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Specialty Doctor Job Description - HSCRecruit

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<strong>Specialty</strong> <strong>Doctor</strong> <strong>Job</strong> <strong>Description</strong><br />

TITLE:<br />

SPECIALTY:<br />

BASE:<br />

<strong>Specialty</strong> <strong>Doctor</strong> Psychiatrist in Assessment and Liaison<br />

Service, North Down and Ards Sector<br />

General Adult Psychiatry<br />

Ards Hospital<br />

RESPONSIBLE TO:<br />

Clinical Director<br />

JOB SUMMARY<br />

This post will be in Crisis Response, and based in the Ards mental health assessment centre.<br />

Each SEHSCT sector has a Crisis Response/Assessment Centre model which provides both<br />

emergency assessment of individuals and assessment of cases sent from primary care. A<br />

specialty grade psychiatrist works in each of the other two sectors, along with the members of<br />

the Community Mental Health Team. This post will provide an equivalent service to the North<br />

Down and Ards sector.<br />

PROFILE OF HOSPITAL<br />

1. . The base hospital will be the Ulster Hospital, Dundonald (Ward 27, 22 inpatient<br />

beds), but this post is community-based. The successful applicant will provide<br />

any necessary medical assessment for patients undergoing review at the<br />

Assessment Centre, or those referred for liaison by the Ulster Hospital and<br />

communicate with General Practitioners on suggested treatment after this<br />

assessment. There will be a role for providing education to the Ulster A&E<br />

department.<br />

WORK OF DEPARTMENT<br />

Mental health services provide an assessment and treatment service for the mentally ill,<br />

targetting particularly, but not exclusively, those who are considered seriously mentally<br />

ill. There are five consultants in General Adult Psychiatry in the Newtownards area,<br />

three working in the community and two responsible for the home treatment and acute<br />

inpatient service. Each community Consultant Team is General Practitioner aligned.<br />

There are two consultants in Psychiatry of Old Age and a consultant in Addiction<br />

Psychiatry. The inpatient unit (24 beds) is situated in the Ulster Hospital.<br />

KEY DUTIES / RESPONSIBILITIES


The post is for ten PAs per week. The postholder will work in the North Down and<br />

Ards assessment centre and be responsible for the delivery of a high quality, cost<br />

effective service to his/her patients in line with the Trust’s key strategic<br />

objectives. This will involve a close working relationship with consultant<br />

colleagues, other community staff and General Practitioners, with an emphasis<br />

on providing treatment options in a community setting. Support from each of the<br />

General Adult Consultant psychiatrists working in the sector will be available.<br />

The postholder will:<br />

arrange mutual cover with his/her colleagues working in the Ards sector;<br />

ensure a high standard of outpatient work and also attend to the administration<br />

and supply of his/her service;<br />

through leadership, encourage and maintain multi-disciplinary work within his/her<br />

workplace;<br />

liaise with medical practitioners, psychologists, social workers, nurses and others<br />

in order to ensure a high standard in provision of services;<br />

work according to an agreed job plan and under the supervision of the local<br />

consultants;<br />

attend team meetings and participate in multidisciplinary discussions concerning<br />

patients referred to the service;<br />

provide any necessary medical assessment for patients undergoing review at the<br />

Assessment Centre, or those referred for liaison by the Ulster Hospital and<br />

communicate with General Practitioners on suggested treatment after this<br />

assessment. There will be a role for providing education to the Ulster A&E<br />

department.<br />

complete a summary of the sector medical notes according to a structured format<br />

and ensure this summary informs the care and treatment plan;<br />

carry out relevant physical examination and arrange for appropriate<br />

investigations to be carried out and ensure that results of investigations are acted<br />

upon as necessary and are communicated to the General Practitioner;<br />

have available as part of his/her job plan one supported programme activity<br />

(SPA) to enable audit and research and the postholder will be expected to<br />

engage in medical and clinical audit and resource management;<br />

assist with the provision of teaching and clinical supervision for medical students,<br />

medical post-graduate students, and others receiving training in mental health<br />

services;<br />

ensure his/her own continuing professional development (CPD) and the SEHSCT<br />

will support and fund this. There are high quality medical library facilities<br />

available both locally and in the DowneHospital;<br />

2


maintain his/her own continuing professional development in line with the Trust’s<br />

strategy on Clinical Governance. The Trust will seek to facilitate progress in<br />

professional examinations; and<br />

maintain registration with the General Medical Council.<br />

SUPERVISION ARRANGEMENTS<br />

The postholder will work under the supervision of consultant psychiatrist Dr O’Connor,<br />

who will be available for consultation throughout the week. During periods of leave,<br />

another consultant will be responsible for support and supervision. The postholder will<br />

have a timetabled supervision session with Dr O’Connor each Wednesday. The<br />

postholder’s annual appraisal will be undertaken by the associate clinical director<br />

