consultant in perinatal/general adult psychiatry
leverndale hospital/barrhead health centre
INFORMATION PACK
REF: 34971D
cLOSING DATE: nOON on 7TH nOVEMBER 2014
As you may be aware, the new SouthGlasgowUniversityHospital and new RoyalHospital for Sick Children are due to open on the current Southern site early in 2015.
With this in mind, please note that positions based within the Victoria Infirmary, Mansionhouse Unit, the Western Infirmary and the current RoyalHospital for Sick Children at Yorkhill will change location and move to the new hospitals.
Gartnavel GeneralHospital and Glasgow Royal Infirmary will also have some services affected by moves to the new Hospitals.
These changes mean your base may change after joining us and you will be informed as soon as possible prior to any change of base.
SUMMARY INFORMATION RELATING TO THIS POSITION
Post: CONSULTANT in perinatal & general adult psychiatry
Base:leverndale hospital/barrhead health centre
Applications are invited for this full time post. Six perinatal sessions result from an expansion of the Perinatal Mental Health Service to board-wide community provision, with 4 sessions to cover General Adult Psychiatry in East Renfrewshire.
The responsibilities for the Perinatal Service would be shared along with one other full-time Perinatal Psychiatrist. The General Adult responsibilities would be shared with 2.8 Consultant Psychiatrists.
Inpatient beds are currently based at LeverndaleHospital. There is a modern custom-built Mother and Baby Unit with adjacent Community Perinatal Team offices. The General Adult Service is housed in a custom-built community health centre.
The postholder would be expected to work closely with colleagues as part of a multidisciplinary team to provide a full range of services to inpatients and outpatients. The postholder will already have AMP status.
Applicants must have full GMC registration, a licence to practise and be eligible for inclusion in the GMC Specialist Register. Those trained in the UK should have evidence of higher specialist training leading to a CCT or eligibility for specialist registration (CESR) or be within 6 months of confirmed entry from the date of interview. Non-UK applicants must demonstrate equivalent training.
CONSULTANT IN PERINATAL AND GENERAL ADULT PSYCHIATRY
GREATER GLASGOW & CLYDE
MENTAL HEALTH SERVICES
PERINATAL MENTAL HEALTH SERVICE/GENERAL ADULT PSYCHIATRY
CONSULTANT PERINATALAND GENERAL ADULT PSYCHIATRIST –
PERINATAL MENTAL HEALTH SERVICE/GENERAL ADULT PSYCHIATRY
1.Applications are invited from an experienced individual for this full time post comprising 0.6 WTE Perinatal Psychiatry and 0.4 WTE General Adult Psychiatry.The perinatal component is a newly created post due to service expansion. The General Adult component is also a new post which is being created in order to even out service imbalances.
Perinatal component (0.6 WTE)
Responsibilities will be shared, along with one other full time Consultant, at the Perinatal Mental Health Service, situated adjacent to the West of Scotland Mother and Baby Unit at Leverndale Hospital.The current service provides comprehensive mother and baby inpatient care for the west of Scotland (delivered population approximately 26,000 births/year), and specialised community and maternity liaison services to the Greater Glasgow area of NHS Greater Glasgow and Clyde. The new post is part of an overall redesign to ensure the community and maternity liaison services meet the needs of the total delivered population of NHS Greater Glasgow and Clyde (16,000 births/year). There is a well-resourced and established Perinatal Community Mental Health Team, and additional staff in other disciplines will be appointed at the same time. The successful applicant will be expected to work closely with colleagues to provide a full range of services to outpatients and maternity liaison patients, and to provide cross-cover for the MBU. He/she will join 60 other Consultants South of the Clyde and will take part in a combined on call rota with Dykebar and InverclydeHospitals: there will be a possibility of opting out of on-call duties, and the rota is likely to be 1:30 in intensity.
