Post on 17-Apr-2022
transcript
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JOB DESCRIPTION & PERSON SPECIFICATION
SPECIALTY DOCTOR
IN
ADULT FORENSIC MENTAL HEALTH AT RAVENSWOOD HOUSE
Post and specialty: Specialty Doctor in Forensic Psychiatry
This is a replacement post
Base: Ravenswood House
Contract: Number of programmed activities: 10
Accountable professionally to:
Dr Karl Marlowe, Medical Director
Accountable operationally to:
Mark Morgan, Divisional Director, Mental Health & Learning Disability Division
Nicki Brown, Associate Director
Key working relationships and lines of responsibility:
Line Manager : Dr Jim Ormsby
Associate Director: Rob Guile
Medical Director : Dr Karl Marlowe
Chief Executive : Dr Nick Broughton
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INDEX
Item Page No
About Southern Health 3
Job Description 4
Service details – the post 4
Local working arrangements 5
Continuing Professional Development (CPD) 5
Clinical leadership and medical management 6
Appraisal and job planning 6
Teaching and training 6
Research 7
Clinical governance 7
Clinical duties of post-holder 7
General duties 8
External duties, roles and responsibilities 9
Secretarial support and office facilities 9
Support for medical staff 9
Other duties 9
Work programme 9
On-call and cover arrangements 10
Contract agreement 10
Leave 10
Job plan 10
Visiting arrangements 10
Approval of this job description by the Royal College of Psychiatrists 11
Additional Information 11
Appendix 1: Person specification/selection criteria 12
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Introduction
About Southern Health NHS Foundation Trust
Southern Health NHS Foundation (SHFT) Trust was established on 1st April 2011
following the merger of Hampshire Partnerships NHS Foundation Trust and
Hampshire Community Health Care Trust.
SHFT provides specialist mental health services, learning disability services,
community physical health services including community hospitals and specialist
inpatient units, and primary care across Hampshire, and is one of the largest
providers of its kind in the country.
SHFT provides care to around 240,000 people each year, and employs over 6000
people, including doctors, nurses, therapists and support staff.
SHFT is funded by NHS England, local Clinical Commissioning Groups and local
authorities, receiving around £300 million each year. SHFT delivers over 4600
outpatient appointments each week and nearly 1.5 million contacts with patients in
the community each year.
SHFT is part of the Hampshire and Isle of Wight Sustainability & Transformation
Plan. It has an active research department and is a teaching trust, delivering training
and teaching to trainees from a range of clinical backgrounds.
SHFT has five operational divisions, four of which are geographically based and the
fifth, Specialist Services, which includes Learning Disability Services and Secure
Mental Health Services and is the divisional location of this post
For more information on the Trust and services, visit the Trust website at:
http://www.southernhealth.nhs.uk/
Job Description
1. Service details – the Post
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An exciting opportunity has arisen for the post of specialty doctor in Forensic
Psychiatry in Ravenswood House. This is a replacement post.
The Specialist Services Division consists of a range of specialist inpatient and
community services for adolescents and adults.
Forensic services are a part of this Division and include both in-patient and out-
patient service provision.
Inpatient forensic services consist of the following:
Ravenswood House – adult medium secure hospital, 79 beds, male only
Southfield – adult low secure hospital, 28 beds, male and female
Ashford – adult low secure hospital for people with learning disabilities, male
only
Bluebird House – adolescent medium secure hospital, 20 beds, male and
female
Austen House – adolescent low secure hospital
Community forensic services include:
Outpatient Personality Disorders & Pathfinder service
Community Forensic Team
Community Forensic Learning Disability Team
Stalking clinic
A new adolescent low secure service is being developed, and there are plans for a
comprehensive re-provision of adult secure services.
Adult Forensic Services
Ravenswood House, Southfield and the Community Forensic Team provide
assessment, care and treatment for adult patients from Hampshire, Dorset and Isle
of Wight, serving a population of 1.3 million people. The two inpatient hospitals
provide treatment and care for individuals, detained under the Mental Health Act,
who present with a range of complex diagnostic and risk related treatment needs.
