CONSULTANT
PSYCHOTHERAPIST
DYKEBAR HOSPITAL
INFORMATION PACK
REF: 29033D
CLOSING DATE: NOON 14TH JUNE 2013
www.nhsggc.org.uk/medicaljobs
SUMMARY INFORMATION
POST: CONSULTANT PSYCHOTHERAPIST
BASE: DYKEBAR HOSPITAL
Applications are invited for a full-time post in Psychotherapy in South Clyde. The post is
based at Dykebar Hospital with additional sessional input to Inverclyde. On call
responsibilities will be shared with other consultant colleagues on the South Glasgow
and Clyde rota.
The current work main components are clinical and training, including assessment of
patients, individual and group psychoanalytic psychotherapy, psychodynamic
counselling, consultation to other professions and supervision, teaching and training of
clinical staff. The consultant will join a dynamic team of 4 therapists with dedicated
secretarial support.
The successful candidate would be encouraged to take the opportunities available for
further education and continuing professional development. There are active education
and audit programmes within the service.
Applicants must have full registration with the General Medical Council, a licence to
practice and be eligible for inclusion in the GMC Specialist Register. Those trained in
the UK should have evidence of higher Specialist Training leading to a CCT in
Psychotherapy or eligibility for specialist registration (CESR) or be within six months of
confirmed entry at the date of interview. Non UK applicants must demonstrate
equivalent training.
CONSULTANT PSYCHOTHERAPIST
Psychotherapy Department, Dykebar Hospital
South Clyde Mental Health Services
10 programmed activities
JOB DESCRIPTION
1.
THE POST
The post holder will be a Consultant in the Dykebar Psychotherapy service and will work
with other members of the team to provide the psychotherapy service for South Clyde.
The post-holder will be expected to maintain and develop links between the
Psychotherapy Clinic and the General Psychiatric Services (both inpatient and
outpatient). In addition his or her remit will include being Psychotherapy Educational
Supervisor for the psychiatric trainees on the South Clyde rotation.
The post holder will be required to have training in psychotherapy and will either have a
CCST in Psychotherapy (or equivalent specialist training and experience) or a CCT in
Psychiatry and a commitment to undertake equivalent training in order to apply for entry
to the specialities register as a psychotherapist.
The Psychotherapy Service in South Clyde forms part of the overall psychiatric provision
for South Clyde (which has a population of 270,000) in Renfrewshire and Inverclyde.
The work carried out in the clinic is underpinned by psychoanalytic thinking, although
this job would not preclude someone from a different psychotherapeutic background
such as Cognitive Behavioural therapy applying for this job. The department aims to
provide a specialist service whilst also forming good links with general mental health
services to foster psychological thinking in all mental health settings. It is anticipated
that the psychotherapy department will strengthen existing links with the psychology
department in future.
Its main components are clinical and training. The small team of 4 non-medical
therapists offers assessment of patients, individual and group psychotherapy, individual
psychodynamic counselling, consultation to other professionals, and the supervision,
teaching and training of clinical staff including junior doctors and senior psychiatry
trainees. Since 2008, the psychotherapy service has been developing expertise in
delivering mentalisation based treatment for patients with borderline personality
disorder. Referrals are received from the general psychiatry service, psychology service
and from general practitioners. It also provides input through consultation and
supervision to the general psychiatry work of doctors, nurses and AHPs in South Clyde.
2.
PSYCHIATRY AND PSYCHOTHERAPY SERVICES
Psychiatric services in Glasgow & Clyde are divided into four geographical areas
(North/East, South, West and South Clyde). There are five psychotherapy services, one
each in North, East, South and West. There is also a Consultant Psychiatrist in
Psychotherapy leading the Glasgow wide “Homelessness Personality Disorder
Service”. The Consultant Psychotherapists from each of the Glasgow services meet as
the Division of Psychotherapy and together, with other Consultant Psychotherapists in
the West of Scotland, form a network of colleagues who meet regularly to discuss
clinical matters.
In terms of psychiatric provision the South Clyde covers a population of about 270,000
including areas of significant deprivation. The Psychotherapy service based in Dykebar
have always had a responsibility to provide a service to Inverclyde, but traditionally the
service has emphasised its role on Renfrewshire, with input to Inverclyde being a
relatively small part of the total workload.
The psychotherapy service, working jointly with psychology provides the Inpatient
Psychological Therapies service (IPTS) to the acute admission & rehabilitation &
recovery wards within Dykebar Hospital. This is an innovative project, which has been
much welcomed by the general psychiatry service. The two nurse therapists from the
psychotherapy department to provide an assessment service for patients within the
acute psychiatric admission wards. They have also been involved in training, supporting
& supervising nursing staff in the delivery of low-intensity psychological intervention and
in developing reflective practice groups and encouraging the development of
psychological
Secondment opportunities for other members of the mental health service have been
developed to enable them to rotate through the psychotherapy department to gain such
experience.
