OXFORD DEANERY SPECIALTY TRAINING PROGRAMME IN PSYCHOTHERAPY YEARS 4-6
About Oxford Deanery
The Oxford Deanery covers the counties of Oxfordshire, Berkshire and Buckinghamshire, with Banbury and Milton Keynes in the North, to Reading and Slough in Berkshire and High Wycombe and Aylesbury in the West.
The Oxford Deanery is part of NHS South of England which comprises South Central, South West and South East Coast Strategic Health Authorities. The Oxford Deanery is responsible for the training of some 1500 trainees.
The Oxford Deanery is a relatively small deanery with a defined geographical area which serves as a single unit of application. In the majority of cases successful candidates will be asked to preference their choice of location for either one or two years. Some programmes will require successful candidates to indicate a location and specialty. Future placements will usually be based on individual training and educational needs. Please note that applications are to the Oxford Deanery as a whole. This may mean that you may be allocated to any geographic location within the Oxford Deanery depending on training needs.
The Psychotherapy Training Programme
The Psychotherapy training programme is a 3 year programme, starting at ST4. During this time, the trainee's work will be monitored for satisfactory progress and subject to annual reviews in the form of ARCPs. Progression on the programme will be dependent upon these reviews.
Clinical care will be delivered at a range of sites requiring trainees to travel effectively and efficiently to, for example: Trust sites, patient’s homes, police stations, clinics and other associated sites. Travel costs from base location to other sites will only be reimbursed for business mileage (valid insured drivers/vehicles) and journeys using all forms of public transport (including taxis) will be reimbursed at the public transport rate.
The posts on this rotation have been approved for Specialist Training by the Royal College of Psychiatrists. The posts attract National Training Numbers and provide training towards a Certificate of Completion of Training (CCT).
The Postgraduate Dean has confirmed that this post has the necessary educational and staffing approvals.
The programme is based in several different Trusts throughout the Oxford Deanery so trainees may find themselves employed by any of the following Trusts and placed in any of the following hospitals/sites:
THE EMPLOYING TRUSTS
Oxfordshire & Buckinghamshire Mental Health NHS Foundation Trust
http://www.obmh.nhs.uk/
Oxfordshire and Buckinghamshire Mental Health Partnership has five Clinical Directorates, for Child and Adolescent Psychiatry, Adult Psychiatry, Psychiatry of Old Age, Forensic Psychiatry and Specialist Services. The Psychological Therapies Service is managed within the Specialist Services Directorate for both counties.
The Psychological Therapies Service comprises the Psychotherapy Departments, the Isis Centre counselling service in Oxford, the Complex Needs (Personality disorder) Services, and the adult divisions of Clinical Psychology. The strategic policy of the Trust is to develop a comprehensive and integrated psychological treatments service for the people of Oxfordshire and Buckinghamshire – the structures are currently being reviewed.
In line with other Mental Health services in Oxfordshire, psychotherapy services are partially decentralised in order to provide services to / within sectorised community mental health teams and primary care teams. Specialised treatment and training activities continue at centralised bases, the Psychotherapy Departments at the Warneford Hospital in Oxford and the Tindal Centre in Aylesbury; but the Department's staff also undertake consultative, therapeutic and supervisory work in the community. The specialist trainee will be expected to work in both central and community settings, and to contribute to the full range of the Department's activities.
The Warneford Hospital is a small psychiatric hospital situated in pleasant grounds one mile to the east of the centre of Oxford, close to other major hospital sites. At present, in-patient facilities at the Warneford include three acute wards, a psychogeriatric ward, and a specialist unit for Adolescent Psychiatry. An in-patient eating disorders unit, with supporting day programme and out-patient service, opened in 2003. The Oxford University Department of Psychiatry is situated on the Warneford site, and forms an important base for teaching, training and research activities for the University and the Health Service. The Warneford Library holds a stock of psychotherapy texts and several journals, and has developed electronic access. Trainees will also have access to library facilities at the John Radcliffe Hospital, and to the Bodleian and Radcliffe Science Libraries in Oxford University.
BERKSHIRE HEALTHCARE NHS TRUST
http://www.berkshirehealthcare.nhs.uk/
Berkshire Healthcare NHS Trust was formed on 1 April 2001. It is responsible for delivering mental health and learning disability services in the towns of Ascot, Bracknell, Maidenhead, Slough, Windsor, Reading, Henley, Newbury, Wokingham, Hungerford and the surrounding areas. The in-patient base is currently at Prospect Park Hospital in Reading, Wexham Park Hospital in Slough and Heatherwood Hospital in Ascot.
