NORTHERN FOUNDATION SCHOOL
QUALITY MANAGEMENT SYSTEM COMMITTEE
PRO-FORMA: EDUCATIONAL APPROVAL FOR FOUNDATION PROGRAMMES
NAME OF TRUST: NTW
F1 or F2
Placement
F2
Reason for
Submission:
New F2 in psychiatry being developed in line with
national guidance to increase psychiatry posts in
foundation training. This post would be hosted by
NTW trust and be part of the Sunderland
Foundation Programme
Please detail the
background and explain
if this is a change to an
existing FP post (and
the reason for the
change) or a
submission for a new
FP post?
If this is for a
change to an
existing post:
N/A
Please provide details
of the previous post and
outline the impact of the
change on the previous
department/ remaining
staff etc.
Date change/new
post will become
effective
Main duties within
placement
Aug 2014
INPATIENT DUTIES
The primary clinical responsibility of the post holder is for the
assessment and management of inpatients at Mill Cottage,
Monkwearmouth Hospital, Sunderland under the supervision of the
consultant.
This includes taking and collating histories, the preparation of
summaries for the Care Programme approach reviews, presentation
of cases, involvement in case formulation using the 5P Approach,
completing
physical
examinations
and
ordering
relevant
investigations.
The post holder will work closely with the experienced in patient multidisciplinary team with adequate clinical supervision.
COMMUNITY DUTIES
The post holder will work as part of the Community Rehabilitation
Team over about 2 sessions a week. They will have the opportunity to
shadow the more experienced Community Psychiatric nurses,
Community occupational therapists and other allied professionals.
They will also attend the weekly Community Team’s Board review and
gain some experience of Community multi-disciplinary Team
formulation and management of Community patients with chronic and
severe mental disorders.
The post holder will partake in the teaching of team members, medical
students, nursing students and clinical attachment as required.
The junior doctor will also help to maintain good case records,
complete discharge summaries, liaise with GP and other professionals
when required.
Outline of typical
working pattern
e.g. ward rounds,
clinics, theatre
sessions, teaching etc
You may wish to submit
trainee timetable/rota
On call
requirements
Please consider shift
Rota, supervision
arrangements
additional support,
other colleagues etc
Name of Clinical
Supervisor
Clinical
supervision
arrangements
Mon:
Tues:
Ward Work – 2 Sessions
Community am. Ward work pm
Wed: Ward work am. Formulation pm
Thurs: Journal Club/Case Presentation am. Ward work pm
Fri:
Community work am. Admin/Educational Supervision pm
Would be doing out of hours work within NTW trust
on a shift basis with clinical supervision available
at all times
Dr Christian mbonu Okoli
The post holder will have regular clinical
supervision by the Consultant Psychiatrist on the
ward.
Some supervision will be provided by the
Multidisciplinary Team when working in the
community alongside Community Psychiatric
nurses and other allied professionals such as
Occupational Therapists.
Educational Supervision will be provided weekly by
the Consultant.
There would be opportunities for the post holder to
complete work based assessments with the
Consultant, other Consultant colleagues and other
eligible professionals.
Arrangements for
access to FP
teaching
Employer
Information
Would attend the foundation teaching programme
run by Sunderland Acute Trust
Service and Team Information
Northumberland Tyne and Wear NHS Foundation Trust is one of
the largest mental health trusts in the country. It provides mental
health services to a population of about 1.4 million across
multiple sites.
The trust has provides a robust and well resourced
Rehabilitation service, structured in line with the Royal College
of Psychiatry specification.
Function
The post holder would be based at Mill Cottage, an 18 bedded
unit in the South of Tyne that provides complex and long stay
rehabilitation services to patients with a chronic, severe and
enduring mental health disorders. Most of the patients have a
treatment resistant psychotic illness due to having underlying
co-morbidities such as chronic physical health, underlying
autism spectrum disorders and epilepsy.
There is a very experienced multi-disciplinary team at Mill
Cottage, the team use a recovery focused model of care and
formulation based assessments to manage this group of
patients.
