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Specialty Doctor in Crisis Resolution and Home Treatment Team
MC75
Main area Psychiatry Grade MC75 Contract Permanent Hours Full time - 10 sessions per week Job ref 333-D-MK-SA-0010
Site Eaglestone Health Centre Town Milton Keynes Salary £61,542 - £99,216 Per annum (will be pro rata if part time) Salary period Yearly Closing 05/10/2025 23:59
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
Person specification
QUALIFICATIONS AND ELIGIBILITY
* Primary Medical Degree
* Full GMC Registration
* GMC Licence to Practise
* Section 12 MHA Approved
* An additional post graduate qualification of relevance (own specialty)
CLINICAL SKILLS, KNOWLEDGE & EXPERIENCE
* Experience as a fixed term trainee or as a Specialty Doctor on a part time or flexible basis in the field of general adult psychiatry.
* Experience in working in a community mental health team/primary care mental health
* Evidence of audit/QI Experience
PERSONAL SKILLS & QUALITIES
* Excellent communication and empathic skills, including excellent oral and written communication skills in English
* Timely and effective verbal and written communication skills with patients, carers, colleagues and multidisciplinary team
* Demonstrable leadership skills
* Experience of team working
* Sound organisational skills
* Ability to work on own initiative, making evidence-based decisions
CNWL (Central and North West London NHS Foundation Trust) has almost 8,000 staff providing integrated healthcare to a third of London's population, Milton Keynes and areas beyond. We involve service users, carers, the public, staff and partner organisations in the way that we are run.
Our catchment area spans diverse communities, with over 100 first languages spoken. It contains areas of great affluence as well as areas of much deprivation. We are committed to providing services that meet the needs of the people who use them, and we actively encourage involvement from local people who can help make a difference. We’re proud of our diversity and we continue to undertake new initiatives to advance equality for LGBT+, BME and people with disabilities to promote good relations and understanding between our staff.
We are recognised locally, nationally and internationally for providing high quality, innovative healthcare. We aim to employ only the best people, and our experts are frequently called upon to contribute to national health strategy and policy, and many models of our care have been adapted for use in other countries.
We offer a generous relocation package (subject to eligibility assessment) and flexible working options, including bank assignments for most roles. For more information on these and other benefits of working for us, see our Benefits, Reward and Wellbeing page
Become part of our team. We care for you as much as you care for others.
CNWL NHS Foundation Trust are committed to safeguarding all children and vulnerable adults and expect all staff and volunteers to share this commitment. We follow safe recruitment practices to protect children and vulnerable adults.
Due to the high response levels we receive for some vacancies, we may expire any of them prior to the advertised closing date and advise you to submit your application as soon as possible.
Our Agenda for Change employment contracts are subject to a contractual 13 week probationary period.
If you are offered a job, information will be transferred into the national NHS Electronic Staff Records system.
Employer certification / accreditation badges
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.
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