LON-SW-C-009-10 Job Description Job Title: Consultant Child and Adolescent Psychiatrist Responsible to: Associate Medical Director, CAMH services Base: Cotswold House, Sutton Hospital 8 PAs Royal Marsden Hospital, Sutton 2 PAs 1. Introduction This is a Consultant Child and Adolescent Psychiatrist post, with clinical responsibilities in South West London and St George’s Mental Health NHS Trust. Clinical and managerial accountability will be to the Associate Medical Director for CAMHS services across the Trust, currently Dr Diana Cassell. It is expected that the post-holder will work for 8 sessions in the specialist Child and Adolescent Mental Health services based at Cotswold House, and 2 sessions at the Royal Marsden, which is situated adjacent to Sutton Hospital and treats children and young people with cancer. 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 in excess 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 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 people, 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, 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- 3. Management of the Trust The Trust is led by a Trust Board, which consists of the following: 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 Ms Maresa Ness Mr Mike Naylor Ms Kim Goddard Dr Ben Nereli Chief Executive Chief Operating Officer Director of Finance and IMT Director of Nursing and Governance Medical Director Mr Ian Fleming Interim Director of Human Resources Management posts within each Borough: Mr Stuart Thomson Ms Sue Denby Mr Mark Clenaghan Ms Dawn Chamberlain Wandsworth Service Director Kingston & Richmond Service Director Merton & Sutton Service Director Specialist Services Director Associate Medical Directors (AMDs) Dr Mark Potter Dr Rosemary Ball Dr Paul Dewsnap Dr Debbie Stinson Dr Mari Harty Dr Diana Cassell Wandsworth AMD Richmond and Kingston AMD Sutton and Merton AMD AMD for Older people’s Services AMD for Forensic Services AMD for CAMHS Professional Heads: Ian Petch Ms Kim Goddard Ms. Mary Morley Mr Andy Fuller Dr Jale Punter Ms Kim Goddard 4. Director of Psychology and Psychotherapies Director of Nursing Director of Therapies Chief Pharmacist (acting) Named Doctor Safeguarding Children Director of Nursing Sutton Borough The management structure within South West London and St George’s Mental Health NHS Trust has recently been reviewed. The management arrangements are now devolved to the five Boroughs within the Trust. Each Borough in addition to management of their local services is responsible for the management of a number of specialist services operating throughout the Trust. In this respect, Sutton Borough manages Mental Health Learning Disability Services for Merton, Sutton and Wandsworth. The Consultants for the Sutton service are: ADDICTIONS Professor Mohamed Abou-Saleh ADULT Dr Mark Blackwell Dr Nora Gribbin Dr Stuart Adams PSYCHOTHERAPY Dr Sean Fernandez Dr Anthony Ang LIAISON PSYCHIATRY Dr Jim Bolton OLDER PEOPLE Dr Debbie Stinson Dr Fiona Stormont LD Dr Asim Naeem LD (Sutton) Dr Jeremy Bird LD (Merton) Dr William Howie LD (Wandsworth) Dr Oyepeju Raji LD (Wandsworth) Dr Rao Kadambari LD (Wandsworth) CAMHS Dr Birgit Berg Sutton 1.0 wte Dr Joel Khor (locum in this post) Sutton 1.0 wte Dr Shahana Hussain (locum) Sutton 0.7 wte Dr Monica Aziz Merton 1.0 wte Dr Lisa Davies Merton 1.0 wte Dr Nicky vonFraunhoffer Merton 0.2wte 5. The Sutton Service This post is established within the CAMHS Service in South West London and St George’s Mental Health NHS Trust. The service is managed within the Sutton Borough Directorate. The London Borough of Sutton is an outer London Borough. The estimated total population is 177,000. Sutton has an ethnic population which, by 2011, is estimated will be 8.3%. The ILD identified Sutton as the 284th most deprived borough in England. This relative prosperity masks two particular areas of deprivation, the Roundshaw estate in Wallington and the St. Helier Estate in Carshalton. The post holder will input to the clinical services in the Tier 3 CAMHS South West London & St George’s Mental Health Trust, and contribute to their ongoing development. The post holder will also provide psychiatric input to the Umbrella Service. This service is commissioned by the local authority and entails assessing children and families who have child protection plan and where the local authority considers either taking out care proceedings or planning to establish arrangements for children who are looked after by the local authority. The core functions of the Tier 3 CAMHS team are: To provide a specialist multi-disciplinary, diagnostic, assessment, treatment, advisory and consultative service in relation to children and young people up the age of 18 with severe psychiatric disorders, or whose behaviour, emotional state or development is causing serious concern to themselves and/or those caring for them. The child and young person is the primary focus of the service. However, the child is usually part of a functioning family unit and so the child’s assessment and treatment will usually involve other family members. Close coordination and liaison with other agencies (GPs, hospital and community paediatrician, health visitors, social services, education and the courts) is essential. The resources to meet the children’s needs lie within each of these services and each service has legitimate concerns