Job Description - NHS Scotland Recruitment

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NHS Lothian
Royal Edinburgh and Associated Services
Royal Edinburgh Hospital
Consultant Adult Psychiatrist - Full time (10 PA)
Eating Disorders Service
Outline of the post
This is a full-time (10 PA), fixed term post to be recruited to immediately. The successful candidate will
join a long established eating disorders service with two experienced multi-disciplinary teams. The
Cullen Centre team provides outpatient treatment to people across the range of eating disorder
diagnoses. The Anorexia Nervosa Intensive Treatment Team (ANITT) provides intensive community
treatment to patients with severe Anorexia Nervosa. The two teams work closely together with a clinical
management team spanning the whole service. In-patient facilities serve the SE region of Scotland and
are provided at the Regional Eating Disorders Unit (REDU) at St. John’s Hospital, Livingston.
The Consultant will provide a central role within both teams, delivering psychiatric management for a
caseload of complex patients, providing the psychiatric liaison role with the inpatient service for
admissions and taking the lead role in providing psychiatric & medical risk management and consultation
for the service as a whole. Assessment of complex new referrals along with liaison & consultation with
other services over co-morbid presentations will be a further component of the post. The Consultant will
join the clinical management team, contributing to the further evolution of the already wide-ranging and
high quality service. Existing evaluation and research projects will offer opportunities to pursue interests
in research. These roles have previously been fulfilled by the Consultant Psychiatrists in each team. The
two established Consultant Psychiatrists will continue to provide the medical psychotherapist roles within
the service and so will be readily available to support the appointee in fulfilling their role.
The post would appeal to anyone who enjoys psycho-somatic medicine, is interested in the relationship
between mental and physical health and has an appreciation of psychological models of treatment. The
post will attract 1 core SPA although additional SPA time will be available and negotiable according to
the interests of the successful candidate and the requirements of the service.
Page 1 of 12
NHS Lothian
NHS Lothian is an integrated NHS Board in Scotland providing primary, community, mental health and
hospital services. Mr Tim Davidson is Chief Executive and Dr David Farquharson is Medical Director.
The NHS Board determines strategy, allocates resources and provides governance across the health
system. Secondary care services are delivered by Lothian University Hospitals Division. The majority of
Edinburgh based mental health services are delivered by Royal Edinburgh Hospital and Associated
Services (REAS) a division of City of Edinburgh Community Health (and Social Care) Partnership. Other
CH(C)Ps include West Lothian, East Lothian and Midlothian, and a Public Health Directorate.
NHS Lothian serves a population of 850,000.
Royal Edinburgh Hospital and Associated Services
The Royal Edinburgh and Associated Services provides a range of Mental Health services to the
population of Lothian and other Boards within Scotland.
The Royal Edinburgh Hospital is located on the south side of the City of Edinburgh. It comprises some
20 wards, 420 beds, day hospitals and outpatient facilities. The hospital provides the following range of
specialities:
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Acute Mental Health
Rehabilitation
Psychiatric Emergency Team 24/7
Outpatients
Assessment Phychiatry of Old Age
Forensic Medium Security Unit
Child and Adolescent Mental Health Services
Psychotherapy Service
Psychology Services
Services for Eating Disorders
Day Hospitals – Psychiatry of Old Age
The hospital is currently housed in a mix of accommodation ranging from 19th century to present. The
Royal Edinburgh Hospital is undergoing an exciting period of development with a major reprovision of all
accommodations in modern fit for purpose premises over coming years. Phase one, to include all acute
general adult and psychiatry of the elderly beds, is due to be completed in Autumn 2016.
REAS also provides a comprehensive range of community mental health services, including the
emergency Mental Health Assessment Service (MHAS) and Intensive Home Treatment Team.
University Hospitals Division
The University Hospitals Division provides a full range of secondary and tertiary clinical services to the
populations of Edinburgh, Midlothian, East Lothian and West Lothian. The Division is one of the major
research and teaching centres in the United Kingdom.
Hospitals included in the Division are:
The Royal Infirmary of Edinburgh
The Western General Hospital
The Royal Hospital for Sick Children, Edinburgh
St Johns Hospital
Royal Victoria Hospital
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Liberton Hospital
The Princess Alexandra Eye Pavilion.
