UNIVERSITY OF NOTTINGHAM RECRUITMENT ROLE PROFILE FORM Job Title: Clinical Associate Professor in Old Age Psychiatry School/Department: School of Medicine, Division of Psychiatry & Applied Psychology Salary: £75,249 - £101,451, depending on seniority Job Family and Level: Clinical Academic - New Consultant Contract Contract Status: Permanent Hours of Work: Full-time, 10 PA (40 hours per week) Location: Institute of Mental Health, Jubilee Campus, Nottingham Responsible to: Head of Division of Psychiatry& Applied Psychology 1. Introduction This post has arisen as result of the partial retirement of Clinical Associate Professor Rob Jones. The purpose of the post is to develop and lead a programme of research which will have a demonstrable impact on the wellbeing and quality of care of older people with dementia and other mental health problems. We are seeking a clinician with enthusiasm for multidisciplinary research and experience of working with older people and people with dementia: someone who has the vision to harness existing strengths within the Institute of Mental Health and the wider University in order to contribute towards building our centre of excellence in dementia research. The post holder will work closely with Professor Tom Dening, who holds the Barchester & Nottinghamshire Healthcare Professorship in Dementia Research, to further these academic and strategic aims. The post will also include suitable clinical work and will make a significant contribution to undergraduate and postgraduate education. The post is located within the Institute of Mental Health (IMH) which occupies a new, purpose built building. The IMH is a partnership between the University of Nottingham and Nottinghamshire Healthcare NHS Trust, providing access to an outstanding research infrastructure including medical statistics, systematic review, qualitative methods and health economics. The IMH also offers many exciting opportunities for interdisciplinary collaborations including in the fields of nursing, neuroscience, occupational therapy, sociology, law, health psychology and forensic psychology. Dementia research is an important national priority and also for the Division of Psychiatry and the IMH who are committed to increase the profile of dementia research. The IMH has an increasing national profile and has built up several centres around its main areas of research activity, among which dementia will become one such centre. Both the IMH and Notts Healthcare have a strong partnership with Barchester Healthcare and joint developments have included the Chair in Dementia Research. 2. Research in Dementia and Old Age Psychiatry The Barchester and Nottinghamshire Healthcare Chair in Dementia Research was established in October 2013 with the appointment of Professor Tom Dening, with the express aim of raising the profile of dementia research and bringing together existing and new collaborations across disciplines and across departments. Current research includes collaborations with population based studies (MRC-Cognitive Function and Ageing Study (MRC-CFAS) and the Cambridge City over 75 Cohort study); care homes (Optimal); decision making (DECIDE); clinical trials (e.g. DOMINO-AD and a vascular dementia trial, AFFECT, starting in 2014); social sciences and social care (in collaboration with Professor Justine Schneider, Sociology & 1 Social Policy); dementia and employment (Professor Amanda Griffiths); technology as applied to dementia (NIHR MindTech Health Technology Centre); and arts and creativity in dementia (Associate Professor Victoria Tischler). Other recent work has included a systematic review on dementia screening that has had national impact; and the recent publication of the latest edition of the Oxford Textbook of Old Age Psychiatry (eds. Dening & Alan Thomas (Newcastle)), recognised as the leading textbook in this field. The Trent Dementia Research Network (TDRN) has recently appointed a co-ordinator (Dr Tony Kelly) to increase the volume of research activity and project manage the launch of a centre for dementia within the Institute of Mental Health. The TDRN is a collaboration between the Trust and the University which is sponsored by the Trust and supported by the IMH. Our existing strong research collaborations (notably with Rehabilitation & Ageing and with Sociology and Social Policy) mean that there is a virtual centre for ‘Research into Dementia and Ageing’ which this post would constructively strengthen. We have many already established working relationships with diverse external partners, including the Alzheimer’s Society, Age UK, Barchester Healthcare, Abbeyfield, PPI activity, local carers, and NHS Trusts across the East Midlands. Established relationships within the University include the Division of Rehabilitation and Ageing, Primary Care, Health Economics, Medical Statistics, Sociology and Social Policy, Neurology, Neuroradiology, Human Genomics and Molecular Genetics, Nursing, and Mental Health Law. Older People’s Health has been a theme in the Notts, Derbyshire and Lincs NIHR CLAHRC, and we will be working with Professor John Gladman, theme lead for Older People within the new East Midlands CLAHRC. Dementia has been identified as a key strategic area of research for the Division of Psychiatry and Applied Psychology, the Institute of Mental Health and Nottinghamshire Healthcare NHS Trust. The IMH Centre for Dementia will be launched in May 2014. Dementia research has been generously supported by a donation of £0.5M over 10 years from Professor & Mrs Tony Marmont (administered through the NUH Charity). The first £120K of this has been allocated to the project Improving Dementia Education and Awareness (IDEA), emerging from a consortium led by Justine Schneider. IDEA provides a one-stop internet-based tool offering tailored training and support to help people working with dementia. The donation also supports the employer of the TDRN co-ordinator. We are looking to work with the donor to promote more such donations and to achieve matched funding from other sources. These elements combine to produce a huge opportunity for the development of dementia research in Nottingham, based around the new Chair and the centre for dementia research, building on our established close collaborations and partnerships with key stakeholders. 