Following a significant redesign, and a new model of care which will support all children and young people to thrive, Jersey CAMHS we are looking to recruit two consultant Child and Adolescent Psychiatrists to join our multi-disciplinary team. The successful applicants will join the two existing consultants. This is an exciting time to join CAMHS with the launch of the service redesign and significant investment into the service. There is ample opportunity for private practice.
Situated just 40 minutes flying time from London with excellent transport links to Europe the small beautiful Island of Jersey enjoys great weather, sandy beaches surrounded by soaring cliffs and offers a healthy work-life balance. There are excellent opportunities for a wide range of outdoor activities including sailing, diving, kayaking and paddle boarding. Jersey has the ideal lifestyle and work environment. An exciting opportunity has arisen for the successful applicant to relocate to the Island.
The post holders will be expected to take on the full range of duties including the routine and emergency diagnosis and management of children and young people with significant mental health problems up to the age of 18, the support of other team members and providing consultation and advice to other agencies. Successful applicants will be encourage to develop a special interest and take a clinical lead in one of the following areas
Eating Disorders
Crisis Intervention
Neurodevelopmental Disorders
Transition
Main duties of the job
The service has expanded and continues to develop its service delivery to meet the needs of the community.As a senior clinician you will have opportunity to shape the service and influence child mental health more widely on the island.
Full travelling expenses are paid from a UK port of entry, with a generous relocation package available and the appointee may take advantage of Jersey taxation policies. The post attracts residential qualifications and Jersey has excellent affordable private education for children. Under Jersey Law, applicants must possess FULL registration with the General Medical Council and hold a licence to practise.
The Government of Jersey is committed to safeguarding and promoting the welfare of vulnerable people (to include children) and requires all staff and volunteers to share this commitment. As this position will work with vulnerable people, the selection process will involve safeguarding measures and include an enhanced DBS check.
Living in Jersey is also financially attractive.We have a flat rate of income tax which compares favourably to the UK and we offer a generous public sector pension scheme, which is not subject to UK lifetime or annual contribution restrictions.The Jersey Consultant Contract is similar to the UK but with a higher level of increments. Subject to satisfactory performance, incremental progression is automatic for between points 1 to 17 on the pay scale. Formal applications are required for points 18 20
About us
We pride ourselves in delivering high quality care that is patient-centred, safe and effective. We are a vibrant organisation where clinicians are at the forefront of developing and managing services. We offer a wide range of clinical services on the Island and have good links with specialist services in the UK. There is a generous study leave budget which doctors are strongly encouraged to utilize. We are currently planning a new general hospital and new mental health inpatient unit, so the next few years will be an exciting time. There are strong relationships between mental health, primary and secondary care. CAMHS sits under Children Young People and Education Services (CYPES) directorate which enables many opportunities for innovative multi-agency working. However the medical posts line managed and accountable to Health and Care Jersey (HCJ). There are many joint learning and teaching opportunities, based in our modern, purpose-built education centre. We have a rotation of Resident doctors from Health Education Wessex. We welcome clinical research. This is an excellent opportunity to be part of developing a genuinely integrated care system.
For applicants appointed at the maximum increment, additional salary up to £206,059 per annum is available through annual panel application once in post.
Job description
Job responsibilities
Place of Work
The CAMHS clinics are based at Liberte House, St Helier which is in the main town. It is co-located with Childrens Social Care and the Children and Families Hub. The post-holder may also be required to see Children and Young People who have been admitted to Jersey General Hospital or Orchard House {adult mental health in-patient facility}.
In-Patient Provision
There is no designated inpatient provision but the team provide flexible intensive packages of care for children and young people with severe or complex mental health difficulties. The packages of care can be provided both for assessment and treatment. The programmes are set up jointly with other services including Paediatrics, Adult Mental Health and Childrens Services {Social Care}.
The Paediatric and Adult Mental Health teams are supportive in providing in-patient facilities and both the paediatric ward {Robin Ward} and acute adult mental health ward {Orchard House} are used for young people who require admission. Robin Ward will admit young people up to their 17th birthday. The postholder will be clinically responsible for young people admitted to Robin Ward and Orchard House under their care and will be expected to undertake reviews of these patients.
All those under 16, and most under 18 admitted to Orchard House are cared for separately to the other in-patients if possible or are under continuous observation for safeguarding reasons. There is a new provision currently being built which will provide facilities for young people to be admitted to an area separate from the main ward. It is anticipated that this may become available from December 2023.
When necessary young people can be transferred to the UK for inpatient treatment.
The CAMHS Team
CAMHS is staffed by a multi-disciplinary team with secretarial and administrative support. The service aims to provide a comprehensive assessment, treatment and therapeutic service for a range of developmental, behavioural, emotional and psychiatric difficulties in children and young people up to their 18th birthday. The service is restructuring and the new posts are currently being recruited to, the team structure below represents existing posts and those currently being recruited to.
