Locum Consultant in Addiction Psychiatry

locum consultant in addiction psychiatry

gartnavelroyalhospital

Information pack

reF: 34034d

Closing Date: noon 25th july 2014

SUMMARY INFORMATION

Post: locum consultant in addiction psychiatry

Base:gartnavelroyalhospital

Post-holder will carry consultant addiction psychiatrist responsibilities for in-patient in Kershaw Unit, Gartnavel Royal Infirmary for patients admitted from East Renfrewshire, Inverclyde and Renfrewshire and patients from East Renfrewshire attending the Day Services at Kershaw. In addition the post-holder will provide addiction psychiatry support to East Renfrewshire community addiction services. In addition, the post will provide clinical input to the Glasgow city Alcohol Related Brain Disease team. The 10programmed activities (9 direct clinical care and 1 SPA) will be divided as below- 5 PA Kershaw Unit, 2 Pas East Ren and 2 Pas ARBD and 1 SPA.

Applicants must have full GMC registration and a Licence to Practise.

NHS Greater Glasgow and Clyde Addiction Services

CONSULTANT IN ADDICTION PSYCHIATRY

WITH RESPONSIBILITY FOR PROVIDING AN ADDICTION PSYCHIATRY SERVICE TO THE ALCOHOL RELATED BRAIN DISORDER SERVICE AND TO EAST RENFREWSHIRE

GENERAL INFORMATION FOR CANDIDATES

1.This information package has been compiled to provide prospective candidates with details of the post and background information about the NHS Greater Glasgow and Clyde Addiction Services, which are partnership organisations between the addiction services of NHS Greater Glasgow and Clyde and the addiction services of Glasgow City Council and other local authorities. Your employer would be NHS Greater Glasgow and Clyde and terms and conditions of service would be those of the new Consultant Contract for locums and NES postgraduate arrangements for acting up specialty trainees would apply.

2.Informal enquiries and visits will be welcomed by:

Dr Charles McMahon, Lead Clinician, GG&C Addictions Services, Possilpark Health and Care Centre, 99 Saracen Street, Glasgow G22 5AP. 0141 800 0660

3.Any offer of appointment is subject to the receipt of two satisfactory references, Disclosure Scotland clearance and a report from the Occupational Health Service.

4.As a Disability Symbol user NHS Greater Glasgow and Clyde recognises the contribution that all individuals can make to the organisation regardless of their abilities.

As part of out ongoing commitment to extending employment opportunities all applicants who are disabled and who meet the minimum criteria expressed in the job description will be guaranteed an interview.

5.Application forms are available in large print for candidates who are visually impaired.

Job Description

General introduction

Increased investment is allowing the creation of a consultant post in addiction psychiatry with primary responsibility for psychiatric input to the alcohol related brain disorder (ARBD) service. In addition, this post would provide psychiatric services for East Renfrewshire CHCP, inpatient RMO work for all south clyde inpatients who come from addresses in Inverclyde, Renfrewshire and east Renfrewshire CHCPs

The psychiatric services in Glasgow and Clyde are provided by 6 CHCPs. The Glasgow CHP is further split into 3 sectors: NorthEast, NorthWest and South. A network of local community mental health centres and clinics exist, and there are inpatient facilities at the Southern General, Leverndale, Stobhill, Parkhead, Gartnavel Royal, Vale of Leven, Ravenscraig and DykebarHospitals.

This post is part of a NHSGG&C strategy to provide Community Health Partnership (CHP) based addictions services in an equitable way across Glasgow and Clyde. It realises an exciting opportunity for a consultant to create and deliver evidence based services to the population of east renfrewshire and to take an active part in developing an effective service model which ensures service equity and effectiveness across the NHSGG&C ARBD services.

This post is for a full time (10pas) consultant. The job plan consists of 9pas of direct clinical care and 1pas of supporting activity. 1 pa of direct clinical care will initially be dedicated to developing the new role and bedding into systems. Thereafter this pa would be allocated for supporting professional activity in negotiation with the associate medical director.

Beds are provided in kershaw unit at the gartnavel royal hospital site for south sector, east Renfrewshire, Renfrewshire and Inverclyde and homeless addiction team admissions. There are no specific ring fenced general addiction beds for ARBD. This post holder would be responsible for inpatients from east Renfrewshire, Renfrewshire and Inverclyde with an average of 7 inpatients.

Day services are available at kershaw unit for south patients.

Both inpatients and day patients are medically supported by 1.6 wte speciality doctors who clerk inpatients, provide medical care and create discharge letters. There are occasional trainees.

Comparative distribution compared to elsewhere in Glasgow.

CHCP / population / Combined need = number of problem drug users and alcohol related discharges / Total addiction caseload excluding shared care / Psychiatric consultant medical staffing / Psychiatric SAS medical staffing
East Dunbartonshire / 104580 / 903 / 422 / S Wylie
I smith / F Skelton
G Reynolds
East renfrewshire / 89540 / 953 / 403 / C Mcmahon
N Bajaj
( this post)
GlasgowNE / 169339 / 8084 / 3307 / M Cooney / A Rizov
Glasgow NW / 198642 / 6275 / 2026 / S Wylie / G reynolds
Glasgow S / 220489 / 6718 / 2412 / B Bajaj SW, A Agnihotri SE / locum
inverclyde / 79770 / 2376 / 1398 / R sykes
A hillman / R Ashraf
renfrewshire / 170250 / 3610 / 1499 / C Mcmahon
A Hillman / C Govender
South lanarkshire / 57000 / Not reported / 149 / A Agnihotri
West dunbartonshire / 90570 / 2622 / 628 / F Shaw

This post also contributes to the general on call rota for south clyde, provides potential educational supervision for medical students and a potential training experience for junior and senior psychiatric trainees. Consultant posts also deliver tasks for the broader system.The post holder would need to be eligible to be a Mental Health Act and Adults with Incapacity Act approved medical practitioner and this would be an essential part of the job.

