ST4 Psychiatry Programme Description
SPECIALTY TRAINING PROGRAMME IN PSYCHIATRY IN WESSEX
DEANERY
This is a 3 year training programme in Old Age and General Adult Psychiatry at
ST4 aimed at doctors who can demonstrate the essential competencies to enter
this level of training. The programme is designed to support training for a CCT in
Old Age and General Adult Psychiatry.
The programme is based in hospitals in the Wessex Deanery including:
HOSPITAL
North Hampshire Hospital
The Royal Bournemouth Hospital
St Richards Hospital
Dorset County Hospital
St Ann’s Hospital
Alderney Hospital
St Mary’s Hospital
Jersey General Hospital
Poole Hospital
Queen Alexandra Hospital
Royal Hospital Haslar
St Mary’s Hospital
St James’s Hospital
Ravenswood Hospital
Salisbury District Hospital
Southampton General Hospital
Royal South Hants Hospital
Princess Anne Hospital
Tatchbury Mount
Ashurst Hospital
Royal Hampshire County Hospital
LOCATION
Basingstoke
Bournemouth
Chichester
Dorset
Dorset
Dorset
Isle of Wight
St Helier, Jersey
Poole
Portsmouth
Gosport, Portsmouth
Portsmouth
Portsmouth
Fareham, Portsmouth
Salisbury
Southampton
Southampton
Southampton
Southampton
Southampton
Winchester
Wessex Deanery is a relatively small deanery with a defined geographical area
which does lead to there being 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 specialties will require successful candidates to
preference both commencing location and specialty. Future placements will be
based, as normal, on individual training and educational needs. Please note that
applications are to the Wessex Deanery as a whole. This may mean that you
may be allocated to any geographic location within the Wessex Deanery
depending on training needs.
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ST4 Psychiatry Programme Description
The Wessex Deanery covers a geographical area from Basingstoke in North
Hampshire to Dorchester in West Dorset and the Isle of Wight to the South; in
addition some programmes rotate to Jersey and Chichester in West Sussex. This
is a spread of approximately 65 miles North to South and 76 miles East to West.
The Wessex Deanery serves a population of around 2.8 million people.
The Wessex Deanery is part of NHS Education South Central within South
Central Strategic Health Authority which covers Berkshire, Buckinghamshire,
Oxfordshire in the north (under Oxford Deanery) and Hampshire and Isle of
Wight. In addition, Wessex Deanery provides training programmes within Dorset
and South Wiltshire under a formal agreement with the South West Strategic
Health Authority. The Wessex Deanery is responsible for the training of some
2,500 trainees.
Rotation Information
The rotational training scheme in Psychiatry provides higher professional training
in Old Age and General Adult Psychiatry with subspecialty experience available
in substance misuse, rehabilitation, forensic psychiatry, perinatal psychiatry,
liaison psychiatry and three honorary lecturer posts. There are currently 41 posts
with educational approval. Only 35 of these posts have manpower approval and
funding which means that not all the posts are filled at any one time. There are
agreed educational objectives for each post.
Each post on the Scheme is normally held for one year with the annual rotation
of the post on the first Wednesday in April. The allocation of posts and the review
of the individual’s training is undertaken by the Regional Working Group for
Higher Training in Psychiatry which is chaired by the Scheme Organiser. The
Working Group includes a representative of the Specialist Registrars. All
Specialist Registrars are consulted about the rotation, which is arranged to meet
the aspirations and educational needs of the members of the Scheme. These are
paramount and take priority over service needs at all times. Specialist Registrars
joining the Scheme at other times of the year will hold their first post for less or
more than one year depending on their own training needs and this will be
decided by discussion with the Scheme Organiser. An individual review of each
