Locum Consultant Psychiatrist In Adult Intellectual Disability, Lisburn

Advertised role location: Thompson House Hospital , Lisburn Official document: 55987701 - JD Locum Consultant Psychiatrist ID Lisburn Sept 26 (docx) Locum Consultant Psychiatrist Adult Intellectual Disability Locum Consultant Psychiatrist Adult Intellectual Disability JOB DESCRIPTION POST: Locum Consultant Psychiatrist in Adult Intellectual Disability LOCATION: South Eastern Health and Care Trust Lisburn - Thompson House) DIRECTORATE: Mental Health Adult Services REPORTS TO: Clinical Director for Psychiatry RESPONSIBLE TO: Medical Director JOB SUMMARY The South Eastern Trust wishes to appoint a full time (10 PA) Consultant in Intellectual Disability Psychiatry based in the Lagan Valley Hospital/Thompson House. This post is available for 12 months in the first instance. This post is part of a planned expansion of the service. The successful candidate will deliver community-based assessment, treatment and on-going psychiatric care to adults with intellectual disability resident in the Lisburn sector area. They will also provide inpatient care to patients from their catchment area when they are admitted to an acute psychiatric bed within the South Eastern Trust. This is a full-time post, however applications from practitioners who wish to contract for a reduced number of planned activities, or on a job share basis are welcome. Profile of the South Eastern Health and Social Care Trust The South Eastern Health & Social Care Trust (SET) is an Investors In People (IIP) accredited organisation, employing approximately 12,500 Staff. The Trust is excellently placed to offer integrated health and social services which are accessible, appropriate and of the highest quality. It is an integrated Trust, incorporating acute hospital services, community health and social services. The Trust serves a population of 440,000 people approximately 70,000 of whom are aged over 65-years-old. This number is expected to rise to 90,000 within the next 10 years. The Trust covers a wide geographical area from Bangor in the North, Portaferry in the East, to Newcastle in the South and Moira in the West. The main hospital base is the Ulster Hospital, Dundonald with local hospitals in Lisburn and Downpatrick. A community hospital is based in Newtownards with associated outpatient services. There are also outpatient services in Bangor. In addition to its geographical spread, there is also a noticeable diversity in population characteristics, embracing areas of relative wealth and prosperity as well as pockets of considerable deprivation and need. The North Down and Ards sectors have a predominantly rural catchment area with a population of 161,300. The main centres of population are concentrated in the market towns of Bangor, Newtownards and the small expanding town of Comber, five miles from Newtownards. The Down and Lisburn sectors of the Trust have a combined population of 201,100. The Lisburn sector incorporates the northern part of the Trust which is more urban and includes the city of Lisburn and large housing estates on the fringe of West Belfast. This sector includes geographical wards which have high deprivation measures. The Down sector is mainly rural but does have geographical wards with high measures of deprivation and relative poverty. The Ulster Hospital The Ulster Hospital is the major acute hospital for the Trust and delivers the full range of acute services for the population. This includes a type 1 Emergency Department which is open 24/7 (23/24 ~135k new & unplanned attendances), a comprehensive range of diagnostic services, the full range of outpatient, inpatient and daycase medical and surgical services, cancer care, coronary care, obstetrics, paediatric services and a psychiatric inpatient unit. The regional Plastic and Maxillo‑Facial services are mainly delivered from the Ulster site. The Ulster Hospital has undergone significant redevelopment. In February 2017, the new inpatient ward block (IWB) was opened with 288 single en‑suite rooms, 4 day surgery theatres and 3 endoscopy rooms. The Acute Services Ward Block (ASB) is now operational. It includes 213 single en‑suite rooms, a new X‑ray department including CT, MRI and Nuclear Medicine imaging. The Emergency Department, which completes the final stage of the £280m Phase B redevelopment project, opened on the 6 September 2023. A new Urgent Care Centre opened at the Ulster Hospital in June 2025, providing a modern, purpose‑built facility to access and treat a range of minor injuries and patients requiring urgent care. Open 7 days a week, 8am - 6pm and is Consultant led. The Ulster Hospital is a major teaching hospital associated