Programme Description
SPECIALTY TRAINING PROGRAMME IN CHILD & ADOLESCENT
PSYCHIATRY PROGRAMME IN WESSEX DEANERY
This is a Locum Appointment for Training in Child & Adolescent Psychiatry at ST4
level, aimed at doctors who can demonstrate the essential competencies to enter
this level of training.
The programme is based in hospitals in the Wessex Deanery including:
HOSPITAL
North Hampshire Hospital
The Royal Bournemouth Hospital
St Richards Hospital
Dorset County Hospital
St Ann’s Hospital
Alderney Hospital
St Mary’s Hospital
Jersey General Hospital
Poole Hospital
Queen Alexandra Hospital
Royal Hospital Haslar
St Mary’s Hospital
St James’s Hospital
Ravenswood Hospital
Salisbury District Hospital
Southampton General Hospital
Royal South Hants Hospital
Princess Anne Hospital
Tatchbury Mount
Ashurst Hospital
Royal Hampshire County Hospital
LOCATION
Basingstoke
Bournemouth
Chichester
Dorset
Dorset
Dorset
Isle of Wight
St Helier, Jersey
Poole
Portsmouth
Gosport, Portsmouth
Portsmouth
Portsmouth
Fareham, Portsmouth
Salisbury
Southampton
Southampton
Southampton
Southampton
Southampton
Winchester
Wessex Deanery is a relatively small deanery with a defined geographical area
which does lead to there being a single unit of application. In the majority of
cases successful candidates will be asked to preference their choice of location
for either one or two years. Some specialties will require successful candidates to
preference both commencing location and specialty. Future placements will be
based, as normal, on individual training and educational needs. Please note that
applications are to the Wessex Deanery as a whole. This may mean that you
may be allocated to any geographic location within the Wessex Deanery
depending on training needs.
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Programme Description
The Wessex Deanery covers a geographical area from Basingstoke in North
Hampshire to Dorchester in West Dorset and the Isle of Wight to the South; in
addition some programmes rotate to Jersey and Chichester in West Sussex. This
is a spread of approximately 65 miles North to South and 76 miles East to West.
The Wessex Deanery serves a population of around 2.8 million people.
The Wessex Deanery is part of NHS Education South Central within South
Central Strategic Health Authority which covers Berkshire, Buckinghamshire,
Oxfordshire in the north (under Oxford Deanery) and Hampshire and Isle of
Wight. In addition, Wessex Deanery provides training programmes within Dorset
and South Wiltshire under a formal agreement with the South West Strategic
Health Authority. The Wessex Deanery is responsible for the training of some
2,500 trainees.
The Wessex Child & Adolescent Psychiatry SpR rotational training scheme
covers Poole (total population 140,000) and part of East Dorset (approximate
population 40,000), Southampton and the surrounding areas (total population
387,000), Portsmouth and the surrounding areas (total population 545,320) and a
post for a flexible trainee in Salisbury (total population 120,000). In other words
the scheme covers a lovely part of the South Coast with all the benefits of the
sea, beautiful countryside and historic cities. The Scheme consists of 8 full-time
SpRs, one being a lecturer’s post based in Southampton. Usually, 5 SpRs rotate
between Southampton and Portsmouth, spending 2 years in one place and one
year in the other and 2 SpRs rotate between Poole and Southampton. However,
there is flexibility within this system to meet individual trainees needs. The
Scheme supports flexible training and can provide for some additional flexible
trainees. Child & Adolescent Psychiatry SpR training to obtain a CCT in Child &
Adolescent Psychiatry is 3 years full-time or pro-rata equivalent.
Aims and Objectives of Training and Education
The Scheme aims to provide and promote training, education and professional
development in Child & Adolescent Psychiatry to a standard expected by the
Royal College of Psychiatrists (currently based on College Advisory Papers and
Annual RITA Appraisal Form), and the GMC Guidelines for Good Medical
Practice. At the end of their training specialist registrars will be expected: to have
gained a thorough knowledge of normal child development; be able to assess
children and families in order to make a diagnosis of psychiatric disorder if
present and to be able to formulate the presenting problems and to develop
treatment plans; work as a co-therapist with other members of the
multidisciplinary team; have experienced a wide range of treatment modalities
such as behaviour therapy, family therapy, cognitive therapy, solution focused
therapy, brief focused individual therapy, long-term individual psychotherapy,
group therapy and psychopharmacological treatments; worked within
multidisciplinary teams; worked with other agencies (for example, attended
Social Services case conferences, convened multi-professional planning
meetings and provided assessments for Statementing procedures); provided
Programme Description/kbrown/Sept08
Programme Description
consultation to other agencies and professionals, eg Social Workers, Educational
professionals, voluntary agencies; dealt with clinical emergencies including
deliberate self-harm; and provided psychiatric assessments for the courts.
Additional Training and Education
Trainees will be supported if they wish to undertake further training, education or
qualifications by recognised bodies, eg family therapy training, cognitive
behaviour therapy training, an MSc or an MD. However, there is no automatic
additional funding available, apart from each SpRs individual study leave budget.
