OXFORD DEANERY SPECIALTY TRAINING PROGRAMME in General Adult and Old Age Psychiatry

OXFORD DEANERY SPECIALTY TRAINING PROGRAMME IN GENERAL ADULT and OLD AGE PSYCHIATRY

About Oxford Deanery

The Oxford Deanery covers the counties of Oxfordshire, Berkshire and Buckinghamshire, with Banburyand Milton Keynes in the North, to Readingand Slough in Berkshire and High Wycombe and Aylesbury in the West.

The Oxford Deanery is part of NHS South of England which comprises South Central, South West and South East Coast Strategic Health Authorities. The Oxford Deanery is responsible for the training of some 1500 trainees.

The Oxford Deanery is a relatively small deanery with a defined geographical area which serves as a single unit of application. In the majority of cases successful candidates will be asked to preference their choice of location for either one or two years. Some programmes will require successful candidates to indicate a location and specialty. Future placements will usually be based on individual training and educational needs. Please note that applications are to the Oxford Deanery as a whole. This may mean that you may be allocated to any geographic location within the Oxford Deanery depending on training needs.

TheGeneral Adult and Old Age Psychiatry Training Programme (Advanced)

The General Adult and Old Age Psychiatrytraining programme is a 3 year programme, starting at ST4. During this time, the trainee's work will be monitored for satisfactory progress and subject to annual reviews in the form of ARCPs. Progression on the programme will be dependent upon these reviews.

The posts on this rotation have been approved for Specialist Training by the Royal College of Psychiatry and Deanery (GMC). The Postgraduate Dean has confirmed that this programme has the necessary educational and staffing approvals.

Single CCT

Posts attract National Training Numbers and provide training towards a single Certificate of Completion of Training (CCT) in General Adult or Old Age psychiatry.

Dual CCT

From August 2013 we will also offer, from time to time, a small number of dual training positions which will lead to a CCT in both General Adult and Old Age Psychiatry. Trainees will be managed in the same way as their single specialty colleagues and the training posts will be from the same pool of posts in the programme.

Dual programmes in general psychiatry & old age psychiatry must consist of:

2 years in designated Old Age Psychiatry Posts and 2 years in General Psychiatry Posts. Currently Trainees wishing to pursue Dual Training in this programme will be required to spend the first 2 years in Old Age Psychiatry followed by 2 years in General Psychiatry. One year of the GA training may be in any of the GMC approved GA sub-specialty posts ie. Substance Misuse, Liaison Psychiatry or Rehabilitation Psychiatry. Trainees must complete the competencies for both CCTs.

Training Providers

There are 2 different Trusts providing training posts in this programme within the Oxford Deanery. Trainees may find themselves employed by any of the following Trusts and placed in any of the following hospitals:

Trust / Hospitals and Locations
Oxford Health NHS Foundation Trust / WarnefordHospitalOxford

Oxford Health NHS Foundation Trust / LittlemoreHospitalOxford

Oxford Health NHS Foundation Trust / Fulbrook Centre, ChurchillHospital site, Oxford

Oxford Health NHS Foundation Trust / Tindal Centre, Aylesbury, Buckinghamshire

Oxford Health NHS Foundation Trust / The Fiennes Centre, Banbury

Oxford Health NHS Foundation Trust / Marborough House, Milton Keynes

Oxford Health NHS Foundation Trust / John Hampden Unit, StokeMandevilleHospital site, Aylesbury

Oxford Health NHS Foundation Trust / Valley Centre High Wycombe Addictions service Bucks (SCAS)

Berkshire Healthcare Foundation Trust / ProspectParkHospitalReading

Berkshire Healthcare Foundation Trust / WexhamParkHospitalSlough

Berkshire Healthcare Foundation Trust / HeatherwoodHospitalAscot

Rotation Information

Posts may at times change in response to the clinical need of the Trusts. Expected rotation arrangements for this programme are:

The programme provides approved posts for years ST4-6 in General Adult and Old Age Psychiatry. The programme offers a choice of Specialty and Sub-specialty posts to the 25 trainees who will be on the programme.

