2010 July - Consultant Psychiatrist 10 PA’s Kingston Inpatients LON-SW-C-012-10 (V2)
Job Description
Job Title:
Consultant Psychiatrist 10 PA’s Kingston Inpatients
Responsible to:
Associate Medical Director, Borough of Kingston and Richmond
Base:
Lilacs Ward, Tolworth Hospital, Surbiton
1 Introduction
This is one of two new posts created as a result of a redesign of the adult services in Kingston
to create a single in patient multidisciplinary team for the borough. The post-holder will be
responsible for providing medical leadership to a 23 bedded general adult psychiatry ward.
He/she will work closely with the Consultant for the Crisis and Home Treatment team which is
located on the in patient unit to gatekeep admissions and facilitate timely discharge back to the
community. Lilacs Ward is situated within Tolworth Hospital, Surbiton.
This post is 10 Programmed Activities (PAs) per week.
2 The Trust
Background
South West London and St George’s Mental Health Trust was formed in 1998. Springfield
Hospital in Tooting, the largest site from which the Trust operates, has provided mental health
services since 1841.
The Trust was originally known as the Pathfinder NHS Trust in 1994 and provided services for
Wandsworth and Merton. In subsequent years its strategy was to grow and to become the main
statutory provider of mental health services for South West London.
The Trust took on Putney and Roehampton services in 1998, Sutton Mental Health Services
from St Helier NHS Trust in 1999, and Kingston and Richmond services in 2001 as the former
health authorities were disbanded and primary care trusts were established. Kingston and
Richmond services were in financial deficit at the time, and there were serious concerns about
the quality of older people’s services at Tolworth Hospital. The different histories of services in
different boroughs have been reflected in service models, cultures and partnership
arrangements.
Population
The Trust now serves a very diverse population of 1 million people in South West London, with
a range of BME communities and socio economic groups. In general the population of SW
London is more affluent than other sectors of London and many people in the boroughs served
by the Trust are highly educated and assertive in demanding the services they want. We also
know that there are also pockets of deprivation across South West London and Service
Provision is therefore carefully attuned to the requirements of the population as a whole.
Vision
The Trust is clear about its purpose, vision and values and has been positively transforming its
services and its relationship with stakeholders in recent years.
The Trust’s vision is “A future in which people with mental health problems have the same
opportunity as other citizens to participate in and contribute to our communities.”
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2010 July - Consultant Psychiatrist 10 PA’s Kingston Inpatients LON-SW-C-012-10 (V2)
For more information on the Trust please view http://www.swlstg-tr.nhs.uk
Range of Services
South West London & St George’s Mental Health NHS Trust operates over 150 services from
96 locations in Kingston, Merton, Richmond, Sutton and Wandsworth providing:
o
Community mental health services for working age and older adults
o
Inpatient beds for the same client group
o
Day Hospitals and day services in some Boroughs
o
Psychiatric Intensive Care Units
o
Psychological Therapies in Primary Care
o
Child and Adolescent mental health services (tier 3 and 4)
o
Specialist community and inpatient services for people with both a Learning
Disability and a mental health problem
o

Specialist community and inpatient addiction services
Partially integrated social care services under separate agreements with the five Borough
councils

Specialist services which are provided to a wider number of PCTs:
o
Forensic services
o
Services for Deaf adults and children, both as inpatients and in the community
o
Eating Disorder services for both adults and Children / adolescents
o
Inpatient and community personality and adjustment disorder services
o
Mental Health services in Wandsworth Prison
o
Perinatal services
o
Mental Health inpatient services for people with a learning disability
o
Neuropsychiatry
o
Post Traumatic Stress disorder services
Future objectives
The Trust is here to serve people with mental health problems in ways which respond to their
requirements and preferences while remaining aspirational and offering them the opportunity to
live their lives to the full. The Trust achieves this by listening to service users and carers
through extensive surveying and dialogue, and through an ongoing commitment to closer
collaboration with partner agencies. The Trust is on an important journey from the isolated and
discrete mental health services of the past to the new integrated service models of the future;
combining mainstream services with deep rooted community life.