The Royal Infirmary (RIE) is a major teaching hospital on a green field site in the South East of the city
of Edinburgh built in 2003. It comprises 25 wards, 869 beds, and 24 operating theatres, and is equipped
with modern theatre and critical care equipment and monitoring. Within the main building is a dedicated,
multidisciplinary, 5 theatre day surgery complex. The hospital provides for most specialities and is the
centre for:
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General surgery with a focus on the upper GI tract
Vascular surgery
Hepato-biliary and Transplant medicine and surgery
Cardiac and Thoracic surgery
Elective and trauma Orthopaedics surgery
Neonatology
Obstetrics & Gynaecology
Cardiology
Renal Medicine
Sleep Medicine
Regional major Accident and Emergency centre.
There is a Combined Assessment Unit which takes unselected GP or direct emergency referrals, and
from A&E. CAU includes the Dept of Liaison Psychiatry and the Scottish Poisons Bureau and Treatment
Centre. There are full supporting Laboratory and Diagnostic Radiology Services (including CT, MR,
Ultrasound and NM and PET scanning will be available in 2008). There is a full range of lecture theatres,
a library and AV facilities.
The Western General Hospital (WGH) has 600 beds and 5 operating theatres and is equipped with
modern theatre and critical care equipment and monitoring. The Anne Ferguson building was completed
in 2001. The hospital provides for most specialties and is the centre for:
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Neurology, Neurosurgery and neuropathology
UK CJD unit
Colorectal Surgery
Urology and Scottish Lithotriptor Centre
Breast Surgery and Breast screening
Gastro-Intestinal disease
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Rheumatology
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Infectious Diseases
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Haematology Oncology
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Medical Oncology
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Radiation Oncology (including 6 LINACs)
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Dermatology (Inpatient)
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Medicine of the Elderly/Stroke Medicine
There is an Acute Receiving Unit, which accepts GP referrals and 999 ambulance medical cases on a
zoned basis within the city, and a nurse led Minor Injuries Unit. There is no trauma unit at this hospital.
There are full supporting Laboratory and Diagnostic Radiology Services (including CT, MR, Ultrasound
and NM).There is a full range of lecture theatres, a library and AV facilities.
St John’s Hospital opened in 1989 and is located in the centre of Livingston, a new town about 30
minutes drive west from Edinburgh. The hospital provides for most common specialties but does not
have emergency general surgery or orthopaedic trauma operating. The hospital has a paediatric ward
and is the centre for:
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General Medicine with specialists in Cardiology, Diabetes & Endocrinology,
Gastroenterology, Respiratory Medicine and Care of the Elderly
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Obstetrics & Gynaecology
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Child Health including Paediatrics and community child health
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The supraregional Burns and Plastic Surgery unit.
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Oral and Maxillofacial Surgery
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ENT
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Critical Care (ITU, HDU and CCU)
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Accident and Emergency
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General Surgery
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Orthopaedics
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Anaesthetics
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Mental Health including ICCU and ICPU
Since 2005 general surgery and orthopaedics have been reconfigured in NHS Lothian with SJH being
developed as a major elective centre for the region. Lothian’s ENT service was relocated to SJH to
create an integrated head and neck unit with OMFS and Plastic Surgery.
Recent developments at SJH include a new endoscopy suite, an Intensive Psychiatric Care Unit, a
digital mammography unit, an oncology (cancer care) day centre, a satellite renal dialysis unit and a
£2.75m reprovision of A&E. There are full supporting Laboratory and Diagnostic Radiology Services
(including CT, Ultrasound and NM).
The hospital has been accredited full teaching hospital status by the University of Edinburgh. There is a
full range of lecture theatres, a library and AV facilities.
Royal Hospital for Sick Children (RHSC) is a 141 bedded hospital providing general and specialist
services for children. The hospital is situated in a residential area close to the centre of Edinburgh and is
approximately 3 miles from the site of the New Royal Infirmary and the co-located University of
Edinburgh Medical School and 3 miles from the Western General Hospital. The RHSC is a 151-bedded
Hospital, and is the main paediatric teaching hospital for the South-East of Scotland providing general
and specialised services on a local, regional and national basis. It acts as the local paediatric referral
centre for the children of Edinburgh and surrounding areas, and as a tertiary referral centre for intensive
care patients; gastroenterology, hepatology & nutrition; respiratory medicine; cardiology; nephrology;
neurology; oncology; haematology; neonatal surgery; plastic surgery; orthopaedic surgery; urological
surgery and aspects of general surgery.
