Somerset NHS Foundation Trust is seeking to appoint a Consultant Psychiatrist in Older Persons Mental Health to join the Community Mental Health Teams and support patients in the Taunton, Minehead and Exmoor area
This is a permanent, full time (10 PA) position
Woking a 1 in 12 rota: operating 5pm to 9am on weekdays; and from 9am on Saturday morning to 9am on Monday morning.
This Consultant post falls under the Older Person's CMHTs and Dementia Assessment Service Teams based at the Barnfield Unit in Minehead and Foundation House in Taunton.
Provide assessment, diagnosis and treatment of mental health needs of community patients in their community area
Work closely with the community teams to provide effective multidisciplinary collaborative care
Act as Responsible Clinician for community patients subject to a compulsory treatment order under the Mental Health Act; (CTOs)
Undertake MHA assessments as the Trust Section 12 doctor for patients in their care (including those detained under S136)
Provide Mental Capacity Act s49 reports for patients in their community area
Provide visible and clear clinical leadership to the mental health service both locally and across the Trust
Work collaboratively with inpatient staff to ensure smooth transition for patients admitted and discharged from the wards
Join a peer group for CPD purposes: this can a Trust group or other local peer group depending on the post holder's preference
Identify areas for personal development, that will allow the post holder to improve the care they provide
Undertake annual appraisal and job plan reviews
Develop the services around them, in collaboration with management and other team members to continue to improve patient care
Participate in the local arrangements for peer supervision with consultant colleagues, including case based discussion
Provide mutual cross cover for planned leave with the other medical staff
Fulfil the duties agreed in the job plan
The Clinical Role
The community mental health teams and memory services provide psychiatric community care to patients over the age of 65.
The West Somerset area covers 8 GP practices and equates to approximately 11000 patients over the age of 65 (CCG figures December 2. The Taunton area relating to this post covers one large GP Practice (Bishops Lydeard) with a population of approx. 1000 patients over 65. There is also a much smaller group of patients under 65 years of age, with primary dementias who are also cared for by the older adults' community mental health team.
There is an emphasis on members of the CMHT seeing the majority of initial assessments with a daytime duty rota dealing with urgent referrals. This helps to minimise consultant emergency work and keeps their individual community caseload at a manageable size. The CMHT will seek advice from the post holder in order to guide management for the patient; this is achieved through formal team meetings, as well as ad hoc discussions with the team when required.
Staff from within the dementia assessment service currently see all initial referrals; these are discussed with the consultant and a decision is made as to who is best placed to see the patient for further assessment and treatment. We are encouraging colleagues in primary care to make memory assessments in less complex cases and the post holder will be expected to work with colleagues in primary care in order to advise and support these diagnoses.
The post holder will hold regular clinics in Minehead and Taunton, as well as undertaking domiciliary visits when required.
The community mental health teams are part of wider integrated teams. Each team is collocated with staff from district nursing and the integrated rehabilitation team (community OT and Physiotherapists). These links are very helpful when managing a patient from a holistic viewpoint. The links will also allow the post holder to work towards closer integration between physical and mental health care, as well as primary and secondary care. Being collocated with this team allows for a free flow of advice and ideas between the services.
Transfers from general adult services to older adults are made in discussion between the teams, and with the patient and their carer. Our aim is that the right treatment is delivered by the right people at all times.
OUT-OF-HOURS ON-CALL DUTIES:
There are no compulsory Out of Hours duties as part of this role.
The post holder can opt to join the senior out-of-hours on-call rota subject to availability. Duties include senior medical and RC cover for the inpatient wards and S12 MHA work both in Trust premises and in the community.
This is a 1 in 12 rota operating 5pm to 9am on weekdays; at weekends the rota operates from 9am on Saturday morning to 9am on Monday morning.
This rota provides senior medical cover including Responsible Clinician duties to all the inpatient wards in the Trust except the child and adolescent ward (Wessex House). It therefore covers inpatient services for adults of working age (Rydon 1 and 2 Wards in Taunton, Rowan Ward in Yeovil and St Andrews Ward in Wells), older people (Pyrland Ward in Taunton), the PICU (Holford Ward in Taunton), and the rehabilitation and low secure wards (Willow and Ash Wards respectively in Bridgwater). Hence it includes duties for patients within the following specialties: adult general, old age, rehabilitation and learning disability.
The senior on-call rota also involves MHA assessments in inpatient wards, the two Hospital Place of Safety suites (located in Yeovil and Taunton), the district general and community hospitals, police custody centres and also in the community.
The rota attracts a payment of 1 PA (for the S12 component) and a 3% salary enhancement for the RC / senior medical cover for inpatient wards. Section fees are also paid and retained for assessments (excluding current Trust inpatients).
The rota is occasionally supported by senior trainees who undertake the Consultant Role under supervision until midnight.
The trust is currently piloting an all age rota ( as above but including CAMHS Inpatient and community ) and if successful the trust will plan to move towards this for provision of cover out of hours.
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