Job Description - HSCRecruit

MISSION STATEMENT
To provide for all the quality of service we expect for our families and ourselves.
Job
Description
Grade: Specialty Doctor
Department: General Adult Psychiatry - Inpatient
Base: Causeway Hospital (in the first instance)
Reports to:
Mr Oscar Donnelly Director of Mental Health and Disability Services
(in relation to Management Issues)
Dr Peter Flanagan Medical Director
(in relation to Clinical Practice and Professional Issues)
Ms Noelle Barton Assistant Director Mental Health Services
(in relation to Mental Health Programme and Service Issues)
Responsible to: Mr Sean Donaghy, Chief Executive
Nominated Supervising Consultant: The nominated supervising Consultant is
Dr Ryan O’Neill, Consultant Psychiatrist or another Consultant Psychiatrist
working with inpatients.
Introduction:
The post is for a full-time Trust Grade Psychiatrist (Specialty Doctor level) in
General Adult Psychiatry. This post has been created to assist the Northern
Health and Social Care Trust (Causeway Locality) to provide a service to adults
between the ages of 18-64.
The post holder will provide a Specialty Doctor level of service. The appointment
will be on a whole time or maximum part time basis. Practitioners who for
personal reasons are able to contract for only a limited number of half days are
also eligible to apply.
It is an exciting opportunity for an enthusiastic doctor to work in an already wellestablished
service, and make a major contribution to its further development.
Job Summary:
The post-holder will provide:
Service for adults with mental illness aged between 18-64 admitted to the Ross
Thomson Unit, Causeway Hospital.
Assist in provision of liaison service in Causeway Hospital.
Assist with ECT service under supervision of Dr Leeman, Consultant Psychiatrist.
The Area:
The Northern Health and Social Care Trust (Causeway Locality) has a population
of approximately 110,000 with just under 14,000 over the age of 65 (2001
Census). The post holder will aid the delivery of General Adult Psychiatry Service
with consultant colleagues.

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The Northern Health and Social Care Trust (Causeway Locality) reserves the right
to monitor the service provision in Causeway and to alter the localities to which
services may be provided.
Services
The directorate provides mental health and disability services to the NHSCT area.
Inpatient facilities are currently based on 3 sites; Holywell, Whiteabbey and
Coleraine hospitals. There are a total of 134 acute inpatient beds across the three
sites. This number will be kept under review as new services develop. On the
Holywell site, there is also rehabilitation, psychiatric intensive care, challenging
behaviour, addictions, dementia assessment and continuing care beds which
provide an area-wide service.
Adult mental health services are staffed by a total of 17 consultant psychiatrists
(15 WTE), including specialists in addictions, psychotherapy, rehabilitation,
assertive outreach, forensic psychiatry and liaison psychiatry.
There are a total of 6 consultants in psychiatry of old age (5 WTE).
Psychiatric services in the directorate are in the process of reform and
modernisation. Crisis Response and assertive outreach teams became
operational in 2003. Within the past year, community mental health teams have
been reorganised, with the appointment of team managers and the development
of new referral pathways.
General Information:
Northern Health and Social Care Trust (Causeway Locality) provides Mental
Health Services through Acute Admission Beds at the Ross Thomson Unit (see
below) and a range of community services delivered through Consultant-led
Multidisciplinary Teams. There are Mental Health Resource Centres in Coleraine,
Ballycastle and Ballymoney. Out Patient Clinics are held at various locations
throughout the Trust. Multidisciplinary Teams have input from Psychiatry, Social
work, Nursing, Occupational Therapy and Clinical Psychology (which is provided
through an Area Psychology Service). Within the integrated service, team
members have links both in hospital and community settings.
There is a Child and Adolescent Team based in Ballymoney.
There is a specialist Dementia Team based in the Community which supports the
Consultants in Psychiatry of Old Age.
There are regular meetings with Assistant Director Children’s Services and the
Probation Service to enhance inter-agency communication.
There is an in house Multi-Disciplinary Education Programme including audit and
links are also maintained with Homefirst in respect of Post-graduate activities,
audit, CME etc.
Further information on staffing levels in the in-patient unit and in the Community
Mental Health Teams is included.
Northern Health and Social Care Trust Management Structure:
A new Medical Management Structure is in place, which includes a number of
Divisions, each with a Consultant Divisional Director, who have time dedicated to
management duties. Old Age Psychiatry and General Adult Psychiatry are both
represented by the appropriate Clinical Director.

