About this role
Job summary
We are delighted to invite applications for an exciting full-time (10PA), Speciality Doctor post in the Maudsley Centre for Child and Adolescent Eating Disorders (MCCAED) ARFID Team.MCCAED is situated within the CAMHS Clinical Academic Group of South London and Maudsley NHS Foundation Trust, the most comprehensive mental health service for children and young people in the country. This is one of three full-time Specialty Doctor posts within MCCAED.This post would be suitable for a wide range of doctors, especially those with a background in eating disorders, paediatrics and / or community CAMHS. In addition to extensive opportunities to develop clinical knowledge, experience and skills in child and adolescent eating disorders, there are also excellent opportunities for quality improvement activities, research, teaching and training.
Main duties of the job
The postholder will have the following key areas of responsibility:o Assessments and therapeutic work with children, adolescents, and parentso Undertake physical examinations and order investigations as required o Prescribe and monitor psychotropic medicationo Liaise with paediatric colleagues and general practitioners around the physical and mental health care of patientso Co-work with and consult to other colleagues within the team
About us
MCCAED is a nationally recognized example of best practice in specialist outpatient eating disorders care for children and adolescents. The multidisciplinary service is large, well-established, and cohesive, and the service has four main components: a specialist outpatient team for children and adolescents with Anorexia and Bulimia Nervosa; the specialist outpatient team for children and adolescents with Avoidant Food Restrictive Intake Disorder (ARFID) both of whom see patients from the 7 local boroughs; the Swift Targeted Admission Reduction Team (START) and a national intensive day service treatment programme for adolescents with Anorexia (ITP).MCCAED does not have an inpatient unit. Occasionally, our patients may have brief admissions on the paediatric ward at Kings College Hospital, which is across the road from our clinic. The admissions are usually less than 5 days and are normally for re-feeding and / or medical stabilisation. These admissions are supported by the START Team in MCCAED. Our admission rates to eating disorder units are very low. Over the last 10 years we tend to admit less than 1-2% of patients we assess each year.
Job description Job responsibilities
Accountability: The appointee will be professionally responsible to The Associate Medical Director via the Joint Head of Service, Dr Mima Simic, and Dr Pippa Hugo (Clinical Lead for ARFID Service). The appointee will be managerially accountable to the Lead Clinician, Dr Sacha Guglani and the Service Manager for National & Specialist CAMHS, Donna Underwood, who work in partnership with the MCCAED Senior Clinicians to deliver this service. Clinical Duties: The postholder will assist in the assessment and management of children referred to MCCAED. The postholder will join colleagues and co-work cases where necessary; undertake physical examinations as required; order investigations e.g. blood results and ECGs and check their results. They will also be responsible for prescribing and monitoring psychotropic medication. The postholder would be expected to have a small caseload of patients from the ARFID service. These may be seen for monitoring of medication, mental state, psychiatric, or physical risk, or because the postholder is care-coordinating as the lead therapist. The postholder is not expected to have responsibilities for management, strategic service development, or business planning. However, if the postholder is interested in these areas then opportunities to develop and apply knowledge and skills in these areas could be explored. Further responsibilities are described below. Secretarial Support and Office Facilities. The MCCAED administrative team provide administrative and appropriate secretarial support to the team. The postholder will have access to own desk and computer facilities. The office will be shared with other members of the multi-disciplinary team and are situated in floors above the clinical area.The service is networked to the Trust intranet with IT support from the central services of the trust. The trust is committed to the digital development of all staff and in line with the Digital Me programme to enable more flexible working the post holder will have his / her own Trust computer/ laptop. The post holder will be expected to keep their own diary, preferably electronically. Provision and Cover During Absences: Cover for colleagues is prospective. The postholder should therefore ensure that leave arrangements should be agreed with their supervising consultant and peers in advance. Medical Practice: All members of the Trusts medical staff are expected to practice within current GMC guidelines, those contained within the booklets on Good Medical Practice and Maintaining Good Medical Practice. These booklets outline the duties of doctors who are registered with the GMC, emphasizing the responsibility of every doctor to ensure standards of good clinical care, to keep up to date with clinical skills, to work in teams and to maintain good relationships with colleagues in all disciplines. The Trust is committed to these principles and will provide support for education and development of all grades of staff. Clinical Governance: The Trust has established multi-disciplinary clinical governance mechanisms that the postholder will be expected to participate