The Academic Programme
Trainees will be expected to attend this 3 year rolling Academic Programme
which is held at Ashurst Hospital, Southampton on the 2nd and 4th Wednesdays
of the month during term-time. The Programme includes a 2-3 day long
experiential workshop per year, a Spring and Autumn Academic day under the
auspices of the Southern Branch of ACAMH, and attendance at the academic
component of the Wessex Child & Adolescent Psychiatrists’ meetings. The
development and delivery of the programme is a combined effort between
trainees and the Academic Course Organiser. It includes seminars, journal
reviews, clinical case and video presentations, research meetings, outside
speakers and a Balint group. It is also an opportunity for trainees to meet
together as a group. Time to attend the academic programme will be protected.
Each placement has a Bench Library as well as access to University/Hospital
libraries.
Research
Trainees will have 2 protected sessions per week for research. This time should
be used to develop a research project, either one devised and set up under the
SpR’s initiative, or one that is worked as a combined project with another SpR
and Consultant, for example: an on-going project; a thesis that contributes to an
MSc; an extensive review of the literature written up for an MSc or for publication;
an extensive evaluation project evaluating services that has a cyclical element to
it or a planned series of evaluations; an extended audit which the SpR would
take at least through one, if not two cycles. SpRs will meet with the Research Coordinator at the beginning of their training and a project and Research Supervisor
will be agreed. SpRs will be expected to demonstrate appropriate use of
research sessions at their annual RITA panels. The local RDSUs offer a range of
research courses and research assistants at Ashurt Hospital are available to help
with statistics and setting up SPSS data bases etc. Flexible trainees may take
some research sessions as a 6 month block.
The research interests amongst the academic and consultant group are: ADHD,
pre-school children, autism, chronic fatigue syndrome and service evaluation.
There are good links with the psychology department in the University of
Southampton.
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Programme Description
Audit
Audit plays a crucial part in Clinical Governance and SpRs will be expected to
participate in audit training and audit projects in each of their placements.
Teaching
There are opportunities to teach medical students from Southampton University,
SHOs in Psychiatry, other doctors eg GP trainees and Paediatricians, and other
members of related professions, eg Health Visitors, Social Workers, Teachers,
Nurses, Midwifes, etc, members of the multidisciplinary CAMHS teams and nonprofessionals, eg support groups, parents, school children. Different modalities of
teaching are encouraged and live supervision of teaching takes place. Patients
and their carers should be involved in teaching/training.
Management Training
SpRs will be expected to undertake both formal and informal management
training. They will also have an opportunity to attend courses on Continuing
Professional Development through the Wessex Courses Centre.
Mentor
The Mentor Co-ordinator offers new SpRs a list of volunteer Mentors from the
Consultant body from which they can choose. It is entirely voluntary on both
sides but whilst a Mentoring arrangement is in existence, the Mentor undertakes
to make at least 2 sessions per year available to the Mentoree, each of which
should be at least one hour undisturbed time.
Links with Adult Forensic Psychiatry
For SpRs who wish to become Forensic Child & Adolescent Psychiatrists (single
CCT in Child & Adolescent Psychiatry) we have good links with West Hampshire
Mental Health Trust Adult Forensic Psychiatry department at Ravenswood
House, Fareham. We have been able to arrange for individual trainees to
undertake an additional 2 years Forensic Training, 1 year in Adult Forensic
Psychiatry and 1 year Adolescent Forensic Psychiatry, in addition to 2 or 3 years
Child & Adolescent Psychiatry SpR training. This training is arranged on an
individual basis with specific approval from the Wessex Deanery and the Royal
College of Psychiatrists.
Emergencies
The Specialist Registrar accepts that s/he will also perform duties in occasional
emergencies and unforeseen circumstances at the request of his/her colleagues
both senior and junior. It has been agreed between the professions and the
department that while juniors accept that they will perform such duties, the
Secretary of State stressed that additional commitments rising under this subsection are exceptional and in particular the junior should not be required to
undertake work of this kind for prolonged periods or on a regular basis.
Programme Description/kbrown/Sept08
Programme Description
Poole and East Dorset (Dorset Healthcare Trust)
Child Development Centre, Poole
The Child and Adolescent Mental Health Service, based in the Child
Development Centre (CDC), Poole Hospital, covers both the populations of
Poole (total 140,000) and part of East Dorset (approximately 40,000). It is a
general Tier 3 service, dealing with a comprehensive range of mental health /
developmental problems in children and young people up to 18 years old. There
is close working with Primary Mental Health Workers. There is also close working
with both the Social Services and Education Departments. An SHO in Psychiatry
spends 6 months at the CDC, Poole and 6 months in the Shelley Clinic, providing
an opportunity for the SpR to provide supervision. There are close links with the
Paediatric department (hospital and community) and opportunities to further
develop paediatric liaison and gain experience with patients with learning
disability and other developmental difficulties. The clinic provides regular
consultation and support to Paediatrics, Social Services and Education, as well
as services in Primary Care, eg School Nurses, Relate, Connexions.
