SOUTH WESTERN DEANERY - South West Peninsula Deanery

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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 a.m. Lunch p.m. 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 a.m. Lunch p.m. 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 KL/klc/Master Job Descriptions Peninsula Deanery/Updated Feb 2011
POST: TRAINER: EMPLOYING TRUST: Old Age Liaison Psychiatry Dr Annette Downey, Exeter Devon Partnership Trust 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 KL/klc/Master Job Descriptions Peninsula Deanery/Updated Feb 2011
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CONTACTS South West Peninsula Progr
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Name: Address: Telephone: Email: Na
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Address: Trengweath, Penryn Street,
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SOUTH WESTERN DEANERY - South West Peninsula Deanery

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