OXFORD DEANERY SPECIALTY TRAINING PROGRAMME
IN CHILD & ADOLESCENT PSYCHIATRY
About Oxford Deanery
The Oxford Deanery covers the counties of Oxfordshire, Berkshire and
Buckinghamshire, with Banbury and Milton Keynes in the North, to Reading and Slough
in Berkshire and High Wycombe and Aylesbury in the West.
The Oxford Deanery is part of NHS South of England which comprises South Central,
South West and South East Coast Strategic Health Authorities. The Oxford Deanery is
responsible for the training of some 1500 trainees.
The Oxford Deanery is a relatively small deanery with a defined geographical area
which serves as a single unit of application. In the majority of cases successful
candidates will be asked to preference their choice of location for either one or two
years. Some programmes will require successful candidates to indicate a location and
specialty. Future placements will usually be based on individual training and educational
needs. Please note that applications are to the Oxford Deanery as a whole. This
may mean that you may be allocated to any geographic location within the Oxford
Deanery depending on training needs.
The Child & Adolescent Psychiatry Training Programme
The Child & Adolescent training programme is a three-year programme, starting at ST4.
During this time, the trainee's work will be monitored for satisfactory progress and subject to
annual reviews in the form of ARCPs. Progression on the programme will be dependent
upon these reviews.
The posts on this rotation have been approved for Specialist Training by the Royal College
of Psychiatrists. The posts attract National Training Numbers and provide training towards a
Certificate of Completion of Training (CCT).
The Postgraduate Dean has confirmed that this post has the necessary educational and
staffing approvals.
The programme is based in several different Trusts throughout the Oxford Deanery so
trainees may find themselves employed by any of the following Trusts and placed in any of
the following hospitals or units:
Trust
Oxford Health NHS Foundation Trust
http://www.oxfordhealth.nhs.uk/
Hospitals and Locations
Boundary Brook House, Headington, Oxford
Highfield Family and Adolescent Unit,
Warneford Hospital, Headington
Abingdon Community Hospital
Orchard Health Centre, Banbury
Berkshire Healthcare NHS Foundation Trust
http://www.berkshirehealthcare.nhs.uk/
3 Craven Road, Reading
Berkshire Adolescent Unit, Wokingham
Milton Keynes Community Health Services
http://www.mkchs.nhs.uk/
Eaglestone Health Centre, Milton Keynes
GENERAL ORIENTATION TO THE SCHEME
Full-time trainees have three one-year placements out of the eight available within the Deanery
programme. Less than full-time training can also be undertaken in the specialty, in which case
the programme will last five years divided into four attachments of fifteen months each. All StRs
are subject to annual assessments under the ARCP process.
The Oxfordshire placements are:
 Boundary Brook House, Oxford (Oxford City Tier 3 CAMHS (1 post), Tier 4
Neuropsychiatry Outpatient Service (1 post))
 Highfield Family and Adolescent Unit, Oxford (in-patient service) (1 posts)
 Tier 3 CAMHS Teams in Abingdon and Banbury (1 post each)
The Berkshire placements are:
 the Berkshire Adolescent Unit at Wokingham Hospital (in-patient service) (1 post)
 Tier 3 CAMHS and Paediatric liaison service at 3 Craven Road, Reading (1 post)
The Milton Keynes placement is:
 Tier 3 CAMHS, Eaglestone Health Centre, Milton Keynes Hospital (1 post)
There are excellent opportunities for involvement in teaching and research, including
supervision of research in trainees' own special interests. The University Department of
General Psychiatry is based at the Warneford Hospital with Professor John Geddes as its head.
There is a University Section of Child Psychiatry also based at the Warneford Hospital, the
section is led by Professor Alan Stein.
The variety of experience available in each placement is set out in detail below.
