Overview
This is an established post into the Bedfordshire Community Mental Health Team Structure. The post will complement the current structure of consultant and trainee psychiatrists within the community mental health team covering Bedford. The post holder will support the multidisciplinary team in the management of patients subject to CPA, as envisaged in relevant NICE Guidance. The post-holder will work with an MDT including pharmacy, psychology, social work, CPN colleagues, and trainees. The Bedford community mental health team covers a borough population of approximately 103,000. The caseload within the CPA Recovery Team currently stands at around 600. This caseload is between 2 full time consultants and each consultant has a caseload around 300. Around 20% of this cohort is in preparation for step-down to primary care.
Responsibilities
1. Provide consultant leadership to the CPA recovery team or PCN team as applicable.
2. Provide comprehensive assessment, diagnosis and management of issues relating to mental and physical health for adults with acute and severe mental illness in the community (over 18 years) so that intensive and timely treatment can be delivered to prevent chronicity and dependency on psychiatric services.
3. Attend and be the clinical leader of weekly MDT meetings, supported by the team operational lead.
4. Provide clinical advice and guidance to primary care physicians to manage patients in the least restrictive environment.
5. Undertake all work in the context of the recovery approach which is emphasised across the Trust, placing the service user at the centre of planning and decision making.
6. Fulfil responsibilities as a Psychiatrist approved under Section 12 of the Mental Health Act 1983, where relevant.
7. Adhere to the standard whole time job plan (10 Programmed Activities). For this post there will be 7.5 PAs dedicated for direct clinical care and 2.5 PAs for supporting professional activities, subject to appraisal and development with the Clinical Director.
Additional Responsibilities
1. Provide consultant leadership to the CPA recovery team.
2. Lead on clinical decisions for adults with acute and severe mental illness in the community (over 18 years).
3. Attend and lead weekly MDT meetings with the team operational lead.
4. Provide clinical advice to primary care to manage patients in the least restrictive environment.
5. Promote recovery-focused planning and decision making with the service user at the centre.
6. Fulfil responsibilities as a Psychiatrist under the Mental Health Act 1983, where relevant.
7. Work with the Team to meet KPI targets and ensure targets are met.
8. Provide support and training to other health care professionals and support service users through the care pathway as required.
9. Lead the delivery of high-quality care in all settings and monitor quality targets set by the Trust and national bodies.
10. Develop the service towards HTAS accreditation at the earliest opportunity.
11. Collaborate with Crisis Resolution/Home Treatment Teams, inpatient services, and primary care liaison services.
12. Coordinate with colleagues from other specialist teams to ensure collaborative care and good continuity of care for service users, developing appropriate referral pathways.
13. Develop expertise in local services and referrals to facilities available to specialist mental health services including psychotherapy and psychology services in secondary care.
14. Provide clinical supervision and training for junior medical staff and lead the multidisciplinary team.
15. Participate in mandatory Trust audit programmes and develop local audit cycles to improve team function.
16. Engage in the Trust's clinical and strategic development.
17. Be involved in the regular Consultant duty rota (1:26).
18. Engage in annual appraisal and job plan review with the Clinical Director.
19. Participate in Quality Improvement work and provide leadership to embed Quality Improvement into core business.
Reporting and Governance
The post holder's immediate line manager is the Clinical Director for Adult Services. Bedfordshire has a Medical Director who the Clinical Directors report to, with overarching responsibility resting with the Trust's Chief Medical Officer.
Additional Information
The consultant will provide medical advice to the management process, including the design of protocols and policies and take on strategic and planning roles. They may have opportunities to engage in wider managerial tasks within the Trust and external duties if accommodated in job planning and do not impact core responsibilities.
About ELFT
ELFT is committed to diversity and inclusivity, flexible working, and staff development. We welcome applicants with lived experience of health difficulties and emphasise values: We Care, We Respect, We are Inclusive. We aim to make ELFT a great place to work and to deliver high standards of care to our service users and patients.
Job Details
Full time (40 hours). 10 Programmed Activities (7.5 DCC, 2.5 SPA).
This is an established post into the Bedfordshire Community Mental Health Team Structure.
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