Experience can be offered in a wide range of treatment approaches, including
Family Therapy, Psychodynamic Individual Therapy, Briefer Individual Therapy,
Cognitive Therapy, medication, liaison and networking. There are opportunities
for partaking in the various CAMHS management groups, eg clinical governance,
and a multi-agency operational group. The SpR is expected to attend the monthly
inter-team clinical meeting and monthly Consultants’ Peer Group. There is
access to journals/books at the Postgraduate Library, Poole Hospital and the
library in the Psychology department at St Ann’s Hospital.
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Programme Description
Maple Young Peoples Intensive Support Service and Pine Cottage, Poole
Pine Cottage Adolescent Unit is a 4 bed adolescent inpatient facility catering for
young people between the ages of 11-18 years across the whole county of
Dorset (Dorset population approximately 750,000). It is based in St Anne’s
Hospital and there is access to their duty SHO in Psychiatry on an “as required”
basis. As well as nursing staff, the unit has access to Occupational Therapy, Art
Psychotherapy, a Teacher, a Consultant Family Therapist, an OT Assistant and a
number of Health Care Assistants. The Maple Service, which works in
conjunction with the inpatient unit, is a Dorset-wide specialist adolescent service
set up to provide multi-disciplinary intensive treatment and community outreach
for young people between the ages of 10-18 years. As well as the professionals
mentioned above, the Maple Service has Clinical Psychologists, a Senior
Practitioner Social Worker, and seconded Educational Psychologists. This
service provides therapeutic input to adolescents with complex needs who
require a level of care not usually provided by a traditional CAMHS out-patient
service. Community outreach can be provided where there is poor engagement
with traditional services.
There are teaching opportunities including presentations at the junior doctors’
journal club and case presentation meetings at St Anne’s Hospital. The
opportunity for examination coaching of SHOs planning to undertake MRC Psych
examinations is available.
The Shelley Clinic, Boscombe
The Shelley Clinic provides a general tier 3 community outpatient CAMH Service.
It sees young people up to the age 18 years from Bournemouth Borough (total
population 164,000) and part of East Dorset (population 85,000). The multidisciplinary team allows opportunities for the SpR to gain experience in a wide
range of therapies including Family Therapy, Psychodynamic Individual Therapy,
Briefer Individual Therapy, Cognitive Therapy, medication, liaison and
networking. This service works closely with Primary Mental Health Workers, as
well as Social Services, Education, Primary Care and Voluntary Services.
The SpR is able to supervise an SHO in Psychiatry and provide teaching to junior
medical staff, Primary Mental Health Workers, members of the multi-disciplinary
team and medical students.
Dorset Health Care Trust provides an Early Intervention Psychosis Service,
which is Nurse led providing services for young people from 14-35 years. The
service works jointly with Consultants from locality CAMHS teams in developing
care packages for young people with psychosis. In addition, there are also
CAMHS nurses based in the local Youth Offending Team and Young Adults Drug
and Alcohol Service, which give the SpR the opportunity for forensic training and
Programme Description/kbrown/Sept08
Programme Description
substance misuse training. Mental Health Services for Child and Young People
with Learning Disabilities are provided by the Learning Disabilities Team. There
is an Outreach Team and a Learning Disabilities Psychology Service. The SpRs
have an opportunity to gain experience with children with learning disabilities.
Portsmouth and South East Hampshire
In this placement the SpR is employed by East Hampshire Primary Care Trust.
There are 3 Community Child & Family Therapy Services in the Portsmouth and
East Hampshire area which all provide a similar service and the SpR is based at
one of these clinics. Although the 3 clinics are managed by different PCTs, there
are close clinical and managerial links across all the 3 clinics. The clinics receive
referrals of moderate to severe child and adolescent mental health problems (ie
Tier 3) but each area works closely with their own team of Primary Mental Health
Workers who see children in the mild to moderate range of difficulties (ie Tier 2).
The clinics are supported by the District Unified Adolescent Team, which sees
young people between 14-19 years who have complex needs (tier 3-4). The
Trusts have contracts with Leigh House Inpatient Adolescent Unit in Winchester
(tier 4). There is a small district Paediatric Liaison Team which provides specific
interventions ranging from prevention to tier 4 work.
Each Community Child & Family Therapy Service sees patients up to 16 years of
age and/or till the end of compulsory education. Each clinic receives
approximately 500 referrals per year from a wide range of professionals. They
each have a multidisciplinary team which includes Child & Adolescent
Psychiatrists, Clinical Psychologists, Community Nurse Specialists, Family
Therapists, Psychotherapists and administrative support. The Fareham and
Gosport clinic also has an Art Therapist with some district role. In each clinic the
SpR has the opportunity to gain experience in family therapy, cognitive behaviour
therapy, individual psychodynamic psychotherapy, the creative therapies, brief
focused therapies and solution focused and narrative therapies. The SpR is also
able to gain experience in psycho-pharmacological therapies, extensive
consultation to other agencies and liaison work.