3. Duties and Responsibilities Illustrative timetable Monday Tuesday Academic all day Clinical: Home visits/OP clinic Wednesday am - educational meeting or MHSOP consultant meeting Thursday Academic all day Friday am – clinical visits CMHT allocation meeting pm - academic 2PA academic 2PA direct clinical care 1PA SPA 1PA academic pm –teaching/ patient admin 2PA academic 1.5PA direct clinical care 0.5 SPA: supervision of GP trainee a) Research (35% of time) To develop and lead an internationally excellent research programme in research into dementia and/or other mental disorders in old age To attract research funding from Research Councils, NIHR, prestigious charities 2 To produce research output which will be considered to be of international excellence in the forthcoming Research Excellence Framework To undertake research which will impact on policy and practice in a measurable way To make a substantial contribution to the programme of dementia care research within the Division To attract PhD students and research capacity building fellowships to the Division To provide research supervision for doctoral students, master’s students and undergraduate medical students To develop multidisciplinary research collaborations within and out-with the University To participate in Divisional and School research-related educational events (e.g. research seminars, away days etc) b) Teaching (10% of time) To lead undergraduate teaching on older people’s mental health for the Division Other undergraduate/postgraduate teaching To supervise BMedSci undergraduate research projects c) Administration and Management (5% of time) Membership of the Divisional Management Group Undertaking performance reviews of line-managed staff Contributing to appraisals of clinical staff within the Division Membership as required of University/School committees Undertaking a share of other duties which promote or facilitate the work of the Division externally to the University (e.g. membership of research funding panels, guideline development groups, editorial duties for journals, membership of national committees etc) d) Clinical Duties (50% of time – 5 sessions) Direct clinical contact 3.5 sessions per week- consultant sessions in old age psychiatry This post will work within the Community Mental Health Team (CMHT) for Older People and Memory Assessment Service (MAS) for Nottingham City South. This is a multidisciplinary team with a full time NHS Consultant (Dr Shan Chatterjee), an academic Consultant (Professor Tom Dening), team manager, 7 nursing staff (one unqualified), an occupational therapist/ technical instructor, a physiotherapist post (currently vacant), and a clinical psychologist and trainee psychologist. There is a Memory Assessment nurse and the team manager acts as a non-medical prescriber managing MAS and CMHT. There are approximately 1200 referrals per year to the CMHT and the MAS. The majority of referrals are seen in memory clinics, which include nurse-led clinics The post is supported by a GP trainee, and opportunities exist for ST4-6 trainees when available Clinical duties will include out-patient clinics and community referrals. There are no in-patient responsibilities. The post will also involve liaison with and giving advice to the Intermediate Care Teams and the City Dementia Outreach Team. These duties are subject to agreement between the post holder and the Clinical Director for Mental Health Services for Older People (MHSOP) Provision of reciprocal cover for Nottingham based Old Age Consultant colleagues in the directorate for periods of leave The post holder will be provided with office space, access to a PC and administrative support Supporting professional activities 1.5 sessions per week – to include training, educational events, the auditing of care, clinical meetings etc, to meet clinical educational needs as specified for appraisals/revalidation and CPD requirements of the RCPsych Opportunities for educational and or clinical supervision with trainees The clinical duties of the post are subject to review on an annual basis and in the light of the changing requirements of the service. Continuing Professional Development (CPD) All Consultant medical staff in Nottinghamshire Healthcare NHS Trust are subject to an annual review with a Job Plan decided between the post holder and the Clinical Director. Each Consultant will have a personal CPD plan for the year, decided by them in consultation with the Clinical Director. The appointee will join with other Consultants in a peer group development process which will enable them to formulate their personal development plan as well as obtain peer supervision. The appointee will be expected to undertake CPD in line with the recommendations of the Royal College of Psychiatrists and the Trust will 3 undertake to allow time and funding for such educational activities. Appropriate study leave will be supported and there is a notional annual budget of up to £1000 per consultant for approved CPD activities. The appointee will be encouraged to seek a professional mentor. Audit It is expected that all Consultants and their junior staff are actively involved in audit as part of Clinical Governance activity. Psychiatric library facilities are available in the Greenfield Library at the Queen Medical Centre and there is a newly refurbished dedicated Mental Health and Learning Disability library at Duncan Macmillan House. On call There is a separate MHSOP consultant on call rota which is currently