Human Resources
NHS Tayside
Ninewells Hospital
Level 9
DUNDEE DD1 9SY
Telephone Number (01382) 660111
Fax Numbers (01382) 632098 & 496237
www.nhstayside.scot.nhs.uk
Date
Your Ref
Our Ref
Enquiries to
Extension
Direct Line
Email
As Postmark
FS/15/13
Miss Fiona Small
34186
01382 660111 ext 34186
fiona.small@nhs.net
Dear Doctor
POST OF SPECIALTY DOCTOR IN OLD AGE PSYCHIATRY
Further to your enquiry regarding the above post, I am now pleased to provide you with an information and
application pack.
Your application should be submitted by e-mail to medicalrecruitment.tayside@nhs.net in the form of the
following documents:




1 copy of your CV, including the names and e-mail addresses of 3 referees, including your current
or most recent employer.
Your completed Immigration Status Form and a copy of your passport/current immigration status
documents. NB British and EEA Nationals must also enclose a copy of their passport to verify
nationality.
Your completed Declaration Statement in respect of Fitness to Practice and Criminal Convictions.
Equal Opportunities Form. (see below)
If you do not include all the above documents your application will not be accepted.
As an Equal Opportunities Employer, it is NHS Tayside’s policy to ensure that all applicants are given the
same consideration in relation to job selection, promotion and treatment. In this connection, I enclose an
Equal Opportunities Form which you should return with your application. This information is for statistical
purposes only and will be kept in strict confidence.
Please quote reference number FS/15/13 when submitting your application. It would be helpful if you could
indicate which Specialty you are interested in. If you are unable to submit all the above documents by e-mail
you can post them to the address at the top of this letter.
The closing date for receipt of completed applications is Friday 23 August 2013. Owing to the number of
applications received and to make the best use of resources, we are unable to acknowledge receipt of
applications.
Yours faithfully
Fiona Small
Workforce Services Adviser
IMPORTANT NOTICE
IMMIGRATION STATUS
Please be aware that all job applicants, including British and EEA nationals must enclose photocopies of their
passport (outside front cover, page containing personal details and resident permit/visa stamps). If you have been
issued with a Biometric Residence Permit, a photocopy (front and back of card) must also be enclosed.
Shortlisted applicants will be required to bring their original documents with them, for inspection, when attending for
interview.
1
Are you a national from Austria, Belgium, Cyprus,
Denmark, Finland, France, Germany, Greece,
Iceland, Ireland, Italy, Liechtenstein, Luxembourg,
Malta, Netherlands, Norway, Portugal, Spain,
Sweden, United Kingdom or Switzerland?
YES
NO
2
Are you a national from the Accession States (A8
Countries) – Czech Republic, Estonia, Hungary,
Latvia, Lithuania, Poland, Slovakia or Slovenia?
YES
NO
3
Are you a national from the Accession States (A2
Countries) – Bulgaria and Romania?
YES
NO
If you have circled ‘NO’ to the above sections please tick the box which relates to your current
immigration status, and provide expiry dates:
Tick
Status
I hold a Tier 1 (General) Visa as a highly skilled worker
I require a Certificate of Sponsorship
I hold refugee status
I have indefinite leave to remain in the United Kingdom
I have right of abode
Any other immigration status – please specify:
Print Name: ………………………………….........................
Signature:…………………………………………………….
Date: ………………………………………………………….
Expiry Date
APPOINTMENT AND REVIEW PROCEDURES
(a) Declaration Statements and Statements of Policy
Statement of Policy regarding fitness to practise proceedings by a licensing/regulatory body and
relating to criminal investigations in the UK or overseas.
Registration with the General Medical Council or General Dental Council imposes on doctors and
dentists the duty to provide a good standard of medical care for, and to behave appropriately,
towards patients. NHS Employers also have a duty to ensure that patients receive a good
standard of medical care and ensure as far as possible the safety of patients. We therefore need
to establish if you have been found guilty of a criminal offence, been bound over or cautioned or