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Northern Health and Social Care Trust (Causeway Locality) Adult Mental
Health Services:
In-patients are admitted to Ross Thomson Unit, Coleraine which is a 31 bedded
acute admission unit and is part of Northern Health and Social Care Trust
(Causeway Locality).
Management Arrangements:
Overall responsibility for management and development of General Adult
Psychiatry Service rests with the Director of Mental Health and Disability Services.
Regional Specialities:
There is a medium secure unit for Northern Ireland which is to be located in
Belfast and there is a Regional Eating Disorder service and limited forensic
service.
Psychiatric In-Patient Unit:
The Ross Thomson Unit is a 24 bedded acute admission Unit on the Causeway
Hospital Site in Coleraine. From August 2010 Dr O’Neill has been an Inpatient
Consultant. The Old Age Psychiatry Team also has access to beds in the Ross
Thomson Unit.
Duties and Responsibilities:
• Provision with Consultant Supervisor of a General Adult Psychiatry Service,
with responsibility for the diagnosis and treatment of illness and the proper
functioning of the service including providing medical care on in-patient unit
including clerking, assessment, monitoring and treatment.
• Participation with others in the future development of a comprehensive
General Adult Psychiatry Service to the population of the Causeway locality
• Continuing responsibility for patients in his/her charge, and undertaking of
appropriate administrative duties.
• Collaboration with Consultant colleagues in the medical contribution to
management and sharing in the proper functioning of Northern Health &
Social Care Trust (NHSCT) General Adult Psychiatry Service and the Mental
Heath Service overall.
• Contribute to the multi-disciplinary assessment and treatment functions of the
team. This will include giving advice to other team members and the primary
care and social services regarding team patients when this is clinically
indicated.
• Provide cover (in conjunction with training grades) when a training grade is
on leave.
• Take an overall view of team priorities.
• Deputise for Consultants at Mental Health Tribunals and Case Conferences,
including providing reports.
• Co-ordinate with colleagues’ plans of annual, study, professional/examination
leave and compensatory rest and adhere to the Trust Leave Policy in respect
of notice. Ensure all periods of sickness are notified to the Trust in

accordance with the Managing Sickness Absence Policy.
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• Participation in under-graduate and post-graduate medical education locally
and nationally including carrying out teaching, examination and accreditation
duties.
• Participation in medical audit, multi-disciplinary audit and in the clinical
governance process.
• Supervision of medical students.
• Developing departmental protocols in conjunction with other clinicians and
professionals within the Trust and with other health care providers including
as a result of audit, national guidelines etc.
• Maintain clinical skills and participate as appropriate in research and
continuing medical education in relevant subjects.
• Further training will be provided – both informally ‘on the job’ by Consultant
Psychiatrists and access to any formal training courses will be encouraged
and supported.
• Maintain professional standards and obligations as set out from time to time
by the General Medical Council (GMC) and comply in particular with the
GMC’s guidance on ‘Good Medical Practice’ as amended or substituted from
time to time.
• Undertake administrative duties associated with the cover of patients and the
efficient running of the service.
• To admit patients to the inpatient unit, clerking them in including
physical examination and appropriate physical tests.
• To obtain old notes and relevant additional information such as
collateral histories for the inpatients.
• To monitor mental state and progress of inpatients.
• To ensure Inpatient Integrated Care Pathway notes are up to date.
• To respond to nursing requests and concerns with regard to inpatients.
• To liaise with other service professionals relating to the care of
inpatients.
• To liaise with appropriate external agencies, carers and families with
regard of care of inpatients.
• To discharge patients and to complete discharge paperwork and letters.
• To prepare reports for Tribunals.
• To prepare reports for Comprehensive Risk Assessment meetings and
to attend such meetings.
• To support and advise other members of the inpatient multidisciplinary
team in the absence of the Consultant.
• Provide liaison service to Causeway Hospital under Consultant
supervision.
• Assist with ECT service, including administration of ECT under
Consultant supervision.
• Hold the Ward pager when cover required.
• Attend multidisciplinary meetings.

