1. Introduction Job Title:Consultant Psychiatrist in Perinatal Psychiatry Department: Mental Health Services, St John’s Hospital Base: St John’s Hospital (although the clinical role will take you to other NHS Lothian’s sites) NHS Lothian is seeking to appoint two Consultants in Perinatal Psychiatry (combined 1.4 wte) to work together in leading the Lothian Perinatal Mental Health Service. The inpatient part of the service was recently awarded an “excellent” rating by the RCPsych Quality Network for Perinatal Mental Health. There are 2 components: the 6 bedded East of Scotland Mother and Baby Unit providing dedicated in-patient care for mothers and infants from Lothian, Borders, Fife, Tayside and Highland regions (approximately 20,000 live births per annum); and the Lothian Perinatal Community Mental Health Team - an experienced multidisciplinary team providing specialist community care across Edinburgh and the Lothians, (approximately 10,000 live births per annum). The MBU and community base are co-located at St John’s Hospital, Livingston (10 miles to the West of Edinburgh. The Perinatal service forms part of the West Lothian Mental Health Services, other components include comprehensive community mental health services across all age groups, in-patient wards for general adult and old age psychiatry, an IPCU, a regional eating disorders unit and a liaison psychiatry service. This is an excellent opportunity to join a first class team in an active and progressive teaching hospital environment based in Edinburgh and the Lothian’s. NHS Lothian NHS Lothian is an integrated NHS Board in Scotland providing primary, community, mental health and hospital services. Mr. Tim Davison is the Chief Executive and Dr David Farquharson is the Medical Director. The NHS Board determines strategy, allocates resources and provides governance across the health system. Services are delivered by Lothian University Hospitals Services (LUHS), the Royal Edinburgh Hospital and associated mental health services, 4 community health (and social care partnerships (CH(C)Ps) in Edinburgh, West Lothian, East Lothian and Midlothian, and a Public Health directorate. NHS Lothian provides services for the second largest residential population in Scotland – circa 800,000 people. We employ approximately 24,000 staff. Further information about NHS Lothian can be found http://www.nhslothian.scot.nhs.uk/Ourorganisation/Pages/defalt.aspx at Location Edinburgh and the Lothian’s are on the eastern side of Scotland’s central belt in the heart of the country. Four main areas make up Edinburgh and the Lothian’s Edinburgh, East, Mid and West Lothian. Lothian is a place of exceptional beauty and contrast, from Edinburgh’s historic skyline to the scenic countryside and coastline that surround it. Edinburgh is famous for its castle, military tattoo, fringe and international festival. Edinburgh and the Lothian’s is home to top-ranking state and private schools and world class universities and colleges. Edinburgh offers a rich diversity of parks and gardens, restaurants, clubs and theatres to spend time relaxing with friends and family. Whether you want to buy or rent the Lothian’s also offers a diversity of accommodation ranging from city centre based flats, waterfront living, Victorian or Georgian villas to more rural farm houses or costal homes. Local and wider transport networks are excellent. Glasgow is less than 50 minutes away by train. The Scottish highlands are accessible in a few hours. While national and international transport links make it easy to keep in touch with friends and family. London is a short one hour flight away and flight connections with London, Amsterdam and Paris offer a variety of international flight opportunities. 3. Main Duties and Responsibilities Clinical To take a clinical lead in the provision of perinatal psychiatric services to the designated catchment area, taking medical responsibility for patients under Lothian Community Perinatal Mental Health Service and inpatients on the M&B Regional Inpatient Unit. To undertake assessments, risk assessments and treatment planning in conjunction with the multi-disciplinary team within both community and inpatient services To promote a multi-disciplinary/multi-agency approach and provide consultancy support to General Psychiatric Services, maternity services, primary care teams, social work services and voluntary sector agencies across the Consortium catchment area. To work proactively with families and carers of individuals under the care of the service and inpatient unit. To take a lead in the consideration of infant mental health and promote the needs of the baby as a key priority when health care is delivered to mums across NHS Lothian To act as an Approved Medical Practitioner and as Responsible Medical Officer within the remit of the Mental Health and Incapacity legislation. To