SOUTH WESTERN DEANERY - South West Peninsula Deanery

1 

ST4-6 

IN 

GENERAL ADULT AND OLD AGE PSYCHIATRY 

Peninsula Scheme 

Job Description 

Contents 

PAGE 

Schedule of Posts 2 

Introduction 3 

Research 4 

Flexible Training 4 

Special Interest Sessions 4 

Main Conditions of Service 5 

Training Centres 6-8 

Specific Posts 9-53 

Contacts 55-58 

General Information 59-60 

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 

15 Dr Downey 

10-11 Dr Aitken (Liaison) 

12 Dr Dickinson (U&I) 

13-14 Dr Dorkins (Forensic) 

17 Dr Dunn 

18 Dr Feller (Learning Dis) 

19 Dr Freer 

20 Dr Gupta 

21 Dr Laszlo (Eating Dis) 

22 Dr Lovett (U&I) 

24 Dr Lynch 

26 Dr McLaren (Subst Misuse) 

27 Dr Mizen (Psychotherapy) 

28 Dr Montgomery 

29 Dr Nelson 

30 Dr Nicholson (U&I) 

31 Dr Pearson 

32 Dr Rowlands (Subst Misuse) 

34 Dr Saluja 

35 Dr Somerfield 

39 Dr Thekkepalakkal 

36 Dr Dixon (U&I) 

37 Dr Noble (U&I) 

38 Dr Moore 

Plymouth Teaching Primary Care Trust 

41 Dr Battersby (Subst Misuse) 

42 Dr Buttan (U&I) 

45 Dr Cunningham 

46 Dr Dinniss 

47 Dr Ford 

48 Dr Montgomery 

49 Dr Murphy 

50 Dr Payne (Rehabilitation) 

Cornwall Foundation Partnership Trust 

51 Dr Bernal (LD) 

52 Dr Bowers 

54 Dr Flynn (Liaison) 

55 Dr Hunter 

56 Dr Kusterman 

58 Dr Laugharne 

59 Dr Menon 

60 Dr Metcalfe (E.I.S) 

61 Dr Naylor 

62 Dr Richards 

63 Dr White (Subst Misuse) 

64 Dr Scobie 

67 Dr Shankar (neuropsych) 

65 Dr Mackintosh

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 16 posts on the rotation. Six NTN‟s exist in Old Age Psychiatry and ten 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 eight 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. 

3 

KL/klc/Master Job Descriptions Peninsula Deanery/Updated Feb 2011

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. 

FLEXIBLE TRAINING 

Specialty Trainee training is available on a flexible (i.e. part time) basis for doctors with good reasons. This 

applies to both men and women. Acceptable reasons include dependent relatives, whether adult or children, 

disability or ill health. This list is not exhaustive. Once a post is secured a Specialty Trainee may announce their 

desire to be a flexible trainee. Appointments to flexible training are made at interviews for full time training on a 

competitive basis. 

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. 

4 


MAIN CONDITIONS OF SERVICE 

These posts are covered by the terms and conditions of service for hospital, medical and dental staff (England 

and Wales) and the general Whitley Council conditions of service. 

1. These posts are whole time and non resident. There are also part-time flexible trainee posts available 

subject to requirements by Specialty Trainees. 

2. The Specialty Trainee will already possess membership of the Royal College of Psychiatrists. 

3. Each Specialty Trainee, following appointment, will gain a higher training scheme national training number 

(NTN). 

4. The training scheme, following rotation to different posts, will lead towards a CCT (Certificate of Completion 

of Training). 

5. Each Specialty Trainee will work a standard week of forty hours and in addition will carry out on-call duties. 

The terms and conditions of service with regards on-call may be amended from time to time. 

6. The Specialty Trainee will be subject to an annual review of training (ARCP) to determine the continued 

suitability for higher training. This forms part of the Annual Appraisal mechanism. Specialty Trainee cannot 

progress to the next stage of their training without a satisfactory outcome from ARCP. In addition all 

trainees must participate in the NHS appraisal process with their consultant trainer and will be expected to 

demonstrate evidence of this at their ARCP, along with satisfactory completion of workplace based 

assessments including two rounds of 360° appraisal (mini P.A.T.). It is expected that the post holder will 

undertake and present and Audit Project - at least one per year – during their training. Individual training 

needs will be taken into consideration prior to allocation of specific posts. However, the final decision rests 

with the Training Programme Director and trainees will be expected to travel throughout the rotational area 

during their training. Only in exceptional circumstances would a trainee expect to complete all three years in 

one Trust. 

7. Each Specialty Trainee will be required to have a current full driving licence. 

8. The salary scale is as defined in the general Whitley Council conditions of service. 

9. Each Specialty Trainee will be registered with the General Medical Council and is advised to be a member of 

an appropriate medical defence organisation. 

5 


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. 

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 northeast 

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

6 


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 

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: 

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. 

7 


Torbay 

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. 

8 


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. 

Page under construction 

9 


POST: 

TRAINER: 

Liaison Psychiatry 

Exeter 

Dr Peter Aitken 

EMPLOYING TRUST: 


The Department of Psychological Medicine – Exeter 

ST4-6 in Psychological Medicine (Liaison Psychiatry) 

Liaison Psychiatry Service 

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 in-patient 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 for the 

prevention of suicide and harm minimisation, and an improvement (Patient safety) group driving toward safer 

mental health services. 

10 


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 

11 


POST: 

TRAINER: 


CRS/Home Treatment/Acute Inpatient Psychiatry 

Haytor Unit, Torbay Hospital, Torquay 

Dr Tim Dickinson 


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: 

TRAINER A.M. P.M. 

Monday 

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

10-12pm Flexible Clinical/Supporting 

12-1pm Supervise ST4-6 

Tuesday 

9-10am Acute Services Meeting 

10-12am Flexible Clinical/Supporting 


2-5pm Local Academic Programme 

12-1pm Supervise F2 

Wednesday 

9am-10am Acute Services Meeting 


1-5pm Multidisciplinary Team Meetings 

Thursday 

Friday 




10-1pm Multidisciplinary Team 

Meetings 



TIMETABLE: 

Monday 

TRAINEE A.M. P.M. 

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


Tuesday 

Wednesday 






2-5pm Local Academic Programme 

1-5pm Multidisciplinary Team Meetings 

Thursday Research/Special Interest Research/Special Interest 

Friday 


10-1pm Multidisciplinary Team 

Meetings 


12 


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 three x four month placements, starting in the medium secure environment, 

Raleigh/Drake Ward, followed by two placements in open/low secure settings which serve different a different 

population. The first of these placements is on the Leander Unit (mild/borderline learning disability), followed by 

placement at Avon House (longer term rehabilitation) and Chichester House (predischarge rehabilitation). 

There is a separate document available from the General Adult and Old Age Training Programme Director which 

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, and Equip that run 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-November Butler Clinic (Raleigh/Drake Dr Jason Fee 

wards) 

Second placement December-March Leander Unit Dr Eluned Dorkins 

Third placement April-July {Avon House Dr Adrian James 

{Chichester House 

Dr Helen Smith 

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FIRST PLACEMENT : AUGUST-NOVEMBER 

Raleigh/Drake Ward (rehabilitation and recovery wards in medium security), Butler Clinic, Langdon Hospital – Supervisor : 

Dr Jason Fee 

Monday 

Tuesday 

AM LUNCH PM 

9am admin, ward work and 

assessments 

9am – 10 am Supervision with 

consultant 

1:30pm – 5pm CPA‟s on alternate 

Mondays 

otherwise assessments 

1:30pm Case Reflection 

2:00pm – 5pm Care Review Meetings 

Wednesday MHRT‟s, manager hearings, ward 

work, assessments 

MHRT‟s, manager hearings, ward work, 

assessments 

Thursday 9am Referrals meeting 

1pm - 4 pm Academic programme 

10am Governance/Management 

meetings 

11:45am MDT meetings 

Friday Research/special interest Research/special interest 

SECOND PLACEMENT : DECEMBER-MARCH 

Leander Unit, Langdon Hospital - Supervisor : Dr Eluned Dorkins 

a.m. Lunch p.m. 