DETAILS OF INDIVIDUAL PLACEMENTS
OXFORD HEALTH NHS FOUNDATION TRUST
OXFORD CITY TIER 3 CAMHS (1 POST)
Consultants: Dr Anne Stewart, Dr Simone Forlee and Dr Marian Perkins
The Oxford City CAMHS team is a busy service with an experienced multidisciplinary team. The
team provides the possibility of a broad experience of generic child and adolescent work as well
as the possibility of some general hospital liaison and specialist experience in working with
young people with eating disorders.
TIER 4 NEUROPSYCHIATRY OUTPATIENT SERVICE (1 POST)
Consultant: Dr Marian Perkins
The neuropsychiatry team is a specialist Tier 4 community service providing assessments and
interventions for young people with complex neuropsychiatric presentations. The service
currently provides for Oxfordshire bit its remit is likely to cover Buckinghamshire as well in the
near future.
HIGHFIELD FAMILY AND ADOLESCENT UNIT (INPATIENT SERVICE (1 POST)
Consultant: Dr Tony James
Highfield Family and Adolescent Unit, situated in the grounds of Warneford Hospital, is an
established unit providing the base for the Regional Psychiatric Adolescent Service; a
completely new purpose-built unit is currently under construction. The multidisciplinary team
provides a comprehensive experience in the assessment and treatment of a wide range of
clinical disorders in adolescents and their families. The age range of the adolescent patients is
from thirteen to eighteen years. There is scope for both brief and long-term treatment utilising
the full range of treatment techniques. The specialty trainee will be able to obtain supervised
experience in family therapy, individual and group psychotherapy, and in cognitive behavioural
techniques and psychopharmacology. A school forms an integral part of the unit and the
teachers work closely with the therapeutic team. The service has very well established links with
agencies in the community.
The specialty trainee will have ready access to the academic training programme and to
lectures and conferences in the University Department of Psychiatry and Section of Child
Psychiatry. There are teaching commitments to undergraduates and postgraduates, and also
opportunities for lecturing outside the unit.
BANBURY TIER 3 CAMHS(1 POST)
Consultants: Dr Rosie Shepperd, Dr Evie Manganari
The Banbury specialist CAMHS serves a population of 170,000. The purpose-built facility has
numerous clinical rooms, a family therapy viewing room as well as rooms for sole use of clinicians,
including an STR.
The children and adolescents seen represent a wide range of simple and complex cases, providing
excellent training for competency assessments, differential and co-morbid diagnoses and
differentiation, and patient-specific treatment programmes.
There is a very wide range of trainee experience in this placement such as individual and joint
assessments with other professionals including a psychologist, social workers, CPNs and
occupational therapists. A particular feature of the placement is the paediatric liaison provided to the
Horton Hospital, both to the A&E ward and the assessment of self-harm.
The team in Banbury offers a range of
adolescents.
multidisciplinary therapeutic skills for children and
ABINGDON TIER 3 CAMHS (1 POST)
Consultants: Dr Emma Fergusson, Dr Tanya McGregor Dr Isabel Paz
The South Oxfordshire Specialist CAMHS service is located in Abingdon. The team provides
services to Abingdon, with outreach clinics in Didcot, Henley, Wantage, Thame and Berinsfield. The
population served is currently 240,000 and hence affords excellent experience in a communitybased team. Children and adolescents from 0-18 with a wide range of psychological difficulties are
seen.
Specific features of the post include a broad catchment area of a mixed urban and rural nature,
interactions with other agencies and the possibility of inter-agency working, as well as excellent
opportunities for liaison and consultation with schools, social services, educational psychology,
health visitors and GPs. This reflects the emphasis of this team on multi-agency, multi-professional
approach to assessing and treating children and adolescents with psychiatric difficulties.
CONSULTANT STAFF BASED IN OXFORDSHIRE
Dr Rob Chapman is a Consultant in Child & Adolescent Psychiatry running a community team
based in Witney, West Oxfordshire.
