HEALTH EDUCATION THAMES VALLEY - SPECIALTY TRAINING PROGRAMME IN GENERAL ADULT AND OLD AGE PSYCHIATRY
About Health Education Thames Valley
We are the Local Education and Training Board (LETB) for Thames Valley covering Berkshire, Buckinghamshire and Oxfordshire. Our vision is to ensure the delivery of effective workforce planning and excellent education and training to develop a highly capable, flexible and motivated workforce that delivers improvements in health for the population of Thames Valley. Thames Valley LETB is responsible for the training of around 2000 Foundation and Specialty trainees.
Health Education Thames Valley is a relatively small organisation 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 Health Education Thames Valley as a whole. This may mean that you may be allocated to any geographic location within the deanery depending on training needs.
The General Adult and Old Age Psychiatry Training Programme (Advanced)
The General Adult and Old Age Psychiatry 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 review of competence progression (ARCP). Progression on the programme will be dependent upon these reviews.
The posts on this rotation have been approved for Specialist Training by the Royal College of Psychiatry. The posts attract National Training Numbers and provide training towards a single Certificate of Completion of Training (CCT) in General adult or Old age psychiatry.
The Postgraduate Dean has confirmed that this post has the necessary educational and staffing approvals.
Single CCT
Posts attract National Training Numbers and provide training towards a single Certificate of Completion of Training (CCT) in General Adult or Old Age psychiatry.
Dual CCT
From August 2013 we will also offer, from time to time, a small number of dual training positions which will lead to a CCT in both General Adult and Old Age Psychiatry. Trainees will be managed in the same way as their single specialty colleagues and the training posts will be from the same pool of posts in the programme.
Dual programmes in general psychiatry & old age psychiatry must consist of:
2 years in designated Old Age Psychiatry posts and 2 years in General Psychiatry posts. Currently trainees wishing to pursue dual training in this programme can either spend the first 2 years in Old Age Psychiatry followed by 2 years in General Psychiatry or in alternate years in General Adult and Old Age Psychiatry. One year of the GA training may be in any of the GMC-approved GA sub-specialty posts ie. Substance Misuse, Liaison Psychiatry or Rehabilitation Psychiatry. Trainees must complete the competencies for both CCTs.
Training providers
There are 2 different Trusts providing training posts in this programme within Health Education Thames Valley. Trainees may find themselves employed by any of the following Trusts and placed in any of the following hospitals:
Trust / Hospitals and LocationsOxford Health NHS Foundation Trust / Warneford Hospital Oxford
Oxford Health NHS Foundation Trust / Littlemore Hospital Oxford
Oxford Health NHS Foundation Trust / Fulbrook Centre, Churchill Hospital site, Oxford
Oxford Health NHS Foundation Trust / Whiteleaf Centre, Aylesbury, Buckinghamshire
Oxford Health NHS Foundation Trust / The Fiennes Centre, Banbury
Oxford Health NHS Foundation Trust / Marlborough House, Milton Keynes
Oxford Health NHS Foundation Trust / John Hampden Unit, Stoke Mandeville Hospital site, Aylesbury
Oxford Health NHS Foundation Trust / Valley Centre High Wycombe Addictions service Bucks (SCAS)
Oxford University Hospital NHS Foundation Trust / John Radcliffe Hospital, Oxford
Berkshire Healthcare NHS Foundation Trust / Prospect Park Hospital Reading
Berkshire Healthcare NHS Foundation Trust / Wexham Park Hospital Slough
Berkshire Healthcare NHS Foundation Trust / Heatherwood Hospital Ascot
Distribution of Workplace based learning posts across Trusts
The programme is committed to the principles of workplace based learning and assessment. Workplace based learning opportunities are provided that adhere to the Royal College’s post-graduate training curriculum. These opportunities aim to provide trainees with competency specific learning outcomes addressed to their individual needs.