The SpR has an opportunity to work with the Psychology team which provides
mental health input to children with learning disabilities at the Child Development
Centre in Portsmouth. He/she also has the opportunity to observing assessments
by the Autism Assessment Service. All teams place a high priority on both
individual and team supervision and the Trainee is able to work as a co-therapist
with a range of professionals. The SpR has the opportunity to provide
supervision for an SHO in child psychiatry at Havant Child & Family Therapy
Service (on the Solent rotation). The SpR also has an opportunity to teach
medical students, present clinical cases at academic meetings and teach nonmedical professionals.
Programme Description/kbrown/Sept08
Programme Description
Community CAMHS Posts

Havant Child & Family Therapy Service, Civic Centre Road, Havant

Portsmouth City Child & Family Therapy Service, North End, Portsmouth

Fareham & Gosport Child & Family Therapy Service, Osborn Clinic, Fareham
Specialist Placements
Unified Adolescent Mental Health Team, Cosham Health Centre, Portsmouth
The specific remit of this team is to work with high risk, disaffected young people
in many settings. Almost by definition this is a forensic population and one that all
agencies find very hard to engage and manage. The necessary processes of
assessment and management are particular and comprehensive. Networking
tasks are central to success.
The trainee is involved in the multidisciplinary working of the complex caseload
held by this service. Such work will involve assessment, therapy and
management of the many facets of the cases. Supervision of the trainee’s work
will be enhanced by the multidisciplinary team’s own supervision resources
(internal supervision expertise, and external supervision of the team). Although
this is a community team, strong links to other agencies, in particular
Portsmouth’s adolescent drug and alcohol treatment service (E’s Up) will ensure
plenty of relevant opportunities for visits to and work with our cases within
prisons, secure units, children’s homes, hospitals (adult psychiatric, forensic,
adolescent psychiatric, adolescent forensic), various special education resources
and other important organisations in the area. Because the service is closely
linked to the Portsmouth District Youth Offending Teams, Court experience and
the production of Court reports is possible.
There are opportunities for providing consultation to other agencies, clinical
supervision of work performed by other agencies, and training of other agencies
alongside other team members. The trainee is expected to be involved in
managerial and internal training aspects of the team.
Paediatric Liaison Team
In this placement the SpR is based in Portsmouth City CFTS, but he/she spends
most of the clinical time at St Mary’s District General Hospital, Portsea Island or
Queen Alexandra District General Hospital, Cosham. The SpR works with the
district Paediatric Liaison Team consisting of sessional time from a Child and
Adolescent Psychiatrist, Community Nurse Specialists, a Primary Mental Health
Worker and a Psychotherapist. The clinical tasks include: helping to facilitate the
psychosocial ward meeting with the Consultant and the IMPACT groups (for
children with long-term medical conditions); seeing patients on the Paediatric
wards; and offering consultation and direct clinical work to the Respiratory,
Programme Description/kbrown/Sept08
Programme Description
Neurology and Oncology Specialist Children’s Teams. The SpR also has the
opportunity to join the Psychotherapist for attachment work on the Neonatal Unit.
He/she is able to attend Autism Assessments and see some children with
learning disability with the CDC Psychologists. The SpR has opportunities to
teach Paediatric Nurses and Paediatricians, particularly in delivering the “Child in
Mind” teaching to SHOs in paediatrics.
Salisbury Health Care NHS Trust
Child & Family Therapy, Salisbury
This post is approved for flexible training and has no on-call commitment. The
Child & Family Therapy Service in Salisbury is a multidisciplinary Child &
Adolescent mental health outpatient service providing specialist assessment and
therapy, as well as consultation and advice to other professionals working with
disturbed youngsters (tier 3). The service is part of the Child Health Department
and has close working relationships with Paediatrics. There are opportunities for
teaching medical students, and SHOs in Paediatrics and Psychiatry, including
case presentations to the team, Paediatric and Adult Psychiatric departments.
Outpatient clinics, including ADHD clinics are held at Salisbury District Hospital
and there are peripheral clinics in Amesbury and Ringwood. There is the
possibility of working with a Primary Mental Health Worker in the Amesbury area.
The SpR has an opportunity for Paediatric Liaison work with the Paediatricians at
Salisbury District Hospital, one of whom has a special interest in head injury, and
the opportunity to work with regional specialist units such as the Burns Unit and
Spinal Unit. TheSpR is able to work with the Child Development Team and the
Learning Disability Team, with visits to specialist units, Hillcote Residential Unit
and Exeter House School. Experience in the assessment of Autistic Spectrum
Disorders is also available. The SpR will gain experience in family therapy,
cognitive and behaviour therapy, group work and use of psychotropic medication,
as well as consultation opportunities to other professionals, e.g. Social Workers.
There are good links with the Youth Offending Team and Adult Drug and Alcohol
Service.