Whilst the Trust provides a range of excellent specialist services on a regional and national
basis, success in the future will depend on the quality and effectiveness of its services, including
specialist services for local people in SW London, whatever their age or circumstances. This is
the focus of the Trust’s business.
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2010 July - Consultant Psychiatrist 10 PA’s Kingston Inpatients LON-SW-C-012-10 (V2)
For
more
information
on
Trust
tr.nhs.uk/about/aims_objectives.asp
objectives
please
view:
http://www.swlstg-
Management of the Trust
The Trust is led by a Trust Board, which consists of the following people:
Mr John Rafferty
Professor Roger Horton
Ms Elizabeth Owen
Ms Susan Dark
Mr Iain McCusker
Chairman
Non Executive Director
Non Executive Director
Non Executive Director
Non Executive Director
Ms Judy Wilson
Mr Mike Naylor
Ms Kim Goddard
Dr Ben Nereli
Mr Ian Fleming
Ms Maresa Ness
Mr Peter Cardell
Chief Executive
Director of Finance
Director of Nursing & Operations
Medical Director
Director of Human Resources
Director of Service Improvement & Organisational Development
Director of Corporate Planning
Management posts within each Borough:
Mr Stuart Thomson
Ms Sue Denby
Mr Mark Clenaghan
Ms Dawn Chamberlain
Wandsworth Service Director
Kingston & Richmond Service Director
Merton & Sutton Service Director
Specialist Services Directorate
Associate Medical Directors (AMDs)
Dr Mark Potter
Dr Rosemary Ball
Dr Mari Harty
Dr Diana Cassell
Dr Paul Dewsnap
Dr Debbie Stinson
Wandsworth & Specialist Services AMD
Kingston & Richmond AMD
Forensic AMD
CAMHS AMD
Merton & Sutton AMD
Old Age & Learning Disabilities AMD
Professional Heads:
Dr Chris Gilleard
Ms Kim Goddard
Ms. Mary Morley
Mr John Woolven
Head of Psychology
Director of Nursing
Head of Occupational Therapy
Head of Pharmacy
Clinical leads:
Dr Jale Punter
Vacant
Dr Helen Miller
Vacant
Dr Stephen Miller
Vacant
Dr Debbie Stinson/
Dr Sarah Turner/
Ms Mary Mellor
Vacant
Vacant
Named Doctor Child Protection
CAMHs
Deaf Services
Addictions
Personality Disorders
Learning Disabilities
Old Age
Associate Director of Nursing
Liaison Psychiatry
Eating Disorders
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2010 July - Consultant Psychiatrist 10 PA’s Kingston Inpatients LON-SW-C-012-10 (V2)
Kingston Borough
The Management Structure within the Trust was reviewed in 2005 and management
arrangements for local services are now devolved to the 5 Boroughs within the Trust. Those
Consultants currently working in Kingston are detailed below.
Consultant Name
ADDICTIONS:
Locum
ADULT CMHT
Kingston CMHT (Locum)
Killoughery, Maura
Al-Fahale, Najem
Wright, Christine P/T
Banjo, Jumi (and EIS)
PICU
Locum P/T
AOT
Alonso, Maria (AC)
CAHMS
Cassell, Diana
Grant, Fiona
OLDER PEOPLE:
Holton, Tony
Davidson, Kim
PSYCHOTHERAPY
Punter, Jale
Services in Kingston Borough
Kingston is one of the most attractive “green” areas in the outer London region, almost entirely
surrounded by river, three Royal Parks and open countryside. It is 12 miles from the centre of
London and 10 miles from Heathrow airport. There are good road and rail links with Central
London and there is a large commuter population.
The Royal Borough of Kingston has a population of over 147,000 people. 13% of the population
are over 65 years of age and 24% are under 20 years of age, 8% consider themselves to be
informal carers. The younger people's population is showing growth. 65.1% of people aged 1674 are employed in Kingston, and only 2.5% are classified as unemployed, compared to 60.6%
and 3.4% for England and Wales.