The overall distribution of the workplace base learning posts across each Trust is as follows:
- Oxfordshire & Buckinghamshire18
- Berkshire 7
Training Opportunities across the ST4-6 General Adult and Old Age Psychiatry Programme
The programme provides workplace based training opportunities across posts in General Adult and Old Age psychiatry as well as related Specialties and Sub-specialties. There may be the opportunity to spend time OOP to do a half time or full time research post on the programme but Trainees will need to apply prospectively for approval. Opportunities to liaise with the Oxford University Department of Psychiatry to pursue research interests and a wide range of special interest sessions which will be closely evaluated throughout the region.
- General Adult Psychiatry19
- Old Age Psychiatry 8
- Forensic 2
- Psychotherapy 1
- Liaison Psychiatry 2
- Rehabilitation 1
- Early Intervention 2
ACF posts
There are ACF posts and ACL posts, linked academically to the Department of Psychiatry (University of Oxford).
Job Descriptions and Educational Supervisors
Details of individual posts and the linked educational supervisors are provided on the Trust websites. (see Table below for current list)
Programme personnel
Programme Director
Susan Shaw
Associate Director:
Andrew Molodynski
Training Programme Administrator at HETV:
Jan Harris
Table: Posts available
Specialty / Location / Clinical SupervisorOxfordshire
General adult / Warneford, Oxford / Susan Shaw
General adult / Warneford, Oxford / Denis O’Leary
General adult / Warneford / Simon Hampson
General adult / Warneford / Phil Davison
General adult / Warneford / Rob Bale
General adult / Warneford / Rob Chaplin
General adult / Warneford / Peter Sargent
General adult / Warneford / Digby Quested
General adult / Warneford / Olga Tsatalou
General adult / Warneford / A Molodynski
General adult / Warneford / Julie Chalmers
Old Age / Fulbrook, Churchill / Lilian Hickey
Old Age / Fulbrook, Churchill / Philip Wilkinson
Forensic / Littlemore, Oxford / Vivek Khosla
Early Intervention / Warneford / Janet Patterson
Psychotherapy / Warneford / Mel Bowden
Liaison psychiatry / John Radcliffe, Oxford / Zehanah Izmeth
Buckinghamshire
General adult / Haleacre Amersham, Bucks / Rajiv Sharma
General adult / Whiteleaf Centre Aylesbury,Bucks / Sue Thomas
General adult / Whiteleaf Centre Aylesbury,Bucks / John Baruch
Old Age / Whiteleaf Centre Aylesbury,Bucks / Brian Murray
Old Age / Stoke Mandeville Hospital, Aylesbury / Rohan Van der Putt
Rehabilitation/AOT / Whiteleaf Centre Aylesbury,Bucks / Karen Dauncey
EIP/GA / Whiteleaf CentreAylesbury,Bucks / Jo Richards
Forensic psychiatry / Milton Keynes / Sri Thirumalai
Berkshire
General adult / Prospect Park Hospital Slough / Liz Clifford
Old Age / Nicholson House, Maidenhead/ Prospect Park Hospital / Carolyn Eastwood
Old Age / Newbury community/ Prospect Park Hospital / Matt Evans
General adult / Slough community/ Prospect Park Hospital / Javaid Sultan
General adult / Reading community/Prospect Park Hospital / Farooq Ahmad
General adult / Newbury community/ Prospect Park Hospital / Farzana Abid
General adult / Churchill House,Bracknell community/ Prospect Park Hospital / Sohan Derasari
General Adult / Old Forge Wokingham community/Prospect Park Hospital / Garyfallia Fountoulaki
Old Age / Wokingham community /Prospect Park Hospital / Jackie Hussey
Old Age / Reading community/Prospect Park Hospital / Jules Mason
Liaison/Old Age / Prospect Park/Royal Berkshire Hospital Reading / Luke Solomons
Liaison/Old Age/GA / Prospect Park/Royal Berkshire Hospital Reading / Luke Solomons
Trust Information: Oxford Health NHS Foundation Trust
Oxford Health provides mental health and community services across Oxfordshire, Buckinghamshire, ,Swindon, Bath and North East Somerset and Wiltshire. The Thames Valley Forensic Mental Health Service based in Oxford provides a forensic service to Oxford, Bucks and Berkshire and Milton Keynes. Trainees on the programme may work at any of the following hospital sites but in addition community services are delivered from a number of community sites and bases, not listed here:
Littlemore Mental Health Centre, Oxford
This is the site of one male 22 bedded general psychiatric ward (Phoenix ward), the Intensive psychiatric care unit (Ashurst ward) and is also the site for the various forensic services. A number of inpatient services are provided in separate units i.e. Oxford Clinic (medium secure), Wenric House (low secure), Thames House (a service for women) and Lambourn House, pre-discharge unit. There are opportunities for general adult trainees to spend special interest sessions or a year in the forensic service. There is a separate rotational higher training scheme in forensic psychiatry.
