Speciality Doctor.Perinatal.Chelmsford.EPUT465 Job description

Vision: ‘Working to Improve Lives’ Job Description Job Title: Specialty Doctor in Perinatal Psychiatry Responsible to: Consultants- Dr Rina Gupta, Dr Daniela Patrascu Accountable to: Clinical Director Professionally Accountable to: Medical Director Hours: Full time (10 PAs per week) Location: Nominal base is Linden Centre but required to work at other Trust locations as requested in response to the demands of the service The Trust Essex Partnership University NHS Foundation Trust (EPUT) is an award winning Trust that provides health and social care services for a population of 1.3million people in Essex, Suffolk, Bedfordshire, and Luton CQC says we’re still GOOD and now we’re OUTSTANDING for caring! The trust works with a wide range of partner organisations to deliver care and support to people in their own homes and from a number of hospital and community based premises EPUT has many modern community based resource centres and clinics to provide local services to local people where possible Our services include: Mental Health Services – we provide a wide range of treatment and support to young people, adults and older people experiencing mental illness both as inpatients (including in secure and specialised settings) and within the community A number of our specialist services have achieved accreditation from the Royal College of Psychiatrists Community Health Services – our diverse range of community health services provide support and treatment to both adults and children We deliver this care in community hospitals, health centres, GP surgeries and in our patients’ homes Learning Disabilities Services – we provide crisis support and inpatient services and our community learning disability team’s work in partnership with local councils to provide assessment and support for adults with learning disabilities As part of our a commitment to improving services for people with learning disabilities we are proud to say that we have signed up to the Driving Up Quality Code Our self-assessment contains the full details of our commitment Social Care – We provide personalised social care support to people with a range of needs, including people with learning disabilities or mental illness, supporting people to live independently EPUT is a Foundation Trust This means that local people have greater involvement in the way we develop and run our services It also gives us more flexibility in the way we can manage and invest our finances, allowing us to be more responsive to the needs of local communities The Role of the Specialty Doctor in Psychiatry The specialty doctor will be expected to work independently and provide clinical leadership to the team, through good multi-professional working The specialty doctor will have shared responsibility for the clinical care of those patients referred to the team and will be expected to work closely with the consultant and team manager to ensure the provision of an effective service Duties and Responsibilities of all Specialty Doctors Observe the Trust’s agreed policies and procedures Provide, with consultant colleagues, a service in the specialty for the Trust with responsibility for the prevention, diagnosis and treatment of illness, and the proper functioning of the department Honour out-of-hours responsibilities, including rota commitments where contracted Provide agreed cover for colleague’s periods of leave Participate in audit and continuing medical education Contribute to the training of junior medical staff and medical students Be involved in research and teaching where appropriate Duties and Responsibilities of Postholder Working independently and accountably as part of a team of clinicians offering Mental Health services Working collaboratively with key partner organisations, service users, carers, clinicians and other practitioners within the multi-disciplinary team in delivering services; providing a day a week, 24 hours a day service for 365 days a year In delivering your duties you are expected to display behaviours that are aligned with the Trust values and as required in accordance with the GMCs Good Medical Practice at all times The Community Perinatal Services for Essex provides multidisciplinary, community specialist care for the assessment and treatment of woman with mental health illnesses in pregnancy and postnatally across the County of Essex The post- holder will serve the needs of patients across the North of Essex, which includes the areas linked to the three main hospitals, which are Princess Alexandria in Harlow, Colchester General and Broomfield Hospital This will be reviewed periodically to ensure appropriate resource allocation to the different areas and any changes made shall be after deliberation The total birth rate for the population covered by the service is around 23,000 live births per annum The service works flexibly to meet the needs of the patients and their families The patients are supported wherever it is most convenient for them; at home, in local surgeries, maternity hospitals, clinics or children centres Though the service does not crisis intervention yet it does contribute to both supporting them in times of emergency during working hours Other services include liaison work the maternity services Clinical Responsibilities Provide high quality medical care with support from consultant perinatal psychiatrists across the Perinatal Service Maintain the high level of expertise and skill necessary for the provision of excellent quality perinatal mental health care, aiming for optimal outcomes for mother, infant and the wider family Provide medical input to the Perinatal Service’s patients in a community setting in line with the agreed job plan This includes assessments of women’s mental health and mother infant relationships and related risks, bio-psycho-social diagnostic formulations, exploration of prevention, treatment and care options, clear communication and shared decision making with patients (and families as appropriate), communication and joint planning with other professionals and agencies by the most effective means, use of appropriate legal statutes and powers for example the MHA, MCA AND Children Act where necessary for good patient care Ensure that care provided is in line with vision and values of