with Queens University of Belfast and with the Ulster University. The library is linked to Queens University Medical Library and comprehensive on‑line search facilities and other resources are provided through library connections. Facilities for Med‑line and Cochrane Database are also available. Research opportunities are also being developed, particularly in the field of bronchiectasis, lung cancer and health related technology. Lagan Valley Hospital Lagan Valley Hospital is located in the city of Lisburn, a 30‑minute commute from the Ulster Hospital. It is situated close the M1 motorway, with easy access from Belfast. The Emergency Department team operate an Urgent Care Centre, which is a phone first system (appointment only), which is open 8am‑6pm Monday‑Friday (closed at weekends). The hospital also has 84 inpatient medical beds, maternity services via Midwifery led Unit, inpatient medical services as well as outpatient, diagnostic, day‑case services for the local population. The Downe Hospital The Downe Hospital is located in the culturally historic town of Downpatrick, a 40‑minute commute from the Ulster Hospital. The hospital has a phone‑first (appointment only) Urgent Care Centre, operated by the Emergency Department Team. The Urgent Care Centre is open 8am‑6pm Monday‑Friday and also provides a Minor Injury Service on Saturday and Sunday. The hospital has 40 inpatient beds for a range of medical conditions and Frail Elderly Rapid Assessment Clinic staffed 0900‑1800 Monday to Friday. The Downe provides the Trust wide Bowel Screening Service and Sexual Health Service, as well as a range of outpatient, diagnostics and day‑case services, such as cataract surgery. Two GP practices are located on the first floor, along with community and dental services. Downshire Hospital The Trust’s psychiatric rehabilitation and continuing care service is located in the Downshire Hospital along with a Psychiatric Intensive Care Unit and the inpatient Addictions Treatment Unit. Ards Hospital Ards Community Hospital provides a comprehensive range of health, primary and social care services, including an X‑Ray Department, GP Ward, Medical, Surgical, Gynaecology and Psychiatry Outpatients Department. The Trust’s breast screening service is delivered from a new building on the site. Bangor Community Hospital Bangor Community Hospital provides a range of health, social and primary care services, including an Outpatients Department, a Therapy & Rehabilitation Centre, and an X‑Ray Department. Gynaecology outpatients and urogynaecology clinics are held on this site. The continence service for the area is based in Bangor Hospital and urodynamic studies are performed on an outpatient basis. Trust Medical Management Structure Medical Director – Professor Stephen Kirk Deputy Medical Directors- Mr Bob Darling, Mr Sean McGovern The Directorate has an active and dynamic medical staff group and the Medical Staff Committee meets monthly. The Chair of the committee is Dr Kathy Hadden with other members holding positions to support the committee. The Trust is in the process of integrating a number of its programmes into a single Mental Health Directorate. During this period of transition, the Mental Health Service for Older People will join the Adult Mental Health Service, Addictions Service, Psychology Service (including Clinical Psychology for Older People) and the recently established Mental Capacity Act Service to deliver treatment and care to patients based on their assessed needs. The Mental Health service is split into three sectors. The North Down and Ards sector has a population of 161,300 and incorporates the towns of Newtownards and Bangor and the mostly rural Ards peninsula. Community Mental health services for this sector are based at Ards Hospital with acute inpatient beds at the Ulster Hospital which is a large teaching hospital. The Lisburn sector has a population of around 105,000 and has a combination of rural and urban catchment including the city of Lisburn and parts of West Belfast. Mental Health community and inpatient services are based at Lagan Valley hospital in Lisburn. The Down sector has the smallest population size at around 95,000 and is a mostly rural catchment. Community services are based at Finneston House in Downpatrick with acute inpatient beds in the Downe Hospital which is a small district general hospital. There are also some PICU and non‑acute mental health beds based in the Downshire hospital. Administrative and managerial base for the Mental Health service is also based at the Downshire hospital. Finneston House, the Downe hospital and the Downshire hospital are located on adjacent sites. Mental Health Services in Down, Lisburn