Southampton City Primary Care Trust
Specialist Registrars on placement in Southampton and at Leigh House
Adolescent Unit are employed by Southampton City Primary Care Trust
Leigh House In-Patient Adolescent Unit
Leigh House Hospital is a 20 bed hospital for young people with severe
psychiatric illness between the ages of 12 and 18 years. There is also a DayPatient service and a limited Out-Patient service for second opinions. Leigh
House serves a wide area that includes 18 PCTs. Most of the young people in
Programme Description/kbrown/Sept08
Programme Description
the hospital have eating disorders, psychosis, major affective disorders or severe
OCD and anxiety disorders. The average length of stay is four months. There is a
well staffed school attached to the hospital and an impressive occupational
therapy department. Young people and their families have the opportunity of a
range of therapies including family therapy, cognitive behaviour therapy, group
work and art therapy. There is a good working relationship between the different
members of the multi-disciplinary team regarding the management of cases and
the functioning of the unit.
The Specialist Registrar has plenty of opportunity to take part in multidisciplinary
assessments of complex cases and review meetings in addition to opportunities
for training (supervision in cognitive behavioural therapy, family therapy and
pharmacological interventions). There is weekly supervision, both individual and
group, from the two Educational Supervisors.
The Paediatric Unit, Southampton General Hospital
Placement in this post is usually divided between 6 months based at Bursledon
House Children’s In-patient Unit and 6 months based on the Paediatric wards in
Southampton General Hospital working with the Child Mental Health Team
(Paediatric Liaison).
Bursledon House Children’s Unit is a 12 bed residential and 6 place day unit
service for children 0-16 years based in the grounds of Southampton General
Hospital and has input from Paediatricians, Psychiatrists, Psychologists,
Occupational Therapists, Psychotherapists, other therapists and a small school
which has become a Pupil Referral Unit. Patients with a range of mental health,
paediatric or mixed paediatric/mental health problems are referred, including
those with psychosomatic disorders, chronic fatigue syndrome and neurological
problems. Patients are referred from a wide range of geographical areas from
psychiatrists and from acute and community paediatricians. Admissions range
from short term assessments to longer term assessment and management,
including rehabilitation eg following severe head injury. There is very close
working between paediatricians and mental health professionals.
Southampton General Hospital has a wide range of secondary and tertiary
paediatrics, including respiratory, neurology, oncology and endocrine services
and a paediatric intensive care unit. The paediatric liaison team provides input to
all paediatric services in the hospital. On the paediatric wards SpR assesses
inpatient and out patient referrals from the Paediatricians, together with
Paediatric Liaison Team. Referrals range from cases following deliberate self
harm to those with longstanding and complex chronic illness. The SpR also
provides consultation to the various paediatric services and displines and some
staff support. The SpR has the opportunity to attend the Consultant Paediatric
Neurology clinic and other paediatric clinics. There is a teaching component in
Programme Description/kbrown/Sept08
Programme Description
the SpRs time commitment within the Southampton General Hospital. The
Trainee is expected to take part in teaching Medical Students, Paediatric Nurses,
and be involved in the courses run by the College of Nursing. They also have the
opportunity to supervise an SHO in Psychiatry.
There is a well established multidisciplinary service for the assessment of
children with a possible autistic spectrum disorder and the trainees are able to
attend these assessments. One of the consultant child psychiatrists in SGH, Dr
Josie Brown, has a special interest in autistic spectrum disorders and provides
consultation to some specialised residential schools for children and young
people with Aspergers Syndrome and for learning difficulties and challenging
behavior. The SpR has the opportunity to visit these schools with Dr Brown.
The Behavior Resource Service
The BRS provides specialist experience of intensive multi-agency working for
young people with complex needs and severely challenging behaviour. The BRS
has a residential unit for young people aged 13 to 18 years. Four beds are
available, three on a planned basis and one for emergency admissions. A
mixture of residential Social Workers and RMNs staff the residential team. The
community team has approximately 12 full time equivalents including a
Consultant Psychiatrist, Psychologists, Learning Disability nurses, Social
Workers, a Teacher, Educational Psychology time, a Family Therapist and
Paediatrician time. The community team provides an assertive outreach
approach adapted from the model of multi-systemic therapy.
Programme Description/kbrown/Sept08
Programme Description
Many of the service users have mild learning difficulties. Approximately 50% to
60% are looked after children. The service has no specific exclusion criteria and
accepts young people with multiple difficulties in every arena of their life. This
placement provides a unique opportunity for detailed multi-faceted assessment of
young people and their environment. There are links with Southampton City’s
Adolescent Drug and Alcohol Treatment Service (E’s Up) and Hampshire’s
Cranstoun Drug and Alcohol Services. The multi-agency work also includes
assessment and treatment of young people with a history of offending and
forensic concerns. There is an opportunity for undertaking medico-legal work
particularly regarding young people involved in the criminal justice system.
Brookvale Adolescent Service, Southampton
The Brookvale Service provides an experienced and specialised community
psychiatric service for adolescents with mental health problems. The service
provides for young people between the ages of 14 and 18 years, their families
and carers, and a range of referring agencies, including Health, Social Services,
Education and voluntary services. The service is based in a large detached
house in Portswood, Southampton, and has a multi-disciplinary team consisting
of Nurses, Social Workers, Art Therapists, Psychologists and Psychiatrists.