Warneford Hospital, Oxford
A general psychiatric hospital with 3 acute admission wards. It is also the site of the Early intervention service, an out-patient department, a day hospital and an occupational therapy department. There is an excellent library, the Clinical Psychology Department, the Psychological therapies Department and the Highfield Family & Adolescent Unit are on site. The university department is on this site as well as a number of research facilities.
The Fulbrook Centre, Churchill Hospital, Oxford
A general hospital with two in-patient assessment and treatment units for older adults
The Fiennes Centre, Banbury
A 17 bedded inpatient assessment and treatment unit for older adults
Malborough House, Milton Keynes
A medium secure forensic unit.
Whiteleaf Centre, Aylesbury
This is a brand new general psychiatric unit which has recently opened with two acute single sex wards, (Ruby and Sapphire wards) and one older adult mixed ward
(Amber). A rehabilitation ward is also due to open there later on in 2014. Psychotherapy and eating disorder services are also present as are some older adult and general adult CMHT’s.
A liaison service is provided to Stoke Mandeville Hospital which includes the National Spinal Injuries Centre.
John Hampden Unit, Aylesbury
A progressive, well-established, community-oriented department of old-age psychiatry, serving Aylesbury Vale and West Hertfordshire and located on the Stoke Mandeville Hospital site. It is committed to a flexible approach to the assessment and management of patients over 65 years of age with mental health difficulties, and offers wide-ranging therapeutic opportunities. There are close links with the physicians and surgeons at Stoke Mandeville Hospital, which are mutually valued.
Trust information: Berkshire Healthcare NHS Foundation Trust
Berkshire Healthcare NHS Foundation Trust provides mental health and community services to all ages across Berkshire. Services are organized across 6 localities alongside the unitary authorities (Reading, Wokingham, Newbury, Slough, Windsor and Maidenhead and Bracknell). Having redesigned mental health services in 2011 under a programme of Next Generation Care, the trust is currently undergoing a programme over the next 2 years to move mental health inpatient services from Heatherwood and Wexham Park Hospitals to purpose-built Prospect Park Hospital in Reading. In addition to services being organized around the localities, the re-design resulted in a single access service for the county (Common Point of Entry 8am-8pm), a service for acute care (Urgent Care Services inpatient and home treatment East and West 24/7) and local community teams (Care Pathways). Trainees on the programme may work at any of the following hospital sites but in addition community services are delivered from a number of community sites and bases, not listed here.
Heatherwood Hospital
A general hospital in East Berkshire. Also site of mental heath services for Windsor Ascot and Maidenhead which are provided on ward 12, an adult 25 bedded inpatient unit, mother and baby and eating disorders unit. Ward 12 will move to Prospect Park Hospital in summer 2013.
Wexham Park Hospital
A general hospital in Slough, East Berkshire. Inpatient mental health adult services provided on ward 10 which will be moving in Spring 2013 to Prospect Park Hospital.
St Mark’s Hospital Maidenhead
Inpatient services for older adults for Slough and Maidenhead (Charles Ward). This will move to Prospect Park Hospital in 2014.