15.5% of the population were from black and minority ethnic groups in 2001, compared to 9.1%
in England. This is a significant increase from the 8.6% in Kingston in the 1991 census.
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2010 July - Consultant Psychiatrist 10 PA’s Kingston Inpatients LON-SW-C-012-10 (V2)
Ethnic structure of Kingston population, 2001
White
Mixed
Asian or Asian British
Black or Black British
Chinese or other
Kingston
84.5
2.3
7.8
1.6
3.9
England
90.9
1.3
4.6
2.3
0.9
Although Kingston has a reputation as a leafy and affluent outer London Borough that is
reflected in the local demography, there are pockets of deprivation. Norbiton is the ward with the
highest percentage of lone parents, the highest socio-economic deprivation score, and the
highest percentage of people living in overcrowded accommodation, the highest percentage of
unemployment and the highest number of income support claimants. However there are
significant pockets of deprivation throughout the borough. Often these smaller areas are
surrounded by more affluent communities that both aggravate and mask the needs of the more
deprived communities.
In 2000, an Index of Multiple Deprivation was produced, which ranks Local Authorities by six
domains: income; employment; health and disability; education, skills and training; housing; and
geographical access to services. Kingston scores well on all domains except for housing,
where the low ranking reflects the lack of access to affordable housing.
Overall, compared to London and nationally, Kingston has low numbers of people with mental
health problems with the second lowest number of suicides in London. However mental illness
is on the increase. Similarly the numbers of excluded groups at risk of mental illness in
Kingston, such as homeless and refugees, are often very small which makes groups hard to
identify and support.
Kingston PCT NHS Kingston has a population of 170 000, and is coterminous with the Royal
Borough of Kingston, with some practices covering border areas of East Elmbridge and Surrey.
The PCT has 30 GP practices, some single-handed. NHS Kingston has been working towards
the polysystem model: the location of any future Polyclinics is not as yet confirmed.
There is a strong history of integrated health and social care services and partnership working
locally. Education and Social Services are provided by the Royal Borough of Kingston. Kingston
is a Liberal/Dem Council and there is an emphasis on community involvement, which is
reflected in public, user and carer engagement in service development and improvement locally.
St George’s, University of London
The Trust has a comprehensive training scheme for Core and Higher Specialist Trainees and
enjoys a close relationship with St George’s, University of London, and an independent School
of the University of London.
SGUL, in association with St George’s Hospital, is one of five general combined
undergraduate/postgraduate teaching complexes within the Faculty of Medicine, University of
London. During the 1970s, long-term plans to relocate the Medical School and the Teaching
Hospital in Tooting were put into effect. The new Medical School opened in October 1976
admitting pre-clinical students for the first time. The Medical course now has an entry of 190
undergraduate students per year, plus 70 graduate students on the Graduate Entry Programme.
Since 1995, the range of courses offered has expanded to include Biomedical Sciences and, in
conjunction with Kingston University, Nursing, Midwifery, Physiotherapy and Social Work.
SGUL has a strong focus on research with world class teams particularly in Infectious Diseases
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2010 July - Consultant Psychiatrist 10 PA’s Kingston Inpatients LON-SW-C-012-10 (V2)
and Epidemiology. In 2006, a new initiative, the South West London Academic Network,
SWAN, was announced to further research and teaching collaborations with Kingston University
and Royal Holloway, University of London.
Division of Mental Health
The Division of Mental Health comprises major research groups in community psychiatry, eating
disorders, forensic psychiatry and personality disorders, plus further groupings in child and
adolescent psychiatry, the psychiatry of addictive behaviour and disability. There are further
academic posts in the psychiatry of old age which are placed in the Division of Developmental
Sciences. In all, psychiatry represents a major specialty within the School.
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The Post
3.1 Accountability
The post will be managerial and professionally responsible to Kingston and Richmond
Associate Medical Director Dr Rosemary Ball.
3.2 The role
The employer is the Trust whose main base is Springfield University Hospital. There are 10
Programmed Activities (PAs). 7.5 PAs for Direct Clinical Care (DCC) and 2.5 PAs for
Supporting Professional Activities (SPA).