They accept referrals from hospital and custodial settings.
Ravenswood House medium secure hospital was one of the first regional secure
hospitals in the country, established in 1985 as a result of the recommendations in
the Butler and Glancy Committees. It is located in Fareham.
Southfield low secure rehabilitation hospital, which opened in 2005, has 28 beds and
is located in Tatchbury Mount in Totton. Southfield has both male and female beds
and a strong rehabilitation focus.
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Adult forensic services in the Trust are a part of the Thames Valley & Wessex New
Care Model pilot programme along with other regional providers. An important focus
of these pilots is to ensure that individuals receive care close to home where
possible, and this is an area of priority for the service.
Female patients from our catchment area who require medium secure and enhanced
low secure care are placed in Oxfordshire services under the New Care Model pilot
programme.
2. Local working arrangements
The Trust is seeking to appoint a specialty doctor in Forensic Psychiatry to join the
existing consultant and junior doctor team at Ravenswood House. This is a full-time
replacement post.
Ravenswood House has an established multi-disciplinary team, with non-consultant
medical staff, psychology, occupational therapy, social work and nursing and health-
care support work provision. There is provision of primary care and specialist
diabetes input as well as excellent links with secondary care physical health
services.
In addition to having an inpatient caseload, the consultant teams provide community
forensic liaison to local general adult services, for example opinions on risk
management, future possible referrals, post-discharge advice and care pathway
transition. Each consultant team may have approximately 5 community patients at
any one time. Consultant teams also hold a caseload providing in-put to patients
placed in out-of-area beds (low to high security), including reviews for potential
repatriation in-area.
3. Continuing professional development (CPD)
The Trust is committed to supporting development of its staff and is supportive of
mentorship. It is expected that medical staff will become members of a peer group
to review their continuing professional development within the frame work of the
Royal College of Psychiatrists. The post holder is expected to attend relevant
lectures and seminars as part of the internal CPD programme and to engage with
the development programme for SAS doctors within the Trust.
A full range of additional training and development courses and opportunities are
available within the Trust and externally. The Trust also supports incentive for
professional development in mental health and partnership with the University of
Southampton. This provides a diverse programme of high quality multi professional
courses locally involving the participation of national and international experts.
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The post holder will be entitled to a maximum of 30 days study leave over a three
year period pro rata. There is an allocated study leave budget for the individual
(£600 per doctor). The post holder will be expected to work within existing
management and leadership structures. Depending on experience, there may be
opportunities for the post holder to be involved in the strategic development of the
services provided by Ravenswood House along with senior team members.
4. Clinical leadership and medical management
The Trust has a management and leadership structure which devolves significant
responsibility and authority, to a local level, through service line management.
5. Appraisal and job planning
Annual appraisal will take place with a trained medical appraiser. This will provide all
the information necessary for the General Medical Council revalidation process. The
post-holder will use the Trust prescribed electronic system for job planning and
appraisal. The Trust has appointed a number of trained appraisers, and specialty
doctors can choose their appraiser from this list.
Responsible Officer: Dr Karl Marlowe, medical director
There is a development programme for all specialty doctors and the post-holder will
be expected to participate in this.
The post-holder will have a comprehensive local induction, in addition to the Trust
induction.
6. Teaching and training
There is significant involvement throughout the Trust in undergraduate medical
education, with staff working in the Specialised Services playing a very active part in
the teaching of medical students from the University of Southampton. At present
students have psychiatry attachments from Southampton University. Each locality
will have a lead and a graduate teaching.
Although the post holder will not have any regular teaching commitments, it is
anticipated they would generally support the ad hoc teaching and education of any
medical students placed within the service.
