specialty doctor in child & adolescent psychiatry

Skye House, Stobhill Hospital

INFORMATION PACK

REF: 37849D

cLOSING DATE: nOON On 28th AUGUST 2015

www.nhsggc.org.uk/medicaljobs

SUMMARY INFORMATION RELATING TO THIS POSITION

Post: specialty doctor in child & adolescent psychiatry

Base: Skye House, Stobhill Hospital

The purpose built 24 bed West of Scotland adolescent psychiatry inpatient unit at Skye House, Stobhill Hospital, Glasgow requires a full time Specialty Doctor in Child & Adolescent Psychiatry. The ward has 24 beds for 12 to 17 year olds with severe and complex psychiatric disorders. The post holder will be part of a full multidisciplinary team working in this regional service for the West of Scotland. Experience in Psychiatry is essential and experience in Paediatrics, General Practice or a Medical Specialty would be advantageous.

The Specialty Doctor’s primary responsibilities are the medical and psychiatric assessment and treatment of young people with severe and complex psychiatric illnesses. In addition the post holder will be encouraged to develop special interests, for example a particular treatment modality or expertise in a particular disorder – there are many opportunities for internal and external CDP.

We will consider applications from anyone wishing to work part-time.

We encourage you to contact us to make informal enquiries at 0141 232 6425 and you will be given an opportunity to visit the ward and meet the team.

All applicants must possess Full GMC Registration, a licence to practice and have at least 4 Years full time Post Graduate Training, two of which must have been in relevant specialties or you will demonstrate and evidence equivalent experience and competencies.


Specialty Doctor in Child & Adolescent Psychiatry

SKYE HOUSE WEST OF SCOTLAND ADOLESCENT INPATIENT UNIT

STOBHILL HOSPITAL

NHS GREATER GLASGOW AND CLYDE

CHILDREN AND YOUNG PSOPLE’S SPECIALST SERVICES

SPECIALTY DOCTOR in Child & ADOLESCENT PSYCHIATRY (10 sessions)

Post based in the Skye House Adolescent Unit, Stobhill Hospital

The Unit

Skye House is a purpose built 24 bed Adolescent Unit at Stobhill Hospital in North-East Glasgow. The inpatient service has been treating adolescents with major and complex mental health disorder for over 25 years.

The well-integrated multi-disciplinary team works collaboratively and flexibly to achieve a very high standard of care. The team philosophy of care is to provide for the assessment, diagnosis and treatment of young people who have severe and complex mental health difficulties using evidence-based practice in the context of the young people’s personal development, family life and continuing education with the aim of preventing chronic illness whenever possible. The service aims to be responsive to the needs of young people presenting with a wide range of mental health disorders, and operates using the admission criteria listed below.

The unit team aim to provide the highest standard of care possible by keeping up to date with developments within the field of child and adolescent psychiatry. In keeping with the unit’s role as a Regional Specialist Tertiary referral service the team take pride in leading in the use of new ways of working where appropriate.

The staff aim to provide high quality mental health care for adolescents, meeting the requirements outlined in the following documents:-

1.  The Patient’s Charter

2.  The Children in Hospital Charter

3.  The Children ( Scotland ) Act 1995

4.  The Age of Legal Capacity (Scotland) Act 1991

5.  The Mental Health (Care and Treatment) (Scotland) Act 2003

6.  Other legislation or policy documents as necessary.

Admission Criteria

¨  Severe psychiatric disorders such as

Psychoses, Major Affective disorders, severe Eating Disorders, complex Psychosomatic disorders, and Neuropsychiatric disorders, etc

¨  Where the Community or other Tier 3 service is struggling with a complex, diagnostic problem, and IP assessment would seem appropriate

¨  Supporting the admission of other cases as deemed appropriate especially where there is a severe risk of self-harm and/or harm to others secondary to mental health disorders

The following would make admission unlikely

¨  Young people whose sole or major difficulty is Conduct Disorder. There is considerable clinical evidence that the needs of such young people are not best met within the setting of a unit whose primary function is to care for young people suffering from mental illness.

¨  The unit is also unable routinely to meet the needs of young people with moderate to severe learning disabilities although these may be considered on a case by case basis.

¨  The unit does not provide specific treatment for young people whose main problem is drug or alcohol abuse. The unit does however provide care for young people with a history of substance misuse and concurrent psychiatric disorder e.g. drug misuse associated with a psychotic illness.

¨  Young people who require an admission to a Forensic Adolescent Unit. The unit is an open unit (i.e. non-secure setting) and as such, cannot cater for seriously ill adolescents who continue to pose a major risk to adolescents and/or staff.

The team are able to offer a wide range of treatments including various group and individual therapies and family therapy. The Unit has links with paediatric services including neurology and is able to easily access a full range of investigative facilities. There are also close links with the community child and adolescent mental health teams and the University Department of Child and Adolescent Psychiatry. There is an active academic programme and good academic links with other centres.

