OXFORD DEANERY SPECIALTY TRAINING PROGRAMME IN PSYCHIATRY

About Oxford Deanery

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

The Oxford Deanery is part of the South Central Strategic Health Authority which serves a large population and covers the regions mentioned above as well as the Wessex Deanery areas of Hampshire and the Isle of Wight. 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.

The Psychiatry Training Programme

The psychiatry training programme is a 3 year programme, starting at CT1. 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.

Clinical care will be delivered at a range of sites requiring trainees to travel effectively and efficiently to, for example: Trust sites, patient’s homes, police stations, clinics and other associated sites. Travel costs from base location to other sites will only be reimbursed for business mileage (valid insured drivers/vehicles) and journeys using all forms of public transport (including taxis) will be reimbursed at the public transport rate.

The posts on this rotation have been approved for Specialist Training by the GMC & RCPsych. The programme is designed to equip the trainee for Higher Specialist Training in their chosen specialty.

The Postgraduate Dean has confirmed that this post has the necessary educational and staffing approvals.

The programme is based in several different Trusts throughout the Oxford Deanery so trainees may find themselves employed by any of the following Trusts and placed in any of the following hospitals/sites:

Oxford Deanery Core Training Programme in Psychiatry (Years 1- 3).

Description of the Programme

The current 59 posts are provided by four NHS Trusts:

·  Oxfordshire & Buckinghamshire Mental Health Partnership Trust (OBMH)

·  Berkshire Healthcare NHS Foundation Trust (BHFT)

·  Milton Keynes Primary Care Trust (MK)

·  West London Mental Health Care Trust – Broadmoor site (Broadmoor)

·  Ridgeway Trust (Learning Disability Trust covering Oxford & Bucks areas)

The Programme has close links with the University of Oxford through the Department of Psychiatry based in Oxford. There are variable numbers of academic clinical fellowship placements available on the programme. Currently at CT1 level there is one post.

Further details on these training providers and the sites of training are available on their websites: www.obmh.nhs.uk; www.berkshire.nhs.uk; www.mkpct.org.uk; www.wlmht.nhs.uk. http://www.ridgeway.nhs.uk/

Trainees should be able to travel effectively and efficiently to all Trust and associated sites for work purposes.

Distribution of Workplace based learning posts across Trusts

The programme is committed to the principles of workplace based learning and assessment. Workplace based learning opportunities are provided that adhere to the Royal College’s post-graduate training curriculum. These opportunities aim to provide trainees with competency specific learning outcomes addressed to their individual needs.

The overall distribution of the workplace base learning posts across each Trust is as follows:

·  Oxfordshire & Buckinghamshire 31

·  Berkshire 14

·  Milton Keynes 6

·  Broadmoor 6

·  Ridgeway 2

The ACF posts are currently linked to posts in the OBMH Trust

The more specific distribution of the training posts across the four Trusts in the Core Training Programme is provided in Table 1. The specialty training posts in the Oxfordshire and Buckinghamshire Partnership NHS Trust include academic clinical fellowship (ACF) posts across each year.

Table 1 Overview of placements available at CT1-3 years

Trust / CT1 / CT2 / CT3
Oxfordshire & Buckinghamshire / 9 / 10 / 12
Berkshire / 6 / 3 / 5
Milton Keynes / 3 / 3 / 0
Broadmoor / 0 / 3 / 3
Ridgeway / 0 / 1 / 1
Total / 18 / 20 / 21

Training Opportunities across the ST1-3 Programme

The programme provides workplace based training opportunities across each of the current specialty areas in psychiatry in addition to academic, addictions and eating disorder training opportunities. The number of posts available in each specialty is as follows:

·  Working Adults 23

·  Older Adults 11

·  Eating Disorders 1

·  Learning Disability 2

·  Child & Adolescent 6

·  Addictions 2

·  Forensic 11

·  Psychotherapy 3

ACF posts

There is one ACF post at CT1 available from August 2011. They are linked academically to the Department of Psychiatry at the University of Oxford. Clinically they are linked to educational supervisors in older adult, adult and child & adolescent posts.

Workplace based learning opportunities in each Specialty Training year

This section outlines the types of workplace based training opportunities (posts) available across each of the specialty training years.

