NWC2014.63 (V1)
Cumbria Partnership NHS Foundation Trust
Consultant Psychiatrist in CAMHS
Job Description
South Cumbria
10 PAs: Full Time/Part Time/Job Shares will be considered
Professionally Accountable to: Medical Director
Operationally Accountable to: Clinical Director/General Manager
Applications can be obtained from NHS Jobs website: www.jobs.nhs.uk
Please see advert for closing date.
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NWC2014.63 (V1)
Contents
1. The Trust
3
2. Support for Consultants
4
3. Clinical Roles
4
4. Job Planning
6
5. The Service – CAMHS
7
6. CPD and Research
9
7. Interview Arrangements and how to apply
10
Appendix 2 – Senior Leadership Team
Applications can be obtained from NHS Jobs website: www.jobs.nhs.uk
Please see advert for closing date.
122
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1. The Trust
Cumbria Partnership NHS Foundation Trust (CPFT) operates in a county that includes the
Lake District National Park with opportunities for living in beautiful places and accessing a
wide range of outdoor pursuits. Carlisle in the north east and Barrow in the south west are
the biggest centres of population but there are attractive market towns dotted across the
county.
State and private schools have excellent reputations with a number of secondary and
primary schools having outstanding Ofsted reports. Housing is affordable and high quality in
many areas.
Although Cumbria is primarily rural it is well connected to the rest of Britain and hence the
world. Some indicative journey times include:
Carlisle to Newcastle 75 minutes by car
Carlisle to Edinburgh 90 minutes by train
Kendal to Manchester 90 minutes by train
Kendal to London 3 hours by train
The Trust uses technology to reduce the need to travel around the county and all
consultants will have their own desk PC and smartphone.
CPFT has been a Foundation Trust since 2007 and since 2010 has been responsible for
community and mental health services.
In summer 2013 Claire Molloy began as our new CEO and has accelerated the process of
designing high quality sustainable services for the dispersed population of Cumbria. We are
working increasingly closely with colleagues in social care and clinical commissioning both of
which operate across the whole county. As part of this process, a vision for mental health
services is being developed with input from clinicians, patients, carers and others. A draft is
supplied in the list of additional documents.
A key theme of this redesign is enabling more effective clinical leadership by the creation of
clinical divisions (Appendix 3 for draft organisational structure). We have very skilled leaders
of psychosis and non-psychosis and older people’s pathways – we now need to better
enable the delivery of high quality pathways across the Trust. Existing and new consultant
psychiatrists have key leadership roles in this improvement journey. Psychosis and ADHD
pathways have been created and Eating disorders pathway is being created within CAMHS.
Corresponding and integrated redesign is taking place in the other divisions with
opportunities for increased roles for consultant psychiatrists in primary care and liaison.
The Trust has close links to the medical schools in Newcastle (North Cumbria) and
Lancaster (South Cumbria) and it is expected that consultants contribute to undergraduate
and post graduate teaching and learning. Honorary lecturer positions are available for
interested candidates.
Applications can be obtained from NHS Jobs website: www.jobs.nhs.uk
Please see advert for closing date.
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2. Support for Consultants
Consultant psychiatrists in CPFT are supported to take on roles that support excellent
services and their own development. There is an active mentoring system for new
consultants and a highly regarded action learning set that enables new consultants to
develop the skills they need to thrive.
Appraisal and revalidation for all CPFT doctors is managed by the Medical Director and
Responsible Officer with support from a dedicated team. We have a skilled team of
appraisers and new consultants working to become (or continue as) appraisers will be
supported to do so.
All consultants have smartphones and a desk PC in their own office. Each has access to a
whole time equivalent medical secretary.
3. Clinical Roles
The variety of clinical roles that may be taken on by consultant psychiatrists in CPFT include
 Community roles
 Leadership
 Educational and academic roles
A - Community Roles
Role description
New out-patients or home visits,
including meetings with
relatives and carers
Tasks
Assessment, diagnosis and formulation of
management plan
Shared decision-making with users and carers
Follow up out-patients or home
visits
On-going review of formulation and management
plans
Shared decision-making with patients and carers
Team meetings
Communication about patients and carers, sharing
organisation policies and objectives
Multidisciplinary patient reviews
Care programme approach (CPA) reviews, Multiagency Public Protection Arrangement (MAPPA)
meetings, risk reviews
Clinical advice to team
members
Regular or ad hoc supervision on clinical matters
Liaison with colleagues
Discussion about patient care with primary care,
secondary care, tertiary care or specialist provisions
Meeting the requirements of emergency work,
assessments of capacity and others in line with the
MHA
Mental health and capacity
legislation
Applications can be obtained from NHS Jobs website: www.jobs.nhs.uk
Please see advert for closing date.
