Specialty Doctor All age Community Eating Disorders

Job overview

This is a 10 PA post based within the Community Eating Disorder (ED) Team based at the Hopewood and Mandala Site. The Specialty Doctor will be employed by Nottinghamshire Healthcare NHS Foundation Trust and will join the other NHS Consultants and two Academic Consultants in the service.

Suitable candidates will be registered with a license to practice from the General Medical Council. This position is also open to candidates with GP qualifications. Previous psychiatric or child and adolescent psychiatric experience and section 12 approval are desirable.

The post holder will provide a supportive role to the Responsible Clinician to all young people and adults open to the ED team. They will be an integral part of the medical monitoring pathway and will work closely with our other Speciality Doctor and Advanced Clinical Practitioners.

The post holder will be required to be available to respond to emergency situations. This may include joining Mental Health Act assessments when required and to consult to and support team members in managing cases of perceived high-risk presentations.

Cross-cover arrangements for annual and study leave will be arranged between this post holder and the team consultants.

The team operates Monday – Friday, the post holder will have the opportunity to work their days across these 5 days ensuring support to the team consultant.

Main duties of the job

The post holder will be expected to support and consult to the multidisciplinary team to offer psychiatric expertise and direct involvement in the areas of: assessment and diagnosis, pharmacological treatments, carry the interpretation of medical test results, use of the Mental Health Act (if section 12 approved/ potentially joining as second opinion doctor if RC is not available) and other relevant legislation in the management of children, young people and adults, and the management of complex and/or risky presentations and severe symptomatology.

In addition, the post holder with support from the consultant is expected to provide psychiatric advice and expertise directly to service users and to their parents/carers to support their decision-making and involvement in their recovery. The consultant will lead regular reviews of service users, contribute to/chair CPA reviews, provide ad hoc supervision and debriefs to the team, and team meetings but the post holder will be expected to actively support the consultant in all these tasks. Post holder will be encouraged to develop their clinical leadership skills with support as deemed necessary from the clinical supervisor. Involvement in other clinical tasks for the team (such as therapy provision) may be possible but would be negotiated through job planning and would take second priority to the key psychiatric and leadership tasks.

Detailed job description and main responsibilities

• To work collaboratively within the Eating Disorder Multi-disciplinary team, whilst providing support to the consultant, Service Manager, and other senior clinicians to ensure comprehensive packages of care for young people experiencing eating disorder.
• To ensure comprehensive physical health risk management in line with MEED guidance and in conjunction with colleagues within Paediatric team. Regular reviews of blood results and ECG to inform the physical risk assessment.
• To be able to conduct/ join initial assessments, including assessment of risk to self and others and develop care plan with access to support from consultant depending upon the need.
• With support from the consultant, provide consultation to other members of the team regarding cases being managed by the team, and consultation to professional networks as required.
• In collaboration with team members and with support from the consultant, management of complex cases with management acute physical and psychological risks, including management of pharmacological treatments.
• To offer routine medication reviews, with support from the consultant depending upon the need.
• Clinical participation and engagement with MDT, including participation in and running care plan reviews and formulation meetings with support from consultant.
• To work collaboratively with the eating disorder inpatient consultant psychiatrists within CYP and adult ED units
• Multi-disciplinary, multi-agency and partnership working including liaison and collaborative working with other services/agencies.
• Medics are not expected routinely to take on the role of case coordinator and there is a team caseload ethos.
• Involvement in other clinical tasks for the team (routine consultations, therapy) may be possible, but would be negotiated through job planning and would take second priority to the key psychiatric tasks.
• Provide assessments of referrals, with support from the consultant, review emergency referrals and respond as required with support from the MDT

Applicant requirements

You must have appropriate UK professional registration.

This post is subject to the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (Amendment) (England and Wales) Order 2020 and it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service.