SPECIALTY TRAINING PROGRAMME IN CHILD & ADOLESCENT PSYCHIATRY
PROGRAMME IN HEALTH EDUCATION WESSEX
This is an Appointment for Training in Child & Adolescent Psychiatry at ST4 level,
aimed at doctors who can demonstrate the essential competencies to enter this level
of training.
Details of essential competences and qualifications are detailed in the National
person specification for Child & Adolescent Psychiatry at ST4 which is available from
http://specialtytraining.hee.nhs.uk/
Subject to satisfactory progression, the anticipated outcome on completion of this
programme is a Certificate of Completion of Training in Child & Adolescent
Psychiatry.
The programme is based in hospitals and clinics as described in detail in the
document below. There may also be placements in the hospitals as listed in the table
below.
HOSPITAL
LOCATION
Poole Child Development Centre
Dorset
Fareham & Gosport CAMHS - Osborn Clinic
Fareham & Gosport
Havant Child Guidance
Havant
Portsmouth CAMHS
Portsmouth
Brookvale City
Southampton
Bursledon House
Southampton
Southampton General Hospital
Southampton
Orchards Centre
Southampton
Leigh House
Winchester
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Health Education Wessex is responsible for the planning, development, education
and training of the healthcare and public health workforce across Hampshire, Dorset,
Isle of Wight and Salisbury. We also provide medical training for the States of Jersey
and GP appraisal services for Jersey and Guernsey. We believe that the key to
improving the health and healthcare of the 2.8 million people living in Wessex is
investment in the skills and values of the 52,000 people working in the NHS and in
primary care.
Within the field of postgraduate medical education and training, we manage across
primary and secondary care for these health communities – totalling around 2,400
doctors in training at any one time across 12 Trusts and 160 GP practices. In
addition, we support the workforce development for GP Practice Nurses and Public
Health practitioners as well managing a bespoke GP appraisal service for
established GP Practitioners to meet the requirements for revalidation in accordance
with the statutory requirements set by the General Medical Council.
We manage training programmes for postgraduate medical training according to the
statutory standards set by the General Medical Council (GMC) and have
responsibility for establishing and maintaining quality management systems for all
posts and programmes as required by the GMC.
The work of the Deanery is guided by the principles embedded within the NHS
constitution.
Rotation Information
The Wessex Child & Adolescent Psychiatry rotational training scheme covers Poole
(total population 140,000) and part of East Dorset (approximate population 40,000),
Southampton and the surrounding areas (total population 387,000), and Portsmouth
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and the surrounding areas (total population 545,320). In other words the scheme
covers a lovely part of the South Coast with all the benefits of the sea, beautiful
countryside and historic cities. The Scheme consists of 8 full-time ST4-6 Trainees,
one being a lecturer’s post based in Southampton. Usually, 5 trainees rotate
between Southampton and Portsmouth, spending 2 years in one place and one year
in the other and 2 trainees rotate between Poole and Southampton. However, there
is flexibility within this system to meet individual trainee’s needs. The Scheme
supports Less Than Full Time (LTFT) training and can provide for some additional
flexible trainees. Child & Adolescent Psychiatry Specialty training to obtain a CCT in
Child & Adolescent Psychiatry is 3 years full-time or pro-rata equivalent.
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 GMC, Colleges and Faculties and by COPMED - the Postgraduate Deans
Network. At local level college/specialty tutors work with the 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 General Medical Council (GMC) 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.
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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. Maintain continued professional development.
8. Attend fortnightly 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
Trust Generic/Specialty Information
Poole and East Dorset (Dorset Healthcare University NHS Foundation Trust)
Child Development Centre, Poole
The Child and Adolescent Mental Health Service, based in the Child Development
Centre (CDC), Poole Hospital, covers both the populations of Poole (total 140,000)
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and part of East Dorset (approximately 40,000). It is a general Tier 3 service, dealing
with a comprehensive range of mental health / developmental problems in children
and young people up to 18 years old. This also provides comprehensive services in
CAMHS-LD (Learning Disability)There is close working with Primary Mental Health
Workers. There is also close working with both the social services and education
Departments. A Core trainee in Psychiatry spends 6 months at the CDC, Poole and
6 months in the Shelley Clinic, providing an opportunity for the ST4-6 trainee to
provide supervision. There are close links with the paediatric department (hospital
and community) and opportunities to further develop paediatric liaison and gain
experience with patients with learning disability and other developmental difficulties.