Monday Care Review Meeting (Half of the 

caseload alternate weeks) 

Supervision 

Ward work/mental health review 

tribunals/governance project work 

Tuesday CPA Meeting and HCR20 reviews Assessments/report writing 

Wednesday Assessments Ward work 

Thursday 9 a.m. Referral meeting 

11.45 multidisciplinary 

1 – 5 p.m. 

10 a.m. 

site Doctors meeting including Journal Club, 

Administration/HCR20/Case wide Case Medico-legal 

presentations., 

summary preparation, etc (scope Conference. management meetings, etc 

to attend site wide governance 

meeting third Thursday of the 

month) 

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

THIRD PLACEMENT : APRIL-JULY 

Avon House, Langdon Hospital - Supervisor : Dr Adrian James 


Monday Ward work Ward work/Mental Health Review 

Tribunals/Governance project work. 

Tuesday Care Review Meetings and Care 

Assessments report 

Programme 

Approach meeting 

Wednesday Supervision Ward work 

Thursday 

9 a.m. Referral meeting 

10 a.m. Admin/Mental Health 

Review Tribunal Reports/HCR-20 

/Case Summary 

11.45 multidisciplinary 

site 

wide Case 

Conference. 

1 – 5 p.m. 

Doctors meeting including Management 

meeting, Journal Club, Medico-legal 

presentations. 

Friday Special Interest and Research 

THIRD PLACEMENT WITH AVON HOUSE) : APRIL-JULY 

Chichester House, Langdon Hospital – Supervisor : Dr Helen Smith 


Monday Prison session CRM/CPA 

Chichester House 

Tuesday Special Interest Research 

Wednesday Assessment for admission 

Thursday Supervision Lunchtime MDT Academic afternoon 

Friday 

Ward work 

Clinical audit 

Ward work 

Clinical audit 

Details of this third placement will be discussed with Drs James and Smith at the start of the year. 

14 


POST: 

TRAINER: 


Old Age Liaison Psychiatry 

Dr Annette Downey, Exeter 


This post provides clinical experience in assessing and treating inpatients as a member of the Liaison 

Psychiatry team for Older Adults at the Royal Devon & Exeter Hospital in Exeter. This is an 

opportunity to be part of a newly developed service providing mental health assessments, support and 

treatment for older patients in an acute hospital setting. The majority of assessments are made for 

older people with dementia, depression and delirium. There is a team of 1WTE team leader, 3 WTE 

Band 6 nurses; Data Analyst; Administrator and 0.8 WTE Consultant Psychiatrist. We are based in 

the Research and Development corridor at Wonford House Hospital and sit alongside the well 

established Liaison Psychiatry Team for working age adults in Exeter. There is considerable flexibility 

in the timetable to allow for the training and developmental needs of individual trainees. Specialty 

trainees have a major part in the presentation of case presentations and preparing journal articles for 

the journal club held weekly at Wonford house hospital. There are considerable opportunities here to 

gain early hospital management experience of change management and service innovation and 

development. There is the opportunity to shadow Dr Downey leading clinically in the development of 

this team in monthly business development meetings, monthly group analytic psychotherapy 

supervision for the team, quarterly trust-wide consultant meetings and quarterly meetings for the 

consultants in the older people‟s mental health directorate. There is also experience available from 

shadowing Dr Downey attending clinician to clinician meetings for urgent care across the local health 

community. This will enable an understanding of the management interface with the acute hospital 

and the newly developing GP consortia. 

Dr Downey works 8 sessions per week for Devon Partnership NHS Trust and is a consultant in her 

third year. She has recent experience of the transition from being a Psychiatry Registrar and the RITA 

and PMetB approval process. She is also very supportive of the supernumerary status of speciality 

trainees having worked flexibly as an SHO on the St Georges Hospital Medical School Psychiatry 

rotation in the past. 

As well as being committed to the psychiatry of older people, Dr Downey is also a qualified cognitive 

analytic therapy practitioner and enjoys applying psychological reformulation for older people with 

mental health problems. This post is an opportunity to gain higher clinical experience of working 

psycho-therapeutically wide older people. 

Core Clinical Work: The clinical assessment (including risk assessment) and the development of 

management plans for older people presenting with mental health difficulties in the acute hospital 

setting. This work tends to be done jointly, working with another member of the multidisciplinary liaison 

psychiatry team for older people. Less frequently there will be experience of assessing safeguarding 

issues re vulnerable older adults as well as recording and discussing risk assessments and 

management plans. Also the assessment of capacity and the application of the mental capacity act, 

DOLS procedures, deprivation of liberty safeguards and also the use of the mental health act on 

inpatients admitted to an acute hospital. There will also be experience of participating in best interest 

meetings and family discharge planning meetings. There is an opportunity (with supervision) for the 

more senior trainees to take some leadership in the arrangements and chairing of these meetings. 

Academic Activities: There is a weekly term time Wonford House Clinical educational programme on 

Tuesdays which includes a weekly journal club and weekly case conference. There is ample 

opportunity to attend conferences and lectures on site at the Post graduate centre at the Royal Devon 

& Exeter hospital as well as occasional lectures arranged by the school of medicine. There are 

monthly liaison psychiatry peer group meetings and also daily clinical group supervision. 

15 


Supervision: This will be weekly with Dr Downey for one hour for one hour following the academic 

programme on Tuesdays. 

How the Intended learning Outcomes will be achieved: This will be through daily clinical experience 

with older people being referred for mental health assessments and advice at the Royal Devon and 

Exeter Hospital. An important component to this learning will be shadowing Dr Downey and learning 

from other members of the team that the trainee will be doing joint assessments with. Weekly 

attendance at supervision and weekly attendance at the local academic programme will be necessary. 

TRAINEE TIMETABLE: 

a.m. 

p.m. 

Monday Tuesday Wednesday Thursday Friday 

9.15am clinical 9.15am clinical 9.15am clinical 9.15am clinical 

team supervision team supervision team supervision team supervision 

Liaison 

Liaison 

Liaison 

Liaison 

psychiatry psychiatry psychiatry psychiatry 

RD&E Wards RD&E Wards RD&E Wards RD&E Wards 

9.15am clinical 

team supervision 

Liaison 

psychiatry 

RD&E Wards 

Liaison 

psychiatry 

RD&E Wards 

Lunchtime 

academic 

programme 

1.30-2.30 

Supervision with 

consultant 

Liaison 

psychiatry 

RD&E Wards 

Research 

Special Interest 

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

supervision 

1 in 14 consultant rota with consultant cover 

16 


POST: 

TRAINER: 


Old Age Psychiatry, 

Estuary House, Collett Way, Brunel Industrial Estate, 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 multidisciplinary 

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 by home visits. However opportunities to work in inpatient settings, day hospital 

memory clinic 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, the NSF for Older Adults 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 

9-11pm ECT clinic (Torbay Gen 

Hospital) 

11-1pm Community visits 

1-5pm Flexible time for CPD, 

management, training 

Friday 

9-1pm Outpatients or community 

visits/work 

1-5pm admin/community work 

On-Call 1: 10 with Consultant Cover 

17 


POST: 

TRAINER: 


Learning Disabilities 

Dr Rolf Feller 


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. 


18 


POST: 

TRAINER: 


General Adult Psychiatry 

Dr Tegwedd Freer 


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 Supervision with Consultant 

Meeting 

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 

19 


POST: 

TRAINER: 



Dr Subhash Gupta 


We have a multi disciplinary team consisting of the manager, nurses, social workers, approved social workers, 

ST and R workers, psychologist, myself and a staff grade psychiatrist along with a SHO psychiatry trainee. We 

serve a population of about 60,000 (35000 adults of working age). This is a Community Mental Health Team, 

which is one of the 2 CMHTs in the Teignbridge area of Devon partnership NHS trust (DPT). We have got a 

separate Acute Services Team (Ward with 11 beds and CRS) headed by another consultant psychiatrist. We 

have got a full time medical secretary and a full time team secretary. 