Psychotherapy in West Berkshire has been based in Winterbourne House since 1995. This purpose-converted building in a residential area of Reading, about a mile from the town centre, functions as a self-contained department but has a policy of establishing psychodynamic psychotherapy as an integral part of mental health services. In Newbury and Wokingham CMHTs, small dynamic psychotherapy services operate in collaboration with Winterbourne House.
Winterbourne House is organised as a coordinated service with intensive (therapeutic community) and out-patient treatments. The non-medical staff team includes adult psychotherapists with multi-professional backgrounds and trainings in various therapeutic models. Staff divide their time between working in out-patients and the therapeutic community, and patients can move between the two services according to their needs. The service runs a comprehensive quality control and audit programme. Research is actively encouraged.
In the east of the county, psychotherapy is based in accommodation at both Wexham Park and Heatherwood Hospitals. These are both district general hospitals, Wexham Park is situated a few miles north of Slough in pleasant grounds with excellent postgraduate facilities. Heatherwood is a smaller DGH close to Ascot town centre. It is the base for a substantial mental health service and also the location of the psychotherapy office.
Rotation Information
Specialist trainees undertake a training programme of three year’s duration which, subject to satisfactory annual assessments, leads to the award of a Certificate of Completion of Training (CCT) in Psychotherapy by the Postgraduate Medical Education & Training Board (PMETB). They are then eligible to be recorded in the Medical Register as specialists in psychotherapy, and apply for specialist posts as a "Consultant Psychotherapist" or "Consultant Psychiatrist in Psychotherapy" in the NHS.
The Oxford Deanery programme offers training in psychological therapies which is tailored to the contemporary needs of the NHS. The programme is broadly psychodynamic in its approach, but there is a strong emphasis on NHS services needing to offer a variety of therapies in a broad range of settings and formats. There are good training opportunities in cognitive, behavioural, systemic and other therapies, taught in a way which integrates them into the overall scheme.
There are currently three whole-time ST placements on the scheme in the Oxford Deanery, located at the three training bases in Oxford, Aylesbury and Ascot. In the Oxford and Buckinghamshire placements, employment is with Oxfordshire & Buckinghamshire Mental Health NHS Foundation Trust (OBMH), and in the Ascot placement, with the Berkshire Healthcare NHS Foundation Trust (BHFT). There is normally one ST based in Oxford, one in Aylesbury and one in Ascot, and trainees can move between the two bases to accommodate training needs. Such moves do not take place annually as part of a rotation, but are organised individually. Trainees can also spend parts of their week in different services around the Deanery to gain specialist experience, with agreement of the educational supervisor and programme director.
The medical peer group includes flexible trainees, for whom the training is well adapted and a forensic psychotherapy trainee. There is also a non-medical peer group of NHS psychotherapy trainees from different services, who participate in parts of the academic seminar programme.
The training programme has full approval from the Higher Psychiatric Training Committee, and the most recent approval visit by the Psychotherapy Specialist Advisory Committee (PTSAC) of the Royal College of Psychiatrists was in May 2005.
Trainees are each allocated an educational supervisor, with whom they meet weekly to plan details of the programme. The designated organiser (Programme Director) of the scheme is Dr Bill Lang. The trainee, educational supervisor and programme director liaise and meet periodically to ensure that educational objectives are being met. The most formal of these meetings is an annual review of competence progression (ARCP) which is a required part of progression to CCT. There is a training committee, which includes the educational supervisors (currently Dr Mel Bowden, Dr Phil Davison, Dr Bill Lang, Dr Chris Newrith, Dr. Stella Newrith, Dr Steve Pearce, Dr Gerti Stegen) other trainers (Dr Gwen Adshead, Dr Farouk Okhai, Mr Philip Roys) and a trainee representative.
CONSULTANT PSYCHIATRISTS IN PSYCHOTHERAPY IN THE OXFORD DEANERY
1. OXFORD
Dr Melanie Bowden / Consultant Psychiatrist in Psychotherapy, UKCP (Southern Counties Psychotherapy)Dr Steve Pearce / Consultant Psychiatrist in Psychotherapy; Honorary Senior Clinical Lecturer in Psychotherapy, University of Oxford; Member of the Institute of Group
Analysis
Dr Gerti Stegen / Consultant Psychiatrist in Psychotherapy, UKCP (Southern Counties Psychotherapy)
2. BUCKINGHAMSHIRE; HIGH WYCOMBE and AYLESBURY
Dr Chris Newrith / Consultant Psychiatrist in Psychotherapy, UKCP (Southern Counties Psychotherapy)Dr Stella Newrith / Consultant Psychiatrist in Psychotherapy, UKCP (Southern Counties Psychotherapy)
3. BERKSHIRE; READING, ASCOT & SLOUGH
Dr Bill Lang / Consultant Psychiatrist in Psychotherapy, Institute of Psychoanalysis TrainingDr Rex Haigh / Consultant Psychiatrist in Psychotherapy
4. MILTON KEYNES, NORTH BUCKINGHAMSHIRE
Dr Farouk Okhai / Consultant PsychotherapistTrainees should be able to travel effectively and efficiently to all Trust and associated sites for work purposes.
