This document contains two General Psychiatry placement descriptions: North Central Thames Foundation School (NCTFS) Individual Placement Description – Basildon and Thurrock University Hospitals NHS Foundation Trust Placement The department F2 General Psychiatry Community The placement would be at the Brentwood Resource Centre in Brentwood which is a community based Mental Health Team covering Recovery and well being. Team consists of Psychiatrist, CPNs, Social workers, Psychologists and Occupational Therapists. There are out-patient clinics, Depot Clinic, Physical Health Clinic, Art Psychotherapy and various Group therapies. There is also placement at Basildon, The department is part of the South Essex Partnership NHS Trust and is based at the Mental Health Unit on the premises of the Basildon General Hospital. The services provided include Acute admission assessment unit, General adult psychiatry inpatient wards, Old age psychiatry inpatient ward and the Psychiatric Intensive care unit. The team also provides the Psychiatry Liaison service to the DGH. In addition to this there is also community services and outpatient clinic based in the same unit and in the community. There is a well resourced Psychotherapy and psychology department lead by consultant Psychotherapist. The Mental Health Unit caters for a population of around 300,000 from the Basildon and Thurrock areas. The type of The Foundation Doctor post would be community based. work to They will be attached to a Consultant who will be their Clinical supervisor. The work involves, expect and Outpatient clinics, Multi-disciplinary meetings, Home visits and attendance at PG teaching learning sessions. The Foundation doctors will always be supervised in their work by senior doctors. opportunities They will also receive dedicated one hour/week of individual supervision with their Consultant. During the placement the doctor will be able to have experience in the following Take a psychiatric history and do mental state examination Risk assessment and formulate management plan Prescribe psychotropic medication safely Keep an accurate and relevant medical record Communicate effectively with patients, relatives and colleagues Work within a Multi-disciplinary team Use evidence, guidelines and audit to benefit patient care Understanding of the psychological modalities of treatment Act in a professional manner at all times Deal with ethical and legal issues which occur during the management of patients with psychiatric problems Educate patients effectively Location Brentwood Resource Centre, Greenwich Avenue Brentwood CM14 4SW Supervisor(s) Dr Ashok Bhiman Main duties The Foundation doctor is responsible with other staff, for conducting outpatient clinics, writing of the letters to the GP, review of previous records of patients, formulation of management plans, placement attend MDT meetings. They will be included on the on-call rota for the mental health services to provide out of hours cover for the wards and A&E Liaison. They are encouraged to attend the structured teaching programmes provided for the psychiatric trainees. The doctor will be responsible for such other specific clinical duties as allocated by consultants including performing other duties in occasional emergencies and unforeseen circumstances. Typical Mon: 0900 – 1200 OP Clinic working 1300 – 1700 CMHT MDT Meeting pattern in Tues: 0900 – 1300 Out patients clinic this 1300 – 1700 Writing letters other admin work placement Wed: 0900 – 1300 CMHT Work 1330 – 1700 OPD Thurs: 0900 – 1200 Formal Teaching Programme 1300 – 1400 Balint Group 12.00-14.00 weekly Curriculum F2 teaching (protected teaching) at BTUH 1400 – 1700 Fri: 0900 – 1130 MDT Meeting 1130 – 1700 FRT Clinic On call: 1 in 10/11. Only one shift for FY1 shifts 0900 – 2130 The above is a general timetable. This is subject to change depending on the training and service needs. The trainee is expected to be flexible with this time table Employer South Essex Partnership Trust is one of the leading providers of mental health services in the information country. It provides services in Essex, Bedfordshire and Luton. It has services for most of the subspecialties in psychiatry, including medium secure forensic and CAMHS inpatient services. The Trust HQ is based at the Lodge, Runwell. The web address for the Trust is www.sept.nhs.uk It is important to note that this description is a typical example of your placement and may be subject to change. Placement The department F2 General Adult Psychiatry Community The multi-disciplinary team/service comprises of General Adult Consultants, I Staff Grade, Senior Trainee, Community Psychiatric Nurses, Social Workers, Support Workers, Psychologists, Psychotherapists and Occupational Therapists. The team offers clinical assessment service (the gate keeper to Secondary Services) and a Duty System (whereny a Duty Worker is available 5 days a week during work hours for emergency consultation) There is a well resourced Psychotherapy and psychology department lead by consultant Psychotherapist. The Mental Health Unit caters for a population of around 300,000 from the Basildon and Thurrock areas. The type of This post is primarily based in the community. The Foundation doctor will be attached to a work to Consultant who will be their Clinical Supervisor. expect and During the placement the doctor will be able to have experience in the following learning Take a psychiatric history and do mental state examination opportunities Formulate management plan Management of psychiatric emergencies and Rapid Trainquilization Prescribe psychotropic medication safely Keep an accurate and relevant medical record Communicate effectively with patients, relatives and colleagues Work within a Multi-disciplinary team Use evidence, guidelines and audit to benefit patient care Act in a professional manner at all times Deal with ethical and legal issues which occur during the management of patients with psychiatric problems Educate patients effectively There is opportunity to participate in Mental Health Act assessments. There is also opportunity to take part in audit activities and this is encouraged. We have weekly academic meetings attended by external speakers, clinical review clubs, case conferences and weekly journal clubs for trainees. You will also have the opportunity to undertake teaching for medical students. Meeting your clinical supervisor is held on a weekly basis and the allocated one-hour slot is on Friday afternoon from 2.00-3.00pm. There is a library facility at Rochford Location (SEPT) Brentwood Resource Centre, Greenwich Avenue, Brentwood CM14 4SW Supervisor(s) Dr Vishal Agrawal Main duties This post is primarily based in the community. The Foundation Doctor will be attached to a of the Consultant who will be their Clinical supervisor. The work involves clerking and regular review placement of patients. The Foundation doctor will always be supervised in their work by senior doctors. They will also receive dedicated one hour of individual supervision with their Consultant. The doctors will also be conducting outpatient clinics under consultant supervision. There will be opportunities to do home visits with senior members of Community Mental Health Team, take part in Mental Health act assessments, take part in health and well-being clinics jointly run by Occupational Therapists and medical staff and take part in multidisciplinary team meetings. In patient experience can be gained if required as part of training. There will also be opportunity to gain experience in ECT. There are numerous opportunities for audit and research participation. The clinical supervisor is also Clinical Director of Community services and there are ample opportunities for management experience and an opportunity to contribute to educating other professionals within the multidisciplinary team. Typical Mon: am Clinic Brentwood with senior trainee working pm First Response Team - Basildon pattern in Tues: am Clinic Brentwood this pm CMHT, home visits, admin placement Wed: am Clinic Basildon pm CMHT, admin Thurs: am Teaching pm F2 teaching (protected curriculum teaching) at Basildon (BTUH) Fri: am Inpatient/Community MDT pm Admin – Meet Clinical Supervisor On call: The trainee participats in rota for junior trainees in Basildon Hospital. The above is a general timetable. This is subject to change depending on the training and service needs. The trainee is expected to be flexible with this time table Employer South Essex Partnership Trust is one of the leading providers of mental health services in the information country. It provides services in Essex, Bedfordshire and Luton. It has services for most of the subspecialties in psychiatry, including medium secure forensic and CAMHS inpatient services. The Trust HQ is based at the Lodge, Runwell. The web address for the Trust is www.sept.nhs.uk It is important to note that this description is a typical example of your placement and may be subject to change.