As mentioned above, we are well supported by a full time service grade doctor and a 0.5 WTE CT2 trainee and 

the clinical work taken on by the ST trainee will be geared more towards their training needs rather than sharing 

the workload. The trainee will be assessing and treating patients in outpatient settings in collaboration with other 

members of the multi-disciplinary settings, as well as make home visits. These appointments can be pre 

arranged or urgent referrals. He will also be involved in assessing patients under the mental Health Act. He will 

be discussing the assessments and treatment plans with the GPs and the patient‟s carers and get involved in bio 

psychosocial management of the cases that would include prescribing medications. He will give medical 

consultation regarding clients to other members of the team (such as nurses and social workers) and also 

provide supervision (along with the consultant) to the SHO trainee. The trainee will also attend multi disciplinary 

team meetings where all members of the team discuss cases for advice and management. 

The trainee will also participate in the On Call rota. 

As is evident from my CV, I am the psychiatry lead for Peninsula Medical School for DPT and we conduct 2-3 

short study units (3 weeks each) per year for medical students and there is a variety of other options to teach 

medical students available and the trainee will be expected to take an active role in the same. We get funded for 

this teaching which can be used by trainee for educational activities/training/conferences. 

I have also been teaching and designing modules for the Psychiatry trainees (SHOs) with the South west 

Deanery and the SpR trainee will have ample opportunities to teach psychiatry trainees ST1 to ST3. 

As we are in close collaboration with GPs and our trust is planning to start a series of mental health seminars for 

the GPs (I have submitted one of them), the trainee will also have a chance to engage in this. 

We have regular educational meetings where various teams present cases/journal clubs and then discuss the 

same. The trainee will be able to present and attend these meetings. 

We are a research active team and the various projects and presentations in various conferences that we are 

involved with are detailed in my CV. The trainee will have a chance to participate in these and future projects as 

well as future audits. 

I have been the Associate Clinical Director for 4 years now and there will be an opportunity for the trainee to 

engage in management meetings and hands on training in relation my Associate Clinical Director role and 

quality management of teaching for medical students 

TIMETABLE: 

A.M. 

P.M. 

Monday Outpatients/Home Visits Urgent referrals/assessments 

Tuesday Home visits/administration Academic Meeting 

Wednesday CMHT Meeting Special Interest 

Thursday 

Outpatients 


12 noon -supervision from 

Consultant 

Friday Research Research 


20 


POST: 

TRAINER: 


Eating Disorders 

Dr Bert Laszlo 


This SpR 4-6 post, based within the South West Peninsula Eating Disorders Service, is an exciting new 

development. This service is expanding with the start of a Day Service in 2009 and a Network In-Reach 

Consultation Service across Devon, and possibly further afield to Plymouth and Cornwall. 

The service has adopted the principles of Dialectic Behavioural Therapy (DBT) as a therapeutic stance. This 

informs across all therapeutic interventions and the day to day management of the Service. Innovative research 

of DBT in this approach is partnered with the Mood Disorders Centre and the Psychology Department at Exeter 

University. This community based post is flexible and clinical responsibilities will be in community work and the 

day programme at Wonford House Hospital, as well as some cross cover on the Inpatient Unit, as part of a 

seamless service. The Service base will be at Wonford House Hospital with secretarial and electronic support. 

Day to day work will be either in the community as part of the Inreach Service for the Resident and non-Resident 

Service, working as part of a team with Consultant supervision. It is a full time post with the expectation that you 

are available for at least four days per week, excluding the Research day. Research is encouraged and a 

dedicated part time ED Researcher is available for assistance or to do collaborative work. On-call is expected 

with Consultant back up. 

There is an Educational Programme at Wonford House Hospital and participation in this is expected. 

To assist with the Network In-Reach work, there is a dedicated Dietician and Psychologist as part of this team, 

besides the Day patient complement of professionals. During this rotation you should be able to get a thorough 

understanding of Eating Disorders, the dynamics that are created within teams, how to manage this and how to 

draw up and follow through management plans to help these challenging clinical presentations within community 

settings. 

TIMETABLE: 


Monday Community Outreach Community Outreach 

Tuesday Inpatient Reviews Supervision 

Wednesday CPD Clinical Admin 

Thursday MDT Reviews MDT Reviews 

Friday Community Outreach Community Outreach 


Monday Community Outreach Community Outreach 

Tuesday Clinical Admin Supervision 

Wednesday Research or Special Interest Research or Special Interest 

Thursday MDT Reviews MDT Reviews 

Friday Community Outreach Community Outreach 


21 


TRAINING POST IN: 

TRAINING BASE: 

TRAINER: 


Urgent and Inpatient Psychiatry 

Oak Ward, Torbay Hospital 

Dr Kate Lovett 


JOB DESCRIPTION 

This post provides excellent core training in both inpatient and community psychiatry through an integrated 

Urgent and Inpatient service. Trainees will have the opportunity to gain experience in administration of the 

mental health act, modern inpatient care, focussing on effective gate-keeping of beds and facilitation of early 

discharge. In addition 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. 

Oak ward is one of three acute in-patient units for younger adults serving South and West Devon. There are 11 

acute beds on the ward. Patients may be admitted to the ward if home treatment is no longer appropriate or 

inpatient treatment will provide a more appropriate environment and support. 

There are usually approximately 2 new admissions per week to the ward. 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. 

The Urgent and Inpatient team relate to 3 community consultants and their teams and it is proposed that the 

trainee would work with all patients referred from one team throughout their placement to allow development of 

good working relationships with the Recovery team, consultant and local GPs. 

In addition to support from the consultant the service is supported by an associate specialist 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 almost 10 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 3 ½ 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. 

22 


WEEKLY TIMETABLES 



a.m. Urgent Team 

Brief 

Urgent Team 

Brief 

Ward Round 

Urgent Team Brief 

Ward Round 

Research/Special 

Interest 


p.m. 

Crisis Team 

Reviews 

Academic 

Teaching 

Ward Round/ 

Carers 

Consultations 


Interest 

Supervision 

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. 

TRAINER TIMETABLE: 


a.m. Urgent Team 

Brief 


Ward Round 


Ward Round 


Supporting 

Professional 

Activity 


p.m. Crisis Reviews Academic 

Teaching/ 

Consultant 

Meeting 

SHO supervision 

Supporting 

Professional 

Activity 

SpR Supervision 

23 


POST: 

TRAINER: 

RESEARCH INTERESTS: 


Adult and Community Psychiatry, Exeter 

Dr Sean Lynch 

Chronic Fatigue Syndrome and Somatoform Disorders 


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. 

24 


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 

Friday 

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 

Research 

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 

Research 


25 


POST: 

TRAINER: 


Substance Misuse 

Dr Stuart McLaren 


The trainee will be involved in the assessment and treatment of patients with both drug and alcohol related 

problems within the context of a well developed district, multi-disciplinary drug and alcohol service. They will 

gain experience in liaising with other services, with opportunities for joint working with the Probation Service. 

They will be encouraged to integrate clinical practice with research findings in the field by attendance at medical 

audit meetings, case conference and journal clubs held in the psychiatric department. They will be encouraged 

to participate in a research or audit project within the addiction field. 

TIMETABLE: 


Monday Administration/Other Associate Medical Director 

Tuesday Outpatient clinic – The Willows Academic meeting/audit 

Wednesday 

Multidisciplinary team meeting, The 

Willows 

Consultant supervision slot 

Thursday Multidisciplinary team meeting – 

Shrublands House 

Outpatient Clinic, Shrublands 

House/GP surgeries 

Friday Outpatient Clinic Ward round - Haytor 


Monday Research or Special Interest Research or Special Interest 

Tuesday Outpatient clinic – The Willows Academic meeting/audit/teaching 

Wednesday 

Multidisciplinary team meeting, The 

Willows 

Consultant supervision slot 

Thursday Multidisciplinary team meeting – 

Shrublands House 

Outpatient Clinic, Shrublands 

House/GP surgeries 

Friday Administration/other Ward round - Haytor 

On-Call 1:12 non-resident second on-call to psychiatric SHO. South and West Devon catchment are of Devon 

Partnership NHS Trust. A consultant psychiatrist is always available to supervise and attend if necessary. 

26 


POST: 

TRAINER: 


Psychotherapy 

Dr C Susan Mizen 


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 coordinated 

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 

27 


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 

28 


POST: 

TRAINER: 


Crisis Intervention 

Dr Tanya Nelson 


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: 

Monday 

Tuesday 

Wednesday 

Thursday 

A.M. 

9-10 Handover with team. 