The clinic provides regular consultation and support to paediatrics, social services
and education, as well as services in primary care, e.g. school nurses, Relate,
Connexions.
Experience can be offered in a wide range of treatment approaches, including family
therapy, psychodynamic individual therapy, brief individual therapy, cognitive
therapy, medication, liaison and networking. There are opportunities for partaking in
the various CAMHS management groups, e.g. clinical governance, and a multiagency operational group. The ST3-6 trainee is expected to attend the monthly interteam clinical meeting and monthly consultants’ peer group. There is access to
journals/books at the Postgraduate Library, Poole Hospital and the library in the
psychology department at St Ann’s Hospital.
Maple Young Peoples Intensive Support Service and Pine Cottage, Poole
Pine Cottage Adolescent Unit/ Pepper Lodge is an 8 bed adolescent inpatient facility
(shortly to become an 8 bedded facility with Tier 4 Home Treatment experience in
addition to inpatient experience) catering for young people between the ages of 1118 years across the whole county of Dorset (Dorset population approximately
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750,000). It is based in St Ann’s Hospital and there is access to their duty CT1-3 in
psychiatry on an “as required” basis. As well as nursing staff, the unit has access to
occupational therapy, art psychotherapy, a teacher, a consultant family therapist, an
OT assistant and a number of health care assistants. The Maple Service, which
works in conjunction with the inpatient unit, is a Dorset-wide specialist adolescent
service set up to provide multi-disciplinary intensive treatment and community
outreach for young people between the ages of 10-18 years. As well as the
professionals mentioned above, the Maple Service has clinical psychologists, a
senior practitioner social worker, and seconded educational psychologists. This
service provides therapeutic input to adolescents with complex needs who require a
level of care not usually provided by a traditional CAMHS out-patient service.
Community outreach can be provided where there is poor engagement with
traditional services.
There are teaching opportunities including presentations at the junior doctors’ journal
club and case presentation meetings at St Ann’s Hospital. The opportunity for
examination coaching of CT1-3 trainees planning to undertake MRCPsych
examinations is available.
The Shelley Clinic, Boscombe
The Shelley Clinic provides a general tier 3 community outpatient CAMH Service. It
sees young people up to the age 18 years from Bournemouth Borough (total
population 164,000) and part of East Dorset (population 85,000). The multidisciplinary team allows opportunities for the ST 3-6 trainee to gain experience in a
wide range of therapies including family therapy, psychodynamic individual therapy,
brief individual therapy, cognitive therapy, medication, liaison and networking. This
service works closely with Primary Mental Health Workers, as well as social
services, education, Primary Care and voluntary services.
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The Senior Trainee is able to supervise a junior trainee in Psychiatry and provide
teaching to other junior medical staff, Primary Mental Health Workers, members of
the multi-disciplinary team and medical students.
Dorset Health Care Trust provides an Early Intervention in Psychosis Service, which
is nurse led providing services for young people from 14-35 years. The service works
jointly with consultants from locality CAMHS teams in developing care packages for
young people with psychosis. In addition, there are also CAMHS nurses based in the
local Youth Offending Team and young adults Drug and Alcohol Service, which give
the senior trainee the opportunity for special interest sessions in forensic experience
and substance misuse training. Mental health services for children and young people
with learning disabilities are provided by the learning disabilities team. There is an
outreach team and a learning disabilities psychology service.
Portsmouth and South East Hampshire
In this placement the senior trainee is employed by Sussex Partnership NHS
Foundation Trust or Solent NHS Trust (East). There are 3 community Child & Family
Therapy Services in the Portsmouth and East Hampshire area which all provide a
similar service and the senior trainee is based at one of these clinics. Although the 3
clinics are managed by different organisations, there are close clinical and
managerial links. The clinics receive referrals of moderate to severe child and
adolescent mental health problems (i.e. tier 3) but each area works closely with their
own team of Primary Mental Health Workers who see children in the mild to
moderate range of difficulties (i.e. tier 2). The Trusts have contracts with Leigh
House Inpatient Adolescent Unit in Winchester (tier 4). Small scale district paediatric
liaison experience is possible.