General Adult component (0.4 WTE)
The responsibilities will be shared with the three other consultants for the Levern Valley/Eastwood area. The catchment area is around 53000 with areas of both affluence and relative deprivation. The CMHT is well-established, and housed in a custom-built Health Centre. In-patients are based at Ward 3, Leverndale hospital. There are good connections between the CMHT and primary care as well as other multidisciplinary staff in the area. There are also good connections with all the other teams in South Glasgow, including the crisis team, and the ESTEEM (first-episode team) as well as the rehabilitation and psychotherapy services.
2.Current Service Provision
Mental Health Services in Glasgow are delivered in conjunction with the Glasgow CHP and other outlying CHCPs for the whole of Greater Glasgow and Clyde. The Lead Associate Medical Director for Health and Learning Disability is Dr Michael Smith, who is based at William Street Clinic. The Management Team for South Glasgow is based at LeverndaleHospital; the Head of Mental Health is Mr Calum MacLeod and the Clinical Director is Dr Gwen Jones-Edwards.
The mental health services in South Glasgow provide care for a total population of 375,000. Community adult services are based in seven general adult Resource Centres. The inpatient beds are atLeverndaleHospital where 2 new acute wards have been commissioned. The MBU is also housed in a new, purpose built high quality unit. There is also a Psychotherapy Unit and DayHospital at the site as well as a Rehabilitation Unit. There are excellent clinical and non-clinical support services available including the full range of psychiatric sub-specialities. Community services are well established and based around generic community mental health teams enhanced by the Crisis teams, a First Episode Psychosis team (Esteem), a Perinatal team, an Eating Disorder team, Addictions teams and Primary Mental Health Care teams.
LeverndaleHospital has 250 inpatient beds. This includes 72 acute general adult beds, 12 intensive psychiatric care unit beds, 6 Mother and Baby beds, 14 rehabilitation unit beds, 58 acute old age psychiatry (18 organic and 40 functional), 48 forensic beds and 40 adult long stay beds. There are also 150 long stay elderly dementia beds split between Darnley (60) and Rutherglen (90), and 63 adult long stay partnership beds.
There are 7 General Adult Resource Centres covering Gorbals/Govanhill, Castlemilk, Rutherglen/Cambuslang, Govan/Ibrox, Pollok/Darnley, Pollokshaws/Pollokshields, and Barrhead/Eastwood. In addition there is a Crisis Service, an Eating Disorder Service, and the ESTEEM team, which provides first episode psychosis intervention. Child and Adolescent Services are based at the TwomaxBuilding in the Gorbals, but the inpatient beds are provided at the Skye Unit at StobhillHospital. Learning Difficulty assessment beds and 20 continuing care beds at GartnavelRoyalHospital. There is also a Community Learning Disability Team.
3.Medical Staffing
General Adult Consultant Staffing
Dr Stephen Byers- Brand Street Resource Centre
Dr Wai Lan Imrie- Brand Street Resource Centre
Dr Alison Cheyne- Florence Street Resource Centre
Dr Carole Mitchell- Florence Street Resource Centre
Dr Pavan Srireddy- Florence Street Resource Centre, Acting Clinical Director
Dr Graham McMillan- Stewart Resource Centre
Dr John Summers- Stewart Resource Centre
Dr Derek Palmer- Eastvale Resource Centre
Dr Ian Mitchell - Eastvale Resource Centre
Dr Una Graham- Rossdale Resource Centre
Dr Justin Crean- Rossdale Resource Centre
Dr Gwen Jones-Edwards- Waterside Team at Rossdale Resource Centre, ClinicalDirector
Dr Mike Taylor- Waterside Team / IPCU
Dr Sarah Holmes- Eastwood Team, Barrhead Health Centre
Dr Lucy Carrick- Eastwood Team, Barrhead Health Centre
Dr Veena Math- LevernValley Team, Barrhead Health Centre
Subspecialty Consultant Staffing
Dr Ciara Kelly- Rehabilitation Dept, Leverndale
Dr Roch Cantwell- Perinatal Psychiatry
Dr Susie Brown- ESTEEM – First Episode Psychosis
Dr Elizabeth Quinn- South Lanarkshire CHCP, Clinical Director for Old Age Psychiatry
Dr Alison Mitchell- Glasgow City CHP (South Sector)