There are well developed community psychiatric services with general adult provision
from provided by Community Mental Health Teams based in three Community Resource
Centres (one in Inverclyde and two in Renfrewshire). There are currently in-patient units
in two bases; Langhill Clinic in Inverclyde and Dykebar Hospital in Renfrewshire.
Inpatient psychiatric services in Renfrewshire are provided at Dykebar Hospital, which
has 42 acute inpatient beds at present. The hospital has access to a total of 8intensive
psychiatric care unit beds based in Inverclyde. A total of 20 beds provide inpatient
intensive rehabilitation and continuing care services for South Clyde.
The psychotherapy service has developed close links with the community services in
Renfrewshire, working with both community mental health teams and the Intensive
Home Treatment Team (IHTT). As well as facilitating reflective practice groups within
these teams, the psychotherapy service has been supporting the development of
mentalising-based treatment skills in staff, to help in the management of patients with
borderline-personality disorder.
The psychotherapy service has developed close links with the Renfrewshire primary
mental health care team (Doing Well). One of the senior members of the psychotherapy
service has been consulting to the team and conducting psychotherapy assessment
within the team for 2 sessions week since 2008.
3.
DUTIES OF THE POST
The 10 programmed activities will be divided to give 9 programmed activities for direct
clinical care and 1 programmed activities for supporting professional activities. In line
with all other consultants in the area 1 programmed activity is nominally identified as
group task time. This is time in which work done for the whole area is timetabled – group
tasks being such things as clinical tutor, managing a long stay ward etc. The group task
is a flexible responsibility that can be changed through job planning – in this post the
initial group task identified is the provision and coordination of psychotherapeutic training
for trainees. In association with the Clinical Director, Dr A Thom the post holder will be
responsible for providing and coordinating the psychotherapy services in South Clyde.
This will involve:
a)
b)
Clinical
1. The detailed assessment of patients referred to the clinic, and the planning
of their treatment. This will include supporting the weekly meeting of clinical
staff held to discuss patients in assessment, to encourage a thorough
understanding of the patient, formulation of their difficulties and
consideration of appropriate further treatment and management.
2.
Treatment of patients.
3.
Supervision of the clinical work of service staff (medical and non-medical).
4.
Offering expert advice to colleagues on clinical issues.
Education & Training
The post holder will be the Educational Supervisor for junior doctors training in
psychotherapy on the South Clyde Psychiatry Rotation as group task. He or she
will contribute to the training of junior psychiatrists who are required to meet the
Royal College of Psychiatrists mandatory guidelines for training in psychotherapy.
Currently junior doctors on the training scheme come for weekly supervision in
small groups of their individual psychotherapy work with patients. The service
provides a weekly Doctor-Patient Relationship Seminar where trainees discuss
aspects of their general psychiatric work from a psychodynamic perspective.
Additional supervision will also be provided by Dr Cohen and other senior
members of the clinic staff. At any one time there is usually one SHO on a 6
month placement in the department; their duties during this placement would also
include some CMHT work.
A significant focus of future development will be for psychotherapy to help train,
support and supervise other mental health professionals in their psychological
interventions within their owns areas of practice. IN particular, the service will
continue to focus on the development of mentalising based treatment skills.
In time the post holder may also have training input to senior trainees (ST4-6) on
the West of Scotland Psychotherapy Training Scheme.
It is expected that the post holder will be actively involved in the teaching of
undergraduate medical students of the University of Glasgow. In recognition of
this the University may later on individual application grant the status of honorary
senior lecturer. The post holder will also be expected to take part in post graduate
teaching of psychiatrists in training, trainee general practitioners and on
occasions other disciplines.
The post holder will be a member of the Psychotherapy Subcommittee of the
West of Scotland Committee in Psychiatry which oversees the psychotherapy
component of psychiatry training at all levels.
c)
Liaison
Close links between the psychotherapy clinic and psychiatry are well established
and valued. The post holder will be expected to maintain these, for example by
attending and taking part in case conferences, journal clubs, and other teaching
organised through the general psychiatric service.
The post holder will offer consultation to colleagues about difficult clinical
situations. In addition the post holder will be expected to develop these links by
looking at the interface between the psychotherapy clinic and the psychiatric
services. The particular way in which this might occur would be influenced by the
interests and expertise of the post holder together with the needs of other
services.
d)
On-Call
The post holder will participate in the South Clyde on-call rota for psychiatry on a
pro-rata basis. To allow this the post holder must have completed Section 22
training of the Mental Health (Care and treatment) (Scotland) Act and be an
approved medical practitioner (AMP).
e)
Management
The post holder will be expected to provide medical leadership to the
psychotherapy team and assist with the further development of the service. He or
she will undertake the administrative duties associated with the care of patients
and the proper functioning of the clinical team.
