Important Job Application Information Thank you for your interest in NHS Tayside vacancies Please see below Job Description/Specification and General Conditions of Service Your Application Form must be completed in full. Please note copies of Curriculum Vitae, Qualifications and Course Certificates will not be accepted at this stage. Please return your completed Application Form to recruitment.tayside@nhs.net (quoting the vacancy reference number in the subject box) or to the postal address given on the General Conditions of Service. All completed applications are held in Human Resources until the closing date. After the closing date a panel will meet to prepare an interview shortlist. Once this decision has been made, all shortlisted applicants will be emailed to invite them to attend for interview. It is important that you check your emails regularly. This process takes approximately 6 weeks. Therefore, if you have not been contacted regarding interview within 6 weeks of the closing date, your application has been unsuccessful and you will receive no further correspondence from Human Resources. ADDITIONAL INFORMATION:Find out more about living and working in Tayside at: www.dundeecity.gov.uk www.angus.gov.uk www.pkc.gov.uk General Conditions 05.08 NHS TAYSIDE – JOB DESCRIPTION 1. JOB IDENTIFICATION Job Title Clinical Psychologist (Services for Older People) Grade 8a: 1.0 wte Department(s)/ Location Number holders of Tayside Area Psychological Therapies Service, - Older People Psychological Therapies Service Kingsway Care Centre, Dundee job 2 2. JOB PURPOSE To have responsibility for providing the day to day service to the populations served by the Community Mental Health Teams for Older People (CHMHTOPs) in agreed localities in Dundee. To liaise with referrers, including the Consultants in Old Age Psychiatry in Dundee, and provide support to the multi-disciplinary CMHTOPs. To liaise closely with the CMHTOPs in these localities. To assess the mental health needs of older people within this context and to deliver responsive psychological interventions at individual and systemic levels. To provide a range of direct and indirect clinical services, including assessment, formulation, interventions and research. To provide clinical supervision and training for other staff employed to deliver psychological care for older people in the specialist multidisciplinary teams, and to supervise aspects of their work as directed by the Lead Clinician. To plan, facilitate and evaluate service and policy developments within the relevant CMHTOP localities as well as within the specialty as directed by the Lead Clinician. 3. ORGANISATIONAL POSITION See Appendix General Conditions 05.08 4. SCOPE AND RANGE To have responsibility for specialist psychological provision to the older population (65 years and over) in agreed CMHTOP localities in Dundee. To have designated responsibility for the caseload of mild/moderate mental health, severe mental health and organic (including dementia) referrals from these localities which require specialist, clinical psychological assessment and advice. To assess the locality CMHTOP needs and formulate responses (e.g. input to case allocation, policy development and implementation). To identify priorities in line with guidance from the Scottish Executive Health Department, NHS Tayside, the Head of Service, Tayside Area Psychological Therapies Service, and the Lead Clinical Psychologist (Older People Psychological Therapies Service). To ensure that services are deployed in line with best contemporary standards and ethical frameworks, principles of equity and reflecting evidence based practice. To undertake clinical audit to ensure maintenance of professional standards and research as appropriate with particular regard to Clinical Governance. To provide specialist teaching and training to professional trainees, colleagues and organisations as required. To provide expert consultancy and advice to colleagues in a wide range of disciplines, NHS organisations and other bodies such as Social Services, voluntary and non-statutory agencies as required. To have responsibility for organizing and managing referrals allocated by the designated service(s) and for co-ordinating the administration of referrals, communication with clients and with referral agents and other parties at the time of referral. To select, adapt and modify effective interventions to meet the specific needs of individuals and their particular social and environmental context. 5. MAIN DUTIES/RESPONSIBILITIES The post holder is responsible for the following key outcomes: To carry out efficiently and to the best possible standard the policies of NHS Tayside and Tayside Area Psychological Therapies Service. To keep management well informed about the needs and developments of the service and all psychological matters concerning older people’s services. To communicate in terms that are readily understood, whether in written reports or verbally, the formulation and psychological understanding of a patient's difficulties or disorder to referrers, both medical and paramedical and to patients. To ensure the specialty service to all stakeholders in the locality is co-ordinated in a coherent and efficient fashion To represent clinical psychology on committees and working groups as directed by the Lead Clinician, by the Head of Service, Tayside Area Psychological Therapies Service, and