CONSULTANT ADDICTION
PSYCHIATRIST
SOUTH SECTOR AND ARBD
TEAM
INFORMATION PACK
REF: 38458D
CLOSING DATE: NOON ON 28TH AUGUST 2015
www.nhsggc.org.uk/medicaljobs
SUMMARY INFORMATION
POST: CONSULTANT ADDICTION PSYCHIATRIST
BASE: SOUTH SECTOR AND ARBD TEAM
Do you want to come and work with the biggest Addiction Service in Europe, whilst
continuing your CPD with protected time, and with the opportunity to enhance your
teaching and research CV?
NHS Greater Glasgow and Clyde addiction services are responsible for the delivery of
addiction treatment and care services for currently over 12,000 clients. The services
range from local Community Addiction Teams through to specialist day and inpatient
care, together with liaison provision for both general psychiatry and acute hospital
services and an Alcohol Related Brain Disorder (ARBD) Team. Our multidisciplinary
structure includes professionals from the fields of medicine, nursing, social care,
psychology, occupational therapy, dietetics and pharmacy; Glasgow Addiction Services
is also a major commissioner of the voluntary and independent sector.
We are seeking an experienced doctor to work in South West Glasgow (6 sessions) and
the ARBD Team (4 sessions).
The post is currently based at Leverndale Hospital and relates to 2 community addiction
teams (CATs) and the ARBD Team. You would participate in all aspects of patient care,
and multidisciplinary meetings providing consultant leadership and expertise. You would
contribute to the general psychiatric on call rota of south Glasgow.
The posts combine the satisfaction of participating in an innovative and developing
clinical service to a client group with high levels of morbidity for alcohol, drugs and
mental health problems, together with the opportunity to become involved in further
developing our recovery orientated system of care as well as a number of research
projects and teaching initiatives.
Applicants must have full GMC registration, a licence to practise and MRCPsych or
FRCPsych or equivalent. Those trained in the UK should have evidence of higher
specialist training leading to CCT in General Psychiatry (addictions) or eligibility for
specialist registration (CESR) or be within 6 months of confirmed entry from date of
Interview. You must be eligible for approval under the Scottish Mental Health Act as an
AMP.
NHS Greater Glasgow and Clyde Addiction Services
CONSULTANT IN ADDICTION
PSYCHIATRY
WITH RESPONSIBILITY FOR PROVIDING AN ADDICTION
PSYCHIATRY SERVICE TO SOUTH WEST GLASGOW and
the ARBD TEAM
Job Description
General introduction
Greater Glasgow and Clyde (GG&C) Addiction Services are recruiting an enthusiastic and
committed specialist to a post of Consultant Addiction Psychiatrist to work in South West
Glasgow (6 sessions) and the Alcohol Related Brain Disorder (ARBD) Team (4 sessions).
The addiction services in GG&C are organised within 6 HSCPs. The Glasgow HSCP is further
split into 3 sectors: NorthEast, NorthWest and South. Community services in all areas include
integrated community addictions teams/drug and alcohol teams with contracted services
providing community rehabilitation and GP shared care scheme. The community services share
access to 2 dedicated NHS addiction in-patient units- Kershaw Unit (Gartnavel Royal Hospital)
and Eriskay House (Stobhill Hospital). In addition, day services for all areas are provided from
these units, with the exception of South Clyde (Inverclyde and Renfrewshire) where more local
day services exist. A network of local community mental health teams and an ARBD service are
examples of other relevant services organised on a similar geographical basis.
The medical workforce within GG&C addiction services is currently over 50 doctors from diverse
backgrounds working as medical officers, senior medical officers, consultant addiction
psychiatrists and SAS doctors in addiction psychiatry. In Glasgow, the addiction psychiatrists at
present work from secondary service settings reaching into community teams, with geographical
areas of responsibility. This post holder with be based in Leverndale with the south east
Consultant and will have a community role working with 2 community addiction teams (CATs) in
southwest Glasgow, and a secondary service role within the ARBD team at Homeless Health
services, Hunter Street, Glasgow.
Other Senior Permanent Medical Staff in GG&C Addiction Services
Dr Saket Priyadarshi
Dr Charles McMahon
Dr Trina Ritchie
Dr Maire Cooney
Dr Scott Wylie
Dr Iain Smith
Dr Donna Mullen
Dr Anupam Agnihotri
Vacancy
Dr Audrey Hillman
Dr Roger Sykes
Dr Iain MacKay
Dr Kate Brown
Dr Laura Sills
Dr Frances Skelton
Senior Medical Officer, Associate Medical Director
Consultant Psychiatrist, S Clyde, Lead clinician
Senior Medical Officer, Lead Clinician
Consultant Psychiatrist, East Glasgow
Consultant Psychiatrist, North Glasgow and East Dunbartonshire
Consultant Psychiatrist, West Glasgow and East Dunbartonshire
Consultant Psychiatrist, West Dunbartonshire
Consultant Psychiatrist, South East Glasgow
Consultant psychiatrist, South West Glasgow
Consultant Psychiatrist, S Clyde
Consultant Psychiatrist, S Clyde
Consultant Psychiatrist, Homeless Addiction Team
Senior Medical Officer, South Glasgow
Senior Medical Officer, Northwest Glasgow
Associate Specialist, West Glasgow
Current Addiction services for South Glasgow
Multidisciplinary and multiagency community addiction services are currently provided from
3 CATs (1 large in South East and 2 smaller CATs in South West). These provide a full range of