Hospital accommodation encompasses five theatres, a critical care unit comprising a 6/8 bedded
Paediatric Intensive Care Unit, 4/6 bedded High Dependency Unit and a 3 bedded Neonatal Intensive
Care Unit. There is an excellent library facility and a modern lecture theatre with a full range of audiovisual equipment.
All services are supported by comprehensive radiology, neurophysiology, laboratory and therapy
services. The local radiology department provides on site Magnetic Resonance Imaging, CT Scanning,
nuclear scanning and ultrasound. On site laboratories provide biochemistry, haematology, pathology
and neuropathology services
Community Healthcare Partnerships
The four established Lothian Community Health (and Social Care)Partnerships serve the population of
Edinburgh, Midlothian, East Lothian and West Lothian.
Hospitals in the CH(C)Ps include:
The Astley Ainslie Hospital in Edinburgh
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Rosslynlee Hospital in Midlothian
Herdmanflat Hospital
RoodlandsHospital in East Lothian.
The four CHPs are coterminous with Edinburgh, Midlothian, East Lothian and West Lothian Councils
bringing together those responsible for planning, managing and providing community-based health
services for the population of Edinburgh and the Lothians.
There are 7,500 members of staff. In addition, there are approximately 1,000 independent contractors in
General Medical and Dental Practice, as well as pharmacists and opticians. A population of 850,000
people is served across health board area. The range of services care of the elderly, medical
rehabilitation, community mental health, substance misuse and learning disability, district nursing and
health visiting, family planning, well woman, , comprehensive dental care and those provided by
Professions Allied to Medicine, such as physiotherapy, pharmacies and optometrists. Specialist services
provided include brain injury rehabilitation, bio-engineering and prosthetics, drugs and alcohol misuse
and harm reduction, AIDS/HIV and Children and Family Psychiatric Services.
Department of Public Health Medicine
The aim is to improve the health of the people of Lothian in collaboration with many other partners. Using
our range of knowledge, experience and networking capability, our distinctive contributions are:
 the promotion of specific measures to monitor and improve health;
 the collation and interpretation of health related information.
The following objectives have been agreed as the basis for the Department’s work plans:
1. To monitor the health status and health needs of people in Lothian;
2. To promote improvements in the health of Lothian people directly, and by providing information
and advice to the public on health matters;
3. To assist Lothian NHS Board to fulfil its statutory obligations
To contribute to strategic changes within the NHS in Lothian by providing information on clinical
effectiveness
To facilitate improvements in health and health care services directly, and through ‘managed clinical
networks’ and wider alliances.
4. To contribute on a 24 hour basis to the control and prevention of communicable diseases and
environmental hazards
5. To maintain commitments to teaching, training, professional development, audit and research.
6. To enable efficient management of the Department: there are at present four groups in the
Directorate. These are; Healthy Communities, Healthcare; Health Protection and Health
Information.
University of Edinburgh
The University of Edinburgh was established in 1582 and is one of the largest in the United Kingdom
located on a number of prominent sites in Scotland’s capital city. It is Scotland’s premier research
university, graded within the top six multi-faculty British Universities in the last national research
assessment exercise (90 percent of its academic staff were in units rated 4, 5 or 5*). It has 3,000
academic staff, over 16,000 undergraduate and over 4,000 postgraduate students and an annual
expenditure of over £261M for teaching and research. The University is organised into 3 Colleges:
Humanities and Social Science, Medicine and Veterinary Medicine, Science and Engineering.
There are strong academic and clinical links between the University and NHS mental health services.
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Eating Disorders Service Information
The successful candidate will join a long established eating disorders service with two experienced multidisciplinary teams. The service delivers a comprehensive tiered matched-care service model to provide
the appropriate level and intensity of treatment for each patient, using our resources as cost-effectively
as possible.
The Cullen Centre team provides outpatient treatment to people across the full range of eating disorder
diagnoses. A wide range of individual and group psychological treatments are offered as the core
treatment, alongside specialist dietetic, nursing and psychiatric interventions & management. The
therapies provided currently are Cognitive Behavioural Therapy (CBT), Cognitive Analytic Psychotherapy
(CAT), Interpersonal Therapy (IPT), Dialectical Behavioural Therapy (DBT), Mindfulness-based therapy,
Art Therapy and Specialist Structured Clinical Management (SSCM). The multi-disciplinary team
includes psychiatric, clinical psychology, nursing, dietetic and specialist psychotherapy skills.
