CONSULTANT IN CHILD & ADOLESCENT PSYCHIATRY
BARRHEAD HEALTH CENTRE\
ARANTHRUE CENTRE
Information pack
reF: 39188D
Closing Date: Noon on 9th October 2015
www.nhsggc.org.uk/medicaljobs
SUMMARY INFORMATION
Post: CONSULTANT IN CHILD & ADOLESCENT PSYCHIATRY
Base: BARRHEAD HEALTH AND CARE CENTRE\ARANTHRUE CENTRE
Applicants are invited to apply for the post of Child and Adolescent Psychiatrist providing 4 PA’s to the East Renfrewshire CAMHS team and 4 PA’s to Renfrewshire CAMHS. This is a new post with 8 PA’s in total in a community multi disciplinary Child & Adolescent Mental Health Team based in East Renfrewshire and working across East Renfrewshire, and a well-established CAMHS team in Renfrewshire. This is an exciting opportunity to deliver care with Consultant Psychiatrist and multi-disciplinary colleagues in neighbouring CAMH services. There is an opportunity to develop a clinical specialist service across the teams concerned.
The East Renfrewshire and the Renfrewshire Teams are multi-disciplinary locality teams providing mental health services to children and adolescents in East Renfrewshire with moderate to severe mental health problems. The team is part of a comprehensive network of locality based mental health teams providing services within the NHS Greater Glasgow and Clyde board area. They work in conjunction with a number of specialist health board-wide CAMHS teams.
This post will provide psychiatric support and leadership to the community Child & Adolescent Mental Health Teams, provided by East Renfrewshire Specialist Children’s Services and Renfrewshire Specialist Children’s Services. East Renfrewshire/South West Community Child & Adolescent Mental Health team is based in Barrhead Health Centre and serves a total population of 22090 (0-19years) which contains a diverse socio-economic mix of population. Renfrewshire Child & Adolescent Mental Health team is based at the Aranthrue Centre in Renfrew. It serves a population of 38264 The Consultant Child and Adolescent Psychiatrist will provide advice and leadership with other senior clinicians into the continuing development of the East Renfrewshire and Renfrewshire Teams and their link with partner agencies but will have support from local child and adolescent psychiatry colleagues within these teams and across NHS Greater Glasgow & Clyde.
As well as providing psychiatric input to the 2 locality CAMHS teams, the post holder will contribute to a Day-Time Consultant Rota for the community teams if no local psychiatrist is available, as well as providing out of hours psychiatric cover to the child and adolescent population in NHS Greater Glasgow and Clyde (at a rate of 1:15 pro rata).
Applicants must have full GMC registration, a licence to practice and Completion of Higher Training in Child and Adolescent Psychiatry and inclusion on the GMC Specialist Registrar or within six months of CCT or CESR (Child and Adolescent Psychiatry) at time of interview.
For further information, contact Dr Kate Towlson, Consultant Child and Adolescent Psychiatrist, telephone no: 01389 817 324 or Julie Metcalfe, Clinical Director of CAMHS on 0141 277 7475. To obtain an application pack visit our website at www.nhs.ggc.org.uk and follow the links or email your address and the reference number to or telephone 0141 278 2647
JOB DESCRIPTION
CONSULTANT IN CHILD & ADOLESCENT PSYCHIATRY
Specialist Children’s Services
East Renfrewshire HSCP and Renfrewshire HSCP
NHS Greater Glasgow and Clyde
INFORMATION PACK FOR POST OF CONSULTANT IN
CHILD & ADOLESCENT PSYCHIATRY
1. / JOB TITLEConsultant In Child & Adolescent Psychiatry
2. / LOCATION
Department of Child & Adolescent Mental Health Services
Address of base: Barrhead Health and Care Centre, 213 Main Street, G78 1SW, East Renfrewshire;
Aranthrue Centre, 103 Paisley Road, PA4 8LW, Renfrew, Renfrewshire
3. / HOURS OF DUTY
8 PA’s
4. / GENERAL BACKGROUND
This is a new post with 8 sessions across 2 community multi disciplinary Child & Adolescent Mental Health teams based in East Renfrewshire and working across East Renfrewshire and South West Glasgow, and in Renfrew, working across Renfrewshire. This is an exciting opportunity to contribute to the continuing development of these service with Consultant colleagues already in post and to develop an area of special interest in community CAMHS. The main base for the post will be in Barrhead Health Centre in the East Renfrewshire/South West Glasgow team and in the Aranthrue Centre in Renfrew. Each team has a full multi-disciplinary staffing complement including Consultant Child & Adolescent Psychiatrists, nurse therapists, clinical psychologists, psychotherapists and soon to be appointed occupational therapists, speech and language therapists and family and systemic psychotherapists.