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B - Leadership Roles
Role description
Tasks
Leadership role
Implementing and reviewing standards, innovation in
service delivery, clinical governance, patient safety,
modelling high-quality patient care, supporting
colleagues, building relationships with GPs and other
external organisations
Lead clinical roles
Provide leadership role for specific and defined areas
of development or practice
Lead consultant
Provide leadership and often line management for
consultants and other medical staff within the service,
often lead for quality within a directorate.
C - Education and academic roles (in line with post holder’s CPD needs)
Role description
Supervision of trainees
Tasks
Each trainee requires 1 hour of trainee-centred
educational supervision per week
Additional supervision will be required for clinical work
Meeting requirements for
revalidation
Revalidation activities including continuing
professional development and quality improvement
activities and reflection on serious incidents.
Training medical students
One to one teaching, lectures, examining and skillsbased workshops
Education
Lectures, small group teaching, skills workshops
Research
Clinical and service research, peer reviewing of
papers.
Including department programme, trainee doctor
programme, medical student programmes, college
tutor, deanery roles
Opportunities for part-time or other flexible models of employment are available via
discussion and might include annualised job plans.
Applications can be obtained from NHS Jobs website: www.jobs.nhs.uk
Please see advert for closing date.
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Job plans are for 10 PAs but additional responsibility payments are available for specific
roles and additional payment possible for some out of hours work and agreed hours beyond
10 PAs.
4. Job Planning
The nature of such roles and more specific tasks is determined by job planning. The full
time week is split 7.5 direct patient care and 2.5 for supporting professional activities.
Building your job plan
4.1. Agreeing your job plan
The successful candidate will agree their job plan with the Clinical Director. The job plan will
be reviewed at least annually to ensure flexibility and to avoid burnout. The post holder will
be managed by and accountable to the Clinical Director and will work closely with the
broader MDT.
4.2. Indicative timetables
Here is an example of an indicative timetable. Job plans may vary slightly between
Consultants to accommodate Candidates CPD requirements and local clinical needs.
AM
PM
MON
Clinic
TUE
Clinic /
Consultation
Consultation
/ Admin
Clinic /
Admin
WED
CPD- Monthly
Peer meeting/
Audit/
Research
MDT Meeting
THU
Consultants
Meeting-monthly
/Teaching and
training
Clinic
FRI
Local Teaching
sessions/
Admin
Clinic / Urgent
Assessments
The combined job plans of the whole consultant team need to meet the needs of the service.
Existing consultants are committed to flexibility around who does what so that each member
of the consultant team is enabled to have a “do-able” job with the expectation of being able
to develop particular clinical interests.
Each consultant will have 2.5 SPA that can be used to support CPD, other professional
activities, project work or other specific tasks as agreed with clinical director. There is scope
for development of specialist interests that complement the aspirations and skills of potential
candidates and meet service needs. Applicants with special interests in Forensic and LD
would be particularly welcome.
Applications can be obtained from NHS Jobs website: www.jobs.nhs.uk
Please see advert for closing date.
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5. The Service – CAMHS
As previously noted the service delivery model is changing and evolving following the
external CAMHS review over a year ago. There’s currently a Clinical Director with county
wide responsibility and 3 medically led teams and we’re working towards more integration
between the teams to facilitate the delivery of standardised care pathways and high quality
care. The post holder would be expected to meet with all CAMHS consultants at the monthly
meetings to ensure county-wide processes are followed. The post holder would be
supported by Consultants already in post.
