Job Description for Consultant in Child and Adolescent Psychiatry – Eating Disorder Team This post arises due to replacement of postholder DBS Level Location Enhanced DBS with Both Barred Lists Check No. of Programmed Activities 10 (7.5 Direct Clinical Care and 2.5 Supporting Professional Activities) Professional Accountability Medical Director Operational Accountability Clinical Director of the Families, Young People and Children’s Services Key Working Relationships Divisional Director Helen Thompson Clinical Director (AMH Service) Helen Burchnall Line Manager Dr C Coffey Responsible Officer Dr Satheesh Kumar Medical Director Dr Satheesh Kumar Chief Executive Dr Peter Miller Mawson House, Leicester Page 1 of 23 1. Introduction Leicester, Leicestershire and Rutland are rich in culture, heritage, and leisure activities, from our vibrant multi -cultural city, to the market towns and rural settings. Often described as the heart of rural England, the area features beautiful country villages, the National Forest, great rivers and castles, and a popular cosmopolitan city centre, making it an exciting and diverse place to live and work. Leicester is home to the state of the art Curve Theatre, as well as large and multi-cultural festivals. The City hosts an annual Pride Parade (Leicester Pride), a Caribbean Carnival, the largest Diwali celebrations outside of India and the largest comedy festival in the UK. The area features award-winning family attractions on your doorstep including Twycross Zoo, the National Space Centre, and Twinlakes Park. Discover Roman ruins, majestic castles and historic events, including the Battle of Bosworth re-enactment at Bosworth Battlefield; or visit the King Richard III visitor centre. Experience top high-street and designer shopping in Leicester or browse the markets in our market towns. We work in close partnership with our local world-class universities, with research opportunities aplenty. Our central location in the heart of the Midlands makes Leicester, Leicestershire and Rutland accessible from all directions. It takes just 62 minutes to come to Leicester on a fast, direct train from London Leicester Page 2 of 23 2. Trust Details In April 2011, mental health and learning disability services in Leicester, Leicestershire and Rutland were brought together with local community services and families, children and young people’s services to create Leicestershire Partnership NHS Trust as we know it today. Our services are provided by over 5,500 dedicated staff, through three clinical directorates: Adult mental health and learning disability services Families, children and young people’s services Community health services Our Trust provides a range of integrated services from over 150 different locations across the Leicester, Leicestershire and Rutland (‘LLR’) region, including hospitals, longer term recovery units, outpatient clinics, day services, GP surgeries, children’s centres, schools, health centres, people’s own homes, care homes and prisons. The population of LLR is currently estimated to be just over 1 million (1,043,880 according to ONS mid-2014 estimate) meaning that LPT serves more people than the average community and mental health NHS Trust. LPT is also a teaching trust, conducting research and providing training and education for medical, psychology, nursing and therapy students. We work in partnership with a range of educational establishments such as University of Leicester, Demontfort University and Loughborough University to deliver effective pre and post-registration education and learning opportunities Our vision is “To improve the health and wellbeing of the people of Leicester, Leicestershire and Rutland by providing high quality, integrated physical and mental healthcare pathways” We deliver these services through our Trust values of compassion, respect, integrity and trust. Our Trust objectives are: To deliver safe, effective, patient-centred care in the top 20% of our peers To partner with others to deliver the right care in the right place at the right time Staff to be proud to work here, and we will attract and retain the best people To ensure sustainability As an employee of Leicestershire Partnership NHS Trust you can expect to receive an excellent benefits package, giving you access to a range of wellbeing opportunities and discounts on products and services. We have a staff physiotherapy service, recognition awards for exceptional commitment and long service, and corporate discounts for gym membership, health spa and much more. Page 3 of 23 3. Details of the role The post holder will be based with the CAMHS Eating Disorder Team at Mawson House, Leicester. The team accepts referrals of eating disorder patients from the whole of Leicester, Leicestershire and Rutland, and is commissioned to assess and treat where appropriate, 100 new patients a year. The team has benefitted from the recent round of government investment, and over the past 18 months has increased from 2.5 WTE to the present 10.6 WTE posts (16 staff members ). We have funding for paediatric time and are in active negotiations with our paediatric colleagues at Leicester Royal Infirmary with regard to the development of a specific liaison post. The CAMHS Eating Disorder Team provides specialist assessment and treatment for children up to the age of 18 who are referred with eating disorders, (such as anorexia, bulimia, binge eating disorder, Avoidant / Restrictive Food Intake Disorder) who meet the criteria for specialist mental health intervention in terms of severity and complexity of presentation, and level of impairment. The service has a strategic vision to achieve the objectives of the Access & Waiting Time Standards (NHSE 2015). Operational management of the team is the responsibility of Mr Paul Williams, and the strategic development of the team is led by team clinical psychologist, Dr Alison Eivors. The team adheres to NICE Guidelines with regard to the treatments provided and all new clinicians joining the team receive training in the Maudsley Method, for the management of anorexia and bulimia. Clinicians within the team can offer patients a broad range of treatment options where indicated, including IPT, IPT-AN, CRT, CBT, individual psychotherapy and systemic therapy. The post-holder will offer psychiatric assessment and treatment to young people who may also present with a range of co-morbid mental health difficulties (for example depression, anxiety, psychosis, and neuro-developmental disorders such as ASD and ADHD) as a member of the multidisciplinary team. In conjunction with other team members, the postholder will consult to colleagues in other services and teams when required to do so with regard to the appropriate management of patients with suspected eating