The teams are multi-disciplinary locality teams providing mental health services to children and adolescents in East Renfrewshire, South West Glasgow and Renfrewshire with moderate to severe mental health problems. The teams are part of a comprehensive network of 8 locality based Mental Health teams providing services within the NHS Greater Glasgow and Clyde board area. They work in conjunction with a number of specialist health board-wide CAMHS teams.
Within NHS Greater Glasgow and Clyde there are 23 Consultants in Child & Adolescent Psychiatry (18.5 WTE). All the Consultants work in locality or specialist multi disciplinary teams within either Community Health and Social Care Partnerships in Greater Glasgow and Clyde. NHS Greater Glasgow and Clyde provides mental health services for a population of 1.2million. The population of 5-19yr olds is approximately 202,321.
This post will provide Psychiatric support and leadership to the community Child & Adolescent Mental Health teams in East Renfrewshire and Renfrewshire. East Renfrewshire/South West Community Child & Adolescent Mental Health team is currently based in Barrhead Health Centre and services a total population of 22090 (0-19years) which contains a diverse socio-economic mix of population. The Renfrewshire Child and Adolescent Mental Health Service is based at the Aranthrue Centre in Renfrew and serves a total population of 38264 (0-19 years). The Consultant Child & Adolescent Psychiatrist who takes this post will provide advice and leadership with Consultant colleagues and other senior professionals in each team on child and adolescent mental health disorders and their management to patients, families and multi-agency colleagues within the context of GIRFEC processes.
As well as providing psychiatric input to 2 Locality CAMHS teams, the post holder will contribute to a day time Consultant rota for local community teams if no local Psychiatrist is available, as well as providing out of hours Psychiatric cover to the Child & Adolescent population in NHS Greater Glasgow and Clyde (at 1:15 pro rata).
5. / GENERAL DESCRIPTION OF THE POST
This post will provide child and adolescent psychiatric services to Renfrewshire\East Renfrewshire/South West Glasgow. The holder of the post will be expected to work alongside other members of the teams in the provision of outpatient related services provided by Renfrewshire and East Renfrewshire HSCPs.
Community Child & Adolescent Mental Health teams are managed in Greater Glasgow & Clyde by a single Head of Specialist Children’s Services in Glasgow CHP with local links and local management input alongside other community children’s services to deliver children and young people’s specialist services. Area wide CAMHS teams (e.g.: forensic, learning disabilities, academic, eating disorders, looked after children’s mental health services and intensive community and home-based services) are managed as hosted services within NHS Greater Glasgow & Clyde.
The management structure cascades from the Lead Director for Specialist Children’s Services, to the Head of Specialist Children’s Services, Stephen McLeod, and to the local service managers who are accountable to the Head of Specialist Children’s Services. This management structure is supported by the Clinical Director for CAMHS, Julie Metcalfe, and links closely with local children’s services, primary care services, mental health services and partner agencies within local service structures.
The CAPA model of service delivery has been implemented across Greater Glasgow and Clyde. In the Renfrewshire\East Renfrewshire\South West team the Consultant Psychiatrist will predominantly provide specific partnership sessions, and choice and core partnerships as their job plan allows.
6. / DESCRIPTION OF THE TEAM
The East Renfrewshire CAMHS team has 10.2wte staff, including clinical psychology, RMN staff (bands 5 to 7), family therapy, AHP support and administration support. There is a Consultant Child & Adolescent Psychiatrist, a Consultant Clinical Psychologist and a band 7 RMN in the team.
The Renfrewshire team has 15.6wte staff, including clinical psychology, RMN staff (bands 6 &7), family therapy, AHP support and administration support. There is a Consultant Child & Adolescent Psychiatrist, a Consultant Clinical Psychologist and a band 7 RMN in the team.
The clinician has access to their own computer together with clinical space which is both individual and shared. Rooms will meet the requirements expected of office space and clinical space for CAMHS clinicians and for a Consultant Psychiatrist.
7. / TEAM MEMBERSHIP
The East Renfrewshire/South West CAMHS team is a multi disciplinary team whose staff complement includes :-
· Psychiatry – 1.0wte
· Clinical Psychology – 2.07wte
· Child and Adolescent Therapist – 0.47wte
· Nursing – Band 7, Band 6, Band 5 – total of 3.95wte
· Family Therapy – band 7 – 0.75wte
· AHP – 0.75wte
· Psychotherapy – 0.47wte
· Admin – 0.74
The Renfrewshire CAMHS team is as follows:
· Psychiatry – 1.4wte
· Clinical Psychology – 3.5wte
· Child and Adolescent Therapist – 0.6wte
· Nursing – Bands 6&7 – total of 5.6wte
· AHP – 1wte
· Admin – 3.5wte
Secretarial support is available from the team of secretaries and clerical staff.
