consultant in child & adolescent psychiatry
skye house ADOLESCENT INPATIENT UNIT
Information pack
reF: 32595D
Closing Date: Noon ON 18TH APRIL 2014
www.nhsggc.org.uk/medicaljobs
SUMMARY INFORMATION
Post: consultant in child & adolescent psychiatry
Base: skye house adolescent inpatient unit and intensive treatment team, STOBHILL HOSPITAL.
The recently built 24 bed West of Scotland regional adolescent psychiatry inpatient unit at Skye House, Stobhill Hospital, Glasgow requires a full time Consultant Psychiatrist. The ward has 24 beds for 12 to 17 year olds with severe and complex psychiatric disorders. The post holder will be supported by a full and very stable multidisciplinary team. This post has arisen because the current post holder is retiring soon.
Applicants must have full GMC registration and a licence to Practise. Those trained in the UK should have evidence of higher specialist training leading to CCT in Child and Adolescent Psychiatry or eligibility for specialist registration (CESR) or be within 6 months of confirmed entry from date of Interview. Experience of having worked in tier 4 is essential.
Experience in Paediatrics, General Practice or a Medical Specialty would be a bonus. The Consultant Psychiatrists primary responsibilities will be to take RMO responsibilities for adolescents with severe and complex psychiatric illnesses.
There is a large and supportive body of Child and Adolescent Psychiatrists
in this Health Board with opportunities to engage in Research, Teaching, CPD and the pursuit of special interests.
These services are situated in Glasgow which is a vibrant multicultural city, providing a range of Cultural, Sporting and Outdoor activities. There is easy access to the beautiful Scottish Highlands and Islands and a major international Airport giving direct access to a variety of destinations.
Applications will be welcome from anyone wishing to job share or work part-time.
CONSULTANT CHILD AND ADOLESCENT PSYCHIATRIST
SKYE HOUSE WEST OF SCOTLAND ADOLESCENT INPATIENT UNIT
NHS GREATER GLASGOW AND CLYDE
GENERAL INFORMATION FOR CANDIDATES
1. This information package has been compiled to provide prospective candidates with details of the post and background information about NHS Greater Glasgow and Clyde Specialist Children’s Services.
2. The contents of this package are as follows:-
a. Job Description
b. Terms and Conditions of Service
c. Further Information
1. JOB TITLE
Consultant Child and Adolescent Psychiatrist, Skye House
2. LOCATION
Skye House, Adolescent Inpatient Unit, Stobhill Hospital, Glasgow
3. HOURS OF DUTY
10 PAs
4. GENERAL BACKGROUND
This post has been released by the impending retirement of the current post holder. It is a very interesting post in a regional inpatient service working across the West of Scotland – a large area that has a mixed urban and rural catchment. There are areas of outstanding natural beauty as well as areas of Scotland’s industrial heartland. It should attract someone who is enthusiastic, innovative and who enjoys working in a comprehensive multidisciplinary team.
The West of Scotland Inpatient Service is in a process of very exciting developments following the inpatient service moving to Skye House in February 2009 and Tier 4 Developments across much of the referring catchment area. Skye House is a purpose built 24-bed Adolescent Unit situated at Stobhill Hospital in North-East Glasgow. The inpatient service has been treating adolescents with major and complex mental health disorder for approximately 30 years. This Consultant Psychiatrist post is responsible for approximately 9 - 10 beds.
The well-integrated multi-disciplinary inpatient team works collaboratively and flexibly with services across the West of Scotland to achieve a very high standard of care and regularly meets with Community CAMHS and Intensive Treatment Team staff. The overall philosophy of care is to provide for the assessment, diagnosis and treatment of young people who have severe and complex mental health difficulties using evidence-based practice in the context of the young people’s personal development, family life and continuing education with the aim of preventing chronic illness whenever possible. The clinicians aim to provide the highest standard of care possible by keeping up to date with developments within the field of child and adolescent psychiatry. The inpatient unit is a Regional Specialist Tertiary referral service and usually admits from the area of Commissioning Health Boards – NHSGGC, Ayrshire and Arran, Lanarkshire, Forth Valley and Dumfries and Galloway - admissions can be arranged from other areas on a case by case basis.
