CONSULTANT in Learning Disability Psychiatry

CONSULTANT in learning disability psychiatry

WEST DUNBARTONSHIRE CHCP AND BLYTHSWOOD HOUSE, RENFREW

INFORMATION PACK

REF: 35228d

cLOSING DATE: nOON 12th December 2014

www.nhsggc.org.uk/medicaljobs

SUMMARY INFORMATION RELATING TO THIS POSITION

Post: consultant in learning disabilities psychiatry

Base: WEST DUNBARTONSHIRE CHCP & blythswood house

Applications are invited for this post in NHS Greater Glasgow & Clyde. You will work with adults with learning disabilities, providing psychiatric input to multidisciplinary teams of specialist healthcare and social work professionals of a Community Health & Care Partnership and a specialist LD assessment & treatment in-patient unit. The post will be based in West Dunbartonshire CHCP with a catchment area population of around 91 thousand.

You will be actively involved in the further shaping and development of this service with the possibility of one of the programmed activities being adapted to suit the specific clinical, research or managerial interests of the successful candidate, subject to agreement with the Clinical Director through the Job Planning process.

Applications from doctors wishing to work less than full time are also welcomed.

NHS Greater Glasgow & Clyde serves a total population of 1.2 million. The adult learning disabilities psychiatry team includes 11 other Consultants, 2 Academics, 1 Specialty Grade Doctor and trainees. There is also a dedicated child learning disabilities service, and a forensic learning disabilities service.

You will be expected to contribute to Postgraduate Training in Learning Disabilities Psychiatry, and to participate in Continuing Professional Development. There are good opportunities for an interested appointee to become involved in research and teaching. University of Glasgow Honorary Senior Clinical Lecturer status would be sought for a suitable candidate.

Applicants must have full GMC registration and a licence to Practice. Those trained in the UK should have evidence of higher specialist training leading to CCT in Psychiatry of Learning Disability or eligibility for specialist registration (CESR) or be within 6 months of confirmed entry from date of Interview. Non UK applicants must demonstrate equivalent training.

Consultant in

Learning Disability Psychiatry

West Dunbartonshire CHCP & Blythswood House

NHS GREATER GLASGOW & CLYDE

GENERAL INFORMATION FOR CANDIDATES

i)  This information package has been compiled to provide prospective candidates with details of the post and background information about NHS Greater Glasgow & Clyde.

ii)  The contents of this package are as follows:

(1)  Background information on NHS Greater Glasgow & Clyde and the Glasgow University Centre for Excellence in Developmental Disabilities (UCEDD)

(2)  Job Description

(3)  Terms and Conditions of Service.

(4)  Further information

iii)  Informal enquiries will be welcomed by:

Dr Elita Smiley
Consultant Psychiatrist and
Clinical Director
East Renfrewshire ILDT
Barrhead Centre
8 Carlibar Road
Barrhead
Tel 0141 577 3963 / Dr Claire Hughes
Consultant Psychiatrist and
Lead Clinician
West Dunbartonshire LD Team
Beardsmore Business Centre
Dalmuir
Clydebank
Tel 0141 562 2331

Any offer of appointment is subject to:

a) Satisfactory references from two referees, one of whom must be the applicants' most recent employer

b) Satisfactory report for Protection of Vulnerable Groups

c) Satisfactory report from the Occupational Health Service

d) Completion of training under Section 22 of the Mental Health (care & treatment) (Scotland) Act 2003

Certificates are required to be checked by Recruitment Services.

BACKGROUND

INFORMATION ON

NHS GREATER GLASGOW & CLYDE

THE GLASGOW UNIVERSITY CENTRE FOR EXCELLENCE IN DEVELOPMENTAL DISABILITIES

1)  Organisation, leadership and Management

a)  Organisational Structure

NHS Greater Glasgow & Clyde is organised as follows:

1.  An Acute Services division, which provides hospital and specialist services for medical and surgical specialties;

2.  Directorates which provide some hospital and specialist services across the area; and

3.  Community Health Partnerships (CHP/CHCPs) are responsible for coordinating primary health care with social care, and local specialist community care (including local learning disability services).

b)  General management

Learning disability services across NHS GGC are developing in line with the recommendations of ‘Promoting health, supporting inclusion’ for a tiered service. Local multi-agency multidisciplinary services (Tier 3) are organised at the level of CHP/CHCPs. A service manager (or head of learning disability) for each CHP/CHCP is responsible for general management of the local service, including the community-based element of consultant posts.

Services organised across several CHP/CHCPs (Tier 4) are managed as part of the NHS GGC Specialist Mental Health Services.

c)  Medical management

Medical staff in Learning Disability services are managed by the Clinical Director, Dr Elita Smiley with support from the Lead Consultant. The job plan for each consultant is agreed individually, in the context of the overall requirements of the service. These include both Tier 3 duties (such as clinics, community visits and team activities) and Tier 4 duties (such as on-call, cover arrangements, and inpatient work). Each consultant is expected to participate in annual appraisal.

