Consultant Community Crisis & Therapeutic Home Treatment team

JOB TITLE: Consultant Community CAMHS Psychiatrist

Crisis & Therapeutic Home Treatment Team

CONTRACT: 10 Programmed Activities (10 PAs)

Substantive

Flexible working available including job share, part-time, remote sessions considered

BASE: Stapleford House, Stapleford Close, Chelmsford, CM2 OQX

Salary £113,565 -£150,569

Post And Specialty

This is a new post, that has been created following receiving additional resource from commissioners in order to have substantive medical capacity in the SET CAMHS Crisis and Therapeutic Home Treatment (THT) Team, to provide high quality preventative care, and to reduce the time CAMHS spend in A&Es. A lot of transformation has taken place already and continues to take place within Essex's Community CAMHS Services.

This is a new, substantive, full-time post - 10 Programmed Activities (PAs) post with 7.5 Direct Clinical Contact activities (DCC) and 2.5 Supporting Professional Activities (SPAs). This post is vacant currently and we wish to recruit substantively to this post as soon as possible.

It is a substantive post and we would consider requests for flexible working, job share or fixed term if preferred.

The expectation of the post holder is to support their teams, the Directorate and the organisation to follow the Trust’s Values in their day-to-day work.

• We are kind
• We are respectful
• We work with our communities 1.1 Job Title: General Adult Consultant Psychiatrist

This post is for an CAMHS Consultant Psychiatrist position in the Southend, Essex, and Thurrock (SET) CAMHS Crisis and Therapeutic Home Treatment (THT) Team, based at Stapleford House, 103 Stapleford Close, Chelmsford, CM2 0QX.

Rationale For Post

This is a new post, that has been created following receiving additional resource from commissioners in order to have substantive medical capacity in the SET CAMHS Crisis and Therapeutic Home Treatment (THT).

Team, to provide high quality preventative care, and to reduce the time CAMHS spend in A&Es. A lot of transformation has taken place already and continues to take place within Essex's Community CAMHS Services.

This is a new, substantive, full-time post - 10 Programmed Activities (PAs) post with 7.5 Direct Clinical Contact activities (DCC) and 2.5 Supporting Professional Activities (SPAs). This post is vacant currently and we wish to recruit substantively to this post as soon as possible.

It is a substantive post and we would consider requests for flexible working, job share or fixed term if preferred.

• On-call responsibilities:
• The postholder will be part of the Senior Psychiatrist out of hours on-call rota. The community CAMHS Consultants participate in an on-call rota with a current frequency of 1:7, with a 2% of basic salary, Category B on-call supplement. This rota mainly provides telephone advice to the crisis teams, which is the first port of call for children in crises out of hours, covering Southend, Essex and Thurrock. The on-call shifts are from 17:00 - 09:00 Monday to Friday, and all day on weekends and bank holidays. The on call does not include support to psychiatric inpatient units or Section 136 suites, as this is provided by a different organisation in Essex (EPUT).
• The successful candidate will work as part of multidisciplinary teams providing care to children and young people with mental health needs, across Essex. The service is provided by one team with one management structure, but due to the size of the area covered it is spread across two main bases.

The successful candidate will provide senior medical support to the teams, and direct input on clinical cases. The consultant will be expected to provide guidance and supervision to the team, work directly with children and young people (and their families), and liaise as appropriate with other external CAMHS mental health providers, and acute hospitals. You will work alongside a full time CAMHS Specialty doctor (being recruited to) and will share supervision responsibilities for any future trainees based within the team.

There will also be the opportunity for the post holder to further develop links already established with the local acute trusts’ A&E departments and inpatient wards, in order to continually improve our services.

• Accountability:

The postholder will be professionally and clinically accountable to the Associate Medical Director for Essex (currently Dr Viviana Porcari), and operationally accountable to both the Associate Medical Director and the Director of Children Services Essex & Kent, via the Assistant Director (currently Tina Russell).

The post holder will be a suitably qualified Consultant Psychiatrist with Approved Clinician (AC) certification, or eligibility for it. The post holder will be a GMC registered clinician responsible for patients allocated to them and will assess, manage, plan, and deliver care.