disorder symptomatology. The team operates within a single point of access referral system to the generic CAMH Service, from where eating disorder referrals are re-directed, whilst also receiving some direct referrals from other Health professionals as well as generic CAMHS clinicians. Assessments are conducted as members of a triage team as well as individual clinicians where more urgent and acute response is required. The MDT members access psychiatric opinions from the team consultant as required for open cases whilst retaining case management where appropriate. Future investment in the eating disorder service is anticipated and will secure the development of an outreach model of care as well as the capacity to offer training to other health professionals and professionals from other agencies. There are well established links with the internationally renowned Leicester Adult Eating Disorder Service with whom we share operational management, and clinicians from both services work closely to ensure the smooth transition of patients from the CAMH service to the adult provision where this is required. The managerial arrangements are a recent development and we anticipate that greater opportunity for joint communication will be to the mutual benefit of both service patient groups. Page 4 of 23 The team is keen to maintain a vibrant research agenda and is currently actively recruiting to a collaborative project evaluating the impact of Family Based Treatment with researchers at the Institute of Child Health. Currently the team comprises: 1 0.7 1 2 1.2 0.5 4 WTE WTE WTE WTE WTE WTE WTE Consultant Psychiatrist Clinical Psychology Band 8c( acting clinical lead ) Clinical Psychology Band 7 Assistant Clinical Psychology posts Systemic Family Therapist Psychodynamic Psychotherapist Nursing Colleagues : Band 6 – Child and Adolescent Mental Health Services (CAMHS) CAMHS currently operates within Leicestershire Partnership Trust as a part of the Families, Young People and Children’s Services. The Service Group Manager and CAMHS Lead Consultant have full managerial and professional responsibility for CAMHS and will work closely with other head of professions within the service. CAMHS Teams There are currently three generic and four specialist out-patient teams. The West and East County Teams and the City Team are generic and cover identified geographical sectors. The two County Teams are based at the Valentine Centre in Leicester, while the City Team is located at Westcotes House, nearer the city centre. The Learning Disabilities Team at Rothesay House, provides a county and city-wide service to children and adolescents with moderate to severe learning disabilities. The Young People's Team based at Westcotes House has been developed to provide an overarching structure of mental health input to looked-after and adopted children, young offenders and homeless families. The Eating Disorder Team as described above. The Paediatric Psychology Team provides psychological assessments as outpatients to the University of Leicester NHS Trust. There is also dedicated time from a multidisciplinary staff group who provide paediatric liaison assessments to support this. There are close links with the local Psychosis, Early Intervention and Recovery Team, which accepts referrals of young people aged 14 and older in the early stages of a psychotic illness. CAMHS Generic Out-Patient Teams Leicestershire Partnership Trust CAMHS has developed a community-team based philosophy. These are multidisciplinary teams comprising psychiatrists, psychologists, community nurses, occupational therapists, with trainees of all disciplines attached when on placement. In addition there is service wide provision of Child Psychotherapy and Cognitive Behavioural Therapy with additional team members formally trained to deliver therapy within the team setting. Systemic Family Therapy has been well-established in CAMHS for many years to provide service-wide access to this therapeutic approach. The generic CAMHS Teams provide specialist assessment and treatment for children up to the age of 18. The remit of the service is to provide for young people and their families who present with a range of mental health difficulties (for example depression and anxiety, Page 5 of 23 psychosis, and neuro-developmental disorders such as ASD and ADHD) that meet the criteria for Specialist CAMHS intervention. There is a strong team identity, consisting of 3 x teams City, East and West with a single point of access for each team to deal with new referrals. The service receives approximately 3000 new referrals per year. It covers a population of just over 1 million with approximately 350,000 under the age of 18. The CAMHS outpatient service consists of 47 WTE clinical staff (consisting of psychiatrists, clinical psychologists, nurses, primary mental health workers, occupational therapists, and psychotherapists). A significant aspect of the work is collaborating with other statutory and voluntary service in the areas covered. The long-term development strategy for CAMH services in Leicester, Leicestershire & Rutland is driven and supported by the Child & Young People's National Service Framework, and by the local CAMHS Multi-agency Partnership. There is a move to implement the new Improving Access to Psychological Therapies transformational money to improve the service delivery for tiers 2 and 3. The CAMHS Service has embarked upon an exciting redesign programme which is currently in implementation phase. This will involve the remodelling of access arrangements, definition of consistent quality packages of care in an efficient and effective manner. The national Future in Mind resource, through local Transformation planning, will also provide significant additional funding to develop the Home Treatment Service, increasing outpatient capacity and the specialist team role within Leicester, Leicestershire and Rutland. Since 1999, Leicester has been at the forefront of the development of Primary Mental Health Work in CAMHS and there are now PMHWs attached to each of the generic teams, providing continuity with and consultation to, our primary care referrers. The PMHWs also operate the ‘CAMHS Advisory Service’ for referrers, providing telephone access and advice. Specialty Trainees rotate through the CAMHs service and currently there are 7 Specialist Trainee posts, with one post rotating through Northampton, and 1 Lecturer. Junior doctors are attached to teams according to their training needs. Each junior doctor is supervised by a named Consultant. In addition there are Core Trainees who will have CAMHS as part of their training experience. Leicester CAMHS is also a popular placement for trainees from other professions, including Nursing, Occupational Therapy, Clinical Psychology