Dr Ewan Neilson- Glasgow City CHP (South Sector)
Dr Stuart Ritchie- Glasgow City CHP (South Sector)
Dr Julia Gray- East Renfrewshire CHCP
Dr Sarah Ward- South Lanarkshire CHCP
Dr Adam Burnel- Liaison Psychiatry
Dr John Mitchell- Liaison Psychiatry (AMD for Addictions)
Dr Jane Naismith- Psychotherapy
Dr Lawrence Martean - Psychotherapy
Dr Anupam Agnihotri- Addictions Psychiatry
Dr Neeraj Bajaj- Addictions Psychiatry
Dr Robin McGilp- Learning Disability Psychiatry
Dr Elita Smiley- Learning Disability Psychiatry (Clinical Director)
Dr Dianne Forsyth - Child and Adolescent Psychiatry
There are also 24 Junior Doctor posts, 17 Speciality Grade posts and a varying number of ST4-6s.
4.DUTIES OF THE POST
Perinatal Component
The successful applicant will be expected to work with colleagues to provide a comprehensive community and maternity liaison perinatal mental health service to NHS Greater Glasgow and Clyde.The appointee will also provide cross-cover for the West of Scotland MBU.
The MBU opened in 2004 at the Southern General Hospital. In January 2014 it relocated to purpose-built accommodation at LeverndaleHospital. It has six beds and is staffed by a senior charge nurse, mental health nurses, nursery nurses and nursing assistants, and sessional time from a core trainee, health visitor, consultant psychologist, social worker and occupational therapist. A local general practice is contracted to provide primary care services for babies. The MBU is fully accredited through the RCPsych CCQI Perinatal Quality Network.
The community service currently provides assessment and care for pregnant and postnatal women in the Greater Glasgow area in outpatient, home and other community settings. A maternity liaison service is provided to the Princess Royal Maternity Hospital and Southern General Maternity Unit. In addition, the service provides pre-pregnancy assessment for women with at high risk of severe perinatal mental illness and those on complex psychotropic regimes. The community service is staffed by a nurse team leader, community psychiatric nurses, a community nursery nurse, and sessional time from a core trainee, nurse consultant, consultant psychologist and social worker. The community service is a member of the RCPsych CCQI Perinatal Quality Network (first review scheduled for late 2014).
Following expansion into Clyde, a maternity liaison service will also be provided to the RoyalAlexandraHospital and to birthing units at the Vale of Leven District General Hospital and InverclydeRoyalHospital. Additional nursing and administrative staff will be recruited as part of the expansion of service.
Consultant Perinatal Psychiatrists have expertise in the assessment, prevention, diagnosis and management of mental disorders co-occurring or newly arising in pregnancy or the postnatal period, and with the assessment and facilitation of the mother-infant relationship and infant development in the context of maternal mental illness. They also provide preconception advice to high-risk women and advise patients and professionals on the use of psychotropic medication during pregnancy and breastfeeding.
The successful candidate will be expected to provide a comprehensive range of services to pregnant and postnatal women from NHS Greater Glasgow and Clyde, and cross-consultant cover to the West of Scotland MBU, and to work effectively as part of a specialised multidisciplinary team. He/she will participate in the On Call Rota and cover for colleagues during absence in line with arrangements set out in the National Terms and Conditions. The On Call Rota covers the whole of South Glasgow and full time Consultants are on call once in 40 days. There will be a possibility of opting out of on-call duties. Domiciliary visits, court reports, Mental Health Act/Adults with Incapacity work and liaison assessments will be undertaken as required. Duties also include continuing clinical responsibility for the patients allowing for all proper delegation to, and training of, staff. The post-holder will be based at the Perinatal Mental Health Service, LeverndaleHospital. Outpatient clinics are held at a number of locations throughout the health board area.