services for people with drug and alcohol problems (currently about 2,900 open cases), with a
focus on reducing harms and providing recovery opportunities including alcohol detoxification
relapse prevention d drugs of protection; opiate replacement therapies, BBV testing and harm
reduction interventions. The Glasgow CATs have recently undergone a review and are in the
process of implementing changes to deliver an updated eligibility criteria, access service and an
improved recovery orientated system of care.
Office accommodation for this post is currently based in the Leverndale Hospital Department of
psychiatry at present. The administrative support is currently based at Old Possilpark Health
Centre. It is hoped that the consultants and supports can be co-located within the south sector in
due course.
4 part time medical officers work in the 2 CATs in SW Glasgow. Their job is primarily around
substitute prescribing for Tier 3 ORT patients and community alcohol services. They are
managed by a local senior medical officer. Local GPs also carry shared care substitute
prescribing caseloads. The consultant psychiatrist post-holder would be expected to establish
close working relationships with these other doctors and agree collaborative approaches to
service provision.
The secondary services support include
- Use of partial hospitalisation service currently in the Kershaw unit at Gartnavel Royal
Hospital but possibly moving in the future.
- Admission to psychiatric beds in the Kershaw addictions unit at Gartnavel Royal Hospital.
- In-patient RMO responsibilities are transferred on admission to a Kershaw in-patient
consultant
- Psychology sessions
- OT input. These provide a functional assessment service and a range of group work
programmes.
Community and residential rehabilitation placement is available through a variety of contracted
providers. The consultant would be expected to take a role in the decisions about placement of
patients in residential rehabilitation facilities in coordination with the local head of service
The Alcohol Related Brain Damage Service
The ARBD service currently is based in Homeless Health Services, Hunter Street, Glasgow. The
ARBD team was established in 2006 to provide enhanced services for alcohol damaged
individuals from the old greater Glasgow health board geography. It consists of dedicated
medical, nursing, social care, psychology, occupational therapy and dietetics input in line with
the “Fuller Life “ report (2004).
The ARBD team work in conjunction with service providers (SAMH, Penumbra, Loretto) who
have been commissioned to provide a range of residential placements ranging from very highly
supported accommodation to supported living in tenancies. Whilst there are no dedicated
addictions beds there is a developing and dedicated rehabilitation pathway.
Equality of access to service for all is an aspiration of the Board. ARBD services outwith the old
GGC boundary are configured differently and agreement re appropriate pathways and access to
assessment and treatment is being addressed via the NHS GG&C Clinical Services Review.
The Duties of the Post
South west addiction psychiatry- 5.5 Pas DCC
- Addiction psychiatry support to Southwest and Greater Pollok CAT teams- Psychiatric
outpatient assessment and treatment for referred patients with complex substance
misuse problems often in the context of co-morbid physical and mental illness. Referrals
will generally come from community addiction teams and other consultants. This aspect
of clinical work will have a particular focus on psychiatric co-morbidity and complexity of
addiction issues especially where there is a need for in-patient and day service provision.
- CAT based clinical work (possibly ORT with a small community caseload) and MDT
- Direction of the work done by speciality doctors relating to this post
- Cross cover the SE consultant with regards to addiction psychiatry for south Glasgow
- Would work with SE Consultant and South Senior Medical Officer to provide between
them senior medical input to south community clinical governance systems and service
developments
- Emergencies- The post holder may be required to perform duties in occasional
emergencies and unforeseen circumstances and at times at the request of the Associate
Medical Director (Addictions). It has been agreed that such duties will be exceptional
and that this kind of arrangement would not be for prolonged periods of time or on a
regular basis in keeping with contractual arrangements.
- Psychiatric emergencies are generally dealt with by crisis and community mental health
teams but the post-holder would be expected to be flexible in this regard.
- Mental health Legislation use- Approved medical practitioner use of the Mental Health
Act, Adults with Incapacity Act and Adult Support and protection Act would be part of the
job. The post holder would therefore require to be an AMP approved by the Board.
- On call- Contribution to the south Glasgow general psychiatric rota with a frequency
around 1 in 25 which attracts a level 1 3% availability supplement at present.
- Clinical cover of colleagues- The 10 pa job plan would include prospective cover for a
colleague’s leave. Any leave requested would require cover to be arranged in advance
from another consultant. Cover for short term sudden absences e.g. sickness in a
colleague consultant would also be included in the job plan
ARBD- 3.5 PA DCC
The consultant addiction psychiatrist would bring medical expertise to the existing team.
