Consultant psychotherapist
dykebarhospital
Information pack
reF: 29033d
Closing Date:noon14th june 2013
SUMMARY INFORMATION
Post: consultant psychotherapist
Base:dykebarhospital
Applications are invited for a full-time post in Psychotherapy in South Clyde. The post is based at DykebarHospitalwith additional sessional input to Inverclyde. On call responsibilities will be shared with other consultant colleagues on the South Glasgow and Clyde rota.
The current work main components are clinical and training, including assessment of patients, individual and group psychoanalytic psychotherapy, psychodynamic counselling, consultation to other professions and supervision, teaching and training of clinical staff. The consultant will join a dynamic team of 4 therapists with dedicated secretarial support.
The successful candidate would be encouraged to take the opportunities available for further education and continuing professional development. There are active education and audit programmes within the service.
Applicants must have full registration with the General Medical Council, a licence to practice 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 in Psychotherapy or eligibility for specialist registration (CESR) or be within six months of confirmed entry at the date of interview. Non UK applicants must demonstrate equivalent training.
CONSULTANT PSYCHOTHERAPIST
Psychotherapy Department, DykebarHospital
South Clyde Mental Health Services
10 programmed activities
JOB DESCRIPTION
- THE POST
The post holder will be a Consultant in the Dykebar Psychotherapy service and will work with other members of the team to provide the psychotherapy service for South Clyde. The post-holder will be expected to maintain and develop links between the Psychotherapy Clinic and the General Psychiatric Services (both inpatient and outpatient). In addition his or her remit will include being Psychotherapy Educational Supervisor for the psychiatric trainees on the South Clyde rotation.
The post holder will be required to have training in psychotherapy and will either have a CCST in Psychotherapy (or equivalent specialist training and experience) or a CCT in Psychiatry and a commitment to undertake equivalent training in order to apply for entry to the specialities register as a psychotherapist.
The Psychotherapy Service in South Clyde forms part of the overall psychiatric provision for South Clyde (which has a population of 270,000) in Renfrewshire and Inverclyde. The work carried out in the clinic is underpinned by psychoanalytic thinking, although this job would not preclude someone from a different psychotherapeutic background such as Cognitive Behavioural therapy applying for this job. The department aims to provide a specialist service whilst also forming good links with general mental health services to foster psychological thinking in all mental health settings. It is anticipated that the psychotherapy department will strengthen existing links with the psychology department in future.
Its main components are clinical and training. The small team of 4 non-medical therapists offers assessment of patients, individual and group psychotherapy, individual psychodynamic counselling, consultation to other professionals, and the supervision, teaching and training of clinical staff including junior doctors and senior psychiatry trainees. Since 2008, the psychotherapy service has been developing expertise in delivering mentalisation based treatment for patients with borderline personality disorder. Referrals are received from the general psychiatry service, psychology service and from general practitioners. It also provides input through consultation and supervision to the general psychiatry work of doctors, nurses and AHPs in South Clyde.
- PSYCHIATRY AND PSYCHOTHERAPY SERVICES
Psychiatric services in Glasgow & Clyde are divided into four geographical areas (North/East, South, West and South Clyde). There are five psychotherapy services, one each in North, East, South and West. There is also a Consultant Psychiatrist in Psychotherapy leading the Glasgow wide “Homelessness Personality Disorder Service”. The Consultant Psychotherapists from each of the Glasgow services meet as the Division of Psychotherapy and together, with other Consultant Psychotherapists in the West of Scotland, form a network of colleagues who meet regularly to discuss clinical matters.
In terms of psychiatric provision the South Clyde covers a population of about 270,000 including areas of significant deprivation. The Psychotherapy service based in Dykebar have always had a responsibility to provide a service to Inverclyde, but traditionally the service has emphasised its role on Renfrewshire, with input to Inverclyde being a relatively small part of the total workload.
The psychotherapy service, working jointly with psychology provides the Inpatient Psychological Therapies service (IPTS) to the acute admission & rehabilitation & recovery wards within DykebarHospital. This is an innovative project, which has been much welcomed by the general psychiatry service. The two nurse therapists from the psychotherapy department to provide an assessment service for patients within the acute psychiatric admission wards. They have also been involved in training, supporting & supervising nursing staff in the delivery of low-intensity psychological intervention and in developing reflective practice groups and encouraging the development of psychological
Secondment opportunities for other members of the mental health service have been developed to enable them to rotate through the psychotherapy department to gain such experience.