The clinical sessions are within Lilacs Ward. The appointed Consultant is accountable to the
Associate Medical Director for:



Clinical leadership on Lilacs ward and working closely with and providing cross cover
for the CHHT Consultant
Prioritising resources given to individual service users
Ensuring effective clinical assessment, management and the delivery of care
A detailed description of the role is below.
3.3 Summary Description and Responsibility of the Post
Lilacs ward
Lilacs ward in a 23 bedded mixed sex ward with a dormitory area and single rooms within
Tolworth Hospital in Surbiton; On the site there are also older people’s in patient wards serving
catchment areas from within the Trust and a Psychiatric Intensive Care Unit the Shamrock
Unit. There are also a range of community services based on the Tolworth Hospital site
including community mental health teams for working age adults and older people, the
assertive outreach team and early intervention teams. Also the child and adolescent mental
health services and some services managed by the PCT
Acute admission of patients of working age resident in the London Borough of Kingston will be
to Lilacs Ward
There is close working between Lilacs Ward and the Kingston Crisis and Home Treatment
Team including a regular clinical review meeting involving members of both teams, with senior
medical involvement.
The post holder will work closely with the CHTT and in patient team to improve the Clinical
Care and User Experience on Lilacs Ward drawing on both knowledge and Evidence Based
Practice.
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2010 July - Consultant Psychiatrist 10 PA’s Kingston Inpatients LON-SW-C-012-10 (V2)
The consultant post will be supported 2 and a CT1-3 trainees from the Wey Valley rotation
one of whom will be supervised by the CHTT consultant and spend some time with that team.
Cross cover on Lilacs Ward is provided by trainees from within the Kingston service and also
trainees working on the inpatient wards.
Lilacs Ward Staffing
1 FTE Occupational Therapist
1 Discharge Co-ordinator
The nursing complement of Lilacs ward is as follows: 9 x Band 5: 2 x band 3: 7 x Band 2: 2 x
Band 6 and 1 x Band 7
Service Commitments of Consultant
Clinical leadership of and full participation in the multi-disciplinary team providing in patient
mental health services






Availability within normal working hours, five days a week for urgent assessments
including formal mental health act assessments.
Involvement in any joint planning for Adult mental health services.
Domiciliary visits as required.
The appointed consultant will be jointly responsible for the clinical / educational
management of his / her junior medical staff. The Consultant is expected to maintain
Section 12 approval and AC approval.
The Consultant will provide and receive cover for and from consultant colleagues on
leave and absence.
The postholder will be expected to have a full driving licence.
3.4 Job Plan
There are 10 Programmed Activities (PA’s). 7.5 PAs for Direct Clinical Care (DCC) and 2.5
PAs for Supporting Professional Activities (SPA). The job plan will be reviewed regularly and
may be modified reflecting changing needs within the service.

Supporting Activities ( SPA) include CPD /Clinical Audit Management Meetings/Service
Development Clinical Governance, Evidence Based practice
Monday
Tuesday
Wednesday
Thursday
Friday
AM
Ward review with CHTT
Ward reviews
Delayed Discharge
meeting with Richmond
CPD /Peer
Group/Consultants
Meeting /MSC
Ward reviews
PM
Supervision and teaching of trainees,
med students and MDT
Admin/MHA hearings/Meet with carers
Clinical Audit/Clinical Governance
/Evidence based Practice
Admin/MHA hearings/ Acute care
Forum / Ward business meeting
Ward work, weekend planning with
CHTT
This timetable may be changed in consultation with the Associated Medical Director in
accordance with the Job Plan and Trust Clinical Governance Procedures.
The Consultant will take part in the Kingston Richmond and Sutton Consultant on-call rota,
which is approximately 1 in 23. There is also a middle tier rota. The consultant will also be
expected to take on additional work with the Trust, taking part in various working groups and
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2010 July - Consultant Psychiatrist 10 PA’s Kingston Inpatients LON-SW-C-012-10 (V2)
committees, usually at the request of either the Associate Medical Director or the Service
Director for Kingston.