trainee takes place annually.
Study and Training
The primary aim of all posts is the training programme developed and there is a
region wide syllabus and minimum standards of education agreed by all Trusts
within the rotation.
The Deanery is committed to developing postgraduate training programmes as
laid down by PMETB, Colleges and Faculties and by COPMED - the
Postgraduate Deans Network. At local level college/specialty tutors work with the
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ST4 Psychiatry Programme Description
Programme Director and Directors of Medical Education in supervising these
programmes. Trainees will be expected to take part in these programmes
(including audit) and to attend meetings with their nominated educational
supervisor.
All posts within the training programme are recognised for postgraduate training
by the Postgraduate Medical Education Training Board (PMETB) in accordance
with their standards for training.
Study leave is granted in accordance with Deanery/Trust policy and are subject
to the maintenance of the service.
All posts have a service element and the following covers the majority of duties.
There will be minor variations in different hospitals but the list is aimed at
covering the majority of duties:
1. Supervise, monitor and assist the House Officer (F1) in the day-to-day
management of in-patients in posts with an attached F1.
2. Liaise between nurses, F1 and F2 Doctors, patients, relatives and senior
medical staff.
3. Attend and participate in ward rounds as timetabled
4. Attend outpatient clinics.
5. Take part in rostered emergency work.
6. Dictate discharge summaries.
7. Study for higher examination and maintain continued professional
development.
8. Attend weekly educational and multidisciplinary sessions.
9. Undertake audit at various times throughout the rotations.
10. Teach medical students as directed.
11. Co-operate with members of the personnel department when monitoring
hours of work and other personnel issues.
12. Attend induction in each hospital or new department
13. Comply with all local policies including dress code, annual and study leave
Research
The Wessex Training Scheme attaches great importance to Research activity at
Specialist Registrar level. The expectation is that Specialist Registrars during
their period of training will undertake at least one substantial piece of research
which should be suitable for publication. They will also be encouraged to engage
in allied activities such as audit, a literature review or looking at some aspect of
evidence-based practice.
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ST4 Psychiatry Programme Description
The Specialist Registrar can expect to receive good quality supervision from a
Research Supervisor and in NHS posts, two sessions of protected time for
undertaking research. A Regional Research Group also exists, the purpose of
which is to regularly provide the Specialist Registrars with advice and direction
on an individual basis. The current Chair of the Research Group is Dr Alain
Gregoire, Consultant Perinatal Psychiatrist and applicants are welcome to
contact him for further information on 023 808087 4348.
Encouragement will be given to those Specialist Registrars who wish to obtain a
higher degree related to their research activity and each year there are three
honorary lecturer posts available to the Specialist Registrars during which time
there will be four sessions available for research. A list of those Consultants who
have relevant research experience and who are willing to act as Psychiatric
Research Supervisors is available from the Postgraduate Dean’s Department.
Curriculum
Overall Aims of the Specialist Registrar Scheme
For the trainee to gain high quality experience in the areas of clinical practice,
management, teaching and research, and lifelong learning, which will enable
them to function as a high quality consultant within the NHS.
1. Clinical Objectives
To acquire the experience necessary to:

Function as a Consultant member of multi-disciplinary Mental Health
Teams.

Clinical skills necessary to assess, manage and monitor the progress of
patients, including Risk Management.

Liaise with other agencies involved in the care of patients including
primary care, other secondary care providers, Social Services, voluntary
agencies and the private sector and user groups.

Understand and implement the Mental Health Act in accordance with the
Code of Practice.
2. Management
Acquire basic skills in:
 Time Management.
 Management of teams and staff.
 Chairing and influencing meetings.
 Understanding the management and workings of the NHS.
 Strategic planning.
 Project Management.
 IT skills.
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ST4 Psychiatry Programme Description
3. Teaching
Acquire the skills necessary to:
 Supervise and teach medical students and psychiatric trainees.
 Educate members of the multi-disciplinary team and other agencies.
 Presentation skills.
4. Clinical Governance

To acquire an understanding of the Clinical Governance initiative and the
responsibilities that it places upon doctors.

To have practical experience of audit and the effects of this on clinical
practice.

To develop the skills and enthusiasm for continuing professional
development.
5. Research

To develop, during the training scheme, an understanding of research
methodology and an ability to critically appraise research evidence.

To develop the ability to develop and answer clinical questions using the
available research evidence.

To have opportunity for research, individually or part of a larger project.
6. Personal Development
 Adopt a reflective practice.
 Develop personal awareness and interpersonal skills
 Develop safe working practices.
 Develop a personal CPD portfolio.
 Use supervision and mentorship.
 Develop appropriate use of available peer groups and networks.
 Develop leadership skills.
Special Interest Sessions
Available to trainees within the Wessex Higher Training Scheme in Psychiatry.
Introduction
Part-time specialty experience is available to each trainee for up to two sessions
per week. Most sub-specialties offer sessions which are negotiated with
individual trainees. Trainees are free to use their two special interest sessions
within or outside of their main placement, very much depending on their
individual interests and educational needs. Theoretically, all posts on the
Scheme could be available for specialty experience as part of full-time training, or
as a flexible training placement. It is not mandatory to spend two sessions on a
special interest but each trainee should have the opportunity to do so. The list is
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ST4 Psychiatry Programme Description
not complete. Good quality special interest sessions may be available elsewhere.
If in doubt, discuss with Educational Supervisor or Programme Director.
Psychotherapy
Contact
Psychotherapy experience and supervision are available within
several Trusts. The Main Regional Centre for Psychotherapy
training is the Dept of Psychological Therapies, Southampton,
and trainees have access to individual or group therapy
experience as well as supervision here.
Dr D Hutchinson
Dr J Hook
023 8063 4288
Psychotherapy is also available in the following Trusts/Centres:
Isle of Wight (PTSD)
Dr J W Rollins
01983 524081
Behaviour/Cognitive Therapy
Available at the Dept of Psychological Therapies, Southampton
Dr P Chadwick
023 8063 4288
Formal courses in London or Oxford
Western Hospital, Southampton
Dr H Matthews
023 8047 5400
Melbury Lodge, Winchester
Dr E Chan-Pensley
01962 825561
Substance Misuse
Contact
1 full-time post in Portsmouth
+ special interest sessions available in Portsmouth and
Fareham/Gosport (inpatient and Community Service)
Dr P Fleming
023 9232 4636
Dr R Polson
023 9228 8331
Melbury Lodge, Winchester (Community Service)
Spencer House, Winchester
Dr E Chan-Pensley
01962 825561
Fountain Hospital, Salisbury (Community Service)
Dr T G Davies
01722 336262 ext 3013
St Ann’s Hospital, Poole
Dr N Choudry
01202 708881
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ST4 Psychiatry Programme Description
Eating Disorders
St Ann’s Hospital, Poole (Outpatient, Inpatient and Day Service)
Dr M Ford
01202 708881
Winchester
Dr C Platz
01962 824262
Rehabilitation
1 full-time post in Southampton
+ special interest sessions available
Dr M Ledger
023 8063 4288 ext 2561
Portsmouth
Dr J Sinclair
023 9247 1661
Swindon
Dr P Sud
01793 437481
Poole
Dr S Rastogi
01202 888053
Isle of Wight
Dr J Newson-Smith
01983 534068
Old Age Psychiatry
8 full-time posts available. In addition special interest sessions
can be provided within all these services for trainees in General
Adult Psychiatry. Experience will be tailored to the individual
trainee’s educational needs.
Moorgreen Hospital, Southampton
Dr C Dukes
023 8047 5241