are currently the subject of proceedings which might lead to a conviction, an order binding you
over or a caution, in the UK or any other country.
Applicants for posts in the NHS are exempt from the Rehabilitation of Offenders Act 1974.
Application forms will include a declaration for applicants to complete declaring any previous or
pending prosecutions or convictions, including those considered ‘spent’ under this Act. Forms will
also include a declaration of any cautions or bind overs.
We also need to establish if you have been the subject of any fitness to practise proceedings in
the past, or any fitness to practise proceedings are being contemplated, by a licensing or
regulatory body in the UK or another country and this is also reflected in the declaration.
This information will be treated in confidence and will not debar you from appointment unless the
selection panel considers that it renders you unsuitable for appointment. In reaching such a
decision we will consider the nature of the conviction/action, how long ago it took place and any
others factors that may be relevant.
Failure to disclose a criminal offence, having been bound over or cautioned or that you are
currently the subject of criminal proceedings which might lead to a conviction, an order
binding you over or a caution, or fitness to practise proceedings undertaken or being
undertaken by an appropriate licensing or regulatory body, may disqualify you from
appointment, or result in summary dismissal/disciplinary action and referral to the General
Medical Council [General Dental Council] for consideration if such a discrepancy came to
light.
If you would like to discuss what effect any previous convictions, police investigations or fitness to
practise proceedings taken or being taken either in the UK or by an overseas licensing or
regulatory body might have on your application, you may telephone the Employment Services
Adviser, Medical Staffing, on 01738 473302, in confidence, for advice.
Model Declaration Statement regarding
(b) any criminal offence, being bound over or cautioned, or current proceedings which might lead
to a conviction, an order binding you over or a caution and
(c) fitness to practice proceedings taken or being currently contemplated by a licensing/regulatory
body
1. Have you been convicted of a criminal offence, been bound over or cautioned or are currently
the subject of any police investigations, which might lead to a conviction, an order binding you
over or a caution in the UK or any other country?
YES / NO
Note: Applicants for posts in the NHS are exempt from the Rehabilitation of Offenders Act 1974.
You are required to declare prosecutions or convictions, including those considered ‘spent’ under
this Act.
If yes, please provide details of the criminal offence, order binding you over or caution or details
of any current proceedings which might lead to a conviction, an order binding you over or a
caution, including approximate date, the offence, and the authority and country which dealt with
the offence.
2. To the best of your knowledge have you been or are you currently subject to any fitness to
practise proceedings by an appropriate licensing or regulatory body in the UK or any other
country?
YES / NO
If yes, please provide details of the nature of proceedings undertaken, or contemplated, including
approximate date of proceedings, country where proceedings were undertaken and the name and
address of the licensing or regulatory body concerned.
I hereby declare that the information given here is true.
Signature:______________________________________________
Date:__________________________________________________
EQUAL OPPORTUNITY MONITORING FORM
Job reference number:
FS/15/13
Equal opportunities monitoring
We want to ensure that our job opportunities are open to all. The only way we can ensure
there is equal opportunity is to monitor applications we receive, and compare the profile of
people who apply with those appointed. Therefore this form asks you for your ethnic
origin, gender, disability, religion, sexuality and age. The information you provide is
confidential and is not used in the selection process. It will be separated from the
rest of your application when we receive it.
1) If you are currently an employee of this NHS Board, will getting this job be a
promotion?
Yes