Mentoring
The Trust is committed to providing a Mentor to all newly appointed consultants.
Continuing Professional Development
The consultant will be registered with the RCPsych for CPD. There is a monthly Kingston
Consultants Peer Group based at Tolworth Hospital. There is a very active weekly Post
Graduate Academic Programme for all medical staff at Tolworth Hospital
Administrative Support
The post holder will be provided with an office, a personal computer, trust mobile
telephone and secretarial/admin support
3.5 Administration
The Post holder will be expected to attend the Kingston Management meetings, which are
held on Thursdays (Kingston and Richmond Consultant meeting: Kingston MSC: Kingston
Acute Care Forum: Delayed Transfers of Care meeting) .Additionally he / she will be expected
to accept where appropriate invitations to be a member of relevant committees where this is
consistent with clinical commitments.
3.6 Clinical Governance
The Post holder will be expected to comply with the Trust Clinical Governance requirements
and participate in related initiatives where appropriate. This will include participation in clinical
audit and review of outcomes working towards achievement of National and local performance
management targets, complying with risk management policies and participating in the
Consultant appraisal process.
3.7 Supervision and Teaching
The Consultant is responsible for supervising junior medical staff under his/her direction, and
will commit one hour’s personal supervision weekly to each junior doctor in this respect.
Present support is two trainees.
The Consultant will be expected to offer a teaching input, with the Speciality Doctor to medical
undergraduates from St George’s University who may be attached to the team.
The next
scheduled intake is beginning of September 2010.
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Conditions of Service
The post will be offered under the terms and conditions of service for Consultants [England]
2003.
Salary: The Consultant salary scale commences on £74,504 rising through pay thresholds to
a maximum of £100,446 (April 2010). Part-time Consultants are paid pro rata, based on the
number of agreed weekly Programmed Activities. The starting salary will be determined in
accordance with the Medical & Dental Whitley Council Terms and Conditions for Consultants,
Schedule 14. An on-call availability supplement will be payable at the rate of Category A (3%)
in reflection of the low frequency rota.
The Trust is entitled at any time to deduct from the post-holder’s salary, or any other monies
payable to the post-holder by the Trust, any overpayment of salary or wages, under-deduction
of charges, over-payment of holiday entitlement or any other sum which the post-holder may
owe to the Trust and, if this is insufficient, the Trust may require payment of the balance.
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2010 July - Consultant Psychiatrist 10 PA’s Kingston Inpatients LON-SW-C-012-10 (V2)
Appointees expressing an interest in a part time post to undertake private practice will
normally be expected to hold a 6 programmed activity [PA] contract.
Any offer of appointment to the post will be subject to the receipt of three references which are
satisfactory to the Trust, confirmation by the Occupational Health Department that the preemployment health screening is acceptable and immunisation against infectious diseases as
may be required.
Review of Job Description
This job description, together with the job plan, will be reviewed annually and agreed with the
Chief Executive and Medical Director, as appropriate; to ensure that it continually reflects the
areas of work, clinical responsibility of the post and purchaser requirements.
Confidentiality
All employees and honorary appointees are required to exercise discretion and maintain
confidentiality at all times.
Conflict of Interest
All applicants to any post within the Trust are required to declare any involvement directly with
any firm, company or organisation, which has a contract with the Trust. Failure to do so may
result in an application being rejected or, if discovered after appointment that such information
has been withheld, this may lead to dismissal.
Criminal Record
In view of the nature of the work this post is exempt from the provision of Section 4 (2) of the
Rehabilitation of Offenders Act 1974 by virtue of the Rehabilitation of Offenders Act 1974
(Exemption order 1975). Applicants are, therefore, not entitled to withhold information about
convictions including those which for other purposes are “spent” under the provisions of the
Act. You are, therefore, required to declare any pending prosecutions or convictions you may
have, even if they would otherwise be regarded as “spent” under this Action and any cautions.
