SPECIALTY DOCTOR addiction psychiatry
kershaw unit, gartnavel royal hospital
INFORMATION PACK
REF: 42068D
cLOSING DATE: nOON on 29th July 2016
SUMMARY INFORMATION RELATING TO THIS POSITION
Post: SPECIALTY DOCTOR IN ADDICTION PSYCHIATRY (10 pa’S)
base: KERSHAW UNIT, GARTNAVEL GENERAL HOSPITAL
Do you want to come and work with the biggest Addiction Service in Europe, whilst continuing your CPD with protected time, and with the opportunity to enhance your teaching and research CV?
NHS Greater Glasgow and Clyde addiction services are responsible for the delivery of addiction treatment and care services for currently over 12,000 clients. The services range from local Community Addiction Teams through to specialist day and inpatient care, together with liaison provision for both general psychiatry and acute hospital services. Our multidisciplinary structure includes professionals from the fields of medicine, nursing, social care, psychology, occupational therapy, dietetics and pharmacy; Glasgow Addiction Services is also a major commissioner of the voluntary and independent sector.
We are seeking an enthusiastic and committed specialty grade doctor to work in both our hospital and community facilities. 7 pas would be spent in the Kershaw unit, Gartnavel Royal Hospital working alongside another full time speciality doctor providing medical input to the addictions inpatients and day patients there. 2pas would be spent supporting out-patient clinics in the community in the South Sector of Glasgow HSCP.
Job share applicants will be considered. Full registration and licence to practice with the GMC is essential, including adequate experiences in psychiatry; addiction experience is helpful, but not necessary.
The posts combine the satisfaction of participating in an innovative and developing clinical service to a client group with high levels of morbidity for alcohol, drugs and mental health problems, together with the opportunity to become involved in a number of research projects and teaching initiatives.
All applicants must possess Full GMC Registration with at least 4 Years full time Post Graduate Training, two of which must have been within a Specialty Training programme, or you will demonstrate and evidence equivalent experience and competencies.
Informal enquiries and visits are welcomed and can be arranged by contacting Dr Saket Priyadarshi, Associate medical director, 0141 800 0660. .
NHS Greater Glasgow & Clyde /NHS GREATER GLASGOW & CLYDE ADDICTION SERVICES
Speciality Doctor Grade in Addiction Psychiatry
Kershaw Unit, Gartnavel Royal Hospital
10 programmed activities
NHS GREATER GLASGOW & CLYDE
Job Description
Speciality Doctor in Addiction Psychiatry
Current Addiction Psychiatric Services
Addiction services in Greater Glasgow and Clyde cover 6 Health and Special Care Partnership areas and a general population of over 1.1 million. Greater Glasgow and Clyde has high levels of drug and alcohol misuse prevalent in its populations and as consequence there is major investment in the service.
Community provision is based around 9 community addiction teams (CATs) in Glasgow city, plus a Homeless Addiction team and 3 other community venues in Inverclyde, Renfrewshire and West and East Dunbartonshire. These CATs contain multidisciplinary teams consisting of social care workers, nurses, OTs, psychologists, dieticians and medical officers relating to local addiction psychiatrists. Substitute prescribing is delivered either by medical officers in CATs or by GPs supported by “shared care” under the terms of an enhanced service contract.
Day services in Greater Glasgow are available in 2 partial hospitalisation units:
Eriskay House at StobhillHospital – serves the north and east of the city and Kirkintilloch.
Kershaw unit at GartnavelRoyalHospital – serves the west and south of the city, Bearsden and Milngavie and West Dunbartonshire.
An Alcohol problem clinic day hospital at Dykebar hospital serves South Clyde as do day services in Greenock.
Inpatient provision is as follows:
Eriskay house at Stobhill – 15 beds serving north and east Glasgow, and some of East Dunbartonshire (Kirkintilloch area).
Kershaw Unit at Gartnavel Royal Hospital – 15 beds serving west and south Glasgow, East Dunbartonshire (Bearsden and Milngavie areas), West Dunbartonshire, South Clydeand homeless populations.