and Newtownards sectors Lisburn Mental Health services in the Lisburn sector serve a population of approximately 110,000. There is a 21 bed adult psychiatry inpatient unit at Lagan Valley Hospital, Lisburn as well as a 16 bedded inpatient unit for older people with dementia and mental illness. The current staffing for the Lisburn sector includes: Four consultant General Adult Psychiatrists, and three (2.6 wte) consultants in Psychiatry of Old Age. Each consultant team consists of junior medical staff and dedicated secretarial support. There is also a social worker attached to each consultant team. The sector’s Assessment Centre has a dedicated speciality doctor. In addition, there is a Home Treatment Team, staffed by five nurses and a specialty doctor. The consultants in the Lisburn sector have traditionally been GP aligned, and provide community, including Home Treatment, Day Hospital, and inpatient services. Dr Heather Hawthorn GAP Dr Darran Carson GAP Dr Michael McMorran GAP Dr Stephen Moore GAP Dr Angela Wilson POA Dr Mark Macauley POA Dr Leo Tumelty POA Dr Roisin Smith CAT There are SAS doctors working in MHAC, Home Treatment and older people’s services Dr Sally Moran HTT Dr Nicholas McAlinden MHAC Dr Julie Forth POA Dr Carol Mullan POA Down Sector The current staffing for the Downpatrick sector includes: Four consultant General Adult Psychiatrists, a part time consultant in rehabilitation and 2 consultants in Psychiatry of Old Age. In addition there is a speciality doctor (0.8 wte). There are twenty‑four acute beds and a further 20 bedded dementia assessment unit at the Downe Hospital serving a population of 95,000 in the Down area. This ward also takes overflow from the Ards community area. On the Downshire hospital site, as well as the sub‑regional addiction ward, there is a six bedded PICU ward. The Down sector also provides the trust’s ECT service. Consultants in this sector are divided between outpatient and inpatient functions. Dr Ashley McGrady GAP inpatients Dr Mark Finnerty GAP inpatients Dr Kathleen Hadden GAP HTT and community Dr Michael McParland GAP community Dr Laura Somerville GAP rehabilitation Dr Lynn Agnew POA Dr Liz Dawson POA Dr Siobhan Flanagan addictions inpatient and CAT SAS doctors in this sector Dr Clare Robinson MHAC and HTT Down Dr Abier Assal SAS POA Newtownards Sector There is a 24 bed inpatient unit at the Ulster Hospital, Dundonald, together with inpatient beds at the Downe Hospital, Downpatrick. The current staffing for the Newtownards sector includes: Six General Adult consultant Psychiatrists and four Psychiatry of Old Age consultants. There are two inpatient consultants, three Liaison consultants and two Perinatal consultants as well as an addictions consultant. (1WTE). Each consultant team is supported by a trainee doctor and dedicated secretarial support. The MHAC and Crisis Response Home Treatment Team each have a dedicated specialty doctor: Dr Sinead O’Neill MHAC Dr Fiona Gorman HTT There are four SAS doctors working in the community mental health service for older people: Dr Gabrielle Hasson Dr Joanne Younge Dr Darryl Trainor Dr Ryan McIlwaine Services in the sector have been developed along functional lines. The Crisis Response/Assessment Centres in each sector provide both emergency and routine assessments of individuals referred from primary care. This provides a single point of access to secondary psychiatric services. Specialist eating disorders service, neuropsychiatry, forensic psychiatry and services for children and young people are purchased from the Belfast Trust. Consultant Staff: Dr Ben McClure inpatients Dr Rachel Morrow inpatients Dr Catherine Boucher GAP community Dr Roinin McNally POA Dr Gail Walker GAP community Dr Graeme Young POA Dr Gary Woods GAP community Dr Stephanie Campbell POA Dr Sara Maguire GAP/ADHD Service Dr Ruth Grant POA Dr Rachel Smylie GAP and HTT Dr Siobhan Flanagan CAT Dr Claire Coulter ADHD Service and HTT Dr Roisin Smith CAT Dr Carolyn O’Connor PNMH Dr Riona McCann PNMH Dr Jacinta McLaughlin GAP Liaison Dr Pratibha Nirodi OAP Liaison Dr Dearbhail Lewis MCA/OAP Liaison Intellectual disability (ID) services within the South Eastern Trust (SET) ID services are provided through different Sectors: Down, Lisburn and North Down & Ards (NDA). The current vision for the SET ID Psychiatry Service is to have a consultant psychiatrist for each of the Sectors, representing an expansion from the previous two‑consultant model. The Senior Management Team for the Adult ID Service comprises: Assistant Director: Robyn Lennox. Heads of service: Fiona McClean, Claire Crawford, Melissa Jones. Service managers: Kieran McAteer, Kelly-Ann McCormick, Patsy McManus, Helen Carroll, Moira