There are well developed community psychiatric services with general adult provision from provided by Community Mental Health Teams based in three Community Resource Centres (one in Inverclyde and two in Renfrewshire). There are currently in-patient units in two bases; Langhill Clinic in Inverclyde and Dykebar Hospital in Renfrewshire.
Inpatient psychiatric services in Renfrewshire are provided at DykebarHospital, which has 42 acute inpatient beds at present. The hospital has access to a total of 8intensive psychiatric care unit beds based in Inverclyde. A total of 20 beds provide inpatient intensive rehabilitation and continuing care services for South Clyde.
The psychotherapy service has developed close links with the community services in Renfrewshire, working with both community mental health teams and the Intensive Home Treatment Team (IHTT). As well as facilitating reflective practice groups within these teams, the psychotherapy service has been supporting the development of mentalising-based treatment skills in staff, to help in the management of patients with borderline-personality disorder.
The psychotherapy service has developed close links with the Renfrewshire primary mental health care team (Doing Well). One of the senior members of the psychotherapy service has been consulting to the team and conducting psychotherapy assessment within the team for 2 sessions week since 2008.
3.DUTIES OF THE POST
The 10 programmed activities will be divided to give 9 programmed activities for direct clinical care and 1 programmed activities for supporting professional activities. In line with all other consultants in the area 1 programmed activity is nominally identified as group task time. This is time in which work done for the whole area is timetabled – group tasks being such things as clinical tutor, managing a long stay ward etc. The group task is a flexible responsibility that can be changed through job planning – in this post the initial group task identified is the provision and coordination of psychotherapeutic training for trainees. In association with the Clinical Director, Dr A Thom the post holder will be responsible for providing and coordinating the psychotherapy services in South Clyde. This will involve:
a)Clinical
1.The detailed assessment of patients referred to the clinic, and the planning of their treatment. This will include supporting the weekly meeting of clinical staff held to discuss patients in assessment, to encourage a thorough understanding of the patient, formulation of their difficulties and consideration of appropriate further treatment and management.
2.Treatment of patients.
3.Supervision of the clinical work of service staff (medical and non-medical).
4.Offering expert advice to colleagues on clinical issues.
b)Education & Training
The post holder will be the Educational Supervisor for junior doctors training in psychotherapy on the South Clyde Psychiatry Rotation as group task. He or she will contribute to the training of junior psychiatrists who are required to meet the Royal College of Psychiatrists mandatory guidelines for training in psychotherapy. Currently junior doctors on the training scheme come for weekly supervision in small groups of their individual psychotherapy work with patients. The service provides a weekly Doctor-Patient Relationship Seminar where trainees discuss aspects of their general psychiatric work from a psychodynamic perspective. Additional supervision will also be provided by Dr Cohen and other senior members of the clinic staff. At any one time there is usually one SHO on a 6 month placement in the department; their duties during this placement would also include some CMHT work.
A significant focus of future development will be for psychotherapy to help train, support and supervise other mental health professionals in their psychological interventions within their owns areas of practice. IN particular, the service will continue to focus on the development of mentalising based treatment skills.
In time the post holder may also have training input to senior trainees (ST4-6) on the West of Scotland Psychotherapy Training Scheme.
It is expected that the post holder will be actively involved in the teaching of undergraduate medical students of the University of Glasgow. In recognition of this the University may later on individual application grant the status of honorary senior lecturer. The post holder will also be expected to take part in post graduate teaching of psychiatrists in training, trainee general practitioners and on occasions other disciplines.
The post holder will be a member of the Psychotherapy Subcommittee of the West of Scotland Committee in Psychiatry which oversees the psychotherapy component of psychiatry training at all levels.
c)Liaison
Close links between the psychotherapy clinic and psychiatry are well established and valued. The post holder will be expected to maintain these, for example by attending and taking part in case conferences, journal clubs, and other teaching organised through the general psychiatric service.