The Anorexia Nervosa Intensive Treatment Team (ANITT) provides intensive community treatment to
patients with severe Anorexia Nervosa. This novel service model has been developed over 10 years,
providing continuity of care and reducing admissions for the highest risk patients. Detailed outcome
evaluation remains a core part of the service, to ensure the safety and cost-effectiveness of the service
(ref. Munro et al., Psychiatric Bulletin, 2014). The team maintains a small caseload of 30-35 for safe
intensive treatment delivery. Schema Therapy and a core needs model, are at the centre of the
treatment. Care is delivered either in the patient’s home environment or the outpatient setting at the
Cullen Centre. The skill mix involves psychiatric, clinical psychology, nursing, dietetic and specialist
psychotherapy skills.
The two teams work closely together with a clinical management team spanning the whole service. The
Lothian Eating Disorders Operational Management group (LEDOM) meets monthly, with senior line
management from each of the disciplinary groups involved. Representatives from LEDOM attend other
relevant management meetings relating to the service. The ANITT team has a weekly team meeting and
the Cullen team meet fortnightly. There are three posts providing administrative and secretarial support
across the two teams. A consultant psychiatrists meeting occurs each week. Case presentations occur
weekly, involving both services. A monthly evaluation/research/journal club meeting involves clinicians
from both teams.
In-patient facilities serve the SE region of Scotland and are provided at the Regional Eating Disorders
Unit (REDU) at St. John’s Hospital, Livingston. There is close communication with the inpatient service
regarding the prioritisation of admissions, treatment planning for Lothian inpatients and active discharge
planning.
Psychiatric Colleagues
The appointee will be one of a team of three Consultants in the community Eating Disorder Services,
joining Dr. Katharine Logan (0.7 WTE – 0.4 Cullen Centre, 0.3 Trauma Service) and Dr Calum Munro
(0.5 WTE – Anorexia Nervosa Intensive Treatment Team). The Eating Disorder Service also has close
links with Dr. Rhiannon Pugh and Dr. Jon Patrick (Consultant Psychotherapists) in the Dynamic
Psychotherapy department, also based on the Royal Edinburgh site. There is a joint peer group for
Consultants from the Eating Disorder Service and the Psychotherapy Department.
The Cullen Centre has a half-time core trainee doctor on a 6 monthly rotation. A 3 year ST4-6 Medical
Psychotherapy post is currently vacant and we are in the process of converting this to an integrated joint
training post with GAP. There will also be the potential to offer general psychiatric placements within the
service for senior GAP trainees, once the appointee is in post.
There is also an active Regional Clinical Network which provides an educational, training and support
role for all eating disorder clinicians across SE Scotland.
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Accommodation
Both teams are on the REH site, but there is not sufficient space for them both to be based in one
building currently. The Cullen Centre team are based in a stand-alone building on the edge of the REH
site. This includes office space/consulting rooms, a medical treatment room, administrative offices, two
large meeting rooms and a staff room. The Cullen team share this building with the Rivers Centre, a
specialist treatment service for traumatic stress. The ANIT team have an office base a few minutes’ walk
away in the Kennedy Tower. This also has one meeting room. The ANIT team use the Cullen Centre
consulting rooms for those patients not needing home visits. The new Consultant will have suitable office
space at both team bases. It will be furnished with the necessary office and IT equipment.
Details of the Post
The Consultant will provide a central role within both teams, delivering psychiatric management for a
caseload of complex patients. The psychiatric management of a personal caseload is varied and
includes medication management, management of self-harm and suicide risk, management of physical
health & risks, supportive therapy and family-based interventions.
The post-holder will take the lead role for the systems of psychiatric & medical risk management for the
service as a whole, and in providing risk management consultation for other case-holding members of
the multi-disciplinary team. Systems for the specific risk management of eating disorders patients are
well established in the service, but of course there will be room for further development and integration
across the teams. A full-time specialist nurse works across both teams and will work alongside the
consultant delivering much of the physical risk management work, with the consultant providing weekly
supervision. On occasions the Consultant takes on the role of Approved Medical Practitioner and
Responsible Medical Officer when risks necessitate the use of the MHA. Consultation support to other
clinical services managing patients with eating disorder-related risks, most often primary care teams, is
an additional aspect of the post.