Peters. Governance manager: Marguerite Doyle. Clinical lead: Dr Matt McMurray. Lead nurse: Nikki Smyth. Consultant nurse: Barbara Tate. Consultant psychiatrists: Downpatrick: vacant Lisburn: vacant North Down & Ards: Dr Ken Yeow. Resident doctors at both Core Trainee (CT) and Specialty Trainee (ST) level have been regularly allocated to the SET consultants. Each Sector has a comprehensive multidisciplinary team with access to social work, learning disability nursing, behaviour/specialist practitioners (via the Intensive Support Service), psychology, psychiatry, occupational therapy, speech and language therapy and dietetics. A range of services exist for day opportunities, short breaks, domiciliary care, supported living, residential services and nursing home settings, both Trust‑run and working in close collaboration with independent service providers. There is an ethos of active multidisciplinary working, particularly around more complex cases, with shared decision‑making and risk management such that each team member should feel well‑supported in their clinical work. Most patients can be managed in the community (with step‑up multidisciplinary team input if necessary) but in cases of acute mental illness and major risk, psychiatric admission is sought through the SET acute mental health inpatient system. The SET also has access to one learning disability bed in Holywell Hospital, Antrim and are also in the process of developing an innovative Community Assessment & Treatment Unit (CATU) based at Thompson House. An acute liaison nurse (Paula McIlwaine) provides valuable assistance with ID patients presenting to acute medical settings/the A+E Department. The Post This post is full time 10PAs. The successful candidate will provide medical leadership to the Lisburn Intellectual Disability Community Team and will provide the Intellectual Disability Psychiatry Service for the South Eastern Trust along with two consultant colleagues who will cover the other two Trust areas. They will provide inpatient care to patients falling within their catchment area when required. Administration support and office space are provided. The Trust provides access to desktop computer facilities as well as an iPad or laptop and a mobile telephone to facilitate mobile working. Digital dictation devices are available. While this post is for an Intellectual Disability consultant it is expected that the post holder will be competent to provide psychiatric care to patients in a variety of inpatient and community settings. It is not possible to predict how services will be organised during the full course of the post holder’s future employment. The successful post holder should expect to work in different ways as services evolve over time. Future plans include the development of a single mental health inpatient unit on the Ulster Hospital site. The successful post holder will work in partnership with the acute inpatient teams, General Adult Community Mental Health Teams (CMHT), Mental Health Services for Older People Teams (MHSOP), the Home Treatment Teams (HTT), Liaison and addictions services. Summary of duties of the post Clinical The post holder will: Provide psychiatric assessments and treatment to adults with an intellectual disability. Provide clinical leadership to a team that seek to develop a comprehensive assessment and treatment plan for patients. Participate in multidisciplinary reviews, family meetings, risk assessments and case discussions regarding patients under their care. Work closely with the Intensive support Service and Community teams. Carry out patient reviews, including home visits as required, working under the lone worker policy when doing so. Actively participate in clinical audit and quality improvement work. Participate in training undergraduate students and resident doctors as well as contributing to teaching and training other disciplines as required. Cover colleagues as required. Participate in the Trust’s appraisal and revalidation process. Participate in the educational programmes of the directorate and remain in good standing with the Royal College of Psychiatrists for CPD. Be required to undertake such duties as may occur from time to time through exigencies of the service. Undertake clinical audit and quality improvement activities to protect patient safety and contribute to service development; Maintain his/her knowledge and skills through continuous professional development, maintain GMC standards of medical practice and partake in annual appraisal and 5 yearly revalidation as required to maintain GMC registration and license; Duties will develop in line with the Trust’s strategic direction; Work with local service managers