Year One Workplace based learning posts

The type of post available in Core Training year one across each Trust (and different geographic locations within the larger trusts) is presented in table 2. There are ten posts in the Psychiatry of Working Adults and eight in the Psychiatry of Older Adults.

Table 2 CT1 Workplace Based Learning Posts

Job.No. / Location / Trust / Specialty / Clinical Trainer
1 / Warneford,
Oxford / OBMH / Adult / Geaney
2 / Warneford H, Oxford / OBMH / Adult / Quested
3 / Littlemore MHC, Oxford / OBMH / Adult / Davison
4 / Tindal Centre
Aylesbury / OBMH / Adult / Johnson/
Vassos
5 / Haleacre Unit, Amersham / OBMH / Adult / Sharma
6 / Fulbrook Centre, Oxford / OBMH / Older adult / Pearce
7 / Tindal Centre, Aylesbury / OBMH / Older adult / Mackenzie/ Vanderputt
8 / Fulbrook Ctr, Oxford / OBMH / Older adult / Wilkinson
9 / Fiennes Centre, Banbury / OBMH / Older adult / Bannister
10 / Wexham Park, Slough / BHFT / Adult / Edirisinghe
11 / Heatherwood Hospital, Ascot / BHFT / Adult / Sodhi
12 / Heatherwood Hospital, Ascot / BHFT / Adult / Clifford
13 / Prospect Park Hospital / BHFT / Older adult / Evans
14 / Prospect Park Hospital, Reading / BHFT / Older adult / Fussell
15 / Heatherwood Hospital, Ascot / BHFT / Old Age / Bedi
16 / Queensway Clinic, Bletchley / MKPC / Adult / Malanda
17 / Milton Keynes H / MKPC / Adult / B Ahmad
18 / Milton Keynes H / MKPC / Older adult / Nazir

Year Two Workplace based learning posts

The distribution of posts in Core Training year two is presented in Table 3.

This year includes posts in the following specialties:

·  Working Adults 6

·  Older Adults 2

·  Learning Disability 1

·  Child & Adolescent 3

·  Eating Disorders 1

·  Forensic 5

·  Psychotherapy 1

·  Addiction 1

CT2 Posts

Job No. / Location / Employing Trust / Speciality / Clinical Trainer
1 / Warneford
Oxford / OBMH / Adult / Sargent
2 / Elms Centre Banbury / OBMH / Adult / Barrera
3 / Boundary Brook House / OBMH / Child & adolescent / Stewart
4 / Boundary Brook House / OBMH / Child & adolescent / Perkins
5 / Oxford Clinic Littlemore / OBMH / Forensic / Gordon
6 / Marlborough House MK / OBMH / Forensic / Thirumalai
7 / Littlemore MHC / OBMH / Eating disorders / Park
8 / Tindal Centre Aylesbury / OBMH / Adult / Dauncey
9 / Sefton House High Wycombe / OBMH / Addiction / Reid
10 / Tindal Centre Aylesbury / OBMH / Adult / Robertson
11 / Winterbourne Ho. Reading / BHFT / Psychotherapy / Lang
12 / St Marks Hospital Maidenhead / BHFT / Older adult / Dawson
13 / BAU Wokingham / BHFT / Child & adolescent / Affonso
14 / Milton Keynes Hospital / MKPC / Adult / Edgar
15 / Milton Keynes Hospital / MKPC / Older adult / Razzak
16 / Milton Keynes Hospital / MKPC / Adult / Hassan
17 / Amersham GH / Ridgeway / Learning Disability / Banerjee
18 / Broadmoor Hosp / WLMHT / Forensic / Ross
19 / Broadmoor Hosp / WLMHT / Forensic / Sengupta
20 / Broadmoor Hosp / WLMHT / Forensic / Dillon

Year Three Workplace based learning posts

The distribution of posts in Specialty Training year three is presented in Table 4.