a 1 in 9. The postholder is expected to contribute pro rata to on call duties. Section 12 (2) status is desirable. Senior Medical Staff Committee There is an active Senior Medical Committee, which meets on a monthly basis and is well attended. The meeting allows Consultants to be informed and to contribute to clinical and management changes. It allows an opportunity for consultant colleagues to meet and work together. Half day meetings round a particular theme further facilitate this. 4. The Person: Knowledge, Skills, Qualifications & Experience Essential Desirable Education and Undergraduate medical degree (or qualifications equivalent) MD/PhD (or equivalent) in relevant area (or close to completion) GMC registration and a licence to practice in the UK Certificate of Completion of Specialist Training (CCST) or equivalent and inclusion on the specialist register for Old Age Psychiatry (or have eligibility) Research Clinical and research skills relevant to Expertise in statistical methods and old age psychiatry clinical trials Significant contribution to research in Experience of undergraduate and old age psychiatry with high quality postgraduate project supervision publications of internationally Evidence for possibility of recognised importance international research collaborations Enthusiasm and willingness to supervise research projects for doctoral students, Masters students, psychiatrists in training and undergraduate medical students Evidence of capacity to raise competitive research funding Evidence of impact of research (e.g. on clinical practice, policy, strategy or guidelines) Teaching Track record of innovative teaching at Experience of curriculum undergraduate or post-graduate development level, with evidence of good feedback from students Experience of student-centred approaches to learning and teaching, different types of assessment and higher education quality assurance 4 Skills and training Statutory/ Legal mechanisms Commitment to evidence based practice and evaluating clinical effectiveness Evidence of participation in continuing professional development Excellent oral and written communication skills Excellent organisational skills Excellent time management skills Satisfactory Enhanced disclosure from the Disclosure and Barring Service Approval under section 12(2) MHA 1983 (will be expected upon appointment) 5. Further information Any merit award or discretionary points, which may be granted on a personal basis, will be subject to agreement with Nottinghamshire Healthcare Trust and would be funded from NHS sources. Informal enquiries may be addressed to Professor Tom Dening, Professor of Dementia Research, tel: 0115 82 30421, email: tom.dening@nottingham.ac.uk or Professor Cris Glazebrook, Head of Division of Psychiatry & Applied Psychology, tel: 0115 8230420, email: cris.glazebrook@nottingham.ac.uk. Clinical enquiries may be addressed to Dr Ola Junaid, tel: 0115 9560848, email: ola.junaid@nottshc.nhs.uk. Please note that applications sent directly to this email address will not be accepted. Further information is available at www.nottingham.ac.uk/chs/divisions/psychiatry/index.aspx for the Division of Psychiatry and at www.institutemh.org.uk for the Institute of Mental Health. Because of the nature of the work for which you are applying, this post is exempted from the provisions of Section 4 (2) of the Rehabilitation of Offenders Act 1974 by virtue of the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975. Candidates are therefore, not entitled to withhold information about convictions, which for other purposes are “spent” under the provisions of the Act, and in the event of employment any failure to disclose such convictions could result in dismissal or disciplinary action by the University. Any information given will be strictly confidential and will be considered only in relation to an application for positions to which the Order applies. Applicants will be considered on an equal basis, subject to the relevant permission to work in the UK as defined by the requirements set out by the UK Border and Immigration Agency. Please visit http://www.ukba.homeoffice.gov.uk/ for more information. 5 Appendix A University of Nottingham General Information A.1 The City of Nottingham Nottingham is a vibrant cultural centre with theatres, a concert hall, a 9000 seat arena, a new gallery of contemporary art and one the best independent cinemas in the country. It also ranks as one of the UK’s leading retail centres and has many excellent eating places including a 2 Michelin starred restaurant. Nottingham is geographically well-connected with excellent rail links to London and rail and air links to Europe. There is easy access to the Peak District and the Vale of Belvoir and Nottingham has great leisure facilities including the National Ice Centre, the National Watersports Centre and one of the largest tennis centres in Europe http://www.experiencenottinghamshire.com/. The population of the city in 2011 was 305,680, though the administrative area of Nottingham City is adjoined by other suburban areas, including parts of the Broxtowe, Gedling and Rushcliffe districts, which make the Nottingham metropolitan area over twice this size. The population in 2011 was 71.5% White (65.4% White British), 13.1% Asian, 7.3% Black British, 6.7% Mixed Race, and 1.5% Other. About 35,500 residents are over 65 years old (11.8%) – the proportion in the city being relatively low because of the high numbers of University students: 32% of the city’s population is aged 18-29. Nottingham is ranked the 20th most deprived district in England, with corresponding rankings in terms of child welfare, people on benefits and low incomes, and low levels of educational achievement. The surrounding county of Nottinghamshire has a population of 785,800 (2011 figures) about 18% of whom are aged 65+. A.2 University of Nottingham The University of