The job :

-9pas of direct clinical care to include 5 pas for Kershaw Unit, 2 PAs of ARBD and 2 PAs of East Renfrewshire community addiction psychiatry.

-1 PA of supporting professional activity to include time for appraisal, job planning, continuing professional development.

Addiction services for East Renfrewshire

Multidisciplinary and multiagency community addiction services are currently provided from

A community addiction team in Barrhead. These provide a full range of services for people with drug and alcohol problems, including needle exchange, blood borne virus nurse led clinics, substitute prescribing, drug testing and treatment order clinics etc. Currently 2 consultants provide alternate clinics for east Renfrewshire, they will be replaced by this post.

Medical officers work in the CATs. Their job is primarily around substitute prescribing for complex cases. They are managed by a local senior medical officer. Local Gps also carry shared care substitute prescribing caseloads. The consultant psychiatrist postholder would be expected to establish close working relationships with these other doctors and agree collaborative approaches to service provision.

The Alcohol Related Brain Disorder service

The ARBD service currently is based in mansionhouse unit near the victoria infirmary. The ARBD team was established in 2009 to provide enhanced services for alcohol damaged individuals from the old greater Glasgow health board geography. It consists of dedicated medical, nursing, psychology, occupational therapy and dietetics input.

Other secondary service support

The secondary services support for general addictions in south/ south clyde include

-Use of partial hospitalisation service currently in the Kershaw unit at GartnavelRoyalHospital but possibly moving in the future. Renfrewshire uses a day unit in dykebar hospital and the Renfrewshire drug problem service. Inverclyde has the wellpark centre.

-Admission to psychiatric beds in the kershaw addictions unit at GartnavelRoyalHospital as described above.

-1.6wte specialty doctors provide medical support for all gartnavel Kershaw inpatients and partial hospitalisation patients. These doctors would clerk in all patients, perform physicals, undertake investigations and dictate discharge letters under the direction of the unit consultants. Emergency medical cover is provided by the duty doctor from gartnavel royal hospital psychiatric wards.

-Psychology sessions

-OT input. These provide a functional assessment service and a range of group work programmes.

-Community and residential rehabilitation placement is available through a variety of contracted providers. The consultant would be expected to take a role in the decisions about placement of patients in residential rehabilitation facilities in coordination with the local head of service.

The Duties of the Post

-Inpatient assessment and treatment

ARBD inpatients exist throughout GG&C in acute, mental health hospital beds and in specialist nursing homes. This consultant would not act as RMO for any inpatients but would provide assessment and advice on such inpatients throughout GG&C hospitals. The use of legislation for these individuals would be initiated and done by existing AMP RMOs – the postholder would only provide consultative advice

-Community outpatient clinics and home visits

Psychiatric outpatient assessment and treatment for referred patients with ARBDs and in the general part of the job complex substance misuse problems often in the context of comorbid physical and mental illness. Referrals will generally come from other consultants and from the community addiction teams. Psychiatric emergencies are generally dealt with by crisis and community mental health teams but the postholder would be expected to be flexible in this regard.

-Direction of the work done by any speciality doctors or rotating trainees relating to this post

-Liaison and consultation with the local community addiction teams, acute hospitals and specialist nursing home services.

These services are provided by joint health and local authority workers.

-Mental health Legislation use

Approved medical practitioner use of the Mental Health Act, Adults with Incapacity Act and Adult Support and protection Act would be part of the job. The postholder would therefore require to be an AMP approved by the Board.

-Emergencies

The postholder may be required to perform duties in occasional emergencies and unforeseen circumstances at the request of the Associate Medical Director (Addictions). It has been agreed that such duties will be exceptional and that this kind of arrangement would not be for prolonged periods of time or on a regular basis in keeping with contractual arrangements.

-Clinical cover of colleagues

The 10 pa job plan would include prospective cover for a colleague’s leave. Any leave requested would require cover to be arranged in advance from another consultant. Cover for short term sudden absences e.g. sickness in a colleague consultant would also be included in the job plan.

PROPOSED TIMETABLE TBC

DAY / HOSPITAL / LOCATION
Monday
From / To: 9am-5pm am
pm / Ward round Kershaw, Gartnavel
Allocations and MDT ARBD
Tuesday
From / To: 9-5 am
pm / Out-patient Clinic East Ren
Team meetings, admin East Ren
Wednesday
From / To: 9-5 am
pm / Complex care discussions and clinical assessments ARBD
Kershaw Unit
Thursday
From / To: 9-5 am
pm / SPA
Kershaw Unit
Friday
From / To: 9-5 am / Keshaw Unit

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 / Locum Consultant
£76,001 £ 102,465 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 one 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

View all our vacanciesat:

Applicants wishing further information about the post are invited to contact Charles McMahon on 0141 800 0660 with whom visiting arrangements can also be made.

How to apply

To apply for these posts please include your CV and names and addresses of 3 Referees, along with the following documents; (click on the hyperlinks to open)

Medical and Dental Application and Equal Opportunities Monitoring Form

Declaration Form Regarding Fitness to Practice

Immigration Questionnaire

Alternatively please visit and click on the “How to Apply” tab to access application for and CV submission information.

Return of Applications

Please return your application by email to or to the recruitment address below;

Medical and Dental Recruitment Team

NHS Greater Glasgow and Clyde

Recruitment Services, 1st Floor

Modular Building, Gartnavel Royal Hospital

1055 Great Western Road

GLASGOW

G12 0XH

CLOSING DATE

The closing Date will be25 July 2014