Medical Staffing:
Dr Saket PriyadarshiAssociate Medical Director
Addictions psychiatry-
Consultants
Dr Iain SmithNorthwest Glasgow, East Dunbartonshire and Kershaw Unit
Dr Beate Beck SchwannEast Renfrewshire and Kershaw Unit
Dr Donna MullenWest Dunbartonshire and Kershaw Unit
Dr Scott WylieNorthwest/Northeast Glasgow, East Dunbartonshire and Eriskay House
Dr Jamie FairNortheast Glasgow and Eriskay House
Dr Iain MackayHomeless Addiction Team
Dr Anupam AgnihotriSouth East Glasgow and 218 Service
VacancySouth West Glasgow/ARBD
Dr Charles McMahonSouth Clyde and Lead Clinician
Dr Audrey HillmanSouth Clyde
Dr Roger SykesSouth Clyde
Specialty & SAS doctors
VacancyKershaw Unit and South Glasgow
Dr G ReynoldsEriskay House and Northwest/Northeast Glasgow/EastDun
Dr David McLeanEriskay House and Northeast Glasgow
Dr Y GabirKershaw Unit and Homeless Addiction Team
Dr F SkeltonAssociate Specialist, West Glasgow
Dr R AshrafSouth Clyde
Dr B O’NeillSouth Clyde
Community based medical staff-
Senior medical officers
Dr Laura SillsNorth East Sector, East Dunbartonshire
Dr Catriona RitchieNorth West Sector, acting Lead Clinician
Dr Kate BrownSouth Sector, South Lan and Drug Court team
In addition, there are ~34 medical officers (~21 wte), plus rotating junior and senior psychiatric trainees and non-medical prescribers.
Overview
These posts are full time 10 session (40hrs/week) post in Addiction Psychiatry. The post holders will be based in the Kershaw Unit (Gartnavel) under the supervision of an identified consultant.
Initially the posts job plan will consist of:
Kershaw:
Initially-
7 sessions will be spent providing routine and emergency day time medical cover for all addiction patients in Kershaw ward, GartnavelRoyalHospital and Kershaw day service in cooperation with another full time specialty grade doctor.
2 sessions will be spent providing 2 community medical clinics for south east/ west Glasgow agreed with local consultants and head of service.
1 session will be spent in supporting professional activities such as appraisal, job planning, audit and other clinical governance activities, teaching and training.
Following the NHS Greater Glasgow and Clyde Alcohol and Drugs Clinical Services Review, we are exploring the option of a single site in-patient unit incorporating both current Kershaw and Eriskay. We are also hoping to employ Advanced Nurse Practitioners in the Kershaw unit in due course. ANPs would provide some routine traditionally ‘medical’ functions including admission physicals, clerk-ins, phlebotomy and investigation organisation, non medical prescribing, discharge planning and discharge documentation creation.These service changes may give opportunity for the post-holder and other specialty doctors to work more in the community in the future. An appropriate job plan would then be discussed with the post holder when service changes allow.
As part of a pool of specialty doctor and associate specialists you will be required to cross cover the leave of specialty doctors in NHSGG&C addictions. This work should ordinarily be infrequent with notification in advance so that other community duties can be rescheduled with minimal disruption to service.In line with all other speciality doctor and associate specialist doctors in NHSGG&C mental health services, there may be a future requirement for cross working into other mental health services.
Although principally supervised by a named consultant, the post holder will work in a generic way to all addiction patients in their respective unit regardless of their address or which team they belong to.
Supporting Staff
Administrative and secretarial support, together with office accommodation is available in the units and in local CATs. The post-holder will work alongside another middle grade doctor and any rotating trainees.
Duties of the Post
Hospital work
The post holder will have responsibility for providing a comprehensive range of services in conjunction with the multi-disciplinary team to in- and day-patients with addiction problems. Clinical duties will include medical and psychiatric assessment, prescription of medication, and diagnosis and treatment of co-morbid disorders, clerk in of patients, physical examination and organisation of appropriate investigations, creation of care plans, completion of risk assessments and dictation of discharge letters. The post-holder will be required to attend ward rounds and appropriate multi-disciplinary meetings.