Nottingham is one of the UK's leading research universities, ranked 7 th in the U.K. for research power in the 2008 RAE. The established world rankings index compiled by Shanghai Jiao Tong University ranks Nottingham 10th in the United Kingdom. The Times Higher Education-QS World University Rankings in 2009 place Nottingham in the Top 1% of all universities worldwide. The institution is now firmly established within the world's 100 best universities in both tables. The University of Nottingham is also the UK’s most popular University among applicants. The main university campus is set beside a lake, in an extensive belt of woodland, parks and playing fields. The 330-acre University Park Campus is the focus of life for more than 22,000 students and houses the majority of the University's academic schools and many of the central Services. The University Medical School is situated next to University Park. Together with the University Hospital, it forms the Queen's Medical Centre (QMC) campus of Nottingham University NHS Trust. A.3 University of Nottingham Medical School The University of Nottingham Medical School was established in the late 1960s. The clinical departments of the School are closely integrated with the Health Service, and the Medical School closely collaborates with local NHS Trusts in developing healthcare in the Nottingham area. The first Nottingham trained doctors qualified in 1975 and there is now an annual intake of more than 270 students to the Basic Medical Sciences years. Clinical teaching has been in progress since April 1973. Academic departments are housed in the Medical School Block and in the Queen's Medical Centre (QMC) and City Hospital campuses of Nottingham University NHS Trust and in the Institute of Mental Health, Jubilee Campus. A graduate entry programme for 90 students a year began in September 2003 based in a purpose built medical school on the Derby Royal Hospital site. Following reorganisation within the Faculty of Medicine in 2013, the Division of Psychiatry became the Division of Psychiatry and Applied Psychology: one of the largest of 11 Division within the new School of Medicine. Professor John Atherton is Dean of the School of Medicine, which has, as its mission, the aim to improve human health and quality of life locally, nationally and internationally through outstanding education, research and patient care. It will achieve this through: (1) Teaching and learning, particularly training tomorrow’s doctors and teaching specialised postgraduates; (2) Research and research training: the highest quality “big” research which impacts on human health and disease; (3) Partnership with the NHS and other healthcare providers; and (4) Visibility and profile of the School of Medicine. 6 A.4 Institute of Mental Health The Division of Psychiatry is located within the Institute of Mental Health. The IMH currently attracts approximately £7.5 million each year in external research grants, has 20 full-time professors among its 200 staff and publishes 250 peer-reviewed journal papers a year. Its portfolio of training and development opportunities attracts 200 students each year, including a current total of 100 PhD students. Courses offered include one-off modules, diplomas, BA, MA and PhD degrees in mental health subjects. It has 39 unique Managed Innovation Networks (MINs) and 300 members including associates, fellows, senior fellows and professors. The Institute is the UK’s prime location for inter-disciplinary research in the mental health field (psychiatry, psychology, sociology, business, law, nursing, economics and statistics). It is particularly strong in specific areas such as translational neuroimaging, personality disorder, ADHD, systematic reviewing, implementation and organisation/service innovation. The IMH operates through a growing number of centres of excellence, such as the Centre for Social Futures (director: Prof Paul Crawford). It hosts several research related units and networks, such as hubs of both the Mental Health Research Network and the Primary Care Research Network, the East Midlands Academic Health Science Network, a £28 million CLAHRC (Collaboration for Leadership in Applied Health Research and Care), the Cochrane Schizophrenia Group, the Personality Disorder Institute, the NIHR MindTech Health Technology Cooperative, and a growing portfolio of international projects in Europe and China. Members of the IMH are also involved in the Mental Health theme (headed by Prof Patrick Callaghan) of the National Centre for Sport and Exercise Medicine, a collaboration between the Universities of Loughborough, Nottingham and Leicester. A.5 Division of Psychiatry & Applied Psychology The University Department of Psychiatry was founded in 1971 with Professor J E Cooper as the Foundation Professor of Psychiatry. Professor Cooper and his colleagues established a well-recognised line of research in social psychiatry as well as a modern and well-integrated undergraduate course. A strategic collaboration with NHS colleagues was initiated during this time which has evolved into an integrated community psychiatric service for Nottingham. Since its foundation the department has also housed a Behavioural Sciences Section, comprising academic psychologists responsible for the teaching of behavioural sciences to medical students. In August 2013, as part of the Medical School reorganisation, the Division of Psychiatry became the Division of Psychiatry and Applied Psychology and expanded to incorporate most of the former Institute of Work, Health and Organisations (I-WHO). The current Head of Division is Professor Cris Glazebrook. A.5.1 Location The Division of Psychiatry and Applied Psychology is located in the new Institute of Mental Health building and the Yang Fujia Building on Jubilee Campus. Research facilities are distributed in various university and hospital sites including IMH, QMC and the