CAMHS services are currently provided by 3 multi-disciplinary teams:
East {based in Carlisle, covering Carlisle District and Eden}
South {bases in Barrow and Kendal, covering Furness and the South Lakes}
West {based in Workington, covering Maryport, Workington, Millom and Whitehaven}
Each multi-disciplinary team provides Specialist CAMH services [Tier 3]. We’re currently in
the process of agreeing commissioning arrangements for a Tier 2 provision which will be
closely linked to the Tier 3 service provided by us. We are working towards stablishing a Tier
2 provision for those with milder presentations for mental health needs within a step-up/stepdown wider system linking with Tier 3 in order to avoid further referrals, waits and disjointed
care. Each team is currently staffed by a variety of disciplines. The exact make up of each
team is currently changing and the number of staff in each team increasing and is expected
to change further to the external review of Specialist CAMHS commissioning and provision
across Cumbria. Clinical processes are also being reviewed and the new post holder will be
joining the service at a time when there are excellent opportunities to lead and shape care
pathways.
Cumbria Partnership NHS Foundation Trust does not currently provide Tier 4 services in the
county, although there are contractual arrangements for out of area [OOA] in-patient
services at The Junction in Lancaster and Prudhoe Hospital in Newcastle.
Cumbria CAMHS are provided within the county wide integrated Children and Families Care
Group of the Trust. The Care Group also provides and manages community paediatricians,
school nurses, health visitors, children’s community nurses, children’s learning disability
nurses and children’s therapists. This provides established opportunities for liaison and coordination of clinical care and services. The Associate Medical Director for this Care Group,
who is also the Clinical Director for the paediatricians, is Dr Wendy Rankin, who is based in
Bridge Mills, Kendal.
There is a good relationship with Community paediatricians and close liaison particularly with
children presenting with disorders such as ADHD and ASD. In principle CAMHS is
responsible for the diagnosis and treatment of ADHD and paediatricians for ASD but as
children and young people often present with both disorders the need for close liaison and
coordination of care is evident in clinical practice.
CAMHS is expected to provide high quality care for:
Mood Disorders [Bipolar and Depressive Disorders], Anxiety Disorders [including OCD,
PTSD, Social Anxiety Disorder and other Anxiety Disorders], Self-Harm and emerging
Personality Disorder, Psychosis [in conjunction with the EIS team for 14-18 year olds],
Eating Disorders, Conduct Disorder, Paediatric Liaison, Complex and Co-morbid
Applications can be obtained from NHS Jobs website: www.jobs.nhs.uk
Please see advert for closing date.
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presentations, specialist mental health services for Looked After Children, and multidisciplinary team input. County wide leadership on assessment and treatment of joint ADHD
pathway with Paediatricians as well as consultation and collaboration with assessment and
diagnosis of paediatrics led ASC pathway/ Multi Agency Autism Team (MAAT). Hence post
holder is not expected to have a role in the formal assessment process for ASD diagnosis.
Post MAAT diagnoses, many patients with ASD attend CAMHS for management of comorbid difficulties such as anxiety, depression, self-harm. These are managed within
CAMHS, sometimes requiring medication and/or Consultations with CAMHS staff. Specialist
CAMHS Forensic opinion and support can be accessed via the FACTS team in Manchester.
The role of the Consultant within this framework includes a clear emphasis on leadership,
clinical support to the multi-disciplinary team staff with most cases having named Case
Coordinators, a key role in service development, audit and governance, and is fully in line
with New Ways of Working.
Acute Paediatrics is provided by Morecombe Bay NHS Foundation Trust in the South of
Cumbria.
Within Tiers 1 and 2, there has recently been an initiative regarding developing community
based pathways ['Health Builder Pathways' as multiagency collaborative care provision] to
coordinate the care delivered by universal and targeted services and promote self-based
care.
This new post will be part of a team of 4.5 Child and Adolescent consultants distributed
across the county but there will need to be an element of cross cover for leave, usually
arranged by South and North geographical areas.
The 4.5 current post holders are at present hosted within the locality based teams as follows:
Dr Luisa Sanz – Consultant based in South Cumbria (Kendal)
Dr Melanie Dix – Consultant based in East Cumbria (Carlisle)
Dr Roger Williams – Consultant based in East and West Cumbria (Carlisle/Workington)
Vacant – Consultant based in South Cumbria (Barrow/Kendal) (post advertised for)
Vacant (covered by Locum) – Consultant based in West Cumbria (Workington)
Currently, there is no Junior Doctor support related to these posts. Consultants are currently
not on the on call rota for out of hours CAMHS. However discussions are underway within
the trust to have Consultants on the rota. Such arrangements and payments will be in line
with National standards and after discussions with the Consultant body.