and Child Psychotherapy, which makes for an active and vibrant training environment. Although the main outpatient bases are at Westcotes House and the Valentine Centre, there are clinics throughout the county in a number of population centres such as Hinckley, Coalville, Melton Mowbray, Oakham, Market Harborough, Loughborough and Melton. Children and Young People with Learning Disabilities The Learning Disabilities Team provides for the mental health needs of children with moderate or severe learning disabilities, up to the school leaving-age for individuals with a Statement of Special Educational Needs, currently 18 years. The team comprises a Learning Disability Consultant, a Clinical Psychologist and specialist trained, community nurses. The Team also succeeded in securing permanent funding for the Home Intervention Project in which trained nurses initiate and supervise short pieces of focused behavioural work within a client's home, training carers as the 'therapist'. This has been consistently positively evaluated. Page 6 of 23 Young People’s Team The Young People's Team has been developed to provide an overarching structure of mental health input to looked-after and adopted children, young offenders and homeless families. The team comprises Community Psychiatry Nursing, Clinical Psychology, Primary Mental Health Work, Family Therapy and Consultant Psychiatrist. The remit and staffing of the team has expanded incrementally since its inception in 1999 and has recently won a multiagency bid to deliver Multi-systems therapy to highly vulnerable families Ward 3, Coalville Hospital Adolescent Resource Ward 3 is the residential inpatient facility for patients aged 12 to 18 years. There are currently 10 contracted beds for young people under the age of 18 and 1 emergency assessment placement. Referrals to the Adolescent Service based at Ward 3 are managed by the senior clinical staff in the unit, including Consultant Psychiatrist Dr Rathore, liaising closely with NHS England The Unit offers the possibility of 24 hour, 7-day / week care. Although the majority of inpatients return home at weekends as a matter of policy, the 7-day capacity has enabled the Unit to accept young people with more serious or acute mental health problems necessitating full-time admission. Relationship with Paediatric Services There are no inpatient psychiatric beds for children under the age of 12 in Leicester, but where necessary, arrangements can be made with the Paediatricians at the Leicester Royal Infirmary, part of the University Hospitals Leicester (UHL) Trust. There has been recent investment to develop a new Paediatric Liaison Service between CAMHS and Paediatrics and there has been considerable expansion of the Paediatric Psychology Team. Individual clinicians in CAMHS have forged informal working relationships with Paediatricians around special interests. There is additionally a Paediatric Neuropsychologist who works closely with the Paediatric Neurology Service. Academic Unit of Child Psychiatry – The Greenwood Institute The Greenwood Institute houses the Academic Unit of Child & Adolescent Psychiatry, which is part of the University of Leicester, College of Medicine, Biological Sciences and Psychology, School of Psychology. The present staffing includes a Clinical Professor (parttime in the Leicester City O/P Team); one Clinical Senior Lecturer (part-time in the Leicester City O/P Team); one non-clinical Senior Lecturer in Psychology. The lecturer/honorary ST post is vacant. The academic unit is committed to integrating the development of academic research and teaching activity, with the clinical needs of CAMHS. Following the retirement of one of the Clinical Professors the Unit is developing a new direction in moving forwards in identifying how the important partnership with the LPT and University can best be maintained for the benefit of child mental health. 4. Clinical Duties The post holder will be required to work in partnership at both strategic and operational levels with relevant and external stakeholders. The post holder will need to ensure that people who use services, carers and advocates are treated with respect and dignity The Consultant will provide clinical leadership to the MDT and be responsible with members of the multidisciplinary team for the provision of a comprehensive Eating Disorder Service to those children and young people referred with their families to CAMHS To offer psychiatric expertise and direct involvement in the areas of assessment and diagnosis, pharmacological treatments, use of the Mental Health Act and other relevant legislation in the management of children and young people referred to the team with an eating disorder. Page 7 of 23 The Consultant will provide clinical leadership in the management of complex and/or risky presentations and severe symptomatology. The Consultant has a continuing responsibility for the care of patients and for the proper functioning of the department. The consultant will liaise with the General Practitioners, hospital and community specialists and other agencies wherever relevant. The consultant will work with paediatric colleagues at the local acute site, Leicester Royal Infirmary, towards the development of a responsive and informed paediatric contribution to the care of these patients. Paediatric input will be essential to secure in crisis situations but the development of general management protocols will be integral to the delivery of a comprehensive service to patients with eating disorders safeguarding their long-term physical and mental growth. The Consultant will also undertake the administrative duties associated with the care of patients and the running of the clinical department, including the prioritisation of the case load according to need The Consultant will support the team in providing equitable medical provision across the city and county. The Consultant will be expected to provide leadership to the wider team, alongside the team manager and other senior team members within the ED team. They will liaise with the wider CAMH service and other agencies to ensure that the health and care needs of patients are met. The post holder will be required to work in partnership at both strategic and operational levels with relevant and external stakeholders. The post holder will need to ensure that people who use services, carers and advocates are treated with respect and dignity in conjunction with team and service requirements. The Consultant will liaise and collaborate closely with colleagues in the adult Eating Disorders Service around transitions for individual young people and to grow a shared vision for the provision of a seamless service. The recent introduction of joint operational management will clearly facilitate such