Consultant in Medical Psychotherapy
Thank you for expressing your interest in the above post, please find the
following enclosures:
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Copy of original advert
Job Description
Job Plan
Person Specification
Criminal Records Office Enquiry Form
Further information about this post is available from: Prof Lindsay Thomson,
Medical Director, The State Hospital, Carstairs. (Telephone 01555 842013)
or Dr Duncan Alcock, Associate Medical Director on 01555 842221.
If, after reading this material, you wish to proceed with your application,
please return a copy of your CV to the following address no later than 28
August 2015. Or alternatively, return via e-mail to tsh.jobs@nhs.net
Human Resources
The State Hospital
Carstairs
Lanark
ML11 8RP
NB Please note interviews for applicants shortlisted will take place on
9th September 2015.
Criminal Records Office Enquiry
Because of the nature of the job for which you are applying for is exempted
from the provision of section 4 (2) of the Rehabilitations of offenders Act 1974
by virtue of the Rehabilitations of Offenders Act (Exceptions) Order 1975.
Applicants are therefore not entitled to withhold information about convictions
of which for other purposes are “Spent” under provision of the Act in the event
of employment.
This post is subject to a Criminal Records Office Enquiry and we would
therefore ask you to complete the questions below. Any failure to disclose
such convictions could result in dismissal or disciplinary action by The State
Hospital. The information given will be completely confidential.
Have you had a conviction?
If Yes:
Yes / No
1. When did it take place?
2. What was the Charge?
The information given is true and complete. I understand that if any of the
above details are found to be false, this may result in my dismissal.
Print name: ___________________________________________________
Post:
___________________________________________________
Signature:
___________________________________________________
Date:
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Consultant in Medical Psychotherapy
(with a special interest in Forensic Psychiatry)
Salary:
The salary range will be that specified in the New Consultant’s
Contract, with an additional RMO allowance amounting to 15%
of point 5 of the consultant salary scale. This allowance is
pensionable.
Post details:
The State Hospitals Board for Scotland is seeking to appoint a
Consultant in Medical Psychotherapy to lead the development
of high quality psychodynamic assessments and interventions
for patients (male only) within the high security psychiatric
hospital for Scotland and Northern Ireland. The post is for 5
sessions per week. This is a replacement Consultant post within
the State Hospital reflecting the organisation’s commitment to
the further development of psychotherapy services and the post
holder will have a key role in guiding service development in
forensic psychotherapy.
There are ample opportunities to develop research and teaching
interests and the Hospital has well developed links with a range
of teaching and research institutions, which support the wellestablished research and clinical effectiveness ethos.
The State Hospital provides psychiatric care in a secure
environment for Scotland and Northern Ireland. It is a national
service recognised as committed to providing the highest quality
treatment and care for patients while respecting their dignity and
individuality. Patient care is provided within a new build hospital
completed in 2011. The hospital is an integral part of the
Forensic Network, which allows the planning of services on a
national basis and is keen to develop its links with the wider
environment and service providers. There is flexibility over
clinical sessions for external clinical work.
Interested?
For further information please contact Prof Lindsay Thomson,
Medical Director on 01555 842013 or Dr Duncan Alcock
Associate Medical Director on 01555 842221, The State
Hospital, Carstairs.
For an information pack please contact Pauline Thomson on
01555 842084 or email tsh.jobs@nhs.net
Interviews will be held on 9th September 2015.
Closing Date:
The closing date for the post is 28 August 2015.
This post will also be advertised on SHOW
THE STATE HOSPITALS BOARD FOR SCOTLAND
JOB DESCRIPTION
Consultant in Medical Psychotherapy
JOB SUMMARY
The State Hospitals Board for Scotland is seeking to appoint a Consultant in
Medical Psychotherapy to lead the development of high quality psychodynamic
assessments and interventions for patients (male only) within the high security
psychiatric hospital for Scotland and Northern Ireland. The post is for 5 sessions
per week. This is a replacement Consultant post within the State Hospital
reflecting the organisation’s commitment to the further development of
psychotherapy services and the post holder will have a key role in guiding service
development in psychotherapy in a forensic setting. They will also provide
consultation and advice to other colleagues across the State Hospital and where
appropriate to other services. The role of all Consultant Psychotherapists also
includes a key input to training in line with guidance from NHS Education Scotland
and the Royal College of Psychiatrists. It is anticipated that one Programmed
Activity will be allocated to teaching and training with the remaining time to
undertake assessment and treatment and associated professional activities.