They would be involved in assessing patients including emergency work. They would also be responsible for initiating investigations and following up patients. They would provide medical cover for inpatients and partial hospitalisation patients, assisting Consultants’ ward rounds and in the facilitation of planned admissions and discharges. Staff training is considered an important function of the Speciality Doctor and the successful applicant would be expected to actively participate in the supervision and training of other disciplines. A considerable degree of liaison with these other disciplines including any trainees and members of the CATs would be expected to ensure an integrated and comprehensive package of care for the patient, including liaison with the voluntary sector and liaison with colleagues in mental health. The postholder will be expected to work well as part of a multidisciplinary team in a variety of settings.
Community work
The postholder would do outpatient clinics and provide medical support for community staff in locality CATs service (South sector for Kershaw unit, northeast for Eriskay House). This would involve outpatient medical assessment, opiate substitute prescribing, assessment and treatment of mental health and addiction issues. They would participate in team clinical review meetings about patients.
General
It is expected that the successful applicant will be a s22 Approved Medical Practitioner or will be seeking AMP training and will actively participate in the assessment process and application of the Mental Health (Care and Treatment) (Scotland) Act2003.
They will be expected to cover for colleagues during absences in line with local arrangements.
The postholder will agree a job plan with their supervising consultant and the Associate Medical Director. The Job Plan will have a degree of flexibility and will be discussed with the supervising Consultant Psychiatrist.
The post holder will have an annual appraisal through the SOAR national on line system to ensure they have and maintain a licence to practice and have appropriate revalidation.
The final timetable is subject to the review and agreement by the supervising Consultant depending on the needs of the service.
There is no on-call commitment.
Teaching
The postholder may have the opportunity to become involved in undergraduate teaching of students from the University of Glasgow.
There is opportunity for multidisciplinary teaching within the service from time to time and this is encouraged as a contribution to team / staff development.
Continued Professional Development
1 programmed activity pro rata is allocated per week for CPD and any other supporting professional activity. The postholder will be expected to contribute to the Post-Graduate Teaching programme of journal clubs, case presentations etc. at the local Internal teaching sessions. They would also have opportunities to attend the Addictions CPD. An interest in relevant research and an audit is encouraged.
All staff are encouraged to ensure that they keep their practice up to date and is eligible for 30 days study leave over 3 years pro rata.
Research and Audit
Opportunities exist in the Kershaw unit for involvement in research and audit. A local consultant addiction psychiatrist chairs the research subcommittee of clinical governance and drives a significant research agenda. The scale of the addiction problem in Greater Glasgow and Clyde and the size of the organisation tasked with delivering appropriate services provides huge opportunities in this regard.
Management/Administrative work
As would be expected of all clinicians accurate contemporaneous records must be kept in the prescribed format, this will include the accurate recording of electronic information on the clinical information system.
Occasional Emergencies
The post holder may be required to perform duties in occasional emergencies in unforeseen circumstances at the request of the Consultant. It has been agreed that such duties would be exceptional and that this type of arrangement would not be for a prolonged period.
Proposed provisional initial job plan
Kershaw:
Mon / Tues / Wed / Thurs / Friam / Ward / Day hospital work / Ward/ day hospital work / Ward/ day hospital work / Ward/ day hospital work/ CPD / Consultant
Supervision/ Ward/ day hospital work
pm / Ward / DayHospital Work. / Community clinic / Ward / day hospital work / Ward / day hospital work/ CPD / Community clinic
9 pas direct clinical care
1 pas CPD / SPA
No on call
Arrangements for applicants to visit.
In the first instance, it is suggested that interested parties contact:
Dr Saket Priyadarshi
Associate Medical Director
NHSGG&C addiction services
2nd Floor Possilpark Health and Social Care Centre
99 Saracen Street
Glasgow
G22 5AP
Tel 0141 800 0660
E mail
TERMS AND CONDITIONS OF SERVICE
The conditions of service are those laid down and amended from time to time by the Hospital and Medical & Dental Whitley Council.
TYPE OF CONTRACT / PermanentGRADE AND SALARY / Specialty Doctor
£38,302 £ 71,425 per annum (pro rata)
New Entrants to the NHS will normally commence on the minimum point of the salary scale, (dependent on qualifications and experience). Salary is paid monthly by Bank Credit Transfer.
