Higher Training Post
Post Description
Base Address
ST4 - General Adult Psychiatry
Community Mental Health Team
Moss House CMHT,
Moss Street
Garston, Liverpool L19 2NA.
Educational Supervisor:
Drs. John Stevens/Lola Aderogba
Supervising Consultant:
Consultant Secretary contact details:
Dr. Kauser Tabani
Description of Service
This placement, in Adult Community Mental Health Services, provides secondary
mental health services to patients aged 16 and upwards. The CMHT consists of 2
Consultant Psychiatrists, 6 CPNs, 5 social workers, 0.5 OT, 2 STR workers, 2 Pas, a
CMHT manager and a deputy manager. The trainee will operate as a member of the
multidisciplinary team, which operates in line with the relevant policy implementation
guidance and focuses on recovery and promotion of social integration.
Setting Where Work Carried Out

Moss House Mental Health Resource Centre. We serve a population of
100,000 and are linked to 23 GP practices based in
Speke/Garston/Allerton/Woolton/Belle Vale/Netherley/Childwall.

The placement provides valuable opportunities for the trainee to function as a
medical expert within the multidisciplinary framework.
General Overview of Training Experience and Job Role
There will be an expectation that you attend local postgraduate teaching
programmes, as well as specific programmes that are available to you:



You will have opportunities to provide leadership in multidisciplinary working,
be consulted by colleagues, opportunities to participate in an educational
programme and to participate in teaching and training opportunities to junior
colleagues and medical students.
Opportunities to do on-call/urgent work in a shift system.
Your supervisor is the Training Programme Director and this placement
provides additional opportunities for attaining management, leadership, and
educational skills in the areas of training, supervision and medical education.
Responsibilities of Trainee
Clinical Role:
1. New outpatients or home visits meeting with relatives and carers.
Tasks: Assessment, Diagnosis and formulation of management plan. Shared
decision making with patients and carers to include risk assessment.
Intended Learning Outcomes:
ILO 1: Be able to perform specialist assessment of patients and document relevant
history and examination on culturally diverse patients to include:
 Presentation of main complaint
 History of present illness
 Past medical and psychiatric history
 Systemic review
 Family history
 Socio-cultural history
 Developmental history
ILO 2: The doctor will demonstrate the ability to construct formulations of patients’
problems that include appropriate differential diagnoses, liaising with other specialists
and making appropriate referrals.
ILO 3: The doctor will demonstrate the ability to recommend relevant investigation
and treatment in the context of the clinical management plan. This will include the
ability to develop and document an investigation plan including appropriate medical,
laboratory, radiological, socio-cultural and psychological investigations and then to
construct a comprehensive treatment plan addressing biological, psychological and
socio-cultural domains.
ILO 4: Based on a comprehensive psychiatric assessment, demonstrate the ability to
comprehensively assess and document patient’s potential for self-harm or harm to
others. This would include an assessment of risk, knowledge of involuntary treatment
standards and procedures, the ability to intervene effectively to minimise risk and the
ability to implement prevention methods against self-harm and harm to others.
This will be displayed whenever appropriate, including in emergencies.
ILO 14: To ensure that the doctor is able to inform and education patients effectively.
2. Follow-up outpatients or home visits.
Tasks: Ongoing review of formulation and management plans.
Shared decision making with patients and carers, to include updating risk
assessments where appropriate.
Intended Learning Outcomes:
ILO 1: Be able to perform specialist assessment of patients and document
relevant history and examination on culturally diverse patients to include:
 Presentation of main complaint
 History of present illness
 Past medical and psychiatric history
 Systemic review
 Family history
 Socio-cultural history
 Developmental history
ILO 2: The doctor will demonstrate the ability to construct formulations of patients’
problems that include appropriate differential diagnoses, liaising with other specialists
and making appropriate referrals.
ILO 3: The doctor will demonstrate the ability to recommend relevant investigation
and treatment in the context of the clinical management plan. This will include the
ability to develop and document an investigation plan including appropriate medical,
laboratory, radiological, socio-cultural and psychological investigations and then to
construct a comprehensive treatment plan addressing biological, psychological and
socio-cultural domains.
ILO 4: Based on a comprehensive psychiatric assessment, demonstrate the ability to
comprehensively assess and document patient’s potential for self-harm or harm to
others. This would include an assessment of risk, knowledge of involuntary treatment standards
and procedures, the ability to intervene effectively to minimise risk and the ability to