• Complete case summaries.
• Provision of inpatient service as directed by supervising Consultant.
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CPD/Teaching/Training:
The post-holder is expected to participate fully in the weekly Educational
Programme at the Ross Thomson Unit. He/she will be expected to undertake
regular audit projects and research under consultant supervision.
Othe Information:
1. Office accommodation and secretarial support will be provided.
2. The post holder will be a member of the Directorate Medical Staff meeting.
3. The post-holder will be required to agree a Job Plan based on this Job
Description within 3 months of appointment and thereafter on a regular basis.
4. Support will be provided by the Multi-Professional Audit Department in respect
of any audit projects being undertaken.
Library:
A comprehensive library containing up-to-date reference books, periodicals and
journals are provided in the Multi-disciplinary Education Centre. Computer
facilities including Microsoft Excel;
Powerpoint and Word packages and CD Roms are available for use by
Medical Staff. Access to the Internet and Databases such as CINAHL,
COCHRANE and MEDLINE are available. Books may also be requested from the
Library at Queens University, Belfast via the Queens catalogue.
General Management responsibilities
Adhere to the Code of Conduct for HPSS managers which states that
managers will be expected to work with integrity, honesty and openness,
probity, accountability and respect, available on www.dhsspsni.gov.uk or in
the HR Policies and Procedures Handbooks held in Directorates;
Ensure the appropriate governance and risk management arrangements are
in place for the services you are responsible for and take appropriate action to
identify and manage risk and to maintain safety of users, staff and others in
accordance with relevant regulations, policies and procedures;
It is essential to ensure that the highest standards of infection prevention and
control are maintained to ensure patient and client safety and maintain
confidence in the Trust. As a Manager, you must ensure that you implement
all instructions/ policy in this area and that all staff are made aware of and fully
comply with these.
Promote a culture of continuous service improvement amongst your staff,
encouraging their participation and that of service users in reviewing and
modernising current services and in service development;
Make sure you are trained and competent in the relevant policies and
procedures which apply to the management of staff and other resources and
abide by these policies; seeking advice as necessary from senior
management or specialist staff as necessary;
Communicate effectively with staff and maintain productive working
relationships amongst your staff and with others;

Delegate appropriate responsibility and authority to staff in order to ensure
optimum and effective service delivery and decision-making, whilst retaining
overall accountability and responsibility for outcomes;
Promote a culture of learning and development and facilitate arrangements for
and participate in training and development of staff as agreed for the
performance of their duties. Where training is in accordance with relevant
standards make sure you have the relevant competences in order to carry out
this responsibility;
Promote equality of opportunity for all by personal action, both in the
management of your staff and in the provision of care to service users in
accordance with the Trust’s Equality of Opportunity Policy and Equality
Scheme;
Take responsibility for ensuring appropriate standards of environmental
cleanliness and for encouraging staff to maintain standards in their work area.
Have an awareness of environmental issues and take appropriate action, for
example to ensure the efficient use of energy and other resources, recycling
etc.;
Make sure that staff are aware of trust policies regarding the Data Protection
Act 1998, the Freedom of Information Act 2000, the Environmental
Information Regulations 2004 and Records Management and that they must
not disclose, withhold, retain or dispose of any information unless legally
authorised.
Associated Duties and Responsibilities (Schedule 3 T&C)
Whilst on duty a doctor has clinical and professional responsibility for their patients
or, for a local population. It is also the duty of a doctor to:
Keep patients (and/or their carers if appropriate) informed about their condition;
Involve patients (and/or their carers if appropriate) in decision making about their
treatment;
Maintain professional standards and obligations as set out from time to time by the
GMC and comply in particular with the GMCs guidance on ‘Good Medical Practice’
as amended or substituted from time to time.
A doctor is responsible for carrying out any work related to and
reasonably incidental to the duties set out in their job plan such as:
The keeping of records and the provision of reports;
The proper delegation of tasks;
Maintaining skills and knowledge.
Doctors will be expected to be flexible and to co-operate with reasonable
requests to cover for their colleagues’ absences where they are safe and
competent and where it is practicable to do so. Where doctors undertake
duties in accordance with this paragraph and such duties take place outside of
their contracted hours they will receive either an equivalent off duty period or
remuneration.
General Responsibilities
Employees of the Trust will be required to promote and support the mission and
vision of the service for which they are responsible and :-
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At all times provide a caring service and to treat those with whom they
come into contact in a courteous and respectful manner
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Comply with all instructions in regard to Infection Prevention and Control
Carry out their duties and responsibilities in a manner which assures
patient and client safety
Demonstrate their commitment by their regular attendance and the efficient
completion of all tasks allocated to them
Comply with the Trust’s No Smoking Policy
Carry out their duties and responsibilities in compliance with health and
safety policy and statutory regulations
Adhere to equal opportunities policy throughout the course of their
employment
Ensure the ongoing confidence of the public in service provision.
Maintain a neat appearance to generate patient confidence, taking
cognisance of cultural background of the post-holder.
Comply with the HPSS Code of Conduct
Records Management
All employees of the Trust are legally responsible for all records held, created or
used as part of their business within the Trust including patient/client, corporate
and administrative records whether paper-based or electronic and also including
emails. All such records are public records and are accessible to the general
public, with limited exceptions, under the Freedom of Information Act 2000, the
Environmental Information Regulations 2004 and the Data Protection Act 1998.
Employees are required to be conversant with the Trust’s) policy and procedures
on records management and to seek advice if in doubt.
Pay and Terms and Conditions – Specialty Doctor
(This post is subject to Specialty Doctor Terms and Conditions of Service
(Northern Ireland) 2008) National Terms and Conditions of Service for Hospital
and Medical Staff apply
Salary:
£36,807- £68, 638
HSC (TC8 3/2011) effective from 1/4/2011
Salary scale as stipulated within the terms of National Terms and Conditions of
Service for Doctors and Dentists in accordance with current salary scale – plus
optional points and all salary uplifts thereafter.
Hours: This appointment is available for 10 PAs per week.
Practitioners who for personal reasons, are able to contract for only a limited
number of half days are also eligible to apply
On-Call: To participate in an area-wide non resident 2 nd on-call rota (1:9 or
greater)