Assessment of complex new referrals, including those with co-morbid presentations, is a significant part
of this post. This will occasionally include the assessment of new eating disordered presentations
attending A&E, on medical or surgical units or admitted to other parts of the psychiatric service. All
complex new referrals to the service will invariably involve an assessment of psychiatric and physical risk
and the generation of a risk management plan. At times it will involve liaison with other services about
co-morbid presentations needing the continued input of other community or inpatient teams.
A further component of the post is providing the psychiatric liaison role with the inpatient service for
admissions and discharges. There are usually around 4-5 Lothian patients in the regional inpatient unit
at any one time and occasionally patients with eating disorders are admitted to other wards. Admission
planning, attending ward reviews to contribute to ward care plans and discharge planning, will constitute
a significant part of the role. This often involves working closely with the therapists from the teams, using
both the psychological formulation and psychiatric diagnoses to guide ongoing care.
The Consultant will join the clinical management team, and develop their role within this, contributing to
the further evolution of the already wide-ranging and high quality service and contributing to the monthly
management meetings. This group is currently chaired and led by Louise Randell (Consultant Clinical
Psychologist). There will be opportunities to develop a leadership role within the service.
Existing evaluation and research projects will offer opportunities to pursue interests in research. The
University of Edinburgh Psychiatry department is based on the Royal Edinburgh site. The Scottish
Mental Health Research Network (SMHRN) is also based on site. The Eating Disorders service has
excellent links with the SMHRN with past and current research projects receiving substantial support.
Small project funds can be applied for through the Lothian Health Foundation fund and a local eating
disorders specific fund the Butterfly Bursary. On-going projects include: an NIMH outline grant
Page 7 of 12
application for a trial of computerised CBT for Bulimic disorders; a proposal for a pilot trial of the use of
inhaled oxytocin in AN; a study comparing medical risk outcomes for severe AN in a community &
hospital setting; a pilot study of the use of massage therapy in patients with severe AN; and a qualitative
study of experiences of patients receiving intensive community treatment.
All of the roles above have hitherto been fulfilled by the established Consultant Psychiatrists, KL & CM.
They will continue to provide the medical psychotherapist roles within the service and so will be readily
available to support the appointee in fulfilling their role and for cross-cover.
Education, Training & Research
The Royal Edinburgh Hospital offers a comprehensive rotational training scheme in psychiatry along with
others in the South East Scottish region. The post-holder will therefore be expected to take part in the
supervision and training of doctors in training.
Medical students are regularly attached to the mental health service and Consultants are responsible for
providing supervision and monitoring clinical experience during this time. In addition, tutorials take place
weekly during the academic year for less experienced medical students and Consultants are expected to
participate. Opportunities are also available for involvement in postgraduate teaching in the MRC Psych
teaching course. The University Department of Psychiatry may award honorary senior lecturer status to
the successful applicant at its discretion.
The Department of Psychiatry, University of Edinburgh is a recognised centre of excellence. The
Department hosts a weekly clinical case conference and a special lecture series, which Consultants are
encouraged to support.
In summary, the postholder will be expected:
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To deliver clinical care in the areas of psychiatric treatment for patients with eating disorders and
liaison with other services.
To share and develop a medical leadership role within the Lothian Eating Disorders community
services.
To fulfil supervision, teaching and training responsibilities within the service and for medical and
psychiatric trainees.
To ensure compliance with local and national policy for good care and meet professional
requirements for CPD, appraisal and revalidation.
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9.
Provisional Job Plan
DAY
Monday
Tuesday
From / To
HOSPITAL/ LOCATION
REH
Cullen Centre
REH
ANITT
6th floor Kennedy Tower
TYPE OF WORK
9-1 CC Outpatient appointments
or urgent assessment or liaison
work
DCC
1-5 Liaison work with REDU and
other services
9-12.30 ANITT team meeting
4
Wednesday
From / To
REH
Cullen Centre
3.5
12:30 – 1:30 Consultant meeting
1:30–4 ANITT outpatient
appointments or home visits or
urgent assessment or liaison work
1
2.5
4-5 CPD, job planning, appraisal
etc.