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Each Community Child & Family Therapy Service sees patients up to 18 years of
age. Each clinic receives approximately 500 referrals per year from a wide range of
professionals. They each have a multidisciplinary team which includes child &
adolescent psychiatrists, clinical psychologists, community nurse specialists, family
therapists, psychotherapists and administrative support. The Fareham and Gosport
clinic also has an art therapist. In each clinic the senior trainee has the opportunity to
gain experience in family therapy, cognitive behaviour therapy, individual
psychodynamic psychotherapy, the creative therapies, brief focused therapies and
solution focused and narrative therapies as well as experience in psychopharmacological therapies, extensive consultation to other agencies and liaison
work.
There is also the opportunity in Portsmouth to carry out psychodynamic
psychotherapy with a suitable case under supervision of a senior psychotherapist
and also get experience in infant mental health.
The senior trainee has an opportunity to work with the psychology team which
provides mental health input to children with learning disabilities at the Child
Development Centre in Portsmouth. He/she also has the opportunity of observing
assessments by the autism assessment service. All teams place a high priority on
both individual and team supervision and the trainee is able to work as a co-therapist
with a range of professionals. The senior trainee has the opportunity to provide
supervision for a junior trainee in child psychiatry at Havant Child & Family Service
as well as teaching medical students, presenting clinical cases at academic
meetings and teaching non-medical professionals.
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Community CAMHS Posts

Havant Child & Family Therapy Service, Civic Centre Road, Havant (employed
by Sussex Partnership Trust)

Portsmouth City Child & Family Therapy Service, Falcon House, St James
Hospital, Portsmouth (employed by Solent Health Care NHS Trust)

Fareham & Gosport Child & Family Therapy Service, Osborn Clinic, Fareham
(employed by Sussex Partnership NHS Trust)
Specialist Placements
The senior trainee will also have the opportunity to work with high risk, disaffected
young people in many settings through a placement with the Hants and IoW
Forensic CAMHS Team and placement with the CAMHS Mental Health Inreach
Team at Swanick Lodge (a local authority run secure unit having both welfare as well
as criminal justice beds). Almost by definition this is a forensic population and one
that all agencies find very hard to engage and manage. The necessary processes of
assessment and management are particular and comprehensive. Networking tasks
are central to success.
The trainee is involved in the multidisciplinary working of the complex caseload held
by this service. Such work will involve assessment, therapy and management of the
many facets of the cases. Supervision of the trainee’s work will be enhanced by the
multidisciplinary team’s own supervision resources (internal supervision expertise,
and external supervision of the team). This experience involves close working and
liaison with other statutory and voluntary agencies, in particular Local Authority,
Youth Offending Teams, Drugs and Alcohol Services, Specialist CAMHS, housing
and other relevant bodies. There is plenty of relevant opportunities for visits to and
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work with cases within prisons, secure units, children’s homes, hospitals (adult
psychiatric, forensic, adolescent psychiatric, adolescent forensic), various special
education resources and other important organisations in the area. Because the
service is closely linked to the Portsmouth District Youth Offending Teams, court
experience and the production of court reports is possible.
There are opportunities for providing consultation and clinical supervision of work
undertaken by other agencies, as well as training of other agencies alongside other
team members. The trainee is expected to be involved in managerial and internal
training aspects of the team.
Solent NHS Trust
Senior trainees on placement in Southampton, and at Leigh House Adolescent Unit
are employed by Solent NHS Trust (West). They will provide out-of hours on call for
the rota covering Leigh House Hospital and the Southampton on call rota.
There is an opportunity for senior trainees based anywhere in the scheme to arrange
special interest sessions (e.g. one session per week for 3 months) with consultant
child and adolescent psychiatrists with a special interest in learning disability. They
are based in Eastleigh, Portsmouth, Dorset and Ashurst. The experience includes:
spending time in a special school in a classroom for children with severe learning
difficulties; seeing cases for assessment jointly with members of the learning
difficulties team; attending clinics in special schools; liaising with others teams e.g.
social services Children with Disabilities team, Safeguarding Children (Child
Protection) teams and with the specialist Connexions personal advisor; and
attending community paediatric clinics.