The post-holder may participate in a wide range of teaching activities. These may
include:
Seminars and clinical teaching to undergraduates especially medical students
from University of Southampton Medical School
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Teaching of medical and other staff in psychiatric hospitals and community
teams
Teaching doctors in training
Teaching staff in other agencies
Organisation of teaching conferences as required
Contributions to Journal Clubs
Supervise and contribute to research
7. Research
Although we are not an academic department, we are from time to time asked to
contribute to research and development within the Trust. Although the post holder
will have no regular research commitment, it is anticipated that they would cooperate
with requests for involvement in research from within the Trust and outside
organisations.
8. Clinical Governance
All staff are expected to contribute to clinical governance. Ravenswood House and
Southfield have clinical governance meetings which are clinically led; these report to
specialised services governance and operational meetings. There is a strong focus
on learning from incidents and embedding quality improvement activity in both
services.
The Trust expects clinical governance to include evidence based practice, risk
management, policy and procedure, user and carer involvement and clinical audit.
9. Clinical duties of post-holder
Clinical duties of the post will include:
1. The post holder will work in conjunction with Trainee Psychiatrists and the
Consultants at Ravenswood House to provide a service for our 79 inpatients.
2. To provide medical management for inpatients on a day to day basis.
3. To provide regular psychiatric reviews of inpatients.
4. To contribute to risk assessment and risk management undertaken by the
Multi-Disciplinary Team.
5. To provide routine psychiatric advice and support to colleagues within the
Multi-Disciplinary Team.
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6. To ensure with medical colleagues that cover is provided for Ravenswood
House during normal working hours.
7. It is expected that you will arrange cover for your annual leave with the other
Trainee Doctors and that they in turn will cover your leave.
8. The post holder will ensure that his/her prescribing practice follow Trust
Policies and will ensure that they keep up to date with clinical advances in treatment.
9. Set personal objectives for career development and ensure these tie in with
the other responsibilities of the post.
10. To provide pre-admission assessment and advice for patients who are
referred to our service; and to prepare assessment reports under consultant
supervision
11. To complete reports as necessary, depending on experience, including
Medicolegal Reports, Mental Health Act reports to the Ministry of Justice or the
Mental Health Tribunal etc.
10. General duties
To undertake the administrative duties, including the use of RIO associated
with the care of patients.
To ensure that clinical activity is accurately and comprehensively recorded
and submitted to the Information Department.
To participate in annual appraisal.
To comply with the Trust's agreed policies, procedures, standing orders and
financial instructions.
The post holder will be expected to work with local managers and professional
colleagues in the efficient running of services and will share with consultant
colleagues in the medical contribution to management.
To attend and participate in the academic programme of the Trust, including
lectures and seminars as part of the internal CPD programme
To maintain professional registration with the General Medical Council and to
abide by professional codes of conduct
11. External duties, roles and responsibilities
The Trust actively supports the involvement of the consultant body in regional and
national groups subject to discussion and approval with the medical director and, as
necessary, the chief executive officer.
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12. Secretarial support and office facilities
The post holder will have their own desk, access to a secretary and work station,
email and internet access.
13. Support for medical staff
There is a dedicated medical Human Resources team with considerable expertise in
supporting medical staff. This department manages contracts, rotas, sickness,
locums and leads recruitment.
14. Other duties
From time to time it may be necessary for the post-holder to carry out such other
duties as may be assigned, with agreement, by the Trust. It is expected that the
post-holder will not unreasonably withhold agreement to any reasonable proposed
changes that the Trust might make.
15. Work programme
It is envisaged that the post holder will work 10 programmed activities over 5 days.
Following appointment there will be a meeting at no later than three months with the
clinical manager to review and revise the job plan and objectives of the post holder.