implement prevention methods against self-harm and harm to others. This will
be displayed whenever appropriate, including in emergencies.
3. Urgent or on call reviews, Mental Health Act work
Tasks: Meeting the requirement of emergency work, community treatment orders and
assessment of capacity. Urgent assessments with diagnosis and formulation of
management plans including risk assessments and mental health act work.
Intended Learning Outcomes:
ILO 4: Based on a comprehensive psychiatric assessment, demonstrate the ability to
comprehensively assess and document patient’s potential for self-harm or harm to
others. This would include an assessment of risk, knowledge of involuntary treatment standards
and procedures, the ability to intervene effectively to minimise risk and the ability to
implement prevention methods against self-harm and harm to others. This will be
displayed whenever appropriate, including in emergencies.
ILO 7: Develop the ability to carry out specialist assessment and treatment of patients
with chronic and severe mental disorders and to demonstrate effective management
of these disease states.
ILO 11: Demonstrate the knowledge, skills and behaviours to manage time and
problems effectively.
4. Multidisciplinary patient reviews
Tasks: CPA reviews
MAPPA meetings
Risk reviews
Intended Learning Outcomes:
ILO 4: Based on a comprehensive psychiatric assessment, demonstrate the ability to
comprehensively assess and document patient’s potential for self-harm or harm to
others. This would include an assessment of risk, knowledge of involuntary treatment standards
and procedures, the ability to intervene effectively to minimise risk and the ability to
implement prevention methods against self-harm and harm to others.
This will be displayed whenever appropriate, including in emergencies.
ILO 7: Develop the ability to carry out specialist assessment and treatment of patients
with chronic and severe mental disorders and to demonstrate effective management
of these disease states.
ILO 9: To demonstrate the ability to work effectively with colleagues, including team
working.
5. Team meetings
Tasks: Communication about patients and carers, planning, organisational policies
and objectives.
Intended Learning Outcomes:
ILO 9: To demonstrate the ability to work effectively with colleagues, including team
Working.
ILO 10: Develop appropriate leadership skills.
ILO 13: To develop an understanding of the implementation of clinical governance.
6. Clinical advice to team members
Task: Regular or adhoc supervision on clinical matters.
Intended Learning Outcomes:
ILO 10: Develop appropriate leadership skills.
ILO 15: To develop the ability to teach, assess and appraise
7. Liaison with colleagues and other services.
Task: Speaking with other professionals involved in patient care – primary care,
other specialities.
Intended Learning Outcomes:
ILO 9: To demonstrate the ability to work effectively with colleagues, including team
Working.
Leadership Role: lead clinical roles, eg. audit, risk, patient safety, mental health
act work, information governance etc.
Tasks: Provide leadership roles for specific and defined areas of practice.
Work place based assessments, participation in clinical supervision of junior trainees
and medical students.
Intended Learning Outcomes:
ILO 10: Develop appropriate leadership skills.
Educational and Academic roles: Teaching and supervising junior trainees and
medical students.
Meetings requirements for revalidation.
Participation in academic programmes
organisation of junior trainee/medical student programmes
Tasks: Revalidation activities, quality improvement activities and reflections.
Presentation and or attendance at educational meetings.
Intended Learning Outcomes:
ILO 15: To develop the ability to teach, assess and appraise
ILO 17: Ensure that you act in a professional manner at all times
ILO 18 To develop the habits of lifelong learning
ILO 15: To develop the ability to teach, assess and appraise
ILO 5: Based on the full psychiatric assessment, demonstrate the ability to conduct
therapeutic interviews; that is to collect and use clinically relevant material. The
doctor will also demonsotrate the ability to conduct a range of individual, group and
family therapies using standard accepted models and to integrate these
psychotherapies into everyday treatment, including biological and socio-cultural
interventions
Special interest:- the trainee will have opportunity to work up to two sessions in a
field of their special interest.
Intended Learning Outcome:
ILO 16: To develop an understanding of research methodology and critical
appraisal of the research literature
The Trust provides special interest opportunities which are varied and include psychotherapy, drug
dependency, research, Masters programme etc.
The trainee will receive one hour of trainee centred educational supervision per
week in addition to clinical supervision as and when needed
Please see the Handbook for your area at:
http://www.merseycare.nhs.uk/Working_for_Us/Medical_Trainees/Junior_Doctors_H
andbooks.aspx
Trainee timetable:
Day
Monday
Tuesday
Wednesday
Thursday
Friday
AM
Clinic with Dr Tabani
Academic
Special Interest
Clinic with Dr. Tabani
Clinic with Dr. Sedgwick
PM
Clinic with Dr. Sedgwick
MDT
Clinical Admin.
Special Interest
1-2 Supervision
3-5 Home Visits / Clinical Admin