The post holder will offer consultation to colleagues about difficult clinical situations. In addition the post holder will be expected to develop these links by looking at the interface between the psychotherapy clinic and the psychiatric services. The particular way in which this might occur would be influenced by the interests and expertise of the post holder together with the needs of other services.
d)On-Call
The post holder will participate in the South Clyde on-call rota for psychiatry on a pro-rata basis. To allow this the post holder must have completed Section 22 training of the Mental Health (Care and treatment) (Scotland) Act and be an approved medical practitioner (AMP).
e)Management
The post holder will be expected to provide medical leadership to the psychotherapy team and assist with the further development of the service. He or she will undertake the administrative duties associated with the care of patients and the proper functioning of the clinical team.
The post holder will be expected to participate in the redesign of mental health services currently taking place in Renfrewshire. The development of improved community based services provides an opportunity to enhance the input of psychological therapies in this area. Work continues to improve the therapeutic environment in acute in-patient services, and continuing psychotherapy involvement in this programme.
The postholder will be expected to participate in the medical advisory structure as a member of the Clyde Division of Psychiatry and other committees as may be relevant from time to time. He or she will also be expected to represent the psychotherapy team at clinical management.
f)Continuing Professional Development
If the post holder does not yet have a CCST in Psychotherapy he or she will be required to undertake the further training necessary to apply for inclusion in the Royal College of Psychiatrists Specialist Register as a Psychotherapist. The precise nature of this training will be agreed in conjunction with the Psychotherapy Training Programme Director and local Clinical Director, be part of the job plan, and monitored through the Annual Appraisal and CPD mechanisms. Funding may be available to facilitate this.
It is desirable that the postholder has completed the basic introductory mentalising-based treatment training and it would be expected that the postholder would develop those skills in order both to support the delivery of MBT within the psychotherapy service and to support other mental health staff in developing these skills.
The post holder will be expected to maintain good professional standing for CPD with the Royal College of Psychiatrists. There is a fortnightly meeting of Consultant Psychiatrists in Psychotherapy from the West of Scotland which is a forum for the discussion of clinical work and which the post holder will be invited to attend. There is a theory & practice seminar three times a year for continuing professional development, which is held in conjunction with the West of Scotland psychotherapy sub-committee meetings which is invited to attend. There is a study leave budget and medical staff are encouraged to ensure that they keep their practice up to date. In addition the post holder will be expected to take part in the annual cycles of peer review, appraisal and job planning.
g)Clinical Governance
The post holder will undertake clinical audit and research will be encouraged. Other involvement in clinical governance will be available eg local committees and contribution to critical incident investigation.
4.STAFF & FACILITIES
The post holder will have his or her own office in Hollybush, DykebarHospital which houses outpatient Department, medical secretaries an psychotherapy office facilities. Secretarial support is shared for the team and provided by Mrs Audrey McPhee (30hours). The current non-medical clinical staffing in the team comprises:
Mark Crawford: Adult Psychotherapist : 4 sessions
1 Adult psychotherapist: to be appointed : 10 sessions
Kate Sloan : Psychodynamic nurse therapist : 10 sessions
Theresa Kelly : CBT nurse therapist : 10 sessions
1 CT trainees : Full time
- MEDICAL STAFFING IN SOUTH CLYDE
Paisley Sector
Dr Alex Thom – General Adult Psychiatry
Dr Alistair Kinniburgh – General Adult Psychiatry
Dr Mark McAllister – General Adult Psychiatry
ii)West Renfrewshire/Renfrew Sector
Dr Peter Bennie- General Adult Psychiatry
Dr Joan Thomson– General Adult Psychiatry/Continuing Care and Rehabilitation
Dr Baljeet Kaur – General Adult Psychiatry (p/t)
Dr Nagore Penades- General Adult Psychiatry
(iii)Other Consultants
Dr Michael Smith – General Adult Psychiatry/ Lead Associate Medical Director for Mental Health
Dr Sinead McAree – IHTT
Dr Helen Anderson –Liaison Psychiatry (p/t)
Dr Alison Linington – Psychotherapy
Dr Charles McMahon – Addictions Psychiatry
Dr Ann Graham– Learning Disability Psychiatry
Dr Rob Gray – Old Age Psychiatry
Dr Hilary Livingstone – Old Age Psychiatry
Dr Karl Philips – Old Age Psychiatry
Dr Sumit Sharma – Old Age Psychiatry
Dr Diane Lusman – Old Age Psychiatry
There are also 9 ST1-3 posts (and one FY2 post), 3 Staff Grade posts and generally 1-3 senior trainees at any one time.