participate in the on-call rota providing general psychiatry cover to West Lothian during the day and outwith working hours, and to work collaboratively with general psychiatrists to provide cover for annual and study leave NB These postholders are not expected to provide medical cover for the babies on the inpatient unit – this will be provided through a separate arrangement with appropriate services Liaison With Other Agencies To maintain working links and provide expert advice to other stakeholder agencies and groups across the consortium area To provide a psychiatric liaison service to St Johns maternity unit Where appropriate, preparation of reports and attendance at child protection case conferences. However, for the regional health boards, the emphasis will be on local services taking on this responsibility in the community, with liaison advice/support from these postholders Management To contribute to the continuing strategic development and evolution of mental health services overall and perinatal mental health in particular, in line with national and local guidance, including Framework for Mental Health Services in Scotland 1 and Community Health Partnerships as outlined in the White Paper Partnership for Care2. To actively participate in the NHS Lothian Clinical Governance programme, including active involvement in clinical audit, critical incident reviews and complaints management. To lead the service development of the Lothian Perinatal Community Mental Health Team To provide specialist perinatal mental health supervision to all members of the Lothian Perinatal Community Mental Health Team Education, Training & Research To participate in the training and development of staff, including medical students on attachments, nursing staff and other medical staff. To provide supervision to the FY2 within the team. From time to time there will be a SpR attached to the service for whom appropriate supervision will also be required. To participate in audit, critical incident reviews and the Clinical Governance Infrastructure To participate in the local post-graduate programme. There is also an opportunity to become involved in the MRC Psych teaching Course. To create and deliver an educational programme for stakeholders and referrers within Lothian, including GPs, midwives, health visitors, social workers, psychologists, obstetricians, psychiatrists and CPNs. To create and deliver an educational programme for regional stakeholders and referrers, including psychiatrists and CPNs. To participate in public health projects locally and nationally relating to perinatal mental health, including developments of guidelines, participation in the Scottish Perinatal Mental Health Forum, and Child and Adult Protection meetings. Location It is anticipated the principal base of work will be St John’s Hospital but the role will require the postholders to work at other sites within NHS Lothian. On-call The post holders will be expected to participate in the psychiatric consultant on-call rota for the West Lothian psychiatric service out of hours, (currently a 1:9 rota), covering old age psychiatry, mother and baby unit, eating disorder unit and general psychiatry. Provide High Quality Care to patients 1 2 Scottish Executive, Framework for Mental Health Services in Scotland (1998) Scottish Executive, Scotland’s Health White Paper: Partnership for Care (2003) Maintain GMC specialist registration in relation to the role and hold a license to practice Develop and maintain the competencies required to carry out the duties of the post Promote NHS Lothian values and ensure patients are involved in decisions about their care and respond to their views. To participate in CPD, annual appraisal and revalidation. NHS Lothian is committed to provide Consultants with time and resources for their Continuing Professional Development (CPD) requirements. There is a local establish CPD peer group for West Lothian Consultants, which meets monthly, in addition to weekly journal clubs during term time. Research, Teaching and Training Where possible to collaborate with academic and clinical colleagues to enhance NHS Lothian’s research portfolio, at all times meeting the full requirements of Research Governance. To provide high quality teaching to medical undergraduates and members of other health care professions as required by the Clinical Director. Participate in the local post-graduate programme Revalidation Performance Management Comply with revalidation and appraisal process. Revalidation commenced on 3 rd December 2012 and is the process by which licensed doctors are required to demonstrate on a regular basis that they are up to date and fit to practice. Licensed doctors have to revalidate, usually every 5 years, by having regular appraisals with their employer. You are required to ensure: You make NHS Lothian your Designated