• General Adult Psychiatry23
• Old Age Psychiatry11
• Eating Disorders 1
• Addictions 2
• Forensic 2
• Psychotherapy 1
• Liaison 1

Trainees will be expected to spend a year of training in Oxford and a year in Buckinghamshire or Berkshire during the 3 year programme to gain a wide range of experience. Posts are 12 months long and are allocated annually following a process involving both trainees and the TPDs. Trainees will be allocated to an advanced trainer (CS) who will provide clinical supervision for the 12 months and in addition an Educational Supervisor for the 3 year period of advanced training. The following posts are currently available but the programme annually recruits new advanced trainers through an application and interview process, and currently all trainers receive training and will be appraised in these roles. All NHS Trusts areundergoing service redesign at present and opportunities for developing new training posts will be assessed as the redesigns emerge. Most trainers have been identified as inpatient or community consultants but there should be flexibility within locality teams for both experiences to be available to trainees according to their curricular and training needs.

Specialty / Location
Oxfordshire Posts / Advanced Trainer
General Adult / Warneford Hospital, Oxford
North Oxfordshire CMHT, Bicester / Denis O’Leary
General Adult / Warneford Hospital, Oxford
Southwest CMHT, Abingdon / Simon Hampson
General Adult / Warneford Hospital, Oxford
City East CMHT, Oxford / Phil Davison
General Adult / Warneford Hospital, Oxford
City East CMHT, Oxford / Rob Bale
General Adult / Warneford Hospital, Oxford
City East CMHT, Oxford / Rob Chaplin
General Adult / Warneford Hospital, Oxford
South West CMHT, Witney / Peter Sargent
General Adult / Warneford Hospital, Oxford
City West CMHT, Oxford / Digby Quested
General Adult / Warneford Hospital, Oxford
South West CMHT, Witney / Olga Tsatalou
General Adult / Soth East CMHT, Didcot / A Molodynski
General Adult / Warneford Hospital, Oxford
North Oxfordshire CMHT, Banbury / Julie Chalmers
General Adult / Warneford Hospital, Oxford
City West CMHT, Oxford / Susan Shaw
Old Age / Fulbrook Centre, Churchill Hospital
Henley / Hugh Series
Old Age / Fulbrook, Churchill / Lilian Hickey
Old Age / Fulbrook, Churchill / Philip Wilkinson
Forensic / Littlemore, Oxford
East Berkshire / Vivek kosla
Forensic / Malborough House, Milton Keynes / Srinivasan Thirumalai
Psychotherapy / Warneford Hospital, Oxford / Mel Bowden
Steve pearce
Eating Disorders / Cotswold House, Warneford Hospital / Eleanor Feldman
Bucks Posts
EIP/GA / Cambridge House, Smeaton Close, Aylesbury & The Tindal Centre, Aylesbury. / Jo Richards
GA / Haleacre Amersham, / Rajiv Sharma
GA / Cambridge House, Aylesbury / Sue Thomas
GA / Cambridge House, Aylesbury / John Baruch
Old Age / Tindal centre, Cambridge House, Aylesbury / Brian Murray
Old Age / Stoke Mandeville / Rohan Van der Putt
Old Age / Stoke Mandeville / Heather Conlin
Rehabilitation/AOT / Mandalay House, Aylesbury / Karen Dauncey
GA / Tindal centre, Aylesbury / Lesley Robertson
Addictions / Sefton House, Valley Centre, High Wycombe / Alistair Reid
Berkshire posts
GA / Wexham Park, Slough / Liz Clifford
Old Age / Nicholson House, Maidenhead, / Eastwood
General Adult / Slough Community/Care Pathways / Javaid Sultan
GA / Prospect Park Hospital, Reading / Farooq Ahmad
GA / Bracknell community/ Care Pathways / Sohan Derasari
GA / Wokingham/community & Prospect Park Hospital / Garyfallia Fountoulaki
GA / Newbury Community / Farzana Abid
Old Age / Wokingham Care Pathways & Prospect Park Hospital / Jackie Hussey
Old Age / Newbury community & Prospect Park Hospital / Matt Evans
Old Age / Prospect Park Hospital/OA Liaison Reading / Luke Solomons
Liaison GA/OA
* Suitable for GA liaison endorsement / Prospect Park Hospital/OA Liaison/Royal Berkshire Hospital / Luke Solomons

Trust InformationOxford Health NHS Foundation Trust

Oxford Healthprovides mental health and community services across Oxfordshire, Buckinghamshire,Swindon, Bath and North east Somerset and Wiltshire. The Thames Valley Forensic Mental Health Service based in Oxford provides a forensic service to Oxford, Bucks and Berkshire and Milton Keynes. Trainees on the programme may work at any of the following hospital sites but in addition community services are delivered from a number of community sites and bases, not listed here:

Littlemore Mental Health Centre, Oxford

This is the site of one male 22 bedded general psychiatric ward (Phoenix ward), the Intensive psychiatric care unit (Ashurst ward) and is also the site for the various forensic services. A number of inpatient services are provided in separate units ie Oxford Clinic (medium secure), Wenric House (low secure), Thames House (a service for women) and Lambourn House, pre-discharge unit. There are opportunities for general adult trainees to spend special interest sessions or a year in the forensic service. There is a separate rotational higher training scheme in forensic psychiatry.

WarnefordHospital, Oxford

A general psychiatric hospital with 3 acute admission wards. It is also the site of the Early intervention service, an out-patient department, a day hospital and an occupational therapy department. There is an excellent library, the Clinical Psychology Department, the Psychological therapies Department and the Highfield Family & Adolescent Unit are on site. The university department is on this site as well as a number of research facilities.

The Fulbrook Centre, ChurchillHospital, Oxford

A general hospital with two in-patient assessment and treatment units for older adults

The Fiennes Centre, Banbury

A 17 bedded inpatient assessment and treatment unit for older adults

Malborough House, Milton Keynes

A medium secure forensic unit.

Tindal Centre, Aylesbury

A general psychiatric unit with two acute wards and two of the three mid-Buckinghamshire CMHTs. Low secure and open rehabilitation units, namely Woodlands House and Mandalay House, the inpatient beds for the Buckinghamshire early onset dementia service, the bases for Assertive Outreach, Early Intervention in Psychosis and Community Drug and Alcohol Teams and the Cornerstone Day Service are on the adjacent Manor House site. A liaison service is provided to StokeMandevilleHospital which includes the National Spinal Injuries Centre.

John Hampden Unit, Aylesbury

A progressive, well-established, community-oriented department of old-age psychiatry, serving Aylesbury Vale and West Hertfordshire and located on the Stoke Mandeville Hospital site. It is committed to a flexible approach to the assessment and management of patients over 65 years of age with mental health difficulties, and offers wide-ranging therapeutic opportunities. There are close links with the physicians and surgeons at StokeMandevilleHospital, which are mutually valued.

Trust information: Berkshire Healthcare NHS Foundation Trust

Berkshire Healthcare NHS Foundation Trust provides mental health and community services to all ages across Berkshire. Services are organized across 6 localities alongside the unitary authorities (Reading, Wokingham, Newbury, Slough, Windsor and Maidenhead and Bracknell). Having re-designed mental health services in 2011 under a programme of Next Generation Care, the trust is currently undergoing a programme over the next 2 years to move mental health inpatient services from Heatherwood and Wexham Hospitals to purpose built Prospect Park Hospital in Reading.In addition to services being organized around the localities, the re-design resulted in a single access service for the county (Common Point of Entry 8am-8pm), a service for acute care (Urgent Care Services inpatient and home treatment East and West 24/7) and local community teams (Care Pathways).Trainees on the programme may work at any of the following hospital sites but in addition community services are delivered from a number of community sites and bases, not listed here.

Heatherwood Hospital

A general hospital in East Berkshire. Also site ofmental heath services for Windsor Ascot and Maidenhead which are provided on ward 12, an adult 25 bedded inpatient unit, mother and baby and eating disorders unit. Ward 12 will move to Prospect Park Hospital in summer 2013.

WexhamParkHospital

A general hospital in Slough, East Berkshire. Inpatient mental health adult services provided on ward 10 which will be moving in Spring 2013 to Prospect Park Hospital.

St Mark’s Hospital Maidenhead

Inpatient services for older adults for Slough and Maidenhead (Charles Ward). This will move to Prospect Park Hospital in 2014.

