LON-SW-C-001-10 (Final)
Job Description
Job Title:
5PA Consultant Psychiatrist post for the Richmond In patient Unit /
Crisis and Home Treatment Team
Responsible to:
Associate Medical Director, Borough of Kingston and Richmond
Base:
Lavender ward Queen Mary’s University Hospital, Roehampton.
1
Introduction
This 5PA post has become available following the flexible retirement of the present post
holder who will continue to work as the other partner of a proposed job share. The postholder will be jointly responsible for running a 23 bedded general adult psychiatry ward and
providing Medical Leadership to the Crisis and Home Treatment team serving. The London
Borough of Richmond. Lavender Ward is situated within the recently opened inpatient unit
at Queen Mary’s Hospital, Roehampton.
This post is part-time for 5 Programmed Activities (PAs) per week.
2
The Trust
Background
South West London and St George’s Mental Health Trust was formed in 1998. Springfield
Hospital in Tooting, the largest site from which the Trust operates, has provided mental
health services since 1841.
The Trust was originally known as the Pathfinder NHS Trust in 1994 and provided services
for Wandsworth and Merton. In subsequent years its strategy was to grow and to become
the main statutory provider of mental health services for South West London.
The Trust took on Putney and Roehampton services in 1998, Sutton Mental Health
Services from St Helier NHS Trust in 1999, and Kingston and Richmond services in 2001
as the former health authorities were disbanded and primary care trusts were established.
Kingston and Richmond services were in financial deficit at the time, and there were
serious concerns about the quality of older people’s services at Tolworth Hospital. The
different histories of services in different boroughs have been reflected in service models,
cultures and partnership arrangements.
Population
The Trust now serves a very diverse population of 1 million people in South West London,
with a range of BME communities and socio economic groups. In general the population of
SW London is more affluent than other sectors of London and many people in the boroughs
served by the Trust are highly educated and assertive in demanding the services they want.
We also know that there are also pockets of deprivation across south west London and
service provision is therefore carefully attuned to the requirements of the population as a
whole.
Vision
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LON-SW-C-001-10 (Final)
The Trust is clear about its purpose, vision and values and has been positively transforming
its services and its relationship with stakeholders in recent years.
The Trust’s vision is “A future in which people with mental health problems have the same
opportunity as other citizens to participate in and contribute to our communities.”
For more information on the Trust please view http://www.swlstg-tr.nhs.uk
Range of Services
South West London & St George’s Mental Health NHS Trust operates over 150 services
from 96 locations in Kingston, Merton, Richmond, Sutton and Wandsworth providing:
o
Community mental health services for working age and older adults
o
Inpatient beds for the same client group
o
Day Hospitals and day services in some Boroughs
o
Psychiatric Intensive Care Units
o
Psychological Therapies in Primary Care
o
Child and Adolescent mental health services (tier 3 and 4)
o
Specialist community and inpatient services for people with both a Learning
Disability and a mental health problem
o

Specialist community and inpatient addiction services
Partially integrated social care services under separate agreements with the five Borough
councils