No

2) You are:
Female 
Male 
3) Have you undergone, are you undergoing or do you intend to undergo gender
reassignment? For example, this includes having changed your sex (gender).?
Yes

No 
Prefer not to say 
4) What is your age?
I am ___ years old, and my date of birth is: _ _ / _ _ / _________
5) Do you have a physical or mental health condition or disability that:


Yes

has a substantial effect on your ability to carry out day to day activities?
has lasted or is expected to last 12 months or more?

No 
If you answered ‘yes’ please tick if it is either of the following:
Learning Disability
Long standing illness
Mental health condition
Other (please describe):

Prefer not to say 



Physical impairment
Sensory impairment


Again, if yes, please describe any particular arrangements you would need for your
work location:
(Continued on next page)
o
6) What is your ethnic group?
Choose one section from A to F, then tick the appropriate box to indicate your cultural
background
A: White
 Scottish  Irish
 Gypsy Traveller
B: Mixed
 Any mixed background
 Other British
 Polish
 Any other White background
C: Asian; Asian Scottish; Asian British
 Pakistani
 Indian
 Chinese
 Bangladeshi  Any other Asian background
D: Black; Black Scottish; Black British
 Caribbean
 African
 Any other Black background
E: Other ethnic background
 Any other background
F: Prefer not to answer 
7) To which religion, religious denomination or body do you actively belong?
 (Christianity)- Church of Scotland
 (Christianity) - Roman Catholic
 Hinduism
 Sikhism




 Judaism
 Islam
 No religion (none)
Christianity (Other)
Other faith / belief
Buddhism
Prefer not to answer
8) Which of the following best describes your sexual orientation?
 Bisexual
 Heterosexual
 Other
9) Where did you see the Advertisement for this Post?
Newspaper (which one?)
Professional Journal (which one?)
Vacancy Bulletin
SHOW (NHS Scotland Website)
Job Centre Plus
Other (please specify)
Thank you.
 Gay Man
 Lesbian/Gay Woman
 Prefer not to answer
ANGUS CHP
OLDER PEOPLE'S SERVICES
JOB DESCRIPTION
SPECIALTY DOCTOR IN OLD AGE PSYCHIATRY (10 PA’s)
1. Introduction
As part of the Angus Older People's Services strategy and priorities, expansion of specialist Old
Age Psychiatry medical input has been agreed. The successful partnership working with Medicine
for the Elderly, Primary Care and Local Authority has resulted in an appropriate increase of
referrals to our service which thrives to improve standards of care for older people with mental
disorders in Angus.
A full time post as Specialty Doctor in Old Age Psychiatry has been created to achieve the above
by mostly supporting the 2 Consultants Old Age Psychiatrists in the South Locality of Angus
(Arbroath, Carnoustie, Monifieth).
2. Details of the Post
Title:
Specialty Doctor, Psychiatry of Old Age
Employing Authority:
NHS Tayside/Angus Community Health Partnership
Office Base:
Gowanlea, Arbroath
Contract:
10 PA’s
Principle Duties:
The person appointed to this post will provide, in conjunction with other medical staff, the
provision of specialist psychiatry of old age service to the population of South Angus and input to
the Angus-wide functional in-patient unit based at Stracathro Hospital. The appointee will assist in
the assessment of new patients, carry out treatment and follow up under consultant supervision in
a variety of different settings. The main areas of responsibility will be:

Community work in the South Locality will include working with the current Old Age
Psychiatry Consultants Drs Ashleigh Duthie (covering Arbroath and Monifieth) and Cesar
Rodriguez (covering Carnoustie). Out-patient clinics, domiciliary visits and visits to care
homes will be part of the community work aspect of this post. The postholder will be a
member of the Community Mental Health Team for Older People (CMHT-OP) for the
South Locality based at Gowanlea, Arbroath. This is an integrated Health and Social Care
CMHT.

The Specialty Doctor will work closely with other Angus-wide community services such as
the Angus Dementia Liaison Team (for care homes and community hospitals) and the
Angus Dementia Postdiagnostic Support Team for those patients and care homes within
the South Locality.

Inchape Unit at Arbroath Infirmary, is a 15-bedded Specialist Dementia Unit serving the
population of South Angus. Dr Ashleigh Duthie is the Consultant leading this team and
working with her in this unit might be part of the duties within the post.

Liaison work might be undertaken at Arbroath Infirmary where two Medicine for the Elderly
wards are located under Dr Dougie Lowdon, MfE Consultant.

The Specialty Doctor will work up to 2 sessions a week within Rowan Unit, our Angus-wide
functional in-patient unit located at Susan Carnegie Centre (modern, purpose-built centre
that opened in December 2011), Stracathro Hospital. The multidisciplinary team based at
Rowan Unit in led by Dr David Rooke, Consultant in Old Age Psychiatry with whom the
Specialty Doctor will work closely.