Body using the GMC website Know your revalidation date Attend regular appraisals Enroll in the Scottish Online Appraisal Resource (SOAR) Medical Staff Management To work with colleagues to ensure junior doctors’ hours are compliant in line with EWTD and New Deal. To ensure that adequate systems and procedures are in place to control and monitor leave for junior medical staff and to ensure that there is appropriate cover within the clinical areas, including on-call commitments. To participate in the recruitment of junior medical staff as and when required. To participate in team objective setting as part of the annual job planning process. To be responsible for the annual appraisal of non-consultant grades as delegated by the Clinical Director Governance Participate in clinical audit, incident reporting and analysis and to ensure resulting actions are implemented Ensure clinical guidelines and protocols are adhered to by doctors in training and updated on a regular basis Keep fully informed about best practice in the specialty areas and ensure implications for practice changes are discussed with the Clinical Director Role model good practice for infection control to all members of the multidisciplinary team. Strategy and Business Planning To participate in the clinical and non-clinical objective setting process for the directorate. Leadership and Team Working To demonstrate excellent leadership skills with regard to individual performance, clinical teams and NHS Lothian and when participating in national or local initiatives. To work collaboratively with all members of the team To resolve conflict and difficult situations through negotiation and discussion, involving appropriate parties. Adhere to NHS Lothian and departmental guidelines on leave including reporting absence. To participate in cross cover arrangements for other colleagues during periods of annual leave study leave and short-term sick leave 4. Departmental and Specialty Information The Mental Health Services in West Lothian are managed by the local Community Health and Care Partnership. However they form part of the Lothian wide services and are integral to the Lothian Mental Health and Wellbeing Strategy. All psychiatric consultants working at St John’s Hospital are expected to engage in regional planning for their particular specialty and relevant continuing professional development activities. In-patient Mental Illness services, including an Intensive Psychiatric Care Unit, and Care of the Elderly with Mental Disorder beds are in St John’s Hospital, Livingston. There are two regional inpatient services covering the South East of Scotland, a Perinatal Psychiatry Mother and Baby Unit and an Eating Disorders Ward. Day patient services are provided at a Day Hospital for the Elderly with Mental Disorder, at St John’s Hospital, and 5 Community-based Rehabilitation Day Hospitals [including depot and Clozapine clinics]. A peripatetic service provides day care for the Elderly with Mental Disorder at a range of community resources. Clinical Psychology, Occupational Therapy and Psychiatric Nurses run a range of psychotherapeutic groups in St John’s Hospital. There is a wide range of out-patient clinics, both hospital and primary care based. With Clinical Psychology Services and Community Psychiatric Nursing also based within Health Centres, this offers the opportunity for close networking and liaison with General Practitioners and other community staff. A community outreach team comprised of Consultant Psychiatrists, Community Psychiatric Nurses and Social Work staff provides a service to patients with a severe and enduring illness. There is a dedicated team for Mental Health Social Work and another for Mental Health Officers and Adults with Incapacity. The Clinical Psychology Department is also part of the CHCP. The department offers dedicated sessions to Care of the Elderly with Mental Disorder, Child and Family Psychiatry, in addition to 8 primary care based clinics. Occupational Therapy and Physiotherapy Services are provided from within St John’s Hospital by the respective departments. The Occupational Therapy service is especially active in Mental Health. Staffing West Lothian Health and Care Partnership currently employ 12 Consultant Psychiatrists (excluding these posts), including 2.0 wte in the Care of the Elderly with Mental Disorder and 0.5 wte in Eating Disorders. Supporting Medical Staff There are 2 Specialist Trainee posts based in West Lothian that are part of the South East of Scotland Psychiatric Rotation. These posts offer training in Care of the Elderly with Mental Disorder and Child and Adolescent Psychiatry. There is 1 core trainee post. 3 General Practice Vocational Training posts and 3 Foundation Year 2 posts, providing experience in General Psychiatry and Care of the Elderly. There is a Foundation Year 1 post in Liaison and Perinatal Psychiatry. Specialty Trainee Registrar attachments are currently available in General Psychiatry, Liaison Psychiatry, Rehabilitation, Care of the Elderly with Mental Disorder and Child and Adolescent Psychiatry. Organisation of Psychiatric Services Adult Psychiatry including Rehabilitation The model of general psychiatric care and the organisation of West Lothian services was last reviewed in 2009. Clients with the most complex ongoing needs are cared for by 1.4 wte Consultant in Rehabilitation Psychiatry, using services like the Community Outreach Team and Day Services. 