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Leigh House In-Patient Adolescent Unit
Leigh House Hospital is a 20 bed hospital for young people with severe psychiatric
illness between the ages of 12 and 18 years. There is also a day-patient service and
a limited out-patient service for second opinions. Leigh House serves a wide area
that includes Hampshire, Isle of Wight and the Channel Islands. Most of the young
people in the hospital have eating disorders, psychoses, major affective disorders or
severe OCD and anxiety disorders. The average length of stay is four months. There
is a well staffed school attached to the hospital and an impressive occupational
therapy department. Young people and their families have the opportunity of a range
of therapies including family therapy, cognitive behaviour therapy, cognitive remedial
therapy, DBT and Mind Skills groups, psychodynamic group work and art therapy.
There is a good working relationship between the different members of the multidisciplinary team regarding the management of cases and the functioning of the unit.
The senior trainee has plenty of opportunity to take part in multidisciplinary
assessments of complex cases and review meetings in addition to opportunities for
training (supervision in cognitive behavioural therapy, family therapy and
pharmacological interventions). There is weekly supervision, both individual and
group, from the two educational supervisors.
The Paediatric Unit, Southampton General Hospital
Placement in this post is usually divided between 6 months based at Bursledon
House Children’s in-patient unit and 6 months based on the paediatric wards in
Southampton General Hospital working with the child mental health team (Paediatric
Liaison).
Bursledon House Children’s Unit is a 12 bed residential and 6 place day unit service
for children 0-16 years based in the grounds of Southampton General Hospital and
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has input from paediatricians, psychiatrists, psychologists, occupational therapists,
psychotherapists, other therapists and a small school which has become a pupil
referral unit. Patients with a range of mental health, paediatric or mixed
paediatric/mental health problems are referred, including those with psychosomatic
disorders, chronic fatigue syndrome and neurological problems. Patients are referred
from a wide range of geographical areas from psychiatrists and from acute and
community paediatricians. Admissions range from short term assessments to longer
term assessment and management, including rehabilitation e.g. following severe
head injury. There is very close working between paediatricians and mental health
professionals.
Southampton General Hospital has a wide range of secondary and tertiary
paediatrics, including respiratory, neurology, oncology and endocrine services and a
paediatric intensive care unit. The paediatric liaison team provides input to all
paediatric services in the hospital. On the paediatric wards the senior trainee
assesses inpatient and outpatient referrals from the paediatricians, together with
Paediatric Liaison Team. Referrals range from cases following deliberate self harm
to those with longstanding and complex chronic illness (including eating disorders).
The senior trainee also provides consultation to the various paediatric services and
disciplines and some staff support. There is an opportunity to attend the consultant
paediatric neurology clinic and other paediatric clinics. The trainee is expected to
take part in teaching medical students, paediatric nurses, and be involved in the
courses run by the College of Nursing. They also have the opportunity to supervise a
junior trainee in psychiatry.
There is a well established multidisciplinary service for the assessment of children
with a possible autistic spectrum disorder and the trainees are able to attend these
assessments.
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Brookvale Adolescent Service, Southampton
The Brookvale Service provides an experienced and specialised community
psychiatric service for adolescents with mental health problems. The service
provides for young people between the ages of 14 and 18 years, their families and
carers, and a range of referring agencies, including health, social services, education
and voluntary services. The service is based in a large detached house in
Portswood, Southampton, and has a multi-disciplinary team consisting of nurses,
social workers, community and art therapists, psychologists and psychiatrists.
Clinical consultative work takes place in a number of different settings.
Brookvale specialises in the provision of packages of intensive community input to
young people, and their families, who have acute mental illness or severe
psychological distress and disturbance, and who may require admission to inpatient
care due to the risks. This is provided as an alternative to inpatient care.
The senior trainee has the opportunity to get involved in the assessment, formulation
and management of such cases in the community as well as gaining experience of
working with older teenagers who have developmental disorders (e.g. ADHD, ASD).