General Adult component
The post-holder will work along with the other 2.8 wte Consultants providing adult mental health services across East Renfrewshire.The Eastwood team is well established and provides a comprehensive adult psychiatric service to the Eastwood catchment area in East Renfrewshire. The post holder is expected to work predominantly with inpatients based in Ward 3, Leverndale hospital. There is dedicated junior doctor input and access to a range of multi-disciplinary resources including Occupational therapy, Physiotherapy, Clinical Pharmacy, Dietetics and Inpatient Psychology. The successful candidate will also be expected to maintain close links with the community team through regular attendance at the weekly community multidisciplinary team meetings. There will be one session of SPA time, shared with perinatal psychiatry,to support Continuing Professional Development.South Glasgow has an active internal teaching programme and there are also considerable opportunities for involvement in teaching, audit and research.This is a new post and there is considerable room to develop the nature of the general adult duties as the post becomes established.
5.TEACHING/ADMINISTRATION
The post holder will undertake the administrative duties associated with the care of patients and the proper function of the clinical team including appraisal and non-clinical supervision of medical staff and clinical supervision of non-medical staff. He or she will also be expected to participate in the broader aspect of administration and management within the South Glasgow Division of Psychiatry and within Eastvale.
It is expected that the successful candidate will take part in Job Planning, Appraisal, Peer Review and Continuing Professional Development. Participation in audit or research is encouraged. The post holder will be actively involved in the teaching of undergraduate medical students. It is anticipated, in recognition of this, that GlasgowUniversity will grant the status of Honorary Clinical Senior Lecturer in Psychological Medicine. In addition the post holder will be expected to participate in the postgraduate teaching of medical staff and staff of other disciplines.
6.OTHER INFORMATION
Informal enquiries will be welcomed by Dr Pavan Srireddy, Acting Clinical Director, LeverndaleHospital (0141 211 6602), Dr Sarah Holmes, Consultant Psychiatrist, Barrhead Health Centre (0141 800 7841 or Dr Roch Cantwell, Consultant Psychiatrist, Perinatal Mental Health Service (0141 211 6504).
PROVISIONAL TIMETABLE
PERINATAL/GENERAL ADULT CONSULTANT
PERINATAL MENTAL HEALTH SERVICE/BARRHEAD LOCALITY
DAY & TIME* / HOSPITAL / LOCATION / TYPE OF WORKMonday
a.m.
p.m. / LeverndaleHospital, MBU
LeverndaleHospital, Ward 3 / MBU/Direct clinical care(Perinatal)
Ward MDT(General Adult)
Tuesday)
a.m.
p.m. / LeverndaleHospital
Leverndale Hospital/Barrhead Health centre / Emergency slots/Home and maternity liaison visits (Perinatal)
CMHT liaison/ Other DCC (General Adult)
Wednesday (Perinatal)
a.m.
p.m. / LeverndaleHospital
Varying locations / Community MDT (Perinatal)
Outpatient Clinic (Perinatal)
Thursday
a.m.
p.m. Perinatal / LeverndaleHospital
Varying locations / Teaching/Supporting professional activities
Out-patient clinic (Perinatal)
Friday
a.m.
p.m. / LeverndaleHospital, Ward 3
LeverndaleHospital / Inpatient work (General Adult)
Emergency slots/Home and maternity liaison visits (Perinatal)
Variable / Unscheduled and emergency assessments / child protection meetings
TERMS AND CONDITIONS OF SERVICE
The conditions of service are those laid down and amended from time to time by the Hospital and Medical & Dental Whitley Council.
TYPE OF CONTRACT / PermanentGRADE AND SALARY / Consutlant
£76,001 £ 102,465 per annum (pro rata)
New Entrants to the NHS will normally commence on the minimum point of the salary scale, (dependent on qualifications and experience). Salary is paid monthly by Bank Credit Transfer.