in the fulfilment of its duties towards children. The NHS also has an obligation to provide support to these services. Support and advice is thus provided to many of the agencies. Multi-disciplinary working is the most effective way of utilising resources and of providing the skills mix required for effective treatment. The aims of Sutton Tier 3 CAMHS are: To work within the Trust Recovery Strategy. To promote the mental health and normal development of children and young people. To remove or ameliorate symptoms if possible. To protect from deterioration and reduce disability and suffering during childhood and adolescence and into adult life, thus reducing the probability of social and psychiatric disability and defects in capacity for parenting in the next generation. To reduce stress and increase the ability to cope amongst carers, both parents and professionals. To provide assistance for other agencies involved with children and adolescents. To participate in the training of staff and students in all disciplines in the Child and Adolescent Mental Health Services and other services involved with children and young people. To provide a personal service based on the needs of the individual, regardless of gender, ethnic origin, intellectual ability, sexual orientation or other socioeconomic factors. The service is seen as a partnership with families in the planning of treatment programmes. To provide an accessible service that is available to children, young people and their carers who are registered with a Sutton GP. The CAMHS Tier 3 service is managed by the Sutton Borough Directorate and comprises of medical staff, nurses, clinical psychologists, psychotherapists, music therapist, systemic family psychotherapists, substance misuse worker and a social worker. The Team is led by its Operational Management Group comprising of Service Manager Eddie Etienne, Consultant Psychiatrist representation from Dr Birgit Berg and Psychology & Psychotherapies Lead Sheila Redfern. The team is recruiting to two substantive consultants posts, replacing previous post-holders and with a small increase in consultant sessions due to the loss of a middle tier doctor post, this is a time of development and consolidation of the service. It should be noted that the Consultant Child Psychiatrists provide services within other providers: 2 sessions Royal Marsden (this post), 2 sessions Umbrella service (a team managed by the Local Authority providing assessments for child care court proceedings, Dr Hussain’s post) and 1 session for the Joint Adolescent Service (Dr Berg); thus there are 2.2 whole time equivalents of Consultant child psychiatry time in the Tier 3 team. 6. THE ROYAL MARSDEN NHS FOUNDATION TRUST The Royal Marsden is recognised world-wide for the quality of its cancer services and The Trust’s strategic aim is to achieve excellence in the treatment, investigation and research of cancer, through partnership and collaboration. The Royal Marsden NHS Foundation Trust with its associated Institute of Cancer Research (ICR) constitutes a centre of excellence for research and development, education, treatment and care in cancer. It is acknowledged to be one of the largest comprehensive Cancer Centres in the world. In 1991 it became the first NHS hospital to be awarded the Queen’s Award for Technology jointly with The Institute of Cancer Research and Johnson Matthey, for its work on drug development The hospital gained National Charter Mark Awards in 1995, 1998 and again in 2001 for the excellence of its service and achieved the international quality standard ISO 9001 for radiotherapy in 1996 and for chemotherapy in 2003. It was recognised as one of six centres of excellence in the Government’s NHS Plan and has achieved four national Charter Marks for all services, the most recent awarded in 2005. The Royal Marsden has consistently been awarded three stars and more recently double Excellent rating in the last two years in the NHS performance indicators, rating it among the nation’s best in terms of clinical quality and patient care. The Royal Marsden and The Institute of Cancer Research form the United Kingdom’s only designated Biomedical Research Centre for Cancer – awarded in December 2006 by The National Institute for Health Research (NIHR). The Royal Marsden offers: Holistic care programmes from diagnosis, through all treatments to recovery or palliative care Pastoral and psychological care for patients and relatives Dedicated and highly-skilled staff Specialist research centre with the largest drugs trial unit in Europe Training more post-registration cancer nurses than any other UK hospital One of the largest UK training schemes for oncologists Education services for GPs Consistently meets all targets for quality, performance, financial management The only NHS trust in the country to be awarded the highest rating in the NHS national performance rankings two years in a row. The Trust forms a joint cancer centre with St George’s Healthcare NHS Trust. The Royal Marsden NHS Foundation Trust comprises two sites (131 beds at Fulham Road, and 124 beds at Downs Road, Sutton). Over 40,000 patients attend the Royal Marsden each year. As a specialist oncology centre, the Trust services local populations within Merton, Sutton and Wandsworth and Kensington, Chelsea and Westminster, as well as referrals both nationally and internationally. The Royal