4.0 Consultants in General Adult Psychiatry are responsible for the acute care of other patient groups and for a sessional commitment to locality based service supporting primary care Care of the Elderly with Mental Disorder Two Consultants are currently identified as having a special responsibility for the Care of the Elderly with Mental Disorder. They share responsibility for the 24 bedded Assessment Unit within St John’s Hospital, the day-care services and a total 60 community based old age psychiatry beds for patients with dementia and challenging behaviour. An additional post has recently been developed. Liaison Psychiatry A service is provided for St John’s Hospital at Howden by a Consultant Liaison Psychiatrist. This includes the assessment of patients presenting after deliberate self-harm. Forensic Psychiatry One Consultant is responsible for the running of the Intensive Psychiatric Care Unit at St John’s Hospital. A supra-regional in-patient Forensic Unit is on the Royal Edinburgh Hospital campus. Child and Adolescent Psychiatry The Child and Adolescent Psychiatry service based at St John’s Hospital is part of the Lothian CAMHS service. A regional inpatient unit is part of the Royal Edinburgh Hospital campus. A day patient unit operates in Livingston and an outpatient service is offered at St John’s Hospital. Substance Abuse Services There is a regional service for people with Drug and Alcohol Problems which includes a Consultant Psychiatrist. This provides dedicated community services in West Lothian and in-patient alcohol services are provided at the Royal Edinburgh Hospital. Perinatal Psychiatry The East of Scotland Mother and Baby Unit and Lothian Perinatal Community Mental Health Team are based at St John’s Hospital. The out of hours on-call rota for West Lothian provides cover for this. Eating Disorder Services A new inpatient Eating Disorder Unit was opened at St John’s Hospital in 2012. The out of hours on-call rota for West Lothian provides psychiatric cover for this. Learning Disability Services These services are provided across Lothian, and West Lothian is served by a community team with input from a Consultant Psychiatrist. Population and Services Catchment Area, Bed Numbers and Staffing West Lothian has a total population of 180,000. The General Adult Psychiatry Service covers all patients between the ages of 19 and 64 years, although there will be continuing responsibility for some patients with functional illness over the age of 65. Patients under the age of 65 with possible dementia are generally initially assessed by general psychiatry, who will usually initiate diagnostic investigations before transferring to the old age service for follow up. There is one in-patient general psychiatry ward in St John’s Hospital with 24 beds. The responsibility for patients admitted to this ward falls on 4 general adult psychiatrists. The consultants are responsible for patients admitted from their own catchment area and they are allocated responsibility for patients admitted from out with West Lothian on a rota basis. There are separate in-patient wards for Intensive Psychiatric Care and Rehabilitation that have their own consultants. Acute Care and Support Team (ACAST) This is a nursing team that are based in St John’s Hospital and who work with junior medical staff in the urgent assessment of patients presenting to the Accident and Emergency Department. ACAST also provide time-limited intensive home treatment for patients with acute or relapsing psychiatric illness. General Adult Consultants remain clinically responsible for patients from their catchment area, who are under the care of ACAST Outpatient Clinics General Adult Psychiatry outpatient clinics are held at St John’s Hospital and at a number of community bases including some GP surgeries. All non-urgent GP referrals are discussed at primary care based triage meetings held fortnightly. Research Audit and Teaching Undergraduate medical students from Edinburgh University are attached to the Old Age Psychiatry Department on a regular basis, for a period of 2 weeks. The Mental Health Directorate has an active multi-disciplinary clinical audit group. All medical staff within the hospital are expected to participate in Medical Audit, both by their involvement