Forensic Psychotherapy Service at the State Hospital:
1.
2.
3.
4.
5.
6.
7.
8.
Identification and preparation of patients likely to benefit from short and
longer term intervention (which may be provided directly by the post
holder or by trainees or other professionals under supervision),
Direct clinical interventions for male forensic patients including group
psychotherapy,
mentalization
based
therapy,
psychodynamic
assessment contributing to multi-disciplinary assessment and
contribution to case based discussions and clinical management plans.
To undertake consultation and liaison in both individual and group work.
Clinical leadership in order to continuously improve access to and
provision of psychotherapeutic approaches within the State Hospital
Consultation and advice to Senior Clinicians and Managers on structural
and management issues within the service. For example advising on
enhancements to relational security and therapeutic milieu to maintain
safety and enhance patient well being and experience.
Clinical supervision and training through ward based supervision for
staff, clinical team supervision, clinical discussion groups for mental
health professionals/staff (e.g. psychiatrists, nurses psychologists etc),
specific training for Forensic Psychiatry trainees and Forensic
Psychotherapists
Strategic input into planning of services for patients with personality
disorder presenting in forensic settings
Contributing to high quality, evidence based provision of psychodynamic
and mentalization based psychotherapy and the sharing of best practice
Training:
1. Teaching and training other professionals and members of the multi
disciplinary team in aspects of psychodynamic psychotherapy
2. Teaching undergraduates including raising awareness of psychological
causations of illness
3. Teaching within the School of Forensic Mental Health on psychotherapeutic
and psychodynamic interventions.
INTRODUCTION
This is an exciting time to be joining the State Hospital’s consultant medical staff.
There is a national Forensic Mental Health Managed Care Network, which takes a
pan -Scotland approach to the development of specialist services with a view to
improving patient care and the flow of patients through the system
(http://www.forensicnetwork.scot.nhs.uk/). The new State Hospital was opened in
2011. The hospital works closely with the various Forensic Psychiatry Services
across Scotland and hosts the Forensic Network.
The State Hospitals Board for Scotland is seeking to appoint a Consultant in Medical
Psychotherapy to lead the development of high quality psychodynamic assessments
and interventions for patients (male only) within the high security psychiatric hospital
for Scotland and Northern Ireland. The post is for 5 sessions per week.
The applicant will be a fully qualified (on the specialist register) Consultant
Psychotherapist or be within six months of obtaining the relevant Certificate of
Completion of Training. Candidates should be fully GMC registered and licensed
medical practitioners. They must hold membership of the Royal College of
Psychiatrists. They will have to evidence full engagement with appraisal and
revalidation unless this is not applicable given their previous employment (i.e. having
moved on from a training post).
The salary range will be that specified in the New Consultant’s Contract, with an
additional RMO allowance amounting to 15% of point 5 of the consultant salary
scale. This allowance is superannuable.
Pending successful interview, the appointee will be invited to discuss job plans in
greater detail with the Medical Director.
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PRINCIPAL DUTIES
Clinical Duties and Responsibilities
The post is part-time (5 sessions per week).
a. Direct clinical interventions for male forensic patients including individual and
group psychotherapy, psychodynamic assessment contributing to multidisciplinary assessment and contribution to case based discussions and
clinical management plans.
b. Assist the service to deliver world class relational security and optimal
therapeutic environments that manage risk and enhance emotional wellbeing
c. To take a leading role in the planning, coordination and implementation, of a
forensic psychotherapy service. This will include implementing an
assessment service for people who require an in depth understanding of
developmental issues, which should aim to improve their engagement and
safe management. This may include recommendations about the therapeutic
environment and also include specific work with staff that links with training,
supervision and models of care and the provision of treatment. This service
must form the capacity to evaluate itself and adapt to emerging evidence.
d. To identify and co-opt existing resources and skilled individuals building a
consensus between staff working in different disciplines.
e. The post holder would be expected to take part in strategic discussions
within the State Hospital and the Forensic Network about the future of
psychological therapies to address personality disorders in the forensic
sphere, and their role and relationship to different stakeholders (prisons,
courts, criminal justice social work services etc.).
f.
