consultant IN OLD AGE PSYCHIATRY
dumbarton joint hospital
Information pack
reF: 50699D
Closing Date:31st march 2018
SUMMARY INFORMATION
Post: cONSULTANT IN old age psychiatry (10Pas)
Base: dUMBARTON jOINT hOSPITAL
This is an exciting and well established Older Adults Service in West Dunbartonshire HSCP. Within West Dunbartonshire HSCP, there are 2 Older Adults services; Clydebank and Dumbarton. The post holder will be responsible for the service based in Dumbarton, with an approximate population of 11,000 older people.
The post holder will have Inpatient, Older Adults Liaison and Community responsibilities. The inpatient unit is based at the Vale of Leven Hospital and comprises a 12 bedded dementia assessment ward and a 6 bedded functional ward. The post holder will be responsible for Older Adults Psychiatric Liaison at the Vale of Leven Hospital howeverthe majority of all assessments are undertaken by the Specialty Grade Psychiatrist. The post holder will be supported by a highly skilled and confident Older Adults Community Mental Health Team (OA-CMHT) and Care Home Liaison CPN who will undertake the majority of initial assessments. There is also a well established OA-CMHT duty system for emergencies and urgent assessments.
The appointee will be expected to be anApproved Medical Practitionerand to carry out work under the Mental Health Act and Adults with Incapacity Act.
This post is a full time post comprising 10 sessions, of which 9 are for clinical work and 1for supporting professional activities. The appointee will join the on call rota for mental health services for North West Glasgow area of the health board. The on call frequency is 1:30, with a 3% availability supplement payable.
Applicants must have full GMC registration, a licence to practise and be eligible for inclusion in the GMC Specialist Register for Old Age Psychiatry. Applicants must be on the Specialist Register or be within 6 months of the anticipated award of a CCT or CESR(CP) at the time of interview for the post.
GREATER GLASGOW and Clyde Health Board
Consultant in
Old Age Psychiatry
Dumbarton Joint Hospital
Full Time 10 sessions
GREATER GLASGOW AND CLYDE HEALTH BOARD
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 & Clyde.
2.The contents of this package are as follows:-
a.Job Description
b.Terms and Conditions of Service
c. Further information
Informal enquiries will be welcomed by Dr Elizabeth Quinn on 0141 211 6476 or Dr Ayodeji Soyinka on 01389 812 023
3.There is also an expectation that candidates have completed Day 1 and Day 2 of Section 22 Training prior to taking up the post.
A.
Job Description
1Old Age Mental Health Service
Mental Health Services for Older People in Greater Glasgow and Clyde are currently delivered by multidisciplinary, consultant led teams, each serving an elderly population of approximately 10,000 (for a full time consultant). Assessment beds for both functional and organic mental illness are located on six hospital sites; Vale of Leven, Royal Alexandria, Inverclyde Royal, Stobhill, Gartnavel Royal and Leverndale. There are plans within NHS GGC 5 year plan, to reduce the number of acute admission sites.
There is a Clinical Director for Old Age Psychiatry (Dr Elizabeth Quinn) who takes a strategic overview of the whole service.
All community services within Greater Glasgow are now re-organised into 6 HSCPs; Glasgow City, West Dunbartonshire, East Dunbartonshire, Renfrewshire, East Renfrewshire and Inverclyde.
2 Old AgeClinical Services
Inpatient Services – Dumbarton, Alexandria, Helensburgh and the Lochside
Acute inpatient services are provided at the Vale of Leven Hospital and there are 18 admission beds. These comprise 2 assessment wards; 1 for elderly people with functional illness and 1 for assessment of people with dementia.
Psychiatric Acute Liaison Team
The area is served by the Vale of Leven Hospital and the Royal Alexandria Hospital (RAH) but the post holder will not be expected to provide any input to the RAH which has its own dedicated liaison team. Liaison assessments at the Vale are carried out by the specialty grade psychiatrist however the post holder will have time in his or her job plan for supervision and occasional assessments. Laboratory, X-ray and scanning facilitiesare provided by the acute hospitals.
Composition of the Community Mental Health Teams
The successful candidate will work with members of 1 multidisciplinary Community Mental Health Team which covers Dumbarton, Alexandria, Helensburgh and the Lochside.
