SPECIALTY DOCTOR ADDICTION PSYCHIATRY
KERSHAW UNIT, GARTNAVEL rOYAL HOSPITAL
Information pack
reF: 34722d
Closing Date: noon 3RD OCTOBER 2014
www.nhsggc.org.uk/medicaljobs
SUMMARY INFORMATION
Post: SPECIALTY DOCTOR ADDICTION PSYCHIATRY
Base: KERSHAW UNIT, GARTNAVEL ROYAL HOSPITAL
Do you want to come and work with the biggest Addiction Service in Europe, whilst continuing your CPD with protected time, and with the opportunity to enhance your teaching and research CV? We are seeking 2 specialty grade psychiatrists to work in our hospital units- 1 in Kershaw Unit, Gartnavel Royal Hospital and 1 in Eriskay House, Stobhill Hospital- with some outreach into the community. The posts combine the satisfaction of participating in an innovative and developing clinical service to a client group with high levels of morbidity for alcohol, drugs and mental health problems, together with the opportunity to become involved in a number of research projects and teaching initiatives.
All applicants must possess Full GMC Registration with at least 4 Years full time Post Graduate Training, two of which must have been within a Specialty Training programme, or you will demonstrate and evidence equivalent experience and competencies.
NHS GREATER GLASGOW & CLYDE ADDICTION SERVICES
Speciality Doctor Grades in Addictions
Kershaw Unit, Gartnavel Royal Hospital and Eriskay House, Stobhill Hospital
10 programmed activities
NHS GREATER GLASGOW & CLYDE
Job Description
Speciality Doctor in Addiction Psychiatry
Current Addiction Psychiatric Services
Addiction services in Greater Glasgow and Clyde cover 10 community health partnership areas and a general population of over 1.1 million. Greater Glasgow and Clyde has high levels of drug and alcohol misuse prevalent in its populations and as consequence there is major investment in the service.
Community provision is based around 7 community addiction teams (CATs) in Glasgow city, plus a Homeless Addiction team and 3 other community venues in South Clyde and West and East Dunbartonshire. These CATs contain multidisciplinary teams consisting of social care workers, nurses, OTs, psychologists, dieticians and medical officers relating to local addiction psychiatrists. Substitute prescribing is delivered either by medical officers in CATs or by GPs supported by “shared care” under the terms of an enhanced service contract.
Day services in Greater Glasgow are available in 2 partial hospitalisation units:
Eriskay House at Stobhill Hospital – serves the north and east of the city and Kirkintilloch.
Kershaw unit at Gartnavel Royal Hospital – serves the west and south of the city, Bearsden and Milngavie and West Dunbartonshire.
An Alcohol problem clinic day hospital at Dykebar hospital serves South Clyde as do day services in Greenock.
Inpatient provision is as follows:
Eriskay house at Stobhill – 15 beds serving north and east Glasgow, Kirkintilloch and.
Kershaw Unit at Gartnavel Royal Hospital – 20 beds serving west and south Glasgow, Bearsden and Milngavie, West Dunbartonshire, South Clyde and homeless populations.
Medical Staffing – addictions psychiatry
Consultants
Dr Scott Wylie North Glasgow and East Dunbartonshire
Dr Maire Cooney East Glasgow
Dr Iain Mackay Homeless Addiction Team
Dr Iain Smith West Glasgow
Dr Anupam Agnihotri South East Glasgow
Dr Neeraj Bajaj South West Glasgow
Dr Donna Mullen west Dunbartonshire
Dr Charles McMahon South Clyde and Lead Clinician
Dr Audrey Hillman South Clyde
Dr Roger Sykes South Clyde
Vacant East Renfrewshire and ARBD
Specialty & SAS doctors
Dr G Reynolds Eriskay House and North Glasgow
Dr A Rizov Eriskay House and East Glasgow (leaving November 2014)
Dr Y Gabir Kershaw Unit and Homeless Addiction Team
Vacant Kershaw Unit and South Glasgow
Dr F Skelton Associate Specialist, West Glasgow
Dr R Ashraf South Clyde
Dr C Duncan locum South Clyde
Senior medical officers
Dr Saket Priyadarshi North East Sector, East Dunbartonshire (currently acting AMD)
Dr Catriona Ritchie North West Sector, acting Lead Clinician
Vacant South Sector, South Lan and Drug Court team
In addition, there are ~32 medical officers (~21 wte), plus rotating junior and senior psychiatric trainees and non-medical prescribers.
Overview
These posts are full time 10 session (40hrs/week) post in Addiction Psychiatry. The post holders will be based in either the Kershaw Unit (Gartnavel) or Eriskay House (Stobhill) under the supervision of an identified consultant.
Initially the posts job plan will consist of:
Kershaw:
Initially-
7 sessions will be spent providing routine and emergency day time medical cover for all addiction patients in Kershaw ward, Gartnavel Royal Hospital and Kershaw day service in cooperation with another full time specialty grade doctor.
2 sessions will be spent providing 2 community medical clinics for south east/ west Glasgow agreed with local consultants and head of service.
1 session will be spent in supporting professional activities such as appraisal, job planning, audit and other clinical governance activities, teaching and training.
Addiction services are hoping to employ advanced nurse practitioners (ANPs). It is intended to employ one in Kershaw to provide some routine traditionally ‘medical’ functions including admission physicals, clerk ins, phlebotomy and investigation organisation, non medical prescribing, discharge planning and discharge documentation creation. With the successful bedding in of a Kershaw ANP within 3-6 months it is expected that this specialty doctor will move to be being based in south Glasgow community with a job plan of…
4 sessions medical cover for all Kershaw inpatients and day patients to cover any leave absence of the other Kershaw spec doc and ANP.
5 sessions of community medical clinics for south east/ west Glasgow
1 session supporting professional activities as above.
Eriskay:
7 sessions will be spent providing routine and emergency day time medical cover for all addiction patients in Eriskay ward, Stobhill Hospital and Eriskay day service in cooperation with another full time specialty grade doctor.
2 sessions will be spent providing 2 community medical clinics for north-east Glasgow agreed with local consultants and head of service.
1 session will be spent in supporting professional activities such as appraisal, job planning, audit and other clinical governance activities, teaching and training.
In due course, ANPs may be introduced to Eriskay ward, allowing release of Eriskay speciality doctor time into the community similar to plans described above for Kershaw Unit.
As part of a pool of specialty doctor and associate specialists you will be required to cross cover the leave of specialty doctors in NHSGG&C addictions. This work should ordinarily be infrequent with notification in advance so that other community duties can be rescheduled with minimal disruption to service. In line with all other speciality doctor and associate specialist doctors in NHSGG&C mental health services, there may be a future requirement for cross working into other mental health services.
Although principally supervised by a named consultant, the post holder will work in a generic way to all addiction patients in their respective unit regardless of their address or which team they belong to.
Supporting Staff
Administrative and secretarial support, together with office accommodation is available in the units and in local CATs. The post-holder will work alongside another middle grade doctor and any rotating trainees.
Duties of the Post
Hospital work
The post holder will have responsibility for providing a comprehensive range of services in conjunction with the multi-disciplinary team to in- and day-patients with addiction problems. Clinical duties will include medical and psychiatric assessment, prescription of medication, and diagnosis and treatment of co-morbid disorders, clerk in of patients, physical examination and organisation of appropriate investigations, creation of care plans, completion of risk assessments and dictation of discharge letters. The post-holder will be required to attend ward rounds and appropriate multi-disciplinary meetings.
They would be involved in assessing patients including emergency work. They would also be responsible for initiating investigations and following up patients. They would provide medical cover for inpatients and partial hospitalisation patients, assisting Consultants’ ward rounds and in the facilitation of planned admissions and discharges. Staff training is considered an important function of the Speciality Doctor and the successful applicant would be expected to actively participate in the supervision and training of other disciplines. A considerable degree of liaison with these other disciplines including any trainees and members of the CATs would be expected to ensure an integrated and comprehensive package of care for the patient, including liaison with the voluntary sector and liaison with colleagues in mental health. The post holder will be expected to work well as part of a multidisciplinary team in a variety of settings.