This year includes posts in the following specialties:

·  Working Adults 7

·  Old Age 1

·  Learning Disability 1

·  Child & Adolescent 3

·  Addictions 1

·  Forensic 6

·  Psychotherapy 2

CT3 Posts

Job No / Location / Employing Trust / Specialty / Clinical Trainer
1 / Oxford Clinic, Littlemore / OBMH / Forensic / Hancock
2 / Rectory Ctr, Oxford / OBMH / Addictions / Critchlow
3 / Amersham HC / OBMH / Child & adolescent / Wolde-Giorgis
4 / Littlemore MHC, Oxford / OBMH / Forensic / Lally
5 / Oxford Clinic, Littlemore / OBMH / Forensic / Fazel
6 / Warneford H, Oxford / OBMH / Psychotherapy / Stegen/
Bowden
7 / Julier Ctr, Bicester / OBMH / Adult / O’Leary
8 / Warneford H, Oxford / OBMH / Adult / Shaw
9 / Warneford, Oxford / OBMH / Adult / Bale
10 / Tindal Centre, Aylesbury / OBMH / Psychotherapy / Newrith
11 / High Wycombe / OBMH / Child & adolescent / Acharya/
Richardson
12 / Manzil Centre, Oxford / OBMH / Adult outreach / Patterson
13 / Slade House,
Headington / Ridgeway / Learning dis. / Andrews
14 / 3 Craven Road, Reading / BHFT / Child & adolescent / Vogt
15 / Prospect Park, Reading / BHFT / Adult / Parry
16 / Prospect Park, Reading / BHFT / Adult
CRHTT / Ahmad
17 / Wexham Park, Slough / BHFT / Adult / D’Souza
18 / Wexham Park, Slough / BHFT / Older Adult / Eastwood
19 / Broadmoor H, Crowthorne / WLMHT / Forensic / Maden
20 / Broadmoor H, Crowthorne / WLMH / Forensic / Das
21 / Broadmoor H, Crowthorne / WLMH / Forensic / Payne

Job Descriptions and Educational Supervisors

Details of individual posts and the linked educational supervisors are provided on the Trust websites.

MRCPsych Course

The programme includes a highly regarded MRCPsych course that provides support for candidates preparing for College Examinations. The course supports learning opportunities that are provided in the workplace. The Course learning activities are based in Oxford. Currently the Part I learning activities are on Tuesday afternoons; the part II learning activities are on Thursday afternoons.

In addition each Trust provides “in-house” formal educational opportunities – journal clubs, case presentation days etc in addition to training opportunities in audit and ECT.

Programme personnel

The programme is managed by a programme director, college tutors and associate tutors from each Trust and the Programme’s MRCPsych course organiser. Each is highly committed to postgraduate training and development. Their details are as follows:

Head of School Denis O’Leary, OBMH (Denis.O’)

Training Programme Farooq Ahmad ()

Director (Core)

Associate TPD (Core) Mrigendra Das (Mrigendra.Das@wlmht)

Subimal Banerjee ()

College Tutors

Digby Quested OBMH ()

Mark Parry West Berks ()

David McDonald East Berks ()

Abdul Razzak MK ()

Samrat Sengupta Broadmoor ()

Associate Tutors

Gerti Stegen OBMH ()

Nicki Crowley OBMH ()

MRCPsych course

Organiser

Digby Quested OBMH ()

Administrators

Training Programme Jan Harris ()

MRCPsych Course Bridget Burchell (()

Teaching

All posts are supported with a one hour weekly dedicated supervision session by Clinical Supervisor (CS), two monthly session with Educational Supervisor (ES) and weekly sessions for local teaching programme, psychotherapy training and the MRCPsych course.

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, 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.

http://www.nhsemployers.org/PlanningYourWorkforce/MedicalWorkforce/EWTD/Pages/EWTD.aspx

Pay – you should be paid monthly at the rates set out in the national terms and conditions of service for hospital medical and dental staff and doctors in public health medicine and the community health service (England and Wales), “the TCS”, as amended from time to time. The payscales are reviewed annually. Current rates of pay may be viewed at http://www.nhsemployers.org/PayAndContracts/Pay%20circulars/Pages/PayCircularsMedicalandDental.aspx

Pay supplement –depending upon the working pattern and hours of duty you are contracted to undertake by the employer you should be paid a monthly additional pay supplement at the rates set out in paragraph 22 of the TCS. The current payscales may be viewed at http://www.nhsemployers.org/PayAndContracts/Pay%20circulars/Pages/PayCircularsMedicalandDental.aspx . The pay supplement is not reckonable for NHS pension purposes. The pay supplement will be determined by the employer and should be made clear in their offer of employment and subject to monitoring.