- As with other members of the ARBD team the consultant would generally be expected to
provide an expert consultative and advisory service to patients and services caring for
these patients
- A part of the work is in relation to application of mental health legislation in particular
guardianship and capacity assessments. The consultant would sometimes act as RMO in
this regard for appropriate patients. However patients on the caseload of other services
such as general adult psychiatry would continue to have their RMO usually from that
service. Negotiation of this on a case by case basis would be important. The RMO
function is currently under review.
SPA- There would be 1 session of supporting professional activity to include time for appraisal,
job planning, continuing professional development.
On-call- The post-holder would be expected to participate in the South General Adult Psychiatry
Consultant on call rota.
Job plan
This job plan is negotiable and will be agreed between the successful applicant and the Clinical
Director. NHS Greater Glasgow & Clyde initially allocates all full time consultants 10 PAs made
up of 9 PAs in Direct Clinical Care (DCC) and one core Supporting Professional Activities (SPA)
for CPD, audit, clinical governance, appraisal, revalidation, job planning, internal routine
communication and management meetings. The precise allocation of SPA time and associate
objectives will be agreed with the successful applicant and will be reviewed at annual job
planning.
The post is for a standard 10 programmed activities (pas) made up of 9 pas of direct clinical care
and 1 pas of supporting professional activity. The re-designation of pas from direct clinical care
to supporting professional activity may be possible subject to negotiation and job planning.
The post-holder will be provided with an office in the Leverndale Hospital with access to a
computer and printer. Dedicated administrative support will be provided but is currently housed
at Old Possil Park Health Centre as new premises are sought in south Glasgow.
An indicative job plan is attached.
Teaching
Medical students may be attached to the Consultant Psychiatrist with Medical Students receiving
their psychiatry block training at various hospital sites.
Clinical Governance, Research and Audit
The post-holder will be encouraged to undertake research work. The service is particularly keen
on clinical audit that establishes the effectiveness of interventions. The post holder will be
expected to play a full part in this, and develop ideas for audit projects on an inter-professional
basis with colleagues across NHS GG&C Addiction Services. In addition to audit and research
the post holder would be encouraged to contribute more widely to clinical governance for the
Addiction services. Examples of this activity might include leading the investigation of allocated
critical incident reviews. This work could be done in enhanced spa time in substitution for dcc
programmed activities.
Management Committee Work and Professional Representation.
The post-holder will be a member of the South Glasgow Division of Psychiatry and the Division
of Addiction Psychiatry. Under current management structures, he/she will be a part of the
medical staff of the Greater Glasgow and Clyde addiction services and be expected to contribute
as appropriate to the advisory structure within this. Expert advisory and committee work within
and out with the organisation would be included in SPA time.
Information technology use
The applicant would be expected to be able to use IT in their daily work – communicating
electronically and contributing to the information gathering and performance management
systems of the organisation. The post holder would through annual appraisal and annual job
planning have a performance management. The post holder would be expected to positively
contribute to the regular IT reporting of caseload, activity, diagnostic and outcome indicators.
Section 22 Training
Completion of day 1 and day 2 Section 22 training is required prior to taking up post. The
Medical Staffing Department will require sight of your certificates to this effect.
Person specification for consultant in addiction psychiatry
Essential
 Medical degree (MBChB or
equivalent)
 Full GMC registration and a
licence to Practise
 MRCPsych or FRCPsych
(equivalent only acceptable if
confirmed by RCPsych)
 Listed on GMC specialist
register (or Certificate of
Completion of Training) within
6 months of confirmed entry
from date of Interview.
 CCT endorsement in addiction
training.
 Section 22 approval or be
eligible for section 22 training
and approval.
Knowledge &  Extensive knowledge about
understanding
mental disorders and
substance misuse / addictions.
 Good knowledge of service
organisation
 Up to date awareness of
government policy on alcohol
and drug misuse and its
implications.
 Understanding of principles of
clinical governance.
Abilities &
 Ability to apply knowledge to
skills
clinical practice and service
development
 Ability to diagnose and treat
mental illness in people with
substance misuse.
 Ability to apply service
procedures (such as Care
Programme Approach) and
mental health law.
 Ability to make good medical
notes
 Ability to communicate
effectively with other
professionals.
 Ability to work effectively in a
multidisciplinary team.
 Ability to teach and coach
junior medical staff, medical
Qualifications
Desirable
 Additional relevant
qualification such as MSc,
MPhil, MD or PhD








