Consultant Liaison Psychiatrist with an interest in Psycho-Oncology

We are looking for a Consultant Liaison Psychiatrist (s) to work at The Royal Marsden Hospital. We have 12 PAs to recruit to and so we can employ one full time person or two part time staff with overlap to facilitate working relationships.

Part time, or job share candidates are welcomed and encouraged to apply. We are committed to embracing flexible work patterns where possible and providing equal opportunities to all candidates.

A minimum of 3 days will be required on your agreed site, with an option of 5 days across both sites.

In order to proceed with your application, please state within your supporting information the preferred site with the number of PA’s you would like to work.

Main duties of the job

The post holder will be expected to provide:

1. Clinical leadership of the general liaison psychiatry service to The Royal Marsden.
2. Undertake direct clinical care of patients referred to the Adult Psychological Support Service with complex physical and psychiatric co-morbidities related to cancer diagnosis or impacting on cancer treatment and patient’s quality of life.
3. Provide clinical supervision to other team members working at Level 3 (NICE, 2004).
4. Provide line management to other team members.
5. Contribute to the weekly multidisciplinary APSS meeting, with particular responsibility for risk and medical issues.
6. Integrated working with the existing Consultants (Medical and Clinical Oncologists and Surgeons) in The Royal Marsden Trust.
7. Work with the patient’s responsible clinical teams to assist in the assessment and management of people with suspected or identified mental health needs and helping to manage their clinical needs.
8. Provide expertise and advice to support the appropriate use of the Mental Capacity and Mental Health Act including, where appropriate, completion of assessments to support clinical and legal decision making.
9. Acting as Responsible Clinician and exercising section 12 powers in respect of the Mental Health Act for inpatients.
10. Take part in or facilitate investigations and debriefing following serious untoward incidents related to patients with mental health comorbidities.

About us

The Royal Marsden is a world leader in cancer research, treatment and education. Together with our academic partner, The Institute of Cancer Research (ICR), we are the largest comprehensive cancer centre in Europe and the only National Institute of Health Research (NIHR) Biomedical Research Centre specialising in cancer in the UK.

Our mission is to continue to make a national and international contribution to cancer research and treatment, so that more people are cured and quality of life is improved for those with cancer. The Royal Marsden therefore plays an important role in championing change and improvement in cancer care through research and innovation, education and leading-edge treatment.

The Trust’s annual budget is £360 million and we employ over 3,500 staff, including 335 medical staff, across two sites located in Chelsea and Sutton (Surrey). Over 50,000 patients attend The Royal Marsden each year. We provide community services across the Borough of Sutton. We have a Chemotherapy Medical Daycare Unit at Kingston Hospital.

We have a reputation for delivering high quality performance. We were ranked joint first in the CQC national inpatient survey results, above average in national cancer patient experience survey and ranked first amongst teaching hospitals in the UK for our staff survey results.

Job description
Job responsibilities

The Adult Psychological Support Service (APSS), in which Liaison Psychiatry is based, provides an integrated Level 3 and 4 service (NICE 2004) to patients across the two sites of the hospital for inpatients, those receiving ambulatory care and outpatients. Other pathways within the service are: directive therapies (e.g. CBT/ Third Wave approaches, EMDR) exploratory therapies (e.g. integrative, existential, psychodynamic) family therapy (primarily working with adult patients with dependent children, and young adult patients) psychosexual therapy.

The Liaison Psychiatry pathway has three main functions: (i) to provide the general liaison psychiatry service to the inpatient wards of the hospital, (ii) to support the APSS Duty Clinician, and (iii) to provide psycho-oncology psychiatry through pre-planned outpatient and day patient appointments.

The specific psychiatric issues and associated risks in a specialist cancer hospital include hyperactive delirium, steroid-induced mania and psychosis, major depression, suicidal planning and intent, desire for hastened death as well as people with pre-existing severe mental illness.

We encourage you to contact us to discuss the role and the team. Please contact Ann Hutchens (020 8915 6173, ) to arrange a time to speak to Dr James Woolley, Consultant Liaison Psychiatrist, or Dr Justin Grayer, Consultant Clinical Psychologist/ Service Lead.

Person Specification
Qualifications
Essential

• Primary medical degree
• MRCPsych or equivalent
• The GMC specialist register for general adult or old age psychiatry
• If an applicant is UK trained, they must ALSO be a holder of a Certificate of Completion of Training (CCT), or be within six months of award of CCT by date of interview
• If an applicant is non-UK trained, they will be required to show evidence of equivalence to the UK CCT
• Full and specialist registration (and with a licence to practise) with the General Medical Council (GMC) (or be eligible for registration within six months of interview)
• MRCP Liaison Psychiatry subspecialty endorsement
• Higher Degree in relevant subject (MD, PhD or equivalent)
• Section 12 Approval
• Registered as a Responsible Clinician as specified by Mental Health Act

Clinical Competence
Essential

• Assessing & managing risk of harm to self & others
• Diagnosis and evidence-based treatment of psychiatric disorders in adults
• Detecting & managing depression and delirium in the physically ill hospital patient
• Choice of psychotropic medication in the context of physical illnesses and their treatment
• Assessing and managing the severely mentally ill in the general hospital setting, including the use of the MCA and MHA

Experience
Essential

• Completed minimum of three years full-time training in an approved higher psychiatric training scheme or equivalent
• A proven track record in liaison psychiatry at ST or consultant level. Specialised knowledge of liaison psychiatry service provision
• Clinical expertise in the assessment and management of risk
• Track record in the training and supervising of clinicians in psychological assessment and nursing development including autonomous practice and prescribing

Desirable

• Experience in the management of people with cancer and mental health problems, including the assessment and management of complex co-morbidities
• Experience of oncology / palliative care
• Post registration experience in general surgery
• Post registration experience of general medicine
• Psychotherapy training of any modality

Personal Qualities
Essential

• The ability to work in collaboration with a team of different disciplines
• The ability to work liaising with other services
• Commitment to achieving excellence
• Excellent communication and empathic skills including discussion of life threatening conditions and requests for assisted suicide
• Committed to personal and professional development
• Commitment to innovation in research and practice
• Cultural sensitivity and ability to work with a diverse population
• Willing to participate in training of junior medical staff/medical students/staff from other disciplines
• Demonstrable leadership skills
• Sound organisational skills
• Ability to work on own initiative
• Ability to travel between sites and meet flexible demands of the role as required
• Ability to contain and work with organisational stress and ability to contain and understand the stress of others in a team

Employer details
Employer name
Address
Royal Marsden Hospital
Fulham Road
London
SW3 6JJ

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