About this role
Job summary
The trust is seeking a Full time (10PA) Speciality Doctor to work within the Older Peoples Care Unit at Kingsmill Hospital.
Nottinghamshire Healthcare is a major provider of specialist mental health services for older people in Nottingham City and the wider county. The service caters to the needs of all people suffering from dementia, regardless of age; and those, aged over 65 years, presenting with severe and enduring mental health illnesses, such as depression.
The Trust has 82 assessment and treatment beds. There are 36 beds at Highbury hospital (18 organic and 18 functional beds). Blossomwood Mental health unit has 35 beds (18 organic and 18 functional beds) and a further 10 beds on Dove ward which provide care to either patient group.
Main duties of the job
To undertake the administrative duties associated with the care of patients
To record clinical activity accurately and comprehensively, and submit this promptly to the Information Department
To participate in annual appraisal
To attend and participate in the academic programme of the Trust, including lectures and seminars as part of the internal CPD programme
To maintain professional registration with the General Medical Council and to abide by professional codes of conduct
To participate annually in a job plan review with the clinical manager, which will include consultation with a relevant manager in order to ensure that the post is developed to take into account changes in service configuration and delivery associated with modernisation
To work with local managers and professional colleagues in ensuring the efficient running of services, and share with colleagues in the medical contribution to management
To comply with the Trust's agreed policies, procedures, standing orders and financial instructions, and to take an active role in the financial management of the service and support the Medical Director and other managers in preparing plans for services.
To provide high quality evidence-based senior medical care to patients in the community.
To work closely with multidisciplinary teams to help deliver person-centred care to patients.
About us
We have a huge variety of opportunities in our expansive Trust covering geographically from South Yorkshire, Nottinghamshire to Leicester, providing mental health inpatient and community services, community health services, forensic mental health services and secure prison healthcare across the East Midlands. We have more than 100 sites and a huge scope of unique opportunities to develop your career and gain some amazing experiences. We strive to be a great place to work and offer many staff benefits and tailored staff support and wellbeing programmes.
Do you want to make a difference?
Do you believe in Trust, Honesty, Respect, Compassion and Teamwork?
Then Nottinghamshire Healthcare is the perfect place for you to start, maintain or further your career.
Join our team of nearly 9000 who are making a difference every day. We are all about our people - our staff, volunteers, carers, service users and patients. We are NottsHC.
Follow us on Facebook and Twitter @NottsHealthcare
Job description Job responsibilities
The dementia inpatient unit (Kingfisher Ward) is an 15 bedded assessment unit based at Blossomwood mental health unit, Kingsmill Hospital. There is an inpatient consultant who will be the responsible clinician for the patients.
As well as RMN staff, there is input from Social Work, Occupational Therapy, Physiotherapy, Psychology and Speech and Language Therapy Services. The trainee will become a key part of the multidisciplinary team for the ward.
The post holder will work as an integral part of the multi-disciplinary team. They will clerk new admissions, assess mental and physical states, obtain collateral histories and liaise with colleagues in other teams. The ward provides an invaluable opportunity to improve skills in the assessment of a range of psychopathologies; complete risk assessments; undertake complex capacity assessments; consider the interface between physical and mental healthcare in planning care; and liaising with the multi-disciplinary team.
The post holder will alongside a trainee MPAC (multi professional approved clinician), Rachel Maltby. Rachel will share the responsibility for patients on the ward and will provide cover on the days the Consultant is not on the ward.
The Multi-professional Approved Clinician (MPAC) Role: Where the approved clinician role is held by anyone other than a Psychiatrist, then the Trust refers to them as MPACs. The MPAC role has been inexistence since the last major reform of the Mental Health Act (MHA) in 2007. It granted appropriately qualified clinicians most of the powers outline in the Mental Health Act. An MPAC has 5(2) holding powers, can complete section 17 and 23 forms and apply for a CTO. The exceptions to the MPACs powers are:
Initial recommendations for detention under sections 2 & 3.
Management of treatments that the individual is not qualified or competent to oversee, such as medications and depots.
For medications and ECT, an MPAC may still act as Responsible Clinician (RC) but would need an Approved Clinician (AC) to oversee those aspects of the treatment plan. The spirit of the 2007 reforms was to match the RC role, as much as possible, to the needs of particular service user. Clearly any MDT is still going to need access to a range of professional opinion such as nursing, OT and specialist prescribing and input regarding physical health issues. However, an MPAC may still retain the RC role and overall responsibility for a particular service user. As per current practice, an MPAC would also remain as the specified Consultant and Care Coordinator for informal and voluntary service users.
The post holder will be expected to work with a well-established, cohesive and enthusiastic MDT to maintain a high standard of clinical care for our patients.
The ward operates a Red, Amber, Green system for patient management and facilitating discharge. This meeting helps the MDT review the progress and risks of every patient, provides an opportunity for the MDT to discuss treatment plans and allocate any tasks. The Consultant Psychiatrist is expected to attend this meeting wherever possible. They are required to review any new admissions to the ward to determine the holistic treatment strategy and then continue to review these patients regularly to monitor their progress. They are also expected to attend any relevant patient meetings (e.g. Admission/Discharge Planning Meetings, CPAs, etc.) and maintain good relationships with patients families and carers. The Consultant Psychiatrist will also assess and treat their patients in line with evidence based clinical; practice and in keeping with the Trust clinical pathways and governance procedures. The Consultant will model good prescribing practices for this patient group in line with national guidance. The Consultant Psychiatrist will be the named clinical supervisor for a core trainee.
Person Specification
Qualifications Essential
MB BS or equivalent medical qualification
Desirable
Qualification or higher degree in medical education, clinical research or management MRCPsych Additional clinical qualifications
Eligibility Essential
Fully registered with the GMC with a licence to practice at the time of appointment Has 3 years' experience in Psychiatry
Desirable
In good standing with GMC with respect to warning and conditions on practice Approved under S12 OR able to achieve with 6 months of appointment
Transport Desirable
Holds and will use valid UK driving licence OR provides evidence of proposed alternative.
CLINICAL SKILLS, KNOWLEDGE & EXPERIENCE Essential
Excellent knowledge in specialty Excellent clinical skills using bio-psycho-social perspective and wide medical knowledge Excellent oral and written communication skills in English Able to manage clinical complexity and uncertainty Makes decisions based on evidence and experience including the contribution of others Able to meet duties under MHA and MCA
Desirable
Wide range of specialist and sub-specialist experience relevant to post within NHS or comparable service
ACADEMIC SKILLS & LIFELONG LEARNING Essential
Able to deliver undergraduate or postgraduate teaching and training Ability to work in and lead team Demonstrate commitment to shared leadership & collaborative working to deliver improvement Participated in continuous professional development Participated in research or service evaluation Able to use and appraise clinical evidence Has actively participated in clinical audit and quality improvement programmes
Desirable
Able to plan and deliver undergraduate and postgraduate teaching and training relevant to this post Reflected on purpose of CPD undertaken Experienced in clinical research and / or service evaluation Evidence of achievement in education, research, audit and service improvement: awards, prizes, presentations and publications Has led clinical audits leading to service change or improved outcomes to patients
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.
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 Nottinghamshire Healthcare NHS Foundation Trust
Address Blossomwood Unit
Kings Mill Hospital, Mansfield Rd
Sutton In Ashfield
NG17 4JT
Employer's website https://www.nottinghamshirehealthcare.nhs.uk/ (Opens in a new tab)