in ongoing projects and by initiating review of their own work practices. The Consultant will be expected within his or her NHS responsibilities to undertake research and to participate in undergraduate and postgraduate teaching as required. As stated in the advertisement, the Consultant may be offered an appropriate honorary appointment by the University of Edinburgh. In certain circumstances, where the Consultant concerned has responsibilities for organising teaching in a particular discipline or has a research interest which extends beyond the duties of his/her NHS post, the Trust and the University may agree that a Consultant be offered a part-time Senior Lecturer appointment with specific sessional allocation. Such appointments will be subject to reconsideration by the Trust, the University and the Consultant at intervals of not less than three years, and, in the event of the contract being modified by the reduction or elimination of academic sessions, the Consultant would be entitled to continue in the same number of total sessions, all of which would then be devoted to Health Service work. If the successful candidate wished to be considered for a part time Senior Lecturer post, it would be necessary for the appointee to make special application to the Division giving full details of the work to be undertaken. There is an active psychiatric postgraduate programme at St John’s Hospital every Tuesday from lunchtime during academic terms. Consultants and other members of the teams present cases, journal clubs and there are also external speakers. There are also regular CPD sessions. 5. Job Plan and Conditions of Service The rationale behind pooling sessions for the in-patient and community services is that this will ensure flexibility in how the successful candidates choose to share clinical and other duties. The job plans provided below are illustrative and presume that one candidate wishes to work full time and accept responsibility for the in-patient unit and the other wishes to work half time, primarily with the community team. The final job plans will be agreed with the successful candidates and approved by the Associate Medical Director. In the event of two successful applicants both wanting to work full time options such as incorporating some general adult or liaison psychiatry duties would be explored. The Scottish Medical Managers group currently insists that all consultant post in Scotland be advertised with a single SPA (reflecting the minimum required for mandatory activity such as appraisal, personal audit and professional development). However, 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 are specifically and clearly identified and agreed with the candidate. An appraisal system for reviewing personal development and job planning will be undertaken annually. The following are draft illustrative job plans: Full time consultant DAY Monday From/to Tuesday From/to Wednesday From/to Thursday From/to Friday From/to HOSPITAL/LOCATION 9am-1pm MBU SJH 1pm-5pm MBU SJH 9am-1pm OPD REH 1pm-5pm 9am-1pm OPD5 SJH 1pm-5pm MBU SJH 9am-5pm MBU SJH TYPE OF WORK In-patient clinical reviews/MDTs etc. Clinical administration Perinatal out-patient clinic SPA activity Perinatal out-patient clinic Clinical administration Ward round and ward round admin 9am-1pm MBU SJH 1pm-5pm MBU SJH In-patient clinical reviews/MDTs etc. Clinical staff supervision Half time consultant DAY Monday From/to Tuesday From/to HOSPITAL/LOCATION TYPE OF WORK 9am-1pm MBU SJH Community Team weekly allocation/review meeting Home visits Clinical administration/MDTs etc. SPA activity 1pm-5pm Wednesday 9am-1pm MBU SJH From/to 1pm-5pm Thursday From/to Friday 9am-1pm OPD REH From/to Perinatal out-patient clinic A formal Job Plan will be agreed between the appointees and their Clinical Director, on behalf of the respective medical management structures within NHS Lothian. The Job Plans will be reviewed annually, following the appraisal meeting. The Job Plans will be a prospective agreement that set out the consultant’s duties, responsibilities and objectives for the coming year. They should cover all aspects of the consultants’ professional practice including clinic work, teaching, research, education and managerial responsibilities. They should include personal objectives, including details of their link to the wider service objectives and details of the support required by the consultant to full the job plan and objectives. 