Training Opportunities
1. OXFORDSHIRE
1.1 Psychotherapy Department, Oxford
Consultant Psychiatrists in Psychotherapy: Dr Melanie Bowden; Dr Gerti Stegen.
The Warneford Hospital is the main clinical and training base in Oxford for psychotherapy specialist trainees, and also offers placements for specialist trainees in Adult Psychiatry and SHOs from the Deanery Training Scheme in Psychiatry. The medical staff of the Department work in conjunction with non-medical specialists in psychotherapy to provide a broad range of out-patient psychotherapeutic treatments:
· Short- and long-term individual dynamic psychotherapy
· Cognitive analytic therapy
· Cognitive behavioural therapy
· Group analytic therapy
· Psychodrama
· Systemic family therapy
The department also provides substantial teaching and training activities for medical students, trainees and career grade staff in psychiatry and other mental health professions, and offers a consultative service to colleagues in psychiatry, general practice and other disciplines. Much of the clinical work of the Department is carried out, under supervision, by trainees.
1.2 Complex Needs Service, Oxford
Programme Director/Consultant Psychiatrist in Psychotherapy: Dr Steve Pearce
A pilot day treatment service for patients with severe personality disorder was opened in 2003, with a multidisciplinary staff team from the Psychotherapy Department, wards and CMHTs. In 2004 the Trust was funded to develop (in conjunction with other agencies and developments across the Thames Valley) a full multi-tiered personality disorder service comprising a 5 day per week therapeutic community day programme, a number of intensive out-patient satellite services in market towns in the county, and a assertive engagement community service. There is also an education and training resource for the Thames Valley. Psychotherapy STs will be expected to obtain training experience with Dr Pearce in this service.
Service information: www.tva2i.net and www.psox.org/ocns
1.3 Isis Centre Oxford
Director: Mr Philip Roys
The Isis Centre is a psychodynamic counselling service which operates from shop-front premises in central Oxford. Its staff offer individual, couple and group therapies and also undertake a broad range of consultative and supervisory work with NHS and other agencies. The Isis Centre has developed strong links with counsellors in general practice settings, and runs a Diploma Course in Psychodynamic Supervision with Oxford University. The Centre is directly involved in the management of three primary care counselling and psychology services for several areas of Oxfordshire, and a service for postgraduate medical trainees for the Oxford Deanery. It also supports innovative programmes for counselling at a Surestart project in a deprived area of East Oxford, and a black / ethnic minority development programme.
1.4 Oxford University Student Counselling Service
Head of Counselling: Ms Elsa BellConsultant Psychiatrist: Dr Phil Davison
SpRs have access to training placements at this student counselling service, which offers both psychodynamic and cognitive behavioural counselling / therapy in a Higher Education setting.
1.5 Oxford Adult Eating Disorders Service
Consultant Psychiatrist: Dr Rebecca Park
Training opportunities are available to STs in this service, which provides out patient, day and in patient treatment programmes which include CBT and systemic family therapy.
2. BERKSHIRE
2.1 Psychotherapy Dept. Heatherwood Hospital
Consultant Psychiatrist in Psychotherapy: Dr Bill Lang
There is an active psychodynamic psychotherapy service based in Heatherwood and Wexham Park Hospitals. It provides a range of psychodynamic consultation and treatment, including CAT, medium and long term therapies and group therapy. It is closely integrated with mental health services in taking tertiary referrals, and aiming to respond flexibly to service needs. The service is one of the hosts for the Southern Counties Psychotherapy Masters Training Programme (linked to Newman College). . A well-established multidisciplinary training programme (for SHOs and others) is held at Church Hill House, Bracknell, and specialist trainees can participate in organising this.
2.2 Out-patient Service, Winterbourne House
This is a service which takes referrals from GPs, psychiatrists, community mental health teams, practice counsellors and other professionals. Patients are assessed and treated by the permanent staff or trainees. A large proportion of the treatment is in groups: analytic, creative arts, transactional analysis, psychodrama. Short- and long-term individual therapy is also undertaken, supervised in psychodynamic and other approaches. Satellite clinics are run in the West Berkshire community mental health teams