Appendix C – Individual placement description

North Western Foundation School

LTHTR Programme

Individual Placement Description

Placement / F1
The department / Elderly Psychiatry
The type of work to expect and learning opportunities / Generic skills in history taking, physical examination, documentation, arrangement and follow up of investigation. Diagnosis of common primary health type diagnoses, infection, hypertension, chest pain etc, involvement in management of long term conditions, diabetes, stroke disease etc. Safe prescribing under supervision. Prioritisation of workload and time management, communication with other specialties and MDT working.
Specialty specific skills in mental state examination, cognitive assessment, assessment of common mental health conditions, delirium, dementia, mood disorder, risk assessment including of self harm.
Patient safety, infection control, nutrition and sensory impairment.
Ethical and legal issues including MHA, MCA, DoLS.
Working with families, carers and community teams. Audit completion and its place in clinical governance.
Supported to attend FY training, local psychiatry training, including journal club, case presentation. Weekly protected supervision time, clinical supervision from ST4/5, CT1-3 and consultants. Development of communication through observed practice, supervision and MDT contribution. Patients with wide range of communication needs.
Information gathering and communication with carers, other professionals and in formal written summaries and letters. Member of full MDT, interaction with community team, primary care, local acute trust. Part of teaching program for all University of Manchester 4th year medical student ‘mind and movement’ module, under supervision and with quality assurance with feedback from seniors and students.
Opportunities to contribute to training of other non medical staff. Limited to primary care aspects and BLS.
GMC regulations prevent full prescribing rights in non acute hospital non residential setting. See Maintaining good medical practice.
Access to both foundation program training and post grad department and that of school of psychiatry.
IT access on unit.
Where the placement is based / Ribbleton Hospital
Clinical Supervisor(s) for the placement / Dr J Knapp + pending recruitment of another consultant.
Main duties of the placement / One of 2 FY1’s with support from 3 SHO/Core trainees, 1 Speciality trainee and 2 consultants. Under supervision provides day to day care for about 50% of the inpatients. Includes physical assessment, mental health assessment, clerking, presentation at MDT, arranging and following up physical investigations, correspondence with primary care and referral to other services.
Typical working pattern in this placement / Typically a short MDT handover meeting each morning, participation in more detailed clinical review and care planning meetings 2 or 3 times per week.
Opportunities available to experience clinic and community work and to sample other psychiatry specialites, but no responsibilities in these areas. 9-5 Mon to Fri. No OOHs. Can time shift to experience general adult on call by shadowing SHO if relevant for their training experience.
Employer information

It is important to note that this description is a typical example of your placement and may be subject to change.