Clinical consultative work takes place in a number of different settings and the
service also has a contract with the University Health Service for students.
Recently the Brookvale Intensive Support Team (BIS Team) has been developed
to provide intensive, often daily, support to young people with severe and
complex mental health problems and their carers. This is often as an alternative
to inpatient care. The SpR is able to become involved in all aspects of the
Brookvale service, to work closely with other team members, and with other
agencies.
Brookvale Youth Mental Health Service (South West Hants) at Totton
This service provides a similar specialised service for adolescents with mental
health problems in the New Forest and Test Valley South PCT areas. The
service sees young people with serious mental illness such as depression/self
harm, eating disorders, OCD and psychosis.The team has good links with
primary care, other agencies including voluntary agencies and with Leigh House
adolescent unit. There is a strong emphasis within the team of user involvement
and multiagency working. The service is based in Totton Health Centre. The
team is enthusiastic and multi skilled, and comprises of community mental health
nurses, an occupational therapist psychologist and psychiatrist. The SpR works
closely with other team members and is involved in all areas of the service.
Ashurst Child & Family Therapy Service, Ashurst Hospital
This is a community clinic which takes referrals from Primary Care teams, Social
Services departments, Educational Psychologists and School Doctors. There are
about 600 referrals a year. The multidisciplinary team consists of Nurses, a
Clinical Psychologist, Social Worker, Child Psychotherapists and Secretaries.
The Trainee is expected to become involved in the treatment of the whole range
Programme Description/kbrown/Sept08
Programme Description
of psychiatric problems referred to the clinic. The clinic has particular experience
and expertise in ADHD and there is a weekly clinic for the assessment and
treatment of ADHD. There are regular liaison meetings with Social Services,
Health Visitors and Educational Psychologists. There is an opportunity to
become involved in consultation work in schools or with Social Services. The
SpR is able to take on individual psychotherapy work with children and adults
which will be supervised by one of the Psychotherapists. There is a family
therapy clinic weekly.The clinic has its own operational database which can be
used for research purposes. Outcome and audit are an essential part of this
clinic. As the formal medical undergraduate teaching takes place in Ashurst and
there is a teaching clinic every Tuesday, the SpR is expected to take part in
teaching.
Southampton Child & Family Guidance Clinic, Central Health Clinic
This is a community based service. The clinic has a wide range of clinicians
(some working on a part-time basis) including a consultant clinical psychologist, a
senior occupational therapist, social workers trained in play therapy, family
support workers, mental health nurses and psychiatrists. There is a family
therapy team in the clinic. There is a weekly meeting for referrals and allocations,
regular staff meetings and a monthly good practice meeting. There is an exciting
new Community CAMHS Development on the West side of Southampton, which
brings together school nurses, health visitors, education workers, family support
workers and mental health nurses and provides a short term Tier 1 and Tier 2
service. This is likely to extend to cover the Southampton area in the next 3
years. There is ample opportunity for the SpR to become involved in the teaching
of medical students and other disciplines. The clinic has good links with
Brookvale Adolescent Service, the Behaviour Resource Service and Bursledon
House.
Additional Experience in Learning Disability
There is an opportunity for SpRs based anywhere in the scheme to arrange one
session per week for 3 months with a Consultant Child and Adolescent
Psychiatrist with a special interest in learning disability based in Eastleigh. The
experience includes: spending time in a special school in a classroom for
children with severe learning difficulties; seeing cases for assessment jointly with
members of the learning difficulties team; attending Dr Bellenis’monthly clininc in
a special school; liaising with others teams eg Social Services Children with
Disabilities team, Child Protection teams and with the Specialist Connexions
Personnel Advisor; and attending community paediatric clinics. The service is
based at Friarsgate, Winchester, but children and their families are often see in
their own homes.
University of Southampton
Lecturer Post in Child & Adolescent Psychiatry
Programme Description/kbrown/Sept08
Programme Description
This is a joint post with the University of Southampton and Southampton City
Primary Care Trust with links with the Institute of Psychiatry, Kings College,
London. Theacademic supervisor throughout the four years will be Dr Margaret
Thompson. The lecturer is employed by Southampton City Primary Health Care
Trust and will normally be appointed for 4 years. Throughout the four years
he/she will spend three years rotating through the clinical placements in
Southampton/Leigh House, as below, with one day per week for research and
audit. The fourth year will be spent doing predominately research and teaching
with one day per week undertaking some clinical placement, depending on the
training needs of the SpR.
1.
A Child Guidance placement in the Ashurst Child Guidance clinic.
2.
A Paediatric Liaison post in Southampton General Hospital and Bursledon
House Children’s Unit.
3.
An adolescent post with experience at Leigh House Adolescent In-Patient
Unit and Brookvale Adolescent Service.
4.
Other clinical placements in Southampton are possible, depending on the
training needs of the lecturer.