The post holder will have clinical supervision at all times during
the placement. There would be ample opportunity for the post
holder to learn how to particularly how to manage patients with a
chronic severe and enduring mental disorder with multiple
confounders and co-morbidities
Does the Trusts’ Foundation
Has any trainee impacted by the
Programme remain Working Time
proposed change/new post been
Directive Compliant after the
informed?
change/new post?
N/A
Yes
Can you confirm that the change/new post does not contravene any contractual
agreement made with any trainee (i.e. if a Trust has agreed a trainee’s 2-Year
Programme up front, any changes to the programme can only be made with
agreement of the trainee(s))?
yes
Is there any financial impact of the proposed changes?
N/A
If Yes please outline ….
Trust Contact Information
(in case of query)
Name: Dr Bruce Owen
Tel:
Email: bruce.owen@ntw.nhs.uk
Northern Foundation School
Foundation Placement Competence Matrix
POST :
F2 Rehabilitation and Social Psychiatry (In-patient and Community)
The following table gives an indication to what extent the following competence areas of the
National Foundation Curriculum can be met in this post.
KEY
Red:
Amber:
Green:
Not at all
To some extent/limited opportunities
To a great extent/ample opportunities
Curriculum competences (and any additional competences such as audit etc) expected
to be achieved:
Section
Outcome
Professionalism
Behaviour in the workplace
Health and handling stress and fatigue
Time management and continuity of care
Eliciting a history
(Mental State) Examination
Diagnosis and clinical decision-making
Safe prescribing
Medical record keeping and correspondence
Safe use of medical devices
Promptly assesses the acutely ill or collapsed
patient
Identifies and responds to acutely abnormal
physiology
Where appropriate, delivers a fluid challenge
safely to an acutely ill patient
Reassesses ill patients appropriately after
starting treatment
Undertakes a further patient review to
establish a differential diagnosis
Obtains an arterial blood gas sample safely,
interprets results correctly
Manages patients with impaired
consciousness, including convulsions
Uses common analgesic drugs safely and
effectively
Understands and applies the principles of
managing a patient with acute mental
disorder including self harm
Ensures safe continuing care of patients on
handover between shifts, on call staff or with
‘hospital at night‘ team by meticulous
attention to detail and reflection on
Good clinical care
Recognition and
management of the
acutely ill patient
Expect to
achieve
Green:
Green:
Green:
Green:
Green:
Amber
Amber
Green:
Red:
Amber
Red:
Red:
Red:
Red:
Red:
Amber
Amber
Green:
Green:
Section
Outcome
Expect to
achieve
performance
Resuscitation
Discharge and
planning for chronic
disease management
Relationship with
patients and
communication skills
Patient safety within
clinical governance
Infection control
Nutritional care
Health promotion,
patient education and
public health
Ethical and legal
issues
Maintaining good
medical practice
Teaching and Training
Working with
colleagues
Resuscitation
Discusses Do Not Attempt Resuscitation
(DNAR) orders/advance directives
appropriately
Discharge planning
Amber
Amber
Planning for chronic disease management
Within a consultation
Amber
Green:
Breaking bad news
Treats the patient as the centre of care
Makes patient safety a priority in own clinical
practice
Promotes patient safety through good teamworking
Understands the principles of quality and
safety improvement
Complaints
Infection control
Nutritional care
Educating patients
Environmental, biological and lifestyle risk
factors
Smoking
Alcohol
Epidemiology and screening
Medical ethical principles and confidentiality
Valid consent
Legal framework of medical practice
Relevance of outside bodies
Lifelong learning
Research, evidence, guidelines and care
protocols
Audit
Teaching and training
Communication with colleagues and
teamwork for patient safety
Interface with different specialties and with
other professionals
Green:
Green:
Amber
Green:
Green:
Amber
Amber
Amber
Green:
Green:
Green:
Green:
Amber
Green:
Green:
Green:
Green:
Green:
Green:
Amber
Amber
Green:
Green: