SOUTH WESTERN DEANERY - South West Peninsula Deanery

Specialty Training (ST4 – ST6) 

GENERAL ADULT AND OLD AGE PSYCHIATRY 

Job Description 

February 2013

Contents 

PAGE 

Schedule of Posts 2 

Introduction 3 

Research 4 

Special Interest Sessions 5 

Training Centres 7 

Specific Posts 10 

NOTE: 

The information contained in this document may be subject to change long term. Any applicant 

successfully appointed to a Specialty trainee post is advised to see up to date information of this kind 

from the Trust to which they are appointed and from the Trusts to which they subsequently rotate. 

2

SCHEDULE OF POSTS 

Speciality 

Page 

No 

Centre Trainers Old Age Adult (Core) Adult 

Specialty 

Devon Partnership NHS Trust 

10 Dr Aitken (Liaison) 

12 Dr Bora 

15 Dr de Warren-Penny 

17 Dr Dickinson (U&I) 

19 Dr Dixon (U&I) 

20 Dr Dorkins (Forensic) 

22 Dr Dunn 

23 Dr Feller (LD) 

24 Dr Freer 

25 Dr Lovett (U&I) 

27 Dr Lynch 

29 Dr Mizen (Psychthrpy) 

30 Dr Montgomery 

31 Dr Moore 

32 Dr Nelson 

33 Dr Noble (U&I) 

34 Dr Owens (Liaison) 

36 Dr Pearson 

37 Dr Rowlands (Sub Mis) 

39 Dr Somerfield 

42 Dr Thekkepalakkal 

Plymouth Teaching Primary Care Trust 

43 Dr Buttan (U&I) 

45 Dr Cunningham 

46 Dr Cooper 

48 Dr Dinniss 

49 Dr Ford 

50 Dr Murphy 

52 Dr Payne (Rehab) 

Cornwall Foundation Partnership Trust 

53 Dr Altaan 

55 Dr Bernal (LD) 

56 Dr Bowers 

58 Dr Cameron 

60 Dr Flynn (Liaison) 

61 Dr Hunter 

62 Dr Kusterman 

64 Dr Laugharne 

65 Dr Mackintosh 

67 Dr Mather

69 Dr Metcalfe (E.I.S) 

71 Dr Naylor 

72 Dr Richards 

74 Dr Shankar (neuropsych) 

75 Dr White (Sub Mis) 

4

INTRODUCTION 

The Scheme offers posts in all Trusts providing psychiatric care in Devon and Cornwall, with experience ranging 

from cities to suburban and dispersed rural areas. There is a range of models of service provision on inpatient, 

outpatient and community based care. The rotational scheme affords placement in several branches of 

psychiatry; liaison psychiatry; substance misuse, general psychiatry, psychiatry of old age; Forensic Psychiatry, 

Home Treatment, Early Intervention in Psychosis, Eating Disorders and Psychotherapy. Training occurs in a 

number of different settings; psychiatry hospitals, community units and academic departments. As there are 

more approved training opportunities than funded posts Specialty Trainees have considerable choice and 

flexibility in planning an individually tailored training programme. 

The training in each of the training posts have been planned to give each Specialty Trainee a broad experience 

as well as providing scope to develop research and pursue a special clinical interest. 

The basic plan of each one year training post is: 

Eight clinical sessions with the principal Consultant Trainer 

One special interest session, which may be with the Consultant Trainer or with another Consultant. The 

special interest sessions will be arranged after discussion with the Programme Director. 

One research session supervised by a member of the Academic Department or a supervisor approved by 

the Programme Director. 

The training scheme is based around main centres in Bodmin, Redruth, Exeter, Plymouth, Barnstaple and 

Torbay. Each centre has its own on-call arrangements. Specialty trainees on the scheme are employed by one 

of three NHS Trusts: Cornwall Partnership NHS Trust, Devon Partnership Trust and Plymouth Primary Care 

Trust. The Regional Postgraduate Dean is Dr Martin Beaman, Peninsula Medical School, John Bull Building, 

Research Way, Tamar Science Park, Derriford, Plymouth. 

Allocation of posts is made by the Programme Director in the light of discussions with individual Specialty 

Trainees, initially directly after appointment and then a few months prior to each rotation point in July of each 

year. Specialty Trainees are strongly encouraged to meet with the Consultant trainers for their preferred 

placements prior to the final allocation. 

There are 15 posts on the rotation. Four NTN’s exist in Old Age Psychiatry and eleven in Adult Psychiatry. It is 

possible to apply to dual accredit in Old age and General Adult Psychiatry. Of the sixteen posts, four are 

allocated to Cornwall Partnership Trust, four to Plymouth Primary Care Trust and seven to Devon Partnership 

Trust. 

Throughout his/her tenure, each Specialty Registrar is entitled to one session per week for research as part of 

the core training programme in psychiatry and this does not constitute study leave. Specialty Trainees are 

entitled to an additional study leave and this is not used for the day per week for research as part of core 

training. The Specialty Trainees are also encouraged to meet monthly for informal support and specific 

educational activities. 

The Programme Director runs a regular training surgery in each locality and trainees are encouraged to make 

use of this facility. The scheme has a well established ARCP (Annual Review Competency Progression) process 

which is highly regarded by trainees. 

5

RESEARCH 

Specialty Trainees are encouraged to conduct research. Each Trust has modern library facilities and access to 

internet facilities. 

Opportunities exist within the Peninsula Medical School for undertaking MSc degrees in clinical research and 

education and trainees are actively encouraged to undertake a higher degree. In addition, opportunities exist 

within the academic department of mental health, Exeter University for working collaboratively on research 

projects in the field of mental health. 

SPECIAL INTEREST SESSIONS 

Specialty Trainees are encouraged to make full use of their special interest sessions which may be used to 

pursue a higher qualification that is relevant to their training. 

6

TRAINING CENTRES 

Cornwall 

Cornwall has a population of approximately 486,000. It represents the second largest county in the area but 

has the lowest population density. 

The county has the longest coastline of any English county, some 570 km; the river Tamar forms a physical and 

cultural divide with the rest of Great Britain for all but 18km of its length. The Isles of Scilly lie 45km off Lands 

End. The distance between the north and south coast varies from 72km in the east of the county to as little as 

8km at the western end. 

Much of the county’s identity has been maintained in traditions and culture and it possesses distinctive 

physical features in its peninsular form with stunning coastlines, moorlands and a temperate climate. A past 

history of mining has been subsumed by the growth as a holiday area together with some recent 

manufacturing industry. The area remains however largely rural in character and farming and fishing in the 

west is still the mainstay of economy. 

There is a wide scatter of small towns and villages. Only 31% of the population live in towns of over 10,000 

inhabitants (Penzance, Camborne, Redruth, Falmouth, Truro, Newquay, St Austell, Bodmin and Saltash). 

Cornwall’s renowned temperate climate allows for such activities as sailing, wind surfing, swimming, and 

walking. There are also several Golf Courses in the county. Leisure Centres are provided throughout the 

county. The attractive cathedral city of Truro is the sub-regional centre and offers extensive shopping and 

leisure facilities. Performing arts are catered for at the Hall for Cornwall, Truro and a range of other venues 

including the spectacular Minack theatre in Carrick. There is a thriving artistic community and the centre for 

modern and contemporary art is at the St Ives Tate Gallery in the west of the County. There are also a number 

of impressive restaurants throughout the county providing a wide choice of cuisine. The County offers excellent 

primary and secondary education through state and public schools, coupled with a comprehensive choice of 

adult education classes. 

Major national and international tourist attractions such as Heligan Gardens and the Eden Project attract 

visitors throughout the year. 

A choice of properties including waterfront, smallholdings, traditional and new build are all available within 

county. 

Plymouth 

Plymouth is a major centre of population with large industrial, residential and leisure sectors and as such its 

population has a wide range of health care needs. Plymouth Primary Care NHS Trust is responsible for 

providing secondary mental health, rehabilitation medicine and geriatric services plus a range of primary 

community services including community nursing, reablement teams, dental services and remedial therapies. 

In addition the Trust manages two community hospitals, located at Tavistock and Kingsbridge. The Plymouth 

Primary Care NHS Trust provides services to acute general adult psychiatry, rehabilitation and old age 

psychiatry for the catchment area. There is a specialist Community Drugs Service and a developing Community 

Alcohol Service. Child and Adolescent Psychiatry care is now also provided by the Trust. Glenbourne also 

houses an ECT suite, administrative offices and meeting and conference rooms. 

7

Almost 60% of the population served live in the city itself and services must therefore cater for a large inner 

city population. Unlike some other areas of the SW Region, Plymouth does not have an unusually high number 

of elderly people in its population. The age structure is similar to the national pattern with 19% under 15 years 

and 17% over 64 years. Projections show that although the population will grow by only 3% during the next 10 

years, there will be a 36% increase in those over 75 years of age. There are good road and rail links to central 

southern England and flights from Plymouth Airport at Derriford to London and other major cities. To the 

north-east is the rugged and virtually unpopulated Dartmoor national park. The South Hams area to the east of 

Plymouth boasts many charming villages and fishing ports. The area has a full range of educational and leisure 

facilities. 

A large part of Wednesday mornings is devoted to the academic programme for the training of junior doctors. 

Under the supervision of the Clinical Tutor, the Specialty Trainees are involved in organising and participating in 

this training. There is a weekly case presentation and Journal Club, where Specialty Trainees are expected to 

be active participants in organising, delivering and teaching. In addition, Dr Montgomery runs a regular 

research clinic to support trainees undertaking research projects. From September 2009, the Peninsula 

MRCPsych course will be coordinated and delivered from Plymouth run by Drs Cooper, Dinniss and Bickerton. 

Higher trainees are actively encouraged and supported to involve themselves in delivering the teaching. 

Devon Partnership Trust 

The Devon Partnership NHS Trust was created on 1 April 2001. From July 2002 the Trust provided Mental 

Health, Learning Disability and Social Services to the majority of the Devon population apart from those living 

in Plymouth, who continue to receive those services from Plymouth Primary Care Trust and Plymouth Social 

Services. 

The Devon Partnership Trust offers a comprehensive range of mental health and social care provision with 

services to adults, older people, people with learning disability, children and adolescents, adults with 

physical/sensory disability and people with drug and alcohol problems. Across the Trust there are specialist 

services for Forensic Psychiatry and Psychotherapy. There are strong academic links with our main research 

partner, the Peninsula Medical School, through the Mental Health Research Group based in Exeter. 

Exeter 

Exeter is a Cathedral city and is the regional centre and county town of Devon. The Devon Partnership Trust 

headquarters are at Wonford House Hospital, Dryden Road, Exeter. Wonford House Hospital is adjacent to the 

Royal Devon and Exeter Hospital on the same site. The Wonford site is within its own grounds, a mile from the 

city centre. Devon Partnership Trust provides services to Exeter and the surrounding area through the Exeter 

and East Devon locality. The Exeter and East Devon locality serves a population of 243,000 in total; 21% of that 

population are aged 65 plus; 57% lie between 20 and 64; and 22% between 0 and 19. 

Wonford House Hospital houses the Specialist Eating Disorders Unit, Older Persons Psychology facilities for 

Exeter City, and district Psychiatric Rehabilitation Services. The Cedars, a purpose-built unit, adjacent to 

Wonford House, provides acute admission facilities for Exeter, East Devon and Exmouth localities, Delderfield 

Ward; and the Tiverton/Okehampton localities, Coombehaven Ward. The Liaison Psychiatry service to the 

Royal Devon & Exeter Hospital, and the Mental Health Group of the Institute of Health and Social Care 

Research, Peninsula Medical School, (www.ex.ac.uk/dmh/) are co-located in Wonford House Hospital. The 

Department of Clinical Psychology is also on the Wonford site, adjacent to other medical academic 

departments of the Peninsula Medical School. 

The library situated in Wonford House is specialist and stocks a wide range of books covering all aspects of 

mental health. It is part of the University of Exeter library service and the catalogue can be accessed on 

8

www.ex.ac.uk/library/eml/whh/html. There is a range of periodicals and journals for reference. The library is 

staffed during weekdays except Wednesdays. The librarian can arrange inter-library loans. There is access to 

online databases and literature searches. Additional specialist journals are held in the department of clinical 

psychology. 

Within Wonford House there are regular, well organised, activities supporting training and continuing 

professional development: 

Torbay 

Case conferences are held over Tuesday lunchtime from 12.30 in the Bucknill Conference Room. Journal 

club runs on Wednesday lunchtime in the junior doctor’s common room from 12.30. 

Audit meetings are held monthly on Mondays from 12–1pm. There is support from the audit department 

for trainee projects. 

Wonford House Hospital hosts the Exeter Part 1 and Part 2 MRC Psych course on Thursdays and Fridays, 

attended by trainees from across the Peninsula. 

Torbay incorporates the areas of Torquay, Paignton and Brixham and extends from Dartmouth in the south to 

Dawlish and Moretonhampstead in the north. 

The district is mainly rural in nature, with small towns and a major urban conurbation on the bay. It provides 

extensive holiday facilities which produce a large increase in population in the summer months and holiday 

periods of the year. The main industries are tourism, leisure and residential care. The area has an extensive 

range of leisure facilities from water sports to moorland walking. There are good schools in the area including 

both boys and girls grammar schools. Torbay is an attractive centre with a favourably mild climate and easy 

access to Dartmoor National Park and the coast. The county’s two major cities, Exeter and Plymouth, are both 

less than an hour away by road. There are good rail links with Bristol and London (less than four hours away). 

The teaching programme is organised by the Clinical Tutor (psychiatry). There is a weekly session for 

postgraduate education with a tutorial held by the Clinical Tutor and a weekly tutorial held by the Specialty 

Trainee and/or Consultants in the Department of Psychiatry. The postholder would be expected to contribute 

to the educational session, tutorials and examination practice sessions. 

Clinical audit is co-ordinated by the Consultant responsible for audit, who is supported by a secretary. The 

postholder will be expected to present at audit at least once in the academic year. The postholder will be 

expected to contribute to audit and training sessions with the non-medical clinical staff. 

Peninsula Medical School 

The Peninsula Medical School is the first new medical school for 30 years. Within the PMS Institute of Health 

and Social Care, the Mental Health Research Group conducts health services research and has a strong track 

record of publication and grant income generation. Details of research activity is available at 

www.ex.ac.uk/dmh. Specialty Trainees are encouraged to become involved. Many recent Specialty Trainees 

have been involved in research through the department and have published successfully in the peer-reviewed 

literature. There are opportunities for training in research methodology and statistics through the Peninsula 

Medical School. There are a number of research-based courses available from workshops through taught 

masters degrees to MD or PhD. Full details are available at www.pms.ac.uk. PMS medical students began their 

training in 2002 in both Exeter. Plymouth and Truro. The Peninsula MRCPsych course is hosted in Plymouth. 

Specialty Trainees are actively encouraged to become involved in postgraduate teaching on the course. 

9

SPECIFIC POSTS 

These timetables and descriptions are indicative only and subject to change with service development and 

will be tailored to meet individual trainees learning needs after discussion and agreement from individual 

educational supervisors. 

10

POST: 

TRAINER: 

EMPLOYING TRUST: 

TRAINING BASE: 

Liaison Psychiatry 

Dr Peter Aitken 


Wonford House Hospital, Dryden Road, Exeter, EX2 5AF 

JOB DESCRIPTION: This integrated mental health and wellbeing service will maintain and improve current 

mental health care provision to RD&E hospital. All service user presentations to the RD&E that are referred to 

the service will be seen and assessed by an integrated clinical team, who can deliver sophisticated assessments 

and interventions shaped to the needs of patients of the RD&E, draw on all three functions in any of the 

Mental Health Networks or arrange care out of county. The team uses bio-psycho-social assessment, 

signposting, brief intervention, or brokerage depending on identified level of need. The team conducts 

environmental risk assessment & management, mediation, group and team work, anxiety management, care 

planning, contingency planning, education, training, mentoring and medico-legal advice. The team uses a brief 

intervention tool kit based on motivational interviewing toward engagement with the care plan, problem 

solving or CBT based sessions at the bedside or in outpatient follow up. 

The team was commissioned three years ago to provide to adults of working age 0900 – 1700 Monday to 

Friday. (The same model of service is offered from the Exeter Crisis Team as the ‘Hospital At Night Team’ 

between 0000 – 0900.The SHO on call service provides from 5pm - midnight) The liaison team provides a 

service within one hour to the Emergency Department of the RD&E and a same day service to the 650 inpatient 

beds on the Wonford and Heavitree sites. Its performance is measured against 650 assessed annually, 

admissions avoided, action against delay to discharge, actions to avoid repeated admission, compliance with 

the 4 hour wait, suicide reduction. 

Health and Neuropsychology 

The service has been developed over many years to meet the psychological needs of inpatients in the RD&E, 

and to provide a neuropsychology service to adults with acquired neuro-disability. 

The health psychology team uses psychological assessment, brief interventions, short term psychotherapy 

(CBT, CAT) and multidisciplinary multimodal group work in outpatients. The team conduct care planning, 

education, training, supervision for psychological interventions and leadership of bio-psychosocial group 

interventions. The health psychology service is currently provided to specialist services- pain management, 

respiratory medicine; cancer care, kidney unit; otolaryngology. The service also provides rapid response to 

referrals from any department, where psychological distress impedes medical or surgical treatment. 

The neuropsychology service offers psychological assessment; neuropsychological assessments; brief 

interventions; neuro-rehabilitation; short term psychotherapy (CBT, CAT) and couple therapy with adjustment 

issues in outpatients. The team conduct care planning; coordination of bio-psychosocial intervention and 

support packages; education & training; support, coaching and supervision with enablers. The median number 

of individual therapy sessions delivered is 6. Integrated multi-professional group sessions up to a maximum of 

6. The service is currently provided to neuro-reablement inpatient and community units, including Mardon. 

The health and neuropsychology services are available 0900-1700 Monday to Friday. 

Research Innovation and Improvement 

The department of psychological medicine is co-located with the Directorate of Research & Development 

where there is an MRC NIHR funded program of research into suicide prevention and harm minimisation from 

self harm, a research support service, an innovation group developing novel uses of information management 

11

for the prevention of suicide and harm minimisation, and an improvement (Patient safety) group driving 

toward safer mental health services. 

Training and Development 

The department hosts students from all disciplines at all stages of training including Foundation doctors at level 

1 and 2 on rotation to the Royal Devon and Exeter Hospital. 

TIMETABLE: 

Monday 

Tuesday 

Wednesday 

A.M. 


RD&E Wards 

Team Meeting 

Academic Programme 


RD&E Wards 

P.M. 


RD&E 

OPD 

1.30 – 2.30 Supervision with 

Consultant 


RD&E Wards 

Thursday TBA Research 

Friday TBA Special Interest 

On-call 

1 in 14, Consultant Rota with Consultant Cover 

12

POST: 

TRAINER: 



StR in Psychiatric Rehabilitation and Recovery, 

Dr Rani Bora, MRCPsych MB BS 


Wonford House Hospital, Exeter 

JOB DESCRIPTION 

The Service: 20 years ago, Exeter psychiatric rehabilitation services were well organised and well thought of 

but subsequently fell into decline and became either isolated and unsupported or were dispersed. With the 

inception of the Devon Partnership Trust and pursuit of the implementation of the NSF for Adult Mental Health 

(1999), coupled with thinking of clinical services as interactive systems, there was a renewed emphasis on 

developing a comprehensive and responsive rehabilitation service. This was both to meet the needs of its core 

patient group and through that the needs of a service as a whole. The appointment of a full time rehabilitation 

consultant in 2003 was a significant step in consolidating and taking forwards service developments that began 

2 years previously. The service continued to grow and develop by adding a linked community team and then 

by growing connections with residential care providers. The service has been a leading area in Devon for the 

development of recovery orientated practice. 

The service currently comprises of two separate but connected areas of work – an inpatient, residential 

rehabilitation service for Devon and a community rehabilitation team for Exeter. Medical and psychology staff 

are shared across both teams and there are aspects of joint work and planning. The teams have separate 

nursing and OT staff and have different managers. The service is going through a process of re-provisioning 

currently, moving towards an integrated Residential and Community team. 

The StR Role: The StR is an apprenticeship role, learning rehabilitation psychiatry and at the present stage of 

service development, participating also in how to redesign a service shape and remodel it, taking advantage of 

new service developments and the complex process of re-commissioning existing ones. The StR would shadow 

the consultant clinically and in service development and planning processes. He or she would also take up 

specific projects and areas or responsibility as available. There will be ample opportunities to develop the 

whole range of specialist competencies in line with the specialist curriculum and the post holder will work 

across inpatient, community and out of area environments. 

Facilities: Russell Clinic is an inpatient ward (16 beds) at Wonford House Hospital, linked to a dedicated 

community rehabilitation team for Exeter. The ward is the main provider of residential rehabilitation for 

Devon. We also work with providers of residential care and have close relationships with providers in Exeter. 

Russell Clinic has the unique distinction within the trust of being awarded the AIMS (Accreditation of Inpatient 

Mental Health Services) by the Royal College of Psychiatrists in July 2011; AIMS is a standards based 

accreditation service designed to improve quality of care in psychiatric wards. 

Structures: There are a number of organisational structures though which clinical leadership, service 

governance and guidance on service developments and design are conducted. This included the Psychosis & 

Recovery Forum, the Rehabilitation Core Group, Multidisciplinary team supervision, referral and concerns 

meeting and 3 times a week inpatient hand-overs on Russell Clinic. In addition both residential and community 

teams have regular team and service development away days and we have close networking relationships with 

MIND and Rethink and particularly with Recovery Devon. We also have close working links with service user 

and carer groups. 

Population: Russell Clinic serves the same area as Devon Partnership Trust, i.e. 850,000. 

Community Rehabilitation Team serves only Exeter, with a population of 150,000 approximately. 

The Exeter 

13

Number of Consultants for the service: 1 WTE for rehabilitation. 

Multidisciplinary Team including junior staff: Full-time Secretary, SHO, Occupational Therapists, RMNs, 

Nursing Assistant; Service Core Leadership Team also includes Nurse Team Manager, Clinical Psychologist and 

local Operations Manager. 

Teaching opportunities: These are substantial; we see ourselves as a teaching and training resource for 

rehabilitation and for recovery orientated practice. We are part of an ambitious training strategy to increase 

recovery awareness and skills across the Trust and have rich connections with regional and national 

rehabilitation and recovery initiatives. All of these generate teaching needs and opportunities which can 

incorporate the post holder. 

Research interests: Dr Rani Bora is an enthusiastic trainer and accredited life coach. She is passionate about 

bringing her coaching skills into the work place and has trained several teams on application of coaching skills 

in routine practice. Her research interest is centred around mental well-being promotion, personal 

development and self-management. Another key research interest is around promoting physical health and 

looking at ways to increase motivation, especially for people with mental health difficulties. Her recent 

research project about implementing 5 ways to well-being has been cited as an example of good practice in the 

NHS Confederation’s national review of the implementation to Five Ways to Well-being. She and her 

colleagues produced a number of resources including a comprehensive report, self-help booklet, promotional 

film and power-point presentation all of which are freely available to download from the Devon Partnership 

Trust website http://www.devonpartnership.nhs.uk/Looking-After-Yourself.342.0.html or from the Recovery 

Devon website http://www.recoverydevon.co.uk/. 

Dr Bora is a member of the steering group for the Trust IMROC (Implementing Recovery Oriented Practise) 

project, which is a national initiative led by the NHS Confederation and the Centre for Mental Health Services 

Development aimed at developing recovery orientated mental health services. She is an active member of at 

least 3 of the work-streams focussing on transforming workforce, redefining engagement with people using 

services and promoting well-being within the wider community. 

Educational programme: The Specialty Trainee would be in an apprenticeship role, learning rehabilitation 

psychiatry through joining both an inpatient and community team and taking a responsible clinical role. The 

service itself is being actively redesigned and redeveloped and the trainee would participating in learning how 

to engage with shaping and remodelling practice and services, incorporating new developments and the 

complex process of recommissioning existing ones. The Specialty Trainee would shadow the Consultant 

clinically and in service development and planning processes and would be supported to take up specific 

projects when ready. There will be ample opportunities to develop the whole range of specialist competences. 

There are substantial opportunities for teaching and in developing organisational and leadership skills 

depending on trainee's interests and availability. We are the specialist service for Devon and aspire to being 

the core resource for teaching and training in rehabilitation and recovery locally and to provide a national 

model. We are also engaged with projects focusing on the well-being of the workforce to support practitioners 

developing their personal experience as expertise in recovery-focused practice. We are also working on the 

routine use of recovery outcome measures, supporting the development of peer support, recovery coaching, 

person-centred medicines management and supporting self management – and other Trust-wide 

developments. Each trainee’s personal programme will be built on gaining core specialty competencies and 

pursuing their particular interests and needs. 

14

Weekly Timetables 

TRAINEE TIMETABLE: 

am 

pm 

Monday Tuesday Wednesday Thursday Friday 

9:00-12:00 9:00 Handover 

9.00 Handover 

Community Work 

(Russell Clinic) 

9:00 Handover (Russell 

Clinic) 

1:30-2:30 (1 st , 3 rd Mondays 

of the month): 

Multidisciplinary clinical 

supervision (facilitated by 

clinical psychologist) 

3:00-4:00 Clinical 

Supervision with Dr Bora 

12:30-1:30 Case 

Conference/Journ 

al Club 

2:00-4:00 Clinical 

Reviews 

10:00-12:00 CORE 

group (4 th Weds of 

every 

month)/FORUM 

(3 rd Weds of every 

2 months) 

1:00-3:30 

Community team 

Meeting 

Study/ Research 

Day 

Russell Clinic ward 

work 

Work with 

community 

team/assessments/ 

admin 

ON CALL: 

1:14 with Consultant Cover 

TRAINER TIMETABLE: 

am 

pm 


8.00 Admin time 

8.00 Admin 8.00 Admin time Not at work. 1 8.00 Admin time 

time 

SPA off-site. 

9.00 Handover (Russell 

Clinic) 

1:30-2:30 (1 st , 3 rd 

Mondays of the month): 

Multidisciplinary clinical 

supervision (facilitated by 

clinical psychologist) 

2-5pm Client 

Reviews 


9.00 Handover 

10-12 CORE group (4 th 

Weds of every 

month)/FORUM (3 rd 

Weds of every 2 

months) 

1-3.30 Community team 

Meeting 

(Clinical cover by 

Dr Mary 

Rowlands) 

9.00 Handover 


Loose ends and 

appointments 

3:00-4:00 Trainee 

Supervision 

15

POST: 

TRAINER: 



General Adult Psychiatry 

Dr Phil de Warren-Penny 


The Cedars, Wonford House Hospital, Exeter 

JOB DESCRIPTION: Dr Phil de Warren-Penny is Consultant Psychiatrist for Mid Devon Urgent & Inpatient Care, 

relating to Community Team bases in Tiverton and Crediton, affording the trainee the opportunity of following 

patient’s transition between Crisis/Home Treatment and Inpatient services. The ST4-6 trainee will work with 

him in providing clinical, diagnostic and risk management of individuals admitted to the Cedars under his care 

and under the auspices of the Crisis/ Home Treatment Team; proactive liaison with multidisciplinary teams 

regarding individuals using services; undertaking Mental Health Act Assessments; the provision of reports for 

and attendance at Mental Health Review Tribunals and Managers’ Hearings (under supervision); chairing CPA 

and 117 meetings; chairing ward rounds; clinical supervision and training of junior doctors; and participation in 

the Consultant on-call rota. The St4-6 trainee will be encouraged to take an active part in Audit. 

As relatively newly appointed consultant, having trained in Peninsula Deanery as an ST4-6 in the aftermath of 

MTAS, Dr de Warren-Penny is well aware of the tensions placed on Higher Specialist Trainees, and the need to 

gain experience in a variety of domains outside the clinical for ARCP progression, gaining CCST, and obtaining a 

Consultant post. He has previously been the Chair of the Peninsula Psychiatry SpR/ST4-6 group, and Chair of 

the Regional Junior Doctor’s Committee for the BMA. 

There is significant opportunity for exposure to Management and Leadership activities both within the Urgent 

& Inpatient Care Governance structure, and with other activities Dr de Warren-Penny undertakes. At present 

he is involved in working groups for: Medicines Management regarding injectable prescribing and rapid 

tranquilisation; a review of Mental Capacity Act and Deprivation of Liberty Safeguards arrangements in the 

Trust with a view to developing an Improvement plan; Mental Health Act Committee for Devon Partnership. 

Trainee participation in these activities, and others as they develop, would be both encouraged and welcomed. 

He currently is Chair of the Local Negotiating Committee for Devon Partnership, and an Executive Member of 

the BMA Southwest Regional Council. 

Dr de Warren-Penny also undertakes medico-legal work independent from his role within Devon Partnership 

Trust. Whilst not a core part of the role of any trainee with him, opportunities for developing this as a special 

interest whilst a trainee (as he did) would be supported. 

The post is supported by a CT1 trainee covering the ward, providing the opportunity for both teaching and 

mentoring. Regular placements of 3 rd and 5 th year medical students from Peninsula Medical School also 

provide teaching opportunity. 

Full secretarial support is provided. The post holder has timetabled regular consultant supervision and access 

to an SpR office within Wonford House Hospital. 

Weekly Timetables (see point 4 in Notes for Guidance) 


Please complete the proposed timetable for the trainee. This timetable must indicate the arrangements for 

Clinical and Educational Supervision 

16


a.m. 

9am Ward MDT 9am Ward MDT 

Meeting Meeting 

10 am Clinical 10am UIC Clinical 

Reviews Governance 

Meeting 

Special 

9am Ward MDT 

Interest/Research Meeting 

(Day subject to 10am Ward Round 

negotiation) 

9am Ward MDT 

Meeting 

10am Clinical 

Reviews / CRS 

Assessments 

p.m. Ward Round 12:30 – 1.30 Case 

Conference 

1.30 – 2.30 ST4-6 

Supervision 

Special 

Crisis Team 

Interest/Research assessments 

(Day subject to 

negotiation) 

Clinical Admin 

ON CALL – please state frequency of on-call and nature of duties plus arrangements for clinical supervision 

1:14 On Call, non-resident, with consultant cover as “First on” the Consultant rota 

Clinical supervision available from Consultant on call, or through discussion with trainer afterwards. 


Please complete the timetable for the trainer. This should show: 

1. regular scheduled Consultant supervision of one hour per week 

2. a substantial overlap with that of the doctor in training 


a.m. 

8am Clinical Admin 8am Clinical Admin 8am Clinical Admin 10-2 SPA for CPD/ 8am Clinical Admin 

9am Ward MDT 

Meeting 

9am Ward MDT 

Meeting 

9am Ward MDT 

Meeting 

Revalidation 9am Ward MDT 

Meeting 

10 am Clinical 

Reviews 

10am UIC Clinical 

Governance 

Meeting 

10am Ward Round 

10am Clinical 

Reviews 

p.m. Ward Round 12:30 – 1.30 Case 

Conference 

1.30 – 2.30 ST4-6 

Supervision 

12-1pm F2 

Supervision 

1pm crisis team 

assessments 

Management SPA 

(Management 

Supervision/Apprai 

sals/Job Planning) 

17

POST: 

TRAINER: 



CRS/Home Treatment/Acute Inpatient Psychiatry 

Dr Tim Dickinson 


Haytor Unit, Torbay Hospital 

JOB DESCRIPTION: The ST4-6 will provide medical input to both the Crisis Resolution/Home Treatment Team 

and the Acute Inpatient Service. Elements of these teams have integrated to provide a seamless service for 

people in mental health crisis in the community, through admission (if required) and back to community care 

providers (Primary Care/CMHT). 

The weekly timetable is flexible with little adherence to fixed clinical sessions, the Consultant and ST4-6 

providing input to the teams activities when and where needed. Each morning a one hour Acute Services 

meeting plans the activities for the day which ensures medical time is used most efficiently. There are nominal 

fixed sessions to allow multidisciplinary team meetings with community colleagues and these will usually be 

chaired either by the Consultant or ST4-6, depending on clinical need. 

Time will be provided for the ST4-6 to undertake supporting professional activities as well as protected time for 

a special interest or research. There is a rotational (4 monthly) F2 junior doctor attached to the team and we 

also provide Peninsula Medical School Year 5 placements (Specialities Block). The ST4-6 will be encouraged to 

participate in the teaching and assessment of these junior colleagues. 

The service locally is undergoing a substantial redesign and there will be opportunity for the ST4-6 to gain 

experience in the management of this process. 

Office space will be provided in the Crisis Resolution/Home Treatment Team office with administrative support 

from the Consultant’s secretary. 

TIMETABLE: 

Monday 

Tuesday 

Wednesday 

TRAINER A.M. P.M. 

9am-10am Acute Services Meeting 

10-12pm Flexible 

Clinical/Supporting 

12-1pm Supervise ST4-6 

9-10am Acute Services Meeting 

10-12am Flexible 

Clinical/Supporting 

12-1pm Supervise F2 


10-1pm Flexible Clinical/Supporting 

1-5pm Multidisciplinary Team 

Meetings 


2-5pm Local Academic Programme 


Meetings 

Thursday 

Friday 





Meetings 



18

TIMETABLE: 

Monday 

TRAINEE A.M. P.M. 

9-10am Acute Services Meeting 1-5pm Multidisciplinary Team 

10-1pm Flexible Clinical/Supporting Meetings 

Tuesday 

Wednesday 






2-5pm Local Academic Programme 


Meetings 

Thursday Research/Special Interest Research/Special Interest 

Friday 



Meetings 


19

POST: 

TRAINER: 


East Devon Crisis Team and Inpatient Consultant Psychiatrist 

Dr Charles Dixon 


JOB DESCRIPTION: 

The Urgent and Inpatient Care network look after the most acutely mentally ill people for a short time during 

their crisis. This can occur at home with support from the Crisis Resolution Team or may require a stay on the 

inpatient unit. This post involves working across these two areas with clients who live in East Devon. The post 

is based in Exeter with the Crisis Resolution Team located within the inpatient unit at The Cedars in the grounds 

of Wonford House Hospital. The trainee would have the opportunity to work with the inpatient team and the 

Crisis Team and follow the patient’s journey across services. 

Dr Dixon is a popular dynamic young Consultant who trained as an SpR in the Peninsula and understands the 

training needs of ST4-6’s and can help them on their path to a CCT and Consultant job. As well as being the 

Clinical Tutor for Exeter, East & Mid Devon, he is also heavily involved in undergraduate teaching with the 

Peninsula College of Medicine and Dentistry and leads psychosis week and a fifth year psychiatry pathway 

among other things. Any trainee would have the opportunity to be involved with this teaching. 

The post comes with full secretarial support, a spacious office and a GP trainee covering the ward. There is a 

well attended clinical education meeting with lively discussion every week which is led by Dr Dixon. 

TIMETABLE: 

Monday 

Tuesday 

A.M. 

Planning Meeting 

Review new admissions 


Medical Students welcome 

Clinical Education Meeting 

P.M. 

Crisis Team Assessments 

Ward Round 


Wednesday Planning Meeting 



Ward Round 

Thursday Special Interest Research 

Friday 


Inpatient Reviews / CRS as needed 

Medical Students teaching 


ST4-6 Supervision 

On-Call 1: 20 with Consultant Cover 

20

POST: 

TRAINER: 


Forensic 

Dr Eluned Dorkins 


ONE YEAR FORENSIC PLACEMENT (RUNNING FROM AUGUST TO JULY) 

This post is designed for specialist trainees who wish to gain a broad experience of what forensic mental health 

services can offer. In particular, it aims to help trainees develop their risk assessment and management skills 

through a structured approach and by exposure to a variety of different clinical environments, (where the 

elements of structural, relational and procedural security all vary). The aim is to develop skills which will have a 

broad applicability in whatever context trainees will work in the future. 

Langdon Hospital has an established track record in providing forensic training and is the base of the Peninsula 

Deanery Forensic Training Scheme for ST4 to ST6. There are already three forensic trainees on the site so that 

trainees from the general scheme will automatically have a peer group based at Langdon during the year’s 

attachment. 

The year is divided into two x six month placements, the first starting in the medium secure environment, 

followed by a placement in open/low secure settings which serve different a different population. e.g Owen 

House (open complex care and rehabilitation), 

There is a separate on line guide describes each of these placements in detail. This includes induction, a brief 

description of the units, a timetable for the trainee, the competencies which can be achieved, particular 

training opportunities and the kind of objectives that can be set. A variety of special interest sessions are also 

described, although it is anticipated that the general psychiatric trainee may have other interests they wish to 

pursue, granted that they may not be heading for a career in forensic psychiatry. The documentation also 

includes a map of general and specific knowledge and skills which can be obtained during the placement, 

mapping out how these could be achieved through a variety of different mechanisms. 

There is also an academic programme that runs throughout the year, which takes place on a Thursday 

afternoon, which includes a lunchtime multidisciplinary case conference, followed by a medical academic 

programme. The trainees will take part in this; this includes journal club, medico legal presentations, and 

challenging cases. There is also clinical governance programme, that runs through the hospital site and again 

trainees will be anticipated to take part in this in whatever setting they find themselves. 

There are sessions in psychodynamic psychotherapy related to forensic patients which general adult trainees 

are also welcome to attend. 

The trainee will have one supervisor for each placement who will provide both clinical and educational 

supervision. However, to ensure continuity, the trainee will meet with the training programme director shortly 

after starting the year, at six months and then at the ARCP. Trainees can also meet with the training 

programme director informally throughout the year. Trainees who are considering undertaking this placement 

can contact the training programme, Dr Eluned Dorkins, at any point during the year and can make an 

appointment to discuss their specific training needs. Contact details: Jenny Peterson – 01626 884423 – 

jenny.peterson@nhs.net or eluned.dorkins@nhs.net 

First placement August-January Dewnans centre Dr John Parker 

Second placement February-July Owen House Dr Eluned Dorkins 

21

There are plans to include training in the low secure units on site as an alternative to one of the units above 

pending the approval of other trainers. This can be discussed with Dr Dorkins. The job description will be 

amended to reflect this in due course. 

FIRST PLACEMENT : AUGUST-JANUARY 

Cofton Ward (rehabilitation and recovery wards in medium security), Dewnans Centre, Langdon Hospital 

Supervisor :Dr John Parker 

Monday 

AM LUNCH PM 

9am admin, ward work and 

assessments 

MHT’s, Managers Hearings, 

ward work, assessments. 

Tuesday 

9.30am Care Review 

meeting. 

3.00 p.m. Supervision with 

consultant. 

Wednesday 

Thursday 

MHRT’s, manager hearings, 

ward work, assessments 

9am Referrals meeting 

10am 

Governance/Management 

meetings 

11:45am MDT meetings 

1:30pm – 5pm CPA’s on 

alternate Wednesdays 

otherwise assessments 

1pm - 4 pm Academic 

programme 

Friday Research/special interest Research/special interest 

SECOND PLACEMENT : FEBRUARY-JULY 

Owen House (Open complex care unit), Langdon Hospital 

Supervisor :Dr Eluned Dorkins 

Monday 

Tuesday 

a.m. Lunch p.m. 

Assessments, reports, MHTs 

Supervision 11.30 

Ward work/mental health review 

tribunals/governance project work 

Care review meeting 9.30 to 

Assessments/report writing 

12.30 

Cluster governance meeting 

1st Tuesday of month 13.30 to15.30 

Wednesday CPA meetings Ward work 

Thursday 9 a.m. Referral meeting 11.45 multidisciplinary 

10 a.m. 

Administration/HCR20/Case 

summary preparation, etc 

site wide Case 

Conference. 

1 – 5 p.m. 

Doctors meeting including Journal 

Club, Medico-legal presentations., 

management meetings, etc 

Friday 

Special Interest/ Research sessions as agreed in advance with measurable goals 

22

POST: 

TRAINER: 


Old Age Psychiatry, Estuary House, Newton Abbot 

Dr John Dunn 


This post offers the opportunity for a Specialty Trainee to gain experience in a mainly community based Old 

Age Psychiatry service but fitting the job to their stage of development on the scheme. The core service is a 

multi-disciplinary community team. There has also been the development of an Early Detection and 

Intervention in Dementia service (EDI) under a newly appointed consultant Dr Deepak Sachdeva which is 

connected to the Community team. The area whilst primarily described as rural has a good road network and a 

population concentration in a few small towns and large villages. Thus apart from the memory clinic, 

assessment and treatment is largely by home visits though outpatient space is available if needed at 

Sherbourne House, Newton Abbot. However opportunities to work in inpatient settings, EDI service and 

prescription of cholinesterase inhibitors are available. The post could also offer the opportunity to act in the 

capacity of ‘Consultant’ in part of the patch enabling the Specialty Trainee at the end of their rotation to 

experience the demands of the future in a supervised way. Considerable flexibility is envisaged in the 

timetable to allow specific educational needs to be met. Experience with the Consultant being responsible for 

ECT is also possible. The Specialty Trainees have a major part in the educational sessions and audit in the 

locality. 

With recent reconfiguration and growing interagency working there are a number of avenues to gain 

experiences in service development, committee work and guideline development. 

TIMETABLE (flexible): 

Monday 

A.M. 

9-11am ECT clinic (Torbay Gen 

Hospital) 

11-12pm Administration 

12-2pm Memory Clinic Feedback 

Meeting 

P.M. 

2-3pm Supervision with Consultant 

3-5pm Community visits 

Tuesday 

9-11am Community Team Meeting 

11-1pm Liaison and supervision 

with team 

1-5pm Supporting activities – 

educational meeting monthly, 

audit bimonthly, management 

meetings monthly. CPD, 

educational supervision 

Wednesday Special Interest Session Special Interest Session 

Thursday 

Friday 


9-11pm ECT clinic (Torbay Gen 

Hospital) 

11-1pm Community visits 

[EDI clinic day] 

9-1pm Outpatients or community 

visits/work 

[EDI clinic day] 

1-5pm Flexible time for CPD, 

management, training 

1-5pm admin/community work 

23

POST: 

TRAINER: 


Learning Disabilities 

Dr Rolf Feller 


JOB DESCRIPTION: The StR post for higher training in adult Psychiatry of Learning Disabilities is a unique 

opportunity to gain experience in the assessment and treatment of individuals who suffer from a whole range 

of psychiatric disorders in the context of impaired and arrested development of their intellectual and cognitive 

function. Communication difficulties are one of the main problems for individuals with LD in particular in the 

context of Autistic Spectrum Disorders, specific syndromes and severe and profound LD. All this can lead to 

extreme distress and maladaptive behaviour and is often complicated by underlying physical illness, epilepsy, 

pre-senile dementia. These issues are addressed by multidisciplinary teams in the community and in the two 

regional in-patient units located in Exeter. Special interest sessions in Genetics and Neuropsychiatry are 

available locally and there are excellent research facilities and opportunities within this speciality. 

TIMETABLE: 

This timetable is flexible to a degree and can be negotiated according to the needs of the StR trainee. 

A.M. 

P.M. 

Monday ASU and Knightshayes inpatient unit Outpatient clinic, Franklyn House 

Tuesday 

Allocation meeting, Franklyn House 

Ward round, Knightshayes 

Admin/Supervision 

Wednesday Home visits 

Special Interest Session 

Admin/New Referrals 

Thursday Outpatient clinic, Franklyn House Ward round at ASU 

Friday Admin and Emergencies Research Session 

ASU – Additional Support Unit, Whipton Hospital, Whipton, Exeter 

Knightshayes – Inpatient unit, Whipton Hospital, Whipton, Exeter 

Frankly House – Learning Disabilities Community Team Base, StR base, Franklyn Drive, St. Thomas, Exeter, 

EX2 9HS. Secretary: Tracy Austin 01392 208741. 


24

POST: 

TRAINER: 



Dr Tegwedd Freer 


JOB DESCRIPTION: The Specialty trainee will be a valued member of Exmouth CMHT, having a clinical role both 

within the Wellbeing and Access team and the Recovery and Independent Living team, both based at Danby 

Terrace CMHT. In the absence of the Consultant, the teams will look to the trainee for a medical viewpoint and 

guidance. The trainee is expected to attend and contribute to the weekly team meetings and regular team 

educational meetings and case discussions. There will be opportunities to take on a managerial role within the 

teams if so wished. 

Trainees will be on call approx 1 in 14 on the consultants On Call rota. This includes section 12 work. On Call 

responsibility is from 5pm to 9am weekdays and 9am Saturday to 9am Monday on weekends. Part timers will 

be pro rata. 

Academic activities include attendance at the weekly Journal Club and Case Conference at Wonford House. 

There are also ample opportunities for research projects within the Research and Development Department in 

the Trust. 

Learning outcomes will be identified at the beginning of your placement and the clinical content of the weekly 

timetable adjusted to ensure these can be met. 

TIMETABLE: 

A.M. 

P.M. 

Monday MAC Meeting Consultants Meeting Supervision with Consultant 

Tuesday Team meeting 

W & A client medical assessments 

Case Conference 

Wednesday Clinical administration 

RIL client CPA Reviews 

Journal Club 

Thursday TBA Special Interest 

Friday TBA Research 

On Call: 1:14 with Consultant Cover 

25

TRAINING POST IN: 

TRAINER: 



Community Psychiatry 

Dr Kate Lovett 


Estuary House, Newton Abbot 

JOB DESCRIPTION: This post provides excellent training in community psychiatry through an integrated 

experience of working with an assertive outreach team, assessment and short intervention team and longer 

term recovery team. Trainees will have the opportunity to gain experience in modern community psychiatry 

with significant opportunities for involvement in service development. The overall psychiatric service focuses 

on effective gate-keeping of inpatient beds and facilitation of early discharge. The post gives the opportunity 

to gain competencies in acute psychiatric care in the community by gaining experience in looking at 

alternatives to hospital admission and effective home treatment. The focus throughout is on providing 

effective treatment and care that makes it safe for patients to recover. 

The service covers the Teignbridge area of South Devon which serves a population of approx. 130,00 centred 

around the towns of Teignmouth, Newton Abbot, Totnes and Dartmouth and surrounding rural villages. This 

post serves 6 GP practices in the Newton Abbot area providing good opportunities for primary care liaison. 

In addition to support from the consultant the service is supported by a part time staff grade and CT1-3 trainee. 

Torbay hospital has a well-established academic and audit programme and it is expected that the ST4-6 trainee 

would take an active role within this. There is access to appropriate IT and library facilities within the hospital 

site. 

Dr Lovett has been a consultant for 12 years. She trained in Manchester, obtaining a Distinction in Psychiatry 

at finals. Her MSc thesis was on the role of ovarian steroids in the development of postnatal depression. She 

has worked for the last 6 years in Urgent and Inpatient Psychiatry having worked as a sector psychiatrist prior 

to reconfiguration. Her involvement in training has been longstanding. She was formerly Lead for 

Undergraduate Psychiatry in the Plymouth locality for the Peninsula College of Medicine and Dentistry. She 

obtained a Postgraduate Certificate in Clinical Education with Distinction in 2008, the same year in which she 

became a Fellow of the Royal College of Psychiatrists. She has now trained 5 SpRs and has been Training 

Programme Director for General and Old Age Psychiatry in the Peninsula Deanery since 2009. She is elected to 

the Central Education, Training and Standards Committee of the Royal College of Psychiatrists and is an 

examiner for the CASC exams. In January 2012 she was appointed as Head of School of Psychiatry for the 

Peninsula Deanery. 

WEEKLY TIMETABLES 



a.m. AOS meeting 

ST supervision 

Clinic 

Recovery Team 

Meeting 

Research/Special 

Interest 

Clinic 

p.m. Clinic Academic 

Teaching 

Emergency 

Assessments 


Interest 

Admin 

26

On Call is currently 1:14. Involves Section 12 assessments at Torbay police station, Alternative Place of Safety 

Unit based in inpatient unit and community assessments as necessary. Involves advice to first on call CT1-3 

doctor and is supported by on-call consultant who is available for advice. 



a.m. AOS Meeting Clinic Recovery Team 

Meeting 

Referral Meeting 

Referral Meeting SPA 

p.m. 

Clinic 

ST supervision 

Academic 

Teaching/ 

Consultant 

Meeting 

Admin Clinic SPA 

27

POST: 

TRAINER: 

RESEARCH INTERESTS: 


Adult and Community Psychiatry, Exeter 

Dr Sean Lynch 

Chronic Fatigue Syndrome and Somatoform Disorders 


JOB DESCRIPTION: This post offers experience in assertive outreach approaches (including outreach with the 

homeless mentally ill) or community psychiatry. 

The community psychiatry component (general adult psychiatry) is based in Exeter and involves the Recovery 

and Independent Living Team (formerly CMHT) with opportunities for new patient reviews, community and 

hospital reviews (with the team). The service operates within a ‘New Ways of Working’ model, with reviews 

being largely planned jointly with care co-ordinators and other staff on the team. The team also receives new 

patient referrals (triaged by the Wellbeing and Access team). About 45-50,000 adults of working age in Exeter 

are covered by this part of the Recovery and Independent Living Team. The team is multidisciplinary with 

nursing, social work, occupational therapy and recovery/support workers. Dr Saluja (consultant psychiatrist) 

and Dr Pieczora (Associate Specialist) and a core trainee at CT2 level, work alongside the trainer, covering the 

remaining areas of the Recovery and Independent Living Team. Cross-cover arrangements are well-established 

between medical staff (it is anticipated that an additional core training post will be allocated to the service in 

February 2010). 

The Wellbeing and Access service, a new service with a primary care liaison function and which co-ordinates 

and triages referrals and assessments, has been developed. This is multidisciplinary and based in Exeter. It has 

close relationships with primary care services and can offer brief working and also assessment of referrals. This 

might also offer training opportunities of interest to specialty trainees. 

The Assertive Outreach component is based in Mid-Devon with the AOT base being in Crediton. This is a rural 

area and offers experience of this model of assertive outreach. The team consists of nursing and occupational 

therapy disciplines. This is a wide geographical area with two major clinical bases at Hillbank in Crediton and 

Silverlea at Tiverton. It has a caseload of about 39 patients, three care co-ordinators and a support worker. 

Care is delivered by a team-based approach. Regular clinical review meetings are held as well as planning and 

feedback meetings as per the Policy Implementation Guidelines for AOT services. 

The Outreach service for the homeless mentally ill of Exeter is based at the Clocktower Surgery in Exeter. The 

mental health workers in the service consist of two CPN’s and a social worker. The service links closely and 

seamlessly with the primary care team for the homeless and SHOT team (housing and accommodation 

outreach and support). About 70 patients are on the caseload of the mental health workers who have complex 

needs and co-morbidities in addition to severe mental illness. Due to their complex needs liaison with the 

Exeter AOT and ENDAS/EDP (alcohol and substance use services) frequently occurs. The service offers 

experience of outreach approaches for this patient group within in an inner urban area and of multi-agency 

working. There are regular Clinical Team / Review meetings and the team is moving towards a team-based 

model of working for more complex clients. 

Additional training opportunities include the special interest of the trainer in chronic fatigue syndrome and 

related disorders. The trainer has a wide range of interests and experience in medical education and research 

and can offer supervision opportunities in these areas. 

28

TIMETABLES 


Monday 

Patient reviews with Recovery and 

Independent Living Team (CMHT), 

Exeter 



Exeter 

Tuesday 

Wednesday 

Thursday 

Friday 

Team Meeting Recovery and 


Exeter 

CFS / ME Clinic, Whipton Hospital, 

Exeter 

Mid Devon Assertive Outreach 

Team Clinical Meeting. Crediton 



Exeter 

4pm Clinical Supervision 

Clocktower Surgery, Exeter 

(Outreach Service for Homeless 

Mentally Ill) 

4 pm Educational Supervision 

Patient reviews with Mid, Devon 

AOT, Tiverton 


Independent Living Team (CMHT) 

or Wellbeing and Access Team 

(primary care liaison) 

4pm Educational Supervision 



or Mid Devon AOT 


Monday 



Exeter 



Exeter 

Tuesday 

Wednesday 

Thursday 

0915-1115 Team Meeting Recovery 

and Independent Living Team 

(CMHT), Exeter 

1130-1345 Clinical Education 

Programme (Case Conference and 

Journal Club) 

Special Interest Session or Patient 

reviews with Recovery and 


Mid Devon Assertive Outreach 

Team Clinical Meeting. Crediton 

4pm Clinical Supervision 

Clocktower Surgery, Exeter 

(Outreach Service for Homeless 

Mentally Ill) 

4 pm Educational Supervision 

Special Interest Session or Patient 

reviews with Mid-Devon AOT 

Patient reviews with Mid-Devon 

AOT 

4pm Educational Supervision 

29

Friday 

Research 

Research 


30

POST: 

TRAINER: 


Psychotherapy 

Dr C Susan Mizen 


JOB DESCRIPTION: The Psychotherapy department at Wonford House is a busy outpatient service offering a 

range of therapies and with an emphasis on the treatment of patients with severe and enduring mental illness. 

The population served by the service is 243,000 and it is available to adults between the ages of 18 and 65. The 

service receives around 160 referrals per year from Exeter, East Devon and Mid Devon. There is a full time 

Consultant Psychiatrist in Psychotherapy in post, Dr C S Mizen. The service offers long term psychodynamic 

psychotherapy and gestalt therapy once weekly, a number of short term intervention, group analytic 

psychotherapy and systemic family and couple therapy. A new service for patients with severe personality 

disorders offering teams has been developed. A proposal is under discussion for incorporating this service for 

people with personality disorder into a therapeutic community day service. The service operates as part of a 

co-ordinated psychological therapies service with psychology and creative therapies services locally. 

The Specialty Trainee would be offered an opportunity to run a group for patients with Borderline Personality 

Disorder with Dr Mizen and to participate in the liaison with psychiatric teams which takes place alongside this 

service. This would include offering consultation under supervision to psychiatric wards about management of 

PD patients who are frequently admitted to hospital. In addition the trainee would have the opportunity to see 

patients under supervision for long term or brief individual psychodynamic therapy, cognitive analytic therapy 

or cognitive behaviour therapy. There would also be opportunities to become involved in family therapy and 

to gain experience in assessing patients for psychotherapy under supervision. There are regular opportunities 

for teaching in the department to SHOs and medical students as well as to trainee therapists. There are 

opportunities to participate in the new MSc in Psychotherapy being run in conjunction with Exeter University. 

This can lead to UKCP accreditation in systemic, dynamic or cognitive therapies, for interested trainees. 

The Psychotherapy department occupies spacious facilities, recently refurbished within the main hospital 

building at Wonford House with a number of rooms available for individual and group therapy as well as a 

family therapy suite with two way screen and video equipment. The Specialty Trainee would have access to 

office pace throughout the week. The service has a full time secretary. 

TIMETABLE 

A.M. 

P.M. 

Monday 

9.30 Individual Patient 

10.30 Psychotherapy Assessment 

Audit, Teaching, Supervision, 

Clinical Work 

12.00 - 1.00 Supervision with 

Consultant 

Tuesday TBA Special Interest 

Wednesday 

Thursday 

9.30 - 11.00 Group for borderlines 

with Dr Mizen 

11.00 - 1.00 Patient/Admin 

9.30 Patient 

11.00 - 1.00 Supervision of PD 

Projects, Academic Programme, 

Departmental Meeting 



Monthly Specialty Trainee Meeting 

2 nd Monday of month 

Academic Afternoon 

31

POST: 

TRAINER: 


Early Intervention in Psychosis 

Exeter 

Dr Charles Montgomery 


This post is based at Wonford House Hospital in Exeter. STEP is a relatively new specialty service within the 

access and well-being network providing tailored psychosocial and pharmacological interventions for first 

episode clients. We work with young people aged 14-35 in an assertive befriending model of care for up to 

three years. The trainee would gain experience in to how to engage troubled young people who are often 

ambivalent about seeking help. The trainee would become adept at distinguishing symptoms of psychosis from 

adolescent angst and would learn to work with diagnostic uncertainty often in the context of recreational drug 

use. There is ample opportunity to gain experience of working with families and to input into our carers 

support group. CBT and psycho-education are the bread and butter of EI work and the trainee would learn lots 

from the skilled clinical team employing these skills. Positive risk management is a regular feature of the work 

which the trainee would learn about. There are regular teaching and training opportunities at the PMS, in GP 

outreach seminars and in a number of youth settings. 

The team welcomes Specialty trainees and takes pride in sharing the positive and forward looking EI ethos that 

has been fostered over recent years. We are highly motivated to making a real difference to client’s lives and 

this makes for a fun and enthusiastic working atmosphere. The team comprises two administrators, one 

Clinical team lead, one psychologist, one occupational therapist, and seven nurse practitioners. 

TIMETABLE: 

Monday 

Tuesday 

A.M. 

Consultant Meeting 

MAC Meeting 

Home visits 

Specialist trainee supervision 

P.M. 

Home visits 

Case Conference WHH 

Home visits 

Wednesday 

STEP clinical meeting. 

STEP Supervision 

Journal Club (Consultants and 

trainees) 

. 

Thursday Research Session Special Interest 

Friday Home visits Clinic at YES, Exeter. 

On-call 

1 in 17, Consultant Rota with Consultant Cover 

32

POST: 

TRAINER: 



General Adult Community Psychiatry 

Dr Andrew Moore 


North Devon District Hospital (NDDH), Raleigh Park, Barnstaple, EX31 4JB and 

The Gables, 1 Belmont Rd, Ilfracombe, EX31 8DR 

JOB DESCRIPTION: This post offers both a broad-based general adult psychiatry experience, and experience in 

management and leadership, in a beautiful part of Devon. The post involves training and working with 

Wellbeing &Access, and Recovery & Independent Living community teams based at Riverside (Barnstaple) and 

The Gables (Ilfracombe) covering a population of c52,000. We also provide medical input to the STEP (Specialist 

Team for Early Psychosis) and Assertive Outreach Teams, as well as liaising with the CRHTT and Acute IP wards. 

There is a new Liaison service in NDDH with opportunities for training/experience if desired. Dr Moore is the 

Clinical Director for the Adult Directorate (covering the whole Trust), so there is ample opportunity to gain 

experience in management and clinical leadership. Thus the post is an excellent one for trainees wishing to 

develop their overall "generic" clinical skills whilst being able to still focus on specialist areas too, and gain 

wider management/leadership skills. Inpatient/CRHTT work is led by Dr Gilhooly and his team, and there are 3 

other community based Consultants (one of whom, Dr Kerry Jonsson, is p/t in Dr Moore’s team) making up a 

small but friendly locality. 

Dr Moore has interests in Medical Management, Teaching/Medical Education and Spirituality in Mental 

Health, but trainees will be equally supported to pursue their own interests. There are good relationships with 

local GPs so trainees will be encouraged to build on this, e.g. with practice visits. There is also an active 

Postgraduate Training programme with weekly meetings and a Journal Club which trainees of all grades are 

expected to contribute to. 

On call experience can be arranged to suit the individual trainee. Section 12 training/approval is encouraged, 

and plentiful experience can be gained in Community Mental Health Act Assessments, CTO’s (including CTO 

Tribunals) and S136 work. 

TIMETABLE: 

Monday 

Tuesday 

Wednesday 

A.M. 

9-1 pm OPC Riverside(Dr Jonsson) 

Or management work with Dr Moore 

9.30-11am Consultant &SpR meeting, 

NDDH 

11-1pm Postgraduate seminar, NDDH 

9-11am CMHT meetings, R’side, adhoc 

appts/CPA’s 

11.30-12.00 (once monthly) STEP, 

R’vale 

P.M. 

Admin/SPA time 

Or management work with Dr 

Moore 

1-2pm Journal club NDDH 

2-5pm Flexible: Adhoc 

appointments, CTO managers 

hearings, clinical admin, DVs 

12-1.30pm CMHT 

educational/business meet 

(alternate fortnightly) 

2.30-5pm OPC Gables, Ilfracombe 

Thursday Special Interest Special Interest 

Friday 9.30-1.00 OPClinic, Gables 1-2 PM Supervision 

2-5PM Admin/audit 

On-Call: Approx 1:10 with Consultant Cover 

33

POST: 

TRAINER: 


Crisis Intervention 

Dr Tanya Nelson 


JOB DESCRIPTION: Catchment Area: The post of SpR, ST4-6, based with the crisis resolution service (CRS) for 

Exeter. Population 130,000.This service has been established since 2003 and is about to include working with 

older adults with functional mental health difficulties. The administrative base is at The Cedars, Wonford 

House Hospital in the city. 

Description: The primary clinical responsibilities of the SpR, ST4-6, will be to provide expert medical psychiatric 

assessment, treatment and care to patients presenting in crisis with severe mental illness. This will allow the 

post holder to develop expertise in assessing and positively managing risk. The CRS is a community service 

with highly skilled membership and remit to ensure community treatment options where this is deemed 

appropriate and in the patient’s best interests. It is a 24hour service and has a gate keeping role with regard to 

hospital admission and carries a caseload of up to 20 patients. The post holder would be a member of the team 

and would be encouraged to support the team in all aspects of their work. The post is in an ideal situation to 

completely understand the care pathways of patients throughout Primary, Secondary and even Tertiary mental 

health care. 

Training Opportunities: Dr Tanya Nelson has been a specialist trainer for four years and has an MSc in 

Psychiatric Research Methodology. She is involved in many non-clinical activities including audit, Trust 

management and research. Her interests include staff satisfaction and burnout in community teams and early 

discharge facilitation from inpatient stays by crisis teams. She would be happy to support and encourage the 

post holder in their research. 

The Special Interest subject would be decided by discussions with the trainer. The final timetable and the 

nature of the work undertaken would be determined by the educational objectives and training needs of the 

Specialty Trainee. 

TIMETABLE: 

A.M. 

Monday 

9-10 Handover with team. 

10-11 Supervision with Consultant 

11-1 Clinical Session with CRS 

12.30-2 Self Harm supervision 

Tuesday 


10-11.45 Clinical Session with CRS 

11.45-1.30 Journal Club and Case 

Conference 

Wednesday 



Thursday 



Friday 




P.M. 

2-5 Clinical session with CRS 

1.30-5 Clinical session with CRS 

Research Session 


1.30-5 Clinical session with CRS 

34

POST: 

TRAINER: 


INTERESTS: 

General Adult Psychiatry (Urgent and Inpatient Care) 

Mid Devon Crisis Team and Inpatients at The Cedars 

Dr Peter Noble 


Service development, Electronic patient records, Philosophy of Psychiatry 

JOB DESCRIPTION: This post is based at Wonford House and The Cedars in Exeter. The Cedars contains two 

wards for inpatients from Exeter, East and Mid Devon. Dr Noble is Consultant for Mid Devon inpatients and the 

crisis team There is an unified crisis team covering all three areas working with Dr Tanya Nelson (Exeter) and 

Dr Charles Dixon (East Devon) as well as Dr Noble. The details of the focus of the post and the day (or days) of 

protected time can be adapted according to the preferences of the trainee for crisis or inpatient work, or a 

combination of the two. One possibility would be to mainly be based in the crisis team and to work with the 

team for patients in East and Mid Devon (working also with Dr Charles Dixon). Full secretarial support is 

provided. The post holder has timetabled regular consultant supervision and access to an SpR office. The post 

is supported by a CT1-3 trainee. Please feel free to contact Dr Peter Noble at any time to discuss the post 

further. The trainee will take part in the Exeter consultant on call rota with supervision by a named consultant. 

The rota is currently approximately 1 in 16. 

TIMETABLE: 

Monday 

Tuesday 

A.M. 

9-10 am Ward meeting or CRS 

handover 

CRS assessments 


handover 

Teaching students/ward work 

P.M. 

1.30 CRS handover 

3.30-5.00 pm Governance meeting 



Wednesday Special interest and SpR meetings Special interest and SpR meetings 

Thursday 


handover 



2.00-3.00 pm Educational 

supervision 

3.00-5.00 pm Clinical admin 

Friday Research Research 


35

POST: 

TRAINER: 



Old Age Liaison Psychiatry 

Dr Colm Owens 


Wonford House Hospital Exeter/ Royal Devon and Exeter Hospital 

JOB DESCRIPTION: The Older People’s Liaison Psychiatry Service was set up in July 2010 it is provided by the 

Devon Partnership Trust but hosted by the Royal Devon & Exeter acute trust. All patients aged over 65 (or 

patients of any age where a dementia is present) who require psychiatric input are eligible to be assessed by 

the service. Patients with both functional and organic problems are seen. 

The work is hugely varied and involves everything from advice on placement and psychotropic medications to 

complex neuropsychiatric assessments and brief psychotherapies. Team members also attend ward based 

multi-disciplinary meetings and are involved in teaching nursing and medical staff about mental health and 

related matters. 

The team consists of a full time consultant psychiatrist, a band 7 Clinical Team Leader, three band 6 specialist 

nurses, a part time foundation doctor and full time admin and secretarial support. 

Medical SpRs join the team for attachments, as well as medical students. 

The OPMH Liaison Service is co-located with the younger adults’ liaison service and the Research and 

Development team at Wonford House Hospital in Exeter. Patients are seen in the Emergency Department, 

Acute Admissions unit and inpatient wards at the Royal Devon and Exeter Hospital which is next door to 

Wonford House. 

This post would suit either an old age trainee or a trainee who was considering working in Liaison Psychiatry. 

In addition to the allocated sessions for educational and clinical supervision, there will be regular clinical 

contact with the consultant for discussion of cases etc. The timetable for the ST4-6 trainee is flexible and will 

depend on the training needs of the doctor. It is anticipated that the workload will consist of a mixture of 

reviews, consultation advice and support to the team and acute medical staff, together with single handed and 

multi-disciplinary assessments. 

The cornerstone of liaison psychiatry work is education and it is expected that the higher trainee would take 

part in teaching programmes in the general hospital for junior doctors and nursing staff. 

Any pre-existing special interest sessions and research projects would be fully supported. Dr Owens would be 

extremely happy to work with the trainee to develop special interests and research projects. The team have 

close links with both the trust Research and Development department and medical consultants and teams in 

the acute trust. Audit projects would be strongly encouraged and fully supervised. 

There is a well attended journal club and education meeting every week. The trainee may also wish to consider 

attending medical grand rounds in the acute trust. 

Dr Owens has been a consultant for three years and is familiar with the training needs of ST4-6s and the 

preparation required for consultant interviews and transition. He is currently the clinical director for Older 

People’s Mental Health and there would be opportunities for exposure to and project work in management 

and service development. He has interests in psychodynamic psychotherapy, neuropsychiatry and medical 

education. 

36

TRAINEE TIMETABLE: (Flexible, with variable amounts of teaching, med student supervision and audit and 

management projects, dependent on needs of trainee) 

am 9-9:30: 

Clinical Team 

Meeting/ 

Boardround 

pm 


9-9:30: 

Research/ 

Clinical Team Meeting/ 

Special 

Boardround 

Interest 

Liaison Work in 

RD&E 


RD&E 

Liaison Work in RD&E 

12-2 PM: Local Academic 

meeting 

MDT Team meeting 

(monthly) 

MDT Team educational 

meeting (monthly) 

4-5 PM Educational 

Supervision 

9-9:30: 

Clinical Team 

Meeting/ 

Boardround 

Liaison Ward 

Round 


RD&E 

9-9:30: 

Clinical Team 

Meeting/ 

Boardround 


RD&E 


RD&E 

Research/ 

Special 

Interest 


1 in 14, Second on call, non-resident, with Consultant Cover 

CONSULTANT TIMETABLE 


a.m. OPMH 

Clinical 

Directorate 

Day 

9-9:30: 

Clinical Team 

Meeting/Boardround 

9-9:30: 

Clinical Team 

Meeting/ 

Boardround 

OPMH 

Clinical 

Directorate 

Day 

p.m. 



meeting 


meeting 

MDT Team meeting 

(monthly) 

MDT Team educational 


4-5 PM Educational 

Supervision with ST 

Liaison Ward Round 


RD&E 

9-9:30: 

Clinical Team 

Meeting/Boardround 

Monthly Dementia 

Strategy Meetings 

RD&E 

12.50-2PM 

RD&E Old Age 

Medicine Meeting 


37

POST: 

TRAINER: 


Old Age Psychiatry 

Dr Steve Pearson 


JOB DESCRIPTION: The Catchment area is 13,000 over 65 population in West Devon and South Hams. You will 

gain experience of an integrated OPMH team and be part of a weekly team meeting where cases are allocated 

and cases discussed at feedback. A memory assessment service is part of this community team. The team 

includes Speciality Doctor (1 FTE), Community Nurses, Psychology and a Clinical Team Leader. The team base is 

in Ivybridge, Devon. 

We still look after our own catchment inpatients on 6 beds in NHS Plymouth, working with CRHT for functional 

patients. 

Training Opportunities 

Our team is actively involved in teaching 3 rd year medical students. There will be opportunities to be involved 

with this. There is a chance to take part with an audit that is active within the team. Dr Pearson is actively 

involved in Service Development and there will be opportunities to be involved in this. 

Special interest sessions would be decided by discussion with the trainer. Dr Pearson has wide contacts in 

Derriford Hospital and in NHS Plymouth which can be used to provide ample opportunities to provide specialist 

sessions which could include Liaison Psychiatry, Neurology, attending specialist Parkinson’s disease clinics and 

other specialist memory clinics. 

Research 

Dr Pearson has a funded Research Session and is active in DeNDRoN dementia research. There are 4 research 

nurses as part of the team based at Derriford and you will be welcome to join in this active research centre. 

Huntington’s disease 

Dr Pearson takes part in a 2 monthly specialist clinic with a neurologist and neuropsychologist at Launceston as 

part of his specialist interest in Huntington’s disease. There are active plans to develop research in 

Huntington’s disease. 

TIMETABLE: 

Monday 

A.M. 

9-12 Community Assessments 

12-1 Supervision with Consultant 

P.M. 

Ward Round, Dementia 

Tuesday Team Meeting Community Assessments 

Wednesday Ward Round, Functional Special interest 

Thursday Community Assessments Outpatient Clinic, Tavistock 

Friday Community Assessments Research session 

On-Call 1: 10 with Consultant Cover (Plymouth on-call rota) 

38

POST: 

TRAINER: 


Substance Misuse Psychiatry 

Dr Mary Rowlands 


JOB DESCRIPTION: This is a training post where the candidate will be working with supervision. The cases seen 

are at the same level of complexity as those cases that are referred to the consultant, after a period of training. 

There will therefore be regular access to complex case discussion with the consultant: 

1. To be an active member of the multidisciplinary community and criminal justice drug teams. 

2. To assess new outpatients referred to the addiction service, decide upon their treatment and develop a 

care package with their allocated key worker. 

3. To liaise with the General Practitioners, primary healthcare teams and non-statutory drug agencies in 

the care of patients with substance misuse problems. To communicate promptly with GP’s in writing, 

to a given professional standard so they are fit for purpose, agreed with the Consultant. 

4. To maintain accurate multidisciplinary medical records, other clinical documentation of clinical activity 

and individual care plans where appropriate so they are updated promptly to ensure available to other 

professions. 

5. To provide regular reviews of complex cases in collaboration with key worker reviews supervised by 

senior non-medical clinicians with referral as professionally agreed with the Consultant. 

6. To provide during office hours in designated clinic sessions urgent addiction support/advice in 

conjunction with the Consultant, other ENDAS SAS doctors and Nurse Prescribers to staff caring for 

addiction team patients admitted to the Wonford House Hospital inpatient beds. 

7. To liaise with staff at the Royal Devon and Exeter Hospital in the care of inpatients with co-morbid 

physical problems associated with drug misuse. 

8. To participate in teaching and training of other disciplines and agencies as appropriate. 

9. To participate in appropriate addiction audits. 

10. To participate in educational sessions appropriate to Personal Development including special interest 

and research sessions. 

TIMETABLES: 


Monday Admin/Consultant Meetings Multi-agency meetings 

Emergency clinic inc Young Persons 

Tuesday MDT 1130-1330 Journal Club/Case 

Conference 

Clinic/Teaching 

Wednesday 

Thursday 

Friday 

Ward Round and Medical 

Students/Psych SHO Teaching 

Clinic/Teaching if 3 med student 

placements 

0900-1000 SAS supervision 

1000-1200 Teaching 


1700-1900 Evening clinic every 2 nd 

& 4 th month as required 

1300-1400 Vulnerable babies and 

pregnant drug misusers meeting 

every 3 rd of the month 

1400-1730 Protocol Development 

1230-1330 Nurse Prescriber 

supervision/development 

1330-1430 ST4-6 Supervision 

1430-1630 Emergency clinic 

39


Monday 

Tuesday 

Wednesday 

Thursday 

MDT 

Journal Club and Case Conferences 

Clinic/Ward Round 

Teaching 


Clinic 

Friday Clinic/Teaching Supervision 

Emergency Clinic 

On-Call: There is on call commitment with this post, as part of the Wonford House Hospital Consultant 

supervised StR rota, currently 1 weekday in 7 weeks and 1 in 20 weekends, but it will vary according to service 

exigencies. 

40

POST: 

TRAINER: 

SUPERVISOR: 


OPMH Inpatient/Medical Management Torbay ST4-6 

Dr David Somerfield 

Dr David Somerfield, Consultant Psychiatrist and Co-Medical Director 


Inpatient work 

Beech is a 14 bedded OPMH functional ward at Torbay Hospital, Torquay, Devon. The ward is the primary 

admission unit for the whole of Torbay and South and West Devon and relates to 4 OPMH CMHTs. The ward 

works closely with the all adult Crisis Resolution and Home Treatment team and the younger adult ward and 

the all adult psychiatric liaison service on the same site. The low number of beds for the local population means 

there is the challenge of rapid assessment and management of mental illness and working closely with the 

community teams and home treatment to facilitate discharges as safely and as soon as possible. The ward has 

support from a CT1 or GPVTS. 

The post holder will gain supervised experience of the assessment and management of acute and complex 

psychiatric illness in older people, risk management, recovery orientated practice, working across health/social 

care/third sector boundaries and the use of the Mental Health Act in this population. 

Recovery based practice 

The ward has a strong recovery ethos with patients contributing and taking control of planning their care with a 

weekly ‘Planning My Recovery’ meeting rather than attending traditional ward rounds. Patients are 

encouraged to attend and contribute throughout the whole meeting to review how they have been over the 

week and in their care planning for the forthcoming week with a small representation from the 

multidisciplinary team. Care plans are reviewed ‘live’ on RiO and they are given a copy of their agreed care 

plans and other pertinent information e.g. medicines information at the meeting. 

OPMH Community, liaison and/or Crisis Resolution and Home Treatment additional experience is also available 

if this is required as part of identified developmental need. 

Educational 

There is a monthly 3 hour post graduate educational meeting and weekly teaching sessions organised by and 

with the local trainees 

Medical Management 

There are opportunities to undertake supervised management projects, shadow senior managers and attend 

key quality and financial governance, commissioning and other meetings to help gain an understanding of 

medical, service and budgetary management. Torbay has a nationally renowned healthcare system and the 

post holder will be encouraged to spend time in different parts of the local healthcare system to understand its 

philosophy and key components. 

Project opportunities 

Torbay has just been awarded £255,000 from the Prime Ministers Dementia Challenge Fund for the 

development and implementation of an innovative dementia care home education package and the post 

holder will be welcome to participate and help lead the project with the guidance of the educational 

supervisor. 

We are currently planning and writing the script for the fourth carer DVD. This film is for paid carers of people 

with dementia in residential and hospital care and is a joint venture between several health and social care 

41

organisations. The post holder will be welcome to participate and help lead the project with the guidance of 

the educational supervisor. 

On call 

On call currently consists of a 1 in 14 rota covering all adult specialities (including learning disability and older 

adults but excluding forensic). 

Trainee Timetable 

Timetable is negotiable depending on educational needs. The supervisor has 6 PAs of DCC on the ward 

Tuesday, Wednesday and Fridays and medical management Monday and Thursdays. 


AM 

Medical 

Management 

Ward Work Ward Work 

Supervision 

Ward Work Special 

Interest/Research 

PM 

Medical 

Management 

Ward Work 

Post Graduate 

meeting 

Monthly 

Medical 

Management 

Ward Work 

Special 

Interest/Research 

About the supervisor 

I have been a consultant psychiatrist in OPMH in Torbay since 1999. I have helped to lead the development of 

the locally well regarded OPMH service and have won two Royal College of Psychiatrist Innovation Prizes for 

work with service delivery and carers learning resources. I have been a lecturer at the University of Bristol and 

Royal College of Regional Psychiatrists Representative for OPMH. I have been Medical Director and Caldicott 

Guardian for the Trust since 2006, was Clinical Director for Trust OPMH services 2011-2012 and more recently 

have become Responsible Officer. I am currently Executive Director responsible for IPP, Pharmacy and service 

redesign and development with budget responsibilities of £31m. I have a particular interest in educational 

resources for carers, use of technology to improve reliability of care and large scale change theory. 

42

POST: 

TRAINER: 


Community Psychiatry and Early Intervention In Psychosis 

Dr Antony Thekkepalakkal 


JOB DESCRIPTION: This is a new and exciting opportunity for ST4-6 trainees to work in a diverse setting in 

the community covering a large but predominantly rural area of outstanding natural beauty. The trainee would 

be a much valued member of the Early Intervention in Psychosis (STEP) Team (South and West Devon) & the 

Community Mental Health Teams (Mental Well being and Access/ Recovery and Independent Living/Assertive 

Outreach functional network teams, in the areas of Totnes and Dartmouth). The trainee would join a skilled 

and experienced multi-professional team which includes a Consultant Psychiatrist (Educational Supervisor) and 

a Specialty doctor based at Cabot House, Totnes. 

The trainee would have opportunity to work flexibly either across the 4 teams or focus on a specific team(s) 

based on their interests, clinical experience and learning needs. The trainee could also develop his/her 

confidence and leadership skills by providing psychiatric input to the team working in a particular geographical 

area with regular supervision and the support of an efficient medical secretary. Our award-winning STEP team 

works with young people (age range 14 to 35) with first episode psychosis, sharing the positive and forward 

looking EI ethos adopting an assertive but befriending model of care for up to three years often in close 

collaboration with other local services including CAMHS. There are ample opportunities to gain experience of 

working with families and to learn CBT based techniques as well as psycho-educational skills from a well 

motivated, enthusiastic and friendly team. By working with the functional network teams, the trainee would 

gain valuable experience in the clinical management of patients in the community with an emphasis on the 

Recovery principles. The teams comprise of experienced clinicians and the trainee could learn to develop and 

maintain close working links with GPs, service user/carer groups (e.g.: Be Involved Devon), voluntary sector 

(e.g.: Rethink), other local Trusts (e.g.: Community Care Trust) and the private sector (e.g.: Community of St. 

Antony and St. Elias, Totnes) which would benefit the trainee immensely in their transition process from being 

an StR to a Consultant psychiatrist. 

The Educational supervisor has done his basic and specialist psychiatric training in the South West Peninsula 

Deanery and is keen to support the trainee to meet and/or shadow other senior clinicians, clinical/medical 

directors, Chief Executive and the Trust managers in order to develop their knowledge and understanding of 

the new Clinical Directorate as well as the role of clinicians in management within the modern NHS structure. 

This post also offers opportunity to teach medical students during their local SSU placements (‘Road to 

Recovery’) and the FT/CT doctors at Journal clubs/Case Conferences/Tutorials/ Audit meetings/ MRCPsych 

exam practice sessions in South Devon. The trainee would be encouraged to be innovative and take on clinical 

audit and service evaluation projects that might be of interest to them. Research and other special interests 

would be fully supported in this post. The trainee would be encouraged to do Section 12 MHA work/training 

and attend educational courses/events for CPD/NHS appraisal purposes. Mentorship via the Deanery will be 

supported. They would also receive support for their WPBA with a view to achieving a satisfactory ARCP while 

working towards a Certificate of Completion of training (CCT) and obtaining a Consultant job in the NHS. 

a.m. 


Clinical and 

9.30 to 11.30 : Research 

Educational 

Clinical Team session 

Supervision with meeting 

Consultant ( 9.30 to 

11.00 am ) 

Clinical 

work/Home visits 

Clinical work/Home 

visits 

11 am : Clinical 

12.30 to 1.30 : 

43

work/Outpatient 

clinic 

Tutorials/Teaching 

for FT/ST 1-3 at 

Torbay Hospital 

p.m. 

Clinical 

work/Outpatient 

clinic 


visits 

Regional Educational 

meeting-Case 

conference/Journal 

Club (monthly) & 

Clinical Audit 

Meeting (every 2 

months) 


visits 

OR 

StR(4 -6) Peer group 


Special 

Interest 

session 

Supporting 

Professional 

Activities 

(SPA)/Emergency 

assessments 

The frequency of on calls would be 1 in 14 as part of the senior trainee/consultant rota at Torbay hospital. 

The trainee would be expected to provide advice for (and attend if required) any emergencies and requests for 

Mental Health Act assessments of patients at Torbay hospital, APOS suite, Police Custody and in the 

community (Torbay, Teignbridge, part of South Hams area). They would also be expected to advise/support the 

junior doctors (FT/ST 1-3) who will be 1 st on call in psychiatry. There would be a consultant on call along with 

the ST4-6 trainee, for clinical supervision and support. Trainees could also attend the out of hours supervision 

group conducted by the new liaison psychiatry team at Torbay Hospital. 

44

POST: 

TRAINER: 


General Psychiatry -Inpatient and Home Treatment 

Dr Naresh Buttan 

Plymouth Primary Care Trust 

JOB DESCRIPTION: This full time equivalent (FTE) training post provides an ample opportunity to gain 

experience in managing acutely unwell mental health working age clients. The post is primarily based in 

Glenbourne Unit and has close liaison work with Home Treatment Team as a part of gate keeping admissions to 

this inpatient unit. This post is under Inner City Locality of HTT/Glenbourne Unit. The inner city locality caters to 

people living and registered with GP practices within inner city catchment area and works in close association 

with 2 Community Mental Health Teams (South East-Tamarside & South West- Waterfront localities). The 

populace of nearly 98,000 people are covered by 14 GP practices in this catchment area. As this area is 

deprived, the patients present with more complex psychosocial needs in addition to mental health needs and 

often carry dual diagnoses (with comorbid substance use, personality disturbances, learning difficulties and 

forensic involvements). The Integrated Care Pathways are being developed in lines with NICE & RCPsych 

Guidelines to manage these complex conditions. The inpatients are managed as voluntary or detained under 

Mental Health Act. Mostly admissions to Glenbourne are gatekept by HTT and discharged through the same 

route under newly developed Nurse Led Discharge Policy & facilitated by Satellite Service of HTT. 

The secondary mental health services are being redefined currently under QIPP & TCS agendas and apex 

services like Glenbourne & HTT are at the forefront of leading some quality improvement changes. The post 

holder would gain a greater understanding of these reforms and would provide a substantial support to teams 

working here. The post holder can accompany educational supervisor in some of these administrative meetings 

e.g., Consultant Psychiatrists Meetings on alternate Mondays and Glenbourne Development Meetings on once 

a month Wednesday mornings. 

The clinical responsibilities include assessment of new admissions to Glenbourne (Inner City Clients), reviewing 

them on regular basis, liaise with GPs, carers or key workers, discharge planning and leading weekly 

multidisciplinary ward rounds and community clinical reviews each under direct supervision of trainer. 

Additional skills in preparing reports and representing RC in Mental Health Tribunal Reviews as needed. Sec. 12 

(2) approval or training for the same would be required. 

The post holder would be directly responsible to Dr. Naresh K. Buttan, Lead Consultant HTT & Glenbourne Unit. 

Trainee would also have opportunities to interact with Dr. Mike Cooper, Consultant Psychiatrist covering outer 

city division of Glenbourne & HTT. The clinical supervision during day time would be available from Dr. Buttan, 

Educational Supervisor (in addition to protected 1 hr weekly session on Tuesday mornings) and his team at 

Glenbourne & HTT. 

The Glenbourne Unit has Foundation Year 2 Trainees posted for 4 months in each wards (Harford & Bridford). 

The post holder would be expected to provide work based supervision to FY2 Dr. in Harford Ward. The other 

teaching avenues e.g., teaching at MRCPsych programme being run locally can be negotiated. The Peninsula 

Medical School sends 3 rd & 4 th year medical students for 3 weeks rotation in psychiatry and this post holder 

would be expected to provide clinical bedside teaching to them. 

Post holder would also be able to co-chair (Chair- Dr. Buttan) twice monthly case conferences presented by 

other trainees. The Journal Club and Case Conferences are held twice/thrice in a month for 1 hrs each on 

Wednesday mornings at Glenbourne Unit. Monthly once CPD and Grand Rounds each provide opportunities for 

this post holder to demonstrate their presentation skills. The presentation slot in these academic activities can 

be negotiated. The post holder would be expected to participate in an ongoing or fresh audit to demonstrate 

their research skills. 

45

The trainer has special interest in Transcultural Psychiatry and would support & supervise trainee in developing 

special interest in that area or any area of trainee’s choice depending upon the availabilities of resources. 

Trainee would be encouraged to join Balint Group meetings held on Wednesday mornings as a part of 

reflective practice. Dr. Cooper, College Tutor provides further support to trainees and organizes reviews of 

ARCPs. 

Other information regarding pay scales, hours of working, leave arrangements will be laid out in service 

contract and can be obtained from Medical Staffing Department at Glenbourne Unit. 

TRAINEE TIMETABLE: (Subject to variations) 

a.m. 

p.m. 


Visit Glenbourne Community Academic 

Ward rounds with 

Unit for new Clinical Reviews at activities at Trainer at 

assessments/revi HTT & 1 hour Glenbourne Unit Glenbourne 

ews, support (protected) of (Balint group, 

Satellite service supervision with journal club, case 

of HTT & F2 Trainer 

conference) 

doctor in 

Glenbourne Unit 

HTT (Home visits/ 

assessments) 

HTT/Glenbourne 

(visits / 

assessments) 

Glenbourne Unit / 

HTT as per the 

clinical needs. 

HTT 

(visits/assessment 

s) 

Special interest / 

research / 

academics 

Special interest / 

research / 

academic 


Currently 1 in 10 with consultants on call. The on-call cover is to provide psychiatrist cover for Plymouth 

Area, A& E, HTT, Glenbourne and other peripheral units within the trust. The supervision as per the clinical 

need provided by on-call consultants. 


a.m. Visit Glenbourne Community Academic 

Ward rounds with Special interest/ 

Unit for new Clinical Reviews at activities at Trainer at research/ 

assessments/revie HTT & 1 hour Glenbourne Unit Glenbourne academics 

ws, support (protected) of (Balint group, 

Satellite service of supervision with journal club, case 

HTT & F2 doctor in 

Glenbourne Unit 

Trainer 

conference) 

p.m. HTT (Home visits/ HTT/Glenbourne Glenbourne Unit/ HTT (visits/ Special interest/ 

assessments) (visits/ 

assessments) 


clinical needs. 

assessments) research/ 

academic 

46

POST: 

TRAINER: 


General Adult Psychiatry working with North West PCLT 

Dr Sara Cunningham (0.65wte) 


JOB DESCRIPTION: Dr Cunningham works as a Consultant Psychiatrist in the North West PCLT (Primary Care 

Liaison team). The team consists of 1.6 Consultants, 1 CT1, 5 CPN's (one Band 7 team leader), 1 Occupational 

therapist (Band 6), 1 social worker (AMHP), 2 support workers, 2 medical secretaries and 1 team secretary. The 

catchment area is approximately 40,000 population and covers 8 GP surgeries in the Whitleigh/St Budeaux area 

of Plymouth. We see a wide range of psychiatric problems from the major psychoses (depression, 

schizophrenia and bipolar affective disorder) to adult ADHD, personality disorders and severe anxiety 

disorders. The ST4-6 trainee will be expected to see patients with a variety of clinical problems of appropriate 

complexity. 

Dr Cunningham has trained in psychiatry since 1988 in Liverpool, Nottingham, Leicester and Plymouth. She has 

been a Consultant Psychiatrist in Plymouth since 1999 and trained a number of ST4-6 psychiatrists. She has a 

special interest in treating Occupational Health psychiatry problems within the South West Peninsular. She has 

an interest in medical education (PGCMedEd) and regularly delivers training and feedback within the 

Peninsular Medical School. The trainee will devise a programme suitable for their training needs, but focusing 

on adult community psychiatry. 

Opportunities for a Specialty Trainee: 

Outpatient clinics, in patient care, emergency psychiatry – both day & night (on call), experience of a well 

functioning multidisciplinary team, writing Court and Tribunal reports under supervision, teaching for junior 

medical staff and other disciplines, regular teaching programme, audit, protected research sessions and 

psychotherapy training. 

TIMETABLE 

Monday 

Tuesday 

Wednesday 

A.M. 

Consultant Meeting 

On call daytime 

assessments/liaison work – 

Derriford hosp 

Outpatient clinic – medical student 

teaching clinic 

Elmview 

Supervision - Glenbourne 

Case Conference / Journal Club 

/CPD(Glenbourne) 

P.M. 

Team referral meeting 

Elmview 


Emergency Assessments clinic 

Thursday 

Outpatients 

Admin 

Elmview 

Friday Flexible clinical/admin Research 


47

POST: 

TRAINER: 




Dr M Cooper 


Glenbourne Unit & Home Treatment Team (HTT) 

JOB DESCRIPTION: This full time equivalent (FTE) training post provides an ample opportunity to gain 

experience in managing acutely unwell mental health working age clients. The post is primarily based in 

Glenbourne Unit and has close liaison work with Home Treatment Team as a part of gate keeping admissions to 

this inpatient unit. This post is under Outer City Locality of HTT/Glenbourne Unit. The outer city locality caters 

to people living and registered with GP practices within outer city catchment area and works in close 

association with 3 Community Mental Health Teams (Central North East, Plym and North West localities). The 

populace of nearly 77400 people are covered by 27 GP practices in this catchment area. As this area is 

deprived, the patients present with more complex psychosocial needs in addition to mental health needs and 

often carry dual diagnoses (with comorbid substance use, personality disturbances, learning difficulties and 

forensic involvements). The Integrated Care Pathways are being developed in lines with NICE & RCPsych 

Guidelines to manage these complex conditions. The inpatients are managed as voluntary or detained under 

Mental Health Act. Mostly admissions to Glenbourne are gate kept by HTT and discharged through the same 

route under newly developed Nurse Led Discharge Policy & facilitated by Satellite Service of HTT. 

The secondary mental health services are being redefined currently under QIPP & TCS agendas and apex 

services like Glenbourne & HTT are at the forefront of leading some quality improvement changes. The post 

holder would gain a greater understanding of these reforms and would provide a substantial support to teams 

working here. The post holder can accompany educational supervisor in some of these administrative meetings 

e.g., Consultant Psychiatrists Meetings on alternate Mondays and Glenbourne Development Meetings on once 

a month Wednesday mornings. 

The clinical responsibilities include assessment of new admissions to Glenbourne (Outer City Clients), reviewing 

them on regular basis, liaise with GPs, carers or key workers, discharge planning and leading weekly 

multidisciplinary ward rounds and community clinical reviews each under direct supervision of trainer. 

Additional skills in preparing reports and representing RC in Mental Health Tribunal Reviews as needed. Sec. 12 

(2) approval or training for the same would be required. 

The post holder would be directly responsible to Dr. Michael Cooper, Consultant HTT & Glenbourne Unit. 

Trainee would also have opportunities to interact with Dr. Naresh Buttan, Consultant Psychiatrist covering 

inner city division of Glenbourne & HTT. The clinical supervision during day time would be available from Dr. 

Cooper, Educational Supervisor (in addition to protected 1 hr weekly session on Monday afternoon) and his 

team at Glenbourne & HTT. 

The Glenbourne Unit has Foundation Year 2 Trainees posted for 4 months in each wards (Harford & Bridford). 

The post holder would be expected to provide work based supervision to the F2 Doctors in Bridford Ward. 

There are other teaching avenues. Local MRCPsych teaching can be negotiated. The Peninsula Medical School 

sends 3 rd & 4 th year medical students for 3 weeks rotation in psychiatry and this post holder would be expected 

to provide clinical bedside teaching to them. 

The post holder would also be able to co-chair (Chair- Dr. Buttan) twice/thrice monthly case conferences 

presented by other trainees. The Journal Club and Case Conferences are held twice/thrice in a month for 1 hrs 

48

each on Wednesday mornings at Glenbourne Unit. Monthly once CPD and Grand Rounds each provide 

opportunities for this post holder to demonstrate their presentation skills as well. The presentation slot in 

these academic activities can be negotiated. The post holder would be expected to participate in an ongoing or 

fresh audit to demonstrate their research skills. 

The trainer has a special interest in Psychotherapies having trained in Cognitive Analytic Therapy and 

Psychodynamic therapy and has links with the psychotherapy department which offers opportunities for 

formal psychotherapy training across several modalities. There would be support and supervision for the 

trainee in developing a special interest in that area or any area of trainee’s choice depending upon the 

availabilities of resources. 

Other information regarding pay scales, hours of working, leave arrangements will be laid out in service 

contract and can be obtained from Medical Staffing Department at Glenbourne Unit. 


TRAINEE TIMETABLE: (Subject to variations) 

am 

pm 


Ward rounds with 

Glenbourne Unit/ 

Trainer at 


Glenbourne 

clinical needs 

Visit Glenbourne Unit for 

new assessments/ 

reviews support Satellite 

service of HTT & F2 

doctor in Glenbourne 

Unit 

Option to attend 

Consultant Planning 

Meeting 

HTT (Home visits/ 

assessments) 

1 hour (protected) of 

supervision with Trainer 

Special interest/ 

research/ 

academics 

Academic activities 

at Glenbourne Unit 

(Balint Group, 

journal club, case 

conference) 

Community Clinical 

Reviews at HTT 

HTT (visits/ 

assessments) 

HTT/ Glenbourne 

(visits/ 

assessments) 

Special interest/ 

research/ academic 

The Home Treatment Team Consultant Psychiatrist is the first point of call for Mental Health Act assessments 

which the trainee will be encouraged to undertake as per their educational needs. 


Currently 1 in 10 with consultants on call. The on-call cover is to provide psychiatrist cover for Plymouth Area, 

A&E, HTT, Glenbourne and other peripheral units within the trust. The supervision as per the clinical need 

provided by on-call consultants. 



a.m. Consultant 

Meetings 

Glenbourne 

Ward Rounds 

Academics/CPDs/ 

Peer reviews 

Psychotherapy 

supervision 

HTT 

p.m. 

Glenbourne/ Home 

Treatment Team 

1 hour (protected) 

of supervision with 

Trainer 

Glenbourne 

Ward Rounds 

Psychotherapy 

HTT Clinical reviews HTT(visits/assessments) HTT 

49

POST: 

TRAINER: 


Inpatient and Home Treatment 

Dr Stephen 


JOB DESCRIPTION: This post will allow the trainee to experience working with a high fidelity, large, well 

established home treatment team covering Plymouth city. They will take a senior medical role, under the 

supervision of the consultant, in the care of patients referred to and taken on by the team. They will perform 

assessments (including mental health act assessments) and reviews of people in severe mental health crises 

under the care of the team at the patient’s home. They will work with the multidisciplinary team including 

nurses, OT, psychology, social workers and five other doctors to provide care at home as an alternative to 

admission. The team are based at Mt Gould Hospital with inpatient services based at the Glenbourne Unit. 

There is also an opportunity to develop a role within the inpatient unit, as patients admitted remain under the 

care of the home treatment consultant including report writing and tribunal experience. 

The trainer has a particular interest in medical education and is the locality lead for the Peninsula Medical 

School and Lead Consultant for the Peninsula MRCPsych Course, providing opportunity for a trainee to gain 

experience in these areas. He also is involved with local service development projects and would expect 

trainees to become involved in this role. Research opportunities, particularly focused on service development 

and evaluation, are also embedded in the team and trainees are involved in these processes, developing 

projects towards poster presentations and publications. The trainer is also able to provide supervision for other 

external research projects. 

TIMETABLE: 

Monday 

Tuesday 

A.M. 

Consultant Committee, Teaching, 

Audit and Psychotherapy 

Inpatient Ward round or HT 

reviews 

P.M. 

HTT review and assessments/ 

MHAs 

HT reviews and assessments/ 

MHAs 

Wednesday 

Supervision/ HT reviews/ Case Community Reviews (HTT Ward 

Conference and Journal Club/ CPD Round with Consultant) 

Thursday TBA Special Interest 



50

POST: 

TRAINER: 


Core Old Age Psychiatry 

Dr Rodney Ford 


JOB DESCRIPTION: The Specialty Trainee will be expected to carry out assessments of patients referred to the 

service and to manage their care under the supervision of the Consultant Psychiatrist. An open referral system 

is in operation. Most patients are assessed either as outpatients or at home in the first instance. There is a 

liaison service for elderly psychiatric patients at Derriford and Mount Gould Hospitals run by experienced 

nursing staff. Inpatients are based at Plympton Hospital, where there are beds for functional illness and organic 

assessment. Outpatients are seen at Plympton Hospital. 

Outpatients with dementia are managed through our memory service at Mount Gould Hospital. The catchment 

area covered is that of the outer city, and there is a population of about 13,000 people of age 65 years or older. 

At present the medical establishment consists of three Consultant Psychiatrists, one staff-grade and two SHO’s. 

There is a well-staffed multi-disciplinary team with a full-time psychologist, CPNs and occupational therapists. 

There are opportunities for teaching undergraduate medical students from the Peninsula Medical School. The 

Specialty Trainee will also be expected to provide teaching to other members of the multi-disciplinary team 

and to trainees on the local psychiatric rotation and to participate in the locally organised academic 

programme. There are opportunities for up to two special interest sessions and two sessions for supervised 

research. 

The Specialty Trainee will take on increasing responsibilities for the management of patients under the 

supervision of the Consultant in preparation for a Consultant post. There will also be opportunities to attend 

meetings with the Consultant and to obtain management experience. 

There is a full-time secretary as well as the usual IT facilities. 

TIMETABLE 

Monday 

Tuesday 

A.M. 

Consultants’ meeting/ 

Community visits 

09-00 to 10-00 Team meeting. 

10-00 to 12-00 Oakdale ward 

round. 

P.M. 

Administration. 

14-00 to 15-30 Pinewood Ward 

Round. 

16-00 to 17-00 

Supervision with consultant. 

Wednesday 

Academic Programme 

11-30 to 13-30 

Community visits/liaison psychiatry 

(Derriford Hospital). 

Thursday Memory-service 09-30 to 12-00. Outpatients (Plympton Hospital) 

(Mount Gould Hospital). 

Friday Study day Study day 


51

POST: 

TRAINER: 


Primary Care Liaison General Adult Psychiatry 

Dr Fiona Murphy 

Plymouth Primary Care Trust (currently – shortly to become a social 

enterprise, under new management) 

JOB DESCRIPTION: This is a post in general adult (community) psychiatry, working at Elmview, Plympton 

Hospital, as part of the Plymouth Community Mental Health Team, covering the Plympton and Plymstock areas 

of Plymouth. The catchment area is approximately 40,000, the majority of which is relatively affluent, and 

predominantly suburban, though there are some small rural patches; it is served by seven GP practices. The 

post is purely community based as care for all inpatients is provided by the specialist inpatient/home treatment 

consultant. 

There is only one consultant working in the Plymouth CMHT. There are four other consultants (3.6 WTE) 

working at Elmview, in the two other CMHTS’s based there (Central North East, and North West). The five 

consultants have a daytime duty rota to cover emergencies across the whole locality, and also to provide a 

consultation service to Derriford hospital (red top referrals). The trainee will have the option of participating in 

this rota. 

The Plymouth team consists of one band 7 CPN team leader, one band 6 deputy team leader (post currently 

held by an OT), four band 5 CPN’s, one OT, two support workers, and two AMHP’s (social workers). There is 

also a full time team secretary, in addition to a medical secretary. There are three psychologists based at 

Elmview who work collectively to provide a service to all three teams at Elmview. We have access to other 

psychological therapies, including CBT and family therapy, through the psychotherapy department. There is a 

full time specialty doctor working with the Plymouth CMHT. Sometimes there is also a core psychiatric trainee 

in post, but this cannot be guaranteed. 

The trainee will work closely with other members of the team and provide assessments to new referrals which 

require medical input, either at base, or at the patient’s home. He/she will also be expected to carry a small 

caseload of patients requiring follow up/ continuing care. We do not currently have the facilities to provide 

clinics at GP surgeries but it is hoped that this will change in the near future. However the trainee will be 

encouraged to link in with a small group of primary care practitioners. The trainee will also be expected to 

attend the multidisciplinary team referral meetings, provide advice and support to staff in accordance with 

degree of experience and participate in Care Planning meetings with other members of the team. In order to 

help with transition arrangements with the home treatment team, the trainee will have the option of attending 

the weekly discussion meetings held by the home treatment team, and may also attend the weekly ward round 

for Plym patients, by agreement with the ward consultant. 

There is an active teaching programme for junior medical staff with weekly case conference and journal clubs. 

The trainee will be expected to take an active part in this and to help with its organisation. There will also be 

opportunity to provide teaching to other professional groups. 

Dr Murphy is a trained group therapist and runs a number of staff and patient groups. The trainee will 

therefore be given the opportunity to co-facilitate one or more groups, according to his/her interest. 

52

TIMETABLE 

Monday 

Tuesday 

A.M. 

Consultants committee meetings, 

Building one boardroom 

New patient clinic, Elmview 

12 – 1 Supervision with Consultant 

P.M. 

Follow up outpatient clinic, 

Elmview 

Multidisciplinary team meeting 

Elmview 

Wednesday 

Academic Teaching programme Special Interest 

Glenbourne 

Thursday Home visits with team members Outpatient clinic, Elmview 

Friday Admin Research 


53

POST: 

TRAINER: 


Assertive Outreach Service/Rehabilitation, and Early Intervention Psychiatry, 

Plymouth 

Dr Simon Payne 


JOB DESCRIPTION: This post provides core adult experience with the opportunity to manage patients on both 

the acute inpatient unit at Glenbourne, and in the community. The inpatient (Bridford) ward is fully accredited 

by the Royal College of Psychiatrists under the AIMS project. The Assertive Outreach Service supports 

approximately 100 clients. There are typically 10-15 patients either on the ward or on leave from the ward at 

any one time. The Trainee would also have the opportunity of gaining experience in managing patients at 

Syrena House – a community-based rehabilitation unit for younger people, and/or patients at our 12-bedded 

low-secure unit at Lee Mill. There is a junior doctor on Bridford ward, and Staff Grade cover for Lee Mill, 

Syrena House, and the Assertive Outreach Service. 

Dr Payne has been a Consultant since 1993 and moved from Nottingham to Plymouth in 2002. He is currently 

Medical Director and Lead Consultant Psychiatrist for Plymouth Primary Care Trust. Subject to the Interest of 

the Trainee, there would be the opportunity to be involved in the development of psychiatric services locally 

and the wider work of the Plymouth Primary Care Trust. Full Secretarial support is available for the post with 

office accommodation, both at Glenbourne and the Assertive Outreach Team base at Mount Gould Hospital. 

Trainees may welcome the opportunity to work with Dr Dawe in the Early Intervention Service – either as a 

Special Interest, or in place of work at either Syrena House or Lee Mill. The Plymouth Early Intervention Service 

was one of the first in the country. It is based in the City centre along with other youth services and has an 

excellent reputation. 

*TIMETABLE: 

A.M. 

P.M. 

Monday Consultant Meetings AOS Ward Round at Glenbourne 

Tuesday Flexible – to be confirmed AOS m.d.t. 

Wednesday 

AOS/Rehabilitation Medical 

Meetings/Journal Club/Case 

Conference 

Flexible – to be confirmed 

Thursday Early Intervention Service m.d.t. Flexible – to be confirmed 

Friday Lee Mill m.d.t. Flexible – to be confirmed 

On-Call : To be confirmed 

* Subject to the particular Interest of the Trainee. 

54

POST: 

TRAINER: 




Dr Sadir Altaan 

Cornwall Partnership NHS Foundation Trust 

Banham House, Bodmin Hospital, Cornwall/ Elfordleigh Community Resource 

Centre, Launceston, Cornwall 

JOB DESCRIPTION: 

This post will provide training opportunities in both organic and functional disorders for the older adult 

population of Northeast Cornwall (Launceston, Bude, Boscastle, Tintagel, Camelford and Callington). The 

population of this catchment area is about 13,000 spreading out through historical coastal and rural towns and 

villages. 

Community Services 

This service involves memory assessment (Memory Clinics), the assessment and management of dementia with 

behavioural and psychological symptoms in different settings (patients’ homes, care homes and occasionally in 

Launceston Community Hospital), and the assessment and management of functional psychiatric disorders 

complicated by complex physical health problems and the effects of aging. 

Inpatient Services 

There is one 25 bedded organic ward for the whole of Cornwall and about six functional bed on Fletcher ward 

for the east part of Cornwall. This service involves the assessment and management of severe mental disorder 

(organic and functional) when the risk to the patient is too high for their management in the community or 

when community support is felt to be inappropriate. Inpatients will be supported by the Multi-Disciplinary 

Team and a Junior Doctor, usually a GP trainee. Admission rate is generally low. 

The Community Team 

This includes the Team manager, four CPN’s, two HCA’s, an OT and a Dementia Liaison Nurse. Primary Care 

Practitioners have also been appointed and will be working closely with the local General Practitioners and the 

different members of the community team. All referrals are team referrals, which will triage and discuss them 

in the weekly MDT meeting. 

Training Opportunities 

The trainee will have the opportunity to work alongside the Multi-Disciplinary Team in providing memory 

assessments, and diagnoses as well as managing complex cases of dementia with behavioural and 

psychological symptoms. The trainee will also have the opportunity to assess and manage patients with 

functional and complex psychiatric disorders. The trainee will gain experience in the application of the Mental 

Capacity Act and the Mental Health Act in clinical practice. There are monthly old age psychiatrists meetings to 

discuss difficult to manage patients few of them will include meetings with consultant radiologist to review 

neuroimaging. Formal Royal College CPD peers meetings take place four times per year. 

Audit and Research 

The trainee will have the opportunity to develop his/her own audit or to participate in or lead one of the 

regional or national audits such as POMH UK audits. Dr Altaan is a member of the Mental Health Research 

Team at Cornwall Foundation Trust and recently took over the role of research lead in Old Age Psychiatry. 

Currently he is taking part in a pharmaceutical research trial in dementia. Trainees will have the opportunity to 

have supervised experience in research and would be welcome to attend the periodic Mental Health Research 

Team meetings. 

55

Teaching 

There is a weekly teaching programme for GP trainees and core psychiatric trainees. There is a monthly Grand 

round for all the trainees and consultants and there are regular MRCPsych exam training classes during which 

the senior trainee could develop his/her teaching and educational skills. There are also opportunities in 

providing teaching and training to the Multi-Disciplinary Team and to the local General Practitioners. 

ECT 

There is a well-established ECT team based at Bodmin Hospital which is led by an Old Age Psychiatrist 

colleague, this could provide opportunities for a senior trainee to develop his/her ECT experience further. 

CBT 

Dr Altaan is a fully qualified CBT therapist and accredited member of BABCP and has a once weekly CBT clinic. 

The trainee would have the opportunity to develop his/her experience in psychological therapies should 

he/she wish to do so. 

Leadership and Management 

There is a senior medical and consultants business meeting which takes place once a month as well as regular 

business meetings for the Old Age Psychiatrists which the senior trainee is welcome to attend. 

Weekly Timetables (see point 4 in Notes for Guidance) 

TRAINEE TIMETABLE: (This can be adapted and tailored to trainees needs) 


a.m. Community Work Community MDT Meeting 

Clinical Supervision (1 

Hour) 

Teaching/ CPD 

Training 

Research/ Special 

interest 

Inpatient 

work 

p.m. 

ON CALL: 

Community Work 

/Admin 

In patients MDT meeting 

Community 

Work 

1:10 includes S12 work- on call work will be supervised by consultants 

Research/ Special 

interest 

Admin 



a.m. 

Community Work Community MDT 

Meeting 

Clinical 

Supervision (1 

Hour) 

SPA Community work Community work 

p.m. 

Community 

Work/Admin 

In patients MDT 

meeting 

SPA CBT Clinic Community 

Work/Admin 

56

POST: 

TRAINER: 


Learning Disability Psychiatry 

Dr Jane Bernal 

Cornwall Partnership Trust 

57

POST: 

TRAINER: 



Dr Rick Bowers 


The Specialist Registrar will provide supervised medical input to a comprehensive mental health service for 

patients registered with the Carrick Community Mental Health Team. The whole zone comprises seven general 

practices totalling 44 GP’s. 

Facilities / In-patients: 

The acute in-patient beds are at Longreach House, Redruth where there are 32 beds shared between six 

consultant psychiatrists. The Ward is divided into male and female bays. Continuing treatment beds are 

available at Fettle House, Bodmin Hospital. Psychiatric intensive care is provided at Harvest Ward, Bodmin 

Hospital by a consultant-led team. One full time CT1 trainee works with the Carrick in-patients. 

Out-patients: 

Clinics will be held at 57 Pydar Street, Truro at the community mental health team base providing 

comprehensive psychiatric assessments of existing CFT patients or new referrals following screening 

assessment. Some joint screening assessments with other healthcare professionals when early medical need 

identified. 

Ongoing development: 

CFT provides weekly academic programme for trainees involving Grand Round (case conferences), critical 

appraisals and lectures. There is monthly CPD sessions which trainees are encouraged to attend. Specialist 

Registrars can attend local consultant peer group meetings and is also invited to consultant business meetings. 

Consultants: 

The Consultant Psychiatrist for the Carrick area is Dr Richard K Bowers. He will provide personal supervision 

regularly for one hour per week as well as additional clinical supervision when appropriate. The trainee will be 

given a wide range of clinical experience in General Adult Psychiatry and work with sub-specialist teams, eg 

Assertive Outreach Team and Home Treatment Team. The supervising consultant also provides support for the 

Homeless GP Service in Carrick. The other consultant for adult psychiatry in Carrick is currently a locum. 

There are consultants working in Child and Adolescent Psychiatry, Old Age Psychiatry, Learning Disability and 

Drug Misuse covering west Cornwall. In addition, there are consultants working in Liaison Psychiatry, Recovery 

and in the Early Intervention in Psychosis Teams. 

Team Base: 

The CMHT is based at 57 Pydar Street, Truro, comprising of: 

Consultant Psychiatrist 

Clinical Trainee (1) 

CMHT Manager (1) 

Community Psychiatric Nurses (4) 

Healthcare Practitioner (to be appointed) 

58

Occupational Therapist (1 shared with South Carrick) 

Clinical Psychologist (1 shared with South Carrick) 

Approved Mental Health Professional (1) 

Social Work Assistant (1 wte shared with South Carrick) 


a.m. 

p.m. 


Community 

Meeting Team 

Supervision 

11-12noon 

Supervision 

Outpatient Clinic 

Admin 

Ward Round with 

Consultant 

Postgraduate 

teaching at 

Westheath House 

or Consultants 

meetings 

Outpatient clinic Research / 

Special Interest 

Admin Admin Research / 



1:18 on-call with supervising Consultant. Available to provide psychiatric assessments, mainly under MHA 2007 

for 24-hour period. Also, advice to supporting medical staff and in-patient facilities. Day-time cover for 

Consultant On-call the previous day. 

59

POST: 

TRAINER: 


ST4-6 Old Age Psychiatry 

Dr Henry Cameron 


Roles and responsibilities of the trainee 

To contribute to medical community and inpatient care of older people with mental illness in the West Penwith 

and Isles of Scilly region of Cornwall. Specific responsibilities can be agreed early in the post but the general 

aims for the trainee are 

to gain experience in assessment and management of older people with organic and functional mental 

illness 

to develop ability to work independently in conjunction with a community mental health team and 

inpatient unit 

to manage a portion of the consultant catchment area under supervision 

Core clinical work 

Assessment of early memory problems in a ‘memory clinic’ setting 

Assessment of new or complex cases referred by CMHT members 

Regular input to local dementia nursing and residential homes 

Inpatient care to a functional ward and dementia assessment ward based at Longreach House, Redruth 

(weekly ward round) 

Weekly CMHT meeting 

Location of post 

Primary work base is Penzance 

Areas covered include Penzance, St Ives, Marazion and St Just 

Inpatient work at Redruth 

Peninsular Medical School facilities at Royal Cornwall Hospital, Truro 

Other Opportunities 

Unique opportunity to work with a remote island community on the Scilly Isles and contribute to the 

development of services for this population 

Regular peer clinical meetings including quarterly sessions with a radiologist with special interest in 

dementia 

Academic activities 

Contribution to the weekly academic programme for junior trainees in Cornwall 

Participation in undergraduate training where possible 

Study leave and opportunities for research and audit sessions will be strongly supported 

Monthly county-wide grand round presentations 

Old Age Psychiatry management and clinical meetings 

Supervision 

Weekly consultant supervision is timetabled and made a priority. 

Intended learning Outcomes 

These will be agreed at the outset and achieved through a variety of clinical experience, formal and informal 

supervision and use of study leave, research and special interest sessions. 

60

About the Trainer 

I have been a consultant for 4 years, having completed higher training locally and part of junior training in 

London. My undergraduate training was at St Georges in London. I have an interest in clinical education and am 

enthusiastic about contributing to training in Old Age Psychiatry. I am an academic tutor for Peninsular Medical 

School Undergraduates and have a Postgraduate Diploma in Clinical Education. I work full time over 4 days with 

extended working hours. 



a.m. 

p.m. 


Home Visits / 

admin 

Home Visits / 

admin 

0900 Ward 

Round (Cove 

Ward) 

Research / 


Peer meetings / 

Academic 

programme 

Research / Special 

Interest 

0900 Team 

Meeting 

1130 Clinical 

Supervision with 

consultant 

1330 Memory 

clinic (Penzance) 

Admin / home visits 

/emergency 

assessments 

Admin / home visits 

/ emergency 

assessments 


Cornwall Rota, 1 in 14 days with Consultant supervision 


a.m. 

p.m. 

Day off 

Day off 


0900 Ward 

Round (Cove 

Ward) 

Memory clinic (St 

Ives) / Home 

visits 

Meetings / CPD / 

Peer support 

Audit / research / 

CPD 

0900 Team 

Meeting 

1130 Clinical 

supervision with 

trainee 

1330 Memory 

clinic (Penzance) 

Home visits / clinic 

appointments 

Admin / 

emergencies 

61

POST: 

TRAINER: 




Dr Adrian Flynn 


Department of Liaison Psychiatry, Well-Being Centre, Royal Cornwall Hospital 

Trust, Treliske Hospital, Truro, TR1 2LJ 

JOB DESCRIPTION: The trainee will be based at Treliske Hospital, which is a 750 bedded hospital, within the 

Liaison Psychiatry Department and will also have access to office space at the Carrick Community Mental 

Health Team base where Dr Flynn’s medical secretary works. This is at 57 Pydar Street, Truro, TR1 2SS. 

The trainee will be part of a medical and nursing team providing psychiatric services to the Royal Cornwall 

Hospital, Treliske. The team comprises a full-time Consultant Psychiatric time, there is an ST2 trainee and an F1 

doctor. There is a Team Manager, two Psychiatric Liaison Nurses, and Alcohol Liaison Nurse and a half time 

Team Administrator. 

The team accepts referrals for the full range of psychiatric presentations in the general hospital. The majority 

of referrals are for self-harm and alcohol and substance misuse. The trainee will have an opportunity to see 

these patients, particularly more complex presentations and to supervise more junior medical staff in their 

assessments. They will be expected to provide advice and support to the senior nursing staff within the team 

and joint assessments are encouraged where possible. The assessment of more complex referrals is where the 

trainee will have their predominant role. These referrals include neuropsychiatric presentations, perinatal 

psychiatric presentations, complex somatoform disorders and co morbid common mental health disorders that 

are influencing the presentation of long term medical conditions. An outpatient clinic is available for the follow 

up of these patients. The trainee will be directly supervised by the Consultant for one hour each week. The 

Liaison Service is establishing links with many other hospital departments. There will be an opportunity to 

establish a special interest in one of these areas and an excellent opportunity for service development and 

research. 

The timetable is flexible and can be adjusted according to commitments. It provides an opportunity to 

supervise the F1 doctor. 

TIMETABLE: 

A.M. 

P.M. 

Monday Liaison Ward work Administration / F1 supervision 

Tuesday Liaison Ward Work Liaison MDT 

Supervision (1 hour) 

Wednesday Teaching/CPD Research or Special Interest 

Thursday Research or Special Interest Liaison OPD clinic 

Friday Liaison ward work Liaison ward work 

On-Call 1: 15 approx with Consultant Cover 

62

POST: 

TRAINER: 


General Adult Psychiatry, Bolitho House, Penzance 

Dr Colin Hunter 


JOB DESCRIPTION: The Specialty Trainee will provide supervised medical input to a comprehensive mental 

health service for patients registered with GPs in the South Penwith Community Mental Health Team 

catchment area. 

The acute inpatient beds at Longreach House, Redruth where there are 30 acute beds shared between nine 

consultant psychiatrists. The Bay Unit is divided into two wards; Perran and Carbis Wards generally gender 

specific. Psychiatric intensive care is provided at Harvest Ward, Bodmin Hospital by a consultant led team. An 

inpatient based junior doctor is shared with Dr Stefano Kustermann. 

Clinics will be held at Bolitho House, Penzance at the Community Mental Health Team Base. 

The total population of the catchment are is 36,539. 

The Consultant Psychiatrist for the South Penwith area is Dr Colin Hunter. The supervising consultant also 

provides medical cover to the Home Treatment Team, Assertive Outreach Team and some community forensic 

patients. 

TIMETABLE 

Monday 

Tuesday 

A.M. 

Community Meeting 

11.00-12.00 Supervision with 

Consultant 

Admin 

P.M. 

Ward Round with Consultant 


Team Supervision 

Wednesday 

Post-grad Teaching at Bodmin Special Interest 

Hospital 

Thursday Emergency clinic / home visits Special Interest 

Friday Research Research 


63

POST: 

TRAINER: 



Dr Stefano Kustermann 


The Specialist Registrar will provide supervised medical input to a comprehensive mental health service for 

patients registered with Marazion Surgery in Marazion within the North Penwith Community Mental Health 

Team. The whole zone comprises five general practices. In addition to Marazion Surgery, it includes Cape 

Cornwall (St. Just), Stennack (St. Ives), Bodriggy (Hayle) and Phoenix Surgery (Camborne). The trainee will 

cover a surgery with five general practitioners. 

Facilities / In-patients: 

The acute in-patient beds are at Longreach House, Redruth where there are 32 acute beds shared between 

nine consultant psychiatrists. The Ward is divided into male and female bays. Psychiatric intensive care is 

provided at Harvest Ward, Bodmin Hospital by a consultant-led team. A Foundation Trust 2 junior doctor works 

with South Penwith in-patients as well as 2 part-time staff-grade doctors in the Community. 

Out-patients: 

Clinics will be held at Bolitho House, Penzance at the community mental health team base providing 

comprehensive psychiatric assessments of existing CFT patients or new referrals following screening 

assessment. Some joint screening assessments with other healthcare professionals when early medical need 

identified. 

Population: 

The total population of the catchment area is approximately 40,000. 

Ongoing development: 

CFT provides weekly academic programme for trainees involving Grand Round (case conferences), critical 

appraisals and lectures. There is a monthly CPD sessions which trainees are encouraged to attend. Specialist 

Registrars can attend local consultant peer group meetings and is also invited to consultant business meetings. 

Consultants: 

The Consultant Psychiatrist for the South Penwith area is Dr S. Kustermann. He will provide personal 

supervision regularly for one hour per week as well as additional clinical supervision when appropriate. The 

trainee will be given a wide range of clinical experience in General Adult Psychiatry and work with subspecialist 

teams, eg Assertive Outreach Team and Home Treatment Team. The other consultants for adult 

psychiatry in the west of Cornwall are: 

Dr Colin Hunter (South Penwith and Isles of Scilly) 

Dr Darren Mackintosh (South Kerrier) 

64

There are consultants working in Child and Adolescent Psychiatry, Old Age Psychiatry, Learning Disability and 

Drug Misuse covering west Cornwall. In addition, there are consultants working in Liaison Psychiatry, Recovery 

and in the Early Intervention in Psychosis Teams. 


a.m. 

p.m. 


Community 

Meeting Team 

Supervision 

Out-patient clinic 


Consultant 


or 

Admin (once a 

month) 

Post-graduate 

teaching at 

Westheath House, 

Bodmin 

Admin 

Supervision (4pm- 

5pm) 

Admin 

Admin 


Interest 

In-patients review 


Interest 

ON CALL: 

1:20 on-call with supervising consultant. Available to provide psychiatric assessments, mainly under MHA 2007 

for 24-hour period. Also, advice to supporting medical staff and in-patient facilities. Day-time cover for 

Consultant On-call the previous day. 


a.m. 

p.m. 


Community 

Meeting Team 

Supervision 



SpR Trainee 

Supervision of 

Staff Grade 

Psychiatrist 


or 

Admin (once a 

month) 

CPD 

Consultant Meetings 

MHRT/Managers 

Reviews 

Admin 

MHRT/Managers 

Reviews 

Supervision (4pm- 

5pm) 

Admin 

Admin 

(off on alternate 

weeks) 

Emergency outpatient 

clinic 

In-patients review 

65

POST: 

TRAINER: 


General Adult Psychiatry (Continuity Model- outpatients and inpatients) 

Dr Richard Laugharne 


JOB DESCRIPTION: This placement provides experience in working with a multi-disciplinary team in a Rural 

Locality. The Trainer has a particular interest in service organisation and this post will provide a good 

experience in Core General Adult Psychiatry with a Consultant who is a member of the Academic Department 

of Mental Health at Exeter University Medical School. Trainees will have an opportunity to develop their 

research skills, teach others and acquire the necessary knowledge and skills to work as a General Adult 

Psychiatrist in both inpatient and community rural settings. Dr Laugharne has been past Head of School of 

Psychiatry and is currently Lead for Research and Innovation for the Trust. His current research interests 

include public education through a radio phone in, trust in psychiatrists and mental health teaching in Ghana. 

He has published over 30 peer reviewed papers, and co-authored papers with at least six trainees who have 

worked with him. 

DAY AM PM 

MONDAY 9 – 10 Bed Management Meeting 

10.30 – 12 Ward round Fletcher ward 

12 – 1 Supervision F2 doctor 

TUESDAY 

WEDNESDAY 

10 – 11.30 Weekly CMHT meeting/referral meeting 

11.30 – 12.30 Weekly supervision of SpR 

Attend monthly CPD sessions 4 th Wednesday in 

month 

Attend monthly SMSC 

Peer Group 

2 – 5 Admin/Home visits 

Trevillis House 

OPD clinic alternating between 

Liskeard/ Looe/St 

Blazey/Fowey/Lostwithiel 

Community Clinical director work 

Occasional work on BBC Cornwall 

Radio phone in programme 

THURSDAY Peninsula Medical School - Mental Health Research Lead for Research and Innovation 

Group, Exeter: Research 

FRIDAY Ward Round – Fletcher Ward, Bodmin Hospital *** Meetings/Visits 

Ad hoc OPD clinics/home visits 

Admin at Trevillis House 

On-Call 1 : 18 with Consultant Cover 

Supported activities fitted into timetable as opportunity arises. 

*** Meetings/Visits 

Quarterly Research Governance Committee meetings 

Quarterly Regional Division meetings 

Quarterly Research and Innovation Committee meetings (Lead) 

EMDR sessions with patients 

Roles 

Community Clinical Director, CFT 

Lead for Research and Innovation, CFT 

Honorary Senior Lecturer, Peninsula Medical School 

66

POST: 

TRAINER: 




Dr Darren Mackintosh 


Trengweath, Penryn Street, Redruth, Cornwall TR15 2SP 

JOB DESCRIPTION: The Specialty Trainee would undertake an apprenticeship role, learning psychiatry through 

joining both an inpatient and community team and taking a responsible clinical role. They will provide 

supervised medical input to a comprehensive mental health service for adults of working age registered with 

GP Surgeries in Camborne, North Kerrier, and in the South Kerrier region. The trainee will be expected to 

conduct ward rounds, complete new assessments and joint visits with community colleagues. 

The acute inpatient beds are based on Bay Unit at Longreach House, Redruth where there are 32 acute beds 

shared between eight consultant psychiatrists. Bay Unit is divided into two wards; Perran and Carbis Wards, 

generally gender specific. The wards are served by an FY2 trainee attached to the team, who also assesses 

community patients in the outpatient clinic. 

The CMHT is spilt between Trengweath, serving the Camborne population, and Helston, serving South Kerrier; 

though joint meetings are held weekly in Helston for referral allocation and discussion of clinical issues. 

Outpatient Clinics are held at both Trengweath, in Redruth, and at the Community Mental Health Team base in 

Helston. 

The supervising consultant also provides medical cover to the Home Treatment Team, Assertive Outreach 

Team, the Eating Disorders Team, and some community forensic patients. Intensive care, rehabilitation and 

low secure beds for the whole of the county are located at Bodmin with separate medical cover; though the 

supervising consultant is called on to provide cover when colleagues are away. Close liaison with the Early 

intervention team is required, as the catchment area consultant provides inpatient care for that team’s 

patients when required. 

Teaching opportunities are available in the form of medical students attached to the inpatient unit. Teaching 

at the academic meetings for junior doctors will also be encouraged. The Audit department is located close to 

the trainee’s office, facilitating audit projects if desired. 

The trainee will be provided with at least one hour direct supervision per week. The trainee’s office is located 

immediately adjacent to the trainer so regular informal discussions should also be possible. 



a.m. 

p.m. 


Research Training 0930-1300 


0915-1000 bed 

management 

1200-1300 CT4-6 

Supervision 

1400-1700 Ward 

Round 


Flexible session- 

DVs/MHRTs 

1400-1600 CMHT 

Allocation 

0930-1200 

HTT/Emergency 

Clinic 

1400-1500 Ward 

Review 

67

ON CALL – 

The trainee will participate in a rolling rota which incorporates general adult, old age and learning disability 

psychiatry county wide, on a 1:9 basis. An accredited trainer will second you for on call purposes. When you 

are absent on leave and scheduled for duty the seconding consultant will pick up your duty as a matter of 

course. 


a.m. 

p.m. 


0930-1300 


0915-1000 bed 

management 

1200-1300 CT4-6 

Supervision 

1400-1700 Ward 

Round 

1400-1500 F2 

Supervision 

Peer 

Group/CPD/Senior 

Medical Staffing 

Committee/Working 

Practices Meeting 

0930-1300 

Outpatient 

Clinic 

1400-1600 

CMHT 

Allocation 

0930-1200 

HTT/Emergency 

Clinic 

1100-1300 Med 

Student Teaching 

(alternate weeks in 

term time) 

1400-1500 Ward 

Review 

68

POST: 

TRAINER: 




Dr Mather 


Bodmin Hospital, Bodmin, Cornwall 

JOB DESCRIPTION: The specialist Trainee will provide supervised psychiatric care and input to working age 

adults from 16 years upwards in an area of North Cornwall which includes a mix of deprived, affluent, urban 

and rural areas. The patch covers Padstow, St Columb, Wadebridge, Bodmin and the Launceston area. This 

busy post serves a population of approximately 31,000 adults. The CMHT enjoys good relationships with 

primary care and has been a key contributor to the now completed and successful integrated care pilot project 

currently being rolled out to the rest of Cornwall. Monthly ‘hub’ meetings occur between CMHT staff, the 

Consultant Psychiatrist and GPs at GP surgeries. 

Inpatients reside at Fletcher Ward on the same site as our administrative and out patient clinics in Bodmin 

Hospital. Other teams such as AOT, EIP, HTT, Forensic, Complex Care/Dementia and HCAs/supported housing 

workers also have staff based at this site which makes maintaining high quality and efficient relationships with 

other teams easier. 

Outpatient clinics are held at primarily at Bodmin Hospital and also in GP surgeries in Launceston and 

Wadebridge. There is also ample scope for joint community working with other members of the wider team. 

The Consultant for the post is Dr Greg Mather. The supervising Consultant also provides medical cover to the 

Home Treatment Team and Assertive Outreach Team. The post enjoys the valuable support of a full time ST2 

trainee. The ST4-6 post links well with the supervising consultant post providing good opportunities for readily 

accessible support and supervision. The higher trainee will also have ample opportunity to develop their 

interests and skills of independent working or of linking with other members of the wider team. 



a.m. 

p.m. 


OPD 

OPD Bodmin/ 

Bodmin 

Community Visits 

Administration 

Clinical supervision 

HTT 

Inpatient review 

round Bodmin 

Team Meeting 

(monthly) 

MDT meeting 

CPD Sessions 

(monthly) 

SMSC (monthly) 

Contribution to 

Junior Doctor 

training available 

Special Interest or 

Research 

Research or 



round 

Bodmin 

Educational 

Supervision 

ON CALL – 1:18 with Consultant Cover 

69


a.m. 

p.m. 


OPD 

OPD 

Bodmin 

Launceston/Wadebridge 


Clinical 

supervision 

(ST4-6) 

HTT 


round Bodmin 

Team Meeting 

(monthly) 

MDT meeting 

Educational 

Supervision 

(ST2) 

CPD Sessions 

(monthly) 

SMSC (monthly) 

Peer Gp (twice 

monthly) 


Management: 

MHA Section 

12(2) panel work 

OPD 

Launceston/Wadebridge 

Inpatient 

review round 

Bodmin 

Educational 

Supervision 

(ST4-6) 

70

POST: 

TRAINER: 


Early Intervention in Psychosis 

Dr Michael Metcalfe 


The Cornwall Early Intervention in Psychosis Service has approximately 200 clients and is divided into two 

teams, one based at Bodmin Hospital and the other based at Trengweath Unit in Redruth. In addition to 

nursing staff, the service includes Occupational Therapists and Psychologists. There is a full time Consultant 

Psychiatrist (Dr Mike Metcalfe) and Associate Specialist (Dr Cathy English). The team receives referrals of 

individuals with a suspected first episode of psychosis between the ages for 14 and 35 years. Consultant 

responsibility for those under16 years of age remains with the Child and Adolescent Consultants. 

The full-time medical secretary and Associate Specialist are based at the Trengweath Mental Health Unit in 

Redruth with office space also available at Bodmin Hospital. The trainee will have dedicated office space and a 

networked computer and will be co-located with one of the Early Intervention Teams. The Consultant 

Psychiatrist works across the whole county, the Associate Specialist mainly in the west. Clinical work may have 

a focus in the west or east of the county, and this will be negotiated individually with trainees. 

The trainee will be expected to take part in initial assessments for individuals referred to the service as well as 

working with those individuals taken on by the service during their three year period of contact with Early 

Intervention. This work will involve significant multi-disciplinary and multi-agency liaison and the majority of 

clinical consultations will be carried out in conjunction with another member of the team. The trainee’s work 

will be fully and comprehensively supervised by the Consultant Psychiatrist. 

There is no direct inpatient commitment involved in this post. The majority of clinical contacts will take place 

in outpatient clinics, general practice settings and at individuals’ homes. The experience gained and skills 

learned will primarily be focused on identification and treatment of psychosis. The range of referrals will 

enable the trainee to fine-tune their ability to distinguish early psychosis from other problems and disorders. 

The work with those already on the caseload will enable the trainee to develop their skills and knowledge in 

the treatment of psychosis, both in terms of medication and non-medical approaches. 

There are particular opportunities to have clinical experience and training in Cognitive Behavioural Therapy for 

psychosis and to train in use of the Positive and Negative Symptoms Scale (PANSS) under the supervision of 

one of the clinical psychologists. 

The Early Intervention service has monthly CPD sessions which the trainee will be encouraged to attend and 

contribute to. There is also a monthly Trust CPD morning offering high quality educational presentations. 

The team works in line with the principles of Recovery and the Whole Life Approach. Support workers and a 

group worker focus on non-clinical activities, including a wide range of activity groups and an allotment. The 

trainee will have the opportunity to work alongside these individuals and to develop their skills in using social 

approaches in addition to the psychological and biological approaches already described. 

71

SAMPLE TIMETABLE: 

Monday 

A.M. 

10.00 – 11.00 Supervision 

Audit 

P.M. 

Clinical 

Tuesday Special Interest Clinical/Admin 

Wednesday 

CPD, teaching sessions, 

Research 

meetings 

Thursday 9.30 – 1.30 Team Meeting, WEST Clinical 

Friday Clinical Clinical/Admin 

On-Call: Senior on-call rota, with Consultant Cover 

72

POST: 

TRAINER: 




Dr Steven Naylor 


Trengweath, Redruth 

SW PENINSULA DEANERY SCHOOL OF PSYCHIATRY 

Rotational SpR/ST4-6 Training Scheme (GA & OA Psychiatry) 

The older person's psychiatric service for Redruth and the Lizard provide care for the over 65 year olds with 

functional or organic disorders and under 65s with dementia. 

There is a memory clinic and liaison psychiatric services provided to Helston Community Hospital (GP run 

hospital) and Camborne/Redruth Community Hospital (eldercare medicine). There are two inpatient wards. 

Cove Ward in Redruth is an organic assessment unit with 20 beds. Functional patients are admitted to the 

functional adult psychiatric ward (Bay Ward) in Redruth. For functional psychiatric outpatients there is an acute 

Home Treatment Team who will work with patients intensively for short periods of time. 

The specialist trainee will be a member of the community mental health team and be given a role matching 

his/her seniority and experience. When trainees have appropriate competency they may medically manage a 

proportion of the catchment area (under supervision) to enable them to experience a full range of the day to 

day issues arising for senior psychiatrists. 

Specialist interest experience can be arranged with the old age psychiatric liaison service at Treliske, ECT at 

Bodmin, and Parkinson's Disease Clinics in Redruth. There are opportunities to teach junior doctors, nursing 

staff and medical students. There are grand rounds/journal clubs held at the weekly Wednesday morning 

teaching. 

TIMETABLES: 

Trainer A.M. P.M. 

Monday Clinic Clinic/Visits 

Tuesday Ward Round Ward/or Community Work 

Trainee Supervision 

Wednesday Meetings/Training Administration 

Thursday Team Meeting Visits 

Friday 

Emergency cover by pairing 

consultant 

Emergency cover by pairing 

consultant 

Trainer A.M. P.M. 

Monday Clinic Clinic/Visits 

Tuesday Ward Round Ward Work and Supervision 

Wednesday Teaching or meetings Administration 

Thursday Team Meeting Visits 

Friday Specialist Interest/Research Specialist Interest/Research 

On-Call1: 10 with Consultant Cover 

73

POST: 

TRAINER: 



Dr Giles Richards 


JOB DESCRIPTION: The placement in Old Age Psychiatry would be an excellent training opportunity. Dr 

Richards has a great interest in teaching and experience at undergraduate and postgraduate training (Current 

Training Programme Director for ST Training in Adult and Old Age Psychiatry). His clinical work is 

comprehensive and varied and offers excellent preparation to be a Consultant. Dr Richards is involved in 

current research (linked to DeNDRon research org) and audit. Any research undertaken by the SpR can be 

supervised by himself or alternatively research-active members of the Mental Health Research Group at the 

Peninsula Medical School. 

Role of the Trainee: To assist in the provision of medical care to the inpatient and community service for 

patients with a mental illness who have Complex Care needs or are suffering from dementia in the Caradon 

area of Cornwall. 

Facilities: There is a 20 bedded dementia assessment unit at Bodmin Hospital for patients from the East of the 

county. Our functionally ill patients are admitted to Fletcher Ward, Bodmin Hospital, where we have a limited 

number of beds on an adult inpatient ward. We average a total of 2-8 inpatients. The community team based 

at Trevillis House comprises of 4.5 Community Psychiatric Nurses, 1 Occupational Therapist and 3 Health Care 

Assistants. There is one CMHT meeting per week for review of referrals, allocation and discussion of clinical 

issues and any business matters that affect the team. We also provide a Memory Clinic for the patients of 

Caradon comprising a Staff Nurse, an Occupational Therapist, Health Care Assistant and psychology input. The 

Memory Clinic recently achieved ‘Excellence’ in the MSNAP Accreditation process. The medical team is a 

Consultant Psychiatrist and a shared SHO. 

Population Served: We cover the population of ten GP practices in Caradon with an elderly population of 

15,500. This is a rural farming area with a low income and poor transport facilities. The consultant carries out 

the vast majority of assessments and follow up appointments in the patient’s home with the exception of the 

weekly review of the Memory Clinic patients. 

Number of Consultants for the Service: There is an overall elderly population of just of 120,000 which is 

served by 10 Consultant Old Age Psychiatrists that are based throughout the county. We meet monthly as a 

group to discuss clinical, education and business matters. 

Opportunity for Teaching: Medical students from the Peninsula Medical School have clinical placements with 

our team and feedback sessions. There are also regular internal team training days, teaching staff in the local 

community hospitals and the SpR would be encouraged to be involved in the academic meetings for the junior 

doctors, both in house and on the MRCPsych course in Exeter. 

Opportunity for Research: Specialist Registrars will have the opportunity to develop their own research 

project under supervision from an appropriate supervisor or joining an established research project. There is a 

South West older person’s research group that meets regularly and currently the inpatient team are gaining 

great experience in the use of alternative approaches in managing dementia, including aromatherapy, art and 

drama. 

74

TIMETABLE: 

A.M. 

P.M. 

Monday Clinical work/Admin (community) Clinical work/Admin (community) 

Tuesday Clinical work/Admin (community) Inpatient Ward Round 

Wednesday Management CPD Clinical work/Admin (community) 

Thursday 

Team Meeting 

Clinical work/Admin (community) 

11.30 – 12.30 Supervision 

Friday Research and Special Interest Research 


75

POST: 

TRAINER: 


Substance Misuse Psychiatry 

Dr Rupert White 


JOB DESCRIPTION: Cornwall Drugs and Alcohol Team (CDAT) provides treatment and support to problem drugusers 

across Cornwall, a relatively poor rural county with a total population just under 500,000. CDAT medical 

staff comprises 1 SHO wte, 1.8 Staff Grade wtes, 1 Clinical Assistant wtes, 3 Consultant wtes. The Specialty 

Trainee would be attached to the team in the mid-zone PCT, with a catchment area population of around 

150,000. It is one of three Consultant-led teams for the county as a whole, and has an office based in Redruth, 

with clinics in Truro, St Austell, Newquay and Falmouth. There is also a smaller cohort of amphetamine users 

on dexamphetamine. The Specialty Trainee would be expected to gain experience in prescribing methadone, 

buprenorphine and dexamphetamine and would be encouraged to take a small caseload as key worker in order 

to do this. 

Alcohol and other specialist teams: There are a number of specialist services also provided by CDAT. As well as 

successful youth and criminal justice teams, there is a small but rapidly-evolving alcohol team co-located with 

the larger core drug team. This alcohol team works closely with the CMHT’s in co-managing clients with 

complex needs. Although it is a prescribing service there is more emphasis on psychosocial interventions, 

especially motivational enhancement. The alcohol team also has a detoxification bed in the local DGH. 

Links with other agencies: There would be opportunities to link to local CMHTs, and provide some training and 

support to them. In general, supporting recently developed dual diagnosis initiatives would be encouraged, and 

it is imagined that a Specialty Trainee could contribute a lot in this area. CDAT has close links with local GPs, 

and indeed some have clinical sessions with the team. Shared care initiatives are being taken up by GPs all over 

the county, and there would be opportunities for the trainee to have experience of supporting and advising 

local doctors re the management of their clients. 

Research: CDAT is an authority on substitution treatments for amphetamine users. It has also pioneered the 

use of buprenorphine substitution therapy in the UK. There have been a number of peer-reviewed research 

publications relating to these areas, and more evaluations are planned. Research and audit is a particular 

strength of this team, and this will therefore be encouraged. The Specialty Trainees timetable would be 

adapted to suit their training requirements. Assuming that the Specialty Trainee had had little experience in the 

field they would be encouraged to take a small case-load of both drug and alcohol clients, and act as their keyworker. 

As well as formal time-tabled supervision, adequate informal supervision would be assured as all the 

sessions on the attached timetable are also attended by the supervising Consultant. 

A.M. 

P.M. 

Monday 

Home Detoxification Assessment and 

Alcohol Team Meeting (Redruth) 

prescribing (Redruth) 

Tuesday Drug Outpatient Clinic (St Austell/Truro) Special Interest (?psychotherapy- 

Redruth) 

Wednesday CPD Programme Research 

Thursday Alcohol Clinic (Truro/St Austell alternating) Special Interest (?psychotherapy) 

Friday 

Drug Team Meeting 

11.00 - 12.00 Supervision with Consultant 


Research 

76

SOUTH WESTERN DEANERY - South West Peninsula Deanery

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