Dr Evie Manganari, Dr Rosie Shepperd and Dr Innibong Okonna (locum) are Consultant Child &
Adolescent Psychiatrists based in Banbury, North Oxfordshire. Dr Shepperd is Clinical Director of
Oxford Health Children and Families Division.
Dr Nick Hindley is Consultant in Child & Adolescent Forensic Psychiatry at Boundary Brook House,
Oxford. He is clinical lead for the Thames Valley Child & Adolescent Forensic Mental Health Service
TV FCAMHS) which provides a regional community forensic service to Oxfordshire,
Buckinghamshire, Berkshire and Milton Keynes. He also provides input into the Child and
Adolescent Harmful Behaviour Service (CAHBS; a service providing assessment and intervention for
young people with sexually harmful behaviour) and the Family assessment and Safeguarding
Service (FASS; a service providing court reports and thearapeutic interventions in families where
child maltreatment has occurred.
Dr Ollie White, Consultant in Child & Adolescent Forensic Psychiatry is in a joint post providing
input both to TV FCAMHS and Bluebird House (National NHS Adolescent Forensic In-patient Unit,
Southampton)
Dr Tony James is Consultant and Honorary Clinical Lecturer in Adolescent Psychiatry at the
Highfield Family and Adolescent Unit. Dr James has a wide range of clinical and research interests.
Dr Marian Perkins is Consultant in Child Neuropsychiatry at the Park Hospital with a special interest
in epilepsy and in paediatric liaison. She leads a multidisciplinary team for management of children
with complex epilepsy and associated psychiatric problems as well as a tertiary service for children
with neuropsychiatric disorders such as autistic spectrum disorder, hyperkinetic syndrome, complex
tic disorders, etc. She is Programme Director for the StR programme.
Dr Rosie Shepperd is Consultant in Child & Adolescent Psychiatry for Abingdon and Thame, South
Oxfordshire. She works with a small multidisciplinary team and liaises closely with GPs, health
visitors, social services and education, to assess and treat children from 0 to 18 years, with their
families or carers.
Dr Anne Stewart and Dr Simone Forlee are Consultants in Child and Adolescent Psychiatry at the
Oxford City CAMHS Team. Dr Stewart has close working links with the Department of Psychological
Medicine and the Adolescent Unit in the John Radcliffe Hospital; her main clinical and research
interest is in eating disorders.
Dr Emma Fergusson, Dr Tanya McGregor, Dr Isabel Paz, Dr Elizabeth Tovey are Consultants in
Child and Adolescent Psychiatry at South Oxfordshire CAMHS.
ACADEMIC STAFF: Professor Alan Stein, Dr Mina Fazel
BERKSHIRE HEALTHCARE NHS FOUNDATION TRUST
BERKSHIRE ADOLESCENT UNIT BASED AT WOKINGHAM HOSPITAL (1 POST)
Consultants: Dr M Allsopp, Dr Nicky Affonso
The Berkshire Adolescent Unit is sited in the ground of Wokingham Community Hospital and
provides psychiatric services for young people and their families from Berkshire and
surrounding districts. The service offers eight in-patient beds and an extensive day-patient
programme. The Unit often closes at weekends but has the facility to remain open on a regular
basis to respond to the needs of emergency or high-dependency patients. There are specialist
out-patient clinics for patients presenting with eating disorders, obsessive compulsive disorder
and first episode psychosis.
The specialty trainee will work as part of a multidisciplinary team comprising nursing,
psychology, occupational therapy, family therapy, art therapy, dietetics and teaching staff as
well as Dr Allsopp, Dr Affonso, and a basic specialty trainee on a six-month attachment from the
Oxford Rotational Training Scheme.
READING TIER 3 CAMHS AND PAEDIATRIC LIAISON SERVICE (1 POST)
Consultants: Dr Janet Bucher, Dr Andrew West, Dr Carsten Vogt
This post is split between Paediatric liaison and Community CAMHS and is based at Craven
Road. The Paediatric Psychology and Liaison Service (PPALS) comprises the registrar,
consultant and a psychologist. There are fortnightly team meetings, monthly joint clinics,
regular academic meetings with the paediatricians in addition to referrals from the
paediatricians both on a routine and an emergency basis.