10-11 Supervision with Consultant 

11-1 Clinical Session with CRS 

12.30-2 Self Harm supervision 


10-11.45 Clinical Session with CRS 

11.45-1.30 Journal Club and Case 

Conference 





P.M. 

2-5 Clinical session with CRS 

1.30-5 Clinical session with CRS 

Research Session 


Friday 



1.30-5 Clinical session with CRS 


29 


POST: 

TRAINER: 



Dr Simon Nicholson 


This post is based at the North Devon District Hospital and involves working closely with the Consultant for 

urgent and inpatient and the associated teams. There are two wards, Ocean View and Moorland View, and 

each have sixteen beds. There is also an extra care area (ECA) with four beds. 

In addition there is an opportunity to work with the Crisis Resolution and Home Treatment Team. 

A regular academic programme and journal club take place on a Tuesday. 

The post is supported by a Junior Trainee and Staff Grade Doctor. 

TIMETABLE: 

Monday 

Tuesday 

Wednesday 

A.M. 

Ward liaison meeting,/ward 

work/liaison with crisis team 

Ward liaison meeting, Supervision, 

academic programme/Journal club 

Ward liaison meeting/inpatient 

work/liaison with crisis team 

P.M. 

Ward round at Ocean View 

Ward round at Moorland View 

Case conferences 

Grand rounds 

Thursday Ward Round Case conferences/Crisis team 

liaison/Tribunal work 

Friday Research and Special Interest Research and Special Interest 

On-Call 

1: 5 on call rota for Consultants 

30 


POST: 

TRAINER: 


Old Age Psychiatry 

Dr Steve Pearson 


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) 

31 


POST: 

TRAINER: 


Substance Misuse Psychiatry 

Dr Mary Rowlands 


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. 

32 


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 


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 

33 


POST: 

TRAINER: 



Dr Bharat Saluja 


TIMETABLE: 

Monday 

Tuesday 

Wednesday 

Thursday 

Friday 

A.M. 

P.M. 



34 


POST: 

TRAINER: 

RESEARCH INTERESTS: 


Old Age Psychiatry, Chadwell Centre, Torquay Road, Paignton 

Dr David Somerfield 



The Torquay Sector Specialty Trainee in Old Age Psychiatry is based at the Chadwell Centre, Paignton and gain 

experience working with the inpatient and community multi-disciplinary teams, Memory and Family Therapy 

Clinics and Day Hospital. They will have supervised responsibility for both outpatient and inpatient assessment 

and treatment of a range of functional and organic disorders. The supervisor offers Cognitive Analytic Therapy 

experience and supervision. 

The Chadwell Team serve a population of 18,000 people over the age of sixty-five within Torquay and Paignton. 

The Community Team is well developed and includes four full time G Grade CPNs, a full time Clinical 

Psychologist, Occupational Therapist and Staff Grade. There are close links with Social Services and there are 

plans to amalgamate the Chadwell Team with the Social Services EMI Team. Most assessment and follow up is 

carried out in the patient‟s own home but there is ready access to Day Hospital treatment, day care, respite care 

and inpatient services. The Community Team is based in the same building as the Day Hospital, Memory Clinic 

and Family Therapy Clinic, facilitating communication and treatment. The Chadwell Centre has Internet access. 

The Mental Health Directorate has a weekly audit and clinical teaching session which runs on a three term basis 

and the Specialty Trainee in Old Age Psychiatry will be expected to attend and participate in teaching. There is 

opportunity to attend and teach at the weekly geriatric meetings at Torbay Hospital. The Chadwell Team has a 

guest speaker every month from local organisations providing care to elderly patients with mental illness in the 

locality. The Specialty Trainee is encouraged to participate in teaching the multi-disciplinary inpatient and 

outpatient teams. The supervisor organises an annual regional meeting of old age psychiatrist and the Specialty 

Trainee would be welcome to participate in both organisation and management of the event. 

TIMETABLES: 


Monday Medical Director, Wonford Community visits/monthly PGME 

meeting 

Tuesday 

CMHT clinical meeting 

Supervision 

Community visits/monthly PGME 

meeting 

Wednesday Community visits Community visits 

Thursday Medical Director, Wonford Medical Director, Wonford 

Friday 

Peer supervision, PDP, Community 

visits 

Community visits 


Monday Memory Clinic Community visits/admin 

Tuesday 

CMHT clinical meeting 

Supervision 

Community visits/monthly PGME 

meeting 

Wednesday Community visits/admin Community visits/admin 

Thursday 

Memory prescribing clinic/medical 

management 

Community visits/medical 

management 

Friday Clinical research/special interest Clinical research/special interest 

On-Call: 1:14 General adult/OPMH/S12 

35 


POST: 

TRAINER: 


Urgent & Inpatient Consultant Psychiatrist 

Dr Charles Dixon 


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 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. He is 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 journal club and education meeting with lively discussion every week. 

TIMETABLE: 

Monday 

Tuesday 

A.M. 

Planning Meeting 

Review new admissions 


Medical Students welcome 

Education Meeting 

P.M. 

Crisis Team Assessments 

Ward Round 

Wednesday Crisis Team Assessments Crisis Team Assessments 

Thursday Special Interest Research 

Friday 


Inpatient Reviews / CRS as needed 

Medical Students teaching 

ST4-6 Supervision 


36 


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 

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 



37 


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 

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 starting 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 Nicholson 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 

38 


POST: 

TRAINER: 

Community Psychiatry and Early Intervention In Psychosis 

Dr Antony Thekkepalakkal 

EMPLOYING TRUST: Devon Partnership Trust 

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 (eg: Be Involved Devon), voluntary sector ( eg: Rethink), 

other local Trusts ( eg: Community Care Trust) and the private sector ( eg: 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. 


Clinical and 9.30 to 11.30 : Research 

Educational Clinical Team session 

Supervision with meeting 

Consultant ( 9.30 to 

11.00 am ) 

a.m. Clinical 

work/Home visits 

Clinical 

work/Home visits 

11 am : Clinical 

work/Outpatient 

clinic 

12.30 to 1.30 : 

Tutorials/Teaching 

for FT/ST 1-3 at 

Torbay Hospital 

39 


p.m. Clinical 

work/Outpatient 

clinic 

Clinical work/Home 

visits 

Regional 

Educational 

meeting-Case 

conference/Journal 

Club ( monthly) & 

Clinical Audit 

Meeting ( every 2 

months) 

Clinical work/Home 

visits 

OR 

StR(4 -6) Peer 

group meeting ( 

monthly) 

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. 

40 


POST: 

TRAINER: 


SPECIALIST INTEREST: 

Addictions Psychiatry 

Dr Alison Battersby (Academic Secretary, Faculty of Addictions 

Psychiatry) 

Plymouth Primary Care Trust 

Recovery Agenda in Addictions, National Policy, Injectable Prescribing, 

Working with the third sector, System Redesign 

This post offers the opportunity to work in an innovative partnership arrangement between statutory and third 

sectors offering drug and alcohol treatment in a whole system approach. The system is further developing to 

embrace the Recovery Agenda. This will enable a trainee to be involved in and develop skills in implementing 

whole system changes including the third sector. Plymouth enjoys good working relationships with its 

commissioners with an opportunity for a trainee to understand a commissioning perspective. We work across 

the system seeing the most complex clients forming less than 20% of the treatment community often on a 

consultancy basis. Although most clients are seen with Harbour Drug and Alcohol Service, we also work with 

day services, general hospital, police, courts, mental health colleagues and residential rehabilitation units 

offering a range of interventions covering both addiction and mental health needs. We sit on the DAAT Strategy 

group offering clinical expertise to inform decision-making. We also have a new multi-disciplinary Addiction 

Research Centre at Plymouth University and regularly participate in research/national pilot projects. Trainees 

are invited to attend and participate in these meetings. Teaching is undertaken across the treatment system and 

into the public domain. Trainees are encouraged to experience open meetings of mutual aid groups eg AA/NA. 

The Secondary Care Addiction Service offers flexible input based on the needs of the treatment system with a 

rapidly changing mix of management and clinical activities. Trainees will be encouraged to actively participate in 

and sometimes lead service developments with appropriate levels of support. Trainees will often have the 

opportunity to pursue national opportunities in the field. 

Addictions Psychiatry is a core skill for psychiatrists given the prevalence of dual diagnosis. This placement 

offers a varied and challenging job affording an opportunity to work at the cutting-edge of national practice. 