Experience of a variety of psychological therapies under supervision of senior
therapists (including CBT, Cognitive Analytic Therapy, Family Therapy, Narrative
Therapy) and psychopharmacological treatments is also available. There is also
ample opportunity to gain experience of multi-agency working and providing liaison
to other statutory and 3rd sector agencies. Educational and clinical supervision is
provided by consultant psychiatrists.
The Behavior Resource Service
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The BRS provides specialist experience of intensive multi-agency working for young
people with complex needs and severely challenging behaviour. This Tier 4
community team has a multi-agency membership including consultant a psychiatrist,
psychologists, learning disability nurses, social workers, a teacher, educational
psychologist, family therapist and RMNs. The consultant psychiatrist works across
Brookvale Southampton and BRS is able to provide placement at the BRS for
trainees who opt for this special interest experience. This involves an overview of the
issues involved in working with local authority partners, therapeutic services for
children in care, experience of medico-legal issues especially in the arena of welfare
Secure Orders and other avenues of multi-agency working. The community team
provides an assertive outreach approach adapted from multi-systemic therapy.
Many of the service users have mild learning difficulties. Approximately 50% to 60%
are looked after children. The service has no specific exclusion criteria and accepts
young people with multiple difficulties in every arena of their life. This placement
provides a unique opportunity for detailed multi-faceted assessment of young people
and their environment.
The multi-agency work also includes assessment and treatment of young people
with a history of offending and forensic concerns and the BRS is the base for the
western arm of the Hants & IoW Forensic CAMHS (providing input to Southampton
City, New Forest and Southern Parishes). There is an opportunity for undertaking
medico-legal work particularly regarding young people involved in the criminal justice
system and structured risk assessments and consultation under supervision.
There is ample opportunity to get involved in research activities as the Senior
Lecturer is based Southampton along with several research assistant psychologists.
The clinic has close links with the DBU (Development and Brain Unit) at
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Southampton University. There is also opportunity to get training in the New Forest
Parenting Programme.
CAMHS/learning disability experience with the LD consultant and nurse specialist is
a key component of this training placement.
Southampton Child & Family Clinic, Orchard Centre, Weston Hospital Clinic
This is a community based service for children and young people up to the age of 14
years. The clinic has a wide range of clinicians including consultant clinical
psychologist, a senior occupational therapist, social workers trained in play therapy,
family support workers, mental health nurses (including nurse prescriber) and
psychiatrists. There is a family therapy team in the clinic. There is a weekly meeting
for referrals and allocations, regular staff meetings and a monthly good practice
meeting. The Team also provides supervision to the Saucepans Team (Community
CAMHS Development covering the localities in Southampton, which brings together
school nurses, health visitors, education workers, family support workers and mental
health nurses and provides a short term Tier 1 and Tier 2 service). There is ample
opportunity for the senior trainee to become involved in the teaching of medical
students and other disciplines. The clinic has a well resourced A-V teaching suite.
There is also opportunity for the senior trainee to get experience providing relevant
supervision for a GP ST1 trainee (doing a joint community paediatrics and CAMHS
placement).
A consultant psychiatrist has started a SSU (Special Study Unit) at the Southampton
University Medical School for 3rd year medical students on “Learning Psychiatry
through Films” which will involve the screening of relevant films by professionals
from CAMHS and Adult Mental Health for 3rd Year medical students .The Orchard
Centre also hosts the Orchard Film Club, membership of which is mainly mental
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health professionals from the different specialties in psychiatry. The club involves
volunteers presenting a film which has changed/ had a significant effect on their
professional practice – this is followed by supper and a discussion of the relevant
aspects of the film.
Forensic CAMHS
Community Forensic CAMHS experience is available to the ST4-6 trainees in
Southampton – supervision by a Forensic CAMHS Consultant, (through the
Hampshire and Isle Of Wight Forensic CAMHS Team) – based at Swanick Lodge.
There is the opportunity to work closely with YOT (Youth Offending Teams), gain
experience of structured risk assessments and management (for aggression,
violence, sexually harmful behaviour) and also the opportunity to gain some inpatient
experience in this field through negotiation with the Bluebird Medium Secure
Adolescent Unit in the New Forest (a national NHS Facility). There is also the
opportunity to gain experience of Court work and Court reports, working alongside
multi-disciplinary and multi-agency colleagues (including Consultant Forensic Clinical
Psychologist).