(currently Dr Moynihan).<br />

CONTINUING PROFESSIONAL DEVELOPMENT<br />

The postholder will be encouraged to maintain his/her own continuing professional<br />

development (CPD) and the SEHSCT will support and fund this. There are high quality<br />

medical library facilities available both locally and in the Downe Hospital. The Trust will<br />

seek to facilitate progress in professional examinations. The Trust’s in-house teaching<br />

for all grades and trainees in psychiatry takes place on Friday morning at the Downshire<br />

hospital. The postholder will be encouraged to undertake regular audit of the service in<br />

which he/she works, and other audit projects as appropriate.<br />

SOUTH EASTERN TRUST - 6 KEY THEMES<br />

As organisations seek to cope with an ever changing and more challenging<br />

environment, it is important that a set of key themes are developed that provide clarity<br />

with regards to corporate direction and that are recognised throughout the organisation<br />

and beyond.<br />

The South Eastern Trust has developed six key themes from which Corporate<br />

Objectives and Proposed Priorities have been developed and which guides all our<br />

actions. They provide clarity for the general public and staff who deliver the services<br />

thus ensuring consistency between strategy and delivery.<br />

The South Eastern Trust’s 6 Key Themes are:<br />

1. Safety, Quality and Experience<br />

The Trust will ensure that services are safe, of a high quality and contribute towards<br />

improving the experience and outcomes for patients, clients and carers.<br />

2. Access<br />

The Trust will ensure that patients and clients receive services in a timely and<br />

accessible manner.<br />

3


3. Health and Wellbeing<br />

The Trust will develop partnerships with other organisations, interested groups and<br />

communities to promote and maintain health and wellbeing.<br />

4. Efficiency and Service Reform<br />

The Trust will continue to focus on the efficiency and effectiveness of services, improve<br />

organisational capability within available finances.<br />

5. Our Staff<br />

The Trust will continue to build a stable, highly motivated workforce that is committed to<br />

a culture of continuous development and ultimately service improvement.<br />

6. Stakeholder Engagement<br />

The Trust will ensure that it listens to and learns from patients, clients, carers and other<br />

interested parties in the planning and delivery of services.<br />

4


PROPOSED JOB PLAN<br />

The following indicates all your proposed regular weekly commitments. It does not<br />

include activities that occur on an ad hoc basis as these are included in Programmed<br />

Activities.<br />

Time Activity Hours<br />

DCC<br />

SPA<br />

MONDAY<br />

9am-1pm<br />

1pm-5pm<br />

Clinical Work<br />

Clinical Work<br />

1<br />

1<br />

TUESDAY<br />

9am-1pm<br />

1pm-5pm<br />

Multidisciplinary Meeting and Case<br />

Discussions<br />

Multidisciplinary Meeting and Case<br />

Discussions<br />

1<br />

1<br />

WEDNESDAY<br />

9am-1pm<br />

1pm-5pm<br />

Supervision / CPD<br />

Clinical Work<br />

0.25<br />

1<br />

0.75<br />

THURSDAY<br />

9am-1pm<br />

1pm-5pm<br />

Multidisciplinary Meeting and Case<br />

Discussions<br />

Clinical Work<br />

1<br />

1<br />

FRIDAY<br />

9am-1pm<br />

1pm-5pm<br />

Medical staff meeting or<br />

administration/case conference<br />

Urgent reviews and Administration<br />

0.75<br />

1<br />

0.25<br />

SATURDAY<br />

SUNDAY<br />

Total 9 1<br />

ON-CALL DETAILS<br />

10 PAs<br />

Predictable Emergency On-Call Work<br />

Unpredictable Emergency On-Call Work<br />

Agreed On-call Rota Frequency<br />

nil<br />

nil<br />

There is no oncall<br />

committment<br />

5


JOB PLAN REVIEW<br />

The <strong>Job</strong> Plan should be reviewed annually, but can be reviewed earlier at the request of<br />

either the doctor or the Clinical Manager. If it is not possible to agree a <strong>Job</strong> Plan, either<br />

initially or at an annual review, there are agreed procedures for facilitation and appeal<br />

with the final decision being binding on both the doctor and the Trust.<br />

EMPLOYING AUTHORITY<br />

South Eastern Health and Social Care Trust.<br />

TERMS AND CONDITIONS<br />

The National Terms and Conditions of Service for <strong>Specialty</strong> <strong>Doctor</strong>s will apply.<br />

As per the current salary scale under National Terms and Conditions of Service for<br />

Hospital staff as updated via DHSSPS circular on rates of pay, the most recent<br />

HSS (TC8) 3/2008, with effect from 1 April 2008 to 31 March 2009 and all uplifts<br />

thereafter.<br />

The full-time appointment will be for 10 PAs per week.<br />

The successful applicant will normally be appointed to the grade for a one year<br />

probationary period which, if confirmed, will be extended without term and held until<br />

retirement under the terms and conditions of service.<br />

The appointee will maintain registration with the General Medical Council (London).<br />