It is the remit of the tier 3 teams to see complex emotional\behavioural, mental health problems and mental illness which can not be managed by simple interventions. Referrals are accepted from colleagues in health, social work and education. The teams operate a duty system which deals with referrals received each day. These referrals are discussed at a weekly referral meeting. The referrals that are accepted are then allocated to a CHOICE appointment. The teams are expected to offer CHOICE and CORE partnership appointments for families within the Scottish Government HEAT targets. CAMHS teams in NHS Greater Glasgow & Clyde offer generic Child & Adolescent Mental Health assessments, neuro-developmental assessments and expertise in ADHD, ASD, psychosis and eating disorders; combined with a wide range of interventions including family therapy, psycho-dynamic psychotherapy, cognitive behavioural therapy, psychopharmacology interventions and parenting expertise.
The majority of the teams are or are expected to be case managers. Team meetings consist of weekly referral meetings and a regular Operational Management Group that consists of representatives from Psychiatry, Psychology, nursing and allied health professionals meeting with the service and admin managers. This forum is the decision making group for the team. Undertaking audit and clinical research is encouraged. CAMHS teams also provide a consultation service to Social Work and other agencies.
The post holder will be expected to participate in training of Psychiatric trainees by becoming an Educational Supervisor when he/she obtains the necessary approval of the post graduate medical education training body. The postholder will be encouraged to develop placements for medical students in Renfrewshire\East Renfrewshire\South West CAMHS. Training and educational responsibilities of the appointee will be negotiated against available SPA time in job planning meetings.
8. / NOTIONAL WEEKLY JOB PLAN
For full-time Consultants a split of 9:1 between Direct Clinical Care PAs and Supporting Professional Activity is now the advertised standard for all new Consultant job plans within NHS Greater Glasgow and Clyde. SPA time will reflect activity such as appraisals, PDP, revalidation, personal audit and professional development occurring outside study leave time. While the candidate will be appointed on such a job plan more SPA time may be agreed if required. This will be agreed at initial job planning and reviewed if necessary. Exact activities will be agreed between the post holder and the Medical and General Manager.
8 programmed activities are allocated to this post.
9. / INDICITIVE JOB PLAN TIMETABLE
Indicative Job Plan
Monday / Tuesday / Wednesday / Thursday / Friday
AM / Barrhead DCC / Barrhead
DCC / Renfrewshire
DCC / Renfrewshire
DCC
PM / Caledonia House/ Yorkhill
SPA / Barrhead
DCC / Renfrewshire
DCC / Renfrewshire DCC
10. / CHILD & ADOLESCENT MENTAL HEALTH SERVICES IN NHS GREATER GLASGOW & CLYDE
a. / Community Child & Adolescent Mental Health Teams – Tier 3
Locality Child & Adolescent Mental Health services are provided from four settings within Glasgow and four settings in Clyde, North Glasgow (Possilpark Health Centre), North West (West Centre - Drumchapel), East (Bridgeton/Templeton Clinic) and South (Twomax Building – Gorbals). In Clyde there are 4 CAMHS teams based in Barrhead, Greenock, Renfrew and Vale Of Leven. These eight teams are multi-disciplinary teams offering provision at Tier 3 for children and young people under 18 years with moderate to severe mental health disorders.
b. / Tier 2 Service
Tier 2 services are currently being reviewed with the purpose being an agreed model delivered from 8 CAMHS teams across NHSGGC. Tier 2 provision will be delivered in a multi-agency context with support from local CAMHS as required.
c. / Paediatric Psychology Service
This service is provided by Clinical Psychologists and Assistant Clinical Psychologists to all medical and surgical teams at the Royal Hospital for Children (The Children’s Hospital for Greater Glasgow and Clyde). Children, young people and their families are seen on both an inpatient and outpatient basis. A number of the hospital medical teams have dedicated links with Psychologists who work closely with the medical teams.
d. / Paediatric Neuropsychological Services
Child Neuropsychologists are attached to the Fraser of Allander Unit. This is the Paediatric Neurology Service based in RHC. The Neuropsychologists provide specialist diagnostic assessment and treatment to patients attending the Fraser of Allander Unit who have cognitive, behavioural or educational difficulties in the context of actual or suspected neurological illness or injury. The service covers children from birth through to 16 years of age, although older adolescents are sometimes seen, if this is felt appropriate.
e. / Clinical Psychology – Maternity & Neonatology
Clinical Psychological Services are also provided to parents whose pregnancy and/or birth is abnormal. The service is offered through ante-natal and post-natal referrals and for parents whose babies are admitted to the Special Care Baby Unit. There is also a psychological support service offered to parents whose children are followed up in the premature neo-natal outpatients service and long term follow up clinic.