The staff aim to provide high quality mental health care for adolescents, meeting the requirements outlined in the following documents:-
1. The Patient’s Charter
2. The Children in Hospital Charter
3. The Children ( Scotland ) Act 1995
4. The Age of Legal Capacity (Scotland) Act 1991
5. The Mental Health (Care and Treatment) (Scotland) Act 2003
6. Other legislation or policy documents as necessary.
The inpatient unit aims to be responsive to the needs of young people presenting with a wide range of mental health disorders, and operates using the admission criteria listed below.
Admission Criteria
¨ Severe psychiatric disorders such as psychoses, major affective disorders, severe eating disorders, complex psychosomatic disorders, and neuropsychiatric disorders, etc
¨ Where the Community or other Tier 3 service is struggling with a complex, diagnostic problem, and IP assessment would seem appropriate
¨ Supporting the admission of other cases as deemed appropriate especially where there is a severe risk of self-harm and/or harm to others secondary to mental health disorders
The following would make admission unlikely
¨ Young people whose sole or major difficulty is a conduct disorder. There is considerable clinical evidence that the needs of such young people are not best met within the setting of a unit whose primary function is to care for young people suffering from mental illness.
¨ The unit is also unable routinely to meet the needs of young people with moderate to severe learning disabilities although these may be considered on a case by case basis.
¨ The unit does not provide specific treatment for young people whose main problem is drug or alcohol abuse. The unit does however provide care for young people with a history of substance misuse and concurrent psychiatric disorder e.g. drug misuse associated with a psychotic illness.
¨ Young people who require an admission to a Forensic Adolescent Unit. The unit is an open unit (i.e. non-secure setting) and as such, cannot cater for seriously ill adolescents who continue to pose a major risk to adolescents and/or staff.
The team are able to offer a wide range of treatments including various group and individual therapies and family therapy. The Unit has excellent links with paediatrics services including neurology and is able to easily access a full range of investigative facilities. There are also close links with the community adolescent mental health teams and the University Department of Child and Adolescent Psychiatry. There is an active academic programme and good academic links with other centres.
5. GENERAL DESCRIPTION OF THE TEAM
The multi-disciplinary team is consultant let and comprises 2.5 wte consultant psychiatrists: Dr Anne-Marie Discombe; this post, and 0.5 wte vacancy currently being recruited, with Alex Fleming as Service Manager and Jacqueline Hardie as Senior Charge Nurse. The Unit staffing also includes middle grade doctors and the disciplines of nursing, occupational therapy, clinical psychology, dietetics, speech and language therapy, family therapy and sessional input from other professionals. The inpatient unit is approved for placement for doctors in training: ST4-6s in Child and Adolescent Psychiatry and CT1-3 in Psychiatry. The post holder would be welcome to apply to the West of Scotland Deanery for approval as an educational supervisor. There is a well-staffed school providing comprehensive educational opportunities and liaison with community schools. A part time social worker completes the team.
6. TEAM MEMBERSHIP
Medical Staff in the Adolescent Unit
Consultant Psychiatrist 1 wte
Consultant Psychiatrist 1 wte
Consultant Psychiatrist 0.5 wte inpatient with 0.5wte for intensive treatment.
Associate Specialist 0.6 wte
Speciality Doctor 0.55 wte
Speciality Doctor 0.5wte
Speciality Doctor 1 wte vacancy
Usually one or two ST 4-6 CAMHS trainees will also be placed in the Unit and attached to the Consultant Psychiatrist in the Unit who are Educational Supervisors.
7. NHSGGC CAMHS
NHS Greater Glasgow and Clyde was created in 2006 by the amalgamation of the whole of NHS Greater Glasgow (GG) and part of NHS Argyll and Clyde. As a result of significant investment and expansion a number of health board-wide services were developed in response to identified needs of several groups of children and young people who were not well served by the existing arrangements. These services were focused on children and young people with mental health problems –
1. who also had a learning disability (LD-CAMHS);
2. who were also involved in serious offending (Forensic or F-CAMHS);
3. who were also looked after and accommodated (LAACMH team);
4. who required intensive home treatment.
5. who required support from the Self Harm Team.
