Job overview
We are looking for a full time Specialty Doctor in the heart of London and to work in the West End Community Mental Health Team, an established multidisciplinary service in Westminster.
This a replacement post within the CMHT to support service delivery in line with Trust operations and clinical strategy. It has become available due to the current post holder leaving to pursue interest in the Civil Service.
Main duties of the job
The specialty doctor in post will form an integral part of the senior leadership in the team. The post holder would be encouraged to do open dialogue training and to lead an audit or quality improvement project. He/she would have ring-fenced time for this.
This is a 10 PA Specialty doctor post in West End PCN. Dr Brittany Meyer is the full time consultant psychiatrist and named clinical supervisor for this post. There is a second full time specialty doctor in the team, as well as a CT1 trainee rotating on a 6-monthly basis.
Working for our organisation
CNWL is one of the largest trusts in the UK, caring for people with a wide range of physical and mental health needs to a third of London, Milton Keynes and parts of Kent, Surrey and Hampshire. Over recent years our catchment area has grown significantly, making the Trust’s population more diverse than ever. We are constantly developing and working in innovative ways to provide modern, dependable services in
1. physical and mental health sectors
2. primary, secondary and community services
3. in health and social care settings for all ages.
Westminster adult mental health service provides a range of mental health services for adults within the community and in hospital settings. Two mental health hubs provide an overarching structure in the North and South of the borough, within which there are functional groupings serving each PCN.
The team receives about 50 referrals/ month and has a caseload of about 400. The model of care is detailed in the Standard Operating Procedure but key operating principles are:
1. No wrong door- diagnosis and severity are not obstacles to referral
2. Intensive triage enables the right assessment and intervention early
3. Focused and named intervention enables quick help and rapid throughput
4. High level liaison and physical presence in GP surgeries enables pre-empting of referrals as well as early ending of interventions and support for patients in primary care
Detailed job description and main responsibilities
1. Conduct initial clinical assessments and medical reviews as allocated in team zoning discussions/by consultant supervisor.
2. Provide consultation to the rest of the team, undertaking reviews with care co-ordinators, attending professionals meetings.
3. Carry out home visits and patient reviews/assessments in care homes as indicated
4. Help embed open dialogue practice in the team once trained and where indicated/preferred by patient and staff
5. Mental Health Act assessments also form a core part of the role. If the post holder is not section 12 approved he/she would be supported to become Sec 12 approved to carry out this function in the team.
6. The post holder would be expected to hold a caseload and to maintain updated Excel spreadsheet at all times for supervision oversight purposes. He/she can access supervision support from the named clinical supervisor.
7. Attend team clinical zoning meetings, team reflection meetings and service development meetings as needed
8. Carry out liaison and collaborative working with other services/agencies and across internal interfaces as necessary for patient care and service development.
9. Ensure that patient’s physical health needs are addressed.
10. Carry out regular review and monitoring of the caseload including via consultant supervision to ensure appropriate care packages are put in place and discharges facilitated to maintain patient flow.
11. Ensure all documentation is completed in a timely manner including Dialogue plus, physical health recording, progress note entries, zoning discussions and risk assessments for patients on caseload.
12. Keep up to date with appraisals, mandatory training, all revalidation requirements.
13. Attend an SAS peer group for RCPsych CPD purposes and remain in good standing with RCPsych for CPD at all times.
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