Marsden supports a number of junior doctor training programmes, and provides core training for trainees across a wide range of tumours in Clinical and Medical Oncology and Surgical Oncology (including paediatrics, gynaecological cancer, gastro intestinal, breast cancer and sarcoma and melanoma). Organisation The Trust board comprises an independent chair, Ms Tessa Green, executive directors, (Chief Executive, Chief Nurse, Director of Finance, Chief Operating Officer, Medical Director), and five non-executive directors from outside the NHS. At The Royal Marsden NHS Foundation Trust, the current hospital management structure is organised into two Divisions, Cancer Services and Clinical Services. This post sits within the Cancer Services Division. Within the Divisions, the consultants leading each Clinical Unit comprise the Medical Advisory Committee. This is chaired by the Medical Director, Professor Martin Gore, who together with the other directors (e.g. Clinical R & D, IT, Business Development, HR, Facilities, Finance) and the General Managers form the Management Executive. The Management Executive is chaired by the Chief Executive, Miss Cally Palmer. Children’s and Young People’s Unit at the Royal Marsden NHS Trust Headed by Professor ADJ Pearson The Children’s and Young People’s Unit of the Royal Marsden NHS Foundation Trust, Sutton is based in an internationally renowned cancer centre; has excellent integration with all adult oncology specialities and enjoys the significant benefits of co-location with The Institute of Cancer Research. The on-site radiotherapy facilities have undergone extensive expansion. The clinical oncology service for children and young people with malignancy has a very high international reputation and has an established record in innovative radiotherapy techniques. It is one of the larger 21 Children’s Cancer and Leukaemia Group (CCLG) centres. The Children’s and Young People’s Unit has an excellent, well established paediatric oncology nursing service and has a robust and well developed mechanism for shared-care. Patients have rapid access to high quality diagnostic techniques. There is excellent multidisciplinary care with well developed, integrated psycho-social, educational and family support. The Royal Marsden Hospital NHS Foundation Trust has a Young People’s Service and is developing a Teenage Cancer Unit, as a component of a substantial new build. The Royal Marsden NHS Foundation Trust and St Georges Hospital form a unified, integrated paediatric and adolescent oncology centre for children and young people with malignancy south of the Thames. The Royal Marsden Hospital provides cancer diagnosis, cancer treatment expertise, psycho-social support and non-surgical cancer therapy and St George’s Hospital provides paediatric specialist services, including paediatric intensive care, paediatric surgery, neuro-surgery and paediatric infectious disease specialist care. Local, comprehensive, integrated, high quality care for children and young people with malignancy is delivered by robust clinically governed programmes and patient pathways. Treatment is according to current international therapeutic protocols and trials. The Unit’s philosophy of family-centred care has been developed by involving parents and carers with the treatment plan, both in the hospital and at home. Families have open access to the unit and a community liaison team facilitates home treatment and shared care with local hospitals. Early return to school is encouraged and the teachers and social workers based on the unit work closely with schools and other community based services. The Royal Marsden, in collaboration with the two regional paediatric neuro-surgical centres (St Georges & Kings College Hospital), has been developing a comprehensive South Thames Paediatric Neuro-oncology Service and is one of the largest paediatric neuro-oncology units in the UK. There is close joint working between the paediatric and adult neuro-oncology teams in the form of weekly joint multi-disciplinary team (MDT) meetings and joint clinics. There is a well established allogenic bone marrow transplant service with two full time dedicated consultants. This is complemented by an active programme for myeloablative procedures requiring autologous haemopoeitic stem cell rescue. There is on-site provision of total body irradiation. The Paediatric Unit’s clinical facilities at the Royal Marsden Hospital Sutton are in a purpose built paediatric wing (Wolfson Children’s Cancer Unit) opened in October 1992. This comprises:- An in-patient area (McElwain Ward) - 16 beds including a dedicated adolescent area; education centre and large playroom and residential accommodation for families; Adjacent out-patient and day care facilities - 4 consulting rooms; large waiting and play area; 7 bedded day area and minor procedures room with facilities for general anaesthesia. A substantial new build is planned which will include new inpatient, outpatient and day care facilities, a dedicated Teenage Cancer Unit and a Children’s and Young People’s Drug Development Unit. The Paediatric Unit has approximately 220 new malignant registrations per year, including children with leukaemia, central nervous system and extra cranial tumours from south of the Thames and the South East coast Under the auspices of the CCLG, the Unit is currently involved in multi-centre national and