Knowledge of range of
service systems and their
relative merits
Advanced knowledge of a
relevant aspect of the
specialty
Advanced skills in clinical
assessment and treatment
of patients with substance
misuse
Competence in application
of specialist treatment
methods with people with
substance misuse, such as
pharmacotherapy,
psychotherapy, substitute
prescribing, etc.
Excellence in
communication
Analytical approach to
problems
Evidence of potential to
develop specialty skills
Advanced computer skills
(statistics package,

Motivation





Personality &
attitudes






Experience




Other
requirements

students and other disciplines
Computer literacy (basic word
processing, email and internet
use)
Commitment to addiction
psychiatry
Commitment to evidencebased practice
Commitment to lifelong
learning.
Commitment to clinical
governance
Ability to organise own learning
and time.
Honesty
Reliability
Flexibility
Ability to undertake
responsibility
Ability to cope calmly with
stressful situations
Ability to work with other
consultants in the service
Demonstrates leadership
Experience of delivering a
mental health service for
people with substance misuse
Experience of leading a
multidisciplinary team
Evidence of participation in
clinical governance activities,
including medical audit.
Satisfactory fitness for
employment
database, spreadsheet)



Enthusiasm
Punctuality.
Initiative (for example,
evidence of initiative in a
clinical governance project)

Experience in full-time
clinical research
Experience of working in
more than one model of
health service for people
with substance misuse
Experience of leading a
clinical governance activity
Publications
Presentations
Independently mobile (car
driver)