In the event of employment, failure to disclose such convictions could result in dismissal or
disciplinary action by the Authority. Any information given will be completely confidential and
will be considered only in relation to an application for positions to which the order applies.
The Trust aims to promote equality of opportunity for all with the right mix of talent, skills and
potential and welcomes applications from diverse candidates. Criminal records will be taken
into account for recruitment purposes only when the conviction is relevant. As the Trust meets
the requirements in respect of exempted questions under the Rehabilitation of Offenders Act
1974, all applicants who are offered employment, will be subject to an ‘enhanced’ criminal
record check from the Criminal Records Bureau before the appointment is confirmed. This will
include details of cautions, reprimands or final warnings, as well as convictions. The post you
are applying for will require such a check.
The disclosure of a criminal record, or other information, will not debar you from appointment
unless the selection panel considers that the conviction renders you unsuitable for
appointment. In making the decision the Trust will consider the nature of the offence, how
long ago and what age you were when it was committed and any other factors which may be
relevant, including appropriate considerations in relation to the Trust’s published Equal
Opportunities Policy.
Failure to declare a conviction, caution or bind-over may, however, disqualify you from
appointment, or result in summary dismissal/disciplinary action if the discrepancy comes to
light. If you would like to discuss what effect any conviction you have might have on your
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2010 July - Consultant Psychiatrist 10 PA’s Kingston Inpatients LON-SW-C-012-10 (V2)
application, in confidence, for advice, please contact a Senior Officer in the Human Resources
Department.
Data Protection
In accordance with the Data Protection Act (1998), the Trust is authorised, if required to do so,
to obtain, process and/or use information held on a computer in a fair and lawful way. The
Trust is authorised to hold data only for the specific registered purpose and not to use or
disclose it in anyway incompatible with such purpose. It is further authorised to disclose data
only to authorised organisations as instructed.
Equal Opportunities
It is the aim of the Trust to ensure that no applicant or employee receives less favourable
treatment on grounds of sex, race, colour, nationality, disability or sexuality and is not
disadvantaged by conditions or requirements which cannot be shown to be justifiable. To this
end, the Trust has an Equal Opportunities Policy and it is for each employee to contribute to its
success.
Health and Safety
Employees must be aware of the responsibilities placed on them under the Health and Safety
at Work Act (1974), to ensure that agreed safety procedures are carried out to maintain a safe
environment for employees, patients and visitors. The Trust also operates a No Smoking
Policy, which does not allow smoking at work other than in a designated area.
Personal Property
The Trust cannot accept liability for loss or damage to personal property on official premises
by burglary, fire, theft or otherwise. Staff is advised to provide their own insurance cover.
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2010 July - Consultant Psychiatrist 10 PA’s Kingston Inpatients LON-SW-C-012-10 (V2)
Person Specification
Consultant
Criteria
Essential
Qualifications
-
Desirable
Primary Medical degree.
Full GMC registration.
MRCPsych or equivalent.
Included on the GMCs Specialist
Register or eligible for such inclusion.
Specialist Registrars within three months
of completing their CCSTs.
Section 12 (2) approval of the Mental
Health Act or be willing to apply for such
approval once in post.
Knowledge: Critical
Expertise in
Specialty
-
Ability to enhance
specialty of mental
health care provided
Management/Audit
-
Commitment to developing practice
through clinical audit
Experience of service planning
-
Evidence of participation in Research.
Completed a research project
Publication of research
-
Experience of teaching undergraduate
and postgraduate psychiatry
-
Ability to provide clinical leadership.
Willingness to supervise junior medical
staff and staff from other disciplines.
Willingness to take on fair share of Trustwide duties where necessary.
Commitment to personal and service
development.
Ability to work co-operative in multidisciplinary team
Ability and manage and adapt to change
-
Completed minimum of three years full
time training in approved higher
psychiatric training scheme.
A detailed knowledge of the Mental
Health Act, the functions of the Mental
Health Review Tribunals and Hospital
Managers' Hearings
Research and
Publications
Teaching
Personal Skills
-
Personal
-
Able to participate in Consultants’ on-call
rota.
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