collaboration. The post holder, who needs to be Section 12 approved under the Mental Health Act, will join the consultant non resident on-call rota which works on a second/third on call basis at the frequency of a one in eleven. On Call duties are from 9am to 9am on weekdays and 9am Saturday to 9am Monday. The consultant will contribute to the development of clinical expertise for the benefit of patients and the Service as a whole and will be responsible for offering expert advice on clinical issues, together with the maintenance of long term case work with individual patients if this is appropriate The Consultant will participate in training, teaching and supervision, as applicable within the wider service (supported by the Trust recording system U-Learn) Active participation in clinical development will be encouraged. The Trust is committed to supporting research and development activities and will provide advice on research methodology, project planning and proposal writing, subject to resource and time constraints. Active participation in clinical research will be supported where appropriate. research, audit and continuing professional Page 8 of 23 The Consultant will be expected to actively participate in regular local and Trust-wide audit. There is an active clinical audit department supporting clinical audits. The Consultant will participate in the Consultant Appraisal process and fulfil professional requirements for Continuous Professional Development (CPD). These duties are an outline of the main duties of the post. The post holder may be required to undertake other duties commensurate with the grade, and is encouraged to develop special interests in agreement with the Service Group Manager/Lead Consultant. Any changes to clinical commitments would include a review of the job plan and would take account of the experience of the post holder and the need for any additional training. It is expected that the post holder will participate in peer supervision - necessary and appropriate arrangements for this will be negotiated with the post holder. The content of this post will be reviewed in consultation with the post holder when necessary and in line with changing service needs. 5. Job Plan and Timetable The precise configuration of activities and duties will need to be negotiated between the post holder and the Divisional Clinical Director. Provisional assessment of Programmed Activities (PA’s) in Job Plan: Direct Clinical Care CAMHS Eating Disorder Team Out-Patient Clinic/Team Meeting 7.5 PA Supporting Professional Activities: CPD, administration, research and medical audit Undergraduate Teaching 2 PA’s 0.5PA Total 10 PA’s A separate availability supplement will be payable for on call duties, which are currently based on a rota of approximately 1:11. The availability supplement will be 3% (category A). The on call duties are to cover the services provided by the child and adolescent services. There are separate consultants on call arrangements for the older persons services, general adult and ID services. There is a senior trainee rota and a junior doctor rota in addition to the consultant rota. The following specimen timetable illustrates how the consultant timetable may be arranged within the current framework (subject to negotiation). The job plan and timetable may vary according to the training expertise, experience and preferences of the post holder. A. M P.M Monday Out-patients (1) Clinic-patients (2) Tuesday SMSC monthly/ Supervision/1 SPA SMSC monthly/ 1 SPA Page 9 of 23 Wednesday 0.5 SPA Out Patients (0.5) Out-patients (3) Thursday Team Meeting/Triage (4) Out-patients (5) Friday Out-Patients (6) Out-Patients(7) A formal job plan will be agreed between the appointee and the Clinical Director three months after the commencement date of the appointee. The job plan will then be reviewed annually, following the Appraisal meeting. The job plan will be a prospective agreement that sets out a consultant’s duties, responsibilities and objectives for the forthcoming year. The appointee to the post will be supported in arranging an appropriate and suitable mentor. MEDICAL ESTABLISHMENT Dr Alvina Ali Consultant Child and Adolescent Psychiatrist City Outpatient Team and YPT Dr Nisha Balan Consultant Child & Adolescent Psychiatrist County Outpatient Team Dr K Bretherton Consultant in Learning Disabilities Learning Disabilities Team Dr Araceli Carpintero Consultant Child & Adolescent Psychiatrist County Outpatient Team Dr Aditi Chaudhuri Consultant Child & Adolescent Psychiatrist City 0.5 WTE & County Outpatient Team 0.5 WTE Dr C Coffey Consultant Child & Adolescent Psychiatrist Eating Disorder Team Dr S.Davies Consultant Child & Adolescent Psychiatrist County Outpatient Team Prof N Dogra Professor in Child Psychiatry & Honorary Consultant Greenwood Institute and City Outpatient (0.5) Dr L Gatsou Consultant Child & Adolescent Psychiatrist County Outpatient Team Dr Rahat Ghafoor Consultant Child & Adolescent Psychiatry County Outpatient Team Dr K Karim Senior Lecturer in Child Psychiatry & Honorary Consultant Greenwood Institute and City Outpatient Dr Rummana Khan Consultant Child & Adolescent Psychiatry County Outpatient Team Dr F Pace Consultant Child & Adolescent Psychiatrist County Outpatient Team Dr J Prakash Consultant Child & Adolescent Psychiatrist Page 10 of 23 County Outpatient Team Dr A Rathore Consultant Child & Adolescent Psychiatrist Ward 3 Inpatient Adolescent Unit, Coalville Dr A Witcomb Consultant Child & Adolescent Psychiatrist City Outpatient Team 0.8 WTE 6. Management Duties There are no formal management or leadership responsibilities attached to this role but the Trust is keen that Consultants are supported to take on additional key roles and become involved within LPT, dependent on interests and skills. Examples of such roles include Medical Quality Leads, Named Doctor for Adults/Children’s Safeguarding, Suicide Prevention Medical Lead, e-Prescribing Lead and a variety of educational roles. The post holder will be required to work with consultant colleagues to arrange prospective cover during periods of planned absence, including reciprocal cover duties. The post holder is expected to be actively involved with clinical governance within the service and Trust. The post holder will participate in service evaluation and information gathering exercises designed to gain a better understanding of the functioning of the service in order to monitor performance and underpin future service development. 7. Secretarial support and office facilities There will be dedicated administrative support for the medical team (consultant and junior medical staff) supported by a team administrative structure. The post holder will have access to a private room which has full access to Trust clinical systems via a personal computer. 