TIMETABLE: 

A.M. 

P.M. 

Monday 9am Trust Consultants Meeting Flexible clinical time 

Tuesday 9.15am-11am MDT 2pm OPA 

Wednesday 

1.30pm Residential 

11.30am-1.30pm CPD 

Rehabilitation MDT/Clinic 

Thursday Admin Session 2-3pm supervision with 

consultant 

3-5pm OPA 

Friday Special Interest Special Interest 


41 


POST: 

TRAINER: 


General Psychiatry -Inpatient and Home Treatment 

Dr Naresh Buttan 


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 

42 


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. 

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. 

Dr. Naresh K. Buttan 

M.B.B.S., D.P.H., D.P.M., D.N.B.(Psy), C.C.S.T. 

Lead Consultant Psychiatrist (HTT & Glenbourne) 

Hon’ Fellow- Peninsula College of Medicine & Dentistry (PCMD) 

Plymouth Teaching Primary Care Trust 

Home Treatment Team, ‘Riverview’ 

Mount Gould Hospital, Plymouth PL4 7QD 

Ph: 01752-314031 

Fax: 01752-314022 

e-mail: Naresh.Buttan@plymouth.nhs.uk 

Naresh.Buttan@pcmd.ac.uk 

a.m. 

p.m. 

TRAINEE TIMETABLE: (Subject to variations) 


Visit Glenbourne Unit for 

new assessments/reviews, 

support Satellite service of 

HTT & F2 doctor in 

Glenbourne Unit 

HTT (Home visits/ 

assessments) 

Community Clinical Reviews at 

HTT & 1 hour (protected) of 

supervision with Trainer 

HTT/Glenbourne (visits / 

assessments) 

Academic activities at 

Glenbourne Unit (Balint 

group, journal club, case 

conference) 

Glenbourne Unit / HTT as 

per the clinical needs. 

Ward rounds with 

Trainer at 

Glenbourne 

HTT 

(visits/assessments) 

Special interest 

/ research / 

academics 

Special interest 

/ research / 

academic 

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

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. 

43 



Visit Glenbourne Unit for new 

assessments/reviews, support Satellite 

service of HTT & F2 doctor in 

Glenbourne Unit 

Community Clinical Reviews at 

HTT & 1 hour (protected) of 

supervision with Trainer 

Academic activities at 

Glenbourne Unit (Balint 

group, journal club, case 

conference) 

Ward rounds with 

Trainer at Glenbourne 

Special interest / 

research / 

academics 

HTT (Home visits/ assessments) HTT/Glenbourne (visits / 

assessments) 

Glenbourne Unit / HTT as 

per the clinical needs. 

HTT 

(visits/assessments) 

Special interest / 

research / 

academic 

44 


POST: 

TRAINER: 


General Adult Psychiatry working with North West PCLT 

Dr Sara Cunningham (0.65wte) 


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 


45 


POST: 

TRAINER: 


Inpatient and Home Treatment 

Dr Stephen Dinniss 


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: 

A.M. 

P.M. 

Monday 

Consultant Committee, Teaching, 

Audit and Psychotherapy 

HTT review and assessments/ 

MHAs 

Tuesday Inpatient Ward round or HT reviews HT reviews and assessments/ 

MHAs 

Wednesday 

Supervision/ HT reviews/ Case 

Conference and Journal Club/ CPD 

Community Reviews (HTT Ward 

Round with Consultant) 

Thursday TBA Special Interest 



46 


POST: 

TRAINER: 


Core Old Age Psychiatry 

Dr Rodney Ford 


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 


47 


POST: 

TRAINER: 


Primary Care Liaison Psychiatry 

Dr Andrew Montgomery 


Plymouth NHS has an established structure of functional teams with primary care liaison teams 

(PCLT) working closely with home treatment and in-patient teams. The job provides excellent 

opportunities to become familiar with this model of practice. 

The PCLT is based on the Mount Gould site in a building shared by two other PCLT‟s providing care 

to the residents of inner city Plymouth. The central team covers a catchment area of approximately 

35,000. The area suffers from significant social and economic deprivation with some areas among the 

most deprived in the UK. We provide care for patients with a wide variety of difficulties, often with 

complex needs such as co-morbid substance dependency. The team works closely with specialist 

forensic, substance misuse and asylum seeker teams. 

The trainee will join the SW PCLT working within a multidisciplinary environment. The team consists of 

7 community mental health nurses, two occupational therapist, two social workers, three support 

workers, two consultant psychiatrists, one staff grade psychiatrist, one ST1 and one F2 trainee. The 

trainee will have a case-load of patients who will either be care-coordinated by other team members, 

or in a minority of less complex cases, by the trainee. The trainee will have three scheduled outpatient 

clinics each week as well as opportunities for making home visits with other members of the 

team. There will be opportunities to prepare Court reports under the supervision of Dr Montgomery. 

The trainee will have the opportunity to undertake teaching of medical students and junior medical 

staff on a regular basis and will be encouraged to undertake teaching on the MRCPsych course. 

Dr Montgomery joined the Trust in 2005 having trained in London. He spent 5 years working at the 

Medical Research Council Clinical Sciences Centre carrying out positron emission tomography 

studies. Dr Montgomery has established a regular research meeting for medial staff within the 

Plymouth Teaching Primary Care Trust and would be happy to support the trainee in their own 

research work or if they wish, to join his own developing research programme. 

Dr Montgomery is lead consultant for acute services and there are opportunities for the trainee to 

become involved in service development and other management roles. 

TIMETABLE: 

A.M. 

P.M. 

Monday 

Consultant & PCLS meeting OP clinic 

Home visits 

Tuesday OP clinic Supervision 

Emergency clinic 

Wednesday 

Consultant & PCLS meeting OP clinic 

Home visits 

Thursday OP clinic Supervision 

Emergency clinic 

Friday 

Consultant & PCLS meeting 

Home visits 

OP clinic 

48 


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) 

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. 

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 


49 


POST: 

TRAINER: 


Assertive Outreach Service/Rehabilitation, 

and Early Intervention Psychiatry, Plymouth 

Dr Simon Payne 


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 communitybased 

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. 

50 


POST: 

TRAINER: 


Learning Disability Psychiatry 

Dr Jane Bernal 

Cornwall Partnership Trust 


51 


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 inpatients. 

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) 

52 


CMHT Manager (1) 

Community Psychiatric Nurses (4) 

Healthcare Practitioner (to be appointed) 

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 / 


Admin Admin Research / 


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

supervision 

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. Daytime 

cover for Consultant On-call the previous day. 

53 


POST: 

TRAINER: 




Dr Adrian Flynn 


Department of Liaison Psychiatry, Well-Being Centre, Royal Cornwall 

Hospital Trust, Treliske Hospital, Truro, TR1 2LJ 

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 

54 


POST: 

TRAINER: 


General Adult Psychiatry, Bolitho House, Penzance 

Dr Colin Hunter 

Cornwall Partnership NHS Trust 

The Specialty Trainee will provide supervised medical input to a comprehensive mental health service for 

patients registered with Morrab Road Surgery in Penzance within the South Penwith Community Mental Health 

Team. The whole zone comprises five general practices totalling fifteen GPs. The trainee will cover a surgery 

with five general practitioners. 

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 

Outpatient Clinic 

Team Supervision 

Wednesday 

Post-grad Teaching at Bodmin Special Interest 

Hospital 

Thursday Emergency clinic / home visits Special Interest 



55 


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 CPT 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: 

CPT 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 sub-specialist 

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 Prem Menon (North Kerrier) 

Dr Darren Mackintosh (South Kerrier) 

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. 

56 



a.m. 

p.m. 


Community 

Meeting Team 

Supervision 

Out-patient clinic 

Ward Round 

with Consultant 

Out-patient 

clinic 

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. Daytime 

cover for Consultant On-call the previous day. 


a.m. 

p.m. 