Western Hospital, Southampton
Dr D Wilkinson
023 8047 5446
St James’ Hospital, Portsmouth
Dr C Trotter
023 9289 4498
Fareham/Gosport Service
Dr R Lusznat
01329 286321
Melbury Lodge, Winchester
Dr S Olivieri
01962 863535
Parklands Hospital, Basingstoke
Dr N Sorby
01256 817718
Victoria Hospital, Swindon
Dr R Bullock
01793 481182
Alderney Hospital, Poole
Dr D Cope
01202 735537
Fountain Way, Salisbury
Dr Ansell/Graham
01722 336262 ext 3148
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ST4 Psychiatry Programme Description
Memory Clinics
These are being established in several Trusts as part of the Old
Age Psychiatry Service and will be available for Special Interest
Sessions in due course.
The Memory Clinic in Southampton is well established. For
further information contact New Forest/Salisbury
Dr H Matthews
023 8047 5400
Dr A Barker
01722 336262
Neuropsychiatry including Acquired Brain Injury
Special Interest Sessions based at
Hamble House, St James’ Hospital, Portsmouth
Dr C Shawcross
023 9260 3266
Forensic Psychiatry
2 full-time posts – special interest sessions available at
Ravenswood House, Knowle, Fareham (Medium Secure Unit).
Experience includes Prison sessions, outpatient assessments
and treatment, and assessments in general psychiatric units,
report writing, supervision for medico- legal work, working with
sex offenders
Dr H Stone
Dr J O’Grady
Dr M Roberts
Dr L Birmingham
01329 836000
Isle of Wight (Camp Hill, Albany and Parkhurst Prisons)
Dr M Roberts
01329 836000
Winchester (Winchester Prison)
Dr J O’Grady
01329 836000
Portsmouth (Kingston Prison)
Dr H Stone
01329 836000
Learning Disabilities
Separate rotation but special interest sessions could be
negotiated in Portsmouth, Southampton and Basingstoke
Hawthorn Lodge, Southampton
Dr Arulrajan
023 8047 5157
St James’ Hospital, Portsmouth
Dr Kanagaratnam
023 9273 4175
Parklands Hospital, Basingstoke
Dr R Baker
01256 817718
Postern House, Marlborough
Dr C Bartlett
01692 517600
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ST4 Psychiatry Programme Description
Liaison Psychiatry
1 full-time post in Southampton but available as special interest
sessions in most Trusts.
Department of Psychiatry, Southampton
Prof R Peveler
023 8082 5533
Portsmouth Hospitals and Fareham/Gosport
Dr T Walmsley
01329 288331
Fountain Way, Salisbury
Dr T G Davies
01722 336262 ext 3013
Poole
Dr G Searle
01202 303757 ext 6051
Basingstoke
Dr P Warren
01256 316303
Most Old Age Psychiatry posts have a strong Liaison
component with Elderly Medicine and other medical specialties
and community agencies
Maternity Liaison, Princess Anne Hospital, Southampton
Dr A Gregoire
023 8087 4348
Perinatal Psychiatry
1 full-time post in Southampton as well as special interest
sessions (including obstetrics liaison)
Dr A Gregoire
023 8087 4348
Poole – Mother and Baby Unit
Dr J Bray
01202 492057
Basingstoke – Mother and Baby Unit
Dr M Slanery
01256 810033
Community Psychiatry
This is now a component of most General Adult posts though
some posts are particularly community-orientated and could
offer special interest sessions, eg
Gosport
Dr C Shawcross
023 9252 4611
Community Psychiatry (continued)
Contact
Home Treatment Service, Fountain Way, Salisbury
Dr T G Davies
01722 336262 ext 3013
Bournemouth (North)
Dr G Searle
01202 303757 ext 6051
Rural Community Psychiatry
Salisbury/New Forest
Dr A Gregoire
023 8087 4348
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ST4 Psychiatry Programme Description
Elderly Medicine
One or two special interest sessions in Elderly Medicine are
strongly encouraged as part of all the Old Age Psychiatry posts
within the Scheme. To set this up contact Educational
Supervisors for the relevant Old Age Psychiatry post who will be
able to suggest or arrange suitable contacts in Elderly Medicine
Educational Supervisors
in Old Age Psychiatry
Management
A special interest session in management is a useful experience
within each Higher Training post. Some Educational Supervisors
have major management commitments (eg Lead Clinician,
Clinical Director or Chairman of MAC) and would be ideally
placed to provide management experience and/or arranged
sessions with other managers at Locality, Trust or Regional
level. Some trainees have worked on a particular Service
Development Project within their Trust.
Programme Director
Dr D Cope
01202 735537
Teaching/Education
This should be part of every Higher Training post but some
trainees may want to spend more time looking at educational
theories and developments within medicine, perhaps by
registering for a Masters Course or by working on a particular
educational project.
Programme Director
Dr D Cope
01202 735537
Child & Adolescent Psychiatry
Available as Special Interest Sessions in all Trusts
For further details contact
Educational Supervisors
in each Trust
General Practice
A special interest session in General Practice has been