To provide clinical expertise to support the work of multi-disciplinary teams,
including contributing to case conferences, teaching seminars, clinical
consultation and team supervision.
g. To provide supervision and training to core and senior trainees appropriate to
their level of experience, to contribute to the local forensic psychiatry training
course, and to teaching and training to other professionals within the State
Hospital and to the wider Forensic Network, via the School of Forensic
Mental Health..
h. To collaborate with other professionals within the State Hospital to assure the
provision and development of integrated referral pathways and patterns of
care.
i.
To contribute to the strategic development of psychotherapy within the State
Hospital and Forensic Network, including the Medical Advisory Committee.
j.
To participate in Clinical Governance programmes and furthering evidence
based practice.
k. The post holder will be expected to comply with the requirements under the
Care Planning Approach and other State Hospital policies.
l.
To be involved in the teaching of junior doctors and medical students.
m. The post holder must be CPD registered and maintain up to date knowledge
and expertise.
n. The postholder will adhere to all the policies and procedures for The State
Hospital on a professional and organisational requirement.
o. The postholder will participate in the consultant on-call rota, currently on a
1:12 basis.
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CLINICAL GOVERNANCE, TEACHING AND RESEARCH
The State Hospital is fully committed to evidence-based practice and the application
of contemporary methods and standards of care and treatment. To this end, we
have high expectations of clinical staff in the fields of clinical effectiveness, teaching
and research. Full support will be available from The State Hospital's Clinical
Effectiveness Department and from the Research Committee, which meets monthly
to discuss and advise on research projects in the context of the hospital Research
Strategy. There is a Clinical Governance Strategy and Implementation Plan, under
the leadership of the Medical Director, and consultant staff are expected to
participate in clinical governance activity. This is both to support the hospital’s
clinical strategic aims and to assist consultants in building up evidence for their
appraisal documentation.
The State Hospital is recognised for General and Higher Professional Training. The
postholder will be expected to supervise his/her specialist trainees in accordance
with NHS Education Scotland and Royal College of Psychiatrists standards, and to
participate fully in the local postgraduate teaching programme. This will include
attendance at, and full participation in, Case Conferences, Journal Clubs and other
training events.
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CONTINUING PROFESSIONAL DEVELOPMENT (CPD)
The State Hospital seeks to ensure that all staff have the opportunity to maintain and
develop their clinical skills and will offer support to Consultant staff in maintaining
their accreditation with the RCPsych through CPD. Consultant CPD peer groups are
in existence in order to facilitate the development of Personal Development Plans to
meet the requirements of the Royal College of Psychiatrists and the Consultant
Appraisal system. It is recognised that training opportunities in other fields, including
management skills, are important and the State Hospital will support these whenever
possible. Individual development plans will be discussed annually as part of the
Consultant Appraisal system and job planning.
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MANAGEMENT
The postholder will be expected to engage in such corporate management
responsibilities as deemed necessary and appropriate, including providing psychiatric
advice to selected working groups and project teams set up to implement the
hospital’s Clinical Strategy,
Local Delivery Plan and Clinical Governance
Implementation Plan. There are also opportunities to take forward some of the
necessary work in implementing and following through national standards of care not
only in mental disorders but also in the physical health strategy for our patients. At
the request of the Medical Director, bearing in mind clinical workload, the postholder
will be asked occasionally to undertake Critical Incident Reviews in accordance with
the hospital’s policy.
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BACKGROUND
The State Hospital is a national resource for Scotland and Northern Ireland providing
psychiatric care in a secure environment. Committed to providing the highest quality
treatment and care for patients while respecting their dignity and individuality, the
State Hospital was the first NHS hospital in the U.K. to be awarded the quality
standard, ISO9000 for its entire range of services.
It is an equal opportunities
employer and has gained the “two ticks” award.
The hospital is committed to
achieving the standards of care of the NHS Quality Improvement Board.
The State Hospital has an annual budget of approximately £35 M, employs around
766 staff, and has 140 beds.
Specialised care is provided by multidisciplinary teams comprising medical, nursing,
security, psychology, occupational therapy, social work and clinical pharmacy staff.
The State Hospital has contracted with South Lanarkshire Council to provide its
social work services. The social work team comprises a Team Manager, a Team
Leader / Care Programme Manager and 8 social workers.
