About this role
Job summary
We are seeking a dynamic and enthusiastic Speciality Grade doctor to work in our new award-winning Assertive outreach (AOT) and depot/clozapine service. The AOT service is a newly funded service. . You will work alongside the Brent community Mental Health Team, and the Adult Home Treatment Team and will receive supervision from the adult consultant psychiatrist.
Main duties of the job
The aim of an AOT service and Depot/Clozapine is to deliver integrated, trauma-informed, community based mental health care for our most vulnerable patients with serious mental health conditions adults, reducing hospital admissions and improving quality of life through holistic, multidisciplinary, and collaborative working, reducing hospital admissions and improving quality of life through holistic, multidisciplinary, and collaborative working
The position requires MB BS or equivalent medical qualification. Full GMC Registration with a license to practice to be section 12(2) MHA 1983 approved (or achieve within 6 months of appointment).
About us
CNWL is a nationally leading NHS Foundation Trust providing Mental Health, Community Health and Child Health Services across London and the Southeast of England.
Over the last few years our catchment area has grown significantly, making the Trust's population more diverse than ever. The area spans the communities of London, Milton Keynes and wider geographical areas of Buckinghamshire, Surrey, Kent and Hampshire. There are areas of great affluence as well as deprivation, and there are over 100 first languages spoken in these communities.
Based in Bentely House, this post offers many things including:
o Numerous opportunities for research and engagement with the Trust's active quality improvement network, including a programme of on-line and classroom courses from the Institute for Healthcare Improvement with full access to its Open School programme.o Your work will be supported by the full-time Consultant Psychiatrist for Adult Service who is involved in QI work and will involve you in the old age and dementia networks at the Trust's HQ at 350 Euston Road and the London Dementia Clinical Network. There will be extensive support for you to achieve your personal development goals and enhance your CPD activity.o The Trust has a highly active programme of academic meetings every week at Brent Mental Health Unit, Northwick Park Hospital. There is also a large Grand Round for the whole trust at the 350 Euston Road HQ every other month.
Job description Job responsibilities
Provide high quality psychiatric assessment, diagnosis, treatment planning, and ongoing medical care for adults with severe and enduring mental illness, particularly those who are disengaged, high risk, or non adherent with treatment. Manage a defined medical caseload, supervised by consultant psychiatrist, within the Assertive Outreach, depot, and clozapine functions, working closely with the multidisciplinary team. Undertake regular clinical reviews, including mental state examinations, risk assessment, physical health monitoring, and review of treatment response, ensuring care is evidence based and recovery focused. Provide middle grade medical leadership within the Assertive Outreach pathway, contributing to MDT meetings, huddles, and zoning discussions, and offering clinical oversight on risk management and medication optimisation. Lead and deliver depot antipsychotic and clozapine clinics, ensuring safe prescribing, monitoring of efficacy and side effects, and effective liaison with nursing, pharmacy, and consultant colleagues to maintain continuity of care. Review adherence, capacity, consent, and tolerability, and contribute to engagement strategies (including community based work and joint visits) to improve medication concordance in line with the AO SOP. Contribute to formulation, care planning, crisis planning, and supported transitions back to standard CMHH pathways when service users are stabilised. Take an active role in the assessment and management of clinical risk, including suicide, self harm, violence, vulnerability, and safeguarding, and support timely escalation and de escalation of care, including admission avoidance or facilitated admission where required. Work collaboratively with a wide range of partners, including crisis services, inpatient teams, primary care, local authorities, community, cultural and faith groups, to reduce avoidable admissions and A&E attendances. Deliver care flexibly across settings, including home visits, ensuring effective access for service users and carers, and actively involving them in treatment and care planning. Provide day to day medical cover for the AOT/Depot and Clozapine Team and participate in the Brent middle grade on call rota in line with service need. Maintain accurate, timely, and high quality clinical records, ensure appropriate discharge processes (including ICD 10 coding), and contribute to the development and review of clinical protocols. Participate in continuing professional development and annual appraisal in accordance with Trust policy.
Person Specification
Education, Qualifications and Training Essential
MB BS or equivalent medical qualification. Full GMC Registration with a license to practice To be section 12(2) MHA 1983 approved (or achieve within 6 months of apt), if not have Approved Clinician (AC) status/approval and be on the AC Register
Desirable
MRCPsych (or equivalent) An additional post graduate qualification of relevance to (own specialty)
Experience Essential
Proficient in risk assessment and management Experience of working in multidisciplinary teams Experience of use of the Mental Health Act and Mental Capacity Act in an inpatient psychiatric setting Adequate training in child and adult safeguarding Demonstrates ability to challenge others, escalating concerns when necessary.
Desirable
Experience of service development/business planning High level knowledge of planned developments at a national level to improve efficiency and deliver quality services
Skills Knowledge & Qualities Essential
Good interpersonal and communications skills in line with the Trust's Core Behaviours' Communicates effectively using the English Language and can share decision-making with patients, relatives, and carers; treats patients as individuals, promoting a person-centered approach to their care Sound organisational skills Awareness of their leadership duties as a clinician shows appropriate leadership behavior. Demonstrates understanding of a range of leadership principles, approaches and techniques so can adapt leadership behaviours to improve engagement and outcomes. Awareness of legal responsibilities relevant to the role, such as around mental capacity and deprivation of liberty; data protection; equality and diversity. Ability to work on own initiative
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 Bentley House
15-21 Headstone Drive
Harrow
HA3 5QX
United Kingdom
Employer's website https://www.cnwl.nhs.uk/work (Opens in a new tab)