The community CAMHS aspect involves assessment and management of complex
conditions and extensive working with members of the multidisciplinary team as well as
liaison with external agencies. The registrar is welcome to attend and participate in the
weekly referrals-triage meeting There exists a rota system for managing emergencies in the
community, during the working hours. The weekly team meeting provides a platform for
presentation and discussion of complex cases, audits etc.
There are also opportunities to participate in specialist ADHD, neuropsychiatry and
ASD/SoCom (social & communication disorder) clinics. Psychotherapy supervision is
available.
CONSULTANT STAFF BASED IN BERKSHIRE
Dr Mark Allsopp and Dr Nicky Affonso are Consultant Child and Adolescent Psychiatrists
responsible for the Berkshire Adolescent Service at Wokingham Hospital. His research interests
include obsessive compulsive disorder in children and adolescents, eating disorders and the
provision of early psychosis services.
Dr Janet Bucher, Dr Carsten Vogt and Dr Andrew West Reading CAMHS. Dr Bucher’s special
interests are under-five clinics, parent-training courses, and ADHD. Dr West has a special interest
in paediatric liaison based at the Royal Berkshire Hospital, Reading. Dr Vogt has a special interest
in ADHD.
Dr Raj Gouda and Dr Elsa Godinho are Consultant Child and Adolescent Psychiatrists at
Newbury CAMHS
Dr Cornelius Ani is Consultant Child and Adolescent Psychiatrist at Bracknell CAMHS
Dr Guy Northover is Consultant Child and Adolescent Psychiatrist at Maidenhead CAMHS
Dr David McDonald and Dr Anna Viviani are Consultant Child and Adolescent Psychiatrists at
Slough CAMHS
Dr Tamsin Marshall and Dr Jyoti Vandana are Consultant Child and Adolescent Psychiatrists at
Wokingham CAMHS
MILTON KEYNES COMMUNITY HEALTH SERVICES
MILTON KEYNES CAMHS
Consultants: Dr Renu Daryanani; Dr K Hadi, Dr Haido Vlachos
The Department of Child and Adolescent Psychiatry is located on the first floor of Eaglestone
Health Centre in the grounds of Milton Keynes General Hospital. The catchment area for the
services tap off Milton Keynes and the department is the only tier 3 service in Milton Keynes.
The population is 230,000 with an age structure weighted towards the younger group. The
specialist CAMHS service sits within the Children’s Directorate of Milton Keynes Community
Health Service. There are close links with the Paediatric Department and opportunities for
paediatric liaison, attendance at the Child Development Centre and other paediatric clinics.
There are also close links with the Adult Psychiatry Department and the Adult Eating Disorders
services.
There are strong contacts with social services department, education department and the youth
offenders team. There is consultation with social services and support for foster carers.
The department offers a family therapy suite and art therapy room and although there are no inpatient beds, it is possible to admit young people to paediatric wards. There is a strong
emphasis on the large multidisciplinary team and the experience that that affords.
GENERAL INFORMATION
STUDY, RESEARCH AND OTHER TRAINING
Evidence of research is required throughout the period of higher training, and supervision is
arranged through the University Department of Psychiatry in Oxford. There are excellent library
facilities in Oxford and at Prospect Park Hospital, Reading. The resources of the University libraries
are also available.
Case conferences, and formal academic programmes are held weekly in both Oxford and Reading.
Specialty trainees are expected to attend the series of reading seminars which cover the topic areas
of the discipline over a three-year period. These seminars are run weekly in term time and are coordinated by the Tutors to the scheme. There are additional seminars which address other aspects
of higher training. The University Department of Psychiatry provides lectures and seminars on a
wide variety of topics.