The lecturer will be part of the Southampton rotation and will be on call for
Southampton throughout the four years.
The lecturer will have an opportunity to undertake an MSc or a project for an MD
(DM).
The aims of the lecturer’s training will be the same as those detailed under the
introduction and they will have access to the same opportunities as the other
SpRs on the Training Scheme.
Main Conditions of Service
The posts are whole-time and the appointments are subject to:
1. The Terms and Conditions of Service (TCS) for Hospital Medical and
Dental Staff (England and Wales)
2. Satisfactory registration with the General Medical Council
3. Medical Fitness – You may be required to undergo a medical examination
and chest x-ray. Potential applicants should be aware of the Department
of Health and GMC/GDC requirements with regards to HIV/AIDS and
Hepatitis viruses. Candidates must be immune to Hepatitis B. You will be
required to provide, in advance of appointment, evidence of immunity or
Programme Description/kbrown/Sept08
Programme Description
have a local blood test (as deemed necessary by the Occupational Health
Department)
4. Right to work in the UK
5. Criminal Records Check/POCA check carried out by the Trust Medical HR
department.
6. Pre-employment checks carried out by the Trust Medical HR department.
Hours
Your duty hours will be between 40 and 56 hours per week (part-time staff pro
rata) depending upon the pattern of work offered by the employer, which should
be in accordance with paragraph 20 of the TCS. This may include work in the
evenings, at night and weekends. The TCS may be viewed at [insert Deanery
link and/or] http://www.nhsemployers.org/pay-conditions/pay-conditions-467.cfm
All posts on the rotation are working towards compliance with the European
Working Time Directive regulations.
Pay
You should be paid monthly at the rates set out in the national terms and
conditions of service for hospital medical and dental staff and doctors in public
health medicine and the community health service (England and Wales), “the
TCS”, as amended from time to time. The payscales are reviewed annually.
Current rates of pay may be viewed at [insert Deanery link and/or]
http://www.nhsemployers.org/pay-conditions/pay-conditions-2339.cfm. Part-time
posts will be paid pro-rata.
Pay supplement
Depending upon the working pattern and hours of duty you are contracted to
undertake by the employer you should be paid a monthly additional pay
supplement at the rates set out in paragraph 22 of the TCS. The current
payscales may be viewed at http://www.nhsemployers.org/pay-conditions/payconditions-2339.cfm The pay supplement is not reckonable for NHS pension
purposes. The pay supplement will be determined by the employer and should
be made clear in their offer of employment and subject to monitoring.
Pension
You will be entitled to join or continue as a member of the NHS Pension Scheme,
subject to its terms and rules, which may be amended from time to time. Further
information can be viewed at http://www.nhspa.gov.uk/nhspa_site/index.htm
Annual leave
Programme Description/kbrown/Sept08
Programme Description
Your entitlement to annual leave will be five or six weeks per annum depending
upon your previous service/incremental point, as set out in paragraphs 205 – 206
of the TCS.
The TCS may be viewed at http://www.nhsemployers.org/pay-conditions/payconditions-467.cfm
Sick pay
Entitlements are outlined in paragraphs 255-240 of the TCS.
Notice
You will be required to give your employer and entitled to receive from them
notice in accordance with paragraphs 195 – 196 of the TCS.
Study leave
The employer is expected to offer study leave in accordance with paragraphs
250 – 254 of the TCS. Local policy and procedure will be explained at your
induction.
Travel expenses
The employer is expected to offer travel expenses in accordance with
paragraphs 277 – 308 of the TCS for journeys incurred in performing your duties.
Local policy and procedure will be explained at induction.
Subsistence expenses
The employer is expected to offer subsistence expenses in accordance with
paragraph 311 of the TCS. Local policy and procedure will be explained at
induction.
Relocation expenses
The employer will have a local policy for relocation expenses based on
paragraphs 314 – 315 of the TCS and national guidance at
http://www.nhsemployers.org/pay-conditions/pay-conditions-467.cfm. You are
advised to check eligibility and confirm any entitlement with the employer before
incurring any expenditure. In addition to local policy there is Deanery guidance
which can be viewed on www.nesc.nhs.uk
Pre-employment checks
Programme Description/kbrown/Sept08
Programme Description
All NHS employers are required to undertake pre-employment checks. The
employer will confirm their local arrangements expected to be in line with national
guidance at http://www.nhsemployers.org/primary/primary-3524.cfm
Professional registration
It will be a requirement of employment that you have professional registration
with the GMC for the duration of your employment.
Health and safety
All employers have a duty to protect their workers from harm. You will be advised
by the employer of local policies and procedures intended to protect your health
and safety and to comply with these.
Disciplinary and grievance procedures
The employer will have local policies and procedures for dealing with any
disciplinary concerns or grievances you may have. They will advise you how to
access these, not later than eight weeks after commencement of employment.
Educational supervisor
The employer will confirm your supervisor on commencement.
