CONSULTANT GENERAL
ADULT PSYCHIATRY EARLY
INTERVENTION PSYCHOSIS
(ESTEEM)
NORTH EAST GLASGOW
INFORMATION PACK
REF: 33345D
CLOSING DATE: NOON 20TH JUNE 2014
www.nhsggc.org.uk/medicaljobs
SUMMARY INFORMATION
POST: CONSULTANT IN GENERAL ADULT PSYCHIATRIST
BASE: HYDEPARK BUSINESS CENTRE, NORTH EAST GLASGOW
Applications are invited for a 0.6 wte Consultant Psychiatrist for the Early Intervention
Psychosis Service (Esteem) within North East Glasgow. North East Glasgow has
mixed deprivation, with a mixture of deprived inner city areas and affluent suburbs.
Inpatients are currently admitted to Parkhead and Stobhill Hospitals but it is expected
that all admissions would eventually come to Stobhill Hospital as services are
reconfigured.
The Early Intervention Team and the successful applicant would be based together at
Hydepark Business Centre. They would be supported by specialty grade sessions
and the multi-disciplinary Esteem team. It is expected that the successful applicant
would work closely with their Community Mental Health Teams, Social Work and
Voluntary Organisations to provide a comprehensive service, including inpatient and
outpatient treatment, working as part of a multidisciplinary team. They will participate
in the on-call rota and cover for colleagues during absences in line with arrangements
set out in national Terms & Conditions. It is expected that the successful applicant
would be an Approved Medical Practitioner in terms of the Mental Health (Care &
Treatment)(Scotland) Act 2003 by the time of appointment.
The Early Intervention Service is a well-established model in Glasgow. It targets all
new presentation of psychotic illness and provides continued input for the first 2 years.
The aim is to provide maximum functional recovery during this period and improve
longer-term outcomes. It is expected that the Esteem Service in North East Glasgow
will work closely with carers and provide psychosocial interventions where appropriate.
The service model is based on early intervention philosophy and the Glasgow
Integrated Care Pathway for Psychosis. The aims are to minimise the duration of
untreated psychosis, minimise trauma, promote recovery and functional outcome and
provide support to families. It is expected that there will be a 15:1 caseload for key
workers and that members of staff provide an active occupational therapy programme
and psychosocial interventions, including family work and cognitive behavioural
therapy.
Applicants must have full GMC registration and a licence to Practise. Those
trained in the UK should have evidence of higher specialist training leading to
CCT or eligibility for specialist registration (CESR) or be within 6 months of
confirmed entry from date of Interview.
Mental Health Services
CONSULTANT IN GENERAL ADULT
PSYCHIATRY
EARLY INTERVENTION IN
PSYCHOSIS (ESTEEM)
NORTH EAST GLASGOW
Job Description
CONSULTANT GENERAL ADULT PSYCHIATRIST
EARLY INTERVENTION IN PSYCHOSIS SERVICE (ESTEEM) – NORTH EAST
GLASGOW
Applications are invited from a dynamic and enthusiastic individual for this exciting 6 session
General Adult post based in North East Glasgow. The successful applicant would be
expected to lead a multidisciplinary team providing an intensive service to 16-35 year olds with
a Early Intervention Psychosis.
The successful applicant will be supported by a
multidisciplinary team, including Staff Grade sessions, Clinical Psychology sessions, 1
Support Staff and 5 Community Psychiatric Nurses/Occupational Therapists or equivalent. It
is expected that caseloads will be around 1 member of staff per 15 patients. The Service will
look after patients for first 2 years after diagnosis. The in-patient beds are based currently in
Parkhead and Stobhill hospitals and the community base is in the Hydepark Business Centre,
Springburn. The successful applicant will be expected to work closely with colleagues to
provide a full range of services to inpatients and outpatients suffering from their first psychotic
episode.