Specialist services which are provided to a wider number of PCTs:
o
Forensic services
o
Services for Deaf adults and children, both as inpatients and in the community
o
Eating Disorder services for both adults and Children / adolescents
o
Inpatient and community personality and adjustment disorder services
o
Mental Health services in Wandsworth Prison
o
Perinatal services
o
Mental Health inpatient services for people with a learning disability
o
Neuropsychiatry
o
Post Traumatic Stress disorder services
Future objectives
The Trust is here to serve people with mental health problems in ways which respond to
their requirements and preferences while remaining aspirational and offering them the
opportunity to live their lives to the full. The Trust achieves this by listening to service users
and carers through extensive surveying and dialogue, and through an ongoing commitment
to closer collaboration with partner agencies. The Trust is on an important journey from the
isolated and discrete mental health services of the past to the new integrated service
models of the future; combining mainstream services with deep rooted community life.
Whilst the Trust provides a range of excellent specialist services on a regional and national
basis, success in the future will depend on the quality and effectiveness of its services,
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LON-SW-C-001-10 (Final)
including specialist services for local people in SW London, whatever their age or
circumstances. This is the focus of the Trust’s business.
For more information on Trust
tr.nhs.uk/about/aims_objectives.asp
objectives
please
view:
http://www.swlstg-
Management of the Trust
The Trust is led by a Trust Board, which consists of the following people:
Mr John Rafferty
Professor Roger Horton
Ms Elizabeth Owen
Ms Susan Dark
Mr Iain McCusker
Chairman
Non Executive Director
Non Executive Director
Non Executive Director
Non Executive Director
Ms Judy Wilson
Mr Peter Cardell
Ms Kim Goddard
Dr Ben Nereli
Ms Sandy Gillett
Ms Maresa Ness
Chief Executive
Director of Finance
Director of Mental Health Nursing
Medical Director
Director of Human Resources
Chief Operating Officer
Management posts within each Borough:
Mr Stuart Thomson
Ms Sue Denby
Mr Mark Clenaghan
Ms Alison Armstrong
Wandsworth Service Director
Kingston & Richmond Service Director
Merton & Sutton Service Director
Specialist Services Directorate
Associate Medical Directors (AMDs)
Dr Mark Potter
Dr Rosemary Ball
Dr Mari Harty
Dr Diana Cassell
Dr Paul Dewsnap
Dr Debbie Stinson
Wandsworth & Specialist Services AMD
Kingston & Richmond AMD
Forensic AMD
CAMHS & Specialist Services AMD
Merton AMD
Sutton AMD
Professional Heads:
Dr Chris Gilleard
Ms Kim Goddard
Ms. Mary Morley
Mr John Woolven
Head of Psychology
Director of Nursing
Head of Occupational Therapy
Head of Pharmacy
Clinical leads:
Dr Jale Punter
Vacant
Dr Helen Miller
Vacant
Dr Stephen Miller
Vacant
Dr Debbie Stinson/
Dr Sarah Turner/
Ms Mary Mellor
Named Doctor Child Protection
CAMHs
Deaf Services
Addictions
Personality Disorders
Learning Disabilities
Old Age
Associate Director of Nursing
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LON-SW-C-001-10 (Final)
Vacant
Prof Hubert Lacey
Liaison Psychiatry
Eating Disorders
Consultants for the London Borough of Richmond
The Management Structure within the Trust has recently been reviewed. The management
arrangements are now devolved to the 5 Boroughs within the Trust.
The Consultants for the Richmond Service are: Consultant Name
ADDICTIONS:
Dr Bhaskar Punukollu
ADULT / PEOPLE OF WORKING AGE
Dr Chris Kenn / VACANCY
Inpatient and CHTT
Dr Mireia Pujol
Richmond CMHT
Dr Samina Matin
Twickenham CMHT
Dr David Li
AOT / EIS
CAHMS
Dr Ann York
Dr Morris Zwi
OLDER PEOPLE
Dr Malar Baheerathan
Dr Majid Al-Yassiri
Dr Robert Lawrence
PSYCHOLOGICAL THERAPIES / PDITT
Dr Martin Humphrey
REHABILITATION & CONTINUING CARE
Dr Rosemary Ball
Managers within the Service
Sue Denby
Service Director, Kingston and Richmond
Peter Nash
Assistant Service Director, Kingston and Richmond
Bryony Cairnes
General Manager, Age Related Services
Jude Deacon
General Manager, Forensics
Richmond
Richmond is an outer London borough with a population of 184,000. The River Thames
and the Royal Parks dominate the geography of the borough. The population trends
indicate a slight increase in the number of younger people in the borough with a projected
ethnic minority population of 7.4%. Although affluence is a key characteristic of the
borough compared with some other parts of the trust there are some pockets of social
deprivation. Health and Social Services have been integrated in Richmond for a number of
years and there is a healthy voluntary sector and service user movement, which works
closely with the trust. Richmond is a particularly attractive place to live, though property
prices tend to be high. This does present work force management challenges but not
withstanding this, staff turnover is generally low. There are excellent working relationships
within the consultant group.
St George’s, University of London
The Trust has a comprehensive training scheme for Core and Higher Specialist Trainees
and enjoys a close relationship with St George’s, University of London, an independent
School of the University of London.
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LON-SW-C-001-10 (Final)
SGUL, in association with St George’s Hospital, is one of five general combined
undergraduate/postgraduate teaching complexes within the Faculty of Medicine, University
of London. During the 1970s, long-term plans to relocate the Medical School and the
Teaching Hospital in Tooting were put into effect. The new Medical School opened in
October 1976 admitting pre-clinical students for the first time. The Medical course now has
an entry of 190 undergraduate students per year, plus 70 graduate students on the
Graduate Entry Programme. Since 1995, the range of courses offered has expanded to
include Biomedical Sciences and, in conjunction with Kingston University, Nursing,
Midwifery, Physiotherapy and Social Work. SGUL has a strong focus on research with
world class teams particularly in Infectious Diseases and Epidemiology. In 2006, a new
initiative, the South West London Academic Network, SWAN, was announced to further
research and teaching collaborations with Kingston University and Royal Holloway,
University of London.
Division of Mental Health
The Division of Mental Health comprises major research groups in community psychiatry,
eating disorders, forensic psychiatry and personality disorders, plus further groupings in
child and adolescent psychiatry, the psychiatry of addictive behaviour and disability. There
are further academic posts in the psychiatry of old age which are placed in the Division of
Developmental Sciences. In all, psychiatry represents a major specialty within the School.
3.1
The Post
The post will be managerially and professionally responsible to the Associate Medical
Director for Kingston and Richmond Borough
3.2
The role
The employer is the Trust whose main base is Springfield University Hospital. It is a part
time post. There are 5 Programmed Activities (PAs). 4 PAs for Direct Clinical Care (DCC)
and 1 PAs for Supporting Professional Activities (SPA). The clinical sessions are within
Lavender Ward and the Richmond Crisis and Home Treatment Team. The appointed
Consultant and job share partner will jointly provide Clinical Leadership to their part of the
service and both are accountable to the Associate Medical Director for:



3.3
Clinical leadership on Lavender ward and CHHT
Prioritising resources given to individual service users
Ensuring effective clinical assessment, management and the delivery of care
Summary Description and Responsibility of the Post
Lavender ward
Lavender ward in a 23 bedded ward mixed sex ward with single sleeping areas and
containing single rooms within a complex the Queen Mary’s Hospital Roehampton; two
similar in patient wards serve catchment areas from within the Wandsworth sector of the
Trust.
Acute admission of patients of working age resident in the London Borough of Richmond
will be to Lavender Ward, with the exception of those under the care of the Assertive
Outreach Team (AOT). These patients will be admitted to the remaining Richmond In
patient beds in Orchids Ward at Tolworth Hospital.
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LON-SW-C-001-10 (Final)
There is close working between Lavender Ward and the Richmond Crisis and Home
Treatment Team including a regular clinical review meeting involving members of both
teams, with senior medical involvement.
The post holder will work closely with the CHTT and in patient team to improve the Clinical
Care and User Experience on Lavender Ward drawing on both knowledge and Evidence
Based Practice.
The joint consultant post will be supported by a full time Associate Specialist doctor and a
CT1-3 trainee from the Wey Valley rotation.
Cross cover on Lavender Ward is provided by trainees from within the LBR service and
also trainees working on the 2 Wandsworth inpatient wards.
Crisis and Home Treatment Team
Purpose of the Team
To deliver effective crisis resolution & home treatment in a range of settings and thereby
deliver a high quality alternative to inpatient care. In pursuit of delivering this service the
team will offer rapid response, 7 day initial assessment/screening which will provide a
gateway to the service. Individuals not admitted to the service would either be:

Discharged immediately following assessment (with signposting information to
other services and agencies where appropriate)

Care co-ordinated temporarily by the C&HT team, pending referral to another
borough team via the Borough Care Pathways planning meeting.
Referrals will routinely be taken from:

Other Richmond Borough teams (including CDAT), normally via Consultant to
Consultant or Team manager to Team manager level

General Practitioners

Approved Social Workers/Emergency Duty Team

A&E/Psychiatric Hospital liaison services

Mental health acute inpatient wards (Richmond patients only) for facilitated early
discharge
What the Service Does
Within Richmond borough the team will fulfil the following role:







Provide a rapid assessment service for all individuals requiring urgent same day
assessment
Deliver time limited interventions (normally 2-6 weeks) underpinned by clear treatment
objectives
Act as gatekeeper to acute inpatient beds with ALL new admissions coming through the
team
For individuals deemed appropriate for the service, provide an appropriate multi disciplinary
community based treatment 24 hours a day, 7 days a week.
Within the context of home treatment, provide a range of interventions, including
medication, psychological intervention, family interventions and practical help
Promote the health and well being of service users by providing education and information
on self-care, physical health, recognition of relapse indicators etc.
Participate fully in all acute inpatient treatment and planning processes to facilitate early
discharge and where appropriate extended leave arrangements.
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LON-SW-C-001-10 (Final)


