Consultant Psychiatrist General Adult Psychiatry – Enfield South L T

Barnet, Enfield and Haringey Mental Health NHS Trust seeks to appoint an enthusiastic full-time consultant psychiatrist to the Enfield South Locality Team which is based in Lucas House in Enfield. The South Locality Team is one of two Core Community Mental Health Teams (North and South) that together would cover the borough of Enfield. The post is available as the current substantive consultant has taken up a management role.

There is an exciting opportunity within the North London Mental Health Partnership (NLMHP) for a General Adult Consultant Psychiatrist to join the Community Services in Enfield. The role offered is that of a Consultant in The Enfield South Locality Team covering one of the Community General Adult Teams in the London Borough of Enfield. This post is awaiting approval by the Royal College of Psychiatrist – submitted for approval on 16.05.2024. Interviews will be scheduled within 3-4 weeks of the advert closing.

Main duties of the job

• Senior clinical leadership to the team and responsibility for the medical care of patients under the care of the team.
• The team is a multidisciplinary team comprising of medical staff, nurses, social workers, psychologists and specialist substance misuse workers responsible for the care of patients requiring secondary mental health services.
• Currently community services are undergoing transformation as part of the NHS long term plan with investment to support services to offer more personalized care aligned to primary care networks, with better access to psychological therapy and trauma-informed care for people with mental health problems.
• Work is underway to better integrate care offered across primary and secondary-care, with more joined-up work with partners in the local authority and voluntary sector.
• The post-holder will have the opportunity to provide senior medical leadership as the service develops, playing a central role in ensuring that changes are designed and implemented to improve services available to the local community.

The post-holder will work alongside Dr Antonio Albanese, part-time consultant psychiatrist to the service and current Clinical Director for Enfield Community and Older Adult Services.

Working for our organisation

Formed in 2001 through the merger of its predecessor organizations, Barnet, Enfield and Haringey Mental Health NHS Trust (BEH-MHT) continues to innovate and develop at a fast pace. We are a large mental health trust in London with an annual budget of £337 million and employing more than 3,300 staff. We serve a population of 1.2 million and operate from over 20 main sites in the community. In 2020-21 the trust cared for more than 126,176 people; approximately 2,800 patients on our wards and over 128,388 service users in the community.

We provide a wide range of local and more specialist mental health services, including helping people with serious mental illness (SMI), personality disorders, drug and alcohol recovery, children’s mental health issues, dementia, eating disorders, learning disabilities, ADHD and suicide prevention. The Trust has an overall Care Quality Commission (CQC) rating as ‘Good’ from 2019 and retained the ‘good’ rating in 2022. It also runs the North London Forensic Service (NLFS), which the CQC has rated as Outstanding.

Detailed job description and main responsibilities

The Enfield South Locality Team is part of the Enfield Community Mental Health Services. Other teams include the Enfield North Locality Team; the Enfield Community Rehab Team; the Enfield Early Intervention Service; the Enfield Complex Emotional Needs Service; and the Enfield Crisis Resolution and Home Treatment Team. The Enfield Community Mental Health Team for Older Adults and the Enfield Memory Service are also included.

The advertised post is for a consultant in the Enfield South Locality Team. The Enfield Crisis Resolution and Home Treatment Team holds a caseload between on average 30 - 40 clients and works closely with the inpatient teams as part of their role as gatekeepers for hospital admissions. The Enfield Acute Services are based at Chase Farm Hospital and include 4 inpatient general adult wards (one of which is a male PICU), a male rehabilitation ward (Somerset villa), and 3 other Older Adult inpatient wards.

Community Services have an established and close working relationship with the Psychiatric Liaison Service at the North Middlesex University Hospital, which runs a dedicated psychiatric A&E unit called “Horizon”. There are also close links with the Psychiatric Liaison Service at Barnet General Hospital. There are Health Based Places of Safety (HBPoS) at Chase Farm Hospital and Highgate, and patients from BEH also have access to the Mental Health Crisis Assessment Centre (MHCAS) provided by Camden and Islington. The Enfield Urgent Care Service is supported by the Enfield Local Authority Approved Mental Health Professionals (AMHP) service.