HOURS OF DUTY / Full Time40.00
SUPERANNUATION / New entrants to NHS Greater Glasgow and Clyde who are aged sixteen but under seventy five will be enrolled automatically into membership of the NHS Pension Scheme. Should you choose to "opt out" arrangements can be made to do this via:
REMOVAL EXPENSES / Assistance with removal and associated expenses may be given and would be discussed and agreed prior to appointment.
EXPENSES OF CANDIDATES FOR APPOINTMENT / Candidates who are requested to attend an interview will be given assistance with appropriate travelling expenses.Re-imbursement shall not normally be made to employees who withdraw their application or refuse an offer of appointment.
TOBACCO POLICY / NHS Greater Glasgow and Clyde operate a No Smoking Policy in all premises and grounds.
DISCLOSURE SCOTLAND / This post is considered to be in the category of “Regulated Work” and therefore requires a Disclosure Scotland Protection of Vulnerable Groups Scheme (PVG) Membership.
CONFIRMATION OF ELIGIBILITY TO WORK IN THE UK / NHS Greater Glasgow and Clyde (NHSGGC) has a legal obligation to ensure that it’s employees, both EEA and non EEA nationals, are legally entitled to work in the United Kingdom. Before any person can commence employment within NHS GGC they will need to provide documentation to prove that they are eligible to work in the UK. Non EEA nationals will be required to show evidence that either Entry Clearance or Leave to Remain in the UK has been granted for the work which they are applying to do. Where an individual is subject to immigration control under no circumstances will they be allowed to commence until the right to work in the UK has been verified. ALL applicants regardless of nationality must complete and return the Confirmation of Eligibility to Work in the UK Statement with their completed application form. You will be required provide appropriate documentation prior to any appointment being made.
REHABILITATION OF OFFENDERS ACT 1974 / The rehabilitation of Offenders act 1974 allows people who have been convicted of certain criminal offences to regard their convictions as “spent” after the lapse of a period of years. However, due to the nature of work for which you are applying this post is exempt from the provisions of Section 4 of the Rehabilitation of Offenders Act 1974 by virtue of the Rehabilitation of Offenders Act 1974 (Exceptions Orders 1975 and 1986). Therefore, applicants are required to disclose information about convictions which for other purposes are “spent” under the provision of the act in the event of employment, failure to disclose such convictions could result in dismissal or disciplinary action by NHS Greater Glasgow and Clyde. Any information given will be completely confidential.
DISABLED APPLICANTS / A disability or health problems does not preclude full consideration for the job and applications from people with disabilities are welcome. All information will be treated as confidential. NHS Greater Glasgow and Clyde guarantees to interview all applicants with disabilities who meet the minimum criteria for the post. You will note on our application form that we ask for relevant information with regard to your disability. This is simply to ensure that we can assist you, if you are called for interview, to have every opportunity to present your application in full. We may call you to discuss your needs in more detail if you are selected for interview.
GENERAL / NHS Greater Glasgow and Clyde operates flexible staffing arrangements whereby all appointments are to a grade within a department. The duties of an officer may be varied from an initial set of duties to any other set, which are commensurate with the grade of the officer. The enhanced experience resulting from this is considered to be in the best interest of both NHS Greater Glasgow and Clyde and the individual.
EQUAL OPPORTUNITIES / The postholder will undertake their duties in strict accordance with NHS Greater Glasgow and Clyde’s Equal Opportunities Policy.
NOTICE / The employment is subject to three months’ notice on either side, subject to appeal against dismissal.
MEDICAL NEGLIGENCE / In terms of NHS Circular 1989 (PCS) 32 dealing with Medical Negligence the Health Board does not require you to subscribe to a Medical Defence Organisation. Health Board indemnity will cover only Health Board responsibilities. It may, however, be in your interest to subscribe to a defence organisation in order to ensure you are covered for any work, which does not fall within the scope of the indemnity scheme.
FURTHER INFORMATION
For further information on NHS Greater Glasgow and Clyde, please visit our website on