SPECIALTY DOCTOR
ADDICTION PSYCHIATRY
KERSHAW UNIT
GARTNAVEL ROYAL
HOSPITAL
INFORMATION PACK
REF: 26886D
CLOSING DATE: 9TH NOVEMBER 2012
www.nhsggc.org.uk/medicaljobs
SUMMARY INFORMATION
POST: SPECIALTY DOCTOR ADDICTION PSYCHIATRY (1O PA’S)
BASE: KERSHAW UNIT, GARTNAVEL ROYAL HOSPITAL
Do you want to come and work with the biggest Addiction Service in
Europe, whilst continuing your CPD with protected time, and with the
opportunity to enhance your teaching and research CV?
NHS Greater Glasgow and Clyde addiction services are responsible for
the delivery of addiction treatment and care services for currently over
12,000 clients. The services range from local Community Addiction
Teams through to specialist day and inpatient care, together with liaison
provision for both general psychiatry and acute hospital services. Our
multidisciplinary structure includes professionals from the fields of
medicine, nursing, social care, psychology, occupational therapy, dietetics
and pharmacy; Glasgow Addiction Services is also a major commissioner of
the voluntary and independent sector.
We are seeking an enthusiastic and committed specialty grade
psychiatrist to work both our hospital and community facilities. 5 pas
would be spent in the Kershaw unit, Gartnavel Royal Hospital working
alongside another full time speciality doctor providing medical input to
the addictions inpatients and day patients there. 3pas would be spent in
the homeless addiction service and 2pas other community addiction
team(s)
Job share applicants will be considered. Full registration with the GMC
and a licence to practice is essential, including adequate experiences in
psychiatry; addiction experience is helpful, but not necessary.
The posts combine the satisfaction of participating in an innovative and
developing clinical service to a client group with high levels of morbidity
for alcohol, drugs and mental health problems, together with the
opportunity to become involved in a number of research projects and
teaching initiatives.
Entry Criteria:
•
Full GMC Registration
•
4 Years F/T Post Graduate Training
•
At least 2 years training in a Specialty Training programme or equivalent
experience and competencies
NHS Greater Glasgow & Clyde
NHS GREATER GLASGOW & CLYDE ADDICTION
SERVICES
Speciality Doctor Grade in
Addictions
Based initially in Kershaw
Unit, Gartnavel Royal Hospital
10 programmed activities
REF: 26886D
NHS GREATER GLASGOW & CLYDE
GENERAL INFORMATION FOR CANDIDATES
1.
This information package has been compiled to provide prospective
candidates with details of the post and background information about
NHS Greater Glasgow & Clyde.
2.
The contents of this package are as follows:a.
b.
Job Description
Terms and Conditions of Service
Also included separately is the Partnership’s Equal Opportunities
monitoring form. This form is required for monitoring purposes only and
will not be made available to the interview panel prior to shortlisting.
3.
Informal enquiries will be welcomed by Dr John Mitchell, Associate
Medical Director and consultant psychiatrist, NHSGG&C Addiction
Services, Templeton Business Centre, 62 Templeton Street, Glasgow
G40 1DA . Contact number 0141 277 7660
John.Mitchell@ggc.scot.nhs.uk.
4.
Please send your curriculum vitae with the names of 2 referees to:-
5.
The closing date for applications is 9 November 2012
6.
Shortlisting will take place shortly thereafter.
7.
Interviews will be held shortly thereafter.
8.
Any offer of appointment is subject to the receipt of two satisfactory
references and report from the Occupational Health Service.
NHS GREATER GLASGOW & CLYDE
Job Description
Speciality Doctor in Addiction Psychiatry
Current Addiction Psychiatric Services
Addiction services in Greater Glasgow and Clyde cover 10 community health
partnership areas and a general population of over 1.1 million. Greater
Glasgow and Clyde has high levels of drug and alcohol misuse prevalent in its
populations and as consequence there is major investment in the service.
Community provision is based around 8 community addiction teams (CATs) in
Glasgow city, plus a Homeless Addiction team and 3 other community venues
in South Clyde and West and East Dunbartonshire. These CATs contain
multidisciplinary teams consisting of social care workers, nurses, OTs,
psychologists, dieticians and medical officers relating to local addiction
psychiatrists. Substitute prescribing is delivered either by medical officers in
CATs or by GPs supported by “shared care” under the terms of an enhanced
service contract.
Day services in Greater Glasgow are available in 2 partial hospitalisation
units:
Eriskay House at Stobhill Hospital – serves the north and east of the city and
Kirkintilloch.