Medical Staff
4 Consultant Child & Adolescent Psychiatrists {1.8 in post, 2 posts vacant to be recruited to, currently locum cover in place}
1.6 Associate Specialists
Clinical Fellow - Fixed term contract
Consultant Community Paediatrician
Duty & Assessment
Duty & Assessment Manager
1 Advanced Nurse Practitioner
3 Nurse Practitioners
9 CAMHS Practitioners
6 Health Care Assistants {currently vacant}
Duty & Assessment Administrator
Early Intervention
Service Manager Early Intervention
7 CAMHS Practitioners
2 Primary Mental Health Workers
Early Intervention administrator
1 Assistant Psychologist
1 Parent-Infant Psychotherapist
2 Support Workers
Specialist CAMHS
Service Manager Specialist CAMHS
Service Manager Looked After Children
1 Consultant Clinical Psychologist
4 Psychologists
2 Assistant Psychologists
1 Art Psychotherapist
1 Senior Social Worker
1 Family and Systemic Therapist
5 Nurses {3 Clinical Nurse Specialists, 2 Nurse Practitioners}
1 CAMHS Practitioner
1 PBS Practitioner
1 Dietician {1 day per week}
2 Support workers
1 Health Care Assistant
Neurodevelopmental Pathway
Neurodevelopmental Pathway Service Manager
Consultant Clinical Psychologist
2 Clinical Psychologist
1 Assistant Psychologist
2 Clinical Nurse Prescribers
1 Specialist Nurse
1 Nurse Practitioner
Systemic and Family Therapist
Occupational Therapist
2 Speech and Language Therapists
Neurodevelopmental Pathway Administrators
Admin and Informatics
Team Manager Quality & Assurance
Informatics Officer
Office and Administration Manager
3 Medical Secretaries
4 Receptionists
Responsibilities and Expectations of the Post Holders
The post holder will be an experienced clinician, who can demonstrate a commitment to multidisciplinary clinical work and provide clinical leadership, support and advice to the team.
The commitments of the post require a level of flexibility. The 4 Consultant Psychiatrists will provide cross cover with 2 Associate Specialists in CAMHS so that there will always be at least one psychiatrist available over the working week.
We would be particularly interested in applicants who could demonstrate skills in working with older adolescents, crisis management, eating disorders and the development of transition services. The postholders will be supported in developing a special interest one or more of these areas.
The post holder will be expected to
Work with children and young people with acute mental health presentations including self-harm, suicidal ideation, low mood and psychotic symptoms and providing support to other members of the team in managing this group during periods of crisis.
Diagnose and manage common psychiatric disorders using both psychological and pharmacological therapies.
Work with young people with mental health problems who have a history of alcohol and substance misuse.
Provide consultation and liaison to other medical specialities, Education, Social Services and other agencies.
Develop and deliver training programmes for a variety of disciplines aimed at improving the level of expertise and the standard of care within the mental health services.
Participate and contribute to the psychiatry teaching programme.
Provide supervision for mental health and other professionals, and receive clinical supervision
Liaise and work effectively with others who provide services to children and young people as appropriate.
Comply with Health and Community Services agreed policies and procedures.
Work with managers and professional colleagues to ensure the efficient running of the services and to share with consultant colleagues the medical contribution to the management of the service.
Participate in clinical governance activities and Quality Improvement including audit
There is no requirement for Section 12(2) status and/or Approved Clinician status and/or DOL assessment. However the postholder will be required to attend training to become an Approved Practitioner under the Mental Health (Jersey) Law 2016.
Population and CAMHS Caseload
The population of Jersey at the end of 2019 was estimated to be 107,800 with approximately 22,910 under the age of 19.
The current number of cases open to CAMHS is 1867
The total number of new referrals received in 2023 was 1351 {6030 new referrals in by June 2023}
The current postholders {locum} caseload is approximately 90. Most of the cases on the caseload will have an allocated care co-ordinator but there may be some exceptions to this. Most new assessments are undertaken by other members of the MDT, but some will require initial medical assessment. There are no fixed requirements for new assessments and follow up appointments. On average there maybe 1-2 new assessments per week and 15-20 follow up appointments, depending on the complexity of the cases and other commitments.
The postholder will be required to participate in the daytime {9am 5pm} medical on call rota for 1-2 days per week. The initial duty response, including hospital liaison assessments, is made by the duty worker who will contact the doctor on call if required. With an expansion of our duty service to 8am 8pm there may be a requirement to provide medical cover for this in the future.
Annual Leave & Study Leave
Consultants are entitled to 30 days of annual leave increasing to 32 days after 7 years service at Consultant level, plus bank holidays.
Study leave for the purpose of professional development should be applied for through the Clinical Lead and is approved by the Director of Medical Education. There is a generous study leave budget and there is an entitlement of 30 days every 3 years.
Person Specification
Skills/Personal Qualities
Essential
Ability to take a leadership role in a multi-disciplinary team, ensuring high-quality care and staff morale
Ability to manage own time, workload and prioritise clinical work
Ability to appraise own performance
Excellent written and oral communication skills
Desirable
Evidence of specific achievements that demonstrate leadership skills
Qualifications
Essential
Recognised Primary Medical Degree
Full GMC Registration & License to Practice
Registered on the GMC Specialist Register or CCT in Child and Adolescent Psychiatry {or within 6 months of this at the time of interview} or equivalent {which must be confirmed by GMC}
Higher speciality training or equivalent experience
Eligibility for Section 12 approval {Mental Health Law Approval}
Desirable
MRCPsych or equivalent
Relevant higher degree, e.g. MD. PhD, MSc or other additional clinical qualifications
Section 12 approval or equivalent
Dual accreditation e.g. Forensic, Learning Disability
Experience
Essential
Experience of assessing and treating children and young people in acute and community psychiatric settings
Specialty experience CAMHS
Experience in crisis work
Desirable Wide range of specialist experience relevant to the post
Experience of working with young people at risk of offending or who have offended
Experience of working young people who misuse alcohol or substances
Experience of working with young people with Eating Disorders
Experience of working with Neurodevelopmental Disorders
Knowledge and Teaching
Essential
Understanding of the management skills required to function successfully as a consultant
Ability to use IT, including email and the internet
Knowledge of risk management
Knowledge of recent developments and drug advances in Child and Adolescent Mental Health
Commitment to and experience of undergraduate and postgraduate learning and teaching
Understand principles of teaching
Desirable Teaching qualification or previous experience as teaching lead
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