The Hope Unit, 12 bed inpatient unit at Fairfield GH in Bury, provides an innovative and responsive Trust wide & Regional acute admissions service for adolescents from 13 yrs to 18th birthday with serious mental health disorders. The post holder plays a crucial role as a member of the multidisciplinary team, under the supervision and guidance of the consultant adolescent psychiatrist. The post holder has SAS Ward doctor duties in day to day care of Hope Unit patients. There are specific areas to exercise higher level of middle grade doctor clinical responsibility for selected patients, under the close supervision of the Unit consultant. These include managing the care of specific patients, chairing some Ward rounds, selected CPAs & discharge meetings for those patients. The Hope Unit is co-located with the Horizon Unit (CAMHS complex care service) thus ensuring robust medical staff cross cover, peer support, shared governance arrangements, joint training & development opportunities. The post holder will therefore have a direct medical peer within the 2nd CAMHS unit as well as the current links, both with working age adult psychiatry trainees/staff grade colleagues in the Bury locality, & also with the CAMHS Directorate medical staff across the Trust. This post (and future enhancements) is established & managed within the CAMHS Directorate, but will maintain integral operational links with Working Age Psychiatry services across the Trust to match the needs of this age group. Main duties of the job The 2 CAMHS Inpatient units (Hope and Horizon Units) are co-located in the CAMHS Inpatient Department, thus ensuring prospective medical cover, plus joint training /development opportunity & robust governance. Successful candidates will work as integral members of the multidisciplinary team, in a thriving organisation & department. The successful candidate will be a crucial member of the Hope Unit clinical team, providing ward based clinical assessment & treatment, medical prescribing & physical care oversight. They will contribute to team meetings, CPA reviews, ward rounds under the supervision of the unit Consultant. There is strong support for ongoing professional development in psychiatry though departmental training, CPD and study leave & also attendance in the local psychiatry postgraduate training programme. Key Responsibilities of the Posts: • Providing ward based psychiatric assessment, treatment, mental health reviews to young people admitted to the Hope Unit. • To assist their team in therapeutic care & liaison with community services. • Where appropriate to contribute to use of MHA & reports for Tribunals. • Providing physical examinations, blood tests & physical care oversight for young people admitted to the Hope unit. • When required, to run ward rounds or CPAs in absence of the consultant. • Ensuring the accurate documentation of ward based medical care. • To provide prospective day time leave cover, between the speciality doctor post holders. About us We are proud to provide high quality mental health and learning disability services, both inpatient and in the community across five boroughs of Greater Manchester - Bury, Oldham, Rochdale, Stockport and Tameside and Glossop. Our vision is for a happier and more hopeful life for everyone in our communities and our staff work hard to deliver the very best care for the people who use our services. Were really proud of ourPennineCarePeopleand do everything we can to make sure were a great place to work. All individuals regardless of race, age, disability, ethnicity, nationality, gender, gender reassignment, sexual orientation, religion or belief, marriage and civil partnership are encouraged to apply for this post. We would also encourage applications from individuals with a lived experience of mental illness, either individually or as a carer. Job responsibilities The post holder will have a shared office at the Young Peoples Unit and will have the use of medical secretaries for this service. The Hope Unit Consultant Psychiatrist has clinical line management responsibility for the post holder and is responsible for the post holders weekly 1:1 supervision and supervises the post holders day-to-day work on the unit. The CAMHS Clinical Director has managerial line management responsibility for the post holder. Clinical • The Hope Unit admits on average up to 1 - 2 young people per week, referred directly from the community teams. • Under Consultant supervision, to provide psychiatric and routine medical care to 12 adolescent inpatients with severe acute mental health disorders. To undertake admission clerking, taking histories, weekly mental state reviews, risk assessments and review of observation status, and medication prescribing. • To collect and compile collateral information from relatives/carers and from other sources, recording risk events. • Clinical administration to write timely admission and discharge summaries on all patients, prepare reports for CPA reviews, and provide other written communications in discussion with the Unit consultant. • To ensure physical health of inpatients - undertake physical examinations, order appropriate investigations, and to attend to and competently manage general medical ailments, which are routinely encountered on inpatient units. To refer to and liaise with acute paediatric and medical services when required. To effectively run physical health clinic in collaboration with the nursing team and the pharmacist • To attend to and competently manage first line issues presenting on the unit along with nursing team, including acute psychiatric or medical emergencies. • To take specific responsibility for managing the clinical care and chairing CPAs / review and discharge meetings for specified patients using the Acute Care pathway, in agreement with and under supervision of the Hope Unit consultant • To attend MDT ward rounds, and actively contribute to the multidisciplinary review of inpatients. To run ward rounds when required in absence of consultant. • To attend and actively contribute to CPA/ Review meetings. To help review progress and help set case management/ recovery goals, in consultation with young people, their carers and professional networks, and key members of the team. To occasionally chair CPAs for clients under supervision of the unit consultant. • If the post holder has Section 12 approval - To carry out Mental Health Act assessments on the ward, when indicated. (This is not however a compulsory requirement). • There is No regular expectation in this post for outreach or outpatient work. However, if the post holder is interested there is an opportunity to be actively involved in access assessment discussions and carrying out such assessments as and when required. (Alternative travel arrangements would be available for non-car drivers on journeys essential to the carrying out of their duties.) • To utilise the Care Programme Approach, and also the New Mental Health Act, the Children Act and the Mental Capacity Act, when required. • To contribute when appropriate to education and supervision of junior psychiatry trainees, when they are attached to the service. • There is no formal day time on call duty. However, it is expected that the Horizon and the Hope Unit junior doctors will avail themselves to cross cover ward work during leave, and to mutually assist the other respective unit, when urgent circumstances require and as agreed between the two consultants. • Post holder will be encouraged to prepare reports for Mental Health Review Tribunals under the supervision of the Consultant as well as attend these Tribunals both in a shadowing capacity as well as giving oral evidence. Person Specification Qualification and Training Essential • MBBS or equivalent. • Full GMC registration. Desirable • MRCPsych Experience and Skills Essential • Experience of psychiatry at CT level for at least 3 years • Experience in inpatient psychiatry • Knowledge of the MHA, experience of clinical application, awareness of MHA implications for younger people • Awareness of key legislation NSF, NICE, MHA, MCA, Children Act • Safeguarding awareness Desirable • Experience in Inpatient CAMHS or Adolescent Psychiatry • Section 12 MHA/ Approved Clinician status, or eligibility for approval Character Essential • Personable character. Flexible. Reliable. • Good team working skills • At ease with MDT working. • Ability to know own limits, ask advice and accept challenges to ones views. • Enthusiastic Desirable • Strong experience of Multi-disciplinary case work - inpatient and outpatient settings • Skill at engaging young people Motivation Essential • Strong Interest in adolescent psychiatry / mental health services to young people Desirable • High degree of self-motivation in this speciality, including specific training or other initiatives. Adjustment and Attitude Essential • Sensitive to needs of patients and relatives • Flexibility in accepting the need to change patterns of work as demands change. • Initiative Desirable • Professional approach. Appearance and Health Essential • To professional standards. Desirable • To professional standards. Management Essential • Personal organisation and time management skills • Excellent liaison and communication skills • Good team work skills • Able to deputise for consultant to run Ward Rounds or CPAs when required. • Letter and Report writing skills Desirable • Letter and Report writing skills Governance Essential • Willingness to participate in annual appraisal Desirable • Experience of doing audit, and a commitment to participating in the Trust audit programme • Extensive experience of assessing and managing clinical risk