Community 

Meeting Team 

Supervision 


Ward Round 

with SpR 

Trainee 

Supervision of 

Staff Grade 

Psychiatrist 


or 

Admin (once a 

month) 

CPD 

Consultant 

Meetings 

MHRT/Managers 

Reviews 

Admin 

MHRT/Managers 

Reviews 

Supervision (4pm- 

57 

KL/klc/Master Job Descriptions Peninsula Deanery/Updated Feb 2011 

Admin 

Admin 

(off on 

alternate 

weeks) 

Emergency outpatient 

clinic 

In-patients 

review

5pm) 

POST: 

TRAINER: 



Dr Richard Laugharne 


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. 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 a rural setting. Dr Laugharne has a 

keen interest in medical education and is currently Head of School of Psychiatry for the Peninsula Deanery. 

DAY AM PM 

MONDAY 

9 – 10 Bed Management Meeting 

10.30 – 12 Ward round Fletcher 

ward 

12 – 1 Supervision F2 doctor 

TUESDAY 

WEDNESDAY 

THURSDAY 

FRIDAY 

On-Call 1 : 18 with Consultant Cover 

Fortnightly meeting with consultant 

colleagues also based at Trevillis 

House 

Fortnightly teaching medical 

students 9 – 10am in term time 

10 – 11.30 Weekly CMHT 

meeting/referral meeting 

11.30 – 12.30 Weekly supervision 

of SpR 

EMDR support group meetings 

every 2 months 

Attend monthly CPD sessions 4 th 

Wednesday in month 

Attend monthly SMSC 

Peer Group 

Work as lead clinician, General 

Adult (East Cornwall) 

Peninsula Medical School - Mental 

Health Research Group, Exeter: 

Research and Training Programme 

Director work 

Fortnightly feedback sessions with 

medical students 9 – 11am in term 

time 

Ward Round – Fletcher Ward, 

Bodmin Hospital 

58 

KL/klc/Master Job Descriptions Peninsula Deanery/Updated Feb 2011 

2 – 5 Admin/Home visits 

Trevillis House 

OPD clinic alternating between 

Liskeard/ Looe/St 

Blazey/Fowey/Lostwithiel 

Flexible between: 

Head of School of Psychiatry work 

Clinical admin/extra patient 

sessions 

As morning or Head of School of 

Psychiatry work or 

Lead for Research Governance 

*** Meetings/Visits 

Ad hoc OPD clinics/home visits 

Admin at Trevillis House 

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 and supervision group every 2 months 

Visits to patients either in prison/detained in secure units/ residential support homes/rehabilitation units

Roles 

Head of South West Peninsula School of Psychiatry 

Lead Clinician: General Adult (East) 

Lead for Research and Innovation 

(1PA) 

(½ PA) 

(0 PA) 

POST: 

TRAINER: 


Community Psychiatry (General Adult) 

Trengweath Mental Health Unit, Redruth 

Dr Prem Menon 


Roles and Responsibilities: 

This post will provide the trainee the opportunity to delivery psychiatric care to adults of working age (16-65) in 

North Kerrier, Cornwall. The population of approximately 30,000 is serviced by 6 General Practitioner surgeries 

which, unusually for Cornwall, are placed within close proximity to the base unit (Trengweath, Redruth), allowing 

for close and well established working relationships. Inpatient services for the West of Cornwall are located in 

Lorgreach House, Redruth. Intensive care, rehabilitation and low secure beds for the whole of the county are 

located at Bodmin with separate medical cover. This post will require the trainee to work mostly with the 

Community Mental health Team, but also with the Home Treatment and Assertive Outreach Teams, adhering to 

the principles of members of the various teams. The trainee will not be expected to care coordinate but will be 

required to provide high quality, timely medical input as necessary under the supervision of the trainer. New 

assessments and follow ups therefore will be strictly needs led and focussed and mostly conducted at 

Trengweath in conjunction with the service user‟s care coordinator. This post therefore does not allow for 

traditional routine outpatient clinics, unless the trainee chooses to do so (for example for research of 

psychotherapy purposes). 

The trainee will be provided with at least one hour of one to one discussions with the trainer on personal 

development per week. However, as the trainee‟s office will be located immediately adjacent to the trainer, 

regular informal discussions will be encouraged. 

Facilities 

Identified office base at Trengweath. Secretarial support via the trainer‟s secretaries based at Trengweath. (The 

trust audit department is based adjacent to the trainer‟s and trainee‟s offices, allowing a unique opportunity to 

discuss and develop audit projects). 

Training Opportunities 

Dr Prem Menon has experience at a local and national level in the development and implementation of New 

Ways of Working for Consultant Psychiatrists. Trainees interested in medical management will be invited to 

„shadow‟ the trainer at appropriate management events as well as participating in any management projects the 

trainer may be involved in. 

TIMETABLE 

A.M. 

P.M. 

Monday 

Tuesday 

1000–1200 CMHT Allocation Mtg 

1200-1230 Supervision 

Community – New 

Assessments/Reviews (usually lowmoderate 

risk service users) 

Wednesday CPD/Teaching TBA 

Ward (Longreach House) 

New assessments, Reviews, 

Discharge Planning 

Patient Admin 

(letters, reports etc) 

Thursday 


59 


Friday 


Community - New 

Assessments/Reviews (usually high 

risk service users) 

TBA 

60 


POST: 

TRAINER: 


Early Intervention in Psychosis 

Dr Michael Metcalfe 


The Cornwall Early Intervention in Psychosis Service has approximately 180 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 a Psychologist. There is a full time Consultant 

Psychiatrist (Dr Michael Metcalfe). The team receives referrals of individuals with a suspected first episode 

psychosis between the ages for 14 and 35 years. Consultant responsibility for those under 16 years of age 

remains with the Child and Adolescent Consultants. 

The trainee will be based at the Trengweath Mental Health Unit in Redruth. They will have dedicated office 

space and a computer and will be co-located with one of the Early Intervention Teams and with the Consultant 

Psychiatrist and his full-time secretary. The duties of the trainee will be only in the western part of the County of 

Cornwall, working with the West Cornwall Early Intervention Team, based at Trengweath. The caseload of this 

team is approximately 90 individuals. 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 years 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 under the supervision of the 

clinical psychologist. The trainee will also be expected to train in the use of the Positive and Negative Symptoms 

Scale (PANSS), again under the supervision of the Clinical Psychologist. 

The team works in line with the principles of the Whole Life Approach and also strives to promote Recovery for 

all it‟s clients. There are dedicated vocational workers with the team as well as support workers who focus on a 

range of non-clinical activities. 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. 

TIMETABLE: 

Monday 

A.M. 

10.00 – 11.00 Supervision 

Audit 

P.M. 

Clinical 

Tuesday Special Interest Clinical/Admin 

Wednesday Teaching, Bodmin Hospital Research 

Thursday 9.30 – 1.30 Team Meeting, WEST Clinical 

Friday Clinical Clinical/Admin 


61 


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 

Team meeting and junior Functional ward round 

doctor supervision 

Tuesday Organic ward round Clinic 

Wednesday Meetings/Training Administration 

Thursday Visits Visits 

Friday Clinic Visits 

Trainee A.M. P.M. 

Monday 

Team Meeting and 

Functional ward round 

supervision with Consultant 

Tuesday Organic ward round Clinic or visits 

Wednesday Teaching or meetings Administration 

Thursday Visits Visits 

Friday Specialist Interest/Research Specialist 

Interest/Research 


62 


POST: 

TRAINER: 



Dr Giles Richards 


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 (Associate Clinical Tutor and Locality Lead in 

Cornwall for PCMD). 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 are 65 years of age or 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 6.5 community psychiatric nurses, 1 occupational therapist and 4 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 and health care assistant. 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 

12,500. 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 110,000 which is 

served by 10 Consultant Old Age Psychiatrists that are based throughout the county. We meet weekly 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 meeting 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. 

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 


63 


POST: 

TRAINER: 


Substance Misuse Psychiatry 

Dr Rupert White 


Cornwall Drugs and Alcohol Team (CDAT) provides treatment and support to problem drug-users 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 key-worker. 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. 

Monday 

Tuesday 

A.M. 

Home Detoxification Assessment 

and prescribing (Redruth) 

Drug Outpatient Clinic (St 

Austell/Truro) 

P.M. 