2)  Services provided by NHS GGC

a)  In NHSGGC, we work together with our partners and local communities to provide a full range of healthcare for 1,196,335 people living in:

i)  The City of Glasgow

ii)  East Dunbartonshire (Milngavie, Bishopbriggs, Kirkintilloch area)

iii)  West Dunbartonshire (Clydebank and Dumbarton area) – this post

iv)  Inverclyde

v)  North Lanarkshire (Stepps-Moodiesburn corridor)

vi)  South Lanarkshire (Rutherglen & Cambuslang)

vii)  Renfrewshire

viii) East Renfrewshire (Eastwood)

b)  Primary care services are provided and clinical governance is arranged through CHP/CHCPs.

c)  Acute hospital services are provided at more than 30 sites. Further details may be found on the website: http://www.nhsggc.org.uk

d)  Community services for people with learning disabilities are organised through CHP/CHCPs, which aim to provide care management for every client of the service.

e)  Specialist services provided across multiple CHP/CHCPs are provided through partnership or directorate arrangements.

3)  Services provided by West Dunbartonshire Community Health & Care Partnership

a)  West Dunbartonshire Community Health & Care Partnership (CHCP) has an estimated total population of 90,920. The percentage of the total population who are of working age is similar to the Scottish average although the percentage aged 75 years and over is significantly lower. National Insurance registrations for migrant workers are significantly lower than the Scottish average. Male and female life expectancy in the CHCP (71.5 and 77.7 years respectively) are significantly lower than the Scottish average (74.5 and 79.5 years respectively), although they have been rising steadily over time.

b)  This post provides Learning Disability Psychiatry input to the whole of West Dunbartonshire CHCP. The West Dunbartonshire CHCP Learning Disability Service consists of a dynamic integrated team of multi disciplinary professionals from different backgrounds in health and social work. The overall complement of staff includes disciplines in dietetics, speech and language therapy, nursing, physiotherapy, psychology, occupational therapy and social work. The service is located in the one building in Clydebank. A Joint Health and Social Work General Manager are responsible for the CHCP Learning Disability Service. Two Operational Managers support the General Manager.

c)  West Dunbartonshire consists of three main towns, Alexandria, Dumbarton and Clydebank. Each town has its own sense of local community. Positive professional relationships exist between the learning disability service and staff in other areas such as Primary Care and the GP practices. There are good transport links in and around the local area with easy access to both bus and train lines. Both trains and buses run on a regular basis. Train services in and out of Glasgow are every fifteen minutes.

d)  Glasgow is a city famed for its architecture, arts, culture and style. The city is the largest within Scotland, with a population of over 600,000 and over 1.75 million people are located in the wider Glasgow area, within 10 miles of the city. Glasgow is Scotland’s cultural capital, with a number of world class art galleries, museums and music venues such as the SECC and the newly opened SSE Hydro.

4)  Services provided in association with NHSGGC Mental Health services

a)  Specialist health professionals working within the Learning Disabilities service provide NHS services to adults with a learning disability throughout NHS Greater Glasgow & Clyde. In addition to sessional time from psychiatrists and clinical psychologists working with community-based learning disability teams there is a Complex Needs Service, an out-of-hours nursing service, and Learning Disability Epilepsy Nurse Specialists. There is also a network of Autism advisers who work with mental health teams and learning disability teams.

b)  In-patient services for patients living with NHS GGC have just recently undergone a period of re-design. Twelve acute assessment and treatment beds are now provided at Claythorn House which is within the Gartnavel Royal Hospital Campus in Glasgow. Sixteen community based assessment and treatment beds are provided at Blythswood House in Renfrew. Eight community based longer stay beds are provided at Netherton in Anniesland and six community based longer stay beds are provided at Waterloo Close in Kirkintilloch.

c)  The learning disabilities primary care liaison service and developing acute hospital liaison are directed by a Nurse Consultant, Linda Allan.

d)  Medical Staffing Complement

The Learning Disabilities Psychiatry staffing is currently:

This post / Consultant
Dr Anne Graham / Consultant
Dr Dipali Mantry / Consultant
Dr Marjorie Macfie / Consultant
Dr Robin McGilp / Consultant
Dr Neill Simpson / Consultant
Dr Laura Nicholson / Consultant
Dr Elita Smiley / Consultant
Dr Sarah Dodds / Consultant
Dr Sarita Soni / Consultant
Dr Alexander Wootton / Consultant
Dr Marie Hand / Locum Consultant
Prof Sally-Ann Cooper / Professor and Honorary Consultant
Dr Craig Melville / Senior Lecturer and Honorary Consultant
Dr Kauser Ahmad / Specialty doctor
ST4-6 / 5 consultants are educational supervisors for placements from the West of Scotland higher psychiatric training scheme, which has 7 posts in learning disabilities psychiatry
CT2-3 / Placements for 4 on rotation from core psychiatry training schemes
GP sessions / Sessional contracts for general health care of inpatients

Forensic learning disabilities services are provided by Dr Louise Ramsay, Dr Rona Gow, and Dr Jerry Burley and multidisciplinary teams, managed via the Directorate of Forensic Mental Health. Child and Adolescent learning disabilities psychiatry services for Glasgow are provided by Dr Ama Addo in the multidisciplinary LD-CAMHS team. There is a specialist GG&C clinic for people with LD and epilepsy that is led by one of the LD Psychiatrists, Dr Sarita Soni.