The team comprises;
1 band 7 nurse team leader (for Dumbarton and Clydebank)
2 Band 6 CPNs,
4 band 5 CPNs,
4 Band 3 Nursing assistants,
1 band 6 Occupational Therapist,
1 band 5 Occupational therapist,
1 Occupational Therapy Technician,
1 physiotherapist (shared with Clydebank),
1 CBT CPN (shared with Clydebank and PCMHT) and
1 Consultant clinical psychologist (shared with Clydebank) and 1clinical psychologist (shared with Clydebank),
There is a band 6 CPN for the care homes, with cross cover arrangements with the band 6 care homes CPN for Clydebank area.
Social Work Services are not part of the team, but work closely alongside the community staff.
Outpatient Facilities
The post holder will run outpatient clinics in Dumbarton Joint Hospital and Helensburgh Victoria Infirmary.
West Dunbartonshire HSCP
There are well established links with Primary Care, Geriatricians based at the Vale and Social Care Staff.
3Supporting Staff
Medical
Psychiatric care in Greater Glasgow and Clyde is consultant led and supported by input from Psychiatry trainees, FY2 and GP trainees, and Specialty Doctors. The post has a full time and experienced specialty grade psychiatrist. The job plan for the Specialty Grade Psychiatrist include community and acute hospital liaison responsibilities however the post holder will be able to make changes to the job plan if required.
Clerical
The post will have secretarial and administration support. Clerical support is provided by a medical secretary and 2 team secretaries all based in Dumbarton Joint Hospital. The wards have a part time clerkess based on the ward.
Psychology
Working across the 2 West Dunbartonshire Older Adults services are a Full time consultant Clinical Psychologist, a Clinical Psychologist and a nurse trained in CBT, providing psychological based therapiesand neuropsychological assessments.
4Other Consultant staff West Glasgow
West Glasgow
Consultants
Sarah BeesleyConsultant Psychiatrist General Adult
Sara DaltonConsultant Psychiatrist General Adult
Navesh Puri Consultant Psychiatrist General Adult
Jonathan Dourish Consultant Psychiatrist General Adult
Jasmeet BindraConsultant Psychiatrist General Adult
Judith Halford Consultant Psychiatrist Liaison
Catherine CahillConsultant Psychiatrist in Psychotherapy
Sean DornanConsultant Psychiatrist General Adult
Euan EastonConsultant Psychiatrist General Adult
Peter EdwardsConsultant Psychiatrist in Psychotherapy
David GerberConsultant Psychiatrist General Adult/Clinical Director
Andrew GrayConsultant Psychiatrist General Adult
David KeniserConsultant Psychiatrist General Adult
Eric JacksonConsultant Psychiatrist Old Age Psychiatry
Ishbel MacIverConsultant Psychiatrist General Adult
Dipali Mantry Consultant in Learning Disability Psychiatry
Jackie PickettConsultant Psychiatrist Adolescent
Julia RawstorneConsultant Psychiatrist General Adult
Donna Mullen Consultant Psychiatrist Addictions
Frances SkeltonPsychiatrist Addictions
Iain SmithConsultant Psychiatrist Addictions
Kathryn SowerbuttsConsultant Psychiatrist for Esteem
Ayodeji SoyinkaConsultant Psychiatrist Old Age Psychiatry
Jennifer WhiteConsultant Psychiatrist Old Age Psychiatry
Jacqueline WigginsConsultant Psychiatrist Old Age Psychiatry
Old Age Consultants
North East Sector Dr. Rachel Brown
Dr Agnieszka Philipson
North East/West Sector Dr Kimberley Boyle
Dr Erica Campbell
East Dunbartonshire Dr Eric Jackson
Dr Ashley Fergie
Dr Tony McElveen
West Dunbartonshire Dr. Ayodeji Soyinka (Goldenhill Resource Centre)
This Post (Dumbarton Joint Hospital)
North West Sector Dr. Jackie Wiggins
Dr. Jennifer White
South Sector Dr. Alison Mitchell
Dr. Stuart Ritchie
Dr. Liz Quinn
Dr. Ewan Neilson
Dr. Sarah Ward
Rutherglen/Cambuslang Dr. Liz Lightbody
Eastwood Dr. Julia Gray
Greenock Dr Derek Brown
Dr. Chis Haxton
Dr. Craig Gordon
Renfrewshire Dr. Rob Gray
Dr. Paul Brown
Dr. Diane Lusman
Dr. Sumit Sharma
There are also approximately 14 Junior Doctor Posts, 10 Specialty Doctor Posts and generally 1-3 Higher Specialist Trainees at any one time.
5.Service Developments
Liaison services to the care homes have been developed over the past few years and the service is provided by one highly experienced Band 6 CPN with some support from a band 3 Health Care Assistant.