Consultant Psychiatrists within NHSGGC CAMHS
Community Teams:
No of Consultants (headcount) / Location / Total WTE3 / East Glasgow CHP (Bridgeton) / 2.3
3 / South Glasgow CHP (Gorbals) / 2.1
2 / North Glasgow CHP (Gorbals) / 1.3
2 / West Glasgow CHP (West Centre) / 1.4
2 / Renfrewshire CHCP / 1.44
1 / Inverclyde CHP / 1
1 / West Dunbartonshire CHP / 0.8
City/Board/Area/Country Wide Teams:
No of Consultants (headcount) / Locations / Total WTE1 / LD-CAMHS (Templeton) / 1
2 / Paediatric Liaison Team (RHSC) / 1.4
2 / Child Inpatient Team (Caledonia House, RHSC) / 1.35
3 / Adolescent Inpatient Team (Skye House, Stobhill) / 2.45
2 / Academic Team (Caledonia House, RHSC)
Services within NHS GGC CAMHS:
Service / LocationEast Glasgow CAMHS / Kerr St, Bridgeton
West Glasgow CAMHS / Knightswood Clinic, Knightswood Road
South Glasgow / Southbank and Twomax, Gorbals
North Glasgow CAMHS / Possilpark Health Centre
Renfrewshire CAMHS / Aranthrue Centre, Renfrew
Inverclyde CAMHS / Larkfield Centre, Greenock
West Dunbartonshire CAMHS / Acorn Centre, Vale of Leven Hospital
Tier 4 CAMHS / Ferguson Smith Building, RHSC
Paediatric Liaison Team / Ward 5b, RHSC
National Children’s Psychiatric Unit / Caledonia House, RHSC
Scottish Centre for Autism / Caledonia House, RHSC
West of Scotland Regional Adolescent Inpatient Unit / Skye House, Stobhill Hospital
University of Glasgow Child and
Adolescent Psychiatry Team / Caledonia House, RHSC
Eating Disorder Service (CONNECT ED) / Templeton Business Centre, Bridgeton
Multi-Dimensional Treatment Foster Care / Templeton Business Centre, Bridgeton
HITS Intensive Treatment Service / Skye House Stobhill Hospital
8. Line Management
Specialist Children’s Services (SCS) are managed by the North East Glasgow Sector of Glasgow CHP, of which the current Director is Mr Mark Feinmann. The Head of Specialist Children’s Services (SCS) (currently Mr Stephen McLeod) has the lead in planning, developing and managing CAMHS services across NHSGGC. He is supported by service managers including Mr Alex Fleming for the Homebased Intensive Treatment Service.
Management accountability is via the Service Manager through Lead Consultants to the Clinical Director for CAMHS.
The Clinical Director for CAMHS in NHSGGC is Julie Metcalfe. She is supported by three Lead Consultant Child and Adolescent Psychiatrists, on behalf of the NHSGGC Medical Director. One of the three Lead Consultants will provide support and management in relation to job planning to the post holder. Dr Michael Smith is the Lead Associate Medical Director for Mental Health in NHS Greater Glasgow and Clyde.
Clinical governance arrangements are channelled, via a clinical governance executive group, to the NHSGGC CAMHS Clinical Director on behalf of the Director of North East Glasgow CHP sector.
The post holder will be a member of the Greater Glasgow and Clyde Division of Child and Adolescent Psychiatry which offers professional advice to managers across the organisation.
Annual leave and study leave will be covered by Consultant colleagues in CAMHS
Organisational Chart
9. Clinical duties of the Post
The post is full-time 10 Programmed Activities per week (It is planned that the post will be configured as 9 PAs of Direct Clinical care and 1PA for Supporting Professional Activities) based at Skye House Adolescent Unit.
This post carries clinical responsibility (RMO) for the delivery of in-patient services to adolescents and their families referred by Tier 3 Teams from across The West of Scotland Health Boards (and other referrers where indicated by need). The Commissioning Consortium consists of Greater Glasgow and Clyde, Lanarkshire, Forth Valley, Ayrshire and Arran, and Dumfries and Galloway. The work includes liaising with referrers, prioritising admissions, leading the care of patients and working with the Tier 3 and 4 referring teams. There will be liaison with other agencies involved with the mental health needs of patients. The Consultant Psychiatrist will provide medical leadership within the team with regard to delivering the service required and using the team’s resources in an effective and efficient manner. The new Consultant will participate in the Unit’s Senior Staff/Operational Management Meetings as well as any strategy groups that address the administrative running and forward planning of the Service.
10. General consultant Duties regarding the entire post
Medical Legal Responsibilities
The post holder will be an Approved Medical Practitioner according to the terms of the Mental Health (Care and Treatment) (Scotland) Act (2003) and will be expected to be familiar with and practice according to all legislation pertaining to Children and Adolescents. The Post Holder will be expected to respond to requests for psychiatric assessments from the Courts and Reporters to the Children’s Hearing and from Solicitors requesting reports on the Clinician’s open case-load.