Alcohol Team Meeting (Redruth) 

Special Interest (?psychotherapy- 

Redruth) 

Wednesday CPD Programme Research 

Thursday 

Friday 


Alcohol Clinic (Truro/St Austell 

alternating) 

Drug Team Meeting 

11.00 - 12.00 Supervision with 

Consultant 

Special Interest (?psychotherapy) 

Research 

64 


POST: 

TRAINER: 


General Adult Psychiatry, East Caradon 

Dr James Quinn Scobie 


The trainee will assist in the provision of medical care to the inpatient service and community support in a 

catchment area of 50,000 people. Patients are aligned to seven GP practices in Saltash, Callington, 

Gunnislake, St Germans, Torpoint and Millbrook. This is a rural area with very low population density and low 

average income. 

Facilities include four beds in an acute inpatient unit with a total of eighteen beds. Two ward rounds take place 

each week. The CMHT comprises of five community psychiatric nurses, two occupational therapists, two social 

workers and two psychologists. There is one Consultant Psychiatrist, Dr Scobie, and one CT2 doctor. A CMHT 

meeting is held weekly for referral allocation and discussion of clinical issues. The medical team also provide 

input into the Assertive Outreach and Home Treatment teams. The trainee will be expected to conduct ward 

rounds, complete new assessments and joint visits with community colleagues under direct and indirect 

supervision from the Consultant. 

Teaching opportunities are available in the form of medical students attached to the inpatient unit. Teaching at 

the academic meetings for junior doctors will be encourages as will teaching on the MRCPsych course in Exeter. 

Dr Scobie has an interest in the treatment and management of Severe Personality Disorder within community 

psychiatry including psychodynamic factors. He is also Associate Medical Director for Cornwall partnership 

Trust and has responsibility and accountability for Clinical Governance for the East Network. The trainee will 

have opportunities to be involved in the strategic planning and management of mental Health Services in 

Cornwall. 

Monday 

Tuesday 

Wednesday 

Thursday 

Friday 

A.M. 

HTT and Inpatient Reviews 

Bodmin Hospital 

Community Assessments for HTT, 

CMHT and AOT 

Senior Medical Staff Committee, 

CPD and Junior Doctor Teaching 

Community assessments and 

follow up 

HTT and inpatient reviews, medical 

student training OR Special 


P.M. 

Supervision 2-3pm 

Community Admin/Urgent 

Assessments 

CMHT team and referral meeting 

Optional Management experience 

including attendance at Trust 

Business Strategy Group, Quality 

and Risk Committee and Network 

Board Meeting 

Community assessments and 

follow up OR Special 


Special Interest/Research 

On-Call 1: 18 with cover by Dr Scobie but plans to increase to 1:10 with Consultant Cover 

65 


Training Post: 


Trengweath, Penryn Street, Redruth, Cornwall TR15 2SP 

Trainer: 

Employing Trust: 

Dr Darren Mackintosh 

Cornwall Foundation Partnership Trust 

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. 

Weekly Timetables 


a.m. 

p.m. 


Research Training 0930-1300 0930-1200 

Outpatient HTT/Emergency 

Clinic 

Clinic 

0915-1000 bed 

management 

1200-1300 CT4-6 

Supervision 

1400-1700 Ward 

Round 

Special 

Interest 

Flexible session- 

DVs/MHRTs 

1400-1600 

CMHT 

Allocation 

1400-1500 Ward 

Review 

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 

66 


absent on leave and scheduled for duty the seconding consultant will pick up your duty as a matter of course. 


a.m. 


0930-1300 

0930-1300 

Outpatient 

Outpatient 

Clinic 

Clinic 

0915-1000 bed 

management 

1200-1300 CT4- 

6 Supervision 

p.m. 1400-1700 

Ward Round 

1400-1500 F2 

Supervision 

Peer 

Group/CPD/Senior 

Medical Staffing 

Committee/Working 

Practices Meeting 

1400-1600 

CMHT 

Allocation 

0930-1200 

HTT/Emergency 

Clinic 

1100-1300 Med 

Student Teaching 

(alternate weeks 

in term time) 

1400-1500 Ward 

Review 

67 


POST: 

TRAINER: 

Neuropsychiatry 

Dr Rohit Shankar 

EMPLOYING TRUST: Cornwall Foundation Partnership Trust 


68 


CONTACTS 

South West Peninsula 

Programme Director for Specialty Trainees in General and Old Age Psychiatry: 

Name: Dr Kate Lovett 

Address: U & I Services, Teignbridge Locality, Torbay Hosp, Lawes Bridge, Torquay, TQ2 7AA 

Telephone: 01803 654919 

Email: k.lovett@nhs.net 

Regional Advisor in Psychiatry: 

Name: Dr Mike Metcalfe 

Address: 

Telephone: 

Head of School of Psychiatry 

Name: Dr Richard Laugharne 

Address: Trevillis House, East Cornwall CMHT, Lodge Hill, Liskeard, PL14 4EN 

Telephone: 01579 335221 

Email: Richard.laugharne@cpt.cornwall.nhs.uk 

Specialty Trainee‟ Representative: 

Name: Dr Katy Briffa 

Email: 

Programme Manager: 

Name: Joe Campbell 

Address: 

Telephone: 01752 676128 

Email: Joseph.campbell@southwest.nhs.uk 

Devon Partnership Trust, Wonford House Hospital, Exeter 

Name: Dr Aitken 

Address: Wonford House Hospital, Exeter 

Telephone: 01392 403641 

Email: peter.aitken@nhs.net. 

Name: Dr Dickinson 

Address: U&I, Haytor Unit, Torbay Hospital, Lawes Bridge, Torquay, TQ12 7AA 

Telephone: 01803 654900 

Email: louisa.martelle@nhs.net 

Name: Dr Dorkins 

Address: Langdon Hospital, Exeter Road, Dawlish, EX8 0NR 

Telephone: 01626 888371 

Email: eluned.dorkins@ nhs.net. 

Name: Dr John Dunn 

Address: Templar House, Newton Abbot 

Telephone: 01626 362179 

Email: john.dunn@nhs.net 

Name: Dr Rolf Feller 

69 


Address: 

Telephone: 

Email: 

Name: 

Address: 

Telephone: 

Email: 

Franklyn House, St. Thomas, Exeter, EX2 9HS 

Rolf.feller@nhs.net 

Dr Tegwell Freer 

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

Teg.freer@nhs.net 

Name: Dr Subhash Gupta 

Address: Teignview CMHC, 16 Orchard Gardens, Teignmouth, TQ14 8DS 

Telephone: 01626 775951 

Email: beki.flower@nhs.net 

Name: 

Address: 

Telephone: 

Email: 

Dr Bert Laszlo 


Bert.laszlo@nhs.net 

Name: Dr Kate Lovett 

Address: U&I, Teignbridge, Haytor Unit, Torbay Hosp, Lawes Bridge, TQ2 7AA 

Telephone: 01803 654919 

Email: k.lovett@nhs.net 

Name: Dr Sean Lynch 


Telephone: 01392 403625 

Email: seanlynch@nhs.net 

Name: Dr Stuart McLaren 

Address: Shrublands House, Torquay 

Telephone: 01803 215601 

Email: stuart.mclaren@ nhs.net 

Name: Dr Mizen 


Telephone: 01392 208714 

Email: Tracy.derges@ nhs.net.uk 

Name: Dr Montgomery 


Telephone: 01626 888371 

Email: cahrles.montgomery@nhs.net 

Name: 

Address: 

Telephone: 

Email: 

Dr Tanya Nelson 


Tanya.nelson@nhs.net 

Name: Dr Simon Nicholson 

Address: North Devon District Hospital, Raleigh Park, Barnstaple, EX31 4JB 

Telephone: 01271 311804 

Email: simon.nicholson@ nhs.net 

Name: Dr Steve Pearson 

Address: OPMHS, 11/12 Fore Street, Ivybridge, PL21 9AB. 