6.Duties of the Post
This job plan is negotiable and will be agreed between the successful applicant and the Clinical Director. NHS Greater Glasgow & Clyde initially allocates all full time consultants 10 PAs made up of 9 PAs in Direct Clinical Care (DCC) and one core Supporting Professional Activities (SPA) for CPD, audit, clinical governance, appraisal, revalidation, job planning, internal routine communication and management meetings. The precise allocation of SPA time and associate objectives will be agreed with the successful applicant and will be reviewed at annual job planning.
Suggested Job Plan for a Full Time Consultant
In terms of sessional commitment, this is envisaged to be roughly as follows:
In patient work 3PAs
Community Work 6 PAs
Supporting Professional Activities 1 PA
TOTAL SESSIONS 10 PAs
The successful consultant will take part pro rata in the west on call rota 1 in 30 at present covering both the Vale of Leven and Gartnavel Royal sites.
7 Teaching
a)Undergraduate
There is undergraduate teaching carried out during, at present, two terms of the academic year and students are attached from GlasgowUniversity. The undergraduate course is currently being restructured and the post holder would hopefully have some involvement in the teaching of undergraduates.
b)Postgraduate
The post holder will participate in local Postgraduate Training Scheme in Psychiatry. These schemes are fully accredited by the Royal College of Psychiatrists. She/he will participate in the educational programme of journal clubs and case conferences
c)Other Disciplines
Continued training of other staff would also constitute a part of the post holder’s job.
d)Carers
The post holder will be expected to participate in the educationof carers on a formal and informal basis.
e) Continued Professional Development
CPD has a high profile in Glasgow Psychiatry and a regular programme of activities has been organised. The post holder will be strongly encouraged to make use of these.
8Research
Glasgow Mental Health Services for the Elderly have an excellent track record of clinical research. With 2 North West consultants having dedicated research sessions within ther job plans, the post holder will be ideally placed to advance his or her research interests.
9Clinical Audit
The Mental Health Division is particularly keen on clinical audit that establishes effectiveness of interventions. The post holder will be expected to play a full part in this and develop ideas for audit projects on a multidisciplinary basis.
10Management and Committee Work
The post holder will be members of North West Division of Psychiatry and the Glasgow Division of Psychiatry for older adults. Medical Management is through Sector Management structures.
ANNEX B
Model Job Plan
Consultant Job Planning
1.A model job plan is attached, which has been agreed as the format used by employers in Scotland to record details of doctors’ or dentists’ working arrangements under the new contracts.
2.It should be used to confirm the outcome of both annual and interim Job Plan Reviews and the details contained in the Job Plan will form part of the contract between employer and employee. Doctors or dentists participating in job planning activities should be reminded of the important nature of this document.
3.The document must show the total number of Programmed Activities (PAs) (including those allocated for on-call work) and the number of Additional Programmed Activities (APAs) separately.
4.To ensure clarity and consistency, each item of work should be categorised as Direct Clinical Care (DC), Supporting Professional Activity (SPA), Additional NHS Responsibilities (AR) or External Duties (ED) and each should be listed separately as either a PA or an APA.
5.It should be noted that some blocks of time may include more than one category of work, but must not include both PAs and APAs. These must be noted separately to inform any APA contract that results from the job planning process.
6.It is recommended that a diary should be completed as an evidence gathering tool to inform the process. To ensure that a representative period is used, it is recommended that diary evidence should be submitted for a minimum period of six consecutive weeks or, where practicable, the period of one cycle of on-call.
7.The reference period used for the diary should be agreed in advance between the doctor or dentist and their clinical manager.
JOB PLAN Consultant Old Age Psychiatry: Cairnmhor Resource Centre
Name: Specialty: Old Age Psychiatry
Principal Place of Work: Dumbarton Joint Hospital
Contract: Full TimeProgrammed Activities: 10 EPAs: 0
Availability Supplement: Level one
Premium Rate Payment Received: 3%Seniority:
Pay point:
Managerially Accountable to: Dr Elizabeth Quinn
Discretionary Points/Merit Awards:
Responsible for: Dumbarton, Alexandria, Helensburgh and the Lochside Old Age psychiatry service
a)Timetable of activities which have a specific location and time
DAY / HOSPITAL / LOCATION / TYPE OF WORKMonday
From / To: 09:.00-1300
13:00 - 1700 / Dumbarton Joint Hospital
Vale of Leven Hospital / Outpatient clinic
Ward rounds; Fruin and Katrine
Ward work: Fruin and Katrine.