General information
The Deanery’s management of Specialty Training programmes, including issues
such as taking time out of programme and dealing with concerns or complaints,
is available at www.nesc.nhs.uk and in the national ‘Gold guide’ to Specialty
Training at http://www.mmc.nhs.uk/
Main Conditions of Service
The posts are whole-time and the appointments are subject to:
7. The Terms and Conditions of Service (TCS) for Hospital Medical and
Dental Staff (England and Wales)
8. Satisfactory registration with the General Medical Council
9. Medical Fitness – You may be required to undergo a medical examination
and chest x-ray. Potential applicants should be aware of the Department
of Health and GMC/GDC requirements with regards to HIV/AIDS and
Hepatitis viruses. Candidates must be immune to Hepatitis B. You will be
required to provide, in advance of appointment, evidence of immunity or
Programme Description/kbrown/Sept08
Programme Description
have a local blood test (as deemed necessary by the Occupational Health
Department)
10. Right to work in the UK
11. Criminal Records Check/POCA check carried out by the Trust Medical HR
department.
12. Pre-employment checks carried out by the Trust Medical HR department.
Hours
Your duty hours will be between 40 and 56 hours per week (part-time staff pro
rata) depending upon the pattern of work offered by the employer, which should
be in accordance with paragraph 20 of the TCS. This may include work in the
evenings, at night and weekends. The TCS may be viewed at [insert Deanery
link and/or] http://www.nhsemployers.org/pay-conditions/pay-conditions-467.cfm
All posts on the rotation are working towards compliance with the European
Working Time Directive regulations.
Pay
You should be paid monthly at the rates set out in the national terms and
conditions of service for hospital medical and dental staff and doctors in public
health medicine and the community health service (England and Wales), “the
TCS”, as amended from time to time. The payscales are reviewed annually.
Current rates of pay may be viewed at [insert Deanery link and/or]
http://www.nhsemployers.org/pay-conditions/pay-conditions-2339.cfm. Part-time
posts will be paid pro-rata.
Pay supplement
Depending upon the working pattern and hours of duty you are contracted to
undertake by the employer you should be paid a monthly additional pay
supplement at the rates set out in paragraph 22 of the TCS. The current
payscales may be viewed at http://www.nhsemployers.org/pay-conditions/payconditions-2339.cfm The pay supplement is not reckonable for NHS pension
purposes. The pay supplement will be determined by the employer and should
be made clear in their offer of employment and subject to monitoring.
Pension
You will be entitled to join or continue as a member of the NHS Pension Scheme,
subject to its terms and rules, which may be amended from time to time. Further
information can be viewed at http://www.nhspa.gov.uk/nhspa_site/index.htm
Annual leave
Programme Description/kbrown/Sept08
Programme Description
Your entitlement to annual leave will be five or six weeks per annum depending
upon your previous service/incremental point, as set out in paragraphs 205 – 206
of the TCS.
The TCS may be viewed at http://www.nhsemployers.org/pay-conditions/payconditions-467.cfm
Sick pay
Entitlements are outlined in paragraphs 255-240 of the TCS.
Notice
You will be required to give your employer and entitled to receive from them
notice in accordance with paragraphs 195 – 196 of the TCS.
Study leave
The employer is expected to offer study leave in accordance with paragraphs
250 – 254 of the TCS. Local policy and procedure will be explained at your
induction.
Travel expenses
The employer is expected to offer travel expenses in accordance with
paragraphs 277 – 308 of the TCS for journeys incurred in performing your duties.
Local policy and procedure will be explained at induction.
Subsistence expenses
The employer is expected to offer subsistence expenses in accordance with
paragraph 311 of the TCS. Local policy and procedure will be explained at
induction.
Relocation expenses
The employer will have a local policy for relocation expenses based on
paragraphs 314 – 315 of the TCS and national guidance at
http://www.nhsemployers.org/pay-conditions/pay-conditions-467.cfm. You are
advised to check eligibility and confirm any entitlement with the employer before
incurring any expenditure. In addition to local policy there is Deanery guidance
which can be viewed on www.nesc.nhs.uk
Pre-employment checks
Programme Description/kbrown/Sept08
Programme Description
All NHS employers are required to undertake pre-employment checks. The
employer will confirm their local arrangements expected to be in line with national
guidance at http://www.nhsemployers.org/primary/primary-3524.cfm
Professional registration
It will be a requirement of employment that you have professional registration
with the GMC for the duration of your employment.
Health and safety
All employers have a duty to protect their workers from harm. You will be advised
by the employer of local policies and procedures intended to protect your health
and safety and to comply with these.
Disciplinary and grievance procedures
The employer will have local policies and procedures for dealing with any
disciplinary concerns or grievances you may have. They will advise you how to
access these, not later than eight weeks after commencement of employment.
Educational supervisor
The employer will confirm your supervisor on commencement.
General information
The Deanery’s management of Specialty Training programmes, including issues
such as taking time out of programme and dealing with concerns or complaints,
is available at www.nesc.nhs.uk and in the national ‘Gold guide’ to Specialty
Training at http://www.mmc.nhs.uk/
Programme Description/kbrown/Sept08