8. Education – Teaching and Training Leicestershire Partnership NHS Trust is a teaching organisation. The Associate Medical Director for Medical Education is Dr Judith West. There are plenty of opportunities for candidates interested in undergraduate or postgraduate teaching. There are also opportunities for the successful candidate to contribute to the education of students in other professions. There is an active postgraduate training programme in place for trainees. The 2013 GMC Good Medical Practice document (Domain 3 teaching, training, supporting and assessing 39-43) clearly states that all doctors should be willing to contribute to teaching, training, appraising and assessing doctors and students because these activities are fundamentally important to current and future patient care. LPT is a teaching Trust and Consultants will normally have undergraduate medical students placed with them during clinical duties and are expected to teach alongside clinical service work as part of their duties with time embedded in Direct Clinical Care (DCC) activities to undertake this role. In addition some consultants will undertake additional undergraduate teaching duties which will be recognised as part of their SPA allowance (up to 0.5 PA) and recorded in their job plan. They will be recognised as Clinical Teachers where they meet the required criteria. Page 11 of 23 Further details may be found at: https://www2.le.ac.uk/colleges/medbiopsych/people/documents/clinical-teachers-guidance Duties will include acting as examiners in medical school assessments, providing seminar and small group teaching, lecturing & other Phase 1 teaching within the medical curricula, in addition to individual supervision and feedback for clinical students attached to them. The exact duties to be undertaken will be determined by the Associate Medical Director for Medical Education in liaison with the Clinical Education/Block Leads, who are responsible to the Head of Medical Education. All members of medical staff are actively encouraged to take advantage of the Postgraduate Training programme. The Trust employs a Postgraduate Medical Education lead and three Consultants are designated as Core Educational Tutors. There are libraries at each of the hospitals and teaching facilities and a Teaching and Staff Development Centre on the Glenfield Hospital site for multi-disciplinary use. There are journal clubs, regular audit meetings and an Open Programme as part of the Postgraduate teaching. 9. Continuous Professional Development (CPD) Newly recruited Consultants will attend the mandatory Trust induction and be provided with a local induction within the Service. The Trust encourages new consultants to work with a mentor and will support consultants with this. It is expected that the post holder will become a member of a PDP group, and will take part in appraisal, and be in good standing for CPD with the Royal College of Psychiatrists. The post holder will have access to study leave, and funding for appropriate courses, as agreed by the Trusts’ Study Leave Committee. Each consultant will have access to funds within the medical educational and professional leave budget and there is an allowance of 30 days over a three year period to support CPD. 10. Research and Clinical Audit LPT is committed to developing, hosting and delivering research through our partnerships and collaborations with local, national and international academics, NHS and other organisations. We are partners of several National Institute of Health Research (NIHR) bodies including the Clinical Research Network: East Midlands (CRN:EM) and the Collaboration for Leadership in Applied Health Research and Care (CLAHRC:EM). Our research activities are in a wide range of areas including children’s services, child and adolescent mental health, community health, dementia, eating disorders, Huntingdon’s disease, integrated care, learning disabilities, mental health, psycho-oncology and telehealth. Since 2013 we have enabled over 3,000 of our service users and carers to be participants in studies adopted onto the NIHR portfolio. LPT has facilities for research activities such as a clinic room for clinical trial appointments, rooms for research interviews or focus groups. It also supports staff with grant applications, research skill development and signposting for collaborative partners and further expertise as required in areas such as intellectual property protection. Research and development is explicitly supported in the Trust objectives and clinical strategy. The Medical director is the executive lead for research. The R&D department is headed by Prof Susan Corr. The Trust has strong links with all the regional universities (Leicester, De Montfort and Loughborough) and proactively supports Clinical Academic Career pathway developments for all professional groups. There is a monthly LPT wide Page 12 of 23 research forum, regular themed research workshops to encourage and support clinical research and regular communications of research opportunities. Clinical Audit is a Quality Improvement process which leads to improvements in patient care. Each year LPT undertakes around 300 clinical audits, including national audits, audits set by the commissioners that form part of our Quality Contract and local audits initiated by clinicians. All stages of LPT’s Clinical Audits are overseen by the Clinical Audit Team who work with clinicians to ensure audits are appropriate and well designed. The Clinical Audit Team can help analyse data, write the report and action plan. All proposals and reports are reviewed by the Clinical Audit Team before passing onto the relevant group for approval. There are a wide range of resources to help clinicians available to download from the Clinical Audit section of the LPT staff intranet. Participants receive a Certificate of Participation in Clinical Audit which can contribute to revalidation and appraisal 11. Appraisal and Revalidation All Consultants will maintain appropriate records such that the General Medical Council will grant successful revalidation of fitness to practice at the appropriate time. All consultants are expected to participate in annual appraisal and to undertake a 360° appraisal on a five yearly cycle. The Trust has a large number of trained appraisers and the Deputy Medical Director, Dr Saquib Muhammad is the Trust appraisal and revalidation lead. Responsible Officer is the Medical Director. 