Annual leave entitlement is 5 weeks (25 days) per year until 2 years service have<br />

been completed in the grade and 6 weeks (30 days) thereafter for practitioners<br />

remaining in the grade. Where the appointee in his/her immediately previous<br />

regular appointment attracted the 6 weeks annual leave per annum, this<br />

entitlement would remain.<br />

You are required to live within a distance of 30 minutes or 10 miles by road from<br />

your base place of work unless the employing organisation agrees that they may<br />

reside at a greater distance.<br />

Your private residence shall be maintained in contact with the public telephone<br />

service<br />

He/she will be expected to be flexible and to co-operate with reasonable requests<br />

to cover for their colleagues’ absences where they are safe and competent and<br />

where it is practicable to do so. Where doctors undertake duties in accordance<br />

with this paragraph and such duties take place outside of their contracted hours,<br />

they will receive either an equivalent off duty period or remuneration.<br />

The post will be subject to termination at any time, by three months notice in writing<br />

given on either side.<br />

GENERAL REQUIREMENTS<br />

The post holder must:<br />

Carry out his/her duties with full regard to the Trust's Equal Opportunities Policy.<br />

Co-operate fully with the implementation of the Trust's Health and Safety<br />

arrangements and report any accidents/incidents, defects with work equipment or<br />

inadequate safety arrangements.<br />

Co-operate fully with all policies and procedures relating to Infection Control.<br />

6


Accept individual responsibility for ensuring a suitable, clean, uncluttered and<br />

safe environment for members of the public, staff, patients/clients and their<br />

relatives.<br />

Comply with the Trust's Smoke Free Policy.<br />

Treat those whom he/she comes into contact with in the course of work, in a<br />

courteous manner.<br />

Accept that this job description will be subject to review in the light of changing<br />

circumstances and should be regarded as providing guidance within which the<br />

individual works rather than something which is rigid and inflexible.<br />

ADDITIONAL POINTS<br />

From 1 January 1990, medical staff have not been required to subscribe to a<br />

Medical Defence organisation. It should be noted, however, that the Trust's<br />

indemnity only covers the Trust's responsibilities and therefore, the appointee is<br />

advised to maintain a membership of a recognised professional defence<br />

organisation for any work which does not fall within the scope of the Indemnity<br />

Scheme.<br />

Canvassing will disqualify.<br />

Candidates wishing to apply online can do so at www.<strong>HSCRecruit</strong>.com,<br />

alternatively application forms for the post may be downloaded and forwarded to<br />

the Human Resources Department.<br />

Applications must be made on the prescribed form, and must be returned to the<br />

Human Resources Department.<br />

A shortlist of candidates for interview will be prepared on the basis of the<br />

information contained in the application form. It is therefore essential that all<br />

applicants demonstrate through their application how and to what extent their<br />

experience and qualities are relevant to this post and the extent to which they<br />

satisfy each criterion specified, including clarification around equivalent<br />

qualifications.<br />

The Trust is committed to Equal Opportunities<br />

7


EMPLOYEE PROFILE<br />

FACTOR<br />

QUALIFICATIONS &<br />

EXPERIENCE<br />

POST: SPECIALTY DOCTOR -<br />

MINIMUM CRITERIA<br />

ESSENTIAL<br />

Candidates must:<br />

• Hold Full Registration with the GMC (London).<br />

• Have at least 4 years’ full-time postgraduate training (or its equivalent gained<br />

on a part-time or flexible basis) at least 2 of which will be in a specialty training<br />

programme or as a Fixed Term <strong>Specialty</strong> Trainee in a relevant specialty;<br />

or<br />

• Have equivalent experience and competencies.<br />

DESIRABLE (Examples given)<br />

It is desirable that candidates:<br />

• Hold a higher diploma e.g. MRCPsych, Diploma in Mental Health.<br />

ELIGIBILITY<br />

FITNESS TO<br />

PRACTICE<br />

LANGUAGE<br />

SKILLS<br />

• Eligibility to work in the UK.<br />

• Is up to date and fit to practice safely.<br />

• All applicants to have demonstrable skills in written and spoken English that<br />

are adequate to enable effective communication about medical topics with<br />

patients and colleagues which could be demonstrated by one of the following:<br />

That applicants have undertaken undergraduate medical training in English;<br />

OR<br />

Have the following scores in the academic International English Language<br />

Testing System (IELTS) – Overall 7, Speaking 7, Listening 6, Reading 6,<br />

Writing 6.<br />

• However, if applicants believe that they have adequate communication skills<br />

but do not fit into one of the examples they need to provide evidence.<br />

HEALTH<br />

CLINICAL SKILLS<br />

ACADEMIC /<br />

RESEARCH SKILLS<br />

• Meets professional health requirements (in line with GMC Standards/Good<br />

Medical Practice).<br />

• Appropriate knowledge base and ability to apply sound clinical judgement to<br />

problems.<br />

• Demonstrate understanding of the importance of audit and research.<br />

OTHER WORK<br />

RELATED<br />

REQUIREMENTS<br />

• Either a full current driving licence and access to a car or access to a form of<br />

transport which will permit the full requirements of the post to be met.<br />

8

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