Consultant Psychiatrist in Access and Wellbeing Service

North Yorkshire and York stretches from Richmond and Whitby in the North to Selby in the South. It is a diverse geographical landscape. It is estimated that the total population in York is 208079 (2019) and Selby 85400 (2014). There is a notable aged population in York along with families of different nuclear status. Therefore, the needs of the population in terms of mental health are diverse.

A vacancy has arisen due to the previous post holder leaving the post. It is a community-based post. The Access to Mental Wellbeing Service is a gateway into secondary mental health services covering the York & Selby area reaching as far afield as Pocklington in the East, Easingwold in the North. The service receives referrals from Primary Care, Social Care, Police, and internal teams such as Psychiatry Liaison and Crisis Teams. The service offers a Brief Intervention pathway for a range of common mental health difficulties to reduce the requirement for secondary care intervention. The service works closely with NHS Talking Therapies and First Contact Mental Health Workers based in GP Practices. The team is multi-disciplinary, working with people aged 18-65 years within the York and Selby location. It utilises the expertise of doctors, nurses, occupational therapists, psychologists, social workers, and support workers. The post also accommodates a core or GP trainee and a Higher trainee post.

Main duties of the job

• Take part in assessments, follow-up and joint working of patients to provide clinical leadership to the multidisciplinary team.
• Provide input to multidisciplinary discussions of assessments and management plans.
• Work jointly with colleagues from other disciplines and all relevant agencies to provide a comprehensive approach to patient care and treatment.
• The appointee must be approved under Section 12(2) MHA 1983.
• To contribute to postgraduate teaching and supervision of junior doctors.
• The appointee must be able to travel independently.

TEWV, using our Quality Improvement System, has introduced Purposeful and Productive Community Services (PPCS). This aims to organise community teams to ensure we are consistently delivering high quality, evidence-based interventions, and clinicians feel supported and empowered to do the best possible job. We want to reduce the amount of time staff spend in front of screens and doing paperwork and release more time to be with patients. Part of PPCS is creating smaller, well led clinical units (cells), and giving every cell member the skills to deliver evidence based biopsychosocial treatments. There is also a weekly leadership cell meeting, a weekly MDT/formulation meeting and a monthly clinical governance meeting.

About us

We are one of the largest specialist mental health and learning disabilities trusts in the country, with an annual income of £320m and a workforce of some 6,700 staff operating from around 100 sites in Durham, Teesside, North Yorkshire and York and Selby. We provide a range inpatient and community services to 2m people living in County Durham, the Tees Valley, Scarborough, Whitby, Ryedale, Harrogate, Hambleton and Richmondshire. We also provide additional specialist services to other parts of Northern England. We deliver our services by working in partnership with eight local authorities and clinical commissioning groups, a wide range of voluntary organisations, as well as service users, their carers and the public. Psychiatrists are essential contributors to our mental health teams. Service users expect and are justified to expect collaborative relationships with dedicated psychiatrists who work consistently as part of effective services. The Medical Directorate and Medical Development Team are striving to improve medical workforce recruitment and retention in a variety of ways and the cornerstone of these efforts is The TEWV Charter for the Medical Workforce.

Job responsibilities

Please see the attached job description for further information on this post. The job description has been approved by the Royal College of Psychiatrists.

Person Specification

Leadership

• Essential: Reflects on own performance and behaviour, seeking and acting on feedback. Able to influence and persuade to improve services. Able to take on a leadership role in multidisciplinary team. Knowledge of structure and management of the NHS and the Trust. Shows commitment to quality through knowledge of quality improvement and lean thinking methodology OR able to achieve within one year of appointment. Able to adapt to and lead service change.
• Desirable: Able to take on a leadership role outside the multidisciplinary team. Understanding of NHS & wider health economy and its implications for the work of the Trust. Trained to standard equivalent to level 2 in TEWV Trust Quality improvement system.

Academic Skills & Lifelong Learning

• Essential: Able to deliver undergraduate or postgraduate teaching and training. Participated in continuous professional development. Participated in research or service evaluation. Able to use and appraise clinical evidence. Has actively participated in clinical audit.
• Desirable: Able to plan and deliver undergraduate and postgraduate teaching and training relevant to this post. Reflected 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.

Qualifications

• Essential: MB BS or equivalent medical qualification. Fully registered with the GMC with a licence to practise at the time of appointment.
• Desirable: Qualification or higher degree in medical education, clinical research or management. MRCPsych or equivalent postgraduate qualification. Approved Clinician Status and Section 12 Status OR be able to achieve within 3 months.

Clinical Knowledge & Skills

• Essential: 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.
• Desirable: Wide range of specialist and sub-specialist experience relevant to post within NHS or comparable service.

Experience

• Essential: Describe your clinical experience relevant to this job role.
• Desirable: Any other experience that may be applicable.

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