implemented successfully in Poole. This could be an option in
any Trust but would have to be negotiated with the Educational
Supervisor and appropriate GP’s.
Dr D Cope
01202 735537
Psychopharmacology
Tutorials for trainees who would like to complete the Certificate
in Psychopharmacology (British Association for
Psychopharmacology).
Dr G F Searle
01202 303757 ext 6051
Tutorials will be based on project and/or clinical work within the
trainee’s current placement. Dr Searle has a degree in
Psychopharmacology. He is also fully aware of the requirements
for the Certificate in Psychopharmacology.
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ST4 Psychiatry Programme Description
Public Health
Academic Public Health involving critical appraisal skills,
systematic reviews, methodology, technology assessment and
health economics, and “rapid reviews” of psychiatric
technologies bringing close to the working of NICE and NHS
R&D.
Dr D Cope
01202 735537
(Professor J Gabbay
023 8059 5649)
Service Public Health
Dr John Acres
023 8059 5598
Main Conditions of Service
The posts are whole-time and the appointments are subject to:
1. The Terms and Conditions of Service (TCS) for Hospital Medical and
Dental Staff (England and Wales)
2. Satisfactory registration with the General Medical Council
3. Medical Fitness – You may be required to undergo a medical examination
and chest x-ray. Potential applicants should be aware of the Department
of Health and GMC/GDC requirements with regards to HIV/AIDS and
Hepatitis viruses. Candidates must be immune to Hepatitis B. You will be
required to provide, in advance of appointment, evidence of immunity or
have a local blood test (as deemed necessary by the Occupational Health
Department)
4. Right to work in the UK
5. Criminal Records Check/POCA check carried out by the Trust Medical HR
department.
6. Pre-employment checks carried out by the Trust Medical HR department.
Hours
Your duty hours will be between 40 and 56 hours per week (part-time staff pro
rata) depending upon the pattern of work offered by the employer, which should
be in accordance with paragraph 20 of the TCS. This may include work in the
evenings, at night and weekends. The TCS may be viewed at [insert Deanery
link and/or] http://www.nhsemployers.org/pay-conditions/pay-conditions-467.cfm
All posts on the rotation are working towards compliance with the European
Working Time Directive regulations.
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.
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ST4 Psychiatry Programme Description
Current rates of pay may be viewed at [insert Deanery link and/or]
http://www.nhsemployers.org/pay-conditions/pay-conditions-2339.cfm. 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/pay-conditions/payconditions-2339.cfm 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. Further
information can be viewed at http://www.nhspa.gov.uk/nhspa_site/index.htm
Annual leave
Your entitlement to annual leave will be five or six weeks per annum depending
upon 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/pay-conditions/payconditions-467.cfm
Sick pay
Entitlements are outlined in paragraphs 255-240 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 your
induction.
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ST4 Psychiatry Programme Description
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 will 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 will 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/pay-conditions/pay-conditions-467.cfm. You are
advised to check eligibility and confirm any entitlement with the employer before
incurring any expenditure. In addition to local policy there is Deanery guidance
which can be viewed on www.nesc.nhs.uk
Pre-employment checks
All NHS employers are required to undertake pre-employment checks. The
employer will confirm their local arrangements expected to be in line with national
guidance at http://www.nhsemployers.org/primary/primary-3524.cfm
Professional registration
It will be a requirement of employment that you have professional registration
with the GMC for the duration of your employment.
Health and safety
All employers have a duty to protect their workers from harm. You will be advised
by the employer of local policies and procedures intended to protect your health
and safety and 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 will advise you how to
access these, not later than eight weeks after commencement of employment.
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ST4 Psychiatry Programme Description
Educational supervisor
The employer will confirm your supervisor on commencement.
General information
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.nesc.nhs.uk and in the national ‘Gold guide’ to Specialty
Training at http://www.mmc.nhs.uk/
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