elsewhere in the wider NHS where appropriate. To provide an efficient, equitable, expert Clinical Psychologist service to individuals and groups in the specified area specifically tailored to the needs of the older population which can be complex, chronic and multiple and which includes both acute and long term conditions. General Conditions 05.08 To provide clinical supervision for psychological and other staff as directed by the Lead Clinician, such as monitoring caseload, audit of written work. To provide teaching, training and clinical supervision for staff from other disciplines (e.g. Counselling, nursing and social work) who are employed in the locality as well as Trainee Clinical Psychologists, CBT Trainees and Assistant Psychologists. To ensure that the best clinical professional standards of assessment, formulation, communication and treatment are applied and maintained. To maintain a good record keeping system and to comply with requirements for reports and returns as part of departmental policy. To monitor monthly figures relating to the speciality for accuracy and to audit trends, (e.g. growing waiting times) which indicate a need for service developments (e.g. waiting list initiatives). To provide impromptu supervision, support and advice (e.g. on risk assessment) for colleagues and junior staff To fulfil the aims and objectives in the Personal Development Plan (PDP) agreed with the Line Manager at annual appraisal. To maintain an awareness and knowledge base of the best practice for the specialist delivery of psychological care to older people with a range of complex psychological, physical, sensory and cognitive impairments and difficulties. To provide expert advisory and consultancy services to colleagues and organisations within Dundee and elsewhere in the wider healthcare systems as appropriate. To conduct and advise on appropriate clinical research and audit. To maintain and contribute to Continued Professional Development (CPD) in the Department and elsewhere in the health care and social work system. To develop and maintain good links with colleagues, service users, carers and relevant community and voluntary organisations. General Conditions 05.08 6. COMMUNICATIONS AND RELATIONSHIPS The post holder must: Communicate clearly, professionally and empathetically with patients, their relatives and carers in a wide range of sometimes very distressing and emotive circumstances, which may involve imparting sensitive highly complex clinical information relating to the development and prognosis of an individual's psychopathology, Communicate promptly, clearly and sensitively with referral agents and colleagues providing a written history of the presenting complaint, the clinical findings on examination, a clinical formulation, diagnosis, and a recommended course of action; ensuring that these observations are sent to all those with a significant role in the management of the patient, and that an appropriate record is stored in the records system. Possess highly developed interpersonal communication skills with the ability to relate well with individuals on a one-to-one and group basis, and with individuals who have significant sensory, communication and cognitive disabilities. Ensure a presence or written report at important decision-making meetings concerning clients with whom the post holder is involved to ensure the coherent passage of relevant information to colleagues and participation in the process (e.g. CMHTOP meetings, and case reviews, etc.). Be experienced and skilled in developing a therapeutic alliance with patients whilst maintaining a professional and ethical standing. Possess specialist interview skills to assess complex and co-morbid clinical presentations. Be able to establish and maintain positive relationships with colleagues from all professions and disciplines within the NHS and across local authority and social work services. Ensure adequate supervisory arrangements are in place and that the post holder is using these appropriately in line with professional guidelines and good practice. Be involved with the provision of post-graduate and post-registration training in Clinical Psychology in Scotland by participating in relevant NHS Education events/training. Ensure that contemporary standards of confidentiality are observed in the communication and storage of clinical information in line with professional and Scottish Executive guidelines. Develop and maintain good relationships with voluntary and carer organisations supporting older people with psychological disorders in the community. Ensure that the requirements for informed consent are observed when communicating about a patient with a third party or when soliciting their participation in research. Provide a clinical consultancy service to colleagues, other professionals and organisations pertaining to psychological aspects of health care. Provide multi-disciplinary and multi-agency teaching and training on psychological conditions and older people. Maintain professional accreditation and CPD as per current British Psychological Society (BPS) guidelines. Contribute to the training and supervision of Trainee Clinical Psychologists in clinical and research matters. Contribute to the training of doctors, nurses and other health and social services professionals as appropriate. General Conditions 05.08 Conduct appropriate research and audit, and communicate the findings to shape clinical practice and to enhance the perceived stature of NHS Tayside. 