There is weekly supervision in Oxford for individual child psychotherapy, and all trainees are able to
attend this group when they have a child or adolescent in psychodynamic therapy. There is also a
Tavistock Centre run course in Oxford for infant observation.
MANAGEMENT EXPERIENCE
There are opportunities for specialty trainees to gain experience in the administrative and
managerial aspects of the various clinical units, and to be involved in a number of departmental
meetings, including medical committees for psychiatry and child health, and a range of joint planning
and liaison bodies. Trainees are encouraged to attend management training courses and to take an
active part in the various managerial structures within the health service.
TEACHING
Each clinical psychiatric firm within the Deanery has a basic specialty trainee on a six-month
attachment. The higher trainees are expected to play an important part in their clinical supervision
and in the weekly academic programmes. There are opportunities for being involved in teaching on
the MRCPsych day release course in Oxford, and for teaching medical students during their
paediatric and psychiatric attachments.
Specialty trainees are encouraged to participate in the teaching and training of other disciplines.
ON-CALL
At present StRs will take part in the Child & Adolescent on-call rota in all placements throughout the
training.
In Oxfordhealth NHS FT the on-call duty includes cover for Oxfordshire and
Buckinghamshire including The Highfield Adolescent Unit. In Berkshire specialty trainees are
expected to be rapidly available to assess emergency referrals and provide cover for the in-patient
adolescent unit during their on-call duties.
SPECIAL INTEREST SESSIONS
There is the possibility of special interest in a variety of areas within Child & Adolescent /
Forensic Psychiatry either locally or nationally. Supervision would be based in the specialist
placements but the trainee would be required to attend supervision with his or her main trainer.
CONTRACTS AND OTHER ADMINISTRATIVE DETAILS
Contracts will be with Oxford Health NHS Foundation Trust, Berkshire Healthcare NHS FT or
Milton Keynes, as applicable to the placement. Out-of-hours work may change in pursuance of
EC regulations. Offers of employment will be subject to satisfactory clearances from the
Criminal Records Bureau and Occupational Health Services. A medical examination may be
required.
The appointee will be required to maintain registration with the GMC. Membership of a Defence
Society is essential for Schedule II work, including court work.
Initial removal expenses will be assessed in accordance with NHS Terms & Conditions of
Service. Travel expenses will be paid as described in the Deanery Removal and Travel
Expenses document.
Candidates are encouraged to visit the Scheme by arrangement with the Training Programme
Director:
Contact
Address
Telephone
Dr Marian Perkins
Boundary Brook House, Churchill Drive,
Headington, Oxford OX3 7LQ
O845 219
Programme Director, Child &
Adolescent Psychiatry and for joint
Child & Adolescent Forensic
Psychiatry
email:
marian.perkins@oxfordhealth.nhs.uk
Main Conditions of Service
Appointments to this programme are subject to the Terms and Conditions of Service (TCS)
for Hospital Medical and Dental Staff (England and Wales). In addition appointments are
subject to:
 Applicants having the right to work and be a doctor or dentist in training in the UK
 Registration with the General Medical Council
 Pre-employment checks carried out by the Trust HR department in line with the NHS
employment check standards, including CRB checks and occupational health
clearance.
The employing Trust’s offer of employment is expected to be on the following nationally
agreed terms:
Hours – The working hours for junior doctors in training are now 48-hours (or 52-hours if
working on a derogated rota) averaged over 26 weeks (six months). Doctors in training also
have an individual right to opt-out if they choose to do so, but they cannot opt-out of rest
break or leave requirements. However, the contracts for doctors in training make clear that
overall hours must not exceed 56 hours in a week (New Deal Contract requirements)
across all their employments and any locum work they do.
http://www.nhsemployers.org/PlanningYourWorkforce/MedicalWorkforce/EWTD/Page
s/EWTD.aspx
Pay – you should be paid monthly at the rates set out in the national terms and conditions of
service for hospital medical and dental staff and doctors in public health medicine and the
community health service (England and Wales), “the TCS”, as amended from time to time.