the service for patient centred, compassionate, high quality care focussed on the needs of the woman, the baby and the wider family, facilitating shared decision making at all times Ensure highest standards of transparency and clarity in communication with women and other professionals (e.g all correspondence addressed to the patient and copied to all professionals) Support the Perinatal Consultant Psychiatrists in providing clinical supervision to junior doctors that are working or training in the service, and offering clinical advice and information as and when required to all staff Work closely with all professionals in the Service and with other agencies, including voluntary organisations to ensure that high quality patient care and after-care is effectively co-ordinated Actively contribute to quality improvement activities in the Service This includes participating in, and supporting or supervising others in initiating and completing projects, including audits, quality improvement initiatives, service evaluation and research This should include both local and regional or national projects Participate in continuous evaluations/audits of the Service, including national audits and benchmarking These include RCPsych CCQI Perinatal Network Peer reviews and related surveys, CCQI visits, and reports to commissioners Actively engage in quality improvement responses to any recommendations from these or as may emerge from time to time from other sources (eg Confidential Enquiries; NICE Guidelines) Participate in service evaluation and the planning of future service developments Ensure that cover is arranged for responsibilities during leave with consultant colleagues within the service TRAINING: Participate in educational supervision to any future trainees Participate in undergraduate and postgraduate medical teaching Participate in the training of other disciplines and groups inside and outside the service This includes: • Challenge stigma and discrimination against pregnant and postnatal women with mental disorder, by teaching and raising awareness with the public, public representatives, professionals and patients • Design and deliver training packages on awareness, prevention and detection of perinatal mental health disorders to meet the needs of local maternity, primary care, Social Services and other psychiatric colleagues • Enhance public mental health through physical health promotion in pregnancy, and education for patients and professional groups on transgenerational effects of poor maternal mental health Take part in continuing professional development, appraisal and revalidation activities Team The perinatal service in Essex has main hubs, North Essex and South Essex This is further divided into smaller hubs linked around the acute hospitals The speciality doctor will be working in the North Essex area The whole service has one service manager (8b), clinical managers (8a) and 3.8 WTE Consultants The service is rapidly expanding so there will be changes in the team members over time The service • • • • • • • • • Provides assessment, treatment and management of moderate – severe perinatal mental health disorders and high risk service users who have a GP in Essex, or who are planning to deliver their babies in Essex, during the perinatal period (antenatal and for up to 24 months post-natally Provides support to mothers on leave or recently discharged from the Rainbow Mother and Baby Unit (MBU) and other MBU’s in order to facilitate early discharge and prevent relapses Provides preconception counselling Provides consultation liaison with GPs, antenatal services, midwives and health visitors to support women being managed in primary care and prevent deterioration Works in partnership with other mental health teams providing support to women with perinatal mental health disorders (Mental Health Liaison Teams, Crisis Teams, CMHTs, IAPT) and with other services in contact with women (Antenatal services; Primary Care; Health Visitors; Children’s Social Services) Delivers specialist training for other mental health teams, midwives, GPs and health visitors who will work with women with perinatal mental health problems Provides information for pregnant women and their partners and families about perinatal mental illness Supports partners of the un-well mother and can provide initial assessments of their mental health and appropriate signposting Operates across the county North Essex (including North East, North West and Mid) POST Consultant Psychiatrist WTE/PAs 2.8 Team leader Band 8b (indicative share of PAs) Nurse Band Nurse Band Psychologist Band 8a Occupational Therapist Band (indicative share of PAs) Medical Secretary Band Nursery Nurse Band Assistant Psychologist Band (indicative share of PAs) Social Worker Band (indicative share of PAs) 1.0 4.0 0.8 0.8 0.5 2.6 0.8 0.5 0.5 South Essex (including South East and South West) POST Consultant Psychiatrist Speciality Doctor Team leader Band 8a (indicative share of PAs) Nurse Band Nurse Band Psychologist Band 8a Occupational Therapist Band (indicative share of PAs) Medical Secretary Band Nursery Nurse Band Assistant Psychologist Band (indicative share of PAs) Social Worker Band (indicative share of PAs) WTE/PAs 1.0 1.0 1.0 2.0 0.8 0.8 0.5 0.8 0.5 0.5 Outline Weekly Timetable This will be agreed with the Clinical Director and the Supervising Consultant on appointment DAY Monday Tuesday AM PM Clinic Administrative work Academic Teaching Emergency assessments/ GP prescribing advice Clinic Multidisciplinary Team Wednesday Thursday Friday Meeting Clinic CPD Emergency/ Home assessments Administrative work As this is a new post, the timetable is flexible and subject to negotiation Resources The post holder will have the use of PC and have access to the doctor’s rooms and the appropriate secretarial/administration support provided by a team The community perinatal services uses the electronic record system – SYSTEM but the post holder will also be expected to use other systems used in the trust for example PARIS and MOBIUS Training, Research and Continuing Professional Development The post holder is expected to participate in continuing professional development Study leave and facilities to enable the post holder to this, up to the standard required by the Royal College of Psychiatrists, will be provided Educational Activities of the Trust The Trust has a policy of encouraging continuing professional development and will meet the Royal College’s requirements for continuing professional development by allowing the post holder appropriate paid study leave and reimbursing reasonable expenses There is a rotational psychiatric training scheme for trainees, which have the full approval of the Royal College of Psychiatrists There is a comprehensive teaching programme consisting of case presentations, journal clubs, seminars, training in interviewing skills and lectures The Trust has an active Clinical Audit programme with presentations of audits arranged on a three monthly basis The Trust is committed to a policy of further education and training for all disciplines This includes links with Essex University - MA Courses in Psychotherapy, Research & Management, Health & Sociology and Community Mental Health are run jointly with the Trust There are strong links with the Colchester Institute, the University of Essex and Anglia Ruskin University, which run a number of degree programmes to which Trust staff contribute Hence, there will be many opportunities for the post holder to contribute to the multidisciplinary teaching and training Appraisal & Revalidation The postholder must actively participate in professional, clinical and managerial supervision and undertake relevant training aligned with the post holders personal development plan and other relevant professional bodies guidelines regarding CPD The Trust is committed to medical revalidation and appraisal and the post holder is required to undergo annual appraisals to support the revalidation process and continuous improvement of services The appraisal process is in accordance with the Trust’s Medical Appraisal Policy The trust uses an electronic appraisal system (Clarity) to support revalidation and collate Patient and Colleage 360 Feedback The Responsible Officer for the Trust is the Medical Director Clinical Audit Medical and clinical audit committees meet regularly and there would be opportunities to attend appropriate audit groups There will be a requirement in the locality to ensure NICE guidance is appropriately addressed and followed General Terms and Conditions of Service This post is covered by the National Terms and Conditions for SAS Doctors (England) 2008 Salary Scale As per current medical and dental pay circular Job Plan A job plan will be agreed upon with the successful candidate in conjunction with their supervising consultant and the Clinical Director The job plan will be reviewed on an annual basis or more frequently if changes are required due to service reconfiguration Annual Leave The post holder’s annual leave will be calculated pro-rata in line with NHS experience per year Absence during annual leave period will be covered by the colleagues Study Leave Specialty Doctors are entitled to 30 days study leave in a year period Visiting Applicants for the post are welcome to visit (at their own expense) and arrangements can be made with Dr Rina Gupta, Lead Consultant Perinatal Psychiatrist via e-mail rinagupta@nhs.net Travelling and Subsistence The interview is likely to be conducted online but otherwise the Interview expenses are reimbursable In the case of candidates travelling from overseas, travelling expenses are payable only from the point of entry into the United Kingdom Further Information For further information regarding this post please contact either Dr Rina Gupta, Consultant Lead for Perinatal Services in Essex (rinagupta@nhs.net) Dr Raman Deo Clinical Director for the Perinatal Services in Essex.(rdeo@nhs.net) ASSURANCE STATEMENT The purpose of this job description is to outline levels of responsibility and accountability of this post, to ensure that all work undertaken by our staff is identified and lines of accountability are clear OUR TRUST VALUES You are responsible for ensuring that the below Trust values are adhered to daily in your work and whilst providing services to patients and their families Open – We expect our colleagues: • To be honest, accessible and responsive • To work collaboratively with colleagues and all stakeholders and be open to new perspectives and ways of working • To actively listen and have confidence to speak up to improve services • To professionally challenge and take ownership to improve safety and change things for the better Compassionate - We expect our colleagues: • To understand different perspectives and take responsibility to respond to patients, carers and colleagues • To be friendly and courteous and show a caring and empathetic approach in transactions with others • To value inclusiveness and respect individual and team differences • To strive to provide the highest possible standards of care and support Empowering - We expect our colleagues: • To go the extra mile and help others achieve their goals, • To encourage and embrace change and be proud to share their ideas, • To embrace continuous learning and self-development, • To celebrate successes and have the courage to learn from mistakes NHS CONSTITUTION You are responsible for ensuring that the values outlined in the NHS Constitution are adhered to daily and any matters of concern are raised with the relevant Line Manager or through the necessary processes within the Trust You are responsible for delivering a compassionate, dignified and respectful service to patients at all times DUTY OF CANDOUR You must adhere to the principles of openness, transparency and the statutory duty of candour in your day to day work and conduct and encourage the same behaviours within the wider organisation EQUAL OPPORTUNITIES STATEMENT The Trust operates an Equal Opportunities Policy and expects staff to have a commitment to equal opportunity in relation to employment, development, training and service delivery NO SMOKING POLICY The Trust is committed to a policy which discourages smoking and prohibits smoking on Trust property and on Trust business outside it INFECTION CONTROL The post holder is accountable and responsible for the prevention of healthcare associated infections by complying with all Infection Prevention & Control policies and procedures in line with legislation (Health Act 2006; Code of Practice for the Prevention and Control of Healthcare Associated Infections.) HEALTH AND