and professional colleagues in the efficient delivery of services. The post holder will not be required to participate in the consultant on-call rota. The post holder will be encouraged to be committed to development and improvement of the service where they work but also in the development of mental health services overall. He/she will be a member of the Directorate Medical Staff Committee which they will be encouraged to attend and actively contribute to. The post holder will be expected to work within the Mental Health Adult Services Directorate structure, which is led by the Clinical Director. This will mean attendance at Directorate meetings and willingness to progress developments or quality initiatives agreed by the Directorate. The post holder will be involved with Trust incident review procedures. Audit and QI are expected aspects of appraisal and revalidation. These are supported through the directorate medical Governance and patient safety monthly meeting. Through this meeting there is an active programme of reflective practice, Morbidity and Mortality Reviews, safety, quality improvement and audit. There is a Trust audit department which can support audit design and data collection. There is a dynamic SQE department which encourages and supports quality improvement activity. Fulfilment of Continuing Professional development (CPD) is a requirement by the Royal College of Psychiatrists. Practising evidence-based medicine and effective team working within the multi-disciplinary team is essential. Participation in clinical audit and appropriate quality assurance exercises is a contractual requirement. The post-holder will be expected to attend / participate in ‘rolling’ medical audit meetings and be involved in regional audits. The Trust is committed to delivering a person‑centred, recovery‑based metal health service. The active participation of service users and carers is fundamental to this objective. Successful candidates will be expected to facilitate such participation in the planning, delivery and monitoring of the service Job Plan The job plan below is preliminary and will develop, according to needs, in negotiation with the Clinical Director/Associate Clinical Director. Time Activity PA’s DCC SPA MONDAY 0900‑1300 1300‑1700 Post‑weekend follow‑up, planning for the week, urgent reviews, priority case discussions, etc. Urgent reviews, home visits, priority case discussions, clinical admin, etc. 1.0 1.0 TUESDAY 0900‑1300 1300‑1700 Outpatient clinic Home visits/inpatient ward liaison, clinical admin 1.0 1.0 WEDNESDAY 0900‑1300 1300‑1500 1500‑1700 Team meetings, complex case discussions Clinical admin Audit/QI activity 1.0 0.5 0.5 THURSDAY 0900‑1300 1300‑1700 Outpatient clinic Home visits/inpatient ward liaison, clinical admin 1.0 1.0 FRIDAY 0900‑0930 0930‑1130 1130‑1230 1230‑1400 1400‑1500 1500‑1700 Travel/admin Management meetings 2‑3/4 Academic meeting Travel/admin Trainee supervision Pre‑weekend urgent matters, tidying up for the week 0.125 0.375 0.5 0.5 0.25 0.25 Total 8.5 1.5 10 PAs If required to work at a different site this will be factored into the pa allocation/ job plan of the successful applicant ... Appraisal and Revalidation The post holder will meet the requirements of annual clinical appraisal and revalidation … Continuing Professional Development The post holder will keep their knowledge and skills up‑to‑date through continuing professional development. All consultant psychiatrists are expected to be members of a peer group and to obtain a certificate of good professional standing for continuing professional development ... Patient Safety and Risk Management The post holder will attend the monthly Directorate Governance and Patient Safety meeting chaired by the Clinical Director. Teaching, Research, Audit and Quality Improvement The Ulster Hospital is a major teaching hospital … Superannuation These posts will be superannuable unless the successful candidate decides to opt out of the scheme or is ineligible to join, and the remuneration will be subject to deduction of superannuation contributions in accordance with the Health Services Superannuation Scheme. There is reciprocity between the Northern Ireland Scheme and that in Great Britain. Equality The Trust is an Equal Opportunities employer and welcomes applications from all sectors of the community irrespective of their religious belief, political opinion, race, gender, marital status, dependants, age, sexual orientation or disability. The Trust is an Equal Opportunities employer All staff are required to display the HSC Values at all times All staff are required to display the HSC Values at all times

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