in including evidence-based practice implementation of local policies and procedures that support best practice - both uni-disciplinary and multi-disciplinary. The post holder is required to follow risk management processes to ensure clinical and non-clinical risks are identified and actions taken as appropriate. Audit and Quality Improvement: The Trust undertakes regular quality improvement and clinical audit of their activities, and the appointee will be expected to take part in this programme and further develop specific projects and associated data collection relevant to their work and the service. Teaching, Supervision and support to training and non-consultant speciality doctor posts: Weekly supervision for the post-holder will be ring-fenced and provided by Dr Pippa Hugo, Consultant Child and Adolescent Psychiatrist. There is also weekly supervision for trainee doctors. There are multi-disciplinary Case Discussion groups each week where clinical cases can be discussed. In addition, there is monthly Systemic Supervision and CBT supervision. The post holder will have the opportunity to join the ST Teaching should they wish to do so. Research: the Post holder will have the opportunity to join the research team and contribute to the development of ARFID Related research within the service. Other responsibilities of the Role: 1. Ensure that electronic patient clinical records relating to post holder's work are well maintained and meet Trust standards for documentation and communication with referrers and users are met. 2. Contribute to the development of policies and procedures to support good practice and ensure that appropriate high-quality clinical services are delivered. 3. Ensure that policies and procedures are implemented to safeguard and protect children and young people, and where necessary implement the CPA process. 4. Promote good links with GPs, nursing and medical colleagues, local CAMHS services, schools. 5. Provide a service which promotes diversity, meets the needs of service users from diverse ethnic, cultural and religious traditions, is accessible and sensitive to needs relating to disability, gender, and sexual orientation. 6. Apply quality standards to all work undertaken, in line with Trust Clinical Governance policies. 7. Attend professional meetings as appropriate within and outside the Directorate, in accordance with CPD and agreed Personal Development Plan. 8. Assist in the implementation of research and evaluation where required. Job Plan: The contract states that there is a requirement for all staff to have firm job plans. These plans are intended to give the Clinical Director a more explicit input into the arrangements and review of doctors' duties. A job plan is a detailed description of the duties and responsibilities of a doctor and of the facilities available to carry them out. A job plan and a work programme are an integral part of the doctor's contract of employment. Appraisal and job planning occur annually with the Consultant Psychiatrist of the service.
Person Specification
Qualifications Essential
Full Registration with the General Medical Council (GMC) (A/I) MBBS or equivalent (A/I) Membership of the Royal College of Psychiatrists, or equivalent, or in process of completion (A/) Eligible to work in the UK The successful candidate should have completed at least four years' full-time postgraduate training (or its equivalent gained on a part-time or flexible basis) at least two of which will be in a specialty training programme in a relevant specialty or as a fixed term specialty trainee in a relevant specialty or shall have equivalent experience and competencies (A/I)
Desirable
Approved Clinician Status, Section 12(2) Approval under Mental Health Act (A/I) Higher degree in a relevant subject (A/I) Membership of a professional indemnity organisation (A/I)
Experience/Knowledge/Skills Essential
Clinical experience of working with children and adolescents OR in eating disorders (A/I) Competence in physical assessments (A/I) Competence in psychotropic prescribing and monitoring (A/I) Experience of Safeguarding Children framework (A/I)
Desirable
Experience of inpatient or liaison psychiatry, or paediatrics (A/I) Experience of working in a culturally diverse area (A/I) Engagement with Annual Appraisal or equivalent (A/I)
Teaching and Training Essential
Experience of multi-disciplinary teaching (A/I)
Desirable
Qualification in Teaching (A/I)
Research Essential
Experience of co-operating in Clinical Research (A/I)
Desirable
Presentation at a national or international conference (A/I) Publication in a peer-reviewed journal (A/I)
Quality Improvement Essential
Experience of QI activity (A/I)
Desirable
Experience of developing a service component (A/I)
Leadership and Management Desirable
Engagement with Service Improvement / Management (A/I) Experience of Clinical Leadership (A/I) Management / Leadership Training (A/I)
Information Technology Experienceand Skills Essential
Basic computer skills, including ability to use e-mail and Internet (A/I)
Personal Qualities Essential
Excellent communication skills in English (written and verbal) Ability to work within a multi-disciplinary team (A/I) Highest level of integrity and probity (A/I) Enthusiasm and commitment to the NHS (A/I) Capacity to respond positively to the changing NHS environment (A/I)
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 South London and Maudsley NHS Foundation Trust
Address Pears Maudsley Centre for Children and Young People (PMCYP)
S L A M NHS Foundation Trust
London
SE5 8AZ
United Kingdom
Employer's website https://www.slam.nhs.uk/ (Opens in a new tab)