Tuesday
From / To: 09:00-13.00
13:00-17:00 / Dumbarton Joint Hospital
Jeanie Deans Unit, Helensburgh Victoria Infirmary / Admin
Outpatient clinic
Wednesday
From / To: 09:00-13.00
13:00-17.00 / Dumbarton Joint Hospital
Various / MDT/Allocations Meeting/ Supervision Liaison nurse, trainee and specialty doctor
Home Visits
Thursday
From / To: 09:00-12.00
12.00 – 17.00 / SPA
Dumbarton Joint Hospital/ Various / Core SPA, CBD, Internal teaching, research,
Admin, Home visits
Friday
From / To: 09.00-12.00
12.00- 13.00
13.00- 17.00 / Vale of Leven Hospital
Gartnavel Royal Hospital
Dumbarton Joint Hospital / Kardex; Fruin and Katrine wards
Ward work
Departmental meeting
Admin, emergencies,
b)Activities which are not undertaken at specific locations or times
Home visits/Research/Management Meetings, other CPD such as appraisal, job planning, second opinions and Significant Clinical Analysis work.c)Activities during Premium Rate Hours of Work, e.g. hours outwith 8am-8pm Monday to Friday
Noned)Extra programmed activities – see separate contract and schedule
NoneThis job plan is due for review annually, or more often, if the re-design of services,
Changes to staffing resources, working practices,
Or the Consultant’s circumstances require it.
JOB PLAN: Dr
Type of Activity / Description of Activity including when and where activity is conducted / Average number of hours spent on each activity per week including travel where appropriateDirect Clinical Care
Emergency duties (including emergency work carried out during or arising from on-call)
Ward rounds / Fruin and Katrine; Multidisciplinary ward round once a week, kardex and interviewing all patients once a week. Reviewing new admissions. Case conferences / 8
Outpatient clinics / Combined functional and memory clinics / 8Hours
Multi-disciplinary meetings about patient care / Multidisciplinary allocations meeting, new and emergency case reviews. Formal CPN caseload supervision / 4 Hours
Administration directly related to patient care
(e.g. referrals, notes complaints, correspondence with other practitioners) / 2 Hours
On- site medical cover / Fruin and Katrine Wards. Reviewing new admissions within 24 hours, AWI assessments and emergency reviews. / 4 Hours
Any other work directly linked to the direct clinical care of NHS patients / Home and Care Home visits
CMHT
Mental Health Act and AWI additional work
Cover of consultant colleague / 4.0 Hours
3 Hours
2 Hours
1 Hour
Total Direct Clinical Care Activities / 36Hours
Type of Activity / Description of Activity including when and where activity is conducted / Average number of hours spent on each activity per week including travel where appropriate
Supporting Professional Activities
Continuing professional development / 10 days study leave
Internal teaching/ CBD/ UGASP events / 2
Teaching and training / Medical students / 0.25
Management of doctors in training / Supervision / 1
Audit / 0.25
Job Planning/Appraisal/Revalidation / 0.25
Research
Contribution to service management and planning / 0.25
Clinical governance activities
Any other supporting professional activities
Total Supporting Professional Activities / 4
Type of Activity / Description of Activity including when and where activity is conducted / Average number of hours spent on each activity per week including travel where appropriate
Additional responsibilities
(i.e. duties of a professional nature carried out for or on behalf of the employer or the Scottish Executive which are beyond the range of the supporting professional activities normally expected of a consultant)
Formal medical management responsibilities
Other additional responsibilities
Total Additional Responsibilities
Type of Activity / Description of Activity including when and where activity is conducted / Average number of hours spent on each activity per week including travel where appropriate
Other external duties
(i.e. work not directly for the NHS employer, but relevant to and in the interests of the NHS)
Trade union and professional association duties
Acting as an external member of an advisory appointments committee
Undertaking assessments for NHS Education for Scotland, NHS Quality Improvement for Scotland or equivalent bodies
Reasonable quantities of work for the Royal Colleges in the interests of the wider NHS
Work for the General Medical Council or other national bodies concerned with professional regulation
NHS disciplinary procedures and NHS appeals procedures
Other external duties
Total Other External Duties
Facilities and Resources
Details of the facilities and resources necessary to support delivery of the consultant’s duties and objectives for all programmed activities
Staffing support / 1 FT SHO in old age psychiatry
1FT SPECIALTY grade in old age psychiatry.
Full multidisciplinary community team
1 FT consultant secretary
Accommodation / 1 office Dumbarton Joint Hospital
Equipment / 1 computer and access to servers remotely, permitting agile working
Any other identified resources necessary
Need OT for community plan
Objectives may cover personal development needs, training goals, organisation issues, CME and CPD e.g. acquisition/consolidation of new skills and techniques