Sample weekly timetable: Monday
09.00 – 13.00 13.00 – 17.00
Ravenswood House Ravenswood House
Admin, clinical meetings, bed management Academic Programme, governance meeting, clinical duties
Tuesday
09:00 – 13:00 13:00 – 17:00
Ravenswood House Ravenswood House
Clinical duties/admin CPD/Audit/Teaching
Wednesday
09:00 – 13:00 13:00 – 17:00
Ravenswood House Ravenswood House
Assessment Ward duties/Admin/CPD
Thursday
09:00 – 13:00 13:00 – 17:00
Ravenswood House Ravenswood House
Assessment Ward duties/Admin/CPD
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Friday
09:00 – 11:30 11:30 – 12:30 13.00 – 17.00
Ravenswood House Ravenswood House Ravenswood House
Ward round CPA
.
16. On-call and cover arrangements
There is no on-call requirement for this post. The post-holder will be expected to
make appropriate cross-cover arrangements in place with the junior medical
colleagues based in Ravenswood House (CT and StR) for annual and study leave.
17. Contract agreement
The post will be covered by the terms and conditions of service for Hospital Medical
and Dental staff (England and Wales) as amended from time to time. Contracts have
been agreed with the BMA local negotiators, but individuals may wish to discuss this
further before acceptance.
18. Leave
Entitlement will be in line with the post-holder’s experience in the NHS. For medical
staff who work part time, annual leave, including Public/Bank Holidays will be
calculated pro-rata.
19. Visiting arrangements
Candidates are encouraged to visit and should contact Dr Jim Ormsby or Dr Lisa
Gardiner on 02380 874600 to make the necessary arrangements.
20. Approval of this job description by the Royal College of
Psychiatrists
This job description and person specification was approved by the Royal College of
Psychiatrists’ regional advisor on DD/MM/YYYY.
21. Additional Information
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Relocation Expenses
The successful candidate may be eligible to apply for assistance with removal and
associated expenses in accordance with the Trust’s policy.
Interview Expenses
Public transport rate for expenses will be reimbursed to shortlisted candidates for
costs associated with making a pre-interview visit. Subject to the prior agreement of
the trust, shortlisted candidates who make a second visit may be granted expenses
on this occasion also.
For candidates travelling from abroad, expenses are payable only from the point of
entry into the UK. Candidates for consultant’s appointments may not be reimbursed
for more than three attendances.
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Appendix 1: Person specification/selection criteria
As an Equal Opportunities employer, the Trust welcomes applications from candidates with lived experience of mental health
issues.
Attribute
Essential Desirable How Assessed
Professional
Qualifications
• Recognised basic Medical Degree
• Full GMC Registration with license to
practice
• MRCPsych.
• Section 12(2) approved
Application
2. Clinical
Experience
• 3 years full time hospital service in
Psychiatry (CT3 or higher grade) since
registration
• Experience of assessing and treating
patients in acute & community psychiatric
settings
• Knowledge of UK Hospital Systems (or
equivalent)
• Experience in other Psychiatric
sub specialities
• Experience in Forensic
Psychiatry
Application,
Interview
3. Skills and
Knowledge
• Ability to take a full Psychiatric history,
mental state and physical
examination on older patients
• Evidence of performance that is
above average
• Knowledge of Risk Management
Application,
Interview,
References
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• Ability to manage own time, workload
and prioritise clinical workload
• Excellent written and oral
communication skills
• Dictate clear, concise letters to other
professionals
• Competent to work without direct
supervision
• Good understanding ICD 10 diagnoses,
psychotropic medication and
psycho-logical therapies
• Ability to use IT, including e-mail and
the internet
• Knowledge of different models of care
• Knowledge of recent
developments and drug
advances in Forensic
Psychiatry
• Demonstrate use of evidence
based practise
4. Teaching and
Supervision
• Understand principles of teaching and
learning
• Enthusiasm for teaching Application,
Interview
5. Research and
Audit
• Experience of carrying out an
audit project
• Experience of involvement in a
Application,
Interview
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research project and publication
• Interest in Research
• Published audit project
6. Other
Ability to fulfil the travelling commitment of the
post with transport within the parameters of
the Disability discrimination Act
Satisfactory CRB enhanced disclosure and
Health check
Application,
Interview, pre-
employment checks