About this role
Job summary
Do you want to work in an enthusiastic team within a robust MDT delivering addictions treatment? CNWL is seeking an enthusiastic and committed clinical fellow in our Brent service in north west London.
The successful applicant will have completed their foundation programme (or internship / house officer post if outside the UK) and want to gain experience of Psychiatry (and especially Addictions Psychiatry) at core trainee (SHO) level.
We reserve the right to close this advert early, if a sufficient amount of applicants are received.
Main duties of the job
The post comprises a 40-hour working week. Clinical duties will be delegated and supervised by the Consultant Psychiatrist. Wednesday afternoons are allocated to Continuing Professional Development (CPD) activities, coinciding with the academic programme at our local mental health unit at Park Royal Centre for Mental Health, but also quality improvement, research and training.
The post is designed to be flexible and the post holder will be expected to respond to strategic developments and the needs of the service. The post holder will work closely with other doctors across CNWL in Addictions. The post is non-resident.
About us
CNWL's Addiction Directorate is a large, well-established, multidisciplinary NHS provider offering a wide range of high-quality addictions services to the diverse and multicultural population of London and Milton Keyes. In addition to borough-based addiction treatment services, we also provide a club drug clinic, as well as gambling and gaming addiction services.
We provide services to the residents of 4 London boroughs: Brent, Ealing, Hillingdon and Hounslow, as well as Milton Keynes. Our addictions treatment services offer recovery-focussed interventions within vibrant community-based multi-disciplinary teams and in partnership with non-statutory providers. In addition, we provide a National Problem Gambling & Gaming Clinic and a Club Drug Clinic. We provide an addiction treatment service at HMP Woodhill. We host a Professor of Addiction Biology at Imperial College, Prof. Anne Lingford-Hughes.
Our Addiction services are dedicated to helping people reduce the harm caused by substance use and dependence, overcome their dependence and rebuild their lives by enabling recovery. The Independent Review Of Drug Treatment and Recovery conducted by Dame Carol Black and Government Drug strategy ('From harm to hope: A 10-year drugs plan to cut crime and save lives') - both released in 2021 - has resulted in significant investment in addictions service.
Job description Job responsibilities
Clinical Duties
To work as a member of the multidisciplinary team and participate in patient assessment and the delivery and evaluation of treatment. Responsibilities include assessment of new patients, review of existing patients and planning treatment with keyworkers.
To be responsible for day-to-day medical assessment and decision-making (with appropriate support and working within limits of competence).
To liaise closely with patients keyworkers, who will be primarily responsible for co-ordinating their care. The post holder may be required to hold a small caseload, although the post holder will primarily review existing patients collaboratively with their allocated keyworker. Follow-up reviews may be facilitated should the patients presentation change or require a care plan review.
The model of addictions services is different to community mental health outpatient clinics - referrals are from keyworkers or duty workers in the service and are jointly facilitated to support further assessment or management. The number of assessments per week varies depending on patient complexity, need or if patient is new or follow-up.
To provide clinical advice to team members on a 1:1 basis and within MDT meetings.
To manage community patients undergoing detoxification for drug and/or alcohol dependence.
To initiate, stabilise and maintain patients on opiate substitute treatment (OST).
To undertake mental health reviews on patients.
To provide health care appropriate to the patients physical needs and make appropriate referrals to medical colleagues.
To provide support to designated and prospective Non-Medical Prescribers.
To provide formal / informal training to staff locally as well as any students (medical, nursing and pharmacy) attending the service.
To liaise closely and communicate effectively with colleagues in statutory and non-statutory services concerning the treatment and management of our patients. This includes colleagues in settings such as primary care, the Acute Trust, mental health services, Adult Social Care and the Probation Service.
To regularly sign prescriptions, usually generated in batches and for controlled drug medications, adhering to CNWLs Medicines Policy.
To ensure that patients are assigned ICD-10 (will change to ICD-11) diagnostic coding and that these are properly recorded on the electronic patient record.
To contribute to the completion of serious incident reports as required.
To contribute to the completion of coroners reports as required.
To support the service in achieving key performance indicators in accordance with Public Health Englands National Drug Treatment Monitoring Service (NDTMS).
To maintain comprehensive contemporaneous documentation on the Trusts electronic patient record (SystmOne).
General Duties
To deputise for absent colleagues when required.
To fulfil the Trusts mandatory and statutory training requirements.
To adhere to the Trust's policies and guidelines.
To support creating and revising clinical protocols and service information leaflets.
To participate in regular training events within the service and within the Trust.
To participate in research, quality improvement, training sessions and clinical meetings.
To take part in local care quality and performance management initiatives, as appropriate.
The post holder may be required to undertake additional duties in the event of occasional emergencies and unforeseen circumstances.
The post holder may be required to work at other sites within the Trust in order to meet the needs of the Trusts services. Any significant changes to the job role will be subject to consultation.
There is no requirement for the post holder to undertake Mental Health Act assessments or be approved under Section 12(2) of the Mental Health Act.
Person Specification
EDUCATION AND QUALIFICATIONS Essential
Full GMC registration and current licence to practice
Desirable
Has obtained paper A or B of MRCPsych (or equivalent) qualification
PREVIOUS EXPERIENCE Essential
Completed at least 1-year regular hospital or community-based service at Core Trainee (CT) grade (or equivalent) Psychiatry training / experience
Desirable
Experience of working within a mental health inpatient or community setting Experience of working in addiction treatment settings Experience of prescribing opiate substitute treatments Completed a quality improvement project
CLINICAL SKILLS AND KNOWLEDGE Essential
Able to complete medical and mental health assessments Able to plan treatment safely Digital literacy - ability to use, understand, and critically engage with digital technologies
Desirable
Competence in assessing and managing substance use disorders
OTHER Essential
Communicates effectively
Disclosure and Barring Service Check This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.
Certificate of Sponsorship Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).
From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).
UK Registration
Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).
Employer details Employer name Central and North West London NHS Foundation Trust
Address New Beginnings, Willesden Centre for Health
Harlesden Road
London
NW10 3RY
United Kingdom
Employer's website https://www.cnwl.nhs.uk/work (Opens in a new tab)