Contents Section Page Section 1: Introduction to Appointment 3 Section 2: NHS Lothian 3-4 Section 3: Main Duties and Responsibilities 4-6 Title Section of post4:Consultant Department Psychiatrist, and Specialty General Information Adult Psychiatry Ref: xxxxxxxxxxx Closing date: Section 5: Job Plan 6 – 10 11 - 12 Section 6: Person Specification 13 – 14 Section 7 Contact Information 14 Section 8 Terms and Conditions of Employment 15 – 17 Contents Section Page Section 1: Introduction to Appointment 3 Section 2: NHS Lothian 3-4 Section 3: Main Duties and Responsibilities 4-6 Section 4: Department and Specialty Information 6 – 10 Section 5: Job Plan 11 - 12 Section 6: Person Specification 13 – 14 Section 7 Contact Information 14 Section 8 Terms and Conditions of Employment 15 – 17 1. Introduction Job Title: Consultant Psychiatrist in General Adult Psychiatry Department: Mental Health Services, St John’s Hospital St John’s Hospital You may also be required to work at any of NHS Lothian’s sites Base: NHS Lothian is seeking to appoint a full-time Consultant in General Adult Psychiatry to join a dynamic, enthusiastic and forward thinking team. The Mental Health Services in West Lothian are integral to the Lothian Mental Health and Wellbeing Strategy. Inpatient Mental Illness services, including an Intensive Psychiatric Care Unit, and Care of the Elderly with Mental Disorders beds are in St John’s Hospital, Livingston. There are also two regional inpatient services covering the South East of Scotland, a Perinatal Psychiatry Mother and Baby unit and an Eating Disorders Ward. There is a wide range of out-patient clinics, both hospital and primary care based. 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. 2. 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 http://www.nhslothian.scot.nhs.uk/Ourorganisation/Pages/defalt.aspx found 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 This is full time position of a Consultant in General Adult Psychiatry (10 sessions). This is a chance to be part of a well-established team at a time of positive development. The post holder will deliver care and promote a multi-disciplinary and multi-agency approach to a catchment area defined by a number of local general practices. Clinical To work jointly with consultant colleagues to lead and shape the provision of Psychiatry Services within West Lothian To promote a multi-disciplinary/multi-agency approach To be responsible clinically for the provision of inpatient and outpatient care to a population of patients defined by their registration with a group of local general practices. This will include planned and unscheduled care and consultant responsibility for relevant patients under the care of the Acute Care and Support Team (ACAST). To participate in the consultant rotas for day time duty consultant and out of hours on-call. To cover for colleagues annual, study and short term sick leave. To be an Approved Medical Practitioner in terms of the Mental Health (Care and Treatment) (Scotland) Act 2003 and the Adults with Incapacity (Scotland) Act 2000 and undertake the required duties in relation to this To provide psychiatric court reports as requested by the local legal authorities and reports in conjunction with aspects of incapacity legislation Location It is anticipated the principal base of work will be St John’s Hospital but as part of your role you may be required to work at any of NHS Lothian’s sites. On-call The post holder will be required to participate in the psychiatric consultant oncall rota for the West Lothian psychiatric service out of hours, on a 1:9 rota, covering old age psychiatry, mother and baby unit, eating disorder unit and general psychiatry. CPD 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. To participate in CPD, annual appraisal and revalidation Provide High Quality Care to patients Maintain GMC specialist registration in relation to the role and hold a licence 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. 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 3rd December 2012 and is the process by which licensed doctors are required to demonstrate on a regular basiis 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: o You make NHS Lothian your Designated Body using the GMC website o Know your revalidation date o Attend regular appraisals o 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 4. 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 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, including 2.6 wte in the Care of the Elderly with Mental Disorder; 0.8 wte in Perinatal Psychiatry and 0.5 wte in Eating Disorders. Forthcoming appointments will increase the consultant establishment with an additional post in Care of the elderly with Mental Disorder. 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 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 is in St John’s Hospital. The out of hours on-call rota for West Lothian will provide 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 will provide 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 job plan will be agreed with the successful candidate and approved by the Associate Medical Director. This is a 10 Programmed Activities post, with 9.0 sessions of Direct Clinical Care and 1.0 session of Supporting Professional Activities. 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. An appraisal system for reviewing personal development and job planning will be undertaken annually. The following is a draft illustration job plan: Timetable of activities which have a specific location and time DAY Monday From/to HOSPITAL/LOCATION TYPE OF WORK 9am – 1.30pm St John’s Inpatient assessment/Urgent Hospital community reviews Tuesday From/to 1.30pm – 5pm Mental Outpatients/primary Health Resource Centre Services 9am – 12.30pm St John’s Outpatient Clinic Hospital 12.30pm – 1.30pm Care Locality Journal Club 1.30pm – 5pm St John’s Involvement in Service Planning and Hospital Audit Wednesday 9am – 1pm From/to Hospital St John’s Ward Round 1pm – 5pm Hospital St Mental Health John’s Assessments/Tribunals/Clinical Administration Thursday From/to 9am – 2pm Mental Health Outpatients/Primary Resource Centre Service 2pm – 5pm Hospital Friday From/to St Care Act Locality John’s Inpatient reviews 9am – 11am St John’s Junior staff supervision Hospital 11am – 2pm 2pm – 5pm Hospital Patient related administration St John’s Acute Care Reviews and Support Team Activities which are not undertaken at special locations or times One week in 6 the post holder will work exclusively on the assessment and care planning of patients admitted to the adult acute wards and providing urgent reviews of patients referred from within the Mental Health Services, including Mental Health Act (Care and Treatment) (Scotland) work. The post holder will work with colleagues to support a community acute care and support team outreaching from the adult admission wards. The post holder will also have to complete work of an unpredictable nature in relation to current patients detained under the Mental Health Act. This will include completion of documentation and regular attendance at Mental Health Act Tribunals. Activities during Premium Rate Hours of Work eg hours out with 8am – 8pm Monday to Friday The post holder will provide out of hours consultant cover on a 1:10 rota. He/she will be available to carry out urgent assessment of patients at St John’s Hospital and Livingston Police Station if required. At weekends, the on-call consultant will assess all patients admitted under emergency detention orders at the earliest opportunity. A formal Job Plan will be agreed between the appointee and their Clinical Director, on behalf of the respective medical management structures within NHS Lothian. The job plan will be based on the provisional timetable shown. The Job Plan will be reviewed annually, following the appraisal meeting. The Job Plan will be a prospective agreement that sets out a consultant’s duties, responsibilities and objectives for the coming year. It should cover all aspects of a consultant’s professional practice including clinic work, teaching, research, education and managerial responsibilities. It 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 General Adult Psychiatry Location: St John’s Hospital, Livingston Post Ref No: REQUIREMENTS Qualifications and Training ESSENTIAL GMC registered medical practitioner MRCPsych or equivalent Licence to practice Be on, or be eligible for inclusion on, the GMC Specialist Register Experience within community mental health teams Evidence of previous experience in research desirable Evidence of previous experience of teaching and designing and effecting audit programmes Evidence of development of services for patients Experience Experience in primary care liaison Ability Ability to take full responsibility for independent management of patients Ability to communicate effectively and clearly with patients and other team members DESIRABLE Academic Achievements Commitment to research, publications and presentations Teaching and Audit Committed to formal and informal teaching and training of SpRs, junior doctors and medical students. Participation in audit projects Motivation Personal Attributes 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 communication in English Additional postgraduate qualifications, MSc Diploma in CBT or other form of psychotherapy Able to motivate colleagues Previous managerial training and experience 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 Fulll 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.