Job overview
We are seeking a dedicated and enthusiastic Specialty Doctor in Psychiatry to join our Crisis Resolution Home Treatment Team (CRHTT) with Central and North West London NHS Foundation Trust (CNWL), based at our Milton Keynes Hospital Campus site. This is a rewarding opportunity to contribute to a dynamic, multidisciplinary service delivering urgent mental health care in the community.
We welcome applicants with previous experience in Psychiatry, are highly motivated, compassionate, and committed to delivering patient-centred care. Strong communication, organisational skills, and the ability to work both independently and collaboratively within a team are essential.
Main duties of the job
You will provide high-quality psychiatric assessments, consultations, and treatment to service users in acute mental health crisis. Working alongside a Consultant Psychiatrist and Trainee Doctors, you will play a key role in the clinical care and decision-making within the team, and will offer strategic leadership alongside the CRHTT Manager and Service Manager.
The post-holder will have RC responsibility for all patients under the care of the team and will work Monday to Friday, 9am to 5pm although flexible working hours can be considered.
Working for our organisation
The Trust have a long history of close working with Milton Keynes Council and Milton Keynes University Hospital to create joint services. Intermediate care, community equipment and learning disability services are integrated across health and social care and are provided through pooled budgets and integrated teams. We have built a strong working partnership with our commissioners and are part of Bedfordshire, Luton and Milton Keynes (BLMK) Integrated Care Board (ICB).
The Crisis Resolution and Home Treatment Team (CRHTT) is a multi-disciplinary team of mental health professionals who provide a service to people experiencing an acute psychiatric crisis. The team offer a less restrictive alternative to hospital admission by delivering intensive community-based interventions.
Where hospital admission does occur, the CRHTT assist in shortening the inpatient stay by facilitating early discharge and support back to the community. The team has five main functions; crisis rapid response, gatekeeping, supporting admission, home treatment planning and acute care and early discharge
Opportunities and Development:
- Access to Oxford MRCPsych courses for exam preparation.
- Regular one-to-one supervision with a Consultant Psychiatrist.
- Participation in local CPD activities.
- Opportunity to work toward CESR (Article 14) with up to four consultant referees available to support your application.
Detailed job description and main responsibilities
Clinical Duties
Assessment, diagnosis, formulation of risks and development of a management plan for new referrals, re-referrals and patients under the care of the team. Referrals can come into the team from any service including GPs, A&E psychiatric liaison, inpatient wards, community mental health services etc. Some assessments and reviews take place at the team base, others take place in patient homes/in ward settings. Relevant travel time will be factored in while arranging home visits.
Recording Clinical Coding (Diagnosis) on patient records
Requesting relevant Investigations such as Blood tests, ECGs, MRI Brain scans where appropriate and ensuring relevant baseline investigations prior to starting psychopharmacological interventions
Discharging medical prescribing functions as needed in the team. This may involve:
• Providing FP10s
• Writing medication charts
• Initiating, reviewing and advising on psychopharmacological interventions as appropriate
• Relevant liaison with pharmacists who carry out weekly screening of drug charts
• Reconciling medication for patients seen through relevant use of GP summary care records, progress notes on patient records, medication charts
Identifying need for referrals to other services such as referrals for psychological interventions
Reviewing treatment plans and risk assessments of patients in the service
Providing support and advice to MDT colleagues and liaison with other professionals as required
Chairing MDT clinical meetings during consultant’s leave and reviewing minutes of those meetings
Ensuring appropriate handover takes place during involvement in the assessment of patients referred from the ward.
Ensuring comprehensive documentation on patient records following patient assessments, telephone calls/other liaison with professionals.
Supporting the trainee doctor as required for example during the consultant’s leave
Participating in and contributing to MDT teaching sessions, Reflective practice sessions and any Serious Incident Learning sessions.
General Duties
Undertake the administrative duties associated with the care of patients.
Participate in service and business planning activity for the service and, as appropriate, for the whole mental health service
Participate in annual appraisal
Attend and participate in the academic programme of the Trust, including lectures and seminars as part of the internal CPD programme
Maintain professional registration with the General Medical Council and abiding by professional codes of conduct
Participate in annual job plan review with Clinical Supervisor
Work with Consultant, local managers and professional colleagues to ensure the efficient running of services
Employer certification / accreditation badges
Applicant requirements
You must have appropriate UK professional registration.
This post is subject to the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (Amendment) (England and Wales) Order 2020 and it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service.
Documents to download