international trials evaluating new therapeutic strategies. The research activities of the clinical Unit are closely integrated with The Institute of Cancer Research Section of Paediatric Oncology, created in April 1994. The Section has expanded considerably since the creation of the Cancer Research UK Chair of Paediatric Oncology in April 1995. The overall goal of the research strategy is to improve the five year survival of childhood and adolescent cancer by establishing a Paediatric and Adolescent Oncology Targeted Drug Development Programme at The Institute of Cancer Research / Royal Marsden NHS Foundation Trust. This comprehensive programme will comprise drug discovery, preclinical evaluation, early clinical trials and a clinical facility (the Oak Foundation Unit). Psychological Medicine at the Royal Marsden NHS Trust The Psychological Medicine department was opened in October 1986 and was the first UK unit established in an Oncology Centre. It comprises an outpatient department with consultation rooms in Sutton and Chelsea. There is also office space for research fellows, data managers and secretaries. The department sees patients referred internally from medical and other staff. There are no inpatient beds for psychiatry The RMH has good research infrastructure in terms of IT support and research statisticians and the department has a strong commitment to health services research. Clinical Professor Maggie Watson: Consultant Clinical Psychologist, Head of Psychological Medicine (full time) and Team Leader Institute of Cancer Research (ICR). Clinical Fellow in Psychiatry (TBA) Current locum post-holder Dr Bradley Hillier Mary Burgess Chartered Clinical Psychologist Dr Lesley Edwards: Lead Consultant Child and Adolescent Clinical Psychologist Dr Sam Peacock: Chartered Child & Adolescent Clinical Psychologist Clinical Psychology and Counselling Trainees: from the University of Surrey and UCL/ Royal Holloway Doctoral Training Course Research Dr Charlotte White ICR Research Fellow and Honorary Clinical Psychologist Janis Homewood: Research Fellow in Social Science and Statistics Research Fellow TBA - previous post-holder Dr Elizabeth Ormondroyd ICR Research Fellow in Genetics and Health Psychology Clare Moynihan Senior Research Fellow Sue Davolls: Research Manager Cornelie Savona Research Assistant Katrina Whitaker CR-UK Doctoral Student (full time) There is secretarial support of 1 WTE in Sutton. There is additional secretarial support for the Child and adolescent Clinical psychologists and Child Psychiatrist at 0.6 WTE 7. 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. 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. 7. THE POST 7.1 Accountability The Consultant will be managerially and professionally responsible to the Associate Medical Director for CAMHS services across the Trust. Correspondingly, the post holder will be managerially and professionally responsible to the Medical Director at The Royal Marsden for the 2 Pas at the Marsden. 7.2 Role and duties The clinical duties of the post are currently based at Cotswold House, Sutton Hospital, Cotswold Road, Surrey SM2 5NF. The successful candidate will take a leading clinical role in the CAMHS Tier 3 service in Sutton, plus provide highly specialist psychiatric input to the Royal Marsden Hospital situated at the Sutton Site. 7.3 Duties Clinical Work To provide medical assessment, diagnoses and treatment of mental illness and severe behaviour problems presenting in children and adolescents in CAMHS tier 3 service, in a multi-disciplinary context. To take part in the Cotswold House duty rota (office hours), taking responsibility for urgent assessments, usually from A&E St Helier Hospital, including formal mental health act assessments. Provision of psychiatric expertise on mental health issues, including training, support and advice to CAMHS Team Members and to other professionals, service users, parents and carers. To provide consultation and advice to other agencies working with children and young people in Sutton. To provide appropriate referral to specialist services (e.g. tier 4 services) according to local protocols. Participation in the Kingston, Richmond, Merton, Sutton and Wandsworth CAMHS Consultant On-Call Duty Rota. The rota is currently one week in fifteen and covers out-of-hours psychiatric advice to the London Boroughs of Kingston, Richmond, Merton, Sutton and Wandsworth. SHOs provide 1st on-call and SPR’s provide 2nd on-call. 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. Participation in Clinical Governance and audit. To advise on the management of children on the wards or other current patients which may involve discussions about the use of the Mental Health Act or the Mental Capacity Act Communication Meeting with the CAMHS tier 3 team for clinical and academic discussions as indicated, and at a previously agreed mutually convenient time. Liaison and consultation with other professionals within the CAMHS tier 3 team. Liaison with providers of services for children and adolescents including statutory and independent agencies within the Sutton Children’s Partnership. Liaison and advice to other services within the Mental Health Trust. Attendance at service user reviews, clinical meetings, and ward rounds as necessary. Participation in meetings and training opportunities Management The appointed consultant will provide the professional