The senior trainee accepts that s/he will also perform duties in occasional
emergencies and unforeseen circumstances at the request of his/her colleagues
both senior and junior. It has been agreed between the professions and the
department that while trainees accept that they will perform such duties, the
Secretary of State stressed that additional commitments rising under this sub-section
are exceptional and in particular the trainee should not be required to undertake
work of this kind for prolonged periods or on a regular basis.
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Some of the senior trainees will also have the opportunity to provide clinical
supervision and mentorship (if appropriate) to junior psychiatric trainees (CT2/ CT3).
Curriculum
The Scheme aims to provide and promote training, education and professional
development in Child & Adolescent Psychiatry to a standard expected by the Royal
College of Psychiatrists (currently based on College Advisory Papers, College
Curriculum and ARCPs (Annual Review of Competency to Progress)/ Annual RITA
Appraisal Form), and the GMC Guidelines for Good Medical Practice. At the end of
their training, specialty trainees will be expected: to have gained a thorough
knowledge of normal child development; be able to assess children and families in
order to make a diagnosis of psychiatric disorder if present and to be able to
formulate the presenting problems and to develop treatment plans; work as a cotherapist with other members of the multidisciplinary team; have experienced a wide
range of treatment modalities such as behaviour therapy, family therapy, cognitive
therapy, solution focused therapy, brief focused individual therapy, long-term
individual psychotherapy, group therapy and psychopharmacological treatments;
worked within multidisciplinary teams; worked with other agencies (for example,
attended Children’s Services case conferences, convened multi-professional
planning meetings and provided assessments for Statementing procedures);
provided consultation to other agencies and professionals, e.g. social workers,
educational professionals, voluntary agencies; dealt with clinical emergencies
including deliberate self-harm and provided psychiatric assessments for the courts.
Teaching
Additional Training and Education
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Trainees will be supported if they wish to undertake further training, education or
qualifications by recognised bodies, e.g. family therapy training, cognitive behaviour
therapy training, an MSc or an MD. However, there is no automatic additional
funding available, apart from each trainee’s individual study leave budget.
Information about locally available courses and procedures to apply for them and
issues regarding using study leave/ special interest time will be discussed at the STC
(Specialty Training Committee).
The Academic Programme
Trainees will be expected to attend this 3 year rolling Academic Programme which is
held at Ashurst Hospital, Southampton on the 2nd and 4th Wednesdays of the month
during term-time. The Programme includes a 2-3 day long experiential workshop per
year, a Spring and Autumn Academic day under the auspices of the Southern
Branch of ACAMH, and attendance at the academic component of the Wessex Child
& Adolescent Psychiatrists’ meetings (occur every 4 months). The development and
delivery of the programme is a combined effort between trainees and the Academic
Course Organiser. It includes seminars, journal reviews, clinical case and video
presentations, research meetings, outside speakers and a Balint group (which is
supervised by a Consultant Child Psychotherapist). It is also an opportunity for
trainees to meet together as a group. Time to attend the academic programme will
be protected. Each placement has a bench library as well as access to
university/hospital libraries. Attendance on the programme is pro-rata.
Research
All the senior trainees will need to fulfill the research requirements as outlined in the
College curriculum. It is important that all senior trainees familiarize themselves with
the curriculum requirements. Trainees will have 2 protected sessions per week for
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research. This time should be used to develop a research project, either one devised
and set up under the senior trainee’s initiative, or one that is worked as a combined
project with another trainee and consultant, for example: an on-going project; a
thesis that contributes to an MSc; an extensive review of the literature written up for
an MSc or for publication; an extensive project evaluating services that has a cyclical
element to it or a planned series of evaluations; an extended audit which the trainee
would take at least through one, if not two cycles. The trainees will meet with the
research co-ordinator at the beginning of their training and project and research
supervisor will be agreed. Senior trainees will be expected to demonstrate
appropriate use of research sessions at their annual ARCP panels. The local RDSUs
offer a range of research courses and research assistants at Ashurst Hospital are
available to help with statistics and setting up SPSS data bases etc. Flexible trainees
may take some research sessions as a 6 month block.