Magnetic Resonance Imaging Centre on University Park Campus. Teaching occurs mainly on the Jubilee Campus and in QMC. Clinical psychiatric services are delivered from community mental health centres and hospital sites, including QMC, St Francis Unit at the City Hospital, Highbury Hospital, Wells Road Hospital, and the Millbrook Unit in Mansfield. A.5.2 Staffing Current academic staffing of the Division of Psychiatry & Applied Psychology comprises twelve Professors, two Clinical Readers, one non-clinical Reader, three Clinical Associate Professors, six non-clinical Associate Professors, three clinical lecturers and fourteen non-clinical lecturers. Professors Professor Clive Adams Professor Kevin Browne Professor David Daley Professor Tom Dening Professor Gill Doody Professor Cris Glazebrook (Head of Division) Professor Amanda Griffiths Professor Chris Hollis Professor Georgina Jackson Discipline Adult Psychiatry Centre for Forensic and Family Psychology Developmental Psychopathology Dementia Research; Old Age Psychiatry Adult Psychiatry Health Psychology Occupational Health Psychology Child & Adolescent Psychiatry Cognitive Neuropsychology 7 Professor Peter Liddle Professor Mary McMurran Professor Richard Morriss Adult Psychiatry Forensic Psychology Adult Psychiatry Readers Dr Birgit Vollm Dr Kapil Sayal Dr Philip Leather Forensic Psychiatry Child & Adolescent Psychiatry Occupational Psychology Associate Professors This post Dr Jennifer Clegg Dr Iain Coyne Dr Vincent Egan Dr Nigel Hunt Dr Rob Jones Dr Najat Khalifa Dr Stuart Leask Dr Stavroula Leka Dr Neil Nixon Dr Lena Palaniyappan Dr Thomas Schroder Dr Victoria Tischler Old Age Psychiatry Clinical Psychology (Learning disability) Occupational Psychology Forensic Psychology Health Psychology Old Age Psychiatry Forensic Psychiatry Adult Psychiatry Occupational Health Psychology Adult Psychiatry Adult Psychiatry Clinical Psychology Behavioural Sciences Lecturers Dr Charlotte Beer Dr Danielle De Boos Dr Shihning Chou Dr Simon Duff Ms Fiona Gavin Dr Madeline Groom Dr Boliang Guo Mr Jonathan Houdmont Miss Vicki Jackson Dr Elizabeth Liddle Dr Elena Nixon Dr Angeli Santos Dr Kate Whitfield Behavioural Sciences Clinical Psychology Forensic Psychology Forensic Psychology Occupational Psychology Developmental Cognitive Neuroscience Medical Statistics Occupational Health Psychology Forensic Psychology Translational Mental Health Research Applied Neuropsychology Occupational Psychology Forensic Psychology Clinical Lecturers Dr Nikos Christodoulou Dr Michael Skelton Dr Puja Kochhar Dr James Ellison Adult Psychiatry Adult Psychiatry Child & Adolescent Psychiatry Adult Psychiatry and Medical Education A.5.3 Research The Division of Psychiatry & Applied Psychology is the largest academic partner in the Institute of Mental (IMH) and has developed a highly successful portfolio of translational mental health research. Psychiatry led two of the four original research themes in the £17.5m CLAHRC (NDL) which was successfully completed in December 2013. Three of the 5 themes for the new £27 million East Midlands CLAHRC, which is sponsored by Nottinghamshire Healthcare NHS Trust are based in the Institute of Mental Health. The division also has a £2m NIHR Programme Grant, 3 MRC and HTA funded clinical trials and hosts the Cochrane Schizophrenia Group Editorial Base with an income in excess of £1.38m. This success has been acknowledged by the award of University ‘Priority Status’ to the IMH, as part of a Medical Faculty bid for Priority Group Status in Biomedical Translational Research for Clinical Benefit. The IMH also hosts the NIHR funded MindTech Health Technology Co-operative (Director: Prof Chris Hollis), which is the only HTC in England centred on mental health. MindTech comprises themes across the age range, including technology and dementia, led by Prof Tom Dening. 8 Research in the Division of Psychiatry and Applied Psychology focuses on understanding the causes, mechanisms and treatment of mental disorder and criminal offending across the lifespan and promoting health and wellbeing. Research is organised into groups with significant collaboration and integration across groups. Detailed descriptions of research groupings and outputs can be found at http://www.nottingham.ac.uk/medicine/about/psychiatryandappliedpsychology/index.aspx Clinically Applied Adult Mental Health Mood Disorders and health services research (Morriss, P Liddle, Adams, Doody, Leask, E Nixon, N Nixon) Forensic Mental Health (Vollm, McMurran, Khalifa) Systematic review, epidemiology & statistics (Adams, Guo, Doody) Dementia and older people’s mental health (Dening, Jones, Griffiths, Schneider, Tischler) Developmental Psychiatry and Psychology CANDAL - Centre for ADHD and neurodevelopmental disorders through the lifespan (Hollis, Daley, Sayal, Jackson, Glazebrook, E Liddle, Groom). Centre for Family and Forensic Mental Health (Browne, Chou, Duff, Schroder, Griffiths, Whitfield) Child and adolescent mental health and wellbeing (Glazebrook, Sayal, Beer) Centre for Translational Neuroimaging in Mental Health (P Liddle, Palaniyappan, E Liddle) Work, Health and Organisations Work Psychology (Coyne, Leather, Gavin) Centre for Organisational Health and Development (Leka) Mood disorders and health services research Professor Morriss is Director of Research for CLAHRC (NDL) exploring implementation of research into health services and research into implementation, and has an international profile for research on mood disorder (bipolar affective disorder and unipolar depression) and somatisation in primary care settings. Morriss has a £2 million NIHR funded programme grant in bipolar disorder. He has forged strong collaborative research links with the Division of Primary Care (Avery, Coupland, Hippisley-Cox, Kai, Kendrick), which is one of 9 primary care departments in the National Primary Care School. Morriss is lead for the East