The post holder will be accountable to the Clinical Director. Post holder will be based in the
South team which caters to a total population of about 170,000. 963 cases were referred to
the South team from January 2013 till December 2013. Caseloads of clinicians vary from 3060 depending upon the complexity of the case and whether the clinician works part-time or
full-time. Consultant caseload for the post can range from 80-120 depending on the
complexity of the cases. The team comprises of 1.6 Psychologists, 1 Assistant Psychologist,
1 Cognitive Behavioural Therapist, 1 Specialist Therapist, 8.8 Nurses, 1 Health Care
Assistant, 2 Social Workers, 1 Youth Offending worker, 2 Drug and Alcohol workers, Admin
Applications can be obtained from NHS Jobs website: www.jobs.nhs.uk
Please see advert for closing date.
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Team and a Team Leader. The post holder will be expected to review 10-12 follow up
patients and 1-2 new patients every week.
Patients are only seen on Paediatric wards when urgent admissions have taken place.
Assessments on Paediatric wards are undertaken by team members who may request a
Consultant opinion if required on the ward. Such admissions commonly occur due to selfharm, overdose, or eating disorders. Patients would get admitted to either Furness General
Hospital or Royal Lancaster Infirmary Paediatric ward depending on their geographical
location in the county. Close liaison with Paediatric colleagues at these hospitals are
maintained for any admitted patients who require CAMHS inputs. If patients are admitted
Out of County to a Tier 4 unit, Consultant and Case Manager are invited to CPA reviews.
Referrals are made to Outreach team in Lancaster for gatekeeping purposes when Tier 4
admission is warranted for a patient.
Transition to Adult services start when the young person turns 17.5 years of age when a
referral to adult community services is made by CAMHS care coordinator and a joint
appointment between both services arranged to allow a smooth transition completed by the
18th birthday. Although for more complex cases, i.e. LD + CAMHS comorbidities the
transition is initiated at the age of 16.
6. CPD and Research
CPD
There is an expectation for every consultant to maintain a good standing for CPD.
Audit
CPFT Clinical Audit Team provides training to register clinical audits and provide advice and
support you undertaking your audit. The team ensure that audit outcomes are shared not
just within the Trust, but on a regional and national basis as well
Research
CPFT has an exceptional Research and Development team who are involved in a number of
research and evidence-based working projects. Currently, the EIP team are becoming
involved with a further study examining the implementation of REACT (A carers education
study run from the University of Lancaster). The team strongly encourage applications from
external researchers to conduct studies here. They are currently part of the following
alliances and networks:




The North West Mental Health Research and Development Alliance
The Cumbria and Lancashire Comprehensive Local Research Network
The North West Hub of the Mental Health Research Network
The Dementia & Neurodegenerative Diseases Research Network
The team will be happy to offer the following support:
 Writing research proposals
 Signposting to relevant research outcomes and evidence
 Service-user and carer involvement
 Applications for research approval
 Liaising with research networks.
Publication
Applications can be obtained from NHS Jobs website: www.jobs.nhs.uk
Please see advert for closing date.
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CPFT has its own Journal of Research, Practice and Learning, articles that encourage good
practice in any of the trust’s – clinical and non-clinical services are accepted. The team will
be happy to discuss possible articles and support you in developing an idea for an article, or
working up an existing report for publication in the journal.
Senior medical staff have protected SPA timetabled to enable attendance at a weekly inhouse psychiatry teaching programme. Teaching programmes are run on two sites (Carlisle
and Barrow in Furness) every Friday morning and being site specific ensures training can be
moderated to meet local training need where necessary. The education programme includes
teaching on core psychiatry subjects, areas of special interest, as well as peer led case
presentations and journal clubs. Clinical Audit and sessions on critical appraisal are regularly
facilitated by the Clinical knowledge service. CPFT also run bi-monthly thematic sessions
which are specifically aimed at the multi professional audience covering a
topical/contemporary area in depth. Recent topics have included, Mood Disorder Research
and Curiosity, Care & Existential Learning, Neurology and Psychiatry interface.
The trust also hosts medical students from Lancaster and Newcastle Medical schools
providing medical staff with ample opportunity to facilitate teaching sessions, problem based
learning; case based discussions for both undergraduate and postgraduate medical training
programmes as well as nursing and allied staff.