The research interests amongst the academic and consultant group are: ADHD, preschool children, autism, chronic fatigue syndrome and service evaluation. There are
good links with the psychology department in the University of Southampton.
Audit
Audit plays a crucial part in clinical governance and senior trainees will be expected
to participate in audit training and audit projects in each of their placements.
Teaching
There are opportunities to teach medical students from Southampton University
9through a well coordinated and highly rated CAMHS attachment for medical
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students – including a SSU – Special Study Unit – “Learning Psychiatry through
Films”), CT1-3 psychiatry trainees, other doctors e.g. GP trainees and paediatricians,
and other members of related professions, e.g. health visitors, social workers,
teachers, nurses, midwifes, etc, members of the multidisciplinary CAMHS teams and
non-professionals, e.g. support groups, parents, school children. Different modalities
of teaching are encouraged and live supervision of teaching takes place. Patients
and their carers should be involved in teaching/training.
Management Training
Senior trainees will be expected to undertake both formal and informal management
training. They will also have an opportunity to attend courses on Continuing
Professional Development through the Wessex Deanery.
Mentor
The mentor co-ordinator offers new senior trainees a list of volunteer mentors from
the consultant body from which they can choose. It is entirely voluntary on both sides
but whilst a mentoring arrangement is in existence, the mentor undertakes to make
at least 2 sessions per year available to the mentoree, each of which should be at
least one hour undisturbed time.
Forensic CAMHS
Dual training (Child and Adolescent Psychiatry and Forensic CAMHS) will need
specific arrangements with the Deanery. However special interest sessions giving
good clinical experience in Forensic CAMHS are available on the rotation through
the Hampshire and Isle of Wight Community Forensic CAMHS Service. Two
consultant trainers are Forensic CAMHS Psychiatrists and can offer trainees
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placements providing experience including structured forensic risk assessments,
assessment of sexual offenders, an overview of Youth Justice systems and
experience of writing medico-legal reports. Trainees may also apply for special
interest sessions at Bluebird House (Adolescent Forensic Psychiatry Medium Secure
Unit) in the New Forest.
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
The working hours for junior doctors in training are now 48-hours averaged over 26
weeks (six months). Doctors in training also have an individual right to opt-out if they
choose to do so, but they cannot opt-out of rest break or leave requirements.
However, the contracts for doctors in training make clear that overall hours must not
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exceed 56 hours in a week (New Deal Contract requirements) across all their
employments and any locum work they do.
http://www.nhsemployers.org/PlanningYourWorkforce/MedicalWorkforce/EWT
D/Pages/EWTD.aspx
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. Current rates of pay may be
viewed at
http://www.nhsemployers.org/PayAndContracts/Pay%20circulars/Pages/PayCircular
sMedicalandDental.aspx
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/ . 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
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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.
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/PayAndContracts/MedicalandDentalContracts/JuniorD
octorsDentistsGPReg/Pages/DoctorsInTrainingJuniorDoctorsTermsAndConditions150908.aspx
Sick pay
Entitlements are outlined in paragraphs 225-240 of the TCS.
Notice
You will be required to give your employer and entitled to receive from them notice in
accordance with paragraphs 195 – 196 of the TCS.
Study leave
The employer is expected to offer study leave in accordance with paragraphs 250 –
254 of the TCS. Local policy and procedure will be explained at your induction.
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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/PayAndContracts/MedicalandDentalContracts/JuniorD
octorsDentistsGPReg/Pages/DoctorsInTrainingJuniorDoctorsTermsAndConditions150908.aspx
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.wessexdeanery.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/RecruitmentAndRetention/Employmentchecks/Pages/Employment-checks.aspx
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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.
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.wessexdeanery.nhs.uk and in the national ‘Gold guide’ to
Specialty Training at
http://www.mmc.nhs.uk/specialty_training_2010/gold_guide.aspx
We are the Local Education and Training Board for Wessex
Developing people
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hee.enquiries@nhs.net
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We are the Local Education and Training Board for Wessex
Developing people
for health and
healthcare
www.hee.nhs.uk
hee.enquiries@nhs.net
@NHS_HealthEdEng