Medical: The successful candidate will be required to undergo a medical
examination which will be carried out by the Trust’s Occupational Health
Department.
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Annual Leave: Five weeks per year or Doctors who have completed a minimum
of two year’s service in the specialty doctor grade and/or in equivalent grades or
who had an entitlement to six weeks’ annual leave a year or more in their
immediately previous appointments shall be entitled to annual leave at six weeks
per year.
Public Holidays: Ten public holidays plus two statutory holidays or days in lieu
(July and December). The two statutory days may be converted to a period of
annual leave.
Study Leave: 30 days study leave within 3 year period subject to approval of
consultant.
Pension: The appointment is superannuable unless you opt out of the Scheme
Using Form SD502) and your remuneration will be subject to deduction of
superannuation contributions in accordance with the Northern Ireland Health
Services Superannuation Scheme
Appraisal/Job Plan: Participate in annual appraisal and review of job plan,
based on a partnership approach, between the Clinical Manager and the postholder.
Probationary Period: You will serve a probationary period of normally 6
months.
Removal Expenses: Applications for assistance with removal expenses will be
considered in accordance with terms and conditions of service.
Office and Secretarial Provision: There will be access to office and secretarial
services in Causeway Hospital. This will include access to computer and the
Trust’s Intranet and to the Internet including access to the Laboratory and X-ray
systems etc.
Meals, telephone calls etc: Appropriate charges will be made for services
provided, including personal telephone calls. Meals must be paid for when
purchasing.
Waiting List: A waiting list may be compiled for vacancies which will arise
within the next 12 months.
Closing Date:
Completed application forms should be returned to the Human Resources
Department, Bush House, Antrim Hospital, Bush Road, Antrim, BT41 2QB on or
before the closing date as stated in the advertisement.
Canvassing, either directly or indirectly, will be an absolute disqualification.
We will review this Job Description and it may include any other duties
and responsibilities we determine in consultation with the job holder.
We do not intend it to be rigid and inflexible but rather to provide guidelines