Kershaw unit at Gartnavel Royal Hospital – serves the west and south of the
city, Bearsden and Milngavie and West Dunbartonshire.
An Alcohol problem clinic day hospital at Dykebar hospital serves South Clyde
as do day services in Greenock.
Inpatient provision is as follows:
Eriskay house at Stobhill – 14 beds serving north and east Glasgow,
Kirkintilloch and homeless populations.
Kershaw Unit at Gartnavel Royal Hospital – 22 beds serving west and south
Glasgow, Bearsden and Milngavie, West Dunbartonshire, and South Clyde.
Medical Staffing – addictions psychiatry
Consultants
Dr Scott Wylie
North Glasgow and East Dunbartonshire
Dr Maire Cooney
East Glasgow
Dr Iain Mackay
Homeless Addiction Team
Dr Iain Smith
West Glasgow
Prof Fraser Shaw
West Dunbartonshire
Dr Anupham Agnihotri
South East Glasgow
Dr Beate Beck Schwahn South West Glasgow
Dr Charles Mcmahon
South Clyde and Lead Clinician
Dr Audrey Hillman
South Clyde
Dr Roger Sykes
South Clyde
Dr John Mitchell
Associate Medical Director
Specialty & SAS doctors
Dr G Reynolds
Dr A Rizov
This post
Dr F Skelton
Dr A Ghori
Dr M McCallum
Dr J Luthra
Dr C Govender
Dr R Ashraf
Dr J Haigh
Dr C Spiers
Senior medical officers
Dr Saket Priyadarshi
clinician
Dr Grace Campbell
Justice
Dr Catriona Ritchie
Dr Ali Mahmoud
North Glasgow
East Glasgow
Homeless Addiction Team
West Glasgow
Kershaw Unit
Kershaw Unit and this post
South Glasgow
South Clyde
South Clyde
South Clyde
South Clyde
North East Sector, East Dunbartonshire and Lead
South Clyde, West Dunbartonshire and Criminal
North West Sector and HAT
South Sector and Purchased Services
There are 32 medical officers (~21 wte), plus rotating junior and senior
psychiatric trainees.
Overview
The post is a full time 10 session (40hrs/week) post in Addiction Psychiatry.
The post holder will be based in the Kershaw Unit under the supervision of an
identified consultant.
5 sessions will be spent providing routine and emergency day time medical
cover for addiction patients in Gartnavel Royal Hospital Kershaw ward and
Kershaw partial hospitalisation services in cooperation with another full time
specialty grade doctor.
3 sessions will be spent working in the Homeless addiction service under the
direction of the consultant Dr Mackay. This will include 1 session of inpatient
cover of the 1-2 inpatients that the service has at any time. Currently these
patients are in eriskay house but may move to Kershaw unit. There will be a 1
session outpatient clinic and 1 session for multidisciplinary meeting
attendance.
1 sessions will be spent providing a community medical clinics for community
addiction teams as a contribution to the medical officer network of city
provision. This work consists mainly in substitute prescribing or opiates.
1 session will be spent in supporting professional activities such as appraisal,
job planning, audit and other clinical governance activities, teaching and
training.
As part of a pool of specialty doctor and associate specialists you will be
required to cross cover the leave of inpatient specialty doctors in NHSGG&C
addictions. This work should ordinarily be infrequent with notification in
advance so that other community duties can be rescheduled with minimal
disruption to service. In line with all other speciality doctor and associate
specialist doctors in NHSGG&C mental health services, there may be a future
requirement for cross working into other mental health services.
Although principally supervised by a named consultant, the post holder will
work in a generic way to all addiction patients in Gartnavel Royal Hospital
regardless of their address or which team they belong to. Homeless addiction
work will be supervised by the local HAT consultant Dr MacKay and
community addiction team work will be supervised by the local senior medical
officer.
Supporting Staff
Administrative and secretarial support, together with office accommodation is
available in the Kershaw unit. The post-holder will work alongside another
middle grade doctor and any rotating trainees.
Duties of the Post
Hospital work
The post holder will have responsibility for providing a comprehensive range
of services in conjunction with the multi-disciplinary team to in- and daypatients with addiction problems. Clinical duties will include medical and
psychiatric assessment, prescription of medication, and diagnosis and
treatment of co-morbid disorders, clerk in of patients, physical examination
and organisation of appropriate investigations, creation of care plans,
completion of risk assessments and dictation of discharge letters. The postholder will be required to attend ward rounds and appropriate multidisciplinary meetings.
They would be involved in assessing patients including emergency work.