1 P.A for CPD.

This role does not include any out of hours on call.
4. Angus Psychiatry of Old Age
Catchment Areas:
The Old Age Psychiatric Service in Angus is sectorised and each of the three areas is served by
a Community Mental Health team and is coterminous with the Local Authority boundaries. The
successful candidate will cover the South Angus area which includes the small towns of
Arbroath, Carnoustie and Monifieth and their surrounding areas with an over 65 population of
approximately 10.000 (around 45% of the elderly population in Angus).
Patients under the age of 65 with dementia are generally looked after by the Old Age Psychiatry
Service , but may have access to parts of the under 65 service if this is clinically appropriate.
Although it has been identified as a development priority area, there are currently no specialised
facilities or resources within Tayside for this group (although Dr David Rooke together with
colleagues from Neurology and Neuropsychology run a diagnostic clinic in Ninewells Hospital for
young onset cognitive impairment patients).
The three localities are:

South Angus:
(Arbroath/Carnoustie/Monifieth)
Dr Ashleigh Duthie, Consultant F/T
Dr Cesar Rodriguez, Consultant. F/T
(Clinical and Managerial Duties)

North West Angus:
(Forfar/Kerriemuir/Letham)
Dr Susan Logie, Consultant. F/T

North East Angus:
(Montrose, Brechin, Friockheim)
Dr David Rooke, Consultant F/T
Angus Older People Psychological Therapies Service:
There are currently two F/T Clinical Psychologists working for Older People with mental health
problems in Angus.
Dr Fiona Macleod Consultant Clinical Psychologist has clinical commitments in the South Angus
locality. She is also the Lead Clinician for the Tayside-wide Older People Psychological
Therapies Service.
Dr Paula Mulholland, Clinical Psychologist, provides psychological assessment and treatment to
people in the North East and North West Angus catchment areas.
The Angus Older People Psychology Department regularly has Psychology Trainees rotating for
6 months blocks during their postgraduate training and it is actively involved in staff training, audit
and research.
Community Mental Health Teams for Older People
Each of the sectors has a Community Mental Health Team (CMHT) for those with dementia and
those over 65 with a mental illness. These well established Teams were the first ones in Scotland
to be integrated teams between Health and Social Work. Therefore, team workers from NHS and
Social Work can organise care packages, respite or admissions to care homes if necessary.
In South Angus, the CMHT is Gowanlea, Arbroath and referrals (usually from GPs and other
social work teams) are allocated at the weekly team meeting.
Current South Angus CMHT staff:
 Team Leader:
1 WTE, Social Work employee, Senior Social Worker
 Case Manager:
3 WTE, NHS employees, 2 RMNs band 7 and one OT
 Case Worker:
1 WTE, NHS employee, RMN band 5
 Care Manager:
3 WTE, Social Work employees, Social Workers
 Support Workers: 4 F/T and 3 P/T support workers
 Psychology:
Dr Fiona Macleod, NHS employee, Consultant Clinical Psychologist
 Medical:
Drs Ashleigh Duthie and Cesar Rodriguez; doctors in training.
In-patient Facilities
There are two wards located in Susan Carnegie Centre, Stracathro Hospital and two Specialist
Dementia Wards located in Forfar and Arbroath.
Functional Assessment Ward – Rowan Unit
Rowan Unit, Susan Carnegie Centre, is a 12 bedded mixed gender ward that caters for those
over 65 from Angus with a functional illness who require in-patient assessment and treatment.
There is a well-established multidisciplinary team and Dr David Rooke provides consultant
responsibility to all patients admitted to this ward.
Specialist Dementia Ward – Willow Unit
Willow Unit, Susan Carnegie Centre, is a 15 bedded mixed gender ward for the assessment and
treatment of people with dementia mainly from the North East Locality but also from the rest of
Angus whose presentation warrants their admission here rather than in their own locality unit. Dr
David Rooke has consultant responsibility for patients admitted to this ward.
Specialist Dementia Ward – Prosen Unit
Prosen, located in Whitehills Hospital, Forfar, is a 15 bedded purpose-built unit for people with
dementia and challenging behaviour that require in-patient assessment and treatment as well as
intermediate care. Dr Susan Logie is the consultant with responsibility for this unit.
Specialist Dementia Ward – Inchcape Unit
Located in Arbroath Infirmary, this ward is for people with dementia and that require in-patient
assessment and treatment as well as intermediate care. Dr Ashleigh Duthie is the consultant with
responsibility for this unit.
Munro Day Services
This is NHS day service for older people in Angus with a functional psychiatric illness. It is located
in Susan Carnegie Centre, Stracathro.
Staff carry out assessment and treatment both in the unit and also in patients’ homes throughout
Angus. Individualised care plans are designed for each patient and they might receive one to one
in-put or join specific groups. Group work takes place in the unit but also in different locations in
Angus so patients can attend more easily in their own community. Examples of groups include:
coping with depression, relaxation, anxiety management, self esteem, lifestyle.
Munro Day Service, staff complement:





Charge Nurse, Band 6:
Staff Nurse, Band 5:
Staff Nurse, Band 5:
Support Worker:
Support Worker:
0.5 WTE
0.5 WTE
0.8 WTE
0.6 WTE
0.6 WTE
Dementia Liaison Team
There is no traditional NHS Day Hospital provision for people with dementia in Angus. Instead,
moneys have been secured to set up a dementia liaison team.
The Team comprises:



Team Leader:
Senior Staff Nurse:
Psychology:
1 WTE, band 7 RMN
2 WTE, band 6, 1 RMN and 1 RGN
2 session/week



Pharmacy:
Medical:
Secretarial support:
in-put from older people's pharmacist
by each sector consultant
0.5 WTE
The work carried out by the Dementia Liaison Team predominantly includes supporting Care
Homes and Community Hospitals looking after people with dementia that present with BPSD,
facilitate the transition from POA in-patient units to Care Homes, review of antipsychotic
medication in Care Homes, teaching and training of staff in such facilities.
5. Other Services for Older People in Angus
Angus Medicine for the Elderly Service
Older People Services within Angus CHP includes not only Psychiatry of Old Age but also
Medicine for the Elderly (MFE); both specialties are therefore under the same management
structure.
We enjoy a very good and close relation with our colleagues from MFE who provide liaison visits
to our in-patients at Susan Carnegie Centre and as required for our in-patients in the two
Specialist Dementia Care Units located in Forfar and Arbroath.
MFE Service has three main bases in Angus: in Stracathro with an Assessment and
Rehabilitation ward (14 beds), a Stroke Unit (10 beds) and Day Hospital provision, in Arbroath
Infirmary with acute MfE wards (20 beds) and in Whitehills Hospital with an acute MfE ward, Isla
Ward (16 beds). They also have slow stream rehabilitation beds in Arbroath (12 beds). They run
clinics in different sites in Angus for Parkinson’s Disease, Falls and TIAs as well as generic
geriatric clinics.
MFE medical staff include:
- Dr Ian Gillanders, Consultant. F/T. Based at Stracathro, North East.
- Dr Douglas Lowdon, Consultant. F/T in South Angus.
- Dr James Shaw, Consultant, F/T in Forfar, North West Locality.
- Dr Greg Cox, Associate Specialist. F/T. Based Stracathro/Arbroath.
- Dr Alf Kumar, Specialty Doctor. P/T (6 sessions). Based at Stracathro.
- Dr Gordon Stewart, Specialty doctor P/T (8 sessions) in Forfar.
Dr Gillanders organises the post-graduate programe for MFE in Stracathro which includes
monthly meetings with Dr John Tainsh, Consultant Radiologist, at Stracathro when neuroimaging
cases are discussed.
Dementia Postdiagnostic Service
In early 2005, Joyce Murray was appointed Angus Early Stage Dementia Coordinator. This was a
joint project between Health and Social Work created to help people newly diagnosed of
dementia and their families in Angus. It has become an extremely valuable part of the Service
and the moneys for it were secured in 2007. A second worker, John Gibb, was appointed in 2011.
They are now the Angus Dementia Postdiagnostic Service.
Patients newly diagnosed are referred to Joyce or John who initiate a series of contacts with them
and their families to provide information and support. Among other issues, she discusses the
diagnosis, legal matters, driving, welfare benefits, further information and support available.
In collaboration with Alzheimer Scotland, they run a group for younger people with dementia in
Angus (“The Voyagers Group”) and a support group for their partners (“The Wasps”), as well as
men's groups.
This Service has been recognised as a good example of partnership working and service delivery
for people with dementia and their families. A DVD explaining the Service has been produced and
it can help people with dementia and their families to become familiar with the Service.
5. Management Staffing
Angus CHP
Mrs Susan Wilson, General Manager, Angus CHP.
Mrs Liz Goss is the Older People’s Service Manager.
Mrs Mandy Warden is the POA Team Manager.
Dr Cesar Rodriguez, Consultant in Old Age Psychiatry, is the Lead Clinician for Older People’s