12. Health and Safety It is the duty of all employees of the Trust to ensure that a safe working environment and safe working practices are maintained at all times. Any specific duties you are required to fulfil as part of the job you are employed to undertake will be detailed as part of your job description. All employees must comply with the duties imposed on them by the Health and Safety at Work Act 1974, i.e. To take responsibility for the Health and Safety of themselves and of other persons who may be affected by their acts or omissions at work. To co-operate with their employer as far as is necessary to meet the requirement of the legislation. Not to intentionally or recklessly interfere with or misuse anything provided in the interest of health and safety or welfare These duties apply to all staff whenever and wherever they are engaged on Trust business 13. Terms and Conditions of Service The post is covered by the Terms and Conditions of Service for Consultants (England) 2003 as amended from time to time. The following is a summary of the main terms and conditions together with the benefits of joining Leicestershire Partnership NHS Trust. Salary: The commencing salary and subsequent progression through the pay thresholds will be in accordance with schedule 14 of the terms and conditions of service for Consultants (England) 2003. The first pay threshold from 1 April 2016 is £76,001 per annum. Annual Leave: Entitlement will be 32 days per annum for whole time Consultants, increasing to 34 days on completion of 7 years’ service as a Consultant. In addition there is Page 13 of 23 entitlement to 8 Public/Bank Holidays. For consultants contracted to work less than 10 PAs per week, annual leave, including Public/Bank Holidays will be calculated pro rata. Consultants are expected to provide cover for colleagues for leave and other authorised absences from duty upon a mutually agreed basis. Work Life Balance: The Trust is committed to ensuring that staff are able to achieve a balance between the demands of work and their domestic, personal and family circumstances. Special and compassionate leave is available through the Special Leave policy. Sickness Absence: The Trust has in place an Attendance Management Policy. Consultants that are absent from work due to sickness will be entitled to sick pay in accordance with Schedule 18 of the Terms and Conditions of Service. Relocation Expenses: The post holder will be required to maintain his/her private residence in contact with the public telephone service and to reside within a distance of 40 minutes or within 25 miles by road from their base unless prior specific approval for a greater distance is given by the Trust. A removal expenses package may be payable to the successful candidate. Travelling Expenses: The post holder must be able to undertake local travel to fulfil the duties of the post and must be able to fulfil on call responsibilities. Travelling, subsistence and other expenses incurred through work will be reimbursed in accordance with Schedule 21 of the Terms and Conditions of Service. Expenses do not form part of Consultant’s pay and are not pensionable. Registration: The Trust requires the Consultant to have and maintain full registration with the General Medical Council and advises medical staff to continue membership of a Medical Defence Organisation or private insurance scheme. Rehabilitation of Offenders Act: The post is exempt from the provisions of Section 4(2) of the Rehabilitation of Offenders Act 1974 by virtue of the Rehabilitation of Offenders Act 1974 (Exceptions) Order Act 1974. Applicants are therefore not entitled to withhold information about convictions which for other purposes are ‘spent’ under the provisions of the Act and in the event of employment any failure to disclose such convictions could result in dismissal or disciplinary action by the Trust. Any information given will be considered only in relation to an application for positions to which the Order applies. The appointment will also be subject to completion of a satisfactory health screen. Policies and Procedures All staff should comply with the Trust’s Policies and Procedures. It is the employee’s responsibility to ensure that they are aware of the relevant Policies and Procedures for their area of work. Key Policies and Procedures will be explained as part of local induction arrangements Safeguarding Children and Adults The Trust takes the issues of Safeguarding Children and Adults, and addressing domestic violence very seriously. All employees have a responsibility to support the Trust in its duties by adhering to all relevant national and local policies, procedures, practice guidance and professional codes; promptly reporting any concerns to the appropriate authority in line with safeguarding policy and guidance; attending mandatory training on Safeguarding children and adults; being familiar with individual and the Trust’s requirements under relevant legislation. Mental Capacity Act Page 14 of 23 All clinical staff will be aware of their responsibilities under the Mental capacity Act and will ensure that assessment for Deprivation of Liberty Safeguards is in place for any patient that is deemed to lack capacity to consent to their care and treatment. Making Every Contact Count All staff are positively encouraged to contribute to improving health for themselves, their patients, service users and colleagues. This happens when, in everyday contact, the opportunity is taken to raise the subject of choosing better health by stopping smoking, reducing alcohol intake, eating more healthily and becoming more active. The Trust’s Making Every Contact Count programme has further information Data Protection In line with national legislation, and the Trust’s policies, you must process all personal data fairly and lawfully, for the specific purpose(s) it was obtained and not disclosed in any way incompatible with such purpose(s) or to any unauthorised persons or organisations, unless a lawful exemption applies. The post holder must be familiar with and comply with the all Trust Policies on Data Protection, Confidentiality and Information Security and requests for personal information. The post holder must be familiar with and comply with the Eight Data Protection Principles contained within the Data Protection Act 1998. Personal Data must be: Processed fairly and lawfully Processed for specified purposes Adequate, relevant and not excessive Accurate and kept up-to-date Not kept for longer than necessary Processed in accordance with the rights of data subjects Protected by appropriate security Not transferred outside the EEA without adequate protection Confidentiality The Trust attaches the greatest importance to patient confidentiality and to the confidentiality of personal health data, personal data and other data held and processed by the Trust. All data should be treated as confidential and should only be disclosed on a need-to-know basis. Some data may be especially sensitive and is the subject of a specific organisation policy, including information relating to