This is a replacement post which has become vacant as the previous Consultant Psychiatrist has retired.
The Forensic Outreach Liaison Service (FOLS) is a tertiary service that offers specialist advice, assessment, support and intervention to people with a learning disability and / or autism diagnosis, who pose a risk of serious harm to others. The team provides responsive consultation and liaison to other mental health and learning disability teams in the assessment and management of high-risk individuals who have offended or are at risk of doing so. The team are available across North Yorkshire and York. The service is based at Alexander House, Knaresborough and works remotely across the North Yorkshire and York area.
The team facilitates a safe transition from secure inpatient areas with a gradual transfer to secondary services where there is an identified health need or discharge from service. This will involve a period of follow up, which can include care co-ordination or co-working with secondary community teams (including mental health services) relating to the management of risk. The team provides consultation and liaison to local secondary teams in the assessment and management of risk, to avoid where possible an admission to secure care. Additionally, the team enhance the interventions provided by Secure Inpatient Services to support the patient journey and reduce length of stay.
Main duties of the job
This is a 8PA post based in the community.
NY FOLS provides a seven-day service, 9am 5pm. The team consists of: Team Lead, Advanced Nurse practitioner, 4 Community Nurses, 4 Community Support workers, psychologist and a 0.6wte Speech and Language Therapist.
NY FOLS currently has 45 active clients and care coordinate 11 of these. Approximately half of these patients are community based. Referrals into the service are through a single point of access.
The postholder will be a Consultant Psychiatrist who specialises in Forensic Learning Disability and autism providing specialist assessments, interventions and support for comorbid presentations, responsibility for the clinical supervision of conditionally discharged patients and acts as Responsible Clinician for patients discharged on Supervised Community Treatment or Guardianship.
Secure Inpatient Wards are based at Ridgeway, Roseberry Park Hospital, Middlesbrough. These wards include secure LD and ASD wards. The post-holder will work alongside an inpatient team including 14 consultant colleagues, 4 specialty grade doctors and up to 3 core trainees.
Within Health & Justice there are two other community teams in addition to NY FOLS. These include a Forensic Community Service and Secure Outreach and Transition Team. Both with a consultant colleague and a multi-disciplinary team.
About us
We are one of the largest specialist mental health and learning disabilities trusts in the country, with an annual income of £320m and a workforce of some 6,700 staff operating from around 100 sites in Durham, Teesside, North Yorkshire and York and Selby. We provide a range inpatient and community services to 2m people living in County Durham, the Tees Valley, Scarborough, Whitby, Ryedale, Harrogate, Hambleton and Richmondshire. We also provide additional specialist services to other parts of Northern England.
We are a multi-award winning trust and are included within the Health Service Journals Best 100 Places to Work. The trust take a positive and proactive approach to support staff in their personal development and has embedded the Talent Management approach within the Trust.
Psychiatrists are essential contributors to the majority of our mental health teams. Service users expect and are justified to expect collaborative relationships with dedicated psychiatrists who work consistently as part of effective services. Our medical staffing shortage puts strain on services and puts strain on workforce wellbeing and costs extend beyond the financial. The Medical Directorate and Medical Development Team are striving to improve medical workforce recruitment and retention in a variety of ways and the cornerstone of these efforts is The TEWV Charter for the Medical Workforce. (Please see attached Supporting Document).
Job description
Job responsibilities
Please see the attached job description for further information on this post. Please note that this job description has not yet been approved by The Royal College and therefore subject to change.
Person Specification
Clinical Knowledge & Skills
Essential
1. Excellent knowledge in specialty
2. Excellent clinical skills using bio-psycho-social perspective and wide medical knowledge
3. Excellent oral and written communication skills in English
4. Able to manage clinical complexity and uncertainty
5. Makes decisions based on evidence and experience including the contribution of others
6. Able to meet duties under MHA and MCA
Desirable
7. Wide range of specialist and sub-specialist experience relevant to post within NHS or comparable service
Academic Skills and Lifelong Learning
Essential
8. Able to deliver undergraduate or postgraduate teaching and training
9. Participated in continuous professional development
10. Participated in research or service evaluation.
11. Able to use and appraise clinical evidence.
12. Has actively participated in clinical audit.
Desirable
13. Able to plan and deliver undergraduate and postgraduate teaching and training relevant to this post
14. Reflected on purpose of CPD undertaken
15. Experienced in clinical research and / or service evaluation.
16. Evidence of achievement in education, research, audit and service improvement: awards, prizes, presentations and publications.
17. Has led clinical audits leading to service change.
Leadership
Essential
18. Reflects on own performance and behaviour, seeking and acting on feedback.
19. Able to influence and persuade to improve services
20. Able to take on leadership role in multidisciplinary team.
21. Knowledge of structure and management of the NHS and the Trust.
22. Shows commitment to quality through knowledge of quality improvement and lean thinking methodology OR able to achieve within one year of appointment
23. Able to adapt to and lead service change.
Desirable
24. Able to take on a leadership role outside the multidisciplinary team.
25. Understanding of NHS & wider health economy and its implications for the work of the Trust.
26. Trained to standard equivalent to level 2 in TEWV Trust Quality improvement system
Qualifications
Essential
27. BS or equivalent medical qualification.
Desirable
28. Qualification or higher degree in medical education, clinical research or management.
29. Experience
30. MRCPsych
Eligibility
Essential
31. Fully registered with the GMC with a licence to practise at the time of appointment.
32. Included on the GMC Specialist Register for Old Age Psychiatry OR included within six months.
33. Approved clinician status OR able to achieve within 3 months of appointment
34. Approved under S12 OR able to achieve with 3 months of appointment
Desirable
35. In good standing with GMC with respect to warning and conditions on practice
Experience
Essential
36. Describe your clinical experience relevant to this job role
Desirable
37. Any other experience that may be applicable