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. Programme Description/kbrown/Sept08 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 Programme Description/kbrown/Sept08 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. Programme Description/kbrown/Sept08 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. Programme Description/kbrown/Sept08 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 Programme Description/kbrown/Sept08 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 Programme Description/kbrown/Sept08 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 Programme Description/kbrown/Sept08 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 Programme Description/kbrown/Sept08 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 Programme Description/kbrown/Sept08 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. Programme Description/kbrown/Sept08 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. Programme Description/kbrown/Sept08 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. Programme Description/kbrown/Sept08 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. Programme Description/kbrown/Sept08 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/ Programme Description/kbrown/Sept08