The payscales are reviewed annually. Current rates of pay may be viewed at
http://www.nhsemployers.org/PayAndContracts/Pay%20circulars/Pages/PayCircularsMedica
landDental.aspx Part time posts will be paid pro-rata
Pay supplement –depending upon the working pattern and hours of duty you are contracted
to undertake by the employer you should be paid a monthly additional pay supplement at the
rates set out in paragraph 22 of the TCS. The current payscales may be viewed at
http://www.nhsemployers.org/PayAndContracts/Pay%20circulars/Pages/PayCircularsMedica
landDental.aspx . The pay supplement is not reckonable for NHS pension purposes. The
pay supplement will be determined by the employer and should be made clear in their offer
of employment and subject to monitoring.
Pension – you will be entitled to join or continue as a member of the NHS Pension Scheme,
subject to its terms and rules, which may be amended from time to time. If you leave the
programme for out of programme experience you may have a gap in your pension
contributions. More information can be found at http://www.nhsbsa.nhs.uk/pensions
Annual Leave – your entitlement to annual leave will be five or six weeks per annum
depending on your previous service/incremental point, as set out in paragraphs 205-206 of
the TCS. The TCS may be viewed at
http://www.nhsemployers.org/PAYANDCONTRACTS/JUNIORDOCTORSDENTISTSGPRE
G/Pages/DoctorsInTraining-JuniorDoctorsTermsAndConditions150908.aspx
Sick pay – entitlements are outlined in paragraph 225 of the TCS.
Notice –you will be required to give your employer and entitled to receive from them notice
in accordance with paragraphs 195-196 of the TCS.
Study Leave –the employer is expected to offer study leave in accordance with paragraphs
250-254 of the TCS. Local policy and procedure will be explained at induction.
Travel Expenses – the employer is expected to offer travel expenses in accordance with
paragraphs 277-308 of the TCS for journeys incurred in performing your duties. Local policy
and procedure should be explained at induction.
Subsistence expenses – the employer is expected to offer subsistence expenses in
accordance with paragraph 311 of the TCS. Local policy and procedure should be explained
at induction.
Relocation expenses – the employer will have a local policy for relocation expenses based
on paragraphs 314 – 315 of the TCS and national guidance at
http://www.nhsemployers.org/PAYANDCONTRACTS/JUNIORDOCTORSDENTISTSGPRE
G/Pages/DoctorsInTraining-JuniorDoctorsTermsAndConditions150908.aspx. You are
advised to check eligibility and confirm any entitlement with the employer before incurring
any expenditure.
Pre-employment checks – all NHS employers are required to undertake pre-employment
checks. The employer will confirm their local arrangements, which are expected to be in line
with national guidance at
http://www.nhsemployers.org/RecruitmentAndRetention/Employmentchecks/Pages/Employment-checks.aspx
Professional registration – it will be a requirement of employment that you have
professional registration with the GMC/GDC for the duration of your employment. Though
the post is covered by NHS Indemnity, you are strongly advised to register with the MPS for
professional indemnity.
Health and Safety – all employers have a duty to protect their workers from harm. You
should be advised by the employer of local policies and procedures intended to protect your
health and safety and expected to comply with these.
Disciplinary and grievance procedures – the employer will have local policies and
procedures for dealing with any disciplinary concerns or grievances you may have. They
should advise you how to access these, not later than eight weeks after commencement of
employment.
Educational Supervisor – the employer or a nominated deputy (usually the Director of
Medical Education) will confirm your supervisor on commencement.
General information on the Deanery’s management of Specialty Training programmes,
including issues such as taking time out of programme and dealing with concerns or
complaints, is available at www.oxforddeanery.nhs.uk and in the national ‘Gold guide’ to
Specialty Training at http://www.mmc.nhs.uk Please ensure that you inform Oxford
Deanery of any changes to your contact details.