Main Responsibilities

• To be responsible for organising and prioritising own and others workload in the day-to-day allocation of work.
• To deputise when required in the team manager’s absence and delegate appropriately to other medical staff.
• To have organisational knowledge relating to Trust protocols and procedures and adhere to them.
• To be responsible for providing accurate records of information required by the Trust for audit purposes.
• To ensure effective risk management at team level by accident/incident reporting, assessing, and controlling risk and ensuring residual risks are added to the Trust’s risk register.

Clinical Skills

• To act as an autonomous, registered practitioner who is legally and professionally accountable for own unsupervised actions guided by the professional code of conduct and Trust guidelines and protocols.
• The post holder will have full registration with a licence to practice on the General Medical Council (GMC).
• Further professional knowledge will have been gained through accredited courses, workshops, study, and in-house training programmes.
• To be responsible, and accountable, for service delivery to clients/patients.
• To be able to assess and develop care plans to meet the complex needs of patients with a variety of conditions. This includes chronic, acute, and palliative care within own competencies, recognising own limitations and seeking advice when necessary. This will include continuously evaluating and acting on outcomes.
• To be able to initiate referrals to other health professional specialist services and agencies.
• To provide patients and relatives with information and education thus ensuring they have meaningful choices that promote dignity, independence, and quality of life.
• To ensure practice is supported by research, evidence-based practice, literature, and peer review.

Training & Supervision

• To act as clinical supervisor to junior colleagues (FY/CT/GPVTS/ST), providing effective education, facilitating their development, and promoting high standards of medical care.
• Ensure junior colleagues are actively supported to enable them to achieve their learning needs.
• To ensure own continued professional development and support a culture of lifelong learning in self and others.
• To undertake, and assist, in the planning of own mandatory training and workshops.
• To undertake a regular appraisal, developing a personal development plan that includes clinical competencies reflecting the health needs of the local population and relates to Trust strategy.
• To support new staff and their integration within the team.
• To support training as part of the role including changes to professional development and implementation of new policies and guidelines.

Education

• To provide in-service training to junior doctor, and other members of the multidisciplinary team.
• To contribute to the teaching of Medical Students and Trainee Doctors.
• To engage in the weekly Academic Teaching Programme

Administration

• To follow good medical practice standards in documenting all assessments of patients and to share necessary information with other health professionals.
• To provide reports on time.
• To ensure that all letters and summaries are checked and sent promptly to referring GPs, other colleagues, and agencies.
• The post holder will ensure that accurate and up to date records are kept of all clinical activity.
• The post holder will be expected to have good IT skills and to use the Trust’s electronic case record system.

Management

• This is not a formal management position, however as a Senior Clinician you are expected to:
• Support the team manager and other consultants in managing members of the multi-disciplinary team to ensure a high level of patient care and ensure patient safety.
• Act as line manager to all medical members within the team offering clinical supervision as appropriate.
• Address all areas of clinical governance within the multidisciplinary team. The components of clinical governance include Education and Training, Clinical Audit, Clinical effectiveness, Research and Development, Openness and Risk Management.

Leadership

• To participate in the development of an effective team and the development of productive working relationships throughout the Trust.
• To actively promote professional integrated health working, internally and externally.
• To facilitate the development of a positive and supportive team culture by taking responsibility for dealing effectively with potential conflict.
• To take an active interest in working parties and groups within the Trust to develop and improve on service delivery, protocols, and guidelines.
• To participate in the audit process, linking in with the clinical governance agenda.
• To advise, encourage and share knowledge utilising the latest research and practice development, through literature and peer reviews.
• Support the AMD in strategic service development and business planning.
• Lead compassionately on the evolution of services.
• Engage patients and staff in the development of services.

Communication

• To have a wide range of knowledge in approaches to communicating and managing patient care.
• To be able to effectively communicate with colleagues, peers, senior managers, and clinical leads within the Trust.

Who To Contact For Informal Inquiries

Medical Director: Dr Sarah Dracass

Associate Medical Director: Dr Viviana Porcari

Medical Staffing:

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