Midlands plus South Yorkshire hub of the Mental Health Research Network and Map of Medicine clinical editor for the bipolar disorder and depression pathways. He has established successful collaborations with Imperial College, London, the Universities of Manchester, Lancaster, Cambridge and Liverpool with recent projects producing high impact publications in the Lancet and BMJ. Forensic Mental health This group focuses on research around the assessment and treatment of personality disorders, alcohol related violence, motivating people to engage with therapy and the neurobiology of antisocial personality disorders and social cognition. An additional focus is on the delivery of forensic services, their efficiency and efficacy. There are strong links with European researchers to compare service models with those in other countries, in particular for patients who remain in secure care for extended periods of time. Cochrane Schizophrenia Centre Professor Adams is Director of the Cochrane Schizophrenia Group (producing and maintaining over 160 reviews and supporting 500 reviewers in 21 countries) and has established Nottingham as the leading international centre for systematic reviews of the care of people with schizophrenia and severe mental illness. He is a member of the editorial board of the Cochrane Collaboration and NIHR Programme Grants Board. Professor Adams' work has produced high impact publications on randomised trials of acute psychiatric care in developing countries. 9 Translational Neuroimaging in Mental Health The Translational Neuroimaging in Mental Health (TNMH) is a Centre of Excellence at the Institute of Mental Health, Nottingham. TNMH is directed by Professor Peter Liddle, and operates in collaboration with departments of Physics, Radiology, Psychology and Mathematics across the University of Nottingham and receives major funding support from the MRC and the Wellcome Trust. Researchers at TNMH also collaborate with leading U.K. centres (Wellcome Department of Cognitive Neurology, UCL, IOP, KCL) and internationally (UBC, Yale, Utrecht, Fudan University). Nottingham has an international reputation for pioneering research in magnetic resonance (MR) imaging based on the original work of Sir Peter Mansfield (Nobel Prize Winner) and is a leading centre for 7 Tesla MRI and magnetoencephalography. Prof. Liddle has raised >£12 million in research income and has established Nottingham's international research profile in psychiatric neuroimaging. TNMH has been at the forefront of research aimed at defining the pathophysiology of psychosis. The group has a strong track record of providing clinical academic training and, to date, projects at TNMH have provided a consistent foundation for Clinical Lecturers and Academic Clinical Fellows / Foundation Trainees to develop core research competencies. These trainees have been greatly successful in producing peer-reviewed publications and winning several national laurels in academic psychiatry including Margaret Slack Fellowship, Douglas Bennett Prize, General Adult Faculty Research Prize, Academic Faculty Research Prize and Trent Research Prize. More recently, a highly competitive Wellcome Research Training Fellowship was awarded to a clinical lecturer (Palaniyappan) to undertake further clinical academic training within the TNMH programme. Within the Division of Psychiatry, neuroimaging (encompassing functional and structural MRI and EEG/ERP) is now established as a key cross-cutting methodology, underpinning research in psychosis, developmental disorders (ADHD, Tourette’s), dementia and forensic mental health (personality disorder). Centre for ADHD and Neurodevelopmental disorders (CANDAL) CANDAL has been established as a centre of excellence to pursue research into the causes, mechanisms, course, recognition and treatment of neurodevelopmental disorders across the lifespan. ADHD research is a major focus and an internationally recognised strength with on-going research into the early detection, intervention and management for ADHD in community and clinical settings. Recently funded projects include the NIHR Healthcare Technology Co-operative (HTC) in Mental Health and Neurodevelopmental Disorders (£800K). An interdisciplinary collaboration with computer science and physics based in the DoP, the HTC will aim to develop and implement effective technologies to promote mental health. Other research strengths include community-based interventions for mental health and wellbeing in children and adolescents; Tourette’s Syndrome and risk factors for obesity. Members have leading and integral roles in several large-scale collaborative projects, including funding from NIHR (HTC, CLAHRC, Programme Grant, HTA and SDO) and the EU and an investigation of motor skills in preterm infants (Action Medical Research). Future work will build on successful local, national and international collaborations to improve outcomes and delivery of services in vulnerable children and young people. Professor Glazebrook leads research in paediatric health psychology, with a particular focus on child and maternal psychological wellbeing and strategies to promote self-management of chronic conditions. Epidemiology of psychosis Nottingham has a long tradition of conducting high quality large scale clinical epidemiological studies of people who develop a first episode of psychosis over the last 4 decades. In the 1970s it hosted a centre of the WHO Determinants of Outcome of Schizophrenia (DOSMED) study, under Professor Cooper's direction. In the 1980's the Schizophrenia in Nottingham (SIN) study was undertaken, under the direction of Professor Glynn Harrison. Between 1997-1999 Nottingham collaborated with colleagues at the Institute of Psychiatry in London, to conduct the MRC funded Aetiology and Ethnicity of Schizophrenia and Other Psychoses (AESOP) study, under the direction of Professor Peter Jones. A 10 year follow up study of the AESOP cohort in Nottingham has just completed under the lead investigator in Nottingham, Prof Doody. A 10 year follow up study of the AESOP cohort in Nottingham has just completed under the lead investigator in Nottingham, Prof Doody. The Division has recently been successful in obtaining an MRC funded grant of £99,897, as part of the £4.9 million Schizophrenia: Treatment Resistance and Therapeutic Advances (STRATA) international consortium project co-ordinated by the Institute of Psychiatry, London. The project start date is April 2014 and the PI for Nottingham is Prof Doody. A.5.4 Postgraduate research The Division has a large number of PhD students. It also offers popular professional doctorates in clinical psychology and forensic psychology. 