The multi-disciplinary team is medically-led by Dr Anne-Marie Discombe, Consultant Child & Adolescent Psychiatrist and Dr Jane Fuller Consultant Child & Adolescent Psychiatrist with Jacqueline Hardie as Ward Manager. Unit staffing includes the disciplines of nursing, occupational therapy, clinical psychology, dietetics, speech and language therapy, family therapy and sessional input from other professionals. There are also routinely ST4-6 psychiatrists on rotational placement. There is a well-staffed school providing comprehensive educational opportunities and liaison with community schools. A part time social worker (who is also a Mental Health Officer) completes the team.

There are currently 2.7 wte Staff Grade posts, this vacancy arises due to the 1.0wte (10 sessions) leaving the service to take up another post

Medical Staff in the Adolescent Unit

Dr Anne-Marie Discombe, Consultant Psychiatrist

Dr Jane Fuller, Consultant Psychiatrist

Dr Sheila Flett, Associate Specialist 0.6wte

Dr Janette Kelly Specialty Doctor 0.6wte

Dr. Ruth Elliot Speciality Doctor 0.5 wte.

Usually one or two ST 4-6 CAMHS trainees will be placed in the Unit.

Other permanent Medical Staff in Child and Adolescent Psychiatry, Glasgow and Clyde

Community Consultants

Dr Michelle Thrower, Dr Julie Arthur, Dr Gracia Mwimba, Dr Jackie Pickett, Dr Anne Greer, Dr Dianne Forsyth, Dr Gordon Wilkinson, Dr Rebecca Phillip, Dr Kim Lim, Dr Kate Towlson, , Dr Christabel Boyle, Dr Saman Khan, Dr Sadia Mohammed, Dr Helen Tindle Dr Joanna Young

Children’s Hospital Consultants

Dr Sarah Hukin - children’s inpatient,

Dr Elaine Lockhart - Paediatric Liaison

Consultants in other Specialties

Dr Ama Addo, Child and Adolescent Learning Disability, Dr Laxmi Kathuria Kathuria Looked After and Accommodated Children and Forensic CAMHS Team.

The post is full-time 10 Programmed Activities per week ( 9 PAs of Direct Clinical care and 1 PA for Supporting Professional Activities) based at Skye House Adolescent Unit but expected to provide input into the community based Home Intensive Treatment Team for specific patients

The Postholder will be responsible to Dr Anne-Marie Discombe, and Dr Jane Fuller Consultant Child and Adolescent Psychiatrists. Recruitment is underway for another 2 Consultant Child & Adolescent Psychiatrists for the home intensive treatment\day service. These Consultants will have responsiblility for their patients when they require admission.

The post-holder’s primary responsibilities are the day to day medical and psychiatric assessment and treatment of patients in the Unit. Such responsibilities will be undertaken under the supervision and support of the Consultant Psychiatrists (Dr Anne-Marie Discombe & Dr Jane Fuller). If not already an Approved Medical Practitioner under the terms of the Mental Health (Care and Treatment) (Scotland) Act 2003 training will be arranged as soon as possible after appointment is made. In addition the post-holder will be encouraged to develop special interests for example, a particular treatment modality or in the management of a particular disorder. The post-holder will also be supported in pursuing research and/or audit.

The clinical commitments of the post will be contained within the following time-table but there may be some flexibility to work evenings or long days. It is expected that the successful candidate will be at the relevant ward rounds and the Friday Morning pharmacology meeting. There is no out of hours obligation. Supporting professional Activities are most likely to be timetabled on Mondays.

LOCATION / WORK DONE
Monday / AM
PM / Skye House
Skye House / Assessments.
Therapeutic work on ward.
Supporting Professional Activities
Tuesday / AM
PM / Skye House
Skye House / Ward Round
Core Groups / Case Discussions
Other meetings / assessments re patient care
Wednesday / AM
PM / Skye House
Skye House / Inpatient assessment / meetings.
Clinical Administration
Thursday / AM
PM / Skye House
Skye House / Inpatient assessment / meetings.
Clinical Administration
Friday / AM
PM / Skye House
Skye House / Evidence based pharmacology meeting
Therapeutic ward work.
Handover.
Weekend / AM
PM
Other Duties / AM
PM


The following Person Specification applies to candidates for the post

Essential / Desirable
·  Full Registration with the GMC
·  Post Graduate training of relevant experience – some of which must be in psychiatry
·  Good communication skills with Children and Adolescents
·  Capacity to work under pressure and ability to prioritise work
·  Approved Medical Practitioner or willingness to train as an AMP
·  Good team worker
·  Excellent time keeping
·  Meticulous note keeping / ·  Experience in Paediatrics, GP or a medical specialty
·  Available for flexible hours
·  Knowledge of the law as it applies to children
·  Experience of family work

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 / Permanent
GRADE AND SALARY / Specialty Doctor
£37,923 to £70,718 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 / 40.00
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: www.sppa.gov.uk
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