6. PERSON SPECIFICATION Job Title and Grade: Consultant in Perinatal Psychiatry Location: St John’s Hospital, Livingston Post Ref No: REQUIREMENTS ESSENTIAL DESIRABLE Qualifications and Training GMC registered medical practitioner with license to practice MRCPsych or equivalent Be on, or be eligible for inclusion on, the GMC Specialist Register Additional postgraduate qualifications, MSc Diploma in CBT or other form of psychotherapy Specialist training in perinatal psychiatry Experience Ability Academic Achievements Teaching and Audit Motivation Personal Attributes Experience in perinatal psychiatry Ability to take full responsibility for independent management of patients Ability to communicate effectively and clearly with patients and other team members Commitment to research, Evidence of previous publications and presentations experience in research desirable Committed to formal and informal Evidence of previous teaching and training of SpRs, experience of teaching junior doctors and medical and designing and students. effecting audit Participation in audit projects programmes Committed to: Patient focused care, Learning and continuous professional development, Effective and efficient use of resources Able to work in a team with colleagues in own and other disciplines Able to organise time efficiently and effectively Clear, fluent and articulate in Evidence of development of services for patients Able to colleagues motivate Previous managerial training and experience communication in English 7. Contact Details and Visits All shortlisted candidates are invited to visit the department and NHS Lothian’s Hospitals. If you would like to arrange a visit or if you have an informal enquiry please contact: Dr James Hendry Consultant Psychiatrist and Acting Assoc Med Director St John’s Hospital Howden Road West Livingston West Lothian EH54 6PP E-mail james.hendry@nhslothian.scot.nhs.uk 8. Terms and Conditions of Service TYPE CONTRACT GRADE SALARY OF Permanent/Fixed Term (Delete as appropriate) AND Consultant £75,249 to £101,451 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 WORK Full Time 40.00 SUPERANNUATION New entrants to NHS Lothian who are aged sixteen but under seventy five will be enrolled automatically into membership of the NHS Pension Scheme. Should you choose to "opt out" arrangements can be made to do this via: www.sppa.gov.uk GENERAL PROVISIONS You will be expected to work with local managers and professional colleagues in the efficient running of services and will share with Consultant colleagues in the medical contribution to management. Subject to the provision of the Terms and Conditions, you are expected to observe the organisations agreed policies and procedures and to follow the standing orders and financial instruction of NHS Lothian, in particular, where you manage employees of the organisation, you will be expected to follow the local and national employment and personnel policies and procedures. You will be expected to make sure that there are adequate arrangements for hospital staff involved in the care of your patients to be able to contact you when necessary. REMOVAL EXPENSES Assistance with removal and associated expenses may be awarded. To obtain copy NHS Lothian’s Relocation Policy please email HR.Enquiries@nhslothian.scot.nhs.uk stating your name and grade of post you are applying for. EXPENSES OF Candidates who are requested to attend an interview will be given CANDIDATES FOR assistance with appropriate travelling expenses. Re-imbursement APPOINTMENT shall not normally be made to employees who withdraw their application, refuse an offer of appointment. Non NHS employees are not normally awarded travel expenses. TOBACCO POLICY NHS Lothian operate a No Smoking Policy in all premises and grounds. DISCLOSURE SCOTLAND 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. You are also required to advise us if you are charged or cautioned within the course of your employment. CONFIRMATION OF NHS Lothian has a legal obligation to ensure that it’s employees, both ELIGIBILITY TO EEA and non EEA nationals, are legally entitled to work in the United WORK IN THE UK Kingdom. Before any person can commence employment within NHS Lothian 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 no circumstances will they be allowed to commence until the right to work in the UK has been verified. . REHABILITATION The rehabilitation of Offenders act 1974 allows people who have OF OFFENDERS been convicted of certain criminal offences to regard their convictions ACT 1974 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 Lothian. 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 Lothian 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. 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. NOTICE PRINCIPAL OF WORK SOCIAL POLICY Employment is subject to three months’ notice on either side, subject to appeal against dismissal. BASE You may be required to work at any of NHS Lothian’s sites as part of your role. MEDIDA You are required to adhere to NHS Lothian’s Social Media policy which highlights the importance of confidentiality, professionalism and acceptable behaviours when using social media. It sets out the organisation’s expectations to safeguard staff in their use of social media.