TERMS AND CONDITIONS OF SERVICE
The conditions of service are those laid down and amended from time to time by the Hospital and Medical
& Dental Whitley Council.
TYPE OF CONTRACT
Permanent
GRADE AND SALARY
Consultant
£ 76,761 to £ 103,490 per annum (pro rata)
New Entrants to the NHS will normally commence on the minimum point of the
salary scale, (dependent on qualifications and experience). Salary is paid
monthly by Bank Credit Transfer.
HOURS OF DUTY
Full Time 40.00
SUPERANNUATION
New entrants to NHS Greater Glasgow and Clyde who are aged sixteen but
under seventy five will be enrolled automatically into membership of the NHS
Pension Scheme. Should you choose to "opt out" arrangements can be made
to do this via: www.sppa.gov.uk
REMOVAL EXPENSES
Assistance with removal and associated expenses may be given and would be
discussed and agreed prior to appointment.
EXPENSES OF
CANDIDATES FOR
APPOINTMENT
Candidates who are requested to attend an interview will be given assistance
with appropriate travelling expenses. Re-imbursement shall not normally be
made to employees who withdraw their application or refuse an offer of
appointment.
TOBACCO POLICY
NHS Greater Glasgow and Clyde operate a No Smoking Policy in all premises
and grounds.
DISCLOSURE SCOTLAND
CONFIRMATION OF
ELIGIBILITY TO WORK IN
THE UK
This post is considered to be in the category of “Regulated Work” and
therefore requires a Disclosure Scotland Protection of Vulnerable Groups
Scheme (PVG) Membership which currently costs £59.00. The cost of the
PVG Membership will be initially paid by NHS Greater Glasgow and Clyde and
will required to be repaid through a payroll deduction mandate from the
successful candidate’s first salary.
NHS Greater Glasgow and Clyde (NHSGGC) has a legal obligation to
ensure that it’s employees, both EEA and non EEA nationals, are legally
entitled to work in the United Kingdom. Before any person can commence
employment within NHS GGC they will need to provide documentation to
prove that they are eligible to work in the UK. Non EEA nationals will be
required to show evidence that either Entry Clearance or Leave to Remain in
the UK has been granted for the work which they are applying to do. Where
an individual is subject to immigration control under not circumstances will they
be allowed to commence until the right to work in the UK has been verified.
ALL applicants regardless of nationality must complete and return the
Confirmation of Eligibility to Work in the UK Statement with their completed
application form. You will be required provide appropriate documentation prior
to any appointment being made.
REHABILITATION OF
OFFENDERS ACT 1974
The rehabilitation of Offenders act 1974 allows people who have been
convicted of certain criminal offences to regard their convictions as “spent”
after the lapse of a period of years. However, due to the nature of work for
which you are applying this post is exempt from the provisions of Section 4 of
the Rehabilitation of Offenders Act 1974 by virtue of the Rehabilitation of
Offenders Act 1974 (Exceptions Orders 1975 and 1986). Therefore, applicants
are required to disclose information about convictions which for other purposes
are “spent” under the provision of the act in the event of employment, failure to
disclose such convictions could result in dismissal or disciplinary action by
NHS Greater Glasgow and Clyde. Any information given will be completely
confidential.
DISABLED APPLICANTS
A disability or health problems does not preclude full consideration for the job
and applications from people with disabilities are welcome. All information will
be treated as confidential. NHS Greater Glasgow and Clyde guarantees to
interview all applicants with disabilities who meet the minimum criteria for the
post. You will note on our application form that we ask for relevant information
with regard to your disability. This is simply to ensure that we can assist you,
if you are called for interview, to have every opportunity to present your
application in full. We may call you to discuss your needs in more detail if you
are selected for interview.
GENERAL
NHS Greater Glasgow and Clyde operates flexible staffing arrangements
whereby all appointments are to a grade within a department. The duties of an
officer may be varied from an initial set of duties to any other set, which are
commensurate with the grade of the officer. The enhanced experience
resulting from this is considered to be in the best interest of both NHS Greater
Glasgow and Clyde and the individual.
EQUAL OPPORTUNITIES
The postholder will undertake their duties in strict accordance with NHS
Greater Glasgow and Clyde’s Equal Opportunities Policy.
NOTICE
The employment is subject to three months’ notice on either side, subject to
appeal against dismissal.
MEDICAL NEGLIGENCE
In terms of NHS Circular 1989 (PCS) 32 dealing with Medical Negligence the
Health Board does not require you to subscribe to a Medical Defence
Organisation.
Health Board indemnity will cover only Health Board
responsibilities. It may, however, be in your interest to subscribe to a defence
organisation in order to ensure you are covered for any work, which does not
fall within the scope of the indemnity scheme.
FURTHER INFORMATION
For further information on NHS Greater Glasgow and Clyde, please visit our website on
www.show.scot.nhs.uk
View all our vacancies at www.nhsggc.org.uk/medicaljobs
Subscribe to our Medical Jobs Vacancy Bulletin Click Here
Register for Text Alerts for medical vacancies – email your mobile number and the grade and
specialty you are interested in to gg-uhb.medicaljobs@nhs.net
Applicants wishing further information about the post are invited to contact Dr Saket Priyadarshi
on 0141 800 0660 with whom visiting arrangements can also be made.
HOW TO APPLY
To apply for these posts please include your CV and names and addresses of 3 Referees, along
with the following documents; (click on the hyperlinks to open)
Medical and Dental Application and Equal Opportunities Monitoring Form
Declaration Form Regarding Fitness to Practice
Immigration Questionnaire
Alternatively please visit www.nhsggc.org.uk/medicaljobs and click on the “How to Apply” tab to
access application for and CV submission information.
RETURN OF APPLICATIONS
Please return your application by email to nhsggcrecruitment@nhs.net or to the recruitment
address below;
Medical and Dental Recruitment Team
NHS Greater Glasgow and Clyde Recruitment Services
5th Floor, Tara House
46 Bath Street
Glasgow
G2 1HJ
CLOSING DATE
The closing Date will be Noon on 28th August 2015
INTERVIEW DATE
The interview date will be 18th September 2015