7. KNOWLEDGE, TRAINING AND EXPERIENCE REQUIRED TO DO THE JOB Have a post-graduate Doctoral level (or equivalent) degree in Clinical Psychology. Be eligible for Chartered status with the British Psychological Society. Be eligible for a Practising Certificate by maintaining CPD. Complete further specialist courses of additional learning as relevant to the clinical skills required for the post and as identified as significant in the Personal Development Plan. Attend in-house and external courses pertaining to maintaining mandatory training requirements, including; moving and handling, management of aggression and violence, lone worker guidelines etc. Possess and maintain wide-ranging knowledge of psychological theories and models including lifespan development, neuropsychological assessments, psychometrics, research design and methodology, data analysis and issues in the assessment, formulation and treatment of late life psychological difficulties by additional reading and study. Be able to travel to locations as required. Have university accreditation for undertaking training and supervision of doctoral level clinical psychology trainees. Have knowledge of national and professional guidelines for optimal standards of clinical care. Have knowledge of Psychiatry and other related professions in order to understand complex clinical presentation. Respond appropriately to suicidal patients or where harm to another is indicated. Work in a sensitive manner with respect for diversity in gender, ethnic, culture and philosophical issues with a wide range of individuals and organisation. Be aware of the limits of own competence and expertise. Be aware of the need to deploy valuable health service resources in an effective and rational manner according to contemporary evidence-based practice. Possess interview skills for the selection of new staff, and a willingness to learn and apply Board's employment legislation and recruitment and retention policies. ESSENTIAL ADDITIONAL INFORMATION 8. SYSTEMS AND EQUIPMENT The post holder should: Maintain a good level of expertise in the use of psychological assessment tools and protocols, including complex psychometric and neuropsychological test materials, and apply these appropriately, relevantly and with high levels of accuracy in clinical case management. Have a working knowledge of computer-based technology including word processing, e-mail, internet and data analysis using statistical packages. Conform to the Department's systems of information management for patient records, activity data, and mileage and expenses information. Be actively participating in the specialty service on-going audit processes for clinical effectiveness of interventions. General Conditions 05.08 RESPONSIBILITY FOR RECORDS MANAGEMENT All records created in the course of the business of NHS Tayside are corporate records and are public records under the terms of the Public Records (Scotland) Act 1937. This includes email messages and other electronic records. It is your responsibility to ensure that you keep appropriate records of your work in NHS Tayside and manage those records in keeping with the NHS Tayside Records Management Policy and with any guidance produced by NHS Tayside specific to your employment. General Conditions 05.08 9. PHYSICAL DEMANDS OF THE JOB To ensure equity of care to a largely severely disabled patient population the post holder must: Manual dexterity – Have ability to carry out demanding, intricate and complex testing (a minimum of two to three times weekly) Have ability to take notes while interviewing patients (on a daily basis) Physical effort – Maintain fitness to travel to locations as required throughout the year, up to three hour (return) from base Maintain fitness to carry heavy psychometric materials, case notes, laptops and equipment to clinics, hospitals, home visits and care homes (several times weekly) Have ability to spend long periods (two hours) in one position while assessing/ consulting a patient Mental effort – Have ability for sustained intense concentration while interviewing, testing or conducting therapy with patients in clinics lasting several hours Have ability for sustained intense concentration while participating and consulting in multidisciplinary team reviews and meetings lasting several hours Have ability for sustained concentration while conducting, analysing and reporting on highly complex technical assessments to short clinical deadlines e.g. within the day (frequency of once per two weeks) Emotional effort – Have ability to cope with frequent (several times weekly) highly distressing or emotional circumstances e.g. listening to detailed accounts of progressive deteriorating brain disease, terminal decline, death and bereavement, abuse as a child, elder abuse, highly complex family emotions, work stress in staff Have ability to assist with frequent (at least weekly) situations where aggressive, resistive or other challenging behaviours cause intense distress to caregivers and patients Have ability to deal with intractable life problems, adverse life experiences, irresolvable life circumstances – in a context that is towards the end of the patient’s life Working conditions – Have ability to cope with frequent (weekly) difficult behaviour e.g. verbal or physical aggression Have