Community work
The postholder would do outpatient clinics and provide medical support for community staff in locality CATs service (South sector for Kershaw unit, northeast for Eriskay House). This would involve outpatient medical assessment, opiate substitute prescribing, assessment and treatment of mental health and addiction issues. They would participate in team clinical review meetings about patients.
General
It is expected that the successful applicant will be a s22 Approved Medical Practitioner or will be seeking AMP training and will actively participate in the assessment process and application of the Mental Health (Care and Treatment) (Scotland) Act2003.
They will be expected to cover for colleagues during absences in line with local arrangements.
The post holder will agree a job plan with their supervising consultant and the Associate Medical Director. The Job Plan will have a degree of flexibility and will be discussed with the supervising Consultant Psychiatrist.
The post holder will have an annual appraisal through the SOAR national on line system to ensure they have and maintain a licence to practice and have appropriate revalidation.
The final timetable is subject to the review and agreement by the supervising Consultant depending on the needs of the service.
There is no on-call commitment.
Teaching
The post holder may have the opportunity to become involved in undergraduate teaching of students from the University of Glasgow.
There is opportunity for multidisciplinary teaching within the service from time to time and this is encouraged as a contribution to team / staff development.
Continued Professional Development
1 programmed activity pro rata is allocated per week for CPD and any other supporting professional activity. The post holder will be expected to contribute to the Post-Graduate Teaching programme of journal clubs, case presentations etc. at the local Internal teaching sessions. They would also have opportunities to attend the Addictions CPD. An interest in relevant research and an audit is encouraged.
All staff are encouraged to ensure that they keep their practice up to date and is eligible for 30 days study leave over 3 years pro rata.
Research and Audit
Opportunities exist in the Kershaw unit for involvement in research and audit. A local consultant addiction psychiatrist chairs the research subcommittee of clinical governance and drives a significant research agenda. The scale of the addiction problem in Greater Glasgow and Clyde and the size of the organisation tasked with delivering appropriate services provides huge opportunities in this regard.
Management/Administrative work
As would be expected of all clinicians accurate contemporaneous records must be kept in the prescribed format, this will include the accurate recording of electronic information on the clinical information system.
Occasional Emergencies
The post holder may be required to perform duties in occasional emergencies in unforeseen circumstances at the request of the Consultant. It has been agreed that such duties would be exceptional and that this type of arrangement would not be for a prolonged period.
Date when post is vacant.
Kershaw- 11th march 2014
Eriskay- November 2014
9. Proposed provisional initial job plan for first 3-6 months. Thereafter 3 sessions of community work would be substituted for Kershaw inpatient/ day service work.
Subject to further negotiation with supervising consultant / associate medical director.
Kershaw:
Mon / Tues / Wed / Thurs / Friam / Ward / Day hospital work / Ward/ day hospital work / Community clinic / Ward/ day hospital work/ CPD / Consultant
Supervision
Community clinic
pm / Ward / Day Hospital Work. / Ward/ day hospital work / Ward / day hospital work / ward / day hospital work/ CPD / Ward / Day Hospital Work.
Eriskay:
Mon / Tues / Wed / Thurs / Friam / Ward / Day hospital work / Community clinic / Ward / day hospital work / Ward/ day hospital work/ CPD / Community clinic
Consultant
Supervision
pm / Ward / Day Hospital Work. / Ward/ day hospital work / Ward / day hospital work / ward / day hospital work/ CPD / Ward / Day Hospital Work.
9 pas direct clinical care
1 pas CPD / SPA
No on call
11. Arrangements for applicants to visit.
In the first instance, it is suggested that interested parties contact:
Dr Saket Priyadarshi
Acting Associate Medical Director
NHSGG&C addiction services
2nd Floor Possilpark Health and Social Care Centre
99 Saracen Street
Glasgow
G22 5AP
Tel 0141 800 0660
E mail
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 / Specialty Doctor
£ 37,547 - £ 70,018 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 Time 40.00
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: www.sppa.gov.uk
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.