Presents a monthly report to the Borough Care Pathways Planning Meeting
The period immediately following discharge from hospital or commencement of extended
leave is known to be a high-risk period for service users. The C&HT team will routinely
facilitate the early discharge of all inpatients unless there are clear reasons for this being
contraindicated, which have been highlighted by the discharge planning process.
Leadership and Staffing Arrangements
The Team Manager and Consultant working in very close partnership jointly lead the team. The
consultant will line manage all medical staff associated with the team and the team manager will
line manage all non-medical staff.
Service Commitments
 Clinical leadership of and full participation in the multi-disciplinary team providing mental
health services.
 Availability within normal working hours, five days a week for urgent assessments including
formal mental health act assessments.
 Involvement in any joint planning for Adult mental health services.
 Domiciliary visits as required.
 The appointed consultant will be jointly responsible for the clinical / educational
management of his / her junior medical staff. The Consultant is expected to maintain
Section 12 approval.
 The Consultant will provide and receive cover for and from consultant colleagues on leave
and absence.
 The postholder will be expected to have a full driving licence.
3.4
Job Plan
There are 5 Programmed Activities (PA’s). 4 PAs for Direct Clinical Care (DCC) and 1 PAs
for Supporting Professional Activities (SPA). The job plan will be reviewed annually within
the Trust Appraisal Process to reflect the needs of the service.
3.5
Supervision / Teaching
The job share consultants are jointly responsible for ensuring the junior medical staff under
their direction receive an hour of protected time for clinical / educational supervision weekly.
Time Locum Consultant (LC), Part time Consultant (CK)
AM
PM
Monday
Tuesday
Wednesday
Joint Consultant Handover
Clinical Ward Review, /CHTT
Twickenham
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Thursday
Academic
Programme
(SPA)
Friday
Twickenham
Relative Clinic
3.6
K & R Consultants,
MSC, Peer Group,
CPD
Mental Health
Review Tribunal /
Hospital Managers
Hearing/
Admin
Delayed Discharges Review Lavender Ward
Educational Supervision (trainee)
Service Provision on ward / Service
Improvement Activities on inpatient
unit
Support Evidence Based Practice
CHTT Weekend planning meeting
Teaching
The post holder will be expected to be registered with the Royal College of Psychiatry in
respect of CPD and be part of the Adult Consultant Peer Group.
3.7
Administration
The Post holder will be expected to attend the joint Kingston and Richmond Consultants
committee and the joint medical staff committee which are held on a monthly basis at
Tolworth Hospital. There is a fulltime secretarial post attached to the CHTT and Lavender
Ward consultant and Team.
3.8
Clinical Governance
The Post holder will be expected to be compliant with the Trust Clinical Governance
requirements and participate in related initiatives where appropriate. This will include
clinical audit and review of outcomes to achieving National and local performance targets
and the post holder will be compliant with the Trusts risk management policy and
participate in the Consultant appraisal process.
4
Conditions of Service
The post will be offered under the terms and conditions of service for Consultants [England]
2003.
Salary: The Consultant salary scale commences on £74,504 p.a. pro rata rising through
pay thresholds to a maximum of £100,446 p.a. pro rata. Part-time Consultants are paid pro
rata, based on the number of agreed weekly Programmed Activities. The starting salary
will be determined in accordance with the Medical & Dental Whitley Council Terms and
Conditions for Consultants, Schedule 14. An on-call availability supplement will be payable
at the rate of Category A (3%) in reflection of the low frequency rota.
The Trust is entitled at any time to deduct from the post-holder’s salary, or any other
monies payable to the post-holder by the Trust, any overpayment of salary or wages,
under-deduction of charges, over-payment of holiday entitlement or any other sum which
the post-holder may owe to the Trust and, if this is insufficient, the Trust may require
payment of the balance.
Any offer of appointment to the post will be subject to the receipt of three references which
are satisfactory to the Trust, confirmation by the Occupational Health Department that the
pre-employment health screening is acceptable and immunisation against infectious
diseases as may be required.
Review of Job Description
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This job description, together with the job plan, will be reviewed as required. The locum
post is for a period of 3 months in the first instance.
Confidentiality
All employees and honorary appointees are required to exercise discretion and maintain
confidentiality at all times.
Conflict of Interest
All applicants to any post within the Trust are required to declare any involvement directly
with any firm, company or organisation, which has a contract with the Trust. Failure to do
so may result in an application being rejected or, if discovered after appointment that such
information has been withheld, this may lead to dismissal.
Criminal Record
In view of the nature of the work this post is exempt from the provision of Section 4 (2) of