The post holder will be expected to participate in the redesign of mental health
services currently taking place in Renfrewshire. The development of improved
community based services provides an opportunity to enhance the input of
psychological therapies in this area. Work continues to improve the therapeutic
environment in acute in-patient services, and continuing psychotherapy
involvement in this programme.
The postholder will be expected to participate in the medical advisory structure as
a member of the Clyde Division of Psychiatry and other committees as may be
relevant from time to time. He or she will also be expected to represent the
psychotherapy team at clinical management.
f)
Continuing Professional Development
If the post holder does not yet have a CCST in Psychotherapy he or she will be
required to undertake the further training necessary to apply for inclusion in the
Royal College of Psychiatrists Specialist Register as a Psychotherapist. The
precise nature of this training will be agreed in conjunction with the
Psychotherapy Training Programme Director and local Clinical Director, be part of
the job plan, and monitored through the Annual Appraisal and CPD mechanisms.
Funding may be available to facilitate this.
It is desirable that the postholder has completed the basic introductory
mentalising-based treatment training and it would be expected that the postholder
would develop those skills in order both to support the delivery of MBT within the
psychotherapy service and to support other mental health staff in developing
these skills.
The post holder will be expected to maintain good professional standing for CPD
with the Royal College of Psychiatrists. There is a fortnightly meeting of
Consultant Psychiatrists in Psychotherapy from the West of Scotland which is a
forum for the discussion of clinical work and which the post holder will be invited
to attend. There is a theory & practice seminar three times a year for continuing
professional development, which is held in conjunction with the West of Scotland
psychotherapy sub-committee meetings which is invited to attend. There is a
study leave budget and medical staff are encouraged to ensure that they keep
their practice up to date. In addition the post holder will be expected to take part
in the annual cycles of peer review, appraisal and job planning.
g)
Clinical Governance
The post holder will undertake clinical audit and research will be encouraged.
Other involvement in clinical governance will be available eg local committees
and contribution to critical incident investigation.
4.
STAFF & FACILITIES
The post holder will have his or her own office in Hollybush, Dykebar Hospital which
houses outpatient Department, medical secretaries an psychotherapy office facilities.
Secretarial support is shared for the team and provided by Mrs Audrey McPhee
(30hours). The current non-medical clinical staffing in the team comprises:
Mark Crawford:
1 Adult psychotherapist:
Kate Sloan :
Theresa Kelly :
1 CT trainees :
Adult Psychotherapist :
to be appointed :
Psychodynamic nurse therapist :
CBT nurse therapist :
Full time
4 sessions
10 sessions
10 sessions
10 sessions
5.
MEDICAL STAFFING IN SOUTH CLYDE
Paisley Sector
Dr Alex Thom – General Adult Psychiatry
Dr Alistair Kinniburgh – General Adult Psychiatry
Dr Mark McAllister – General Adult Psychiatry
ii)
West Renfrewshire/Renfrew Sector
Dr Peter Bennie- General Adult Psychiatry
Dr Joan Thomson– General Adult Psychiatry/Continuing Care and Rehabilitation
Dr Baljeet Kaur – General Adult Psychiatry (p/t)
Dr Nagore Penades- General Adult Psychiatry
(iii) Other Consultants
Dr Michael Smith – General Adult Psychiatry/ Lead Associate Medical Director for
Mental Health
Dr Sinead McAree – IHTT
Dr Helen Anderson –Liaison Psychiatry (p/t)
Dr Alison Linington – Psychotherapy
Dr Charles McMahon – Addictions Psychiatry
Dr Ann Graham– Learning Disability Psychiatry
Dr Rob Gray – Old Age Psychiatry
Dr Hilary Livingstone – Old Age Psychiatry
Dr Karl Philips – Old Age Psychiatry
Dr Sumit Sharma – Old Age Psychiatry
Dr Diane Lusman – Old Age Psychiatry
There are also 9 ST1-3 posts (and one FY2 post), 3 Staff Grade posts and
generally 1-3 senior trainees at any one time.
(i)General Adult Psychiatry
Dr Tom McPhee – General Adult Psychiatry
Dr Alistair Deering – General Adult Psychiatry/Day Hospital/ Liaison
Dr James Loudon – General Adult Psychiatry
Dr Eilidh Orr– General Adult Psychiatry
(ii)Other Consultants
Dr Audrey Hillman- Addictions Psychiatry
Dr Roger Sykes – Addictions Psychiatry
PROPOSED TIMETABLE
a.m.
p.m.