Consultant/SAS peer supervision sessions are supported and available on a twice monthly
basis, college CPD groups are facilitated quarterly within areas of specialism and
administrative support provided by medical education team. CPFT provides mentorship and
action learning sets for new consultants and post holders are expected to participate.
The Trust also offers excellent appraisal and revalidation support to colleagues. Study leave
facilities are available in accordance with Terms and Conditions – Consultants (England)
2003.
7. Interview Arrangements and how to apply
Prospective applicants are encouraged to visit, and informal enquiries may be made with:
Dr Andrew Brittlebank, Medical Director
Tel No. 01228 603023 Email: andrew.brittlebank@cumbria.nhs.uk
Dr Wendy Rankin, Associate Medical Director, Children and Families Care Group
Tel No: 01229 409628 Email: wendy.rankin@cumbria.nhs.uk
Kate Baker, PA to Clinical Director, CAMHS
Tel No. 01228 608274 Email: kate.baker@cumbria.nhs.uk
Applications can be obtained from NHS Jobs website: www.jobs.nhs.uk
Please see advert for closing date.
Note: Travel and subsistence expenses will be reimbursed for preliminary visits, in addition to interview expenses, only to those
candidates selected for interview. Reimbursement is restricted to two preliminary visits, whether these are made before or after
Applications can be obtained from NHS Jobs website: www.jobs.nhs.uk
Please see advert for closing date.
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the constitution of the shortlist is known. In the case of candidates travelling from abroad, travelling expenses are normally
payable only from the point of entry to the UK.
General Information
Rehabilitation of Offenders
Because of the nature of this work this post is exempt from the provisions of Section 4(2) of the Rehabilitation of Offenders Act
1974 (Exemptions) Order 1975. You are therefore not entitled to withhold information about convictions which for any other
purposes are “spent” under the provisions of the Act and any failure to disclose such convictions could result in disciplinary
action by the Trust. Any information given will be kept in strict confidence and only used in relation to the position to which the
order applies.
Equal Opportunities
The Trust is committed to the promotion of equal opportunities; both as an employer and in the services provided to the people
it serves.
All employees of the Trust and all applicants for employment will have equality of opportunity for employment and advancement
on the basis of their ability, qualifications and fitness for work.
Information Governance
The post holder must keep up to date with the requirements of information governance; undertake mandatory training and
follow Trust policies and procedures to ensure that Trust information is dealt with legally, securely, efficiently and effectively.
It is important that the post holder processes personal identifiable information only in accordance with the Trust Data Protection
Act notification to the Information Commissioner. The post holder must check with the Data Protection Officer before creating
new systems to process person identifiable information to ensure that this is carried out within the scope of the Data Protection
Act 1998 notification.
The post holder must manage the records they create or hold during the course of their employment with the Trust in an
appropriate way, making the records available for sharing in a controlled manner subject to statutory requirements and agreed
security and confidentiality policies, procedures and guidelines e.g. Data Protection Act 1998, Freedom of Information Act
2000, Caldicott Guidelines NHS Confidentiality Code of Conduct 2003, and professional codes of conduct on confidentiality.
The post holder must maintain the confidentiality of information about service user staff and organisational business in
accordance with the Data Protection Act 1998 and Caldicott principles.
It is likely that the post holder will be in contact at some time with a form of information system, and therefore are responsible
for implementing and maintaining data quality. The post holder, when making entries into records, must ensure that these are
legible and attributable and that the record keeping is contemporaneous. It is essential that information recorded within records
either on paper, in an electronic format or both paper and electronic is accurate, complete and relevant.
Main Conditions of Service
The post-holder will be appointed under the Terms and Conditions – Consultants (England) 2003.Outside employment may be
agreed with the Chief Executive.
For pre-employment health purposes, as part of the Trust’s Occupational Health Service, the successful candidate will be
required to complete a health questionnaire. This will be treated in the strictest confidence and only be seen by the
Occupational Health Department.
Applications can be obtained from NHS Jobs website: www.jobs.nhs.uk
Please see advert for closing date.
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Appendix 2 – Senior Leadership Team
Applications can be obtained from NHS Jobs website: www.jobs.nhs.uk
Please see advert for closing date.
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