(i)General Adult Psychiatry
Dr Tom McPhee – General Adult Psychiatry
Dr Alistair Deering – General Adult Psychiatry/Day Hospital/ Liaison
Dr James Loudon – General Adult Psychiatry
Dr Eilidh Orr– General Adult Psychiatry
(ii)Other Consultants
Dr Audrey Hillman- Addictions Psychiatry
Dr Roger Sykes – Addictions Psychiatry
PROPOSED TIMETABLE
MONDAY / TUESDAY / WEDNESDAY / THURSDAY / FRIDAYa.m. / Balint group
Reflective practice group
AAU and IPCU
In patient and out patient assessment
Inverclyde / Team meeting:
Assessment clinic
Supervision of team
Dykebar / Team meeting:
Assessment clinic
Supervision of team
Dykebar / Dykebar- Internal
Teaching
Monthly Division of Psychiatry
Meetings
(SPA) / AAU Inpatient
Psychological Therapies Service Meeting
Clinic
Dykebar
p.m. / Mentalising group
Dykebar / IHTT supervision
Admin
Balint group
Dykebar / OP clinic
Dykebar / Clinic Analytic group / Out patient Clinic
Dykebar
The basic contract will be for a 10 PA consultant contract. A split of 9:1 between direct clinical care and supporting professional activities is now the advertised standard for all new consultant job plans within NHS Greater Glasgow & Clyde. The one SPA minimum will reflect activity such as appraisal, personal audit and professional development occurring outside study leave time. Once the candidate has been appointed more SPA time may be agreed for activities such as undergraduate and postgraduate medical training which takes place outside direct clinical care, as well as research and/or management. These activities must be specifically and clearly identified and be agreed with the candidate and desired by the department.
Person Specification
Consultant Psychotherapist
Essential
- Applicants must have full GMC registration, a licence to practice 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 in Psychotherapy 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.
Attributes / Essential / Desirable
Education and Qualifications: / MRCPsych or equivalent.
Full GMC registration with current Licence to Practice.
Inclusion on GMC Specialist Register (or be within 6 months of confirmed entry onto the Specialist Register from the date of interview).
Section 22 approval or willingness to gain approval following appointment.
CCT in Psychotherspy / Postgraduate Qualification
Experience:
- Expertise in generalist field
- Expertise in sub-specialty field
Experience of working within group psychotherapy.
Experience of working with stakeholders, carers and service users to develop and improve the patient journey.
Demonstrable record of professional achievements within a mental health environment, evidenced by specific examples throughout their career. / Experience within other Psychiatric specialties.
Experience of mentalisation based treatments
Team Working / Committed to working effectively within the multi-disciplinary team evidenced with examples throughout career. / Demonstration of clinical leadership
Teaching & Training / Ability to train and supervise junior medical staff and other members of the multi-disciplinary team; demonstrating a flexible approach to reflect varied learning styles. / Experience of teaching and training postgraduate and undergraduate medical staff and other professional groups and/or carer/service user groups.
Research & Publications / Demonstrate an interest to participate in research and encourage evidence based practice.
Clinical Audit / Demonstrate breadth of knowledge and understanding of Clinical Governance agenda within Mental Health.
Experience of service development utilising Clinical Audit/Governance to achieve patient centred improvement. / Evidence of audit cycle completion.
Evidence of involvement in other areas of Clinical Governance (CIRs, ICP, MCNs, critical review of evidence etc)
Service Management / Experience of contributing to and supporting service modernisation and redesign programmes. / Embrace innovative solutions to deliver modern patient centred services.
Personal and Interpersonal Skills / Demonstrate effective clinical leadership by demonstrating clinical leadership within multi-disciplinary teams or across partnership organisations. / Clear evidence of providing clinical leadership and ability to give examples.
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.