They would also be responsible for initiating investigations and following up
patients. They would provide medical cover for inpatients and partial
hospitalisation patients, assisting Consultants’ ward rounds and in the
facilitation of planned admissions and discharges. Staff training is considered
an important function of the Speciality Doctor and the successful applicant
would be expected to actively participate in the supervision and training of
other disciplines. A considerable degree of liaison with these other disciplines
including any trainees and members of the CATs would be expected to
ensure an integrated and comprehensive package of care for the patient,
including liaison with the voluntary sector and liaison with colleagues in
mental health. The post holder will be expected to work well as part of a
multidisciplinary team in a variety of settings.
Community work
The postholder would do outpatient clinics and provide medical support for
community staff in the homeless addiction service 3 sessions per week and
another community addiction team 2 sessions per week. This would involve
outpatient medical assessment, opiate substitute prescribing, assessment and
treatment of mental health and addiction issues. They would participate in
team clinical review meetings about patients.
General
It is expected that the successful applicant will be a s22 Approved Medical
Practitioner or will be seeking AMP training and will actively participate in the
assessment process and application of the Mental Health (Care and
Treatment) (Scotland) Act2003.
They will be expected to cover for colleagues during absences in line with
local arrangements.
The post holder will agree a job plan with their supervising consultant and the
Associate Medical Director. The Job Plan will have a degree of flexibility and
will be discussed with the supervising Consultant Psychiatrist.
The final timetable is subject to the review and agreement by the supervising
Consultant depending on the needs of the service.
There is no on-call commitment.
Teaching
The post holder may have the opportunity to become involved in
undergraduate teaching of students from the University of Glasgow.
There is opportunity for multidisciplinary teaching within the service from time
to time and this is encouraged as a contribution to team / staff development.
Continued Professional Development
1 programmed activities pro rata are allocated per week for CPD and any
other supporting professional activity. The post holder will be expected to
contribute to the Post-Graduate Teaching programme of journal clubs, case
presentations etc. at the local Internal teaching sessions. They would also
have opportunities to attend the Addictions CPD. An interest in relevant
research and an audit is encouraged.
Staff are encouraged to ensure that they keep their practice up to date. Local
training opportunities and study leave are available to support this.
Research and Audit
Opportunities exist in the Kershaw unit for involvement in research and audit.
A local consultant addiction psychiatrist chairs the research subcommittee of
clinical governance and drives a significant research agenda. The scale of the
addiction problem in Greater Glasgow and Clyde and the size of the
organisation tasked with delivering appropriate services provide huge
opportunities.
Management/Administrative work
As would be expected of all clinicians accurate contemporaneous records
must be kept in the prescribed format, this will include the accurate recording
of electronic information on the clinical information system.
Occasional Emergencies
The post holder may be required to perform duties in occasional emergencies
in unforeseen circumstances at the request of the Consultant. It has been
agreed that such duties would be exceptional and that this type of
arrangement would not be for a prolonged period.
Date when post is vacant.
1st June 2012
9. Proposed provisional job plan
Subject to further negotiation with supervising consultant / associate medical
director.
Mon
Tues
Wed
Thurs
Fri
am
Community
HAT
HAT clinic Community Consultant
clinic
inpatient
team
Supervision
work
meetings./
CPD
HAT work
MDT
pm
Ward /
ward / day Ward / Day
Ward / Day
Ward/ day
day
hospital
Hospital
Hospital
hospital
hospital
work/ CPD Work.
Work.
work
work
9 pas direct clinical care
1 pas CPD / SPA
No on call
11. Arrangements for applicants to visit.
In the first instance, it is suggested that interested parties contact:
Dr John Mitchell
Associate Medical Director
NHSGG&C addiction services
Templeton business centre
62 Templeton street, Glasgow, G40 1DA
0141 277 7660
Qualifications
Essential
 Medical degree
(MBChB or equivalent)
 Fully Registered with
GMC, licence to
practice
Knowledge & 
understanding



Abilities &
skills







Competant knowledge
about mental disorders
and substance misuse
/ addictions.
knowledge of service
organisation
Up to date awareness
of government policy
on alcohol and drug
misuse and its
implications.
Understanding of
principles of clinical
governance.
Ability to apply
knowledge to clinical
practice and service
development
Ability to diagnose and
treat mental illness in
people with substance
misuse.
Ability to follow service
procedures (such as
Care Programme
Approach) and mental
health law.
Ability to make good
medical notes
Ability to communicate
effectively with other
professionals.
Ability to work
effectively in a
multidisciplinary team.
Ability to teach and
coach junior medical
staff, medical students
Desirable
 Additional relevant
qualification such as MSc,
MPhil, MD or PhD
 Able to be approved by
Health Board under s20 of
the mental health act.
 MRCPsych or FRCPsych
(equivalent only acceptable if
confirmed by RCPsych)

Knowledge of range of
service systems and their
relative merits

Skills in clinical assessment
and treatment of patients
with substance misuse
Competence in application of
specialist treatment methods
with people with substance
misuse, such as
pharmacotherapy,
psychotherapy, substitute
prescribing, etc.
Excellence in communication
Analytical approach to
problems
Evidence of potential to
develop specialty skills
Computer skills (statistics
package, database,
spreadsheet)






Motivation





Personality &
attitudes






Experience




Other
requirements

and other disciplines
Computer literacy
(basic word
processing, email and
internet use)
Commitment to
addiction psychiatry
Commitment to
evidence-based
practice
Commitment to lifelong
learning.
Commitment to clinical
governance
Ability to organise own
learning and time.
Honesty
Reliability
Flexibility
Ability to undertake
responsibility
Ability to cope calmly
with stressful situations
Ability to work with
other staff in the
service and take
instruction.
At least 4 years full
time experience of
postgraduate training.
At least 2 years of
specialty training or
equivalent experience
and competancy.
Experience of working
in a mental health
service
Experience of working
in a multidisciplinary
team
Satisfactory fitness for
employment



Enthusiasm
Punctuality.
Initiative (for example,
evidence of initiative in a
clinical governance project)

Experience of working in a
addiction service
Evidence of participation in
clinical governance activities,
including medical audit.


Independently mobile (car
driver)
TERMS AND CONDITIONS OF SERVICE
The conditions of service are those laid down and amended from time to time
by the Hospital and Medical & Dental Whitley Council.
TYPE OF CONTRACT
Permanent
GRADE AND SALARY
Specialty Doctor
£ 36,807 £ 68,638 per annum (pro rata)
New Entrants to the NHS will normally commence on the
minimum point of the salary scale, (dependent on qualifications
and experience). Salary is paid monthly by Bank Credit Transfer.
HOURS OF DUTY
Full Time 40.00
SUPERANNUATION
You have the option to join the NHS Superannuation Scheme, to
participate in the State Earnings Related Pension Scheme or to
take out a Personal Pension. Employee’s contributions to the
NHS Scheme are Tiered based on your earnings and the
employers contribution equates to 13.5 % of salary. Employees
in the NHS Scheme are “Contracted-out” of the State Earnings
Related Pension Scheme and pay a lower rate of National
Insurance contributions. Employees who choose to participate in
the State Earnings Related Pension Scheme pay the higher rate
of National Insurance contribution. A Stakeholder Pension is also
available. A Personal Pension is a private arrangement agreed
with the pension provider that will be an organisation such as a
Bank, Building Society or Insurance Company.
REMOVAL EXPENSES
Assistance with removal and associated expenses may be given
and would be discussed and agreed prior to appointment.
EXPENSES OF
CANDIDATES FOR
APPOINTMENT
Candidates who are requested to attend an interview will be
given assistance with appropriate travelling expenses. Reimbursement shall not normally be made to employees who
withdraw their application or refuse an offer of appointment.
TOBACCO POLICY
NHS Greater Glasgow and Clyde operate a No Smoking Policy in
all premises and grounds.
This post is considered to be in the category of “Regulated Work”
DISCLOSURE
SCOTLAND
and therefore requires a Disclosure Scotland Protection of
Vulnerable Groups Scheme (PVG) Membership which currently
costs £59.00. The cost of the PVG Membership will be initially
paid by NHS Greater Glasgow and Clyde and will required to be
repaid through a payroll deduction mandate from the successful
candidate’s first salary.
CONFIRMATION OF
ELIGIBILITY TO WORK
IN THE UK
NHS Greater Glasgow and Clyde (NHSGGC) has a legal
obligation to
ensure that it’s employees, both EEA and
non EEA nationals, are legally entitled to work in the United
Kingdom. Before any person can commence employment within
NHS GGC they will need to provide documentation to prove that
they are eligible to work in the UK. Non EEA nationals will be
required to show evidence that either Entry Clearance or Leave
to Remain in the UK has been granted for the work which they
are applying to do. Where an individual is subject to immigration
control under not circumstances will they be allowed to
commence until the right to work in the UK has been verified. ALL
applicants regardless of nationality must complete and return the
Confirmation of Eligibility to Work in the UK Statement with their
completed application form. You will be required provide
appropriate documentation prior to any appointment being made.
REHABILITATION OF
OFFENDERS ACT 1974
The rehabilitation of Offenders act 1974 allows people who have
been convicted of certain criminal offences to regard their
convictions as “spent” after the lapse of a period of years.
However, due to the nature of work for which you are applying
this post is exempt from the provisions of Section 4 of the
Rehabilitation of Offenders Act 1974 by virtue of the
Rehabilitation of Offenders Act 1974 (Exceptions Orders 1975
and 1986). Therefore, applicants are required to disclose
information about convictions which for other purposes are
“spent” under the provision of the act in the event of employment,
failure to disclose such convictions could result in dismissal or
disciplinary action by NHS Greater Glasgow and Clyde. Any
information given will be completely confidential.
DISABLED
APPLICANTS
A disability or health problems does not preclude full
consideration for the job and applications from people with
disabilities are welcome. All information will be treated as
confidential. NHS Greater Glasgow and Clyde guarantees to
interview all applicants with disabilities who meet the minimum
criteria for the post. You will note on our application form that we
ask for relevant information with regard to your disability. This is
simply to ensure that we can assist you, if you are called for
interview, to have every opportunity to present your application in
full. We may call you to discuss your needs in more detail if you
are selected for interview.
GENERAL
NHS Greater Glasgow and Clyde operates flexible staffing
arrangements whereby all appointments are to a grade within a
department. The duties of an officer may be varied from an initial
set of duties to any other set, which are commensurate with the
grade of the officer. The enhanced experience resulting from this
is considered to be in the best interest of both NHS Greater
Glasgow and Clyde and the individual.
EQUAL
OPPORTUNITIES
The postholder will undertake their duties in strict accordance
with NHS Greater Glasgow and Clyde’s Equal Opportunities
Policy.
NOTICE
The employment is subject to three months’ notice on either side,
subject to appeal against dismissal.
MEDICAL
NEGLIGENCE
In terms of NHS Circular 1989 (PCS) 32 dealing with Medical
Negligence the Health Board does not require you to subscribe to
a Medical Defence Organisation. Health Board indemnity will
cover only Health Board responsibilities. It may, however, be in
your interest to subscribe to a defence organisation in order to
ensure you are covered for any work, which does not fall within
the scope of the indemnity scheme.
FURTHER INFORMATION
For further information on NHS Greater Glasgow and Clyde, please visit our
website on www.show.scot.nhs.uk
View all our vacancies at www.nhsggc.org.uk/medicaljobs
Subscribe to our Medical Jobs Vacancy Bulletin Click Here
Register for Text Alerts for medical vacancies – email your mobile number
and the grade and specialty you are interested in to gguhb.medicaljobs@nhs.net
Applicants wishing further information about the post are invited to contact Dr
John Mitchell, Associate medical director, 0141 277 7660,
John.Mitchell@ggc.scot.nhs.uk, with whom visiting arrangements can also
be made.
HOW TO APPLY
To apply for these posts please include your CV and names and addresses of
3 Referees, along with the following documents; (click on the hyperlinks to
open)
Medical and Dental Application and Equal Opportunities Monitoring Form
Declaration Form Regarding Fitness to Practice
Immigration Questionnaire
Alternatively please visit www.nhsggc.org.uk/medicaljobs and click on the
“How to Apply” tab to access application for and CV submission information.
RETURN OF APPLICATIONS
Please return your application by email to nhsggcrecruitment@nhs.net or to
the recruitment address below;
Medical and Dental Recruitment Team
NHS Greater Glasgow and Clyde
Recruitment Services, 1st Floor
Modular Building, Gartnavel Royal Hospital
1055 Great Western Road
GLASGOW
G12 0XH
CLOSING DATE
The closing Date will be 9 November 2012