10 A.5.5 Teaching Undergraduate teaching to medical students is currently under review. To date, teaching on older people’s mental health has been provided as part of a module of Health Care of the Elderly in the middle clinical year. However, this is likely to change to bring this part of the curriculum more in line with the clinical attachments in psychiatry. The holder of this post will be expected to contribute towards redesign of this part of the course. Most of the undergraduate teaching in the Division is to medical students. Modules delivered on the Bachelor of Medical Sciences degree, include communication skills (x2), functional and behavioural neuroscience, behavioural sciences, qualitative research methods, quantitative research methods, cognitive neuroscience, research methods and a research project. Teaching in the clinical years includes adult psychiatry (Year 4) and child and adolescent psychiatry (Year 4). The Division also delivers special study modules (year 4 and 5). Other undergraduate teaching includes a module to neuroscience students. We are currently developing a Masters in Mental Health Research to commence in September 2012, including a module in Dementia and Ageing. We also offer taught Masters in Criminological Psychology, Management Psychology, Work and Organisational Psychology and a distance learning Masters in Workplace Health and Wellbeing. 11 Appendix B Nottinghamshire Healthcare NHS Trust Nottinghamshire Healthcare NHS Trust was formed on 1st April 2001, bringing together Mental Health Services in Nottingham, Mansfield and Bassetlaw, along with forensic mental health services in Leicester, Rotherham and Rampton. Notts Healthcare is positive about providing integrated healthcare services, including mental health, learning disability and community health services. Over 8,300 dedicated staff provide these services in a variety of settings, ranging from the community through to acute wards, as well as secure settings. The Trust also manages two medium secure units, Arnold Lodge in Leicester and Wathwood Hospital in Rotherham, and the high secure Rampton Hospital near Retford. It seeks to continually improve service user and carer experience, as well as reducing the stigma associated with mental illness and learning disability. In conjunction with primary care and the County Health Partnership it improves services for people across the County of Nottinghamshire and is committed to being recognised as the leading national integrated healthcare provider: nationally important, locally relevant and personally valued. Nottinghamshire Healthcare NHS Trust is the major provider of Mental Health Services for Older People to the populations served by Nottinghamshire County, Nottingham City and Bassetlaw Primary Care Trusts. The service caters to the needs of all people suffering from dementia, regardless of age, and those presenting with functional illnesses who are over the age of 65 years. Services have won awards within the Trust and have been nominated for a number of awards including “Best Innovation in Practice” at the National Dementia Congress. Mental Health Services for Older People (MHSOP) has been particularly successful in developing a new community focussed specialist service for people with Working Age Dementia. The service is led by a Consultant Occupational Therapist, the only post of this nature in the country. Within inpatient services a number of initiatives have been successfully implemented to improve the quality and experience of care. The Directorate has implemented StarWards, a national initiative, again service user led, to improve the therapeutic environment for patients. We have also had two wards for older people with common mental health problems formally accredited through the AIMS process led by the Royal College of Psychiatrists. Four wards are currently involved in the releasing Time to Care programme which aims to streamline processes and releasing nursing time which can be redirected in to patient contact. The following Psychiatric Services serve the Nottingham area: Alcohol and Addiction Child and Adolescent Mental Health Services Forensic Mental Health Services Adult Mental Health Services for the Learning Disabled Mental Health Services for Older People Psychotherapy Rehabilitation Psychiatry There is a strong commitment to community-orientated services and the Trust operates across over 40 sites within Greater Nottingham. There are inpatient areas at the City Hospital and the Queens Medical Centre (NUH Trust), managed by Nottinghamshire Healthcare, as well as at the Wells Road Centre, Highbury Hospital, and a number of community facilities. The Trust Headquarters is based at Duncan Macmillan House, Nottingham. Board Level Directors Chair – Dean Fathers Chief Executive – Professor Mike Cooke Executive Director: Clinical Governance & Medical Affairs - Dr Gopi Krishnan Executive Director: Local Services – Simon Smith Executive Director: Finance – Ruth Hawkins 12 Executive Director: Nursing & Allied Health Professions – Dean Howells Executive Director: Forensic Services - Dr Michael Harris Clinical