ability to conduct interviews, testing or therapy (several times weekly) in unhygienic or cramped physical conditions e.g. on home visits, in nursing or residential homes. Have ability to communicate with persons with serious handicaps of hearing, vision and language (several times weekly) General Conditions 05.08 General Conditions 05.08 10. DECISIONS AND JUDGEMENTS The post holder must: Be capable of making judgements and clinical assessments involving highly complex facts usually in multiple problem situations, which require analysis, interpretation and evaluation of a range of options. Be capable of making judgements and clinical assessments using a range of specialist assessments, ranging from technical instruments (e.g. neuropsychological test batteries) to specialist assessments for therapy tailored for older patients. Be capable of weighing conflicting components pertaining to a highly complex problem or situation, forming judgements and interpretations where information is incomplete or unavailable, and in situations where expert opinion may be divided. Be capable of selecting an appropriate specialist treatment or intervention to fit a particular situation. Be capable of establishing and maintaining an appropriate balance between direct clinical psychology service provision and indirect provision (i.e. training, consultancy and liaison). Be capable of autonomously planning, organizing and managing a full patient case-load. Be accountable for own professional activity within professional ethics and trust policies. Make judgements and decisions with regard to formulation and treatment or management interventions, involving complex information and situations that require analysis, interpretations and integration with theoretical understanding Have the ability to incorporate developments in specialist psychological assessments/interventions as they are introduced and up-dated. Monitor the clinician's own effectiveness with each patient and/or the presenting problem, to determine whether consultation, or ongoing supervision with a colleague and further CPD is required to maintain high standards of clinical work Anticipate and identify gaps in service provision and inform service management of such gaps and suggest and undertake strategies to meet these deficiencies. Be capable of monitoring a situation or intervention by formal means of evaluation, and be able to modify the plan, treatment or intervention to obtain a better outcome. Be capable of monitoring training and supervision requirements of supervisees. Be capable of balancing the welfare rights of the individual against the duty of care to the wider community where the behaviour of a patient is likely to pose a significant risk to themselves and others. Be capable of acting within the terms of reference of legislation pertaining to mental health and Capacity to protect the rights and health individuals and the community (e.g. mental health acts). Participate in formulating Departmental policies by attending Departmental meetings, speciality groups and have an active role in clinical governance aspects of Tayside Area Psychological Therapies Service. Anticipate future trends and developments pertinent to healthcare delivery and suggest methods of modernising service delivery General Conditions 05.08 11. MOST CHALLENGING/DIFFICULT PARTS OF THE JOB Dealing with clients exhibiting significant levels of highly complex co-morbid psychological difficulties, life-threatening health problems and cognitive and sensory impairments on a daily basis. Working in situations where aggressive behaviour causes distress to patients and caregivers (several times per week). Working with individuals with highly distressing and emotive difficulties, including family breakdown, serious mental illness and the psychological consequences of earlier childhood sexual abuse or other harrowing life events (several times weekly). Maintaining professionalism and responding sensitively in face of distressing, manipulative or hostile situations (weekly). Responsibility for managing/assessing risk of harm to self and others. Dealing with life-changing circumstances for individuals and their carers and families (e.g. with people with dementia and their families). Making decisions which require speed and accuracy with a narrow margin for error (several times weekly). Maintaining up-to-date clinical awareness and knowledge of relevant treatment strategies across the very broad spectrum of diverse mental health problems and disorders, organic and functional. Managing a wide diversity of needs in the population and balancing the demands of referrers with available resources, maintaining reasonable waiting times and providing a high quality psychological service. Developing and maintaining effective and efficient relationships with a wide range of services including the relevant CMHTOPs, primary care, local authority, voluntary, independent and other specialist services. 