MONDAY
Balint group
Reflective
practice group
AAU and IPCU
In patient and
out patient
assessment
Inverclyde
Mentalising
group
Dykebar
TUESDAY
WEDNESDAY
THURSDAY
FRIDAY
Team meeting:
Assessment
clinic
Supervision of
team
Dykebar
Team meeting:
Assessment
clinic
Supervision of
team
Dykebar
DykebarInternal
Teaching
Monthly Division
of Psychiatry
Meetings
(SPA)
AAU Inpatient
Psychological
Therapies Service
Meeting
Clinic
Dykebar
Clinic Analytic
group
Out patient Clinic
Dykebar
IHTT
supervision
Admin
Balint group
Dykebar
OP clinic
Dykebar
The basic contract will be for a 10 PA consultant contract. A split of 9:1 between direct clinical
care and supporting professional activities is now the advertised standard for all new consultant
job plans within NHS Greater Glasgow & Clyde. The one SPA minimum will reflect activity such
as appraisal, personal audit and professional development occurring outside study leave time.
Once the candidate has been appointed more SPA time may be agreed for activities such as
undergraduate and postgraduate medical training which takes place outside direct clinical care,
as well as research and/or management. These activities must be specifically and clearly
identified and be agreed with the candidate and desired by the department.
Person Specification
Consultant Psychotherapist
Essential

Applicants must have full GMC registration, a licence to practice and be
eligible for inclusion in the GMC Specialist Register. Those trained in
the UK should have evidence of higher specialist training leading to a
CCT in Psychotherapy or eligibility for specialist registration (CESR) or
be within 6 months of confirmed entry from the date of interview. NonUK applicants must demonstrate equivalent training.
Attributes
Education and
Qualifications:
Essential
MRCPsych or equivalent.
Desirable
Postgraduate Qualification
Full GMC registration with current
Licence to Practice.
Inclusion on GMC Specialist Register
(or be within 6 months of confirmed
entry onto the Specialist Register from
the date of interview).
Section 22 approval or willingness to
gain approval following appointment.
CCT in Psychotherspy
Experience:
o Expertise in
generalist
field
o Expertise in
subspecialty
field
Demonstrate
experience
Psychotherapy.
within Experience
within
Psychiatric specialties.
Experience of working within group Experience
of
psychotherapy.
based treatments
mentalisation
Experience
of
working
with
stakeholders, carers and service users
to develop and improve the patient
journey.
Demonstrable record of professional
achievements within a mental health
environment, evidenced by specific
examples throughout their career.
Team Working
other
Committed to working effectively within Demonstration of clinical
the multi-disciplinary team evidenced leadership
with examples throughout career.
Teaching
Training
& Ability to train and supervise junior
medical staff and other members of the
multi-disciplinary team; demonstrating
a flexible approach to reflect varied
learning styles.
Research
&
Publications
Experience of teaching and
training
postgraduate
and
undergraduate medical staff and
other professional groups and/or
carer/service user groups.
Demonstrate an interest to
participate in research and
encourage
evidence
based
practice.
Clinical Audit
Demonstrate breadth of knowledge Evidence
of
audit
cycle
and
understanding
of
Clinical completion.
Governance agenda within Mental
Health.
Evidence of involvement in other
Experience of service development areas of Clinical Governance
utilising Clinical Audit/Governance to (CIRs, ICP, MCNs, critical review
achieve patient centred improvement.
of evidence etc)
Service
Management
Experience of contributing to and Embrace innovative solutions to
supporting service modernisation and deliver modern patient centred
redesign programmes.
services.
Personal and Demonstrate
effective
clinical Clear evidence of providing
Interpersonal
leadership by demonstrating clinical clinical leadership and ability to
Skills
leadership within multi-disciplinary give examples.
teams
or
across
partnership
organisations.
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
£ 74,504 £ 100,446 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
You have the option to join the NHS Superannuation Scheme, to participate in
the State Earnings Related Pension Scheme or to take out a Personal
Pension. Employee’s contributions to the NHS Scheme are Tiered based on
your earnings and the employers contribution equates to 13.5 % of salary.
Employees in the NHS Scheme are “Contracted-out” of the State Earnings
Related Pension Scheme and pay a lower rate of National Insurance
contributions. Employees who choose to participate in the State Earnings
Related Pension Scheme pay the higher rate of National Insurance
contribution. A Stakeholder Pension is also available. A Personal Pension is a
private arrangement agreed with the pension provider that will be an
organisation such as a Bank, Building Society or Insurance Company.
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.
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 Alex
Thom on 0141 314 4079 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, 1st Floor
Modular Building, Gartnavel Royal Hospital
1055 Great Western Road
GLASGOW
G12 0XH
CLOSING DATE
The closing Date will be Noon 14 June 2013
INTERVIEW DATE
The interview date for this post will be 26th July 2013