Directorate Management The Clinical Director for Mental Health Services for Older People is Dr Ola Junaid and he is the lead for Clinical Governance within the directorate. There is both a clinical effectiveness and clinical governance committee. The General Manager is Andrea Ward. Trust Consultant Medical Staff Old Age Psychiatry This post Dr C Andrews Consultant in Old Age Psychiatry (p/t) Dr C Bowler Consultant in Old Age Psychiatry Dr S Chatterjee Consultant in Old Age Psychiatry Prof T Dening Professor/Honorary Consultant Dr B Ganesan Consultant in Old Age Psychiatry Dr C Gordon Consultant in Old Age Psychiatry Dr K Junaid Consultant in Old Age Psychiatry (p/t) Dr O Junaid Clinical Director/Consultant in Old Age Psychiatry Dr G Pinner Director of Medical Education/Consultant in Old Age Psychiatry Vacant Consultant in Old Age Psychiatry (p/t) Dr J Waite Consultant in Old Age Psychiatry (p/t) Dr S Das Consultant in Old Age Psychiatry Dr A Ramakrishnan Consultant in Old Age Psychiatry Dr R Tomlinson Consultant In Old Age Psychiatry Dr M Kuklewicz Consultant in old age psychiatry (City Hospital) (City Hospital) (City Hospital) (City Hospital) (QMC) (Bramwell) (City Hospital) (City Hospital) (QMC) (City Hospital) (QMC) Kings Mill Hospital Ashfield Newark and Sherwood Bassetlaw OTHER CONSULTANT STAFF BASED IN NOTTINGHAM Adult Mental Health Services NOTTINGHAM – General Prof C Adams Dr S Barrett Dr N Bedi Dr A Cheetham Dr A Chopra Dr B Di Mambro Dr G Doody Dr B Fahy Dr H Flambert Dr M Hampson Dr I Heliel Dr N L Holden Dr R Jain Dr H Johnson Dr S Lankappa Prof P Liddle Prof R Morriss Dr S Murjan Dr N Nixon Dr E O’Regan Dr B Power Dr C Schofield Dr F Seedat Dr R Shaw Dr N Sisodia Psychiatry Professor of Psychiatry/Honorary Consultant Consultant Psychiatrist (p/t) Consultant Psychiatrist (p/t) Consultant Psychiatrist Consultant Psychiatrist Consultant Perinatal Psychiatrist Snr Lecturer/Hon Consultant Psychiatrist Consultant Psychiatrist (p/t) Consultant Psychiatrist (p/t) Clinical Director/Consultant Psychiatrist Consultant Psychiatrist Consultant Liaison Psychiatrist (p/t) Consultant Psychiatrist Consultant Psychiatrist (p/t) Consultant Psychiatrist Consultant Psychiatrist Professor of Psychiatry/Honorary Cons Psychiatrist Consultant Psychiatrist Consultant Psychiatrist Consultant Psychiatrist Consultant Psychiatrist Consultant Liaison Psychiatrist (p/t) Consultant Psychiatrist Consultant Psychiatrist (p/t) Consultant Perinatal Psychiatrist (p/t) 13 (QMC) (Stonebridge Centre) (QMC) (Stonebridge Centre) (QMC) (QMC) (Highbury Hospital) (QMC) (QMC) (QMC) (Highbury Hospital) (QMC) (Stonebridge Centre) (QMC) (QMC) (QMC) (QMC) (QMC) (George Road) (Stonebridge Centre) (George Road) (QMC) (QMC) (QMC) (QMC) Dr M Steels Prof E Szabadi Dr K Thangavelu Dr D Tsoi Dr G Worwood Consultant Psychiatrist Emeritus Professor of Psychiatry/Cons Psychiatrist Consultant Psychiatrist Consultant Psychiatrist/Clinical Teaching Fellow) Consultant Psychiatrist (Manor Road) (QMC) (Stonebridge Centre) (Highbury Hospital) (QMC) NOTTINGHAM – Psychotherapy Dr R Fox Head of School (North)/Cons Psychotherapist Dr R Sargeant Consultant Psychotherapist (p/t) Dr J Staines Consultant Psychotherapist (p/t) NOTTINGHAM – Personality Disorder Services Prof C Evans Consultant Psychotherapist& Special Professor NOTTINGHAM – Gender clinic (based at the Mandala Centre) Dr W Bouman Lead Consultant Psychiatrist/Sexologist Dr K Baker Associate Medical Director/Consultant Child & Adolescent Psychiatrist Dr S Murjan Consultant Psychiatrist NOTTINGHAM – Rehabilitation & Continuing Care Dr H Bagalkote Consultant in Rehabilitation Psychiatry Dr A Cheetham Consultant in Rehabilitation Psychiatry Dr S Leask Senior Lecturer/Hon Consultant in Rehabilitation Psychiatry Prof P Liddle Professor of Psychiatry/Honorary Consultant Psychiatrist Dr B Park Clinical director/Senior Lecturer/Hon Consultant in Rehabilitation Psychiatry NOTTINGHAM – Alcohol & Addiction Services Dr D Rhinds Consultant in Substance Misuse Dr N Wright Consultant in Substance Misuse Child & Adolescent Psychiatry (based at Thorneywood Child & Adolescent Psychiatry Unit): Dr L Allsopp Consultant Dr K Baker Consultant Dr C deSousa Consultant (p/t) for CAMHS Learning Disability Service Dr K Slaveska-Hollis Consultant Prof C P Hollis Professor of C&A Psychiatry/Honorary Consultant Dr P Miller Medical Director/Consultant Dr M Moldavsky Consultant Dr K Mueller Consultant (p/t) Dr A Saha Consultant (p/t) Dr A Taylor Consultant Learning Disability (based at Highbury Hospital) Dr D Bagalkote Consultant in Learning Disability Dr P Cutajar Consultant in Learning Disability Dr J Jones Consultant in Learning Disability/Associate Postgraduate Dean Dr R Lansdall-Welfare Clinical Director/Consultant in Learning Disability Community Forensic Services Dr N Khalifa Consultant Forensic Psychiatrist Dr J Resnick Clinical Director/Consultant Forensic Psychiatrist Dr Y Saleem Consultant Forensic Psychiatrist Dr M Taylor Consultant Forensic Psychiatrist Offender Healthcare Dr A Bickle Dr A Kaul Consultant Forensic Psychiatrist Clinical Director/Consultant Forensic Psychiatrist 14 In common with other medical specialities our clinical undergraduate students are dispersed to centres across Nottingham, Derby and Mansfield for their clinical experience but a substantial part of the regular teaching takes place at Duncan Macmillan House. The Division of Psychiatry also carries a considerable responsibility for postgraduate education. The Nottingham University (Mid-Trent) Psychiatric SHO Training Scheme includes some 50 posts in Nottingham, Derby and Mansfield. The Division also makes a significant contribution to the local CPD programme. Training Head of School is Dr Sue Elcock. Posts rotate at six monthly intervals. Specialist Registrars may be placed with an appropriately qualified appointee as directed by the Higher Specialist Training Committee. 15