9-10.30 Cullen Centre Meeting (2
weekly)
10:30–11:30 Case Presentation
1
2.5
11:30-12:30 Eating Disorders
Evaluation & Research meeting
(monthly)
2–3 Psychiatric Supervision of
Cullen Centre CT3
Thursday
From / To
REH
Cullen Centre AM
4 –5 Department of Psychiatry,
Special lecture Series
(monthly,term time)
9-12 CC outpatient appointments
or urgent assessment or liaison
work
1
1
1
4
LEDOM management meeting
(monthly, 11.30-1)
ANITT
6th Floor Kennedy Tower PM
1–4 ANITT outpatient
appointments or home visits or
urgent assessment or liaison work
Regional Clinical Network Meeting
(2 monthly, 2-4)
Friday
From / To
REH
ANITT
6th floor Kennedy Tower
4-5 Supervision of Specialist
Nurse
9-4 ANITT outpatient
appointments or home visits or
urgent assessment or liaison work
4-5 Administration, Service
management & development
SPA
4
4
4
4
Notes:
1. non-weekly commitments in italics
2. Balance or work across the two teams approx. 50:50
3. Flexibility to respond to unplanned work in either team is central
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Contact Details
Further inquiries and arrangements to visit the service are welcomed and should be made to:
Dr Calum Munro, Consultant Psychiatrist / Psychotherapist, ANITT, Royal Edinburgh Hospital Tel.
07854366831
Dr Katharine Logan, Consultant Psychiatrist / Psychotherapist, Cullen Centre, Royal Edinburgh Hospital
Tel. 07816933737
Applicants may also wish to contact the following for a wider view of REH:
Dr Peter Le Fevre, Divisional Associate Medical Director, Mackinnon House, Royal Edinburgh Hospital
Dr Tim Montgomery, Operations Director, Mackinnon House, Royal Edinburgh Hospital
Page 10 of 12
Person Specification
REQUIREMENTS
Qualifications and
Training
Experience
Skills and Abilities
ESSENTIAL
MRC Psych (or equivalent)
Full GMC Registration
Included on the GMC Specialist
Register (or eligible for such
inclusion).
 Approval under Section 22, Mental
Health (Care and Treatment)
(Scotland) Act 2003, or be eligible
and willing to gain the approval
once in post
 Wide experience in the provision of
adult mental health services in
community, out-patient and
hospital settings
 Experience of working with and a
multi-disciplinary team
 Experience of providing leadership
 Experience of treating patients with
eating disorders
 Experience of managing medical
complications in patients with
mental health problems
 Experience of managing and
supervising colleagues
 Experience of preparing and
delivering presentations and
teaching
Ability to provide leadership
Ability to constructively engage with
and be challenged by colleagues, learn
from others and respec a diversity of
views.
Ability to manage anxiety when
treating ‘at risk’ clients
Clinical expertise in community
psychiatry and knowledge of evidencebased treatment options
Understanding of the needs of adults
with mental illness, their carers and
supporters, and commitment to
working in partnership with these
groups to develop services
Ability to train and supervise junior
medical staff and staff from other
disciplines, and to support them in
managing complex high risk clinical
situations
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DESIRABLE
MRCP or general medical
experience at postgraduate
level to MRCP or MRCGP
level
Training in supervision
skills
Experience of working with
patients with low weight
Anorexia Nervosa
Experience of managing a
clinical service
Experience of family
therapy
Page 11 of 12
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Academic
Achievements
Teaching and Audit
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Evidence of skills in the psychological
formulation of clients
The ability to work with, and integrate,
psychological formulations alongside
psychiatric diagnoses
Ability to make links and form effective
relationships with colleagues in related
services
Ability to communicate with clarity and
in an empathic, emotionally attuned
manner
Good written, verbal and interpersonal
communication skills
Ability to take full responsibility for the
independent management of patients
Sound knowledge of research methods
and understanding of the importance
of evidence based medicine
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Motivation
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Personal Attributes
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Committed to formal and informal
teaching and training of junior
doctors and medical students.
Experience of and commitment to,
systematic audit of clinical
outcomes
Committed to patient focused care,
learning and continuous
professional development, effective
and efficient use of resources
Honesty, warmth, enthusiasm and
efficiency
Comfortable in open
communication with patients and
colleagues alike
Commitment to patient-focused
care
Ability to work effectively in in a
multi-disciplinary team and to be
able to motivate colleagues
Able to organise time efficiently
and effectively
Ability to co-ordinate the separate
components of the service into a
coherent whole in conjunction with
others
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Previous experience in
research with publications,
especially of relevance to
eating disorders.
 Previous experience of
teaching
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Desire to develop services
for patients
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Previous managerial
training and experience
Page 12 of 12
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