the diagnosis, treatment and/or care of patients and service users, as well as individual staff records. Under no circumstances should any data be divulged or passed on to any third party who is not specifically authorised to receive such data. In addition, staff must not access personal information unless authorised to do so as part of their role. Due to the importance that the organisation attaches to confidentiality, disciplinary action will be considered for any breach of confidentiality. All members of staff are expected to comply with national legislation and local policy in respect of confidentiality and data protection. With the increased use of information technology and e-communications, staff should also be aware that safe guards are in place to protect the privacy of individuals when using these mechanism, both inside and outside of work. This includes the use of social media i.e. Facebook, Twitter, Snapchat etc. Where privacy is breached disciplinary action will be considered. Page 15 of 23 All employees should be mindful of the seven Caldicott principles when dealing with person identifiable information. 1. 2. 3. 4. 5. 6. Justify the purposes of using confidential information Only use it when absolutely necessary Use the minimum that is required Access should be on a strict need to know basis Everyone must understand his or her responsibilities Understand and comply with the law 7. The duty to share information can be as important as the duty to protect patient confidentiality If there is any doubt whether or not someone has legitimate access to information, always check before you disclose. Equality and Diversity We aim to design and provide services and employment practices that meet the diverse needs of our service users and staff, ensuring that none are placed at a disadvantage over others. You will be expected to take into account the provisions of the Equality Act 2010 to advancing equal opportunity. You must to act in your role to ensure that no one receives less favourable treatment due to their protected characteristics i.e. age, disability, gender reassignment, marriage and civil partnership, pregnancy and maternity, race, religion or belief, sex (gender) or sexual orientation. In carrying out its functions, you must have due regard to the different needs of different protected equality groups in their area. Infection Control All employees have a responsibility to protect from infection themselves and other people, whether they be patients, other staff or visitors, as well as making all reasonable effort to reduce or prevent the risk of infection in their working environment. All staff have a duty to make themselves familiar with and comply with Infection Prevention and Control Policies and Procedures, carry out duties required by legislation such as the Health and social care Act 2008 (updated 2015) (and subsequent legislation), and to attend mandatory training relating to infection prevention and control. Counter Fraud Staff are expected to report any incidences of potential fraud to the Counter Fraud Helpline on 0800 028 40 60. The post holder may be required to work at any of the other sites within LPT subject to consultation. LPT has to continually modify and improve its service. This will inevitably mean that modification of structures and thus job descriptions may prove necessary. The post holder will be expected to co-operate with changes, which the Chief Executive may wish to introduce, subject to consultation. 14. Visiting Arrangements Candidates are actively encouraged to discuss the post or arrange to visit the Service by contacting the following in the first instance. Page 16 of 23 Dr Catherine Coffey Consultant Psychiatrist / Lead Consultant CAMHS CAMHS Eating Disorder Service, Mawson House, 62 – 68 Valence Road, Leicester. LE3 1AR Alison Silver , Team secretary [email protected] 0116 2950310 Mr Adam Mckeown Service Group Manager Children and Families Services Leicestershire Partnership NHS Trust Bridge Park Plaza Bridge Park Road Thurmaston Leicester LE4 8PQ Via Duane Bale, Personal Assistant 0116 295 1365 [email protected] Other Contacts: Dr Satheesh Kumar Medical Director 0116 295 0815 Page 17 of 23 APPENDIX 1 Detailed Breakdown of our Services Clinical Directorate – Adult Mental Health/Intellectual Disabilities Adult Mental Service Inpatient Services Complex Care Ashby Ward Aston Ward Beaumont Ward Bosworth Ward Belvoir Psychiatric ICU Heather Ward Thornton Ward Crisis Resolution & Home Treatment Team Chronic Fatigue Deliberate self-harm General liaison psychiatry Day care and ECT Assertive Outreach Multi Agency Public Protection Arrangements (MAPPA) Prison Healthcare Forensic Services Huntingdon Disease Complex Inpatients Community Services Community Mental Health Teams Learning Disability Service Inpatient Services The Agnes Unit (Assessment & Treatment) Short Breaks Community Services The Outreach Team South and East Community Learning Disability Team City Community Learning Disability Team North and West Community Learning Disability Team Primary Healthcare Facilitation Nursing Team Page 18 of 23 Clinical Directorate – Community Health Services Care Home Project Care Home Project Community Matrons Community Matrons District Nursing District Nursing Intermediate Care & Community Hospital Beds Intermediate Care Loughborough Hospital Coalville Hospital St Luke’s Hospital Fielding Palmer Hospital Melton Hospital Rutland Hospital Ashby Hospital Hinckley Hospital Podiatry Podiatry Primary Care Coordinators Primary Care Coordinators (UHL) Rapid Response Teams City Rapid Intervention Team Reablement Community Physiotherapy Occupational Therapy Single Point of Access Single Point of Access Specialist Nursing Cardiac Respiratory Community Health Volunteer Scheme Community Health Volunteer Scheme Older People Mental Health Services Older People (MHSOP) Community Services Intensive Community Assessment & Treatment Service MHSOP Physiotherapy Younger Persons’ Memory Service Older People Inpatients Gwendolen Ward Coleman Ward Welford Ward Wakerley Ward Clarendon Ward Kirby Ward Ward 4, Coalville Page 19 of 23 Clinical Directorate – Families, Young People and Children Children’s Occupational Therapy Children’s Physiotherapy Speech and Language Therapy Diana Children’s Services Health Visiting School Nursing Dietetics Public Health Stop! Smoking Cessation CAMHS Community Outpatients CAMHS Inpatient CAMHS Daycare CAMHS Learning Disabilities Drug and Alcohol Psychosis Intervention and Early Recovery Eating Disorders Page 20 of 23 APPENDIX 2 University of Leicester College of Medicine, Biological http://www2.le.ac.uk/colleges/medbiopsych Sciences and Psychology Pro-Vice-Chancellor, Head of College & Dean of Medicine: Professor Philip Baker BM BS, DM, FMedSci The University