Consultant Psychiatrist in an Older Adult CMHT with Inpatient beds

Job overview

Consultant Psychiatrist in an Older Adult CMHT with Inpatient beds:

An opportunity has arisen for a Consultant Psychiatrist to join our bank and cover on Ward 7 and the Older Adult CMHT for approximately 4 weeks

Further information can be obtained from [email protected]

Main duties of the job

Working in conjunction with the team manager and senior clinical team to provide effective Clinical support to the team including:-

Input into MDT to support the effective management of referrals and case discussion.

Direct involvement in risk management plans and support with case formulation.

Attendance at regular meetings including clinical MDTs, team meetings and business meetings.

Support the care and management of the most complex cases where risk and vulnerability require a full MDT decision.

The assessment, formulation/diagnosis/treatment of service users including the most complex cases.

To be the responsible clinician for the teams where relevant.

To be an expert resource on the psychiatric assessment, treatment and management.

To complete electronic patient records to a high standard in a contemporaneous manner.

To follow prescribing guidance and completion of prescriptions.

To work collaboratively engaging with all key stake holders and being an ambassador for the teams and their values.

To support MHA assessments and the team flexibly to ensure least restrictive care and treatment for service users.

To fulfil their role as part of a multi-disciplinary team working in partnership with NSCHT teams and external agencies and partners.

To take part and deliver clinical supervision to ensure professional, reflective, evidenced based care in being delivered.

Detailed job description and main responsibilities

1.       CMHT Service Details:

Marrow House, Forrister Street, Longton, Stoke on Trent, ST3 1SQ

The Post Holder will work in the City CMHT and be responsible for any inpatients within the same catchment area i.e. a geographical based / non-functionalised model of care.

The Trust’s Older Adult CMHTs offer services to adults over the age of 65 years. The post is an existing full-time position with the City CMHT, covering the City of Stoke-on-Trent and surround, a population of approximately 42,000 over 65 year olds.

The CMHT averages a total caseload of approximately 130 service users although this may flex up or down.  The CMHT meet as an MDT every week to review referrals, discharges and complex cases. The CMHT operates out of the same building as the memory clinic (MSNAP endorsed) and as such there is a close collaborative relationship between the 2 services. There are also close relationships with local social care colleagues and charitable organisations with whom liaison may be needed.

City CMHT is a multidisciplinary service that consists of the following:

• 1 WTE Consultant Psychiatrist
• 1 Advanced Nurse Practitioner
• 1 Band 7 team lead
• 1 WTE 8a Clinical Psychologist
• 5 WTE Band 6 care coordinators
• 1 WTE Band 5 depot nurse
• 0.4 Band 2 peer support worker
• 1 Band 5 mental health wellbeing practitioner
• 1 WTE band 4 OT apprenticeship
• 1 WTE Band 4 STR worker
• 1 WTE Band 3 health care support worker

The team is based at Marrow House in Longton and provides services for the City area of Stoke-on-Trent only.

The team have a strong value base that is recovery focused and inclusive; supported by team based working which promotes innovation, collaboration and a cohesive team approach. The workforce is stable with strong managerial leadership. Although the post holder would not be expected to work as part of the memory clinic, it is worth noting that the City Memory Clinic Team, including Consultant and SAS Doctor work out of the same building and both teams have a strong collaborative working relationship.

The team’s vision and purpose is:-

• To provide a person centred recovery approach that responds to the needs and aspirations of those we work and engage with.
• To reduce the time it takes to provide effective treatment and support.
• To respond with compassion and care, instilling hope and optimism for the future.
• To provide a service that delivers a socially inclusive approach strengthening users social capital.
• To work effectively and creatively with users and partners to deliver recovery outcomes.

Inpatient Service Details:

Ward 7, Harplands Hospital, Hilton Road, Stoke-on-Trent, ST4 6TH

The Post Holder will work in the City CMHT and be responsible for any inpatients within the same catchment area i.e. a geographical based / non-functionalised model of care.

The inpatient beds are located at the Harplands Hospital, Stoke-on-Trent ST46TH. There are 2 mental health wards for older adults. Ward 6 is for service users with organic conditions, primarily dementia and Ward 7 which is our functional ward. The post holder would only be responsible for service users on Ward 7 (the functional ward) within their catchment area. There is usually a fairly even split but this may change as demand changes. Ward 6 is covered by a different Consultant.

Ward 7 is a 14 bedded unit within Harplands Hospital which has 7 wards in total. The ward specialises in functional disorders in older adults. It prides itself on a full multidisciplinary team which includes allied health professionals, activity workers, clinical psychology and dedicated carer support worker. The full workforce is below:

• 2 Consultant Psychiatrists (each covering their catchment area)
• 1 Ward Manager
• 2 Deputy Ward Manager
• 1 Clinical lead
• 6 Band 5 nurses
• 18 HCSWs
• 0.5 OT (27hrs)
• 0.8 Ward clerk (30hrs)
• 1 House keeper
• 1 Discharge Facilitator
• 2 Activity workers
• 1 Physiotherapist
• 1 Physiotherapy technician
• 1 Carers Support Worker
• 1 Advanced Nurse Practitioner in training
• 0.6 Clinical Psychologist

Members of the City CMHT attend the ward MDTs ensuring smooth and consistent service user journey across community and inpatient services with clear continuity of care.

The Post Holder will provide clinical input to service users that will include diagnostic / formulation assessments, pharmacotherapy reviews, risk assessments and contribute to multidisciplinary case reviews. The post holder will be the Responsible Clinician for any service users admitted from their catchment area and will be expected to undertake any appropriate Mental Health Act work.

The Post Holder will be provided with a dedicated office based at Marrow House for their sole use and dedicated admin support.

The Post Holder will be provided with a laptop and mobile phone, and access to IT helpdesk support.