Service Angus CHP.
NHS Tayside
Dr Andy Russell, Medical Director
Dr Neil Prentice, Associate Medical Director for Mental Health
6. Teaching, Clinical Governance and Continuing Education
There are good links with the Department of Psychiatry, Dundee University and the postholder
will also be encouraged to participate in the teaching and training of other disciplines, including
nursing staff, AHPs, Mental Health Officers, etc.
Research is encouraged and supported. It is expected that the appointee will play a part in
Clinical Governance including Clinical Audit activities; both locally based collaborative audit and
multi-professional audit in a wider context.
There are a number of opportunities to continue medical education. There are ongoing
Postgraduate Medical Education Meetings, which have a variety of internal and outside speakers.
CPD sessions occur on a regular basis with consultant colleagues and other non-consultant
career grade staff. There is also a very active psychiatric postgraduate teaching in Angus every
Friday from 11.30, organised by Dr Chris Pell, Consultant GAP and College Tutor.
.
7. Terms and conditions of service
The appointment is subject to the Terms and Conditions of Service of Hospital Medical and
Dental Staff as applicable to Specialty Doctor Grade and the National Health Service (Scotland)
Superannuation Regulations.
The salary scales for the post are appropriate to the Specialty Doctor Grade in the NHS.
Specialty Doctor Pay Scale 2013-2014 is £37,176 to £69, 325 per annum.
The appointment will be on a 10 programmed activity per week basis. However, applications are
also welcomed from candidates who for personal reasons may be interested in working part-time.
8. Timetable
Monday
AM
In-patient-Rowan Unit
PM
OP Clinic Carnoustie
Tuesday
CMHT Gowanlea
Community Work Arbroath
Wednesday
OP Clinic Monifieth HC
Community Work Monifieth
Thursday
Community Work Arbroath
OP Clinic Arbroath Infirmary
Friday
SPA
In-patient-Rowan Unit
Please note, the above timetable is provisional and subject to change following discussion
with successful candidate and needs of the Service.
9. Further Information
Dr Ashleigh Duthie
Consultant Old Age Psychiatrist, Susan Carnegie Centre, Stracathro Hospital, Brechin, DD9 7QA
Email: ashleighduthie@nhs.net
Dr Cesar Rodriguez
Consultant Old Age Psychiatrist and Lead Clinician, Susan Carnegie Centre, Stracathro Hospital,
Brechin, DD9 7QA
Email: crodriguez@nhs.net
Both contactable via Mrs Gaynia Westwood, Medical Secretary, on 01356-692807
PERSON SPECIFICATION
POST: SPECIALTY DOCTOR IN OLD AGE PSYCHIATRY
CRITERIA
ESSENTIAL
Experience
Minimum of 3 years postgraduate
medical
experience
in
Psychiatry, of which at least 6
months should have been in
Psychiatry of Old Age
Qualifications
Medical Degree (MBChB or
equivalent)
Full GMC Registration with a
Licence to Practice
Knowledge &Understanding
Abilities and Skills
Personal Qualities
Others
Working Knowledge of mental
disorders in the elderly
Awareness
of
risk
and
vulnerabilities that may affect
older people
Experience working within a MDT
Ability to summarise and report
clinical problems to supervisor.
Ability to undertake clinical
assessment and treatment of
older patients with psychiatric
disorders under supervision.
Ability to make good medical
notes
Ability to work and communicate
effectively in a MDT
Professional and enthusiastic
individual who is able to work
well in a diverse team of
experienced Old Age Psychiatry
professionals
Honest, reliable, flexible
Commitment to Psychiatry of Old
Age
DESIRABLE
Experience out with Psychiatry,
in particular in Medicine for the
Elderly
MRCPsych
Approved Medical Practitioner
(AMP) in terms of the Mental
Health Act or be willing to
undertake this training after
taking up this post
Computer Literacy (basic word
processing, email and internet
use)
Evidence of potential to
develop specialty skills
Must be willing to travel within Car driver
the locality