Prospect Park Hospital, Reading
Prospect Park Hospital is a purpose built general psychiatric hospital, opened in 2003, that provides in-patient services for the West Berkshire population of approximately 550,000, and a Learning Disability short term assessment and treatment service (Campion) and a PICU (Sorrell) for the whole of Berkshire. There are outpatient facilities on site and it is also the site of the Reading Care Pathways team, and the Urgent Care West hub and the ECT suite. It has excellent training, office and library facilities and also the offices for the Medical Education Administrator and Director of Medical Education.
Royal Berkshire Hospital Reading
The RBH is one of the largest general hospital foundation trusts in the country providing acute medical and surgical services to the west of Berkshire and specialist service to the county. The BHFT urgent care and liaison services provide mental health care to the RBH and a trainee choosing to train in Liaison psychiatry will have an honorary contract enabling them work in this setting.
Teaching
In both Trusts there are well established weekly academic programmes attended by trainees and medical staff, in protected time. There are many additional opportunities to attend other postgraduate meetings in the University Department in Oxford. Both Trusts have excellent training departments with opportunities to participate in multi-professional training. There are opportunities to train in various psychological therapies under supervision.
Duties of Post
Clinical duties
The clinical duties in each post will vary according to the type of service being delivered by the consultant but across the whole programme a wide range of clinical experience is available. The out of hours service provision is being reviewed in both Trusts and the opportunity to be on an on-call rota varies between trusts and may change.
Management and administrative skills
There are opportunities both in each post and across the programme. There are opportunities to represent the junior staff on several committees at Trust and Deanery level. The Oxford Deanery is committed to providing management training for specialist trainees in the course of their rotations.
Teaching others
There are opportunities to teach medical students from Oxford and Southampton medical schools, foundation and core trainees from the Oxford deanery, and other professionals in multi-professional settings.
Higher Education training .
There are opportunities to pursue postgraduate training/qualifications in clinical education. In recent rotations trainees have successfully completed an MA in Education. The programme also offers a 12 month Clinical Education Fellow post under the academic supervision of Dr O’Leary. During this year the trainee will register for a Postgraduate Diploma in Higher Education at the Oxford Learning Institute and work to develop a portfolio of teaching and educational development or research in association with the Oxford School of Psychiatry and the Oxford University Dept of Psychiatry. 50% of the post will remain clinical during which the trainee will be expected to achieve the same competencies for annual progression as their clinical trainee colleagues.
Research and audit
There will be widespread opportunities to meet audit and research competencies. The Programme has close links with the University of Oxford Department of Psychiatry based at Warneford Hospital in Oxford. The University Department has wide research interests and a number of NHS consultants are honorary clinical lecturers who are active in research. As well as promoting world class research by 21 research groups the department has close links with clinical services and training programmes. Many trainees wishing to pursue academic psychiatry and research have taken time out of programme to pursue this successfully. Currently the psychiatry programmes also includes ACF and ACL trainees who apply through a different route but who rotate alongside their clinical trainee colleagues to ensure clinical competencies are achieved in the same way.
In Berkshire there are links to Reading University, including the Charlie Waller Institute of Evidence-Based Psychological Treatment. The Trust is part of the Mental health Research Network (MHRN) and has an active research portfolio. Training and guidance for new researchers can be provided by the R&D department and trainees are actively encouraged to participate in research. There are 2 consultant research leads from whom trainees can also receive advice.
Main Conditions of Service
Appointments to this programme are subject to the Terms and Conditions of Service (TCS) for Hospital Medical and Dental Staff (England and Wales). In addition appointments are subject to:
- Applicants having the right to work and be a doctor or dentist in training in the UK
- Registration with the General Medical Council
- Pre-employment checks carried out by the Trust HR department in line with the NHS employment check standards, including CRB checks and occupational health clearance.
The employing Trust’s offer of employment is expected to be on the following nationally agreed terms:
Hours – The working hours for junior doctors in training are now 48-hours (or 52-hours if working on a derogated rota) averaged over 26 weeks (six months). Doctors in training also have an individual right to opt-out if they choose to do so, but they cannot opt-out of rest break or leave requirements. However, the contracts for doctors in training make clear that overall hours must not exceed 56 hours in a week (New Deal Contract requirements) across all their employments and any locum work they do.