of Leicester, with Leicestershire Partnership NHS Trust, is committed to enhancing the partnership between academia and the NHS in Leicester. A strong synergy between our organisations is the key to success. The College’s mission is to pursue the highest standards of research, education and training in biomedical and related subjects, and to apply this knowledge and expertise to enhance the quality of life and economic prosperity of populations, both locally and in the wider world. Its considerable academic resources mean that it is widely recognised for the international impact of its research and the quality of its undergraduate and postgraduate teaching. This is an exciting time to join a dynamic academic enterprise and contribute to its development. The College is creating the academic and physical environment to enable scientists and clinicians to work together across traditional boundaries to address some of the key outstanding questions in biomedical research and to engage with increasing effectiveness with commercial and public bodies. The College brings together 8 academic departments: Cancer Studies, Cardiovascular Sciences, Genetics, Health Sciences, Infection, Immunity and Inflammation, Medical Education, Molecular and Cell Biology and Neuroscience, Psychology and Behaviour; and the Diabetes Research Centre, which reflect the College’s research strengths. There is also an interest in research which underpins teaching & learning. Valuable academic benefits derive from close collaboration with the MRC Toxicology Unit, housed in the Hodgkin building linked to the College. (http://www2.le.ac.uk/colleges/medbiopsych/research) The College’s central provision in support of research and teaching includes a Core Biotechnology Service (covering bioinformatics, imaging technologies and protein and DNA facilities); a Central Technical Service (supporting teaching laboratories); a Clinical Trials Unit and a Central Research Facility accommodating new medical research technologies and housing, thereby providing the best conditions for the animals (mostly rats and mice) used in medical research. Major contributions made by consultant colleagues to the academic mission through research, teaching and education, clinical leadership, enterprise and innovation are recognised by the award of a range of honorary titles from Honorary Fellow through to Honorary Professor. Page 21 of 23 Psychiatry at the University of Leicester Staff are based within the Department of Health Sciences, Department of Neuroscience, Psychology and Behaviour (Child & Adolescent Psychiatry) and Cancer Studies. The groups leading on research interests within the field of Psychiatry are as follows; Social & Epidemiological Psychiatry - Professor Terry Brugha, Department of Health Sciences Epidemiology of adult autism spectrum disorder aetiology and prevention of common and peri-natal mental disorders policy information and interpretation of large survey datasets validity and reliability of measures of outcome and of determinants, effective health care of severe mental disorders International Mental Health - Child Psychiatry - Professor Vostanis, Professor Dogra, Dr K Karim (Senior Clinical Teaching Fellow), Department of Neuroscience, Psychology and Behaviour programmes in interventions for and prevention of child psychiatric disorders development of evaluations of child mental health services multi-agency training in child mental health in primary care settings development and evaluation of the psychiatric components of undergraduate medical education Psychiatry for the Elderly - Professor Lindesay (Emeritus Professor), Dr Prettyman (Honorary Senior Lecturer), Department of Health Sciences Multi-centre collaborations in large treatment trials Smell identification function in Alzheimer’s disease Blood markers and high defined neuroimaging in dementia Retinal changes in Alzheimer’s disease Characteristics and longitudinal outcome in people assessed in Younger Person's Memory Service Systematic screening for cognitive deficits following TIA Schizophrenia - Professor Al-Uzri (Honorary Professor); Professor Reveley (Emeritus Professor) neuropsychology, psychophysiology, neuroimaging and treatment of the psychoses and other neuropsychiatric disorders cognition fMRI and frontal lobe function in schizophrenia eye movements in psychosis and neuropsychiatric disorders. Learning Disability- Professor Sabyasachi Bhaumik (Honorary Professor), Dr Reza Kiani (Honorary Senior Lecturer) and Dr Regi Alexander (Honorary Senior Lecturer). Lifestyle and long term conditions in people with LD Sensory Impairment and Mental Health in LD Epidemiology of LD, LD and offending behaviours Page 22 of 23 Dr Alex Mitchell – Honorary Professor, Cancer Studies. psycho-oncology screening and diagnosis systematic reviews Most of the teaching and research accommodation is based at the Centre for Medicine. Academic staff are also based at the Bennion Centre, Glenfield Hospital Site. Child & Adolescent Psychiatry is located at the Greenwood Institute of Child Health alongside the Leicestershire Child and Health Family Psychiatric Service based at Westcotes House, Westcotes Drive, Leicester as well as the Agnes Unit. A magnetic resonance imagining scanner at the Leicester Royal Infirmary has available facilities for the quantitative examination of MRI scans. There are also opportunities for collaboration with major research themes in the Department of Health Sciences including Genetic Epidemiology & Biostatistics, Complex Chronic Conditions and Health Services Research, and with other research Departments in the fields of Medicine, Biochemistry and Medical Genetics. In addition the College has a neuroscience and behaviour research theme led by Professor Ian Forsythe which provides an important forum for interaction with Neuroscientists from outside the College and other Institutions. Leicester has particular strengths in fundamental neuroscience and receives substantial funding from UK Research Councils, the EU and numerous charitable foundations. Strengths include synaptic transmission, learning and memory, stress and anxiety pain, auditory physiology, circadian rhythms and behavioural neuroscience. Interests in the development and application of genetic models of neurodegenerative conditions are complemented with clinical expertise in these areas. The principal undergraduate teaching responsibility is in the nine week psychiatry block in the fourth year, working in conjunction with the University Department of Medical Education. Consultants in general adult psychiatry usually have a student attached to their firm. Students also spend one week attachments in Child Psychiatry and Old Age Psychiatry. Page 23 of 23
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