medical students and the delivery of Royal
College curricular requirements for psychiatry trainees. In addition there will be
opportunity to provide teaching and supervision in other academic and
multidisciplinary settings.
The trainee will be expected to be active in gaining knowledge and experience in the
area of research during the course of their higher training in this post. The trainee
will need to develop an awareness of the impact of research findings on practice and
of how to critically appraise new contributions to the literature. The development of
an understanding of clinical research methodology and the practicalities of designing,
undertaking and disseminating research in the NHS will be required, ideally through
the trainee undertaking a personal research project under supervision. The research
components throughout the 5 year programme will be planned jointly with the
educational supervisors from both parts of the programme.
The trainee will be expected to be involved in audit activity and to develop their
ability to conduct and complete audit in clinical practice. There will be opportunities
for this experience within the Psychological Therapies Services and/or wider Trust
services.
The trainee will be actively involved in the internal management and administration
of the psychotherapy service. Training in general management principles and
experience of wider management issues within the Trust will be encouraged.
ST8: Medical Psychotherapy with integration opportunities: five days.
This year will be devoted to psychotherapy and its applications in psychiatry.
The aim in this final year of training is for the trainee to begin to consolidate the
integration of their psychiatric and psychotherapeutic experience that has been
developing over the previous four years and to consider the particular role of a
medical psychotherapist/psychotherapeutic psychiatrist in mental health services.
The trainee’s placements and Training Plan will, in the latter part of the training, have
come to reflect particular areas of special interest with placements agreed in
collaboration with educational supervisors and the psychotherapy and general adult
psychiatry training programme directors. The exact content of this year will be
finalised during Year 4 in joint consultation with the educational supervisors from both
parts of the programme. It is recognised that the post holder is likely to require a
portion of the Year 5 time table for completion of specific competencies or pieces of
work that have been started during years 1-4. Year 5 provides an opportunity for the
post holder to develop in an area that explicitly combines General Adult and
Psychotherapy competencies. This may be within a specific clinical setting and/or
within a specific role (for example provision of consultation, training or supervision
tailored to the needs of a service)
Facilities
The main clinical training in psychotherapy will take place within the Psychological
Therapies Services within the Adult Mental Health Directorate of the Nottinghamshire
Healthcare NHS Trust.
The Trust’s consultant psychiatrists in medical psychotherapy are:
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Dr Richard Fox, Consultant Medical Psychotherapist (Cognitive-Behavioural) based
at Nottingham Psychotherapy Unit.
Dr Rhona Sargeant, Consultant Medical Psychotherapist (Psychodynamic) based at
Nottingham Psychotherapy Unit (7 sessions).
Dr Helena Vassiliadis, Consultant Medical Psychotherapist (Psychodynamic) based
in Mansfield (6 sessions).
The psychodynamic clinical teams are based at
a) Nottingham Psychotherapy Unit where there is consultant medical
psychotherapist, Dr Rhona Sargeant; one consultant adult psychotherapist (Mr Tom
O’Reilly); other members of staff from a variety of disciplines; and a higher trainee in
dual medical psychotherapy and general adult psychiatry.
b) Mansfield where there is consultant medical psychotherapist, Dr Helena
Vassiliadis; a dual trainee in medical psychotherapy and general adult psychiatry and
a number of other members of staff from a variety of disciplines.
The cognitive-behavioural clinical team works from bases within Nottingham,
Mansfield/Newark and Bassetlaw. The team currently comprises: one whole time
medical consultant, Dr Richard Fox; one nurse consultant in psychological therapies,
Ms Anne Garland, and other members of staff working as adult psychotherapists
All the staff teams provide a clinical service and teach and train at undergraduate,
postgraduate and specialist levels. There is active involvement in research. Currently
the CBT team is closely associated with an innovative specialist depression service
that is being developed and evaluated as part of the CLAHRC initiative. In addition
to ‘stand alone’ psychotherapeutic treatments the teams offer consultation as part of
broader packages of care provided within secondary mental health care services.
There are opportunities for other staff, including junior psychiatrists, to be attached to
the services as visiting therapists at various stages of professional training. There is
an active programme of clinical meetings, journal discussion groups, case discussion
groups and audit projects. There are good working links with psychotherapy services
in neighbouring Trusts.
The clinical teams have good working links with local IAPT services and general
adult psychiatry services within secondary care.
Experience in systemic therapy has usually been accessed by liaison with the Trust’s
Child and Adolescent Mental Health Services.
Arrangements for educational and clinical supervision and approval of any additional
postings/experiences are managed by the Training Programme Director (Dr Rhona
Sargeant) and the Specialty Training Committee (which includes trainee
representation).
Conditions of Service
The appointment is subject to the Terms and Conditions of Service of Hospital
Medical and Dental Staff (England and Wales) as amended from time to time and
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also such other policies and procedures as may be agreed by the Nottinghamshire
Healthcare NHS Trust which acts as the lead trust in administration of the rotation.
The salary scale is in accordance with current nationally agreed salaries.
On-call/Emergency Duty Rota
The banding supplements vary according to the post.
Nottingham Hospitals – QMC and Highbury and Porchester
The Specialty Trainee works on a 1:10 on-call rota including prospective cover of
colleagues on annual and study leave.
Derby City General
The Specialty Trainee is on-call 1 night in 5 and 1:5 weekend shared with the
consultants.
Rampton Hospital
The Specialty Trainee shares a week on-call/emergency duty rota of 1 night in 20
with the consultants.
Millbrook Unit (Mansfield Hospitals)
The Specialty Trainee works on a 1:7 on-call rota including prospective cover.
Lincoln
The Specialty Trainee works on a 1:5 on-call rota including prospective cover.
Health Clearance and Medical Examination
This appointment is subject to clearance of the appointee's Occupational Health
Questionnaire and the appointee may be required to undergo a medical examination
and chest X-ray.
Potential candidates should be aware of the Department of Health and GMC/GDC
requirements with regard to HIV/AIDS and Hepatitis viruses.
Study Leave
This is granted in accordance with the recommended allowance, subject to the
maintenance of the service and to prior formal approval by the Lead Trust for the
specialty.
Annual leave
Specialty trainees are entitled to leave at the rate of six weeks per year
Residence
The appointment does not require the appointee to reside in hospital. Irrespective of
his/her place of residence it will be the appointee's responsibility to ensure that when
on call he/she will be available by telephone and able to reach the hospital in time to
meet his/her clinical commitments.
Removal Expenses
Nottinghamshire Healthcare NHS Trust operates its own relocation expenses policy
throughout the Rotation. You should not commit yourself to any expenditure in
connection with relocation before first obtaining advice and approval from the Medical
Staffing Advisor, otherwise you may incur costs, which you will be unable to reclaim.
Termination of Employment
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Specialty trainees are required to give a minimum of three months notice of
termination of their employment. Only in exceptional circumstances will less than
three months be allowed.
Health & Safety
The participating Trusts recognise their duties under the Health and Safety at Work
Act 1974. All medical staff will be expected to comply with the relevant Health and
Safety policies in operation throughout the scheme.
The Trust operates a No Smoking Policy, which will form part of the contract.
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