within which the job holder works.
Any changes to the working arrangements will be by means of discussion and
agreement (which should not unreasonably be withheld) with the post holder.
Informal Enquiries
For informal enquiries and arrangements to visit the Units contact:
Dr M Walsh
Consultant Psychiatrist
Causeway Hospital
4 Newbridge Road
COLERAINE BT52 1HS
mairin.walsh@northerntrust.hscni.net
Liability
The Northern Health and Social Care Trust has assumed legal and financial
liability for claims of medical negligence arising out of the performance of duties
under the Contract of Employment with the Northern Health and Social Care
Trust only.
Separate insurance cover arrangements with a medical defence organisation are
recommended in respect of any other activities including private practice and the
possibility of criminal proceedings, which are not the responsibility of the Trust.
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JOB PLAN TEMPLATE
This job plan is subject to review at least once per year by you and your Clinical manager. In
the case of a new employee a review of the job plan will take place 3 months after
commencement and annually thereafter.
DAY TIME WORK ACTIVITY LOCATION
9am-1pm Ward meetings RTU 1
DCC
HOURS
SPA
Total
Prem
Mon
1pm-2pm
CPD
RTU
0.25
2pm-5pm
Patient related admin
RTU 0.75
Tues
9am-1pm
MD ward meeting/patient reviews RTU 1
1pm-5pm Liaison work Coleraine
Hospital
1
9am-1pm Ward meeting/patient review RTU 1
Wed
1pm-3pm
CPD
RTU
0.5
3pm-5pm
Audit
RTU
0.5
9am-1pm Patient reviews RTU 1
Thurs
1pm-5pm Family meetings RTU 1
9am-1pm Ward work RTU 1
Fri
1pm-5pm Ward work RTU 1
Sat
Sun
(see section 6 below)
8.75 1.25
TOTAL HOURS 10
AVERAGE HOURS

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EMERGENCY WORKLOAD – For those doctors working on-call rotas only
(Full shift / resident out of hours should be factored into Job Plan in the assessment of Normal & Premium time
hours)
Type Day/Time Location Allocated PAs
Predictable Emergency 1 in 9 weekends Holywell Hospital 0.5
on-call Work*
Unpredictable
Emergency on-call
Work*
On-Call Period
Non resident
availability
0.5
TOTAL PA’s for ON-CALL:
1 + 2% supplement
*Method for calculating on-call: Further guidance is included in the Regional Job Planning Guidance. Advice
can be sought from Medical Staffing.
On-call availability Supplement
Agreed on-call Rota Frequency
1:9 second on-call
On-Call Supplement 2%

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PERSONNEL SPECIFICATION
JOB TITLE:
DEPARTMENT:
LOCATION:
Specialty Doctor
General Adult Psychiatry
Causeway Hospital, Coleraine (in the first instance)
Factor Essential Criteria/Competencies Required Method of Assessment
*Qualifications
and
Experience
Full registration with GMC, London or eligible
for full GMC Registration by the closing date.
Plus
4 years full time postgraduate training (or
equivalent gained on a part-time or flexible
basis) at least 2 of which will be in a
speciality training programme or as a fixed
term specialty trainee in general adult
psychiatry by the closing date
or
Shall have equivalent experience and
competencies by the closing date.
Only those applicants who
state clearly on their
application form that they
have the required level of
qualification/experience will
be considered for interview.
Application Form
Doctors not from the EEA are required to
apply for a work permit or have HSMP visa to
commence work on date as agreed by Trust.
Knowledge
Skills and
Aptitudes
Special
Circumstances
Knowledge of the role of Specialty Doctor
and of duties required
Knowledge of Causeway Mental Health
Team
Knowledge of current issues in General Adult
Psychiatry.
Good communication skills.
Ability to teach.
Ability to use initiative to make decisions in
consultation with senior colleagues, to
instigate the most appropriate means of
review and ongoing patient management.
Leadership skills.
Ability to work as a member of a team.
Ability to prioritise and organise own work
schedule.
Current full driving licence (valid for use in
the UK) and access to a car on
appointment. This criteria will be waived in
the case of applicants whose disability
prohibits driving but who have access to a
form of transport approved by the Trust
which will permit them to carry out the duties
of the post.
Interview
Interview
Application form
Interview

Health
Requirements
Acceptable attendance record
General good health for the demands of the
post.
Need to comply with Occupational Health
screening for blood borne viruses and
tuberculosis to ensure health clearance to
undertake clinical work/exposure prone
procedures.
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Application form/ Interview /
Referee Reports
Pre-employment Health
Assessment
Applicants please note: Shortlisting will be carried out on the basis of the essential
criteria set out above, using the information given on the application form. You should
therefore address the requirements when completing the application form, as failure to do
so may result in you not being shortlisted. Appointments are subject to verification of
appropriate qualifications.
March 2013