HOURS OF DUTY / Full Time40.00
SUPERANNUATION / New entrants to NHS Greater Glasgow and Clyde who are aged sixteen but under seventy five will be enrolled automatically into membership of the NHS Pension Scheme. Should you choose to "opt out" arrangements can be made to do this via:
REMOVAL EXPENSES / Assistance with removal and associated expenses may be given and would be discussed and agreed prior to appointment.
EXPENSES OF CANDIDATES FOR APPOINTMENT / Candidates who are requested to attend an interview will be given assistance with appropriate travelling expenses.Re-imbursement shall not normally be made to employees who withdraw their application or refuse an offer of appointment.
TOBACCO POLICY / NHS Greater Glasgow and Clyde operate a No Smoking Policy in all premises and grounds.
DISCLOSURE SCOTLAND / This post is considered to be in the category of “Regulated Work” and therefore requires a Disclosure Scotland Protection of Vulnerable Groups Scheme (PVG) Membership.
CONFIRMATION OF ELIGIBILITY TO WORK IN THE UK / NHS Greater Glasgow and Clyde (NHSGGC) has a legal obligation to ensure that it’s employees, both EEA and non EEA nationals, are legally entitled to work in the United Kingdom. Before any person can commence employment within NHS GGC they will need to provide documentation to prove that they are eligible to work in the UK. Non EEA nationals will be required to show evidence that either Entry Clearance or Leave to Remain in the UK has been granted for the work which they are applying to do. Where an individual is subject to immigration control under no circumstances will they be allowed to commence until the right to work in the UK has been verified. ALL applicants regardless of nationality must complete and return the Confirmation of Eligibility to Work in the UK Statement with their completed application form. You will be required provide appropriate documentation prior to any appointment being made.
REHABILITATION OF OFFENDERS ACT 1974 / The rehabilitation of Offenders act 1974 allows people who have been convicted of certain criminal offences to regard their convictions as “spent” after the lapse of a period of years. However, due to the nature of work for which you are applying this post is exempt from the provisions of Section 4 of the Rehabilitation of Offenders Act 1974 by virtue of the Rehabilitation of Offenders Act 1974 (Exceptions Orders 1975 and 1986). Therefore, applicants are required to disclose information about convictions which for other purposes are “spent” under the provision of the act in the event of employment, failure to disclose such convictions could result in dismissal or disciplinary action by NHS Greater Glasgow and Clyde. Any information given will be completely confidential.
DISABLED APPLICANTS / A disability or health problems does not preclude full consideration for the job and applications from people with disabilities are welcome. All information will be treated as confidential. NHS Greater Glasgow and Clyde guarantees to interview all applicants with disabilities who meet the minimum criteria for the post. You will note on our application form that we ask for relevant information with regard to your disability. This is simply to ensure that we can assist you, if you are called for interview, to have every opportunity to present your application in full. We may call you to discuss your needs in more detail if you are selected for interview.
GENERAL / NHS Greater Glasgow and Clyde operates flexible staffing arrangements whereby all appointments are to a grade within a department. The duties of an officer may be varied from an initial set of duties to any other set, which are commensurate with the grade of the officer. The enhanced experience resulting from this is considered to be in the best interest of both NHS Greater Glasgow and Clyde and the individual.
EQUAL OPPORTUNITIES / The postholder will undertake their duties in strict accordance with NHS Greater Glasgow and Clyde’s Equal Opportunities Policy.
NOTICE / The employment is subject to three months’ notice on either side, subject to appeal against dismissal.
MEDICAL NEGLIGENCE / In terms of NHS Circular 1989 (PCS) 32 dealing with Medical Negligence the Health Board does not require you to subscribe to a Medical Defence Organisation. Health Board indemnity will cover only Health Board responsibilities. It may, however, be in your interest to subscribe to a defence organisation in order to ensure you are covered for any work, which does not fall within the scope of the indemnity scheme.
FURTHER INFORMATION