There is a dietetics service and provision of primary care services in a Health Centre.
There is a Physiotherapy Service. A well-staffed Psychological Therapies Service
delivers individual and group-based protocol-driven psychological therapies to which
patients are referred by clinical teams.
An independent Patient Advocacy Service has been in place for some years and is
seen as an important facility for patients, to which the hospital has committed more
resources in the last financial year.
The research and clinical effectiveness ethos is well established. In association with
the University of Edinburgh, there is a Professor in Forensic Psychiatry (Honorary
Consultant Forensic Psychiatrist) and a Lecturer in Nursing.
There are also
academic links with several Universities and Colleges.
In an innovative development in adult learning for staff, the staff library has become
part of the Learning Centre, with extensive IT equipment and staff on hand to assist
learning activities.
Supporting the delivery of care and treatment are the Maintenance, Finance and
Human Resources Departments with a Support Services group fulfilling Information
Technology, Hotel Services, Contracts and Purchasing requirements.
There is an independently contracted Occupational Health and Safety Service,
including health promotion advice, to which all members of staff have access, with if
necessary access to a confidential counselling service. The Sports Hall facilities are
available for staff to use at specific times, and there are other health promotion
activities such as Fitech assessments, a weekly keep fit class and help with stopping
smoking.
Structure:
The Medical Division is staffed by the Medical Director, Professor Lindsay Thomson
and Associate Medical Director Dr Duncan Alcock.
There are at present 12 Consultant Psychiatrist colleagues, including a part-time
Consultant Forensic Psychotherapy post.
Full secretarial and administrative support is also available.
Consultant colleagues
Dr Lindsay Thomson
Dr Duncan Alcock
Dr Fergus Douds
Dr Natasha Billcliff
Medical Director / Chair of Forensic Psychiatry / Honorary
Consultant Forensic Psychiatrist
Associate Medical Director / Consultant Forensic
Psychiatrist (State Hospital and NHS Lanarkshire)
Consultant Learning Disability Psychiatrist (State Hospital
and NHS Tayside), Forensic Network Learning Disability
Lead
Consultant Forensic Psychiatrist
Dr Willie Black
Dr Gordon Skilling
Dr Robert Gibb
Dr Khuram Khan
Dr Callum MacCall
Dr Paul Myatt
Dr Nicola Swinson
Consultant Forensic Psychiatrist (State Hospital and NHS
Borders)
Consultant Forensic Psychiatrist (State Hospital and NHS
Tayside)
Consultant Forensic Psychiatrist (NHS Lanarkshire and
State Hospital)
Consultant Forensic Psychiatrist (State Hospital and NHS
Forth Valley)
Consultant Forensic Psychiatrist (State Hospital and NHS
Lanarkshire)
Consultant Forensic Psychiatrist
Consultant Forensic Psychiatrist
Junior Doctors
We have 2 substantive speciality doctor posts (Drs Sakib Ahmed and Dr Briju
Prasad) and 3 trainees currently rotate to the hospital on a 6 monthly basis, from the
South-Eastern and Western Deaneries. We also have a variable number of senior
trainee doctors for periods of time.
Other medical staff
The physical health of our patients is looked after by a contracted GP service,
secondary medical care being obtained from NHS Lanarkshire.
Management Structure
The State Hospital is managed by the State Hospitals Board for Scotland, chaired by
Mr Terry Currie. There are also 6 non-executive directors. The Medical Director is
one of the executive directors to the Board and there is thus a close working link
between the consultant group and the Board.
The Medical Advisory Committee comprises all the medical staff of the hospital,
including trainees, although only consultants contribute to the quorum and have
voting rights. The Medical Director is responsible for liaising with the Medical
Advisory Committee, although the MAC can communicate independently with the
Senior Team.
FURTHER INFORMATION:
Further information about this post is available from: Professor Lindsay Thomson,
Medical Director (Tel 01555 842013, e-mail lindsay.thomson1@nhs.net) or Dr
Duncan Alcock, Associate Medical Director (Tel 01555 842221, e-mail
duncanalcock@nhs.net), The State Hospital, Carstairs. For a job description and
information pack contact Pauline Thomson on 01555 842084 or e-mail
tsh.jobs@nhs.net