The UCEDD

The UCEDD is part of the Institute for Health and Wellbeing, University of Glasgow. It was established in 2000 to maximize the health, well-being and lifestyle opportunities of individuals with developmental disabilities. To achieve this UCEDD delivers:

·  World class, ethical research focused on two themes

Improving health and well-being

·  Epidemiology

·  Health screening interventions

·  Promoting healthy lifestyles

·  Improving outcomes for individuals with mental ill-health and problem behaviour

Tackling inequalities and discrimination

·  Understanding the determinants of inequality and disparity

·  Employment

·  Training interventions for professionals and carers

·  Tackling stigma

·  Friendships and social networks

·  Learning and training initiatives

The staff of the UCEDD contribute to undergraduate and postgraduate learning across disciplines. Regular seminars are organized with contributions from internationally recognized external speakers and professionals working in Glasgow, and across Scotland. The UCEDD runs an active program for PhD and MD students.

·  Innovative, exemplary clinical services in mental health, health promotion, weight management

Active collaboration between academics, health and social care professionals, individuals with developmental disabilities and carers is central to the work of the UCEDD. The UCEDD is a partner in the Scottish Consortium for Learning Disability and has formal links with relevant international organisations.

UCEDD ACADEMIC STAFF WITHIN THE UNIVERSITY OF GLASGOW

Academic Unit of Mental Health and Wellbeing, Institute of Health and Wellbeing
Staff Name / Title
Professor Sally-Ann Cooper / Professor of Learning Disabilities
Professor Andrew Jahoda / Professor of Learning Disabilities Psychology
Professor Jillian Morrison / Professor of General Practice and Primary Care
Professor Nick Watson / Professor of Disability Studies
Dr Craig Melville / Senior Lecturer in Learning Disabilities Psychiatry
Dr Pamela McMahon / Research Fellow
Laura McArthur / Research Assistant
Jaycee Pownall / Research Assistant
Marion Baltzer / Research Assistant
Ciara Stiles / Research Assistant
Fiona Mitchell / Research Assistant
Katie Baynham / Research Assistant
Dr Carol Pert / Honorary Senior Lecturer
Dr Elita Smiley / Honorary Senior Lecturer
Dr Audrey Espie / Honorary Senior Lecturer
Dr Neill Simpson / Honorary Senior Lecturer
Dr Robin McGilp / Honorary Senior Lecturer
Dr Sarita Soni / Honorary Senior Lecturer
Mrs Linda Allan / Honorary Professor

JOB DESCRIPTION

West Dunbartonshire CHCP & Blythswood House

1)  Job purpose

The purpose of the post is to provide and develop a psychiatric service for adults with learning disability in the West Dunbartonshire CHCP area of NHS Greater Glasgow & Clyde and the LD assessment & treatment in-patient unit at Blythswood House in Renfrewshire. The post holder will provide a psychiatric service to people with learning disability and related developmental disabilities that also have mental-ill health or other mental health problems. Clinical activities include:

a)  Assessing the mental disorders of adults with learning disability. Giving diagnosis and prognosis to patients and relatives in a way they can best understand. Assessing capacity to consent and assessing risk.

b)  Supporting patients in treatment choices. Offering treatment, access to healthcare facilities, and follow-up. Taking medical responsibility for inpatients. Contributing to cover for emergencies and continuity of care. Fulfilling duties required by the Mental Health (care & treatment) (Scotland) Act 2003, the Adults with Incapacity (Scotland) Act 2000, and other statutory duties requiring a psychiatrist with expertise in assessing people with developmental disabilities.

c)  Providing information, advice & support to families and carers.

d)  Team-working with multidisciplinary teams and independent care-providers. Giving medical leadership to the development of multi-agency working.

2)  Clinical Duties

a)  The role of NHS consultant in learning disabilities psychiatry is to provide psychiatric input to multidisciplinary teams of specialist healthcare professionals and staff of Local Authority social work services departments within the area covered by the NHS Greater Glasgow & Clyde. Community-based work will be with the multidisciplinary learning disability services of West Dunbartonshire CHCP. The post-holder will have responsibility for all of West Dunbartonshire CHCP (population covered = approx. 91,000). On-call work will be with the combined psychiatric on-call rota that involves other psychiatrists covering the North Sector of GGC. Acute hospital liaison will be to local acute hospitals.