12. JOB DESCRIPTION AGREEMENT The job description will need to be signed off using the attached sheet by each postholder to whom the job description applies . General Conditions 05.08 ORGANISATIONAL POSITION – MENTAL HEALTH DIRECTORATE DIRECTOR OF MENTAL HEALTH Head of Service NHS Tayside Psychological Therapies Integrated Services Manager ==================== Consultant Clinical Psychologist Clinical Psychologist General Conditions 05.08 ---------------------------- Professional Line Management ================= Joint Line Management ___________________ Operational Line Management General Conditions 05.08 PERSON SPECIFICATION NHS Tayside Job Title and Grade: Clinical Psychologist – Older Peoples Service Location: Dundee Ref No: P/EB/131 CRITERIA ESSENTIAL DESIRABLE EXPERIENCE: During training, work in a specialist clinical psychology service for older people Work in a range of other services e.g. multidisciplinary, learning disabilities, medicine of old age QUALIFICATIONS: (Training; Research; Publications) Postgraduate qualification in Clinical Psychology at Doctorate level or equivalent. Eligible for chartered status with HCPC/BPS KNOWLEDGE & SKILLS: Positive interest in and awareness of the issues of later life development for people with significant disabilities Tailored applications of assessments and interventions for older people, including those who are cognitively disabled. Team and multidisciplinary PERSONAL QUALITIES: Positive attitude to and about: older people people with cognitive disabilities team work Commitment to furthering psychological knowledge and understanding in ways/ areas which will assist older people and other colleagues who serve them OTHER: (eg Driving Licence) General Conditions 05.08 Ability to travel across NHS Tayside sites General Conditions 05.08 General Conditions of Service POST REF NO: P/EB/131 JOB TITLE/GRADE: Clinical Psychologist, Band 8A LOCATION: Older Peoples Service, Dundee Conditions of Service Remuneration Hours of Duty Superannuation The terms and conditions of service for this post are those determined by the NHS Staff Council. The current salary scale for the post is £40,028 to £48,034 per annum (pro rata for part-time staff). Placing on the scale on appointment is normally at the minimum but may be higher subject to verification of previous relevant service. Salary is paid monthly by Bank Credit Transfer. The hours of the post are 37.5 per week. Start and finish times will be determined by the needs of the service. Membership of the NHS Superannuation Scheme is not compulsory but is open to all staff between the ages of 16 and 70 (65 in some instances). The contributions paid are a percentage of superannuable pay, which is essentially basic pay excluding, for example, overtime or travelling expenses. Contribution rates with effect from 01.04.14 are as follows: Annual Pensionable Pay (Full-time equivalent) Up to £15,431 £15,432 to £21,387 £21,388 to £26,823 £26,824 to £49,472 £49,473 to £70,630 £70,631 to £111,376 £111,377 and over Annual Leave Contribution 5% 5.6% 7.1% 9.3% 12.5% 13.5% 14.5% Contributions are subject to tax relief and reduced National Insurance contributions. NHS Tayside also makes a substantial contribution towards scheme benefits – currently around 14% of basic pay. On appointment = 27 days (pro rata for part-time Staff) or 5.4 weeks per year. After 5 years aggregated service = 29 days (pro rata for part-time staff) or 5.8 weeks per year After 10 years aggregated service = 33 days (pro rata for parttime staff) or 6.6 weeks per year General Conditions 05.08 References Public Holidays = 8 days (pro rata for part-time staff) or 1.6 weeks per year All offers of appointment are subject to receipt of two satisfactory references. Occupational Health Clearance All offers of appointment to new entrants to the National Health Service are subject to a medical examination. Medical examinations are arranged and undertaken by the Occupational Health and Safety Advisory Service (OHSAS). Rehabilitation of Offenders Act 1974 (Exclusions and Exceptions) (Scotland) Order 2003 All current or spent criminal convictions, cautions, warnings or any case pending must be disclosed prior to commencing in employment as detailed on the application form. Disclosure Scotland Immigration, Asylum and Nationality Act 2006 Please note that having a conviction will not automatically debar you from obtaining employment with NHS Tayside. Careful consideration will be given to the relevance of the offence to the particular post in question. However, if you are appointed, and it is found that you did not reveal a previous conviction your employment may be terminated. The successful applicant will be required to become a member of the Protecting Vulnerable Groups Scheme (PVG) in respect of regulated work with protected adults. It is a criminal offence for an employer to employ anyone who does not have permission to live or work in the UK. Shortlisted applicants will be asked to produce specific original documentation at interview e.g. Passport, or full birth certificate together with an official document giving the applicants permanent National Insurance Number and name issued by a Government Agency or a previous employer, as well as photocopies of these documents. Professional Registration/ you should have current and continuing professional registration Induction Standards & with HCPC and hold the appropriate qualification(s). Code of Conduct Smoking Policy NHS Tayside operates a No Smoking Policy and smoking is prohibited within NHS premises and grounds. Applications Completed forms should be returned to: recruitment.tayside@nhs.net quoting the job reference in the subject line or to Human Resources Directorate, Management Offices, Perth Royal Infirmary, Taymount Terrace, Perth PH1 1NX By closing date of Wednesday 8 April 2015 General Conditions 05.08