supervision and management of any junior psychiatric staff for whom they have responsibility including one hours’ personal supervision weekly of each trainee. Involvement in service development and joint planning for CAMHS in South West London & St George’s, and particularly at Sutton. Working closely with other Consultant CAMHS colleagues to ensure the smooth running of the service. Attendance at the monthly CAMHS Consultants meeting chaired by the Associate Medical Director. Attendance at management and service development meetings as agreed with the Team Manager and the Associate Medical Director. Teaching The Consultant will be expected to offer teaching for psychiatry trainees as well as medical students who may be attached to the team. The Trust has close links with St George’s University of London and medical students are regularly attached to mental health teams as part of their psychiatry training. Professional and Personal Development Participation in a programme of Continuing Professional Development as agreed with the Associate Medical Director. Participation in the South West London & St George’s appraisal process. The furthering of research, both in terms of personal projects and supervision of junior doctors within the Trust’s agreed research and development processes. The potholder will contribute to local service review groups, and additional reviews as agreed with the Associate Medical Director. Membership of working groups and/or committees as agreed with the Associate Medical Director and Service Manager. Administration 7.4 A room will be provided for the post holder for administration and supervision tasks. A personal computer with direct internet access and a standard software package including local trust email services will also be provided. Administration support will be through a team secretary. This includes report and letter typing and other administration tasks. Proposed timetable MONDAY TUESDAY WEDNESDAY Cotswold House 1 DCC Cotswold house 1DCC 1 SPA Cotswold House 0.5 DCC + 0.5 SPA * Marsden 1DCC Cotswold House 1 DCC THURSDAY * Team business/zoning meeting followed by case discussion and academic meeting 0.5 SPA +0.5 DCC FRIDAY Cotswold House 1 DCC * Marsden 0.5 SPA + 0.5 DCC Cotswold House 1 DCC 7.5 PAs for Direct Clinical Care + 2.5 PAs for Supporting Programmed activities This timetable is indicative and may be changed on consultation with the Associate Medical Director in accordance with the Job Plan and Trust Clinical Governance Procedures. The exact details will be negotiated and change with the development of the service. The sessions indicated by * are fixed slots. 8. Conditions of Service The post will be offered under the terms and conditions of service for Consultants [England] 2003. Basic Pay and Pay Thresholds: The Consultant salary scale commences on £74,504 rising through pay thresholds to a maximum of £100,446 (April 2010). Part-time Consultants will be paid pro rata to the thresholds described above, 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 (currently paid at 5%) in reflection of the medium 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 This job description, together with the job plan, will be reviewed annually, or as appropriate, with the local Associate Medical Director, to ensure that it continually reflects the areas of work, clinical responsibility of the post and purchaser requirements. Significant changes will require the approval of the Chief Executive and Medical Director. Clinical Governance The post holder will comply with the Trust’s clinical governance requirements and participate in related initiatives where appropriate. This will include participating in clinical audit and review of outcomes, working towards achievement of national and local performance management targets, complying with risk management polices, and participating in the consultant appraisal process. The post holder will be responsible for maintaining satisfactory patient notes and for entering data into a computer database within the rules and regulations of the Data Protection Act. 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 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. 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. 9. PERSONAL SPECIFICATION Consultant Child and Adolescent Psychiatrist in Sutton CAMHS Experience, skills and abilities Essential requirements On specialist register psychiatrist Education and qualifications Desirable requirements a Previous experience as a Consultant in CAMHS Eligible for appointment Consultant in CAMHS as Research publications within the broad field of CAMHS Experience of working in CAMHS team Experience in student assessment Assessment and treatment of mental illness children and adolescents Proficient at Risk Assessment and Management including the Care Programme Approach Basic IT Skills MRCPsych or equivalent Doctorate in an appropriate Included on the General Medical area Council’s Specialist register or Specialist Registrars within three months of completing their Certificate of Completion of Specialist Training. Section 12 approved or willing to undertake such training on appointment. Personal qualities as Excellent communication skills Leadership skills Experience of working in a team Commitment to Valuing People. Good organisational skills Ability to work on own initiative Ability to enthuse students and staff