Consultant Psychiatrist HMP Guys Marsh & HMP Erlestoke

Job overview

This is an excellent opportunity for a Consultant Psychiatrist to join our team of diverse, talented healthcare professionals to deliver care that is not only efficient but deeply centred on the patient. This is a newly created post as a result of additional funding received to expand our healthcare services within our prison portfolio.

This post will require working across two category C prison’s, HMP Erlestoke & HMP Guy’s Marsh. Both sites house sentenced prisoners and due to the stability of their populations, there is scope for some transformational work in service users lives within a team and prison setting structured to deliver this. The prison population is complex from a Mental Health perspective with SMI, neurodevelopmental disorders, substance misuse, trauma and personality disorder all significantly overrepresented in relation to the general population.

The post will be divided as follows;

• 2 days HMP Erlestoke
• 2 days HMP Guys Marsh

The post holder will have 2.5 SPA allocated in their job plan for undertaking activities that support the professional role such as teaching, training, clinical management, clinical governance, service development and other relevant activities.

We are keen to accommodate flexibility and encourage interest from applicants with varied availability – we are open to working patterns, days, and number of PA’s (open to discussion of full-time).

Main duties of the job

The post holder will work across HMP Erlestoke and HMP Guy’s Marsh and provide medical leadership to the mental health in-reach teams at each site. There is significant input from psychology to work with trauma and personality disorders prevalent in the prison population and the teams work to a model of trauma informed care. The mental health services work alongside a dedicated substance misuse service provided by Change Grow Live. The role of the Consultant Psychiatrist is thus in particular to assessment and management of those conditions requiring pharmacological input, most commonly chronic psychotic illness, mood disorders and ADHD. The work takes place in the wider context of rehabilitative work delivered by the prison who deliver a variety of Offending Behaviour Programmes and interventions at these sites.

Much of the clinical work involves seeing patients within a healthcare department of the prison on an Outpatient basis. Patients are case worked by the In-reach team, analogous to a CMHT. Occasionally a prisoner may require transfer from prison to hospital under the Mental Health Act and if a prisoner becomes extremely unwell it may be necessary to assess them on the prison wing. The Consultant Psychiatrist will be expected to maintain s12(2) approval lead on transfers under the Mental Health Act.

Detailed job description and main responsibilities

Clinical duties of post holder

• The post holder will be eligible for inclusion in the Specialist Register in Forensic Psychiatry, General Adult Psychiatry, Learning Disability Psychiatry or Addictions Psychiatry.   •    The primary duties of the post holder will include Consultant Psychiatrist leadership for the Mental Health In-reach Team at the prisons.  •    Assessing and reviewing prisoners; and working in collaboration with MDT and prisoners to formulate management plans that is then incorporated into individualised care plans.   •    Actively involved or lead MDT meetings within the service.  •    To ensure treatment of patients in accordance with acceptable and established standards, protocols and guidelines (including NICE, Royal College of Psychiatrists and the General Medical Council •    Availability to act as Section 12(2) approved doctor for the purpose of Mental Health Act Assessments if indicated. •    Liaising with services outside the prison to arrange CPAs, aftercare plans or transfers to hospital and when required with other agencies such as via Mappa or with police and probation colleagues. •    Providing expert advice and guidance for individuals with complex mental state and risk  •    Identifying and advocating for needed resources including staff as necessary •    Any other care which could reasonably be expected of a consultant acting in an in-reach capacity in a prison

Wider Duties include

• Taking part in administrative/management duties within the teams, directorate and the Trust as a whole •    Participating in clinical governance, clinical audit, various medical advisory committees and other committees as may be necessary •    To comply with the Trusts agreed policies and procedures and always to practice in line with the Royal College of Psychiatrists “Good Psychiatric Practice” and the General Medical Councils “Good Medical Practice” •    To ensure that he/she participates in Continuing Professional Development through registration with the Royal College of Psychiatrists CPD Programme, regular peer group meetings and attendance at appropriate professional/academic meetings. Also, to ensure that he/she receives job planning and appraisals annually