SAFETY All employees must be aware of the responsibilities placed upon them under the Health and Safety at Work Act (1974) to ensure that the agreed safety procedures are carried out to provide a safe environment for employees and visitors GENERAL DATA PROTECTION REGULATION 2016 The General Data Protection Regulation (2016) is to ensure compliance with all Trust policies, and those procedures relevant to the area of work The Trust will always seek to process your personal data in accordance with its obligations and your rights The GDPR requires that personal data shall be; • Processed Lawfully, fairly and in a transparent manner in relation to individuals; • Collected for specified, explicit and legitimate purposes and not further processed in a manner that is incompatible with those purposes; further processing for archiving purposes in the public interest, scientific or historical research purposes or statistical purposes shall not be considered to be incompatible with the initial purpose; • Adequate, relevant and limited to what is necessary in relation to the purposes for which they are processed; • Kept in a form which permits identification of data subjects fir no longer than is necessary for the purposes for which the personal data are processed; personal data may be stored for longer periods insofar as the personal data will be processed solely for archiving purposes in the public interest, scientific or historical research purposes or statistical purposes subject to implementation of the appropriate technical and organisational measures required by the GDPR in order to safeguard the rights and freedoms of individuals; and • Processed in a manner that ensures appropriate security o the personal data, including protection against unauthorised or unlawful processing and against accidental loss, destruction or damage, using appropriate, technical or organisational measures All employees must adhere to the Trust’s Policy on the Protection and Use of Personal Information which provides guidance on the use and disclosure of information The Trust also has a range of policies for the use of computer equipment and computer generated information These policies detail the employee’s legal obligations and include references to current legislation Copies of the Policy on the Protection and Use of Personal Information and other Information Technology policies are included in the Trust’s Policies and Procedures Manual/Intranet CONFIDENTIALITY Your attention is drawn to the confidential nature of information collected and used throughout the NHS The unauthorised use of disclosure of patient, staff or other personal information is a dismissible offence The unauthorised disclosure of information could also result in a prosecution for an offence, or action for civil damages, under the General Data Protection Regulation You are required to observe the strictest confidence regarding any Confidential Information relating to work of the Trust, its patients/clients and its employees “Confidential Information” includes but is not limited to information relating to the Trust received by you in the course of your employment with the Trust or its predecessors, information relating to patients, personnel information, budgeting and financial information and information in respect of which the Trust owes a duty of confidentiality to a third party You are required not to disclose any Confidential Information either during or after your employment with the Trust, unless expressly authorised to so by the Trust or required in the proper performance of your duties or as required by law This obligation will cease only when such information comes into the public domain other than through unauthorised disclosure by you Failure to comply with these requirements could result in action being taken under the Trust’s Conduct/Disciplinary Policy and Procedure This obligation is without prejudice to the law concerning protected disclosures in the Public Interest Disclosure Act 1998 (the so-called “Whistleblowers Act”) RISK MANAGEMENT All staff working in, or for the Trust have a responsibility for participating in the risk management programme All post-holders have a responsibility to assess all risks to systems, processes and environment and contribute to the clinical and corporate governance agendas as appropriate SAFEGUARDING DUTY “It is the responsibility of the post holder to be aware of and follow the legislation and guidance regarding Safeguarding Children and Adults as stated in the Trust Safeguarding Policy and the Southend, Essex and Thurrock (SET) Child Protection Guidance This applies to all staff regardless of which member of the family is the primary client The post holder is responsible for ensuring they receive the appropriate level of Safeguarding Children training according to their role’’ INFORMATION TECHNOLOGY It is the responsibility of the post holder to have a level of IT competence relevant to their job role and will be expected to continue to keep their skills up to date as part of their Continuing Professional Development CHANGES TO THIS JOB DESCRIPTION Post holders have a responsibility to discuss any significant job changes with their line manager at the time the change occurs and agree any permanent substantial change On appointment within the Trust staff may be allocated to a specific area of care It is however Trust policy to allocate staff to other areas of work within the Trust from time to time where this is in the interest of the individual and / or the service The Job Description does not purport to be an exhaustive list of duties and responsibilities The post holder will be expected to undertake additional duties as the requirements of the post change  ... and dental pay circular Job Plan A job plan will be agreed upon with the successful candidate in conjunction with their supervising consultant and the Clinical Director The job plan will be reviewed... competence relevant to their job role and will be expected to continue to keep their skills up to date as part of their Continuing Professional Development CHANGES TO THIS JOB DESCRIPTION Post holders... Director for the Perinatal Services in Essex.(rdeo@nhs.net) ASSURANCE STATEMENT The purpose of this job description is to outline levels of responsibility and accountability of this post, to ensure