Prospect Park Hospital, Reading

Prospect Park Hospital is a purpose built general psychiatric hospital, opened in 2003, that provides in-patient services for the West Berkshire population of approximately 550,000, and a Learning Disability short term assessment and treatment service (Campion) and a PICU (Sorrell) for the whole of Berkshire. There are outpatient facilities on site and it is also the site of the Reading Care Pathways team, and the Urgent Care West hub and the ECT suite. It has excellent training, office and library facilities and also the offices for the Medical Education Administrator and Director of Medical Education.

Royal Berkshire Hospital Reading

The RBH is one of the largest general hospital foundation trusts in the country providing acute medical and surgical services to the west of Berkshire and specialist service to the county. The BHFT urgent care and liaison services provide mental health care to the RBH and a trainee choosing to train in Liaison psychiatry will have an honorary contract enabling them work in this setting.

Teaching

In both Trusts there are well established weekly academic programmes attended by trainees and medical staff, in protected time. There are many additional opportunities to attend other postgraduate meetings in the University Department in Oxford. Both Trusts have excellent training departments with opportunities to participate in multi-professional training. There are opportunities to train in various psychological therapies under supervision.

Duties of Post

Clinical dutiesThe clinical duties in each post will vary according to the type of service being delivered by the consultant but across the whole programme a wide range of clinical experience is available. The out of hours service provision is being reviewed in both Trusts and the opportunity to be on an on-call rota varies between trusts and may change.

Management and administrative skillsThere are opportunities both in each post and across the programme. There are opportunities to represent the junior staff on several committees at Trust and Deanery level. The Oxford Deanery is committed to providing management training for specialist trainees in the course of their rotations.

Teaching othersThere are opportunities to teach medical students from Oxford and Southampton medical schools, foundation and core trainees from the Oxford deanery, and other professionals in multi-professional settings.

Higher Education Training. There are opportunities to pursue postgraduate training/qualifications in clinical education. In recent rotations trainees have successfully completed an MA in Education. From 2013 the programme can offer a 12 month Clinical Education Fellow post under the academic supervision of Dr O’Leary. During this year the trainee will register for a Postgraduate Diploma in Higher Education at the Oxford Learning Institute and work to develop a portfolio of teaching and educational development or research in association with the Oxford School of Psychiatry and the Oxford University Dept of Psychiatry. 50% of the post will remain clinical during which the trainee will be expected to achieve the same competencies for annual progression as their clinical trainee colleagues.

Research and audit

There will be widespread opportunities to meet audit and research competencies. The Programme has close links with the University of Oxford Department of Psychiatry based at Warneford Hospital in Oxford.The University Department has wide research interests and a number of NHS consultants are honorary clinical lecturers who are active in research. As well as promoting world class research by 21 research groups the department has close links with clinical services and training programmes. Many trainees wishing to pursue academic psychiatry and research have taken time out of programme to pursue this successfully.Currently the psychiatry programmes also includes ACF and ACL trainees who apply through a different route but who rotate alongside their clinical trainee colleagues to ensure clinical competencies are achieved in the same way.

In Berkshire there are links to Reading University, including the Charlie Waller Institute of Evidence-Based Psychological Treatment.The Trust is part of the Mental health Research Network (MHRN) and has an active research portfolio. Training and guidance for new researchers can be provided by the R&D department and trainees are actively encouraged to participate in research. There are 2 consultant research leads from whom trainees can also receive advice.

Main Conditions of Service

Appointments to this programme are subject to the Terms and Conditions of Service (TCS) for Hospital Medical and Dental Staff (England and Wales). In addition appointments are subject to:

• Applicants having the right to work and be a doctor or dentist in training in the UK
• Registration with the General Medical Council
• Pre-employment checks carried out by the Trust HR department in line with the NHS employment check standards, including CRB checks and occupational health clearance.

The employing Trust’s offer of employment is expected to be on the following nationally agreed terms:

Hours – The working hours for junior doctors in training are now 48-hours (or 52-hours if working on a derogated rota) averaged over 26 weeks (six months). Doctors in training also have an individual right to opt-out if they choose to do so, but they cannot opt-out of rest break or leave requirements. However, the contracts for doctors in training make clear that overall hours must not exceed 56 hours in a week (New Deal Contract requirements) across all their employments and any locum work they do.