The Enfield Consultant body is a close-knit group of 15 colleagues, mostly holding substantive posts, which meet regularly in formal and informal meetings scheduled on a weekly basis via MS teams on a Monday. Various issues are discussed i.e. local and trust-wide managerial issues, vacancies, training concerns, etc. The Clinical Directors (CDs) and Enfield Associate Clinical Director (ACD) regularly attend this meeting and update the consultant body.

Consultants are actively encouraged and supportive to take on management and leadership roles and to contribute to the broader strategic planning of the Trust. There are regular trust academic conferences (trust wide academic program on Wednesday afternoons via MS Teams) and trust corporate conferences (twice yearly). The consultant group has an established culture of mutual support, collaborative working and shared decision making.

In addition to this, the partnership holds joint Medical and Clinical Advisory Groups for all consultants, currently virtual and 2-monthly although this program is subject to review. Consultants are expected to regularly attend the weekly consultant meeting and the weekly academic program. Whilst several CPD peer groups have formed within Enfield, the consultants are also encouraged to seek peer groups outside the organization as an opportunity to network and share experience with colleagues from other services.

A monthly Balint-Group for consultants has re-started. This gives opportunity to conduct in-depth case-based discussions (CbD) required for annual appraisals and revalidation. New consultants (up to five years following appointments) are encouraged to link in as a group and are supported by the Medical Leads during their induction. New consultants are also encouraged to make use of the Start Well program facilitated by the Royal College of Psychiatrists. All new consultants are given the opportunity to seek a mentor within or outside the organization as part of their job plan.

The post also comes at a time of extra resources being made available to the community services to have a broader remit to engage clients who are traditionally caught between primary and secondary care, offer help at the point of crisis (with the aim of cutting waiting times) and offering evidence based psychological treatment and physical health monitoring in line with national standards. The increased recruitment of voluntary care sector staff is with the awareness that clinical care accounts for only 20% of health outcomes, while socioeconomic, behavioural, and environmental factors determine the remaining 80%.

Person specification

• Qualifications

• Within six months of obtaining a CCT or on the GMC Specialist Register
• Membership of the Royal College of Psychiatrists or equivalent
• Training and experience in General Adult Psychiatry
• Section 12 Approved and an Approved Clinician
• Full Registration with the General Medical Council (GMC) with a current licence to practise from the GMC at intended start date
• Registered for the Continuing Professional Development Programme in the Royal College of Psychiatrists
• Training in the full range of effective therapeutic techniques to include Psychoeducation, medication and Psychological Therapies including MBT
• Membership of a Medical Defence Union
• Medical students, psychiatric trainees and other NHS Staff (teaching)
• Participation in Medical Audit
• Understanding of leadership
• Understanding of equal opportunities and appropriate training
• Experience in data gathering and management
• Basic computer skills, including ability to use email and Internet
• Car user
• Ability to work within a multi-disciplinary team
• Enthusiasm and commitment to the NHS
• Highest level of integrity
• Capacity to respond positively to the constantly changing NHS environment
• Experience of working in Community
• A special interest in and/or further training in a model of psychological therapy
• Teaching (Experience in Teaching)
• Ability to use a wide range of teaching techniques and audio-visual aids
• Management Training
• Management Skills
• Understanding of contracting, finance and activity monitoring
• Experience in developing a service component
• Demonstrable record of clinical leadership

• Clinical skills, knowledge and experience

• Excellent knowledge in specialty
• Excellent clinical skills using bio-psycho-social perspective and wide medical knowledge
• Excellent oral and written communication skills in English
• Able to manage clinical complexity and uncertainty
• Makes decisions based on evidence and experience including the contribution of others
• Able to meet duties under MHA and MCA
• Wide range of specialist and sub-specialist experience relevant to post within NHS or comparable service

• Academic Skills & Lifelong Learning

• Able to deliver undergraduate or postgraduate teaching and training
• Ability to work in and lead team
• Demonstrate commitment to shared leadership and collaborative working to deliver improvement
• Participated in research or service evaluation
• Able to use and appraise clinical evidence
• Has actively participated in clinical audit/quality improvement programmes
• Able to plan and deliver undergraduate and postgraduate teaching and training relevant to this post
• Reflect on purpose of CPD undertaken
• Experienced in clinical research and/or service evaluation
• Evidence of achievement in education, research, audit and service improvement: awards, prizes, presentations and publications
• Has led clinical audits leading to service change or improved outcomes to patients