Telephone: 01752 897428 

Email: janetfrancis@nhs.net 

70 


Name: 

Address: 

Telephone: 

Email: 

Name: 

Address: 

Telephone: 

Email: 

Dr Mary Rowlands 


Mary.rowlands@nhs.net 

Dr Bharat Saluja 


Bharat.saluja@nhs.net 

Name: Dr David Somerfield 

Address: Chadwell Centre, Paignton 

Telephone: 01803 528100 

Email: d.somerfield@nhs.net 

Name: Dr Peter Noble 

Address: U&IC, Wonford House, Dryden Road, Exeter, EX2 5AF 

Telephone: 01392 208866 

Email: peter.noble@nhs.net 

Name: 

Address: 

Telephone: 

Email: 

Name: 

Address: 

Telephone: 

Email: 

Dr Charles Dixon 

Crisis Team, Wonford House Hospital, Dryden Road, Exeter 

Dr Andrew Moore 

North Devon District Hospital, Raleigh Park, Barnstaple, EX31 4JB 

andrew.moore7@nhs.net 

Plymouth Primary Care NHS Trust, Mount Gould Hospital, Plymouth, PL4 7QD 

Name: Dr Alison Battersby 

Address: Harbour Drug and Alcohol, Hyde Park House, Mutley, Plymouth, PL4 6LF 

Telephone: 01752 314222 

Email: Alison.Battersby@plymouth.nhs.uk 

Name: Dr Sara Cunningham 

Address: Glenbourne Unit, Morlaix Drive, Derriford, Plymouth, PL6 5AF 

Telephone: 01752 348676 

Email: Annette.Whitham@plymouth.nhs.uk 

Name: Dr Stephen Dinniss 


Telephone: 01752 314031 

Email: amanda.bunney@plymouth.nhs.uk 

Name: Dr Rodney Ford 

Address: Elm View, Plympton Hospital, Plymouth 

Telephone: 01752 314530 

Email: rodney.ford@plymouth.nhs.uk 

Name: Dr Andrew Montgomery 

Address: Avon House, Mount Gould Hospital, Plymouth 

Telephone: 01752 314720 

Email: phoebe.telford@plymouth.nhs.uk 

Name: Dr Fiona Murphy 

71 


Address: Avon House, Mount Gould Hospital, Plymouth 

Telephone: 01752 660281 

Email: fiona.murphy@plymouth..nhs.uk 

Name: Dr Simon Payne 


Telephone: 01752 315315 

Email: Simon.payne@plymouth.nhs.uk 

Cornwall Partnership NHS Trust, Porthpean Road, St Austell, Cornwall, PL26 6AD 

Name: 

Address: 

Telephone: 

Email: 

Dr Adrian Flynn 

Royal Cornwall Hospital, Treliske, Truro, TR1 3LJ 

Adrian.flynn@cpt.cornwall.nhs.uk 

Name: Dr Colin Hunter 

Address: Cornwall Partnership NHS Trust, Bolitho House, 1 Laregan Hill, Penzance 

Telephone: 01736 575525 

Email: colin.hunter@cpt.cornwall.nhs.uk 

Name: Dr Richard Laugharne 

Address: Trevillis House, Liskeard 

Telephone: 01579 335221 

Email: Richard.Laugharne@cpt.cornwall.nhs.uk 

Name: Dr Prem Menon 

Address: Trengweath Hospital, Redruth 

Telephone: 01209 881893 

Email: Prem.Menon@cpt.cornwall.nhs.uk 

Name: Dr Michael Metcalfe 


Telephone: 01209 881893 

Email: 

Name: Dr Steven Naylor 


Telephone: 01209 881893 

Email: Steven.naylor@cpt.cornwall.nhs.uk 

Name: 

Address: 

Telephone: 

Email: 

Dr Giles Richards 

Trevillis House, Liskeard 

Giles.richards@cpt.cornwall.nhs.uk 

Name: Dr Rupert White 

Address: Cornwall Partnership NHS Trust, Tolvean House, West End, Redruth 

Telephone: 01209 881936 

Email: rupert.white@cpt.cornwall.nhs.uk 

Name: 

Address: 

Telephone: 

Email: 

Name: 

Dr James Quinn Scobie 

Cornwall Partnership NHS Trust, Trevillis House, Liskeard 

james.scobie@cpt.cornwall.nhs.uk 

Dr Darren Mackintosh 

72 


Address: Trengweath, Penryn Street, Redruth, Cornwall TR15 2SP 

Telephone: 

Email: 

General Information 

This document forms part of the job description for Specialty Trainees working in the South West 

Peninsula Deanery. 

The Terms and Conditions of Employment (including those related to leave and sick pay) are in 

accordance with the nationally agreed Terms and Conditions of Service of Hospital Medical and 

Dental Staff (England and Wales) and General Whitley Council Conditions of Service currently in force 

and as amended from time to time. 

Appointments are superannuable unless you opt out of the scheme or are ineligible to join, and your 

remuneration will be subject to declaration of superannuable contributions in accordance with the 

National Health Services Superannuation Scheme. 

Salary scale 

The salary scale is MN25/MN27 (from 1 st April 2005): 

£28,307, £29,741, £31,174, £32,607, £34,337, £36,067, £37,796, £39,526, £41,255*, £42,985* 

* To be awarded automatically except in cases of unsatisfactory performance 

Hours of Work 

Junior Doctors hours are constantly under review throughout all hospitals in the South West 

Peninsula; on call / shift commitments are therefore subject to change. Banding arrangements may 

differ as individual Trusts determine rotas at local level. Full details of banding are available from the 

Medical Personnel Department of the relevant Trust. 

Study Leave 

Trainees will require study leave during their training programme. This will include study and tuition at 

the training location but might equally embrace attendance at full or part-time courses elsewhere. 

The current provisions for study leave are explained in paragraph 251 in the Terms and Conditions of 

Service. 

Annual Review of Competency Progression 

Training appointments are subject to regular local and annual assessment under the ARCP 

procedure, in accordance with „A Guide to Specialty Trainee Training‟ (The Gold Guide). This 

procedure provides a record of the Specialty Trainee‟s progress through the training programme. 

In addition advice is available on the Royal College of Psychiatrists website and the Deanery website. 

Dates for the ARCP 2011 have been set for the 5th and 12th May, 2011. 

Disclosure of Criminal Background 

This position is exempt from the Rehabilitation of Offenders Act 1974. This means that you must 

declare all criminal convictions, including those that you would otherwise be considered “spent”. 

Where the appointment involves substantial access to children and /or vulnerable adults, the 

appointment is subject to a police check. The Criminal Records Bureau will be asked to verify that you 

have no convictions and cautions or pending prosecutions, convictions, cautions and bind-over orders. 

This will include local police force records in addition to checks with the Police National Computer and 

73 


the government departments lists held by the Department of Health for Education and Employment, 

where appropriate. 

Police checks will only be requested for candidates recommended for appointment and will be carried 

out by the employing Trust. 

Medical Clearance 

Offers of employment to the rotation will be subject to satisfactory medical clearance including 

Hepatitis B status. 

Medical checks will only be requested for candidates recommended for appointment and will be 

carried out by the employing Trust. 

Relocation Expenses 

Trainees moving into the Deanery may be entitled to initial relocation assistance. Trainees should 

contact the employing Trust prior to commencing in post. 

Less than Full Time Working 

Less than full time working is available for doctors in the training grades for whom full-time training is 

not practical for “well-founded individual reasons”. However the funding for flexible training is a finite 

resource and it may be necessary to place applicants in an order of priority. A copy of the “Less Than 

Full Time Working” policy can be obtained from the South West Peninsula Deanery website 

(www.peninsuladeanery.nhs.uk) 

A flexible trainee‟s programme should contain the same elements as that of a full-time trainee 

including departmental meetings, audit, research, teaching etc. 

The duration of training (eg until Certificate of Completion of Training - CCT) will be extended 

according to the number of hours worked. 

You will have an annual ARCP and your Certificate of Completion of Training (CCT) date will 

be adjusted by the appropriate Specialty Training Committee / Royal College to take account 

of your particular pattern of training. 

If you are considering less than full time working you should contact the appropriate Specialty 

Manager to check your eligibility, preferably prior to interview. 

Slot sharing 

As the number of trainees working less than full time increases it is becoming more difficult to set up 

supernumerary posts. Slot sharing is therefore the preferred option wherever possible. 

This is a financial arrangement only and involves splitting the money from a full time funded slot to 

partially cover the salaries of two less than full time trainees. The SHA will then “top up” the remainder 

of the salaries. 

The process of placing two trainees into a full time slot is an administrative process for the Deanery. 

Please speak to the appropriate Specialty Manager if you have any concerns. 

74

SOUTH WESTERN DEANERY - South West Peninsula Deanery

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