the Rehabilitation of Offenders Act 1974 by virtue of the Rehabilitation of Offenders Act
1974 (Exemption order 1975). Applicants are, therefore, not entitled to withhold information
about convictions including those which for other purposes are “spent” under the provisions
of the Act. You are, therefore, required to declare any pending prosecutions or convictions
you may have, even if they would otherwise be regarded as “spent” under this Action and
any cautions. In the event of employment, failure to disclose such convictions could result
in dismissal or disciplinary action by the Authority. Any information given will be completely
confidential and will be considered only in relation to an application for positions to which
the order applies.
The Trust aims to promote equality of opportunity for all with the right mix of talent, skills
and potential and welcomes applications from diverse candidates. Criminal records will be
taken into account for recruitment purposes only when the conviction is relevant. As the
Trust meets the requirements in respect of exempted questions under the Rehabilitation of
Offenders Act 1974, all applicants who are offered employment, will be subject to an
‘enhanced’ criminal record check from the Criminal Records Bureau before the appointment
is confirmed. This will include details of cautions, reprimands or final warnings, as well as
convictions. The post you are applying for will require such a check.
The disclosure of a criminal record, or other information, will not debar you from
appointment unless the selection panel considers that the conviction renders you
unsuitable for appointment. In making the decision the Trust will consider the nature of the
offence, how long ago and what age you were when it was committed and any other factors
which may be relevant, including appropriate considerations in relation to the Trust’s
published Equal Opportunities Policy.
Failure to declare a conviction, caution or bind-over may, however, disqualify you from
appointment, or result in summary dismissal/disciplinary action if the discrepancy comes to
light. If you would like to discuss what effect any conviction you have might have on your
application, in confidence, for advice, please contact a Senior Officer in the Human
Resources Department.
Data Protection
In accordance with the Data Protection Act (1998), the Trust is authorised, if required to do
so, to obtain, process and/or use information held on a computer in a fair and lawful way.
The Trust is authorised to hold data only for the specific registered purpose and not to use
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or disclose it in anyway incompatible with such purpose. It is further authorised to disclose
data only to authorised organisations as instructed.
Equal Opportunities
It is the aim of the Trust to ensure that no applicant or employee receives less favourable
treatment on grounds of sex, race, colour, nationality, disability or sexuality and is not
disadvantaged by conditions or requirements which cannot be shown to be justifiable. To
this end, the Trust has an Equal Opportunities Policy and it is for each employee to
contribute to its success.
Health and Safety
Employees must be aware of the responsibilities placed on them under the Health and
Safety at Work Act (1974), to ensure that agreed safety procedures are carried out to
maintain a safe environment for employees, patients and visitors. The Trust also operates
a No Smoking Policy, which does not allow smoking at work other than in a designated
area.
Personal Property
The Trust cannot accept liability for loss or damage to personal property on official
premises by burglary, fire, theft or otherwise. Staff are advised to provide their own
insurance cover.
Person Specification
Consultant Lavender Ward / CHTT
Criteria
Qualifications
Knowledge:
Critical
Expertise in
Specialty
Ability to
enhance
specialty of
mental health
care provided
Management/A
udit
Research and
Publications
Essential
- Primary Medical degree.
- Full GMC registration.
- MRCPsych or equivalent.
- Included on the GMCs Specialist
Register or eligible for such inclusion.
- Specialist Registrars within three
months of completing their CCSTs.
- Section 12 (2) approval of the Mental
Health Act or be willing to apply for
such approval once in post.
- Completed minimum of three years
full time training in approved higher
psychiatric training scheme.
Desirable
-
Commitment to developing practice
through clinical audit
-
Experience of
service planning
-
Evidence of participation in
publishable research and *willingness
to continue.
-
Intention to
continue to
develop a
research or
special interest
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LON-SW-C-001-10 (Final)
-
Experience of teaching
undergraduate and postgraduate
psychiatry
-
Ability to provide clinical leadership.
Willingness to supervise junior
medical staff and staff from other
disciplines.
Willingness to take on fair share of
Trust-wide duties where necessary.
Commitment to personal and service
development.
Ability to work co-operative in multidisciplinary team
Ability and manage and adapt to
change
Teaching
Personal Skills
-
Personal
-
Able to participate in Consultants’ oncall rota.
Draft Consultant Psychiatrist In patient Unit /Crisis and Home Treatment Team
30.12.09
Rosemary Ball
Associate Medical Director Kingston and Richmond
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