Present Service Provision
Current Psychiatric Services – North East Glasgow Area
The Psychiatric Services in Glasgow are split into three areas of a city wide
Mental Health Service; two areas North of the River Clyde and one to the South.
The North East Glasgow area lies between the River Clyde to the South, the
River Kelvin to the West and the Campsie Hills to the North. It covers a
population of approximately 350,000 with areas of significant deprivation.
Community Services in North East Glasgow are well developed. The general
adult services are provided by Community Mental Health Teams based in 6
community resource centres:
Kirkintilloch Health and Care Centre / Strathkelvin Locality (G33, G65, G66, G69),
population 85,000.
Springpark Centre / Springburn/Possil Locality (G21, G22, G33) population 50,000
Shawpark Centre / Maryhill Locality (G3, G4, G20, G23) population 53,000
The Acute Adult Inpatient beds are presently located on 2 sites: (i) MacKinnon
House on the Stobhill General Hospital site and (ii) Parkhead Hospital in East
Glasgow.
Arran Centre / City Centre Locality (G1, G2, G3, G4, G21, G31, G40) population
approx 50,000
Anvil Centre / Mid Sector Locality (G32, G33) population approx 50,000
Auchinlea House / East Sector Locality (G33, G34, G69, G71) approx 50,000
Stobhill Hospital
MacKinnon House is a purpose built acute admission unit and was opened in April
2000 following the closure of Woodilee Hospital. The unit is 6 miles from Parkhead
Hospital and 7 miles from the Larkfield Centre. The unit comprises 3 twenty-bedded
locality wards (Broadford, Armadale and Struan Wards) and a 12 bedded IPCU
(Portree Ward). There is an ECT Suite with dedicated sessional staff, a Life-Skills
Department, a Mental Health Tribunal suite, Library and on-call facilities.
Eriskay House is a 15 bedded inpatient unit located directly opposite MacKinnon
House on the Stobhill site. This houses addiction inpatient beds and day patient
facilities for the North East sector.
The North Psychotherapy and Psychology Department is adjacent to MacKinnon
House. On site are the Old Age Psychiatry Wards and Day Hospital, Addictions
Psychiatry Offices, Liaison Psychiatry Offices, Addiction Inpatient Services, Inpatient
Support Services and the Area Management Team/Clinical Director.
Stobhill Hospital Site
Stobhill Hospital comprises MacKinnon House with 3 adult acute admission wards
and a 12 bed IPCU. Two old age wards, an Addiction unit (Eriskay House); an
Adolescent Unit (Skye House); Psychotherapy; Psychology and Liaison Psychiatry
departments are on site. There is an active Lifeskills Unit attached to MacKinnon
House with Occupational Therapy and Physiotherapy/gym. ECT for north of the river
is all done in a purpose built ECT suite. There is a medical library and on-call
accommodation for SHOs. There is a suite for Mental Health Tribunal hearings
Medical Staffing – North Glasgow
Consultant Staffing
Dr D Monaghan
Dr A Cogan
Dr M Keenan
Dr R Ward
Dr R Hosie
This Post
Dr D Brown
Dr A Fergie
Dr S Wylie
General Adult Psychiatry, Kirkintilloch Health & Care Centre
General Adult Psychiatry, Shawpark Resource Centre
General Adult Psychiatry, Shawpark Resource Centre
General Adult Psychiatry (part time), Springpark Resource
Centre
General Adult Psychiatry, Springpark Resource Centre
(part time)
General Adult Psychiatry, Kirkintilloch Health & Care Centre
General Adult Psychiatry, Hydepark Business Centre
Lead Clinician, Old Age Psychiatry, Bridgeview Centre
Old Age Psychiatry, Woodlands Centre
Addictions Psychiatry, Eriskay House, Stobhill Hospital
Dr A Cohen
Dr E Ogston
Psychotherapy, Stobhill Hospital (part-time)
Psychotherapy (part time)
Dr D Brown
Medical Staffing Early Intervention Service (as part of the medical staffing in each
sector)
Dr A Blair
Dr K Sowerbutts
Dr S Brown
Early Intervention Psychosis Service, North East Glasgow
Early Intervention Psychosis Service, North West Glasgow
Early Intervention Psychosis Service, South Glasgow
* = SpR trainer
Non Consultant Career Grades
Dr P Forrester
Specialty Grade, General Adult Psychiatry, Shawpark
Resource Centre
Dr KB Idris
Specialty Grade Doctor, General Adult Psychiatry,
Springpark Resource Centre
Dr F Duncan
Specialty Grade Doctor, General Adult Psychiatry-CTT (part-time),
Larkfield Resource Centre
Dr L Gemmell
Specialty Grade Doctor, Old Age Psychiatry Woodlands
Centre
Specialist Registrars are attached to SpR trainers as their need requires.
There are 11 SpR’s on the North Glasgow Training Scheme.
Parkhead Hospital Site
Parkhead Hospital opened in 1988 and comprises 2 adult acute wards adjacent to
the Anvil Centre. Occupational Therapy and Physiotherapy/gym are provided on site.
There is a medical library and on-call accommodation for SHOs. The Mental Health
Tribunal holds hearings in the Millan Suite at Parkhead Hospital. IPCU facilities,
Addiction beds and ECT are based at Stobhill Hospital. East Psychotherapy and
Psychology are based at Carswell House. The plan is to relocate in-patients to the
Stobhill Hospital site adjacent to MacKinnon House, opening in 2016.
Greater Glasgow Health Board’s “Modernising Mental Health Services” strategy is
resulting in major investment in new and innovative mental health services, including
early intervention and perinatal mental health services. A Perinatal Mental Health
Service Mother & Baby Unit has opened in Leverndale Hospital to the south of the
city. Consultants have been appointed to roll out the Early Intervention Service for
Psychosis citywide. A Primary Care Mental Health Strategy has been established to
improve the management of patients whose needs are best met within primary care
rather than secondary care services.
Medical Staffing – East Glasgow
Consultant Staffing
Dr J Anderson
Dr D J Brodie*
Dr R Brown*
Dr M Cohen
Dr M Cooney
Dr D Culshaw
Dr O Gallagher*
Dr I MacKay
General Adult Psychiatry, Anvil Centre
Liaison Psychiatry
Old Age Psychiatry, Parkview Centre
Psychotherapy, Carswell House
Addictions Service, Parkhead Hospital
General Adult Psychiatry, Arran Centre (part time)
General Adult Psychiatry, Arran Centre Inpatients &
Clinical Director
General Adult Psychiatry, Auchinlea Resource
Centre
Homeless Addiction Service
Dr D Mason*
General Adult Psychiatry, Anvil Centre
This Post
Dr R McCaffery
Dr K McElroy
Dr S Reddy
Dr A Phillipson
Dr S Thomson
Dr M Turner*
Dr A Williams
General Adult Psychiatry, Anvil Centre and Clinical
Tutor
General Adult Psychiatry, Arran Centre
General Adult Psychiatry, Arran Centre
Old Age Psychiatry, Parkview Centre
General Adult Psychiatry, Auchinlea Resource
Centre & Undergraduate Tutor
General Adult Psychiatry, Auchinlea Resource
Centre
Psychotherapy, Homeless Service
* = SpR Trainer
Non-Consultant Staff
2 x Vacant Post
Specialty Grade Doctors
There are around 12 junior medical trainees on the East Glasgow Training Scheme.
There are 4 higher trainees.
Duties of the Post
The successful applicant will be expected to work with colleagues to provide a comprehensive
service to patients with Early Intervention Psychosis within North East Glasgow. This would
include follow-up of these patients for a minimum of 2 years after first diagnosis. North East
Glasgow has mixed deprivation, with a mixture of deprived inner city areas and affluent
suburbs. It is expected that all admissions would come to Stobhill Hospital as services are
reconfigured.
The Early Intervention Team and the successful applicant would be based together at
Hydepark Business Centre. They would be supported by Specialty Grade sessions, clinical
psychology sessions, 1 Clinical Co-ordinator (for all Esteem services), 1 Support Staff, a
medical secretary and 5 Community Psychiatric Nurses/Occupational Therapists, or
equivalent. Mental Health Officers would be located within the individual Community Mental
Health Teams. It is expected that the successful applicant would work closely with their
Community Mental Health Team, Social Work and Voluntary Organisations to provide a
comprehensive service, including inpatient and outpatient treatment, working as part of a
multidisciplinary team. They will participate in the on-call rota and cover for colleagues during
absences in line with arrangements set out in national Terms & Conditions. The on-call rota
covers the North East and Northwest sectors of Glasgow and full-time Consultants are on-call
1:60 rota. Domiciliary visits, court reports, Mental Health Act/Adults with Incapacity and liaison
assessments will be undertaken as required. Duties also include continuing clinical
responsibility for the patients in your charge, allowing for all proper delegation to/and training
of staff.
It is expected that the successful applicant would be an Approved Medical Practitioner in
terms of the Mental Health (Care & Treatment)(Scotland) Act 2003 by the time of appointment.
The Early Intervention Service is a well-established model in Glasgow. It targets all new
presentation of psychotic illness and provides continued input for the first 2 years. The aim is
to provide maximum functional recovery during this period and improve longer-term outcomes.
It is expected that the Esteem Service in North East Glasgow will work closely with carers and
provide psychosocial interventions where appropriate.
The service model is based on early intervention philosophy and the Glasgow Integrated Care
Pathway for Psychosis. The aims are to minimise the duration of untreated psychosis,
minimise trauma, promote recovery and functional outcome and provide support to families. It
is expected that there will be a capped 15:1 caseload and that members of staff provide an
active occupational therapy programme and psychosocial interventions, including family work
and cognitive behavioural therapy. It would be expected that Community Mental Health Staff
would assertively follow-up patients in the community and also provide in-reach to inpatients
visiting them at least weekly, even when boarding in other hospitals. The Esteem team
services may be augmented by the Crisis Service, which provides intensive support in order to
prevent admission and facilitate discharge. The consultant would be responsible for inpatients
and working as part of a broader consultant team.
Patients would not be excluded on grounds of drug use, unless the psychotic symptoms were
clearly due to acute intoxication with a drug. There would be discussions with the Perinatal
Service to decide which service would most appropriately manage patients, but it would be
expected that most patients admitted to the Perinatal Unit would be followed up by the
Perinatal team for a year and then transferred directly back to the local CMHT.
The Service will provide a rapid assessment and it is expected that most patients will be
assessed within 2 working days of receipt of referral. Referrals will usually be made to the
local adult CMHT or adolescent team, who would co-ordinate the initial assessment.
Wherever possible, assessments will be joint with the Locality Community Mental
Health/Adolescent Team to provide continuity of care if the patient is not taken on by the Early
Intervention Psychosis Service. If the Community Mental Health Team/Adolescent Team are
unable to provide staff for the assessment within this period of time, the person will then be
assessed by 2 members of the Early Intervention Psychosis Service. Responsibility would be
with the local CMHT/Adolescent Team until it is agreed that the Early Intervention Team will
take over the patient’s care. If the person is accepted for a period of assessment, it would be
expected that the patient’s family will have been contacted by the Esteem Team within 5
working days of the initial assessment. Wherever possible, the key-worker undertaking the
initial assessment will provide ongoing care so as to provide continuity. It would be expected
that any expected patient will have a medical assessment within 5 working days of the initial
assessment.
The service will involve patients in their care, provide information and choices, and deliver
home-based care. These strategies are to empower the individual and minimise trauma. It is
expected that the service will actively search for co-morbidity and provide a wide range of
psychosocial interventions to promote recovery. The Early Intervention Psychosis Service will
provide support and information to families, both individually and group sessions. It is
expected that patients will be provided with a high level of input during recovery to allow work
on the underlying vulnerability to psychosis. The team aims to effectively manage risk by
establishing a solid relationship with the patient and their family with the aim of avoiding
admission and minimising the use of the Mental Health (Care & Treatment)(Scotland) Act
2003.
It is expected that the medical component of care should be the responsibility of the
Consultant Psychiatrist and this should be reflected within the ICP review process. The review
process will also involve the families wherever possible. Sharing of information between the
team, the young person, their family and their General Practitioner should be given a high
priority.
The service has a strong emphasis on multidisciplinary working. All care will be based on
multidisciplinary formulation with expert input from medical, psychological, occupational
therapy and nursing staff shared with the patient and his family and determining the treatment
plan. It is expected that the team will be able to provide social and psychological
interventions, particularly to deal with problems caused by social isolation, trauma, anxiety and
the misuse of drugs and alcohol.
The Early Intervention Psychosis Service in North East Glasgow is also expected to influence
practice outwith the service. This would be demonstrated by offering early intervention
awareness sessions to Primary Care, Community Mental Health, Adolescent Mental Health
Service and the Inpatient Services. It is also expected that the service will link with Social
Work Services when these are not integral to the Locality Community Mental Health Teams.
Strong links will also have to be developed with Housing, Education and Employment
Agencies, as well as other youth-orientated services and organisations.
Teaching/Administration
The post holder will undertake the administrative duties associated with the care of patients
and the proper function of the clinical team including appraisal and non-clinical supervision of
medical staff and clinical supervision of non-medical staff. He or she will also be expected to
participate in the broader aspect of administration and management within the North East
Glasgow Division of Psychiatry.
It is expected that the successful candidate will take part in Job Planning, Appraisal, Peer
Review and Continuing Professional Development. Participation in audit or research is
encouraged. The post holder will be actively involved in the teaching of undergraduate
medical students. It is anticipated, in recognition of this, that Glasgow University will grant the
status of Honorary Clinical Senior Lecturer in Psychological Medicine. In addition the post
holder will be expected to participate in the postgraduate teaching of medical staff and staff of
other disciplines.
PROVISIONAL TIMETABLE
GENERAL ADULT CONSULTANT
EARLY INTERVENTION PSYCHOSIS SERVICE
(ESTEEM NORTH EAST)
MONDAY
am
Ward Review Stobhill/ out- patients
pm
Ward ReviewParkhead/ out-patients
TUESDAY
am
Multi Disciplinary Team Meeting
pm
Community Visits/Outpatients (various venues)
WEDNESDAY
am
pm
THURSDAY
a.m.
Teaching/SPA
p.m.
FRIDAY
am
pm
Ward Review/Community Visits/Monthly City-Wide Management Meeting
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
Consulant
£ 76,001 £ 102,465 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
Part Time 24.00
SUPERANNUATION
New entrants to NHS Greater Glasgow and Clyde who are aged sixteen but
under seventy five will be enrolled automatically into membership of the NHS
Pension Scheme. Should you choose to "opt out" arrangements can be made
to do this via: www.sppa.gov.uk
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. Re-imbursement 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.
DISCLOSURE SCOTLAND
This post is considered to be in the category of “Regulated Work” and
therefore requires a Disclosure Scotland Protection of Vulnerable Groups
Scheme (PVG) Membership.
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 no 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
Register for Job Alerts at: www.medicaljobs.scot.nhs.uk
Applicants wishing further information about the post are invited to